bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression and Alzheimer’s Disease Biomarkers Predict Driving Decline
Authors: Babulal Ganesh M. , Chen Suzie , Williams Monique M. , Trani Jean-Francois , Bakhshi Parul , Chao Grace L. , Stout Sarah H. , Fagan Anne M. , Benzinger Tammie L.S. , Holtzman David M. , Morris John C. , Roe Catherine M. 
Published: November 2018

Background: Symptomatic Alzheimer’s disease (AD) and depression independently increase crash risk. Additionally, depression is both a risk factor for and a consequence of AD. Objective: To examine whether a depression diagnosis, antidepressant use, and preclinical AD are associated with driving decline among cognitively normal older adults. Methods: Cognitively normal participants, age ≥65, were enrolled. Cox proportional hazards models evaluated whether a depression diagnosis, depressive symptoms (Geriatric Depression Scale), antidepressant use, cerebrospinal fluid (amyloid- β42 [A β42], tau, phosphorylated tau181 [ptau181]), and amyloid imaging biomarkers (Pittsburgh Compound B and Florbetapir) were associated with time to receiving a rating of marginal/fail on a road test. Age was adjusted for in all models. Results: Data were available from 131 participants with age ranging from 65.4 to 88.2 years and mean follow up of 2.4 years (SD = 1.0). A depression diagnosis was associated with a faster time to receiving a marginal/fail rating on a road test and antidepressant use ( p = 0.024, HR = 2.62). Depression diagnosis and CSF and amyloid PET imaging biomarkers were associated with driving performance on the road test ( p≤0.05, HR = 2.51–3.15). In the CSF ptau181 model, depression diagnosis ( p = 0.031, HR = 2.51) and antidepressant use ( p = 0.037, HR = 2.50) were statistically significant predictors. There were no interaction effects between depression diagnosis, antidepressant use, and biomarker groups. Depressive symptomology was not a statistically significant predictor of driving performance. Conclusions: While, as previously shown, preclinical AD alone predicts a faster time to receiving a marginal/fail rating, these results suggest that also having a diagnosis of depression accelerates the onset of driving problems in cognitively normal older adults.
Adherence to treatment and its predictive factors among adults with type 2 diabetes in northern Iran
Authors: Hosseini-Marznaki Zohreh , Tabari-Khomeiran Rasoul , Taheri-Ezbarami Zahra , Kazemnejad Ehsan 
Published: November 2018

BACKGROUND: Type 2 diabetes is a common chronic disease in developing countries. It has widespread effects on many aspects of the lives of patients and their families, so health care systems should prioritize the management of diabetes. Blood glucose control and prevention of complications are the primary goals of diabetes care. Achievement is possible when the patients adhere to the treatment regimen, although several factors are known to affect the adherence. OBJECTIVE: The aim of this study was to evaluate the adherence to treatment and identify a number of its predictive factors in patients with diabetes in northern Iran. METHODS: In this cross-sectional analytical study, 266 patients with type 2 diabetes were selected through convenience sampling. The data-gathering tool was a self-administered questionnaire containing questions about personal and social characteristics of patients, as well as a 40-item questionnaire to measure patients’ adherence to treatment. The questionnaire consisted of seven domains: (i) making the effort for treatment, (ii) intention to take the treatment, (iii) adaptability, (iv) integrating illness into life, (v) sticking to the treatment, (vi) commitment to treatment, and (vii) indecisiveness about applying treatment. Data collection lasted from first week of November 2017 to the first week of January 2018. RESULTS: Most subjects were adherent to treatment. The highest adherence was in “commitment to treatment,” subdomain and the lowest adherence was in “adaptability.” In univariate analysis age, educational achievement, occupation, Body Mass Index (BMI), duration of diabetes, searching information about diabetes, and comorbidities were significantly related to adherence to treatment. The results of multivariate analysis also showed that patients who had normal BMI, academic education, searching behaviour for information, longer history of diabetes, and more comorbidities were more likely to be adherent. CONCLUSION: This study revealed a number of predictive factors of adherence to treatment in patients with diabetes. This may inform the health policy makers to take appropriate actions for promoting treatment adherence among patients.
Development & validation of the Greek version of the nutrition literacy scale
Authors: Michou Maria , Panagiotakos Demosthenes B. , Costarelli Vassiliki 
Published: November 2018

BACKGROUND: Nutrition literacy seems to be positively correlated with a healthy and balanced diet. OBJECTIVE: The purpose of the study was to develop and validate the Greek version of Nutrition Literacy Scale (NLS). METHODS: The NLS, initially developed by Diamond in 2007 in the USA, was translated to the Greek language forward and backward twice and subsequently was administered to 50 healthy adult individuals living in Greece. The participants had to complete the tool twice, within a period of 15 days, followed by a specifically designed structured interview, coupled with the New Vital Sign (NVS), for comparison purposes. All anthropometric data were self-reported. RESULTS: There was a strong positive correlation between the Greek NLS (NLS-Gr) and the structured interview ( r = 0.503, p < 0.001) and the Greek NLS and the NVS ( r = 0.451, p = 0.001). Obese participants scored lower than normal weight participants. CONCLUSIONS: The NLS-Gr can be considered as a useful tool for assessing NL.
Faktor Predisposisi Yang Mempengaruhi Keberhasilan Pemberian Asi Eksklusif Berdasarkan Teori Maternal Role Attainment Ramona T Mercer
Authors: Rahayu Dwi , Yunarsih Yunarsih 
Published: November 2018

According to the Indonesian Demographic Health Survey (SDKI) from 1997 to 2002, the number of exclusive breastfeeding infants aged six months decreased from 7.9% to 7.8%. Meanwhile, the results of SDKI 2007 showed decreased number of exclusively breastfeeding infants up to 7.2% and the number of infants under six months who fed formula improved from 16.7% in 2002 to 27.9% in 2007. The number of infants in Indonesia who get exclusive breastfeeding continues to decline as more and more babies under 6 months of formula-feeding. The purpose of this research was to determine the factors that affect the successfull of exclusive breastfeeding Based On Maternal Role Attainment Ramona T Mercer Theory. The type of this research is an analytic survey. The population in this study are mothers who have babies aged 0-6 months in the Village Pojok Kediri. Sampling technique by Purposive Sampling and obtained the number of samples are 30 Respondents. The instrument used in this study is a questionnaire. Data analysis using Chi-Square test with α = 0,05. From the results of this study it was found that factors related to exclusive breastfeeding practices were maternal education (p value: 0,037), information how to breastfeeding (p value: 0,031), and community support (p value: 0,010), while Factors not related to Exclusive Breastfeeding practices include age (p value: 0.293), occupation (p value: 0.297), information of exclusive breastfeeding (p value: 0,903), Family Support (p value: 0.479) and Health Workers’s Support (p value: 0.669) . To improve the success of exclusive breastfeeding, counseling should be started from antenatal visit of the Pregnant Woman that aims to provide information preparation for breastfeeding, and counseling will be continued during breastfeeding which aims to monitor Exclusive breastfeeding up to 6 months and increase the participation of parents in exclusive breastfeeding support groups.
Synchrotron Radiation from the Fast Tail of Dynamical Ejecta of Neutron Star Mergers
Authors: Hotokezaka Kenta , Kiuchi Kenta , Shibata Masaru , Nakar Ehud , Piran Tsvi 
Published: November 2018

Abstract
We find, using high-resolution numerical relativistic simulations, that the tail of the dynamical ejecta of neutron star mergers extends to mildly relativistic velocities faster than 0.7c. The kinetic energy of this fast tail is ∼1047–1049 erg, depending on the neutron star equation of state and on the binary masses. The synchrotron flare arising from the interaction of this fast tail with the surrounding interstellar medium (ISM) can power the observed nonthermal emission that followed GW170817, provided that the ISM density is

, the two neutron stars had roughly equal masses and the neutron star equation of state is soft (small neutron star radii). One of the generic predictions of this scenario is that the cooling frequency crosses the X-ray band on a timescale of a few months to a year, leading to a cooling break in the X-ray light curve. While the recent observation of the superluminal motion resolved by very long baseline interferometry (VLBI) rules out the dynamical ejecta scenario, the model described in this paper is generic and can be applied for future neutron star merger events.
The Molecular Gas Content and Fuel Efficiency of Starbursts at z ∼ 1.6 with ALMA
Authors: Silverman J. D. , Rujopakarn W. , Daddi E. , Renzini A. , Rodighiero G. , Liu D. , Puglisi A. , Sargent M. , Mancini C. , Kartaltepe J. , Kashino D. , Koekemoer A. , Arimoto N. , Béthermin M. , Jin S. , Magdis G. , Nagao T. , Onodera M. , Sanders D. , Valentino F. 
Published: November 2018

Abstract
We present an analysis of the molecular gas properties, based on CO (2−1) emission, of 12 starburst galaxies at z ∼ 1.6 selected by having a boost (≳4×) in their star formation rate (SFR) above the average star-forming galaxy at an equivalent stellar mass. ALMA observations are acquired of six more galaxies than previously reported through our effort. As a result of the larger statistical sample, we significantly detect, for the first time at high z, a systematically lower

/L
IR ratio in galaxies lying above the star-forming “main sequence” (MS). Based on an estimate of α
CO (i.e., the ratio of molecular gas mass to

), we convert the observational quantities (e.g.,

/L
IR) to physical units (M
gas/SFR) that represent the gas depletion time or its inverse, the star formation efficiency. We interpret the results as indicative of the star formation efficiency increasing in a continuous fashion from the MS to the starburst regime, whereas the gas fractions remain comparable to those of MS galaxies. However, the balance between an increase in star formation efficiency and gas fraction depends on the adopted value of α
CO as discussed.
Evidence on the Orbital Modulated Gamma-Ray Emissions from the Redback Candidate 3FGL J2039.6–5618
Authors: Ng C. W. , Takata J. , Strader J. , Li K. L. , Cheng K. S. 
Published: November 2018

Abstract
Using 9.5 yr of Fermi Large Area Telescope data, we report the evidence on the orbital modulated gamma-ray emissions from the redback candidate 3FGL J2039.6–5618. We produced the folded light curve with the orbital period of ∼5.47 hr at a ∼4σ level. We also computed the gamma-ray spectra in two orbital phases corresponding to the inferior conjunction and the superior conjunction. We found that the <3 GeV excess in the spectrum of inferior conjunction can be modeled by the inverse Compton scattering between a relativistic pulsar wind and background soft photons of the companion star. The orbital modulation can also be explained by the evolving collision angle between the particles and photons in the same model. Through period searches by the Rayleigh test and the flux variability, we speculate that the orbital modulation is not detected after MJD ∼57,000. We propose a possible explanation in which the intrabinary shock is located closer to the pulsar so that the pulsar wind carries a smaller Lorentz factor. We estimated that the resultant inverse Compton component will be too soft and too weak to be observed.
Quantifying Feedback from Narrow Line Region Outflows in Nearby Active Galaxies. II. Spatially Resolved Mass Outflow Rates for the QSO2 Markarian 34*

†
Authors: Revalski M. , Dashtamirova D. , Crenshaw D. M. , Kraemer S. B. , Fischer T. C. , Schmitt H. R. , Gnilka C. L. , Schmidt J. , Elvis M. , Fabbiano G. , Storchi-Bergmann T. , Maksym W. P. , Gandhi P. 
Published: November 2018

Abstract
We present spatially resolved mass outflow rate measurements (

) for the narrow line region of Markarian 34, the nearest Compton-thick type 2 quasar (QSO2). Spectra obtained with the Hubble Space Telescope and at Apache Point Observatory reveal complex kinematics, with distinct signatures of outflow and rotation within 2 kpc of the nucleus. Using multi-component photoionization models, we find that the outflow contains a total ionized gas mass of M ≈ 1.6 × 106
M
⊙. Combining this with the kinematics yields a peak outflow rate of

M
⊙ yr−1 at a distance of 470 pc from the nucleus, with a spatially integrated kinetic energy of E ≈ 1.4 × 1055 erg. These outflows are more energetic than those observed in Mrk 573 and NGC 4151, supporting a correlation between luminosity and outflow strength even though they have similar peak outflow rates. The mix of rotational and outflowing components suggests that spatially resolved observations are required to determine accurate outflow parameters in systems with complex kinematics.
Localized Quasi-periodic Fluctuations in C ii, Si iv, and Fe xxi Emission during Chromospheric Evaporation in a Flare Ribbon Observed by IRIS on 2017 September 9
Authors: Brosius Jeffrey W. , Inglis Andrew R. 
Published: November 2018

Abstract
We investigate the onset of a GOES M3.7 flare on 2017 September 9 with rapid-cadence (9.4 s) UV stare spectra obtained with IRIS in five 1″ slit segments. Our analysis is based primarily on integrated intensities and Doppler velocities of C ii
λ1334.5 (T ≈ 2.5 × 104 K), Si iv
λ1402.7 (7.9 × 104 K), and Fe xxi
λ1354.1 (1.1 × 107 K). The four segments within the ribbon show systematically earlier starting times for the low-T lines (C ii and Si iv) than Fe xxi; further, the velocities derived for Fe xxi are generally directed upward along the line of sight. This is consistent with the standard flare model, in which beams of nonthermal particles ionize and heat the chromosphere and drive chromospheric evaporation: as the temperature and ionization stages of the chromospheric plasma increase, intensities of emission lines also increase, first from lines in lower stages of ionization, and later from lines in higher stages of ionization. Where quasi-periodic fluctuations were observed in the ribbon in both low-T and Fe xxi emission, peaks in the low-T intensity preceded those in the Fe xxi intensity, and peaks in the Fe xxi upward velocity typically also preceded those in the Fe xxi intensity. Thus, the behavior of each individual fluctuation was similar to that of a standard flare, suggesting that each individual fluctuation was due to a separate injection of nonthermal particles into the chromosphere. Based on RHESSI hard X-ray observations, we estimate sufficient beam energy flux (≥1.5 × 1010 erg cm−2 s−1) to drive explosive chromospheric evaporation.
A Conceptual Framework for Integrated Ecosystem Assessment
Authors: Brown Claire , Burns Abigail , Arnell Andy 
Published: November 2018

This short communication presents an ecosystem assessment framework developed within ESMERALDA; a Horizon2020-funded EU project aimed at delivering a ‘flexible methodology’ to assist towards pan-European and regional Mapping and Assessment of Ecosystem Services (MAES).
The framework we present is closely aligned with assessment frameworks developed within the MAES (2014) and Millennium Ecosystem Assessment (2010) initiatives. Mapping, fundamental to the work of MAES as well as ESMERALDA, is placed at the heart of a wider suite of activities carried out within ecosystem assessment. This enables flexibility in where and how integration takes place. Beyond the biophysical parameters at the core of the framework, emphasis is given to the inclusion of social and economic factors to ensure policy relevance.
Consultation, both internal to the ESMERALDA Consortium and external - amongst those already conducting ecosystem assessments across Europe - helped guide the development of the framework. Online consultation will provide information about the development of guidance around the framework and initiate the collation of good practice examples. The framework and accompanying guidance will contribute towards a final guidance tool due at the end of the ESMERALDA project lifetime.
Use of Emotional Intelligence to Enhance Advanced Practice Registered Nursing Competencies
Authors: Cox Kathleen M. 
Published: November 2018

Background:
Interpersonal relationships are fundamental to competent delivery of health care. Nursing practice is grounded in interpersonal relationships, making advanced practice registered nurses (APRNs) well prepared to ensure the delivery of safe, effective care. Research demonstrates interpersonal dynamics can be enhanced. Emotional intelligence (EI) is the ability to perceive, understand, manage, and use emotions in self and others, and it comprises a key factor in interpersonal relationships.

Method:

APRN education is grounded in the Quality and Safety Education for Nurses and master's
Essentials
competencies. This analysis provides a framework to align APRN professional competencies with EI competencies to enhance leadership, communication, and teamwork in health care teams.

Results:
By using the matrix of EI and APRN competencies provided, nurse educators may implement learning strategies to improve EI and support APRN competencies.

Conclusion:

Well-educated and emotionally intelligent APRNs can enhance cooperation in multidisciplinary teams, promote better communication, and demonstrate APRN leadership to improve patient outcomes. [
J Nurs Educ
. 2018;57(11):648–654.]
Nursing Students' Reactions to an Educational Experiential Immersion in Palliative Care
Authors: Glover Toni L. , Narvel Natasha R. , Schneider Lucille A. , Horgas Ann L. , Bluck Susan 
Published: November 2018

Background:
The nursing role includes providing compassionate care at the end of life, yet many nurses feel unprepared to provide such care. We describe nursing students' reactions during participation in an experiential immersion in palliative care in which they interacted with seriously ill patients through gifting handmade shawls.

Method:
After gifting, students wrote three words that best described the feeling in the room. Responses were content-analyzed to assess the frequency of specific concepts produced in the Three Words task. Gifting Reflection narratives were used to characterize the content–analysis categories.

Results:
Nursing students' most common responses were reflected in the categories Comfort and Kindness, and Thankfulness and Appreciation. Students also reported Sorrow and Need, but positive themes of Happiness and Delight, and Calm and Reflective were equally as prevalent.

Conclusion:

Experiential learning that focuses on psychosocial learning can result in nurses having positive, meaningful experiences in caring for seriously ill patients. [
J Nurs Educ
. 2018;57(11):675–679.]
Striving for Precision: Enhancing Genetic Competency in Primary Care Nurse Practitioner Students
Authors: Sloand Elizabeth , Bourguet Adrienne Nicole , Engle-Pratt Wynnona , Bodurtha Joann 
Published: November 2018

Background:
Research in genetics and genomics has led to the development of precision medicine, with health care increasingly individually based on one's genetic makeup. Implementation of genetics and genomics in primary care has been challenging given the rapid development of new advances. Clinicians report difficulties incorporating genetics and genomics in practice, citing insufficient knowledge, training, confidence, and resources for genetic diagnoses, testing, and result reporting.

Method:
Three pediatric nurse practitioner students participated in elective clinical rotations in pediatric genetics, with the goals of approaching all patients with genetic thinking, gaining competence collecting family health histories, and understanding available genetic resources.

Results:
Postrotation, students gained genetic thinking skills, competence collecting a three-generational family health history to assess genetic risk factors and aid in genetic diagnosis, and the ability to navigate genetic resources.

Conclusion:

Genetics clinical rotations during primary care nurse practitioner education is an effective strategy to learn genetic and genomic competencies. [
J Nurs Educ
. 2018;57(11):690–693.]
Anterior Segment Anomalies Associated With the Fetal Alcohol Syndrome
Authors: Miller Marilyn T , Epstein Randy J , Sugar Joel , Pinchoff Barry S , Sugar Alan , Gammon Allen , Mittelman David , Dennis Richard F , Israel Jeanette 
Published: November 2018

ABSTRACT
Anterior segment anomalies were noted in eight children diagnosed as having the fetal alcohol syndrome. Peters' and Axenfeld's anomalies were among the specific defects noted. Four children have maintained clear corneal grafts. A teratogenic action of alcohol during a critical period of development of anterior chamber structures is suggested as an etiologic factor.
It is proposed that the varied types and severity of abnormalities noted might result from differences in blood alcohol levels, timing of the insult, and genetic background of the fetus. The observation of various types of malformations thought to share a similar pathogenesis lends additional support to the assumption that there is an interrelationship among these types of congenital segment pathology.