bluuebunny/crossref_metadata_2025_split huggingface dataset:
Other Specified Paraphilic Disorder: Patterns of Use in Sexually Violent Predator Evaluations
Authors: Graham Nicole , Calkins Cynthia , Jeglic Elizabeth 
Published: August 2024

“Sexually violent predator” (SVP) legislation requires, in part, that an individual has a mental abnormality that causes difficulty in controlling sexual behavior. Previous research has found paraphilia not otherwise specified (NOS) as one of the most prevalent diagnoses proffered in SVP evaluations. However, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) modified paraphilia NOS diagnosis in two ways. First, this diagnosis was divided into two new diagnostic categories: other specified paraphilic disorder (OSPD) and unspecified paraphilic disorder. Second, OSPD required an added specifier to indicate the individual’s source of sexual arousal. To date, no study has systematically explored how the revision to paraphilia NOS has affected diagnoses within SVP evaluations. The current study explored the frequency and diagnostic reliability of paraphilic disorders in a sample of 190 adult men evaluated for SVP civil commitment using the DSM-5. Results indicated that OSPD was the second most common paraphilic disorder, next to pedophilic disorder. However, there was poor to fair agreement ( kappa = 0.21, p < .01) between independent evaluators in providing this diagnosis. Additionally, the two most common OSPD specifiers were non-consent and hebephilia, despite recent debate and rejection of these constructs from the DSM-5. While these constructs were the most prevalent, the specifiers contained quite varied terminology, suggesting vague diagnostic tendencies within these evaluations. Given that the presence of a mental abnormality is the cornerstone to the constitutionality of SVP commitment, diagnostic practices should be based in reliable and valid techniques.
Current status and future prospects of Chinese mobile apps for hypertension management
Authors: Song Tiantian , Tang Jia , Kuang Ming , Liu Hongying 
Published: August 2024

Objective This study aimed to evaluate the current situation of Chinese mobile apps for hypertension management and explore patients’ real requirements for app use, providing a theoretical basis for the future improvement of hypertension apps. Methods We reviewed hypertension management apps from mobile app platforms, and summarized their functional characteristics. In addition, we conducted an online survey among 1000 hypertensive patients, collected valid responses, and analyzed the feedback data. Results Forty hypertension management apps were analyzed, with 72.5% offering no more than six functions, indicating limited coverage of advanced and comprehensive functionalities. Among the 934 valid survey responses, patients emphasized four main functions in apps for hypertension management: long-term dynamic blood pressure monitoring, scientific lifestyle management, strict medication management and systematic health knowledge delivering. Conclusion The existing hypertension management apps mainly serve as “Digital Health” tools with unclear clinical efficacy. The future development of these apps lies in how they transition to “Digital Therapeutics” solutions to better meet patients' needs and provide clear clinical advantages.
The coffin-reliquary of the holy Serbian king Stefan of Dečani (fourteenth century): wood, pigments and metal surfaces
Authors: Gavrilović Milan , Rančić Dragana , Oskolski Alexei , Matić Miljana , Kocev Milodarka , Jelikić Aleksa , Janaćković Pedja 
Published: August 2024

AbstractThe coffin-reliquary for the relics of the holy Serbian king Stefan Uroš III of Dečani has been made around 1343 as a rectangular chest with a gable cover. The present study aimed to identify the wood this coffin-reliquary was made, as well as the pigments and metals found on its surface. The combination of anatomical traits (diffuse-porosity, distinct helical thickenings in vessels, simple perforation plates, 3- to 4-seriate noded rays and diffuse-in-aggregates axial parenchyma) showed that the wood belongs to linden, i.e., to the botanical genus Tilia L. (Malvaceae). The linden is one of the sacred trees in Serbian culture, and its wood could also be used due to its ease for joinery. X-ray fluorescence spectroscopy (XRF analyzer) was used for in situ determination of the material chemistry of the pigments, as well as the metals on the wooden surfaces of the coffin. Their elemental composition showed that wooden coffin-reliquary was painted with vermilion, malachite or copper resinate, orpiment, and lead white, while metal surfaces were shown to be gold and silver. Unlike a commonly used palette of earthy pigments, these coloring matters belong to precious noble pigments.
Palmitoylation of synaptic proteins: roles in functional regulation and pathogenesis of neurodegenerative diseases
Authors: Peng Jiaying , Liang Danchan , Zhang Zhonghao 
Published: August 2024

AbstractPalmitoylation is a type of lipid modification that plays an important role in various aspects of neuronal function. Over the past few decades, several studies have shown that the palmitoylation of synaptic proteins is involved in neurotransmission and synaptic functions. Palmitoyl acyltransferases (PATs), which belong to the DHHC family, are major players in the regulation of palmitoylation. Dysregulated palmitoylation of synaptic proteins and mutated/dysregulated DHHC proteins are associated with several neurodegenerative diseases, such as Alzheimer’s disease (AD), Huntington’s disease (HD), and Parkinson’s disease (PD). In this review, we summarize the recent discoveries on the subcellular distribution of DHHC proteins and analyze their expression patterns in different brain cells. In particular, this review discusses how palmitoylation of synaptic proteins regulates synaptic vesicle exocytotic fusion and the localization, clustering, and transport of several postsynaptic receptors, as well as the role of palmitoylation of other proteins in regulating synaptic proteins. Additionally, some of the specific known associations of these factors with neurodegenerative disorders are explored, with a few suggestions for the development of therapeutic strategies. Finally, this review provides possible directions for future research to reveal detailed and specific mechanisms underlying the roles of synaptic protein palmitoylation.
Towards using fluorescent nanodiamonds for studying cell migration
Authors: Reyes-San-Martin Claudia , Elías-Llumbet Arturo , Hamoh Thamir , Sharmin Rokshana , Zhang Yue , Hermann Angela , Woudstra Willem , Mzyk Aldona , Schirhagl Romana 
Published: August 2024

AbstractSince wound healing requires cells to repopulate a damaged area, cell migration is essential. In addition, migration plays a crucial role in cancer metastasis. Whether tumour cells can invade tissue and metastasize is a crucial factor determining their malignancy or in other words a hallmark of cancer (Lazebnik in Nat Rev Cancer 10: 232–233, 2010, https://doi.org/10.1038/nrc2827). Nanodiamonds potentially offer a powerful tool to investigate these migration processes. Due to their unprecedented photostability, they can function as long-term fluorescent labels. Besides, nanodiamonds are robust quantum sensors that can reveal, for instance, the temperature or the concentration of certain chemicals with nanoscale resolution. However, to utilise nanodiamonds to study cell migration, it is essential to understand if and how the presence of nanodiamonds influences cell migration. Here, we investigate this process for the first time. We found that nanodiamonds do not alter the speed at which HeLa cells populate a scratch at any tested concentrations. Furthermore, we tested cell attachment by quantifying focal adhesion points. Oxygen-terminated fluorescent nanodiamonds influence the cell spreading, the number of focal adhesions and the size of focal adhesion points. Interestingly, this is different for other types of nanodiamonds in the literature. For these particles, it has been described in the literature that they hinder cell migration. Our results support that fluorescent nanodiamonds do not influence cell migration strongly and thus can be used in labelling and sensing migrating cells.
Graphical Abstract
Utility analyses of AVITI sequencing chemistry
Authors: Liu Silvia , Obert Caroline , Yu Yan-Ping , Zhao Junhua , Ren Bao-Guo , Liu Jia-Jun , Wiseman Kelly , Krajacich Benjamin J. , Wang Wenjia , Metcalfe Kyle , Smith Mat , Ben-Yehezkel Tuval , Luo Jian-Hua 
Published: August 2024

Abstract
Background
DNA sequencing is a critical tool in modern biology. Over the last two decades, it has been revolutionized by the advent of massively parallel sequencing, leading to significant advances in the genome and transcriptome sequencing of various organisms. Nevertheless, challenges with accuracy, lack of competitive options and prohibitive costs associated with high throughput parallel short-read sequencing persist.

Results
Here, we conduct a comparative analysis using matched DNA and RNA short-reads assays between Element Biosciences’ AVITI and Illumina’s NextSeq 550 chemistries. Similar comparisons were evaluated for synthetic long-read sequencing for RNA and targeted single-cell transcripts between the AVITI and Illumina’s NovaSeq 6000. For both DNA and RNA short-read applications, the study found that the AVITI produced significantly higher per sequence quality scores. For PCR-free DNA libraries, we observed an average 89.7% lower experimentally determined error rate when using the AVITI chemistry, compared to the NextSeq 550. For short-read RNA quantification, AVITI platform had an average of 32.5% lower error rate than that for NextSeq 550. With regards to synthetic long-read mRNA and targeted synthetic long read single cell mRNA sequencing, both platforms’ respective chemistries performed comparably in quantification of genes and isoforms. The AVITI displayed a marginally lower error rate for long reads, with fewer chemistry-specific errors and a higher mutation detection rate.

Conclusion
These results point to the potential of the AVITI platform as a competitive candidate in high-throughput short read sequencing analyses when juxtaposed with the Illumina NextSeq 550.
Exploring the implementation of an educational film within antenatal care to reduce the risk of cytomegalovirus infection in pregnancy: A qualitative study
Authors: Vandrevala Tushna , Montague Amy , Boulton Richard , Coxon Kirstie , Jones Christine E. 
Published: August 2024

Abstract
Background
Congenital cytomegalovirus (CMV) infection is a leading cause of sensorineural hearing loss and neuro-disability in childhood. In the absence of a licensed vaccine, adoption of hygiene-based measures may reduce the risk of CMV infection in pregnancy, however these measures are not routinely discussed with pregnant women as part of National Health Service (NHS) antenatal care in the United Kingdom (UK).

Methods
An exploratory qualitative study was conducted, underpinned by Normalization Process Theory (NPT), to investigate how an educational intervention comprising of a short film about CMV may best be implemented, sustained, and enhanced in real-world routine antenatal care settings. Video, semi-structured interviews were conducted with participants who were recruited using a purposive sample that comprised of midwives providing antenatal care from three NHS hospitals (n = 15) and participants from professional colleges and from organisations or charities providing, or with an interest in, antenatal education or health information in the UK (n = 15).

Findings
Midwives were reluctant to include CMV as part of early pregnancy discussions about reducing the risk of other infections due to lack of time, knowledge and absence of guidance or policies relating to CMV in antenatal education. However, the educational intervention was perceived to be a useful tool to encourage conversations and empower women to manage risk by all stakeholders, which would overcome some identified barriers. Macro-level challenges such as screening policies and lack of official guidelines to legitimise dissemination were identified.

Discussion
Successful implementation of education about CMV as part of routine NHS care in the UK will require an increase in awareness and knowledge about CMV amongst midwives. NPT revealed that ‘coherence’ and ‘cognitive participation’ between service members are vital to imbed CMV education in routine practice. ‘Collective action’ and ‘reflexive monitoring’ is required to sustain service changes.
How can health systems approach reducing health inequalities? An in-depth qualitative case study in the UK
Authors: Parbery-Clark Charlotte , McSweeney Lorraine , Lally Joanne , Sowden Sarah 
Published: August 2024

Abstract
Background
Addressing socioeconomic inequalities in health and healthcare, and reducing avoidable hospital admissions requires integrated strategy and complex intervention across health systems. However, the understanding of how to create effective systems to reduce socio-economic inequalities in health and healthcare is limited. The aim was to explore and develop a system’s level understanding of how local areas address health inequalities with a focus on avoidable emergency admissions.

Methods
In-depth case study using qualitative investigation (documentary analysis and key informant interviews) in an urban UK local authority. Interviewees were identified using snowball sampling. Documents were retrieved via key informants and web searches of relevant organisations. Interviews and documents were analysed independently based on a thematic analysis approach.

Results
Interviews (n = 14) with wide representation from local authority (n = 8), NHS (n = 5) and voluntary, community and social enterprise (VCSE) sector (n = 1) with 75 documents (including from NHS, local authority, VCSE) were included. Cross-referenced themes were understanding the local context, facilitators of how to tackle health inequalities: the assets, and emerging risks and concerns. Addressing health inequalities in avoidable admissions per se was not often explicitly linked by either the interviews or documents and is not yet embedded into practice. However, a strong coherent strategic integrated population health management plan with a system’s approach to reducing health inequalities was evident as was collective action and involving people, with links to a “strong third sector”. Challenges reported include structural barriers and threats, the analysis and accessibility of data as well as ongoing pressures on the health and care system.

Conclusion
We provide an in-depth exploration of how a local area is working to address health and care inequalities. Key elements of this system’s working include fostering strategic coherence, cross-agency working, and community-asset based approaches. Areas requiring action included data sharing challenges across organisations and analytical capacity to assist endeavours to reduce health and care inequalities. Other areas were around the resilience of the system including the recruitment and retention of the workforce. More action is required to embed reducing health inequalities in avoidable admissions explicitly in local areas with inaction risking widening the health gap.
Age- and deprivation-related inequalities in identification of people at high risk of type 2 diabetes in England
Authors: Watkinson Ruth , McManus Emma , Meacock Rachel , Sutton Matt 
Published: August 2024

Abstract
Background
Early detection of intermediate hyperglycaemia, otherwise known as non-diabetic hyperglycaemia (NDH) is crucial to identify people at high risk of developing type 2 diabetes mellitus (T2DM) who could benefit from preventative interventions. Failure to identify NDH may also increase the risks of T2DM-related complications at the time of T2DM diagnosis. We investigate sociodemographic inequalities in identification of NDH in England.

Methods
We used nationwide data from the English National Health Service (NHS) National Diabetes Audit, which includes all people who were newly identified with NDH (N = 469,910) or diagnosed with T2DM (N = 222,795) between 1st April 2019 and 31st March 2020. We used regression models to explore inequalities in the under identification of NDH by area-level deprivation and age group.

Results
Of those with a new T2DM diagnosis, 67.3% had no previous record of NDH. The odds of no previous NDH being recorded were higher amongst people living in more deprived areas (Odds ratio (OR) 1.15 (95% confidence intervals (CI) [1.12, 1.19]) most deprived (Q1) compared to least deprived (Q5) quintile) and younger individuals (OR 4.02 (95% CI [3.79, 4.27] under 35s compared to age 75–84)). Deprivation-related inequalities persisted after stratification by age group, with the largest inequalities amongst middle and older age groups. People living in more deprived areas and younger people also had shorter recorded NDH duration before progression to T2DM, and higher T2DM severity at the time of diagnosis.

Conclusions
There is under identification of NDH relative to diagnosis of T2DM amongst people living in more deprived areas and particularly amongst younger people, resulting in missed opportunities for targeted T2DM prevention efforts and potentially contributing to inequalities in T2DM prevalence and severity. More active NDH case-finding amongst these groups may be an important first step in helping to reduce inequalities in T2DM.
Palliative care is a viable option for frail elderly patients with neurocognitive disorders admitted for hip fractures
Authors: Boulet Justine , Belzile Etienne L. , Dion Norbert , Morency Chantal , Bérubé Mélanie , Tremblay Alexandra , Pelet Stéphane 
Published: August 2024

Abstract
Importance
Most patients presenting with a hip fracture regardless of their comorbidities are surgically treated. A growing body of research states that a certain type of elderly patient could benefit more from a palliative approach.

Objective
Identify the patient who would benefit most from a palliative care approach instead of a surgery.

Design
Exploratory-matched retrospective cohort study between 2015 and 2021.

Setting
Single Level 1 Trauma Center.

Participants
There were 2240 hip fracture patients admitted to our institution between 2015 and 2021. Patients over 65 years old with intertrochanteric or femoral neck fractures could be included. A total of 129 patients opted for palliative care (Palliative Group = PG). This cohort was compared to a matched cohort (for age, sex and fracture type) who underwent surgery but died within three months of the procedure (Surgery Deceased Group = SDG) and another matched cohort who survived more than three months (Surgery Alive Group = SAG) following surgery.

Main outcomes and measures
Medical charts were reviewed for patient demographics, autonomy level, level of care, neurocognitive disorders (NCD), fracture type, in-hospital data and outpatient death within three months of admission. Analysis was performed through univariate and multivariate models with SAS OnDemand for Academics (alpha 0.05).

Results
Patients in the PG (n = 129) were 88.2 ± 7.2 years old, 71.3% were females, and 61.2% had a femoral neck fracture. Patients in the SDG (n = 95) and SAG (n = 107) were well matched. The PG differed from the SDG (n = 95) and SAG (n = 107) regarding NCD (85.3% vs. 57.9% vs. 36.4%, p < 0.01) and the presence of Behavioral and psychological symptoms of dementia (BPSD) (19.4% vs. 5.3% vs. 3.7%, p < 0.01). There were more known heart failure (24.2% vs. 16.3%, p < 0.01) and Chronic Obstructive Pulmonary Disease (COPD) in the SDG group than in the PG group (26.6 vs. 14.7%, p = 0.02). Patients in the SAG have a significant lower rate of NCD (OR 2,7 (95%CI 1,5–5,0)), heart failure (OR 5,7 (95%CI 1,9–16,4)) and COPD (OR 2,8 (95%CI 1,2–6,3)) than other groups. Prefracture mobility, autonomy and living situation significantly differed between the groups. Median survival was six days in PG and 17 days in SDG. All groups lost autonomy and mobility. There were more complications in the SDG group than in the PG group. The end-of-care trajectory was death or hospice for most patients in the PG and SDG groups. More than 30% of the SAG group could not return home at discharge.

Conclusion
The presence of an NCD and diminished prefracture autonomy strongly support counseling for palliative care. The high rate of complications when surgery is proposed for frail patients with multiple comorbidities suggests that the concept of palliative surgery needs to be revisited.
The landscape of Medicare policies for gender-affirming surgeries in Canada: an environmental scan
Authors: Gwun Dave , Snow Brennan , Potter Emery , Walker Rachel Loewen , Millman Alexandra L. , Krakowsky Yonah , Lorello Gianni R. , Du Mont Janice , Barker Lucy C. , Lezard Percy , Sivagurunathan Marudan , Urbach David R. , Armstrong Kathleen 
Published: August 2024

Abstract
Background
Many studies have described barriers to gender-affirming surgery (GAS) in Canada; however, few have explored why these barriers persist. To address this knowledge gap, we sought to describe documents related to public health insurance (Medicare) for GAS to identify the types of procedures covered, variations in coverage across provinces and territories, and changes in policy over time.

Methods
We conducted a descriptive cross-sectional study using an environmental scan approach. We queried 23 government websites, the Google search engine, and an online legal database between July 2022 and April 2024 to gather gray literature documents related to GAS and Medicare. Variables from relevant documents were compiled to create a present, at-glance overview of GAS Medicare coverage for all provinces and territories and a timeline of policy changes across Canada.

Results
Eight provinces and three territories had documents or websites related to GAS Medicare coverage (85%). We identified 15 GAS procedures that were covered variably across Canada. Yukon (n = 14) covered the most types of GAS, while Quebec and Saskatchewan covered the least (n = 6). Mastectomy and genital surgeries were covered across Canada, but other GAS were rarely covered. Five provinces and territories provided coverage for travel-related costs. Our GAS Medicare timeline showed differential expansion of GAS coverage in Canada over the last 25 years.

Conclusions
We provide previously unreported information regarding GAS Medicare coverage in Canada. We hope our findings will help patients and healthcare providers navigate a complicated public healthcare system. We also highlight barriers within GAS Medicare documents and make recommendations to alleviate those barriers.