bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Short Cervical Lengths in Singleton and Twin Pregnancies
Authors: Azeem Nabila , Starnes Victoria , Van Hook James , Khurshid Nauman 
Published: July 2024

Introduction: Multifetal gestations are six times more likely to give birth preterm and 13 times more likely to give birth before 32 weeks gestation than women with singleton gestation (Martin et al, 2014-2018). Abnormal cervical shortening measured with transvaginal ultrasonography has been associated with an increased risk of preterm birth (Iams et al, 1996). In singleton pregnancies, midtrimester cervical length of less than 2.5 cm measured between 16-24 weeks has been associated with an increased risk of preterm birth in a variety of screened populations (Crane, JM., Hutchens, D., 2008). In twin pregnancies, a shortened cervix in the second trimester is more common than in singleton pregnancies and can be a predictor of early preterm birth (Yang et al, 2000). Current guidelines from ACOG, state that the data is insufficient to recommend for or against routine endovaginal ultrasound screening of cervical length in twin pregnancy. Our aim was to determine if twin gestations have shorter cervical lengths than singletons at the time of midtrimester anatomy scan, and to investigate the correlation of cervical length with the likelihood of spontaneous preterm birth. Methods: Retrospective chart review between January 2016-January 2022 identified patients with cervical shortening (<2.5 cm) at the time of mid-trimester anatomical ultrasound exam. Exams were performed at the Maternal Fetal Medicine Department at Promedica Toledo Hospital between 16 and 24 weeks’ gestation. Cervical lengths and delivery data were collected and analyzed. Results: 122 patients met inclusion criteria, with 95(78%) singleton pregnancies, and 27(22%) twin gestations. Singleton gestations had an average short cervical length of 1.8 ± 0.6cm, whereas twin gestations had an average short cervical length of 1.29 ± 0.55cm (p<0.0001). Twin gestations were more likely than singleton gestations to have a very short cervical length <1.5cm (OR=6.75, 95% CI 2.59-17.58, p =0.0001). Average gestational age of delivery for singleton gestations identified with a short cervix was 35w6d ± 4w4d, whereas the average age at delivery for twin gestations was 31w6d ± 5w6d (p=0.0002). Discussion: Our results are consistent with previous reports that cervical shortening is more common in twin pregnancies than singleton pregnancies. Our results suggest that twins are more likely to have a very short cervical length identified in between 16-24 weeks. In addition, twin gestations with abnormal cervical shortening deliver at earlier gestational ages in comparison to singleton gestations with abnormal cervical shortening. Obtaining transvaginal cervical lengths at 16-24 weeks gestation allows for earlier identification of shortened cervical length. Ongoing research may identify interventions which are consistently effective in preterm birth prevention in twin gestation.
Latent Class Analysis of Dietary Intake and Organic Food Consumption in a Midwest Cohort of Pregnant Individuals
Authors: Jampa Alekhya , Moss Kevin , Daggy Joanne , Guise David , Flannery Kathleen , Monahan Patrick , Haas David 
Published: July 2024

Introduction: The objective of the study was to describe food consumption patterns over the trimesters throughout pregnancy in a prospective obstetric cohort. We planned to characterize patterns of overall food and organic food consumption into groups using a latent class analysis (LCA). Methods: A Midwest pregnancy cohort self-reported dietary food intake and percent of foods of each type that they consumed which were organic on a questionnaire. This was administered multiple times during pregnancy. The food frequency questionnaire was designed for this study and contained questions related to 89 food categories. The questionnaire was completed once in each trimester, after they were enrolled into the study. The cohort has responses across the 13 food domains were grouped by a LCA process demonstrating separation of the cohort by higher or lower consumption of fruits, vegetables, and berries and percentage of those foods where organics were consumed. The organic percentage in each food was categorized as low (0-10%) and significant (anything > 10%). Demographic characteristics were compared between LCA groups. Results: Valid responses were analyzed from 359 participants. The LCA best model grouped participants into 3 groups: I- high fruits, vegetables and berries, with significant organic use; II- high fruits, vegetables, and berries, with low or no organic use; and III- low fruits, vegetables, and berries with low organic use . Using this grouping, there were 84 (23.4%) in Class I, 153 (42.6%) in Class II, and 122 (34.0%) in Class III. There were significant differences in racial distribution in the groups, with lower rates of Caucasians in Class II and higher rates of Hispanic women in reporting Class I. We observed that 50% of African American women were grouped into Class III. Women in class III tended to be younger (p=0.01), unmarried (52.4%, p<0.001), have less than college degree attainment (p=0.0005), be of lower income (p<0.001), and be a current smoker (p=0.03). -While not statistically significant, living in an urban area was higher for those in Class III than in Class I or II. - Participants living in rural areas were reported significant organic food consumption 18.6%, compared to 24.1% of those in suburban areas and 23.1% in urban areas (p=0.36). 23.1% of rural-dwelling participants were grouped in Class III compared to 31.9% of those in suburban areas and 35.3% of those in urban areas. (p=0.36). Conclusion: Self-reported food consumption in this pregnancy cohort was categorized in 3 classes based on consumption of fruits, vegetables, and berries and the percentage of foods consumed that were organic. These Classes were associated with multiple maternal characteristics. This may indicate opportunities for dietary education interventions for pregnant individuals.
Evaluation of a Patient-Centered Perioperative Curriculum: A Pilot Study
Authors: Warner Kristina , Tamkus Saule , Godecker Amy , Heisler Christine 
Published: July 2024

Objectives: To evaluate a standardized patient perioperative education curriculum for women undergoing pelvic reconstructive surgery. Materials and Methods: We performed a feasibility study to examine the practicality of a group-based, perioperative patient-centered educational curriculum (PPEC). Adult (≥ 18 years) English-speaking women undergoing surgery for pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) at a single center from February 2020 to March 2020 were approached to complete a PPEC session instead of receiving usual perioperative counseling. In-person PPEC sessions were facilitated by one Registered Nurse and attended by 2-4 patients and their support people 2 weeks before surgery. Patients undergoing SUI and POP surgeries were combined in each session. Recruitment was halted prematurely due to the COVID-19 pandemic. The content of the PPEC incorporated information about health optimization, details regarding the day of surgery, and instructions for postoperative care including pain, urinary and bowel management. A questionnaire assessing six aspects of patient preparedness was completed prior to (pre) and immediately following (post) course completion. Each question was self-rated on a scale of preparedness from 0 (not at all) to 10 (proficient). The primary outcome was change in self-assessed patient preparedness for pelvic reconstructive surgery. Median and interquartile range of pre- and post-course scores for each question are reported and the Wilcoxon matched pairs signed rank test was used to test significance of differences. Results: A total of 16 patients were included in this pilot study. Patient preparedness was significantly improved among all domains for patients who completed the PPEC session. Prior to PPEC, patients self-reported they were most prepared in how to be healthy for surgery. The greatest difference in pre- to post-PPEC preparedness self-reported scores was in what to expect during hospital admission. Conclusion: Our novel approach to perioperative counseling through a standardized educational curriculum offered to mixed groups of patients undergoing SUI and/or POP surgery was associated with significant improvements in patient preparedness for surgery.
SCREENING OF WHEAT GENOTYPES FOR WATER DEFICIT CONDITIONS UNDER THE SCENARIO OF CLIMATE CHANGE
Authors: SARWAR MA , YAR US , AMIN HAB , MUNIR T , IQBAL HI , AHSAN MT , UMAR F , RABNAWAZ . , HUSSAIN MI , ALI S , IQBAL RA , QASIM M 
Published: July 2024

The top-ranked crop in cereals, wheat feeds people around the globe more than any other food crop, with a diversity of uses in the food industry. The global production of wheat is 250 million tons which is still not enough to address the needs of the ever-increasing human population. Wheat plays a vital role in the human diet because it is the source of protein, carbohydrates, and calories. Due to its wider adaptation wheat is sown as a rain-fed and irrigated crop. Drought upsets the crop during all growth and developmental stages and all these stages of the crop are not equally affected by the drought. At initial growth stages, water stress reduces plant emergence and germination and causes a reduction in plant growth by reducing its height, number of productive tillers, and total leaf surface area. When drought occurs at anthesis it reduces the percentage of fertile spikelets. This research aimed to check the response of wheat genotypes under drought stress for different morphological attributes at the maturity stage. Significant results were obtained under drought and normal conditions. The data were further analyzed under PCA for the selection of best genotypes under normal and stress conditions. Zincol performed well under both conditions. Results obtained from this research will be useful in selecting the best genotypes for rainfed and water-stress environments in future breeding programs.
Impact of COVID-19 Vaccine on the Menstrual Health
Authors: Al-Azawi Sarah Muafaq , Al-Wazzan Raida 
Published: July 2024

Background: The implementation of vaccines is a major step in saving humanity from the consequences of COVID-19, and there has become hope for everyone in the world. Menstruation is a key indicator of overall women's health. The COVID-19 vaccination has been associated with changes in the menstrual cycle. Objective: To evaluate the effects of COVID-19 vaccines on the menstrual cycle. Methods: This is a face-to-face interview-based cross-sectional study that recruited 403 vaccinated women with the COVID-19 vaccine who had normal MC before receiving the vaccine for at least six months in Mosul, Iraq, from February 1 to July 31, 2022. We asked the women about their menstrual cycle parameters before and after the vaccination. The results were analyzed statistically. Results: The most frequent age group among study participants was 20–34 years (52.9%). About half of women (58.3%) had received the Pfizer vaccine. 12.2% and 13.65% of women reported significant changes in their menstrual cycle following the first and second doses, respectively. These changes included irregularities in the cycle and modifications in the amount and duration of menses, and the Pfizer vaccine was significantly responsible for these changes. Conclusions: In a small number of women who had a normal menstrual cycle before vaccination, post-Covid-19 vaccination menstrual cycle changes occurred, and the reported changes were not critical. This result can reassure the community about the vaccine's impact on the menstrual cycle.
Trends in Preoperative Outcome Measures From 2013 to 2021 in Patients Undergoing Primary Total Joint Arthroplasty
Authors: Hamersly Jackson S. , Deckard Evan R. , Meneghini R. Michael , Sonn Kevin A. 
Published: July 2024

Introduction:
The prevalence of total joint arthroplasty (TJA) continues to increase exponentially. Patient-reported outcome measures (PROMs) are used to define clinical and quality-of-life improvement and for reimbursement. Temporal trends of preoperative PROMs and specifically how COVID-19 has affected these PROMs is lacking. This study evaluated preoperative PROMs over time, whether medical factors affected preoperative PROMs, and what correlations the COVID-19 pandemic had with these trends in PROMs.

Methods:
A total of 3,014 patients who underwent primary total hip total hip arthroplasty or total knee arthroplasty from 2013 to 2021 were retrospectively reviewed for covariates and preoperative PROMs. Commonly reported preoperative PROMs were evaluated in univariate and multivariate models.

Results:
Preoperative activity level steadily increased from 2015 to 2021 for THAs and steadily increased from 2015 to 2019 for TKAs, followed by a decrease in 2020. Preoperative KOOS JR scores increased from 2016 to 2019 and then decreased in 2020 and 2021. Preoperative knee pain with level walking and climbing stairs steadily increased from 2013 to 2019, with additional increases in 2020. The COVID-19 era was significantly associated with higher activity levels for THAs, higher levels of pain with level walking, and lower KOOS JR scores. Preoperative PROM scores demonstrated correlations with postoperative PROM scores, which differed from that during the COVID era (rho range 0.105 to 0.391) at a mean of 2.0 years postoperatively.

Discussion:
Surgical delays because of COVID-19 were associated with increased preoperative disability as evidenced by lower activity levels. Aside from this pandemic era, patient activity levels increased over time, indicating that modern TJA patients are more active preoperatively and likely to demand higher levels of function after surgery. Additional studies should evaluate the clinical effect of these statistically significant findings. Providers should consider the trends in preoperative PROMs over time when counseling patients on expectations after TJA.
Relato de caso de síndrome de CHOPS
Authors: Oliveira do Nascimento Machado Mayaha Bárbara , De Rosso Giuliani Liane 
Published: July 2024

É descrito um caso da rara Síndrome de CHOPS, que significa um acrônimo para as principais características semiológicas associadas à doença, incluindo comprometimento cognitivo e fácies grosseira, defeitos cardíacos, obesidade, problemas pulmonares, baixa estatura e anormalidades esqueléticas. O presente estudo tem como objetivo relatar um caso de provável fenótipo leve da Síndrome de CHOPS, contribuindo com a literatura científica e enfatizando a importância de diagnósticos diferenciais. O paciente descrito buscou atendimento especializado inicialmente devido dificuldade de aprendizagem, ganho de peso, baixa estatura, criptorquidia e pé torto congênito. Realizou cariótipo em banda GTG e CGH-ARRAY, sem alterações, já no Exoma foi identificada uma variante provavelmente patogênica, em heterozigose, no gene AFF4, associado à Síndrome de CHOPS, de herança autossômica dominante. A partir da definição diagnóstica traçou-se um plano terapêutico multidisciplinar, tendo acompanhamento regular com geneticista, endocrinologista, fonoaudióloga e nutricionista, e realizou-se aconselhamento genético para o paciente e seus familiares. Destacou-se o raciocínio diagnóstico percorrido para definição de diagnóstico etiológico, a imprescindibilidade da preservação de documentos médicos para agilidade no processo de investigação e a necessidade de constante reavaliação e reclassificação de variantes identificadas pelos exames genéticos. Concluiu-se a importância da divulgação científica sobre as doenças raras e a necessidade da prática assistencial multidisciplinar, com gerenciamento pela Genética Médica.
Is there any relationship of serum Growth Differentiation Factor 15 and Iron Profile with Age?
Authors: Amjad Awais , Aiman Farogh Anjum  
Published: July 2024

Objective: To compare growth differentiation Factor-15(GDF-15), iron and ferritin levels in younger and elderly patients suffering from end stage renal disease on hemodialysis and to determine is there any age-related change in these markers?.Methodology:This cross-sectional comparative study was conducted in the Nephrology Department of Sheikh Zayed Hospital Lahore from January 2018 to December 2018 after getting approval from Institutional Review Board of National Health Research Complex (NHRC) with vide no. F39/NHRC/Admin/IRB/372 Written consent was taken from patients.Group A has less than 60 years, while group B was with patients of greater than 60 years of age.Serum GDF-15, serum iron and ferritin of hemodialysis patients were determined by ELISA. Statistical analysis was done by SPSS 22.0
Results: The total number of patients was 140. Group A has 86 patients (40 male and 46 female). Group B had 54 patients(36 male and 17 female). Group A and Group B participants had serum median (IQR) GDF-15 levels 684(120-1604) and 2650(369-3625)pg/ml respectively, (P value 0.001)
Conclusion: GDF-15 levels were significantly elevated in patients greater than 60 years of age and ferritin levels were similar in all age groups.
Avaliação da resistência ao cisalhamento de elementos de madeira e aço colados com adesivo epóxi
Authors: Possa Desirè Coraça , Panassolo Pedro Henrique Santinello , Petrauski Alfredo , Petrauski Mateus Couri , Santos Alessandra dos 
Published: July 2024

Este estudo teve como objetivo avaliar a resistência ao cisalhamento na compressão de juntas coladas entre madeira de Pinus sp. e blocos de aço, utilizando adesivo à base de resina epóxi. Para isso, realizou-se etapas que incluíram a confecção e o ensaio das juntas coladas e a avaliação do desempenho mecânico das mesmas. Essa pesquisa básica pareceu relevante para explorar a possibilidade da utilização de estruturas mistas de madeira e aço, solidarizadas por meio de adesivos. Os materiais utilizados foram a madeira de Pinus sp., blocos de aço e o adesivo epóxi bicomponente, comercialmente denominado Araldite Profissional. Foram confeccionadas juntas coladas de madeira madeira, aço madeira e aço aço. Os corpos de prova foram confeccionados e ensaiados conforme as recomendações da norma ASTM D 905 (2013) e NBR 7190 (2022). A análise dos resultados incluiu a comparação da resistência das juntas coladas bem como a determinação do percentual de falha na madeira, quando aplicável, após o ensaio. As juntas de madeira madeira, aço madeira e aço aço apresentaram resistências médias de 12,41 MPa, 9,25 MPa e 13,49 MPa, respectivamente. Porém, as juntas de aço aço apresentaram o maior coeficiente de variação, da ordem de 42%. No geral, o adesivo à base de resina epóxi apresentou bom desempenho mecânico para a utilização em ligações mistas, com potencial para ser utilizado em estruturas desse gênero.
O uso das práticas corporais com as pessoas idosas: uma revisão de escopo
Authors: Nascimento Beatriz Silva do , Moura Leides Barroso Azevedo , Tavares Grasielle Silveira 
Published: July 2024

O uso de práticas corporais, atualmente, tem se revelado como um instrumento potencializador para alcançar as diversas dimensões do ser humano. Muitos profissionais têm utilizado essas práticas almejando a qualidade de vida, a autonomia, funcionalidade e a saúde em seu conceito ampliado. Mas, ainda tem se mostrado infrequente o uso dessas práticas com pessoas idosas na literatura científica. O objetivo é ampliar o escopo e adensar o conhecimento de pesquisas que envolvam o uso das práticas corporais com pessoas idosas e apreender como essas práticas vêm sendo realizadas para esse público. Metodologia: trata-se de uma revisão de escopo, foi realizado o protocolo JBI do Instituto Joanna Briggs para revisões de escopo e seguindo o guia de revisão de escopo Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. O levantamento dos estudos foi realizado em dezembro de 2023 contemplando estudos publicados entre 2013 e 2023 indexados nas bases de dados Scopus, Redalyc, Directory of Open Access Journals e Scielo, os descritores utilizados foram: “práticas corporais”, “idoso” e “envelhecimento”. Foram encontrados 123 artigos que após aplicação dos critérios de elegibilidade e exclusão de duplicidades foram mantidos 10 artigos para análise. A maior parte das publicações foram publicadas em 2022 (n=3), seguida pelo ano de 2015 e 2018 com 2 publicações cada um, os anos de 2014, 2020 e 2021 tiveram apenas uma publicação. Há uma prevalência notável de práticas corporais envolvendo a dança e práticas integrativas e complementares em saúde. Grande parte das publicações permeiam as áreas: terapia ocupacional, educação física e enfermagem e todas elas utilizam-se de teóricos das ciências sociais para embasamento. No que tange o impacto das práticas corporais nos indivíduos atendidos, foi notado nos estudos que elas auxiliam na funcionalidade dos indivíduos, na motivação, autoestima, elaboração de projetos de vida, ressignificação do envelhecimento e inserção social. Conclusões: conclui-se que foram realizados estudos relevantes na interface das práticas corporais com pessoas idosas, porém esses estudos ainda são escassos. Essa revisão possibilitou entender o escopo de publicações e fomentar outras pesquisas envolvendo a mesma temática.
THE EMERGENCE OF THE LIST OF FIGURES OF MEINRAD SPIESS IN THE MUSICAL AND SCIENTIFIC CONTEXT OF THE EPOCH
Authors: Maltseva Anastasia ,   M. I. Glinka Novosibirsk State Conservatory
Published: July 2024

The object of study in this article is the circle of scientific ideas in German musicology in the 1730s —1740s, which influenced the music theorist and composer from southern Germany, the Benedictine monk Meinrad Spiess, who included in the Tractatus musicus compositorio-practicus (Augsburg, 1745) a catalog of musical rhetorical figures. In the article, the author relies on the methodology of musical-historical musicology, draws on letters from Spiess and musical-theoretical treatises of the 18th century (especially on articles from the edition «Music Library» (Musikalische Bibliothek), which was initiated by the Society for Musical Sciences (Sozietät der Musicalischen Wissenschaften), headed by Lorenz Christoph Mizler). The study was carried out with the involvement of the works of M. Spiess, L. K. Mizler, F. X. Murschhauser, J. A. Scheibe, J. J. Fux and others. As a result, it was concluded that Spiess understood his autodidactic textbook on composition, taking into account the concept of a comprehensive system of musical knowledge, in which one of the components was an analogy between music and rhetoric. The novelty of this article lies in the contextual consideration of the catalog of figures by M. Spiess.
THE ORIGINS OF THE FORMATION OF THE DEPARTMENT OF CONCERTMASTER TRAINING OF THE GNESIN ACADEMY OF MUSIC
Authors: Yudin Alexander ,   A. I. Herzen State Pedagogical University
Published: July 2024

The proposed article is devoted to the history of the Department of Concertmaster Training of the Russian Gnessin Academy — first of all, the period of its formation. The peculiarity of the historical formation and development of the department is determined; the creative activity of E. M. Slavinskaya, who laid the foundation of the pedagogical and methodological principles of this structural unit of the university, is highlighted in detail; the line of development of the department is traced, from Slavinskaya and her students to the modern stage of development of the department. The work also presents portraits of bright performers who taught the art of piano accompaniment at the RAM im. The Gnesins. Despite the significant role in the pedagogical and concertmaster sphere, the names of these musicians are sometimes not known even to professionals. The article will be of interest to anyone who is interested in the process of formation of educational musical disciplines, as well as the development of concertmaster art in Russia.