bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of thrombus aspiration on postprocedural outcomes in elderly patients with acute ST‐elevation myocardial ınfarction
Authors: Emre Ender , Ural Ertan , Kahraman Göksel , Bildirici Ulas , Kilic Teoman , Bozyel Serdar , Onuk Raşik , Akbulut Tayyar , Ural Dilek 
Published: August 2015

AimThe effects of thrombus aspiration (TA) during primary percutaneous coronary intervention (PCI) for ST‐elevation myocardial infarction (STEMI) have been evaluated in several studies. The aim of the present study was to evaluate postprocedural outcomes in elderly STEMI patients who have a tendency for vasoconstruction and decreased coronary flow reserve.MethodsA total of 124 patients (aged ≥65 years) with STEMI who underwent primary PCI (71.2% men, 29.8% women, mean age 74 ± 7 years) were enrolled in the study. Patients were divided into two groups according to intervention with and without TA. Acute angiographic, electrocardiographic and echocardiographic results were compared between the two groups.ResultsTA was carried out in 42 patients (33.8%). Baseline clinical characteristics and predischarge echocardiographic features did not differ between TA(+) and TA(–) patients (ejection fraction 37.26 ± 8.91 vs 38.53 ± 11.18, P = 0.558, wall motion index 1.69 ± 0.38 vs 1.76 ± 0.37, P = 0.316, septal E′ 0.058 ± 0.022 vs 0.053 ± 0.015, P = 0.267, E/E′ 11.82 ± 4.30 vs 13.12 ± 5.09, P = 0.370). Acute angiographic and electrocardiographic results did not differ between the two groups, but were slightly better in the thrombectomy group than those without TA corrected TIMI frame count (31.63 ± 16.33 vs 34.97 ± 15.81, P = 0.197, TIMI‐3 88.1% vs 79.3%, P = 0.223, ST segment resolution 81.3% vs 70.3%, P = 0.250).ConclusionsThrombectomy during primary PCI has no effect on postprocedural outcomes in an elderly group with STEMI. Geriatr Gerontol Int 2015; ●●: ●●–●●.
Consumption profile and factors associated with the ingestion of beer and distilled beverages among elderly Brazilians: Gender differences
Authors: Souza João Gabriel Silva , Jones Kimberly Marie , Fonseca Adelia Dayane Guimarães , de Barros Lima Martins Andréa Maria Eleutério 
Published: August 2015

AimTo estimate the prevalence of the consumption of beer and distilled beverages and associated factors among Brazilian older adults residing in a highly populated city in Brazil, highlighting the factors associated with frequent consumption and differences in consumption between men and women.MethodsIt was a cross‐sectional, analytic study carried out by means of probability samples of conglomerates of older adults (aged 65–74 years). Descriptive analysis, univariate analysis and estimates of multivariate models through logistic regression (OR, 95% CI) were realized.Results500 of the 736 evaluated seniors were included in the present analysis. 128 (27.3%), 103 (21.3%) and 167 (34.9%) of the seniors indicate past or current use of beer, distilled beverages and frequent use of alcohol, respectively. The consumption of beer was associated with use of tobacco between women; and with marital status and schooling between men. The consumption of distilled beverages was associated with schooling and use of tobacco between women; and age and use of tobacco in men. Daily or weekly use was associated with schooling and use of tobacco between women; age and the use of tobacco between men.ConclusionIn the elderly population studied, a noteworthy prevalence of the consumption of beer and distilled beverages was identified, and this use was associated with personal and behavioral determinants. Similar associations related to frequent (daily or weekly) consumption were also identified. Significant differences in the profile of consumption were identified between men and women, with more abusive use among men. Geriatr Gerontol Int 2016; 16: 810–820.
Daytime sleepiness is independently associated with falls in older adults with dementia
Authors: Chen Pin‐Yuan , Chiu Hsiao‐Ting , Chiu Hsiao‐Yean 
Published: August 2015

AimTo examine whether elderly people with dementia have a higher prevalence of falls and sleep disturbances than those without dementia, and to determine the subjective sleep characteristics associated with falls in older adults with dementia.MethodsThis was a cross‐sectional, population‐based study derived from the data in the 2009 Taiwan National Health Interview Survey. A total of 123 older adults with dementia (aged 65 years or older), and 246 older adults without dementia who were randomly selected from the database were included. The occurrence of falls and subjective sleep characteristics (e.g. sleep hours, insomnia symptoms, daytime sleepiness, difficulty in breathing during sleep and daytime naps) were evaluated using the responses to the survey questions.ResultsThe prevalence of falls in older adults with dementia were approximately twofold higher than that for those without dementia (27.6% vs 15.3%, P = 0.006). Older adults with dementia had longer sleep hours, and increased daytime sleepiness, daytime naps and difficulty in breathing during sleep (all P < 0.05) than those without dementia. Among older adults with dementia, daytime sleepiness was the only sleep characteristic that was significantly correlated to an increased risk of falls (adjusted odds ratio 5.56, 95% confidence interval 1.95–15.91) despite controlling for possible risk factors.ConclusionsOlder adults with dementia had a higher prevalence of falls and sleep disturbances than that observed for those without dementia. Daytime sleepiness was an independent risk factor of falls in elderly people, with dementia after accounting for a range of covariates. Geriatr Gerontol Int 2016; 16: 850–855.
Effect of gallium aluminium arsenide diode laser therapy on Porphyromonas gingivalis in chronic periodontitis: a randomized controlled trial
Authors: Alzoman HA , Diab HM 
Published: August 2015

AbstractObjectivesThe aim of this randomized, controlled trial was to evaluate the effects of 685‐nm gallium aluminium arsenide (GaAlAs) diode laser therapy (1.6 J cm−2) as an adjunct to scaling and root planing in the treatment of chronic periodontitis.MethodsThirty‐two patients aged 35–60 years old who had chronic periodontitis met the eligibility criteria. They were randomly assigned to two equal groups: scaling and root planing were performed in the SRP group, while scaling, root planing and laser irradiation of periodontal pockets were performed in the SRP + DL group. Subgingival plaque samples were subjected to polymerase chain reaction (PCR) to detect P. gingivalis‐colonized sites, and common clinical indices were evaluated before and 2 months after treatment. Clinical examination included gingival index (GI), plaque index (PI), probing depth (PD), clinical attachment level (CAL) and gingival bleeding index (GBI), all of which were recorded.ResultsData from 30 patients [19 women and 11 men; mean age, 48.4 (5.4) years old] were analysed. There were statistically significant improvements in GI, PD, CAL and GBI for the SRP + DL group compared to SRP group but no significant difference in PI between the groups. Additionally, the percentage of P. gingivalis‐positive sites in the SRP + DL group decreased from 80% (12/15) to 20% (3/15) after laser irradiation (P < 0.05). No significant changes were noted in the SRP group.ConclusionGaAlAs diode laser irradiation of diseased periodontal pockets at 685 nm and 1.6 J cm−2 seemed to be an effective adjuvant to mechanical instrumentation to treat chronic periodontitis.
Molecular structure characteristics, functional parameters and in vitro protein digestion of pressure‐cooked soya bean flours with different amounts of water
Authors: de la Rosa‐Millán Julián , Chuck‐Hernandez Cristina , Serna‐Saldívar Sergio O. 
Published: August 2015

SummaryWhen a food product is cooked at high temperature with different proportions of water, the differential degradation that occurs in the molecular structure promotes changes in their functional characteristics. In this study, water and soya bean flour (dry base) were mixed in different ratios (3:1, 2:1, 1:1, 0.25:1 and 0:1) and pressure cooked at 130 °C, 1.5 kg cm−2 for 30 min, cooled down to 40 °C and air dried for 24 h. Protein changes due to thermal process were determined with the ATR‐FTIR, as well as some functional parameters and in vitro protein digestibility. At higher water:soya bean flour ratios (3:1 and 2:1), the protein digestibility increased due to denaturation of tertiary structures, while urease activity (UA) and the functional characteristics of water absorption index (WAI) and water solubility index (WSI) decreased. Pearson's correlation analysis revealed that molecular changes on amide I, II and in α‐helix: β‐sheet ratios were directly related with the amount of added water.
A vaccine formulated with the major outer membrane protein can protect C3H/HeN, a highly susceptible strain of mice, from a Chlamydia muridarum genital challenge
Authors: Pal Sukumar , Tatarenkova Olga V. , de la Maza Luis M. 
Published: August 2015

SummaryC3H/HeN female mice were vaccinated with native Chlamydia muridarum major outer membrane protein (MOMP), using Montanide+CpG or Alum+CpG as adjuvants. Negative control groups were immunized with ovalbumin (OVA) and the same adjuvants. As positive control, mice were inoculated intranasally with live Chlamydia. Mice were challenged in the ovarian bursa with 105 C. muridarum inclusion forming units. Six weeks after the genital challenge the animals were caged with male mice and monitored for pregnancy. Mice vaccinated with MOMP+Montanide+CpG developed high levels of C. muridarum‐specific antibodies, with a high IgG2a/IgG1 ratio and neutralizing titres. Animals immunized using Alum+CpG had low antibody levels. Cellular immune responses were significantly higher in mice vaccinated with MOMP and Montanide+CpG, but not with Alum+CpG, when compared with negative controls. Following the genital challenge, only 20% (4/20) of mice vaccinated with MOMP+CpG+Montanide had positive vaginal cultures whereas 100% (9/9) of mice immunized with MOMP+CpG+Alum had positive cultures. Of the positive control animals inoculated with live Chlamydia only 15% (3/20) had positive vaginal cultures. In contrast, 100% (20/20) of mice immunized with OVA+CpG+Montanide, or minimal essential medium, had positive cultures. Following mating, 80% (16/20) of mice vaccinated with MOMP+CpG+Montanide, and 85% (17/20) of animals inoculated intranasally with live C. muridarum carried embryos in both uterine horns. No protection against infertility was observed in mice immunized with MOMP and CpG+Alum or OVA. In conclusion, this is the first time that a subunit vaccine has been shown to elicit a protective immune response in the highly susceptible C3H/HeN strain of mice against an upper genital challenge.
Maturing out, natural recovery, and dual diagnosis: What are the implications for older adult mental health services?
Authors: Searby Adam , Maude Phil , McGrath Ian 
Published: August 2015

AbstractIn 1962, Charles Winick proposed that addiction was a self‐limiting process, whereby individuals stopped using substances once the stresses of life transitions ceased. The notion of maturing out, as labelled by Winick, often forms the basis of the natural recovery movement in alcohol and other drug (AOD) research, aiding the notion that older individuals either cease their substance use or fall victim to the higher mortality rates prevalent in substance‐using populations. As more consumers present to adult mental health treatment settings with co‐occurring substance use disorders, the idea that individuals will simply cease using AOD is outdated. Given the future challenges of an ageing population, it is prudent to explore those who fail to mature out of substance use, as well as challenge the notion that older adult mental health services rarely encounter substance‐using individuals. The present study explores Winick's research in the context of an ageing population and older adult mental health services. It also ponders the proposition put forth in subsequent research that older individuals with lifelong substance use switch to substances that are easier to obtain and better tolerated by their ageing bodies.
Mental health inpatient experiences of adults with intellectual disability
Authors: Taua Chris , Neville Christine , Scott Theresa 
Published: August 2015

AbstractThis paper presents findings from a study exploring the mental health inpatient care of people with a dual disability of intellectual disability and mental health issues from the perspective of those people with the dual disability. A mixture of semi‐structured interviews and focus group interviews were carried out with nine participants who had been admitted to an inpatient unit for mental health care exploring their experience of care. Interviews were transcribed and analyzed using open coding and Leximancer (an online data mining tool) analysis to identify dominant themes in the discourse. Analysis revealed themes around ‘Therapeutic and Meaningful Activity’, ‘Emotion Focussed Care’, and ‘Feeling Safe?’ Participants were able to identify the aspects of inpatient care that worked for them in terms of coping with time in hospital. This research suggests that there are several factors that should be considered in providing effective mental health inpatient care for people with dual disability. A number of strategies and recommendations for responding to their needs are identified and discussed.
Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post‐traumatic growth
Authors: Itzhaki Michal , Peles‐Bortz Anat , Kostistky Hava , Barnoy Dor , Filshtinsky Vivian , Bluvstein Irit 
Published: August 2015

AbstractWorkplace violence towards health workers in hospitals and in mental health units in particular is increasing. The aim of the present study was to explore the effects of exposure to violence, job stress, staff resilience, and post‐traumatic growth (PTG) on the life satisfaction of mental health nurses. A descriptive, cross‐sectional design was used. The sample consisted of mental health nurses (n = 118) working in a large mental health centre in Israel. Verbal violence by patients was reported by 88.1% of the nurses, and 58.4% experienced physical violence in the past year. Physical and verbal violence towards nurses was correlated with job stress, and life satisfaction was correlated with PTG and staff resilience. Linear regression analyses indicated that life satisfaction was mainly affected by PTG, staff resilience, and job stress, and less by exposure to verbal and physical violence. The present study is the first to show that, although mental health nurses are frequently exposed to violence, their life satisfaction is affected more by staff resilience, PTG, and job stress than by workplace violence. Therefore, it is recommended that intervention programmes that contribute to PTG and staff resilience, as well as those that reduce job stress among mental health nurses, be explored and implemented.
A non‐destructive tissue sampling technique for holothurians to facilitate extraction of DNA for genetic analysis
Authors: Nowland Samantha J. , Jerry Dean R. , Southgate Paul C. 
Published: August 2015

AbstractIncreasing demand and overfishing of high‐value species has promoted interest in both conservation and aquaculture initiatives supporting stock restoration programs for tropical sea cucumbers. Accordingly, there is a need for baseline information on the genetic structures and relatedness of sea cucumber populations to support sustainable implementation of mariculture and conservation programs, which often involve coastal communities in developing countries. Identification of a non‐destructive tissue sampling technique for sea cucumbers that allows extraction of high‐quality genomic DNA in a sustainable and culturally appropriate way is thus required. Six sampling techniques were assessed for their suitability to collect tissue for DNA extraction from sandfish (Holothuria scabra): core needle biopsy, punch biopsy, shave biopsy, buccal swab, anal swab, and evisceration. The quantity, quality, and purity of extracted DNA were compared to assess the relative merit of each sampling method. The swab biopsy method produced the best quality DNA agarose band image, and evisceration resulted in the highest yields of DNA, at an average of 525.9 (±98.0) μg g−1. However, when considering all criteria assessed, the swab biopsy methods (both buccal and anal) proved superior. Swabbing not only produced the best quality DNA agarose band image, it was also the only technique that produced DNA that amplified 100% of the time across both extraction protocols. We hope that the non‐destructive sampling techniques evaluated in this study provide a foundation for the genetic analysis of sea cucumber stocks to support their conservation and management.
Factors that influence the non‐technical skills performance of scrub nurses: a prospective study
Authors: Kang Evelyn , Massey Debbie , Gillespie Brigid M. 
Published: August 2015

AbstractAimTo identify and describe the factors that impact on the performance of scrub nurses' non‐technical skills performance during the intra‐operative phase of surgery.BackgroundNon‐technical skills have been identified as important precursors to errors in the operating room. However, few studies have investigated factors influencing non‐technical skills of scrub nurses.DesignProspective observational study.MethodsStructured observations were performed on a sample of 182 surgical procedures across eight specialities by two trained observers from August 2012–April 2013 at two hospital sites. Participants were purposively selected scrub nurses. Bivariate correlations and a multiple linear regression model were used to identify associations among length of surgery, patients' acuity using the American Society of Anesthesiologists classification system, team familiarity, number of occasions scout nurses leave the operating room, change of scout nurse and the outcome, the non‐technical skills performance of scrub nurses.ResultsPatient acuity and team familiarity were the strongest predictors of scrub nurses' non‐technical skills performance at hospital site A. There were no correlations between the predictors and the performance of scrub nurses at hospital site B.ConclusionA dedicated surgical team and patient acuity potentially influence the performance of scrub nurses' non‐technical skills. Familiarity with team members foster advanced planning, thus minimizing distractions and interruptions that impact on scrub nurses' performance. Development of interventions aimed at improving non‐technical skills has the potential to make a substantial difference and enhance patient care.
Licensing Parents in International Contract Pregnancies
Authors: Botterell Andrew , McLeod Carolyn 
Published: August 2015

AbstractThe Hague Conference on Private International Law currently has a Parentage/Surrogacy Project, which evaluates the legal status of children in cross‐border situations, including situations involving international contract pregnancy (or ‘surrogacy’). Should a convention (or other legal instrument) focusing on international contract pregnancy emerge from this project, it will need to be consistent with the Hague convention on Intercountry Adoption. The latter convention prohibits adoptions unless, among other things, ‘the competent authorities of the receiving State have determined that the prospective adoptive parents are eligible and suited to adopt’ (Article 5a). Included in it, therefore, is a parental vetting or licensing requirement. In our view, a similar requirement must also appear in any Hague Convention on international contract pregnancy if the two conventions are to be ethically consistent with one another. In particular, there should be a licensing requirement in such a convention for at least some of the prospective parents in contract pregnancy arrangements. We consider several arguments against this conclusion, and argue that none of them is successful.
Luck, Justice and Systemic Financial Risk
Authors: Linarelli John 
Published: August 2015

AbstractSystemic financial risk is one of the most significant collective action problems facing societies. The Great Recession brought attention to a tragedy of the commons in capital markets, in which market participants, from the first‐time homebuyer to Wall Street financiers, acted in ways beneficial to themselves individually, but which together caused substantial collective harm. Two kinds of risk are at play in complex chains of transactions in financial markets: ordinary market risk and systemic risk. Two moral questions are relevant in such cases. First, from the standpoint of interactional morality, does a person have a moral duty to avoid risk of harm to others if their financial transactions contribute in some way, however small, to the loss or harm? This article identifies the conditions in which persons are morally responsible in such cases. Second, from the standpoint of institutional morality, how should society distribute the risk of harm associated with massively complex financial markets? This question is considered in the context of the home mortgage credit market. Luck egalitarianism, in particular a Dworkinian insurance scheme to allocate risks and resources relating to mortgage credit and private home ownership, offers substantial promise.
The assessment of the influence of vertical incisions on the aesthetic outcome of the Miller class I and II recession treatment: a split‐mouth study
Authors: Skurska Anna , Dolińska Ewa , Sulewska Magdalena , Milewski Robert , Pietruski Jan , Sobaniec Stefan , Pietruska Małgorzata 
Published: August 2015

AbstractAimThe aim of this study was to compare the clinical and aesthetic parameters following a connective tissue graft (CTG) combined with the modified coronally advanced flap (MCAF), or the coronally advanced flap combined with vertical incisions (CAF) in the treatment of Miller class I and II recessions.Materials and MethodsTwenty patients with 99 recessions were treated in a split‐mouth study model. The MCAF with CTG was used on the right side, while the CAF with CTG was applied on the left side. The clinical and aesthetic evaluation was executed.ResultsThe mean root coverage on the MCAF side was 90.52% 1 year post‐operatively, whereas on the CAF side was 91.77%. A complete root coverage (CRC) was achieved in 78.43% of gingival defects treated with the MCAF and 83.33% defects treated with the CAF. The average RES after the MCAF was 7.98 ± 1.88 and after the CAF was 8.37 ± 1.81. There was no significant difference in the CRC and RES values or their variables between the two techniques.ConclusionsMCAF with CTG and CAF with CTG allow obtaining satisfactory and comparable root coverage as well as an aesthetic outcome without the negative effect of vertical incisions on the appearance of soft tissue.