bluuebunny/crossref_metadata_2025_split huggingface dataset:
Morphological and genetic evidence of contemporary intersectional hybridisation in Mediterranean Helichrysum (Asteraceae, Gnaphalieae)
Authors: Galbany‐Casals M. , Carnicero‐Campmany P. , Blanco‐Moreno J. M. , Smissen R. D. 
Published: March 2012

AbstractHybridisation is considered an important evolutionary phenomenon in Gnaphalieae, but contemporary hybridisation has been little explored within the tribe. Here, hybridisation between Helichrysum orientale and Helichrysum stoechas is studied at two different localities in the islands of Crete and Rhodes (Greece). Using three different types of molecular data (AFLP, nrDNA ITS sequences and cpDNA ndhF sequences) and morphological data, the aim is to provide simultaneous and direct comparisons between molecular and morphological variation among the parental species and the studied hybrid populations. AFLP profiles, ITS sequences and morphological data support the existence of hybrids at the two localities studied, shown as morphological and genetic intermediates between the parental species. Chloroplast DNA sequences show that both parental species can act either as pollen donor or as maternal parent. Fertility of hybrids is demonstrated by the viability of seeds produced by hybrids from both localities, and the detection of a backcross specimen to H. orientale. Although there is general congruence of morphological and molecular data, the analysis of morphology and ITS sequences can fail to detect backcross hybrids.
Symptom distress of Jordanian patients with cancer receiving chemotherapy
Authors: Omran Suha , Saeed Ahmad Mohamad Ahmad , Simpson Jennifer 
Published: March 2012

Omran S, Saeed AMA, Simpson J. International Journal of Nursing Practice 2012; 18: 125–132Symptom distress of Jordanian patients with cancer receiving chemotherapyThe purpose of this study was to explore the prevalence of symptom distress among Jordanian patients with cancer who are receiving chemotherapy. A total of 112 patients with cancer were evaluated using the Distress Thermometer and clinical symptom problem list, and Demographic and Clinical Characteristic Data Sheet. Patients in the sample were mostly female, and recently diagnosed with cancer during the past 6 months, with a variety of types of cancer with breast cancer being the most common. Patients reported several symptoms with nausea, fatigue, anorexia and daily activity disorder being reported most frequently. Most of the patients (71%) reported distress at a clinically significant level. Distress was correlated with clinical characteristics as treatment number and time. Problems in the areas of family relationships, emotional functioning and physical functioning were associated with higher reports of distress. Identification of the presence of distress is the first step towards referral and treatment of the symptoms that may contribute to the distress of the patient with cancer.
The effect of education given to patients with type 2 diabetes mellitus on self‐care
Authors: Karakurt Papatya , Kaşıkçı Mağfiret Kara 
Published: March 2012

Karakurt P, Kaşıkçı MK. International Journal of Nursing Practice 2012; 18: 170–179The effect of education given to patients with type 2 diabetes mellitus on self‐careThis research was performed as a single group pretest—posttest experimental design to determine the effect of education given to patients with type 2 diabetes mellitus on self‐care. The research was performed between October 2007 and June 2008 in the Internal Medicine Outpatient Clinics located in A and B Blocks of Erzincan State Hospital. The research population included 100 patients with type 2 diabetes mellitus who attended the above mentioned units between the specified dates and met the inclusion criteria. Patients were subjected to a pretest using a patient identification form, Diabetes Self‐Care Scale (DSCS) form in Turkish language and metabolic control parameters. A statistically significant difference was found between the mean values of pre‐education and posteducation DSCS scores with an increase in mean posteducation scores. These results demonstrate that the education given to patients improves their self‐care and metabolic control variables.
Periurethral injection of autologous adipose‐derived regenerative cells for the treatment of male stress urinary incontinence: Report of three initial cases
Authors: Yamamoto Tokunori , Gotoh Momokazu , Kato Masashi , Majima Tsuyoshi , Toriyama Kazuhiro , Kamei Yuzuru , Iwaguro Hideki , Matsukawa Yoshihisa , Funahashi Yasuhito 
Published: March 2012

Objectives:  To report a novel cell therapy using autologous adipose tissue‐derived regenerative cells for male stress urinary incontinence caused by urethral sphincteric deficiency, and the outcomes in the initial cases undergoing periurethral injection of adipose tissue‐derived regenerative cells.Methods:  Three patients with moderate stress incontinence after radical prostatectomy and holmium laser enucleation of the prostate were enrolled. Adipose tissue‐derived regenerative cells were isolated from the abdominal adipose tissue by using the Celution system. Subsequently, the isolated adipose tissue‐derived regenerative cells, and a mixture of adipose tissue‐derived regenerative cells and adipose tissue were transurethrally injected into the rhabdosphincter and submucosal space of the urethra, respectively. Short‐term outcomes during a 6‐month follow up were assessed by a 24‐h pad test, a validated patient questionnaire, urethral pressure profile, transrectal ultrasonography and magnetic resonance imaging.Results:  Urinary incontinence progressively improved after 2 weeks of injection up to 6 months in terms of decreased leakage volume, decreased frequency and amount of incontinence, and improved quality of life. Both maximum urethral closing pressure and functional profile length increased. Magnetic resonance imaging suggested a sustained presence of the injected adipose tissue. Enhanced ultrasonography showed a progressive increase in the blood flow to the injected area. No significant adverse events were observed peri‐ and postoperatively.Conclusion:  These preliminary findings suggest that periurethral injection of the autologous adipose tissue‐derived regenerative cells is a safe and feasible treatment modality for male stress urinary incontinence.
Pain relief assessment by aromatic essential oil massage on outpatients with primary dysmenorrhea: A randomized, double‐blind clinical trial
Authors: Ou Ming‐Chiu , Hsu Tsung‐Fu , Lai Andrew C. , Lin Yu‐Ting , Lin Chia‐Ching 
Published: March 2012

AbstractAim:  This study assessed the effectiveness of blended essential oils on menstrual cramps for outpatients with primary dysmenorrhea and explored the analgesic ingredients in the essential oils.Material and Methods:  A randomized, double‐blind clinical trial was conducted. Forty‐eight outpatients were diagnosed with primary dysmenorrhea by a gynecologist and had 10‐point numeric rating scales that were more than 5. The patients were randomly assigned to an essential oil group (n = 24) and a synthetic fragrance group (n = 24). Essential oils blended with lavender (Lavandula officinalis), clary sage (Salvia sclarea) and marjoram (Origanum majorana) in a 2:1:1 ratio was diluted in unscented cream at 3% concentration for the essential oil group. All outpatients used the cream daily to massage their lower abdomen from the end of the last menstruation continuing to the beginning of the next menstruation.Results:  Both the numeric rating scale and the verbal rating scale significantly decreased (P < 0.001) after one menstrual cycle intervention in the two groups. The duration of pain was significantly reduced from 2.4 to 1.8 days after aromatherapy intervention in the essential oil group.Conclusion:  Aromatic oil massage provided relief for outpatients with primary dysmenorrhea and reduced the duration of menstrual pain in the essential oil group. The blended essential oils contain four key analgesic components that amount to as much as 79.29%; these analgesic constitutes are linalyl acetate, linalool, eucalyptol, and β‐caryophyllene. This study suggests that this blended formula can serve as a reference for alternative and complementary medicine on primary dysmenorrhea.
Randomized controlled study comparing effect of magnesium sulfate with placebo on fetal umbilical artery and middle cerebral artery blood flow in mild preeclampsia at ≥34 weeks gestational age
Authors: Dasgupta Subhankar , Ghosh Debdutta , Seal Subrata Lall , Kamilya Gourisankar , Karmakar Madan , Saha Debdas 
Published: March 2012

AbstractAims:  The aim of this study was to evaluate whether prophylactic magnesium sulfate given in women with mild preeclampsia or gestational hypertension brings any significant change in umbilical artery and fetal middle cerebral artery pulsatility index.Material and Methods:  Forty‐eight women with gestational age greater than 34 weeks with mild preeclampsia or gestational hypertension were randomly assigned to receive either magnesium sulfate or placebo. Pre‐ and post‐magnesium sulfate pulsatility index of umbilical and fetal middle cerebral artery were compared by Mann–Whitney U‐test between the groups. Within‐group comparison was conducted using Wilcoxon's signed rank test.Results:  There was a significant reduction in the post‐magnesium sulfate umbilical artery pulsatility index in the intervention group (median 0.88 [0.82−1.03]) when compared to the placebo group (median 1.00 [0.89–1.10]). Post‐magnesium sulfate fetal middle cerebral artery pulsatility index in the intervention group (median 1.78 [1.63–1.98]) did not show a significant change compared to the placebo group (median 1.65 [1.42–1.91]). Within‐group comparison showed change in both variables after treatment in the intervention group.Conclusion:  Magnesium sulfate produces a significant decrease in fetal umbilical artery and middle cerebral artery pulsatility index.
The effects of a psychosocial dimension of socioeconomic position on survival: occupational prestige and mortality among US working adults
Authors: Christ Sharon L. , Fleming Lora E. , Lee David J. , Muntaner Carles , Muennig Peter A. , Caban‐Martinez Alberto J. 
Published: March 2012

AbstractThe association between education or income and mortality has been explored in great detail. These measures capture both the effects of material disadvantage on health and the psychosocial impacts of a low socioeconomic position on health. When explored independently of educational attainment and income, occupational prestige – a purely perceptual measure – serves as a measure of the impact of a psychosocial phenomenon on health. For instance, a fire‐fighter, academician or schoolteacher may carry the social benefits of a higher social status without actually having the income (in all cases) or the educational credentials (in the case of the fire‐fighter) to match. We explored the independent influence of occupational prestige on mortality. We applied Cox proportional hazards models to a nationally representative sample of over 380,000 US workers who had worked at any time between 1986 and 1994 with mortality follow up through 2002. We found that occupational prestige is associated with a decrease in the risk of all‐cause, cancer, cardiovascular and respiratory‐related mortality after controlling for household income and educational attainment. We further investigated the question of whether the effects of prestige are moderated by sex and broader occupational groupings. Prestige effects operate in white‐collar occupations for men only and within service occupations for all workers.
Improved strategies for HIV diagnosis among men who have sex with men (MSM) in Buenos Aires, Argentina, a population with a high prevalence and incidence of HIV infection
Authors: Pando MA , Coloccini RS , Schvachsa N , Pippo M , Alfie LG , Marone R , Gomez‐Carrillo M , Avila MM , Salomón H 
Published: March 2012

BackgroundIn Argentina, HIV diagnosis in adults is made using one or two enzyme immunoassay tests and a confirmatory test. These strategies may fail to identify infected individuals during early primary infection, which represents an important public health problem among groups with a high HIV incidence, such as men who have sex with men (MSM) (6.3% persons/year). The general objective of this study was to contribute to reducing HIV transmission among MSM through the identification of antibody‐negative, nucleic acid‐positive individuals.FindingsA total of 1549 MSM were recruited for an HIV seroprevalence study. A total of 161 (10.4%) MSM were HIV‐positive and 14 (0.9%) were indeterminate. Among the 1374 negative individuals, 16 (1.2%) exhibited reactive results in the screening assay. Indeterminate Western blot (WB) samples and negative WB samples (with discordant results in the screening) were analysed to detect HIV nucleic acid by viral load testing. Up to 23.1% of HIV‐indeterminate WB samples and 7.1% of HIV‐negative WB samples with discordant results in the screening assays had detectable nucleic acid. Overall, 14.8% of the samples with discordant or indeterminate results were identified as HIV‐positive using direct diagnosis. With the identification of four new cases using the nucleic acid detection test, the HIV prevalence in MSM increased by 0.3% (from 10.4 to 10.7%).ConclusionsThe results of this study suggest the importance of including nucleic acid detection in the HIV algorithm for MSM with HIV‐indeterminate WB results and those with HIV‐negative WB results and discordant results in screening assays, in order to decrease HIV transmission among this population with a high HIV prevalence and incidence.
Paying for sex; the many obstacles in the way of men with learning disabilities using prostitutes
Authors: Jones Chris 
Published: March 2012

Accessible summary
It is not against the law in Britain for adults to give another adult sex in exchange for money, and many people do pay for sex. It is almost always men who pay for sex.
Some men with learning disabilities would like to buy sex.
Men with learning disabilities who go to sex workers often get into trouble.
There are special sex workers who are keen to help people with disabilities, and they often work with people with physical disabilities.
There is a law that makes it a serious crime for care workers to assist people with learning disabilities to use a sex worker.
The author believes that this law is unfair and needs changing.
Many people think that women are harmed through sex work. This might be true, but it is not the fault of people with learning disabilities that this happens.SummaryWe live in an increasingly sexualised society, and the buying and selling of sex is a feature of this society. The laws about prostitution are complex, but the act of selling or buying sex is in itself not illegal. The author has extensive clinical experience of hearing the stories of men with learning disabilities who do use commercial sex workers and often come to harm in the process. There are other sex workers who have considerable experience of serving people with disabilities, and to date have generally served people with physical disabilities. Section 39 of the Sexual Offences Act makes it a serious crime for care workers to assist people with learning disabilities to engage with sex workers. It is argued that this is contrary to the spirit of Equal Opportunities for people with learning disabilities and against the move towards personal budgets and the freedom to spend them. This law should be reformed. Prostitution is inherently exploitative of women and reinforces the dominant message that women's bodies exist for men's pleasure. This is not a helpful message for men and women with learning disabilities. However, the opinion of this author is that people with learning disabilities should not be expected to shoulder by default any moral responsibility for changing social attitudes. The extra obstacles in the way of accessing sex workers amount to discrimination, and this is wrong.
Efficacy of the ketogenic diet in Lennox–Gastaut syndrome: a retrospective review of one institution’s experience and summary of the literature
Authors: LEMMON MONICA E , TERAO NAOMI N , NG YU‐TZE , REISIG WAYNE , RUBENSTEIN JAMES E , KOSSOFF ERIC H 
Published: March 2012

Aim  To determine the efficacy of the ketogenic diet for children with Lennox–Gastaut syndrome (LGS) at our institution and in the literature.Method  The records of children with LGS initiated on the ketogenic diet at our institution from 1994 to 2010 were reviewed. Inclusion criteria included the presence of ≤2.5Hz spike‐and‐wave complexes on electroencephalogram, multiple seizure types including tonic, atonic, or atypical absence, developmental delay, and age under 1 year. We additionally reviewed the literature for cases of LGS treated with the ketogenic diet and their outcomes.Results  Seventy‐one children (41 males, 30 females, median age 3y 6mo, range 18mo–18y), with LGS were initiated on the ketogenic diet. Using an intent‐to‐treat analysis, after 6 months, 36 (51%) achieved more than 50% seizure reduction, 16 (23%) experienced more than 90% seizure reduction, and 1 (1%) achieved seizure freedom. Results were similar after 12 months. Age, sex, side effects, valproate use, and history of infantile spasms were not predictive of more than 90% seizure reduction. In the literature, 88 of 189 (47%) children with LGS had more than 50% seizure reduction after 3 to 36 months of ketogenic diet treatment.Interpretation  The ketogenic diet is efficacious in the treatment of LGS, with approximately one‐half of children responding at 12 months.
Cross‐border shopping: Mexican shoppers in the US and American shoppers in Mexico
Authors: Baruca A. , Zolfagharian M. 
Published: March 2012

AbstractThis paper draws on a qualitative, empirical investigation of the two‐way flow of consumers across a US–Mexico border to shed light on utilitarian and hedonic motives that give rise to cross‐border shopping (CBS). An intriguing first observation pertains to the prevalence of consumerist culture among Mexican and American consumers: both groups exhibit generally comparable levels of consumerist culture and shopping orientations/values despite their differential economic statuses. Although each of the two groups exhibit both utilitarian and hedonic motives, the meanings and experiences of CBS are different for the two groups. Shopping in the US manifests the consumerist culture and the need for excess and exposes materialistic values. Shopping in Mexico, on the other hand, represents a means of survival. Discussion and research implications are exposed.
Validity and interobserver agreement of lower extremity local tissue water measurements in healthy women using tissue dielectric constant
Authors: Jensen Mads R. , Birkballe Susanne , Nørregaard Susan , Karlsmark Tonny 
Published: March 2012

SummaryBackgroundTissue dielectric constant (TDC) measurement may become an important tool in the clinical evaluation of chronic lower extremity swelling in women; however, several factors are known to influence TDC measurements, and comparative data on healthy lower extremities are few.MethodsThirty‐four healthy women volunteered. Age, BMI, moisturizer use and hair removal were registered. Three blinded investigators performed TDC measurements in a randomized sequence on clearly marked locations on the foot, the ankle and the lower leg. The effective measuring depth was 2·5 mm.ResultsThe mean TDC was 37·8 ± 5·5 (mean ± SD) on the foot, 29·0 ± 3·1 on the ankle and 30·5 ± 3·9 on the lower leg. TDC was highly dependent on measuring site (P<0·001) but did not vary significantly between investigators (P = 0·127). Neither age, BMI, hair removal nor moisturizer use had any significant effect on the lower leg TDC. Intraclass correlation coefficients were 0·77 for the foot, 0·94 for the ankle and 0·94 for the lower leg.ConclusionThe TDC on the foot was significantly higher compared with ankle and lower leg values. Foot measurements should be interpreted cautiously because of questionable interobserver agreement. The interobserver agreement was high on lower leg and ankle measurements. Neither age, BMI, hair removal nor moisturizer use had any significant on effect on the lower leg TDC. TDC values of 35·2 for the ankle and 38·3 for the lower leg are suggested as upper normal reference limits in women.
Mobile Pediatric Emergency Response Team: Patient Satisfaction During the Novel H1N1 Influenza Outbreak
Authors: Laos Carla M. , DiStefano Michael C. , Cruz Andrea T. , Chantal Caviness A. , Hsu Deborah C. , Patel Binita 
Published: March 2012

ACADEMIC EMERGENCY MEDICINE 2012; 19:274–279 © 2012 by the Society for Academic Emergency MedicineAbstractObjectives:  The objective was to determine child caregiver satisfaction with a nontraditional pediatric emergency department (ED) venue during the 2009 novel H1N1 influenza outbreak.Methods:  Between May 1 and 7, 2009, the Texas Children’s Hospital (TCH) ED used a six‐bed outdoor facility, the Mobile Pediatric Emergency Response Team (MPERT), to evaluate patients with suspected novel H1N1 influenza. Parents and caregivers of patients evaluated in the MPERT were surveyed by telephone using a validated questionnaire to evaluate satisfaction with the facility.Results:  Of 353 patients, 155 caregivers (44%) completed questionnaires; 127 had wrong numbers, 71 did not answer, and 15 were on a no‐call list. Survey responders felt that nurses and doctors explained concepts well (nurses 92%, doctors 94%), 91% felt TCH prepared them well for taking care of their children at home, 94% were satisfied with the medical care received, and 88% were not bothered by the outdoor setting. When asked to rate their MPERT experience on a scale of 0 (worst possible) to 10 (best possible), the median score was 9 (range 1 to 10).Conclusions:  The MPERT facility alleviated patient volume surge and potentially prevented transmission during H1N1 outbreak. While these were health care provider goals, caregiver expectations were also met. Caregivers perceived MPERT as an acceptable alternative to receiving care in the regular ED, felt that physicians and nurses communicated well, and felt that medical care was good to excellent. Use of the MPERT did not negatively affect overall caregiver satisfaction with TCH. These findings suggest that families of pediatric patients are amenable to nontraditional ED venues during periods of ED crowding.