bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pilot Randomized Controlled Trial of Individual Meaning-Centered Psychotherapy for Patients With Advanced Cancer
Authors: Breitbart William , Poppito Shannon , Rosenfeld Barry , Vickers Andrew J. , Li Yuelin , Abbey Jennifer , Olden Megan , Pessin Hayley , Lichtenthal Wendy , Sjoberg Daniel , Cassileth Barrie R. 
Published: February 2012

Purpose Spiritual well-being and sense of meaning are important concerns for clinicians who care for patients with cancer. We developed Individual Meaning-Centered Psychotherapy (IMCP) to address the need for brief interventions targeting spiritual well-being and meaning for patients with advanced cancer. Patients and Methods Patients with stage III or IV cancer (N = 120) were randomly assigned to seven sessions of either IMCP or therapeutic massage (TM). Patients were assessed before and after completing the intervention and 2 months postintervention. Primary outcome measures assessed spiritual well-being and quality of life; secondary outcomes included anxiety, depression, hopelessness, symptom burden, and symptom-related distress. Results Of the 120 participants randomly assigned, 78 (65%) completed the post-treatment assessment and 67 (56%) completed the 2-month follow-up. At the post-treatment assessment, IMCP participants demonstrated significantly greater improvement than the control condition for the primary outcomes of spiritual well-being (b = 0.39; P <.001, including both components of spiritual well-being (sense of meaning: b = 0.34; P = .003 and faith: b = 0.42; P = .03), and quality of life (b = 0.76; P = .013). Significantly greater improvements for IMCP patients were also observed for the secondary outcomes of symptom burden (b = −6.56; P < .001) and symptom-related distress (b = −0.47; P < .001) but not for anxiety, depression, or hopelessness. At the 2-month follow-up assessment, the improvements observed for the IMCP group were no longer significantly greater than those observed for the TM group. Conclusion IMCP has clear short-term benefits for spiritual suffering and quality of life in patients with advanced cancer. Clinicians working with patients who have advanced cancer should consider IMCP as an approach to enhance quality of life and spiritual well-being.
Carboplatin-Associated Ototoxicity in Children With Retinoblastoma
Authors: Qaddoumi Ibrahim , Bass Johnnie K. , Wu Jianrong , Billups Catherine A. , Wozniak Amy W. , Merchant Thomas E. , Haik Barrett G. , Wilson Matthew W. , Rodriguez-Galindo Carlos 
Published: February 2012

PurposeCarboplatin-induced ototoxicity remains poorly defined but is of potential great consequence in children with retinoblastoma. We retrospectively assessed the incidence of ototoxicity and its risk factors in children with retinoblastoma who were treated with carboplatin.Patients and MethodsWe reviewed the audiologic test results of 60 patients with retinoblastoma who received front-line treatment with systemic carboplatin and vincristine according to the St Jude RET-3 protocol (n = 23) or best clinical management (n = 37). Ototoxicity was evaluated by three different grading systems.ResultsTwelve patients (20%) developed ototoxicity at some time after treatment initiation; however, ototoxicity resolved in two patients, and thus,10 patients (17%) had sustained hearing loss as documented at their most recent audiologic evaluation. Nine of these 10 patients had grade 3 or 4 ototoxicity, and nine patients were less than 6 months of age at the start of chemotherapy. Age at the start of chemotherapy was the only risk factor identified as a significant predictor of sustained hearing loss. Younger age was associated with an increased incidence of hearing loss. The different ototoxicity grading systems showed good overall agreement in the identification of patients with ototoxicity. Agreement was greatest between the Brock and Children's Cancer Group systems.ConclusionWe found that young patients with retinoblastoma who were treated with systemic carboplatin had a higher incidence of ototoxicity than previously reported. Younger patients (< 6 months of age at the start of treatment) were more likely to have ototoxicity than were older patients. Children treated with carboplatin should routinely undergo thorough, long-term audiologic monitoring.
Opioid Prescription After Pain Assessment: A Population-Based Cohort of Elderly Patients With Cancer
Authors: Barbera Lisa , Seow Hsien , Husain Amna , Howell Doris , Atzema Clare , Sutradhar Rinku , Earle Craig , Sussman Jonathan , Liu Ying , Dudgeon Deborah 
Published: February 2012

Purpose The purpose of this study was to measure opioid prescription (OP) rates in elderly cancer outpatients around the time of assessment for pain and to evaluate factors associated with receiving OPs for those with severe pain. Patients and Methods The cross-sectional cohort includes all patients with cancer in Ontario older than age 65 years who completed a pain assessment as part of a provincial initiative of systematic symptom screening. Patients were assigned to mutually exclusive categories by pain score severity: 0, 1 to 3 (mild), 4 to 6 (moderate), and 7 to 10 (severe). We linked multiple provincial health databases to examine the proportion of patients with an OP within 7 days after or 30 days before the assessment date. We examined factors associated with OPs for patients with pain scores of 7 to 10. Results The proportion of patients with an OP increased as pain score severity increased: 10% of those with no pain, 24% of those with mild pain, 45% of those with moderate pain, and 67% of those with severe pain. More specifically, for those with severe pain, 41% filled an OP within 7 days of assessment for pain, and 26% had an OP from the 30 days before assessment for pain, leaving 33% without an OP. In multivariable analysis, factors associated with OPs are younger age, male sex, comorbid illness, cancer type, and assessment at home. Conclusion Despite a generous time window for capturing OPs, the proportion of patients without an OP seems high. Further knowledge translation is required to maximize the impact of the symptom screening initiative in Ontario and to optimize management of cancer-related pain.
Use of Tanning Beds and Incidence of Skin Cancer
Authors: Zhang Mingfeng , Qureshi Abrar A. , Geller Alan C. , Frazier Lindsay , Hunter David J. , Han Jiali 
Published: February 2012

PurposeWe sought to evaluate the risk effect of tanning bed use on skin cancers among teenage and young adults. We also expected to determine whether a dose-response relationship was evident.Patients and MethodsWe observed 73,494 female nurses for 20 years (from 1989 to 2009) in a large and well-characterized cohort in the United States and investigated whether frequency of tanning bed use during high school/college and at ages 25 to 35 years were associated with a risk of basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. We used Cox proportional hazards models and carefully adjusted for host risk factors, ultraviolet index of residence, and sun exposure behaviors at a young age.ResultsDuring follow-up, 5,506 nurses were diagnosed with BCC, 403 with SCC, and 349 with melanoma. The multivariable-adjusted hazard ratio (HR) of skin cancer for an incremental increase in use of tanning beds of four times per year during both periods was 1.15 (95% CI, 1.11 to 1.19; P < .001) for BCC, 1.15 (95% CI, 1.01 to 1.31; P = .03) for SCC, and 1.11 (95% CI, 0.97 to 1.27; P = .13) for melanoma. Compared with tanning bed use at ages 25 to 35 years, we found a significantly higher risk of BCC for use during high school/college (multivariable-adjusted HR for use more than six times per year compared with no use was 1.73 during high school/college v 1.28 at ages 25 to 35 years; P for heterogeneity < .001).ConclusionOur data provide evidence for a dose-response relationship between tanning bed use and the risk of skin cancers, especially BCC, and the association is stronger for patients with a younger age at exposure.
Turning randomness into meaning at the molecular level using Muller's morphs
Authors: Henson Kathleen , Cooper Melanie M. , Klymkowsky Michael W. 
Published: February 2012

Summary
While evolutionary theory follows from observable facts and logical inferences (Mayr, 1985), historically, the origin of novel inheritable variations was a major obstacle to acceptance of natural selection (Bowler, 1992; Bowler, 2005). While molecular mechanisms address this issue (Jablonka and Lamb, 2005), analysis of responses to the Biological Concept Inventory (BCI) (Klymkowsky et al., 2010), revealed that molecular biology majors rarely use molecular level ideas in their discourse, implying that they do not have an accessible framework within which to place evolutionary variation. We developed a “Socratic tutorial” focused on Muller's categorization of mutations' phenotypic effects (Muller, 1932). Using a novel vector-based method to analyzed students' essay responses, we found that a single interaction with this tutorial led to significant changes in thinking toward a clearer articulation of the effects of mutational change. We suggest that Muller's morphs provides an effective framework for facilitating student learning about mutational effects and evolutionary mechanisms.
Overtime reliability of medial temporal lobe atrophy rating in a clinical setting
Authors: Cavallin Lena , Løken Kirsti , Engedal Knut , Øksengård Anne-Rita , Wahlund Lars-Olof , Bronge Lena , Axelsson Rimma 
Published: February 2012

Background Medial temporal lobe atrophy (MTA) is one of the first magnetic resonance imaging (MRI) signs in patients with Alzheimer's disease (AD) and used as a measure of disease progression. Visual assessment of MTA is easy to perform but the reliability of MTA rating over time has not been studied. Purpose To investigate what happens to the MTA rating scores if two radiologists rate the same MRI scans six times over a period of 1 year. Material and Methods One hundred outpatients were included in this study. All patients underwent MRI with a protocol and sequences used for geriatric patients, according to local clinical standards. One neuroradiologist and one general radiologist independently of each other performed retrospective visual assessments of MTA six times, using the same scans, over a period of 1 year. Results Intra-rater kappa varied between κ 0.65 and 0.84 for the neuroradiologist and κ 0.38 and 0.74 for the general radiologist. Intra-rater weighted kappa (wκ) values showed almost perfect agreement for both investigators (wκ 0.83–0.94). Inter-rater reliability showed fair to moderate agreement, with the kappa value varying from κ 0.29 to 0.48 and weighted kappa values ranging from wκ 0.72 to 0.84. There was a statistically significant difference in rating between the two investigators. Conclusion Visual assessment of MTA repeated over time has a high grade of reproducibility when performed by an experienced investigator. The reproducibility drops when assessment is rarely performed. Inter-rater reliability is low when two investigators not working together are compared.
Changing Epidemiology of Bacteremia in Infants Aged 1 Week to 3 Months
Authors: Greenhow Tara L. , Hung Yun-Yi , Herz Arnd M. 
Published: February 2012

BACKGROUNDBacteremia in young infants has remained an important ongoing concern for decades. Despite changes in prenatal screening and infant immunizations, the current epidemiology of this problem has received little attention.METHODS:We conducted a retrospective analysis of all blood cultures collected at Kaiser Permanente Northern California on full-term, previously healthy infants presenting for care between 1 week to 3 months of age for whom a blood culture was drawn from January 1, 2005, through December 31, 2009.RESULTS:During the study period, 4255 blood cultures were collected from 160 818 full-term infants. Only 2% of all blood cultures were positive for pathogens (93/4255), whereas 247 positive cultures were due to contaminants. The incidence rate of true bacteremia was 0.57 in 1000 full-term births. The most common pathogen was Escherichia coli (56%). Ninety-eight percent of infants with E coli bacteremia had a urinary tract infection. Group B Streptococcus and Staphylococcus aureus were the second and third most common pathogens, respectively. There were no cases of Listeria monocytogenes bacteremia or meningococcemia and only 1 case of enterococcal bacteremia. Ampicillin resistant pathogens accounted for 36% of organisms.CONCLUSIONS:Our study indicates bacteremia in young infants occurs infrequently and in only 2.2% of those who had a blood culture drawn. On the basis of the epidemiology of pathogens found in this large cohort, these data suggest a change in currently recommended presumptive antibiotic coverage in 1-week to 3-month-old infants with suspected bacteremia.
Impact of an Active Video Game on Healthy Children’s Physical Activity
Authors: Baranowski Tom , Abdelsamad Dina , Baranowski Janice , O’Connor Teresia Margareta , Thompson Debbe , Barnett Anthony , Cerin Ester , Chen Tzu-An 
Published: February 2012

OBJECTIVE:
This naturalistic study tests whether children receiving a new (to them) active video game spontaneously engage in more physical activity than those receiving an inactive video game, and whether the effect would be greater among children in unsafe neighborhoods, who might not be allowed to play outside.

METHODS:
Participants were children 9 to 12 years of age, with a BMI &gt;50th percentile, but &lt;99th percentile; none of these children a medical condition that would preclude physical activity or playing video games. A randomized clinical trial assigned children to receiving 2 active or 2 inactive video games, the peripherals necessary to run the games, and a Wii console. Physical activity was monitored by using accelerometers for 5 weeks over the course of a 13-week experiment. Neighborhood safety was assessed with a 12 item validated questionnaire.

RESULTS:
There was no evidence that children receiving the active video games were more active in general, or at anytime, than children receiving the inactive video games. The outcomes were not moderated by parent perceived neighborhood safety, child BMI z score, or other demographic characteristics.

CONCLUSIONS:
These results provide no reason to believe that simply acquiring an active video game under naturalistic circumstances provides a public health benefit to children.
Enrollment of Extremely Low Birth Weight Infants in a Clinical Research Study May Not Be Representative
Authors: Rich Wade , Finer Neil N. , Gantz Marie G. , Newman Nancy S. , Hensman Angelita M. , Hale Ellen C. , Auten Kathy J. , Schibler Kurt , Faix Roger G. , Laptook Abbot R. , Yoder Bradley A. , Das Abhik , Shankaran Seetha ,   for the SUPPORT and Generic Database Subcommittees of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Published: February 2012

BACKGROUND AND OBJECTIVE:
The Surfactant Positive Airway Pressure and Pulse Oximetry Randomized Trial (SUPPORT) antenatal consent study demonstrated that mothers of infants enrolled in the SUPPORT trial had significantly different demographics and exposure to antenatal steroids compared with mothers of eligible, but not enrolled infants. The objective of this analysis was to compare the outcomes of bronchopulmonary dysplasia, severe retinopathy of prematurity, severe intraventricular hemorrhage or periventricular leukomalacia (IVH/PVL), death, and death/severe IVH/PVL for infants enrolled in SUPPORT in comparison with eligible, but not enrolled infants.

METHODS:
Perinatal characteristics and neonatal outcomes were compared for enrolled and eligible but not enrolled infants in bivariate analyses. Models were created to test the effect of enrollment in SUPPORT on outcomes, controlling for perinatal characteristics.

RESULTS:
There were 1316 infants enrolled in SUPPORT; 3053 infants were eligible, but not enrolled. In unadjusted analyses, enrolled infants had significantly lower rates of death before discharge, severe IVH/PVL, death/severe IVH/PVL (all &lt; 0.001), and bronchopulmonary dysplasia (P = .003) in comparison with eligible, but not enrolled infants. The rate of severe retinopathy of prematurity was not significantly different. After adjustment for perinatal factors, enrollment in the trial was not a significant predictor of any of the tested clinical outcomes.

CONCLUSIONS:
The results of this analysis demonstrate significant outcome differences between enrolled and eligible but not enrolled infants in a trial using antenatal consent, which were likely due to enrollment bias resulting from the antenatal consent process. Additional research and regulatory review need to be conducted to ensure that large moderate-risk trials that require antenatal consent can be conducted in such a way as to ensure the generalizability of results.
Breastfeeding and the Use of Human Milk
Authors:   SECTION ON BREASTFEEDING, Eidelman Arthur I. , Schanler Richard J. , Johnston Margreete , Landers Susan , Noble Larry , Szucs Kinga , Viehmann Laura 
Published: February 2012

This Policy Statement was revised. See https://doi.org/10.1542/peds.2022-057988.
Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice. The American Academy of Pediatrics reaffirms its recommendation of exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant. Medical contraindications to breastfeeding are rare. Infant growth should be monitored with the World Health Organization (WHO) Growth Curve Standards to avoid mislabeling infants as underweight or failing to thrive. Hospital routines to encourage and support the initiation and sustaining of exclusive breastfeeding should be based on the American Academy of Pediatrics-endorsed WHO/UNICEF “Ten Steps to Successful Breastfeeding.” National strategies supported by the US Surgeon General’s Call to Action, the Centers for Disease Control and Prevention, and The Joint Commission are involved to facilitate breastfeeding practices in US hospitals and communities. Pediatricians play a critical role in their practices and communities as advocates of breastfeeding and thus should be knowledgeable about the health risks of not breastfeeding, the economic benefits to society of breastfeeding, and the techniques for managing and supporting the breastfeeding dyad. The “Business Case for Breastfeeding” details how mothers can maintain lactation in the workplace and the benefits to employers who facilitate this practice.
Numerical Processing of Cooling Curves to Obtain Growth Parameters During Eutectic Solidification
Authors: Morua M. , Peña E. , Aparicio R. , Ramirez-Argaez M. , Gonzalez-Rivera C. 
Published: February 2012

ABSTRACTIn this work a methodology to measure kinetic parameters to describe grain growth during equiaxed eutectic solidification is proposed. This methodology includes the numerical processing of two cooling curves and requires input data concerning the number of grains per unit volume. In addition, free grain growth before impingement and an exponential dependence of the grain growth rate on undercooling are assumed. The evolution of solid fraction of the sample as a function of time is obtained by applying the Fourier thermal analysis (FTA) method. Information collected is processed numerically in order to find numerical values for the pre-exponential and exponential parameters that characterize the grain growth kinetics as a function of undercooling. To validate this methodology a mechanistic model that simulates the cooling and solidification of eutectic Al-Si alloy in a sand mold is used. The results suggest that this methodology can be used to measure the kinetic parameters of equiaxed growth from the numerical processing of cooling curves and grain density data.
Multi-Objective Optimization of Corrosion Rate Parameters in Refining Process Using Particle Swarm Optimization.
Authors: González B. , Torres L. , Reyes F. A. , Escamilla I. , Vera C. , Colas R. 
Published: February 2012

ABSTRACTIn this paper, a Particle Swarm Optimization (PSO) algorithm is presented to find the optimal combination of corrosion rate parameters for a refining process in the oil industry. The experimental data in this paper are constituted by results obtained from field tests. Maintenance control is a very important aspect in order to prevent substantial damage to facilities, equipment and people. Other important factor to consider is the cost of maintenance which tends to reduce the required actions. The main parameters in corrosion control are flow, concentration of sulfur species, total acid number (TAN), temperature, and chromium content. However it is not easy to know the combined effect of different variables due to synergistic effects. Particle swarm optimization (PSO) is a population based stochastic optimization technique, inspired by social behavior of bird flocking or fish schooling. The system is initialized with a population of random solutions and searches for optima by updating generations. In PSO, the potential solutions, called particles, fly through the problem space by following the current optimum particles.
MICROSTRUCTURAL EFFECTS IN THE STEEL HWS 1.2379 APPLYING THE PROCESS OF PLASMA TRANSFERRED ARC PTA.
Authors: Aguirre A. , García F. , Acevedo J. , Andrade J. 
Published: February 2012

ABSTRACTAt present, the industrial sector requires the recovery of tool steel components subjected to severe wear which are built with steel HWS these have the same properties in all tribology directions and have great success in building tooling. In this paper, we recover the previously HWS steel machining with a fillet of 2mm caused by the metallurgical recovery of the component, applying the process of plasma transferred arc PTA which has very good fats dilution properties in comparison to other conventional processes currently applied for the recovery of tooling, such as GTAW, SMAW, SAW. The experiment was conducted with input D2 and M2 with one and two welding seams, making the assessment metallography, hardness and wear tests pin-on-disk. Finding a decrease in the hardness of the interface line, according to the evaluation of wear pin-on-disk, had a higher wear rate of the filler metal in the M2 D2.
Room Temperature Ionic Liquids as Novel Media for Zn Ions Extraction from Aqueous Solutions
Authors: Hernández Cruz Leticia E. , García Felipe Legorreta , Herrera González Ana M. 
Published: February 2012

ABSTRACTWastewaters often contain offensive cations. Because of their high affinity for water, it is difficult to remove those using conventional solvents for liquid- liquid extraction [1]. Hydrophobic ionic liquids may provide a useful extraction process. Because the properties of ionic liquids are turnable, it may be possible to identify some ionic liquids that have low viscosity, very low solubility in water, and high affinity for select metal ions [2]. In this sense in this work liquid- liquid extraction of dilute Zn ions from water was performed near room temperature with two ionic liquids (IL). Distribution coefficients are reported for Zn ions extracted with bromide 1-hexyl-pyridinium and bromide 1-octyl-pyridinium diluted in decanol. The extraction has been studied, and these confirmed that the metal extraction proceeds via a cation – exchange mechanism. Furthermore, stripping of Zn (II) from ILs into an aqueous phase by sulfuric acid (1 M) and recycling of the extracting ILs phase was successfully accomplished.