bluuebunny/crossref_metadata_2025_split huggingface dataset:
H - 36 Identification and Management of Post-Concussion Syndrome within the Hispanic Population
Authors: Duarte Andres , Rios Guevara Linda V , Alcina Jorge , Gonzalez Dayron , Perez-Haddock Yanelee , Villafana Mei-Ling 
Published: October 2023

Abstract

Objective
This systematic literature review sought to investigate Post-Concussion Syndrome (PCS) considerations within Hispanic populations.

Method
A systematic review of the literature was conducted from 2001 to 2023. We conducted a bibliographical search of peer-reviewed articles through databases PubMed and Google Scholar using keywords Post-Concussion Syndrome, Hispanic Populations, and Traumatic Brain Injury. Included in the review were articles designated as literature reviews published in English examining PCS within the Hispanic population. From the initial search results, 10 articles were extracted for review. After this search, 4 articles were retained. Articles that were excluded were not in English, did not contain samples of Hispanic individuals, and/or did not include PCS.

Results
The literature highlighted clinical features, diagnosis, and management of PCS in athletes, and in individuals who had been admitted to an inpatient unit. Patients who reported higher levels of pre-injury depression and anxiety were more likely to develop PCS. Additionally, the severity of the initial injury was not a significant predictor of PCS.

Conclusions
The current literature suggests a lower incidence of PCS in Hispanic individuals may exist. However, more research is needed to confirm this relationship and explore potential underlying factors. A possible mediator for this relationship may be increased levels of familial social support. Limitations of the present review include scarce empirical literature in this area of study and small sample sizes of some of the available studies.
H - 38 Neuropsychological Evaluation and Cognitive Profile of Stiff Person Syndrome (SPS) in a Predominantly Spanish-Speaking Older Adult: Is Cognition Really Affected?
Authors: Saldana Daniel G , Suarez Paola 
Published: October 2023

Abstract

Objective
Stiff Person Syndrome (SPS) is a rare autoimmune disorder that affects approximately one in every million people. It is characterized by progressive muscle rigidity and intense, episodic muscle spasms triggered by environmental and psychosocial (i.e., emotional stress) factors. While original diagnostic criteria for classical SPS included the absence of frank cognitive impairment (aside from what would be expected from seizures), more recent literature suggests a number of neurocognitive difficulties potentially associated with reduced GABA levels.

Method
The following case study presents a 73-year-old, predominantly Spanish-speaking man with 14 years of education. His medical history is notable for over 20 years with diagnosed SPS, hypertension well managed with medications, and the absence of other medical conditions that may contribute to cerebrovascular burden. He completed a comprehensive neuropsychological evaluation in Spanish.

Results
Overall, his profile was notable for mild inefficiencies in frontal-subcortical functions, with a relative weakness in rote learning and retention. He performed remarkably well relative to his level of motor compromise. There was no evidence of either a mild or major neurocognitive disorder, and his clinical interview and behavioral inventories were suspicious for a personality disorder.

Conclusions
Recent literature proposes SPS is related to impairment in verbal learning, retention, fluency, processing speed, and attention. The present case corroborated, at most, mild inefficiencies in these previously documented areas. Careful consideration should be used in the evaluation of studies on SPS and cognition, particularly in determining whether samples had high degrees of comorbid conditions (i.e., cerebrovascular burden) that could help explain positive findings related to cognition.
H - 42 Multivariate Base Rates for the NIH Toolbox Emotion Battery in the Spanish-Speaking Normative Sample
Authors: Leong Sharon E , Ingram Eric O , Karr Justin E 
Published: October 2023

Abstract

Objective
This study involved the calculation of multivariate base rates for the NIH Toolbox Emotion Battery (NIHTB-EB) for the Spanish-speaking normative sample, stratifying by sociocultural variables.

Method
Participants were 224 Spanish-speaking adults from the NIHTB norming study (M = 42.2 years-old, SD = 16.3; 40.2% Male; 100% Hispanic/Latinx). Frequencies of obtaining one or more “potentially problematic” emotion scores (i.e., either T60, depending on scale orientation) were calculated with stratifications by gender, education, country of birth and education, bilingualism, and household income. The NIHTB-EB includes 17 scales measuring negative affect, social satisfaction, and psychological well-being.

Results
When interpreting all 17 scales, 59.8% of participants had one or more potentially problematic score(s). Only education was related to problematic score frequencies (p &lt; 0.014, phi = 0.19). Adults with less than high school education (68.4%) had the highest frequency scores compared to adults with a high school diploma (42.3%) or greater education (54.5%). Although non-significant, bilingual adults (66.7%) tended to have more potentially problematic scores than monolingual adults (56.8%; p = 0.16, phi = 0.09) and higher income (49.0%) was related to more potentially problematic scores than lower income (63.8%; p = 0.07, phi = 0.14).

Conclusions
Most Spanish-speaking adults obtained one or more potentially problematic NIHTB-EB scores, with more emotional difficulties associated with less education and modestly associated with lower socioeconomic status and bilingualism. Future research may explore how these variables interact with emotional health among Spanish-speaking Hispanic/Latinx adults.
H - 43 Uncovering the Impact of Childhood Sexual Trauma on Executive Functioning: a Case Study of ADHD Misdiagnosis
Authors: Obenauf Caterina 
Published: October 2023

Abstract

Objective
Numerous studies have reported executive function differences among victims of childhood sexual abuse. This case study aims to expand upon the existing literature on the intersection of neuropsychological symptoms and trauma from childhood sexual abuse.

Method
We present a case of an 18-year-old white woman with a history of sexual trauma and deficits in executive functioning. She first demonstrated deficits in executive functioning at age 10, around the beginning of her sexual abuse. She had been diagnosed with ADHD by her psychologist in early adolescence; results of diagnostic tests will be briefly described. According to this client, she was not assessed for trauma history. This client presented to the student counseling center of her university to be seen for individual therapy for depressive symptoms. The role of intersectionality of immigration, sexism, and military family systems in this client’s presenting concerns will be discussed.

Results
In addition to depressive symptoms, the client presented with symptoms of executive dysfunction, impaired decision-making skills (e.g., risky sexual behavior), and poor memory. Throughout therapy, it was evident that her symptoms resulted from posttraumatic stress from childhood sexual abuse.

Conclusions
This case highlights the role of poly-etiologic factors (childhood sexual abuse, immigration, sexism, military) in the development and progression of neuropsychological symptoms. It emphasized the importance of assessing for trauma as a potential cause of neuropsychological symptoms. Additionally, the case underscores the importance of understanding intersecting identities and oppressive systems when evaluating and treating individuals with neuropsychological symptoms and histories of trauma, sexism, and immigration.
H - 48 Preliminary Normative Data for a Letter Fluency (PAN) Test Via Teleneuropsychology for Puerto Rican Adults
Authors: Zambrana-Bonaparte Hjalmar M , Serrano-Roman Carolina F , Tapia-Nazario Glariangeliz , Padilla-Ruiz Alondra , Vega-Ortiz Antonio , Seguel-Jimenez Anais , Ramos Nicole , Pagan-Palermo Lymaris , Rodriguez-Beato Johanna , Puente Antonio E 
Published: October 2023

Abstract

Objective
Explore internal consistency, concurrent validity, and impact of demographic factors to provide preliminary normative data for a teleneuropsychological (TeleNP) and culturally-sensitive letter fluency (PAN) test based on Benton and Hamsher’s (1976) approach (two easy and one difficult letter) for Spanish-speaking Puerto Ricans.

Method
102 cognitively healthy Puerto Ricans (Female: 69%; Age: M = 63.2, SD = 6.1; Education: M = 16.2, SD = 3.6) residing on the island were administered the letters PAN and a category (Animal) fluency task via Zoom, as part of a larger neuropsychological battery. Cronbach’s alpha was applied to explore PAN’s internal consistency. Concurrent validity was examined through Pearson correlation between PAN and Animal fluency. Analyses of variance were used to explore the effect of age, education, and sex. Descriptive statistics were conducted to develop normative data stratified by statistically significant demographics.

Results
Cronbach’s alpha for PAN was α = 0.833. Each letter had a positive and significant correlation with Animal fluency (0.477, 0.471, 0.471; p &lt; 0.001). Only age and education significantly impacted performance on all letters. M and SD raw scores among the sample were P (M = 14.0; SD = 4.5), A (M = 11.8; SD = 4.1), N (M = 8.8; SD = 3.5).

Conclusions
Data suggest good internal reliability and moderate concurrent validity. Results supports that each consecutive letter is more difficult. This study provides preliminary normative data for cognitively healthy Puerto Rican adults, which can improve diagnostic accuracy while providing clinicians with a TeleNP and culturally-appropriate testing tool. Future research with PAN should include clinical samples.
H - 50 Fetal Alcohol Spectrum Disorders and the Criminal Justice System: a Case Study
Authors: Zavala Jorge Guzman , Solomon Yene , Safi Diomaris 
Published: October 2023

Abstract

Objective
Research has identified notable features when considering a diagnosis of FASD. Gestational exposure to alcohol significantly increases the probability of FASD; with Attention Deficit Hyperactive Disorder (ADHD) being the most frequent comorbidity. Both disorders share commonalities in their behavioral phenotype which may likely lead to have negative life outcomes including secondary disabilities when compared to their ADHD-only diagnosed counterparts. This case study provides a process for diagnostic clarification and treatment recommendations within a forensic setting.

Method
Starwars, a minor with a documented history of probable intrauterine polysubstance exposure, whose symptoms were noted at age 4, included hyperactivity, attentional, and behavioral deficits. In the absence of medical records, a detailed developmental history was established to opine on the juvenile’s Mental State at the Time of the Offense (MSE- offense) of criminal threats on school property.

Results
Objective testing noted difficulty with executive function, verbal and non-verbal learning, and attention. In addition, independent school-based testing identified deficits in learning, behavior, and emotion regulation which is consistent with expected neuropsychological assessment results.

Conclusion
In the case of Starwars, the referral question sought to establish an MSE-Offense. Considering the probable prenatal alcohol exposure, established behavioral deficits, neurodevelopmental disorder, and cognitive profile - Starwars’ ADHD and probable Alcohol- Related Neurodevelopmental Disorder, may have significantly impacted Starwars’ ability to appreciate the nature and quality or wrongfulness of his actions.
H - 52 Impact of Spanish Dialect on Artificial Intelligence in Assessing Expressive Language
Authors: Nieves Emmanuel Rosario , Rosenstein Leslie D , Zaldua Carla , Hernando Xabier , Gabirondo Peru , Lacritz Laura , Kaser Alyssa N , Cullum C Munro 
Published: October 2023

Abstract

Objective
AcceXible is a new Artificial Intelligence (AI) tool that identifies speech biomarkers for cognitive impairment that was developed in Spain. Good sensitivity (85.7%) and specificity (92.8%) in distinguishing patients with mild cognitive impairment from individuals with normal functioning have been established with populations in Spain, and preliminary data are similar in the United States and the United Kingdom. In this study, we assessed transcription accuracy for Spanish speakers in the US originating from Latin American countries (LAC) and the effect it may have on the performance of Accexible’s AI model.

Method
AcceXible involves participants completing several verbal tasks via computer interface, including Animal Naming (AN). Transcription accuracy for 16 Spanish-speaking patients from LAC in Texas was assessed by comparing data obtained from hand scoring of AcceXible AN to data from different customized expressive language transcription tools used in AcceXible’s platform. The transcription tool was updated based on inconsistencies found.

Results
AcceXible’s customized transcription tool was initially found to miss 34% of total items on AN due to differences in vocabulary and pronunciation between LAC and Spain. The transcription tool was modified to recognize the LAC vocabulary and pronunciations, which resulted in 25.84% increased accuracy for an overall transcription accuracy of 91%.

Conclusions
AcceXible is a useful tool for efficiently assessing expressive language, and the current findings highlight the need to consider not just language, but also nationality when adapting tests across cultures.
H - 63 Desarrollo de Habilidades Clínicas del Idioma Español
Authors: Judd Theodore L , Zavala Jorge Guzman , Safi Diomaris , Sanchez Orlando 
Published: October 2023

Abstract

Objetivo
Mejorar los servicios neuropsicológicos para hispanoparlantes y al mismo tiempo cultivar las habilidades lingüísticas de los neuropsicólogos que proveen servicios en español. Los profesionales que hablan español e inglés, pero cuya educación clínica fue primordialmente en inglés, generalmente necesitan apoyo para desarrollar sus habilidades clínicas en español. En busca de este objetivo, este póster se presentará y se discutirá en español, excepto con aquellos cuyas habilidades lingüísticas prohíban dicha discusión.

Método
Los autores han desarrollado sus propias competencias clínicas de español y han ayudado a otros a hacerlo. Comparten aquí sus experiencias y técnicas para hacerlo. Estos incluyen: apoyo institucional; apoyo de la comunidad de hispanoparlantes; el establecimiento de metas; experiencia de inmersión lingüística; aprendizaje de español dirigido clínicamente; acceso a literatura, pruebas y otros recursos profesionales en español; supervisión/consulta en español; y trabajo clínico progresivo en español.

Resultados
El apoyo institucional para el aprendizaje de competencia clínica en español es variable, desde discriminación lingüística hasta apoyo lingüístico competente. El estado de aprendizaje de idiomas del practicante puede lograr habilidades y servicios competentes en español, prevenirlos o presentar dilemas éticos.

Conclusiones
El apoyo apropiado para el aprendizaje de un español-clínico, al nivel competente, es una estrategia importante; aun, es implementada de manera inconsistente, poco reconocida y poco desarrollada, para mejorar los servicios neuropsicológicos para los hispanoparlantes. Es un componente crítico de la diversidad en neuropsicología, que debe implementarse para lograr importantes objetivos de equidad en el servicio.
H - 68 Effects of Depression, Apathy and Anxiety in Hispanic Parkinson Disease Individuals’ Cognition
Authors: Lauren Santos G , Bowers Dawn , Kenney Lauren E , Ratajska Adrianna M , Rodriguez Katie , Schade Rachel 
Published: October 2023

Abstract

Objective
Previous research in individuals with Parkinson’s disease (PD) found that heightened apathy is associated with worse executive function. Most studies to-date have involved primarily White, non-Hispanic individuals. Indeed, recent research suggests that mood/motivation’s relationship to cognitive decline differs between Hispanic and non-Hispanic individuals (Thakur et al., 2021). In this study, we examined relationships between depression, apathy, anxiety, and cognition in Hispanic PD participants who were seen in a specialized movement disorders center.

Methods
Participants included 31 non-demented Hispanic individuals with PD (age mean = 59.94, SD = 8.49 years; education mean = 14.39, SD = 2.79; 83.9% male) who completed neuropsychological and mood measures (Beck Depression Inventory-II, Apathy Scale, STAI-Trait Anxiety Scale). Prevalence estimates were calculated using established cut-offs (BDI-II:14, AS:14, STAI-Trait:40). Cognitive raw scores were z-scored and averaged into the composites: attention (WAIS-III Digit Span Forward, Backward), processing speed (Stroop Word, Trails A), executive function (Trails B, Stroop Color-Word), and memory (Hopkin’s Verbal Learning Test, WMS-III Logical Memory delayed recalls). Non-parametric partial correlations (correcting for age/education) assessed mood and cognitive composite relationships.

Results
17% had clinically significant depressive symptoms, 12% had apathy, and 35% had anxiety. More depressive symptoms were significantly associated with worse memory (r = −0.54, p = 0.007). Greater anxiety symptoms trended with worse processing speed (r = −0.41, p = 0.065) and memory (r = −0.38, p = 0.094). Apathy did not relate to cognition (p’s &gt; 0.05).

Conclusion
This pattern of associations differs from existing studies with predominantly White, non-Hispanic samples (Butterfield et al., 2010; Ratajska, et al.,2022), highlighting the importance of further investigating ethnic differences in PD.
H - 69 Making Diagnostic Decisions Using Linguistically Congruent Neuropsychological Assessment in a Monolingual Low Education Latino: a Single Case
Authors: Ventura Melanie , Metzler Alison 
Published: October 2023

Abstract

Objective
As life expectancy and Latino populations increase in the United States, it is important to provide linguistically congruent neuropsychological assessments to assist in the treatment and diagnosis of neurodegenerative processes. This case used a linguistically congruent evaluation and appropriate norms in a 72-year-old Latin male with low education, to inform treatment recommendations.

Method
A 72-year-old Latin male with five years of education was referred by his neurologist in the context of cognitive, behavioral, and functional decline over the past several years. He was educated outside of the United States, in a Spanish-speaking country, and speaks limited English. Therefore, testing was administered in Spanish. All test data were compared to other Spanish-speaking clinical patients with low education levels from his country of origin when available (11 articles).

Results
Overall given the evidence, he was diagnosed with Mild Neurocognitive Disorder due to Multiple Etiologies, with behavioral disturbance. His profile revealed weaknesses in verbal learning and memory, attention, and psychomotor processing speed. However, when compared to non-corrected norms, he performed significantly different (at least 1 SD) across several measures.

Conclusions
Using a linguistically congruent evaluation, in addition to a compilation of age and education-corrected norms, we came to a diagnostic conclusion of a Mild Neurocognitive Disorder. If the normative data not been corrected for age and education, his impairments in visuospatial abilities and attention would have been inflated. As the Latino population continues to age, it becomes increasingly important to develop ways to assess this population appropriately.
H - 71 Development and Implementation of a Neuropsychology Program for Spanish-Speaking Patients at Cleveland Clinic Nevada
Authors: Wong Christina G , Barreto Abrams Jesús O , Pudumjee Shehroo B , Cobos Kimberly L , Miller Justin B , Suarez Paola 
Published: October 2023

Abstract

Objective
There is a significant need for culturally-informed neuropsychology services for patients from underrepresented communities, particularly those with limited English proficiency. Given the finite number of bilingual neuropsychologists, working with interpreters and bilingual psychometrists is important for increasing access to equitable care, though many neuropsychologists lack training in these approaches. We present a model for the development and implementation of a neuropsychology program for Spanish-speaking patients in an outpatient academic medical setting.

Method
To develop our service, we first identified the primary patient population to be served and common referral questions. We then consulted with national and international experts to identify best practices for establishing a new clinical service line for Spanish-speaking patients, which included a survey of available Spanish-language tests and normative data, resources for interpretation, and case consultation.

Results
After consulting with colleagues at Cleveland Clinic Ohio and UCLA, we established a formal consultation agreement with a multilingual neuropsychologist with expertise in program development. Consultation focused on best practices for working with interpreters and Hispanic patients, selection of tests and normative sources, and ongoing clinical case consultation. The new service was initiated in March 2023 and includes conducting clinical interviews with virtual interpreters and testing by a bilingual psychometrist. Comprehensive assessments are currently being provided for Spanish-speaking patients, and trainees also receive experience and supervision with these cases.

Conclusions
Developing clinical neuropsychology services for culturally- and linguistically-diverse patients is critically needed. In addition to addressing barriers to care, ensuring high-quality evaluations through prospective consultation with dedicated experts is important for program development.
Selection of centrality measures using Self-consistency and Bridge axioms
Authors: Chebotarev Pavel 
Published: October 2023

Abstract
We consider several families of network centrality measures induced by graph kernels, which include some well-known measures and many new ones. The Self-consistency and Bridge axioms, which appeared earlier in the literature, are closely related to certain kernels and one of the families. We obtain a necessary and sufficient condition for Self-consistency, a sufficient condition for the Bridge axiom, indicate specific measures that satisfy these axioms and show that under some additional conditions they are incompatible. PageRank centrality applied to undirected networks violates most conditions under study and has a property that according to some authors is ‘hard to imagine’ for a centrality measure. We explain this phenomenon. Adopting the Self-consistency or Bridge axiom leads to a drastic reduction in survey time in the culling method designed to select the most appropriate centrality measures.