bluuebunny/crossref_metadata_2025_split huggingface dataset:
PsyCARE study: assessing impact, cost-effectiveness, and transdiagnostic factors of the Italian ministry of health’s “psychological bonus” policy
Authors: Benzi Ilaria M.A. , Compare Angelo , Tona Antonino La , Di Nuovo Santo , Lazzari David , Lingiardi Vittorio , Coco Gianluca Lo , Parolin Laura 
Published: October 2023

Abstract
Background
The prevalence of anxiety and depression disorders is surging worldwide, prompting a pressing demand for psychological interventions, especially in less severe cases. Responding to this need, the Italian government implemented the “Psychological Bonus” (PB) policy, allotting 25 million euros for mental health support. This policy entitles individuals to a minimum of four to twelve psychological sessions. In collaboration with the National Board of Italian Psychologists, our study assesses this policy’s effectiveness. Indeed, the PsyCARE study aims to examine the utilization of the Psychological Bonus, evaluate its impact on adult and adolescent participants’ psychological well-being through pre- and post-intervention assessments and six-month follow-up, and conduct a longitudinal cost-effectiveness analysis of this policy. A secondary aim is to investigate the influence of these interventions on transdiagnostic factors, including emotion regulation and epistemic trust.

Methods
The study involves licensed psychotherapists and their patients, both adults and adolescents, benefiting from the Psychological Bonus. Data collection is underway and set to conclude in December 2023. Psychotherapists will provide diagnostic information and assess patient functioning. In addition, patients will be evaluated on mental health aspects such as clinical symptoms, emotion regulation, epistemic trust, and quality of life. We will employ linear mixed-effects models to analyze the outcomes, accounting for both fixed and random effects to capture the hierarchical structure of the data.

Discussion
We anticipate the study’s findings will highlight reduced psychological distress and improved quality of life for participants and demonstrate the Psychological Bonus policy’s cost-effectiveness. The study will gather data on the role of specific versus nonspecific therapeutic factors in psychotherapy while adopting a patient-tailored approach to identify effective therapeutic elements and examine transdiagnostic factors. Overall, this study’s findings will guide future measures within the Italian healthcare system, fostering a psychological health culture and providing valuable insights to the broader public.

Study registration
https://osf.io/6zk2j
Evaluating the anti-urolithiasis potential of Ficus religiosa seed GC MS evaluated phytoconstituents based on their in-vitro antioxidant properties and in-silico ADMET and molecular docking studies
Authors: Pinipay Felicity , Rokkam Rajesh , Botcha Satyanarayana , Tamanam Raghava Rao 
Published: October 2023

Abstract
Background
Urolithiasis, the deposit of stones in the urinary tract is a pertinent clinical issue in daily practice that imposes a burden on the human health system. Ficus religiosa plant has historically been useful in preventing urolithiasis. There is currently no information on phytochemical profiling that specifies the precise phytochemicals in the seed that are active against urolithiasis.

Methods
F. religiosa seeds were extracted with different solvents in increasing order of their polarity by Soxhlet extraction. All the extracts were evaluated for their antioxidant potential. GC–MS profiling of the most potent antioxidant F. religiosa seed extract was done to evaluate the phytoconstituents. To evaluate the pharmacokinetics and drug-likeness properties of these compounds in silico ADMET analysis was done. To comprehend the binding potential of the best ADMET evaluated phytochemicals contained in the F. religiosa seed extract against the several protein targets (matrix metalloproteinases (MMP-2, MMP-9), and Human calcium-sensing receptor (CaSR)) and antioxidant enzymes (Glutathione S-transferase (GST), glutathione-disulfide reductase (GR), glutathione peroxidase (GPX), and superoxide dismutase (SOD)) involved in urolithiasis, multi targets based virtual screening tests were done using Autodock Vina tool.

Results
GC–MS profiling revealed the presence of 53 different compounds. Of all these compounds, based on ADMET analysis 2-Methoxy-4-vinylphenol; 3,5-Di-tert-butylphenol; diethyl benzene-1,2-dicarboxylate; 4-hydroxy-3,5-dimethoxybenzaldehyde; 2-methoxy-4-prop-2-enylphenol; and bis (2-methyl propyl) benzene-1,2-dicarboxylate were found to have best pharmacokinetics and drug-likeness properties. In the autodocking studies, 3,5-Di-tert-butyl phenol is proved to be the best of all in terms of binding energies with the selected targets.

Conclusion
The findings of this study suggest a framework for employing F. religiosa seed ethyl acetate extract as a potent herbal treatment for urolithiasis.
Endoscopic clip-induced acute appendicitis in a patient on chronic hemodialysis: a case report with literature review
Authors: Yomogida Daichi , Fujisawa Yuhei , Takeji Akari , Takeda Yasuhito , Tomita Yoshiharu , Shirota Yukihiro 
Published: October 2023

Abstract
Background
Foreign body-induced acute appendicitis is rare but could most often be caused by fish bones; those caused by endoscopic clips are highly rare. Herein, we report a case of acute appendicitis caused by endoscopic clips that developed 2 years after the endoscopic procedure.

Case presentation
A 68-year-old man with a 2-year history of hemodialysis (HD) for diabetic nephropathy visited our hospital with pain in the right lower quadrant. He had undergone endoscopic submucosal dissection (ESD) for gastric adenoma 2 years earlier. Abdominal computed tomography revealed acute gangrenous appendicitis and a high-density structure lodged in the appendix. This structure was determined to be an endoscopic clip that was lodged in the patient’s appendix for 2 years. The patient underwent an emergency laparoscopic appendectomy, and an endoscopic clip covered by a fecalith was found in the appendix.

Conclusion
Endoscopic clips usually fall off spontaneously in approximately a week and pass through stool. However, in this case, appendicitis developed 2 years after the ESD. An emergency surgical appendectomy may be recommended for appendicitis caused by foreign bodies. Prophylactic appendectomy or removal of foreign bodies should be considered for HD patients, even in the absence of symptoms owing to the potential severity of appendicitis in such patients.
Spectrum and prevalence of renal dysfunction among heart failure patients attending tertiary care hospital: first report from Somalia
Authors: Jeele Mohamed Osman Omar , Hussein Ahmed Abdirahman , Mohamud Mohamed Abdullahi , Adani Abdulkamil Abdullahi , Mohamud Mohamed Farah Yusuf 
Published: October 2023

Abstract
Introduction
Heart failure is one of the major global health problems that we face today, worldwide. The main objective of our study is to evaluate the spectrum and prevalence of renal dysfunction among heart failure patients in Mogadishu, Somalia. The design of the study is a retrospective descriptive study aimed at heart failure patients who presented to the largest tertiary care center in southern somalia between January 2021 to september 2021. Demographic data, co-morbidities, types of heart failure, causes of heart failure and the presence or absence of renal dysfunction were analysed.

Results
Overall 180 heart failure patients were enrolled in the study. The mean age of the participants was 62.26 ± 14 years. Regarding the age group, patients aged between 61–80 years was the most abundant participants with (n = 87, 48.3%). Regarding the type of heart failure in our study, HFpEF was the most common type in our respondents with frequency of (n = 85, 47.2%). When analysed the cause of heart failure among patients; hypertension was the most common cause of heart failure (n = 90, 50%). Also, hypertension was the most common co-morbidity among our patients (n = 106, 59%), followed by coronary artery diseases (n = 50, 28%). The prevalence of renal dysfunction in heart failure patients was (n = 37, 20.6%). Our analysis showed that among the 37 renal dysfunction patients, 12.3% of them (n = 22) were CKD (chronic kidney disease) while the remaining 8.3% (n = 15) had AKI (acute kidney injury). We found a significant correlation between gender and renal dysfunction in heart failure patients with (95% CI: 0.098–0.574, OR: 0.237, p value: < 0.001). Males were 2 and half times more likely to develop renal failure than females.

Conclusions
we found that the prevalence of renal dysfunction in heart failure patients is 20.6%. It was more prevalent in males and elderly population.
OR10-06 Changes In Resting Energy Expenditure And Metabolic Adaptation In Adolescents Two Years After Sleeve Gastrectomy Compared With Non-surgical Controls And Determinants Of These Changes
Authors: Singhal Vibha , Pedreira Clarissa C , Tuli Shubhangi , Haidar Lea Abou , Lee Hang , Bredella Miriam A , Misra Madhusmita 
Published: October 2023

Abstract
Disclosure: V. Singhal: None. C.C. Pedreira: None. S. Tuli: None. L.A. Haidar: None. H. Lee: None. M.A. Bredella: None. M. Misra: None.
Background: Weight loss is typically associated with reductions in resting energy expenditure (REE), which may limit the extent of weight loss after sleeve gastrectomy (SG), the most common metabolic and bariatric surgery (MBS) in youth. REE may be impacted by changes in body composition and gut peptides following SG. Current data regarding changes in measured REE (mREE) and metabolic adaptations in adolescents after MBS are limited. Objectives: To evaluate changes in mREE, estimated REE (eREE), metabolic adaptation (difference in mREE – eREE), body composition, and gut peptides in youth after SG compared to non-surgical controls (NS) over two years. Methods: Youth 14-22 years old undergoing SG (n=24) and NS controls with severe obesity (n=28) were enrolled in this study. mREE was determined by indirect calorimetry. The Mifflin equation was used to calculate eREE. To account for effects of changes in FFM and total body weight (TBW), we evaluated mREE/FFM, mREE/TBW, eREE/FFM, and eREE/TBW. Dual energy X-ray absorptiometry (DXA) was used to measure body composition. Fasting plasma levels of ghrelin, peptide YY (PYY), glucagon-like peptide 1 (GLP-1), and insulin were measured. All measurements were performed at baseline and two years later. Results: Mean age and sex did not differ across groups. Body mass index (BMI) at baseline trended higher in SG vs. NS [43.60 (39.81, 49.39) vs. 41.60 (37.83, 48.21) kg/m2, (p=0.051)]. Mean change in BMI was higher in SG than NS (–11.5 ± 1.21 vs. 1.47 ± 0.58 kg/m2, p&lt;0.0001). SG had a within group decrease in mREE of 400.96 ± 69.49 kcal/d (p&lt;0.0001) and in eREE of 325.68 ± 34.73 kcal/d (p&lt;0.0001) over 2 years. While mREE and eREE decreased in SG, both measures increased in NS over 2 years (p&lt;0.0001 for both). Changes in mREE/FFM, mREE/TBW, and eREE/FFM over 2 years did not differ between groups (p=0.14, 0.24 and 0.61 respectively) while eREE/TBW increased in SG and decreased in NS (p&lt; 0.0001). Metabolic adaptation over 2 years did not differ between groups (p=0.335). Ghrelin and insulin levels decreased over 2 years following SG but PYY and GLP-1 did not change significantly. Within SG, metabolic adaptation was positively associated with 2-year change in FFM (Spearman ρ= 0.57 p=0.009), but not with changes in gut peptides over 2 years. Conclusion: Despite significant decreases in BMI after SG in youth, surgical and non-surgical groups did not differ for changes in mREE/FFM and metabolic adaptation over 2 years.
Presentation: Friday, June 16, 2023
FRI046 Clinical Phenotyping Of Adults With Genetic Obesity
Authors: Welling Mila Sofie , Mohseni Mostafa , Meeusen Renate E H , Boon Mariëtte R , de Groot Cornelis J , van Haelst Mieke M , Visser Jenny A , van den Akker Erica L T , van Rossum Elisabeth F C 
Published: October 2023

Abstract
Disclosure: M.S. Welling: None. M. Mohseni: None. R.E. Meeusen: None. M.R. Boon: None. C.J. de Groot: None. M.M. van Haelst: None. J.A. Visser: None. E.L. van den Akker: None. E.F. van Rossum: None.
Introduction: In rare cases of obesity, genetic defects lead to hyperphagia and severe early-onset obesity. Genetic testing in patients with a suspected genetic obesity phenotype is important, as it can lead to patient-tailored treatment advice. For children, the Endocrine Society (ES) recommends genetic testing in children with early-onset of obesity (&lt;5 years) and hyperphagia. It is unclear whether these recommendations can also be used in adult obesity care. Therefore, we aimed to phenotype adult patients with genetic obesity disorders. In addition, we assessed the suitability of the pediatric ES recommendations in these patients. Methods: We analyzed clinical data of patients with non-syndromic genetic obesity (NSO) and syndromic genetic obesity (SO), who visited our academic obesity center (Erasmus Medical Center, Rotterdam, the Netherlands). A standardized medical questionnaire, including topics concerning e.g. age of onset of obesity, hunger and satiation, was assessed. Anthropometrics, body composition (bio-impedance analysis), and resting energy expenditure (REE, indirect calorimetry) were measured. Differences between the NSO and SO groups were studied. Results: Sixty-six patients, of which n=26 with NSO and n=40 with SO, were included: median BMI and age at intake were 41.2 vs 39.2 kg/m2 and 25.7 vs 24.8 yrs, respectively (ns). The median age of onset of obesity was 2.5 [1-5] yrs in NSO and 9.5 [4-14] yrs in SO (p&lt;0.001). Impaired appetite regulation was present in both groups: increased feelings of hunger in 64.0 vs 51.3% and impaired satiation in 47.1 vs 32.0% in NSO vs SO (ns). Binge eating was reported in 63.2% of SO, compared to 40.0% in NSO (p=0.071). The pediatric ES recommendations were fulfilled in 57.5% of NSO and 27.5% of SO (p=0.014). Compared to NSO, SO had a higher prevalence of intellectual deficit (3.8 vs 55.0%, p&lt;0.001), autism (7.7 vs 26.3%, p=0.061) and retinal problems (0 vs 20.0%, p=0.015). There were no differences in body composition or REE. Conclusion: We report distinct phenotypic features concerning the age of onset of obesity, appetite regulation, and the presence of intellectual deficit, autism and retinal problems in adults with non-syndromic genetic obesity or syndromic genetic obesity. Additionally, this study demonstrates that the Endocrine Society’s recommendations for genetic testing in children with obesity, do not suit well for adults with obesity. Recommendations for genetic testing in adults with obesity are needed.
Presentation: Friday, June 16, 2023
FRI047 Clinical Characteristics Of Patients With Morbid Obesity With Semaphorines (SEMA3D,E,G) And PLXNA3&4 Gene Variants
Authors: Berra Maddie , Khattab Ahmed , Ten Svetlana B , Bhangoo Amrit Pal S 
Published: October 2023

Abstract
Disclosure: M. Berra: None. A. Khattab: None. S.B. Ten: None. A.S. Bhangoo: None.
Aim of the study: To describe the clinical characteristics of patients with morbid obesity with SEMA3D,E,G and PLXNA3&4 gene variants. Introduction: Heterozygous variants of SEMA3s and their receptors PLXNA3 and 4 were described in cases of morbid obesity (Ref1). SEMA3 genes encodes a member of the semaphorin III family of secreted signaling proteins that are involved in axon guidance during neuronal development. SEMA3s signaling pathway is important for POMC neurons projections from the arcuate to the paraventricular nucleus. Methods: Patients with morbid obesity underwent genetic testing at the Prevention Genetics after obtaining consent. Results: Heterozygous gene variants were found in 8 cases, 3 males, 5 females, from 2 to 22 yrs., average BMI 33.3±8.6 kg/m2, 5 Hispanics, 2 Caucasians, 1 Asian. All cases presented with early morbid obesity from 2-4 yrs. of age, hyperphagia. Leptin was measured in 4 cases and was low for the degree of obesity (5.8-7.8 ng/ml). They had fatty liver, elevated triglycerides 168±33; had HDL 41.7±6.9 (data presented as avg±SDS).16 yrs. old female, BMI 31.2, PLXN3, c.1556G&gt;A, p.Arg519His variant. Father had morbid obesity, treated with bariatric surgery lap band procedure.8 yrs. old girl, BMI 28.7, PLXN3, c.1733C&gt;T, p.Ala578Val variant. Maternal aunt had bariatric surgery.22 yrs. old female, BMI 53, PLXNA4, c.1982C&gt;T, p.Ser661Leu variant. She had impaired glucose tolerance, PCOS, a nodular goiter, impaired glucose tolerance, 2 sisters and a brother had bariatric surgery.16 yrs. old boy, BMI 35.5, SEMA3D, c.1048T&gt;C, p.Ser350Pro variant. He had anxiety, panic attacks, depression. His PGF and paternal uncle has morbid obesity. 16 yrs. old girl, BMI 30.9, SEMA3G, c.2305&gt;G variant. She had impaired fasting glucose, elevated prolactin and amenorrhea. Mother and MGM had morbid obesity. 2 year old male with BMI of 30.1, SEMA3E, c.1443A&gt;T, p.Glu481Asp variant. Mother had morbid obesity.4 year old female with BMI of 23.7, SEMA3G, c.2086GA, p.Gly696Arg variant. She has autism, epilepsy and motor delay. Mother and maternal aunt had morbid obesity.11 year old male, BMI 33.6, PLXNA4, c.4896CA, p.Asp1632Glu variant. MGF had morbid obesity. Conclusion: Clinical phenotype of patients with heterozygous variants of Semaphorins and its receptors shows presence of severe obesity from a young age of 2-4 yrs. All had a very strong family history of morbid obesity. These children developed insulin resistance with elevated TG and fatty liver from a young age. Leptin levels in few were low for the degree of obesity.
Ref1. van der Klaauw AA, Farooqi IS et.al. Human Semaphorin 3 Variants Link Melanocortin Circuit Development and Energy Balance. Cell. 2019 Feb 7;176(4):729-742.e18. doi: 10.1016/j.cell.2018.12.009. PMID: 30661757.
Presentation: Friday, June 16, 2023
FRI049 Correlation Between Tri-Ponderal Mass Index And Insulin-like Growth Factor-I, Insulin-like Growth Factor Binding Protein-3 In Children And Adolescent
Authors: Choi Iee Ho , Kim Min Sun 
Published: October 2023

Abstract
Disclosure: I.H. Choi: None. M. Kim: None.
Purpose: We aimed to investigate relation between Tri-ponderal mass index (TMI) and Insulin-like growth factor-I (IGF-I) and insulin-like growth factor binding protein-3 (IGFBP-3) which has been known to be associated with growth and development of fat. Methods: 1630 children and adolescent has been selected among patient who has visited Jeonbuk National University children’s hospital and been diagnosed as normal. Patient’s medical chart were reviewed retrospectively about age, sex, height, weight, Body mass index (BMI), TMI, IGF-I, IGFBP-3. Male group and female group were categorized into 4 age groups and weight group such as underweight, normal, overweight, obesity according to BMI and TMI. Correlation between each of BMI, TMI and IGF-I, IGF-I standard deviation score (SDS), IGFBP-3, IGFBP-3 SDS, IGF-I/IGFBP-3 ratio were analyzed. Results: In male group, significant correlation between BMI and IGF-I, IGF-I SDS, IGFBP-3, IGFBP-3 SDS, IGF-I/IGFBP-3 ratio was observed only in normal weight group. But Significant correlation was observed in normal weight group between TMI and IGF-I, IGF-I SDS, IGFBP-3, IGFBP-3 SDS, IGF-I/IGFBP-3 ratio, also in overweight group between TMI and IGF-I, IGFBP-3, IGFBP-3 SDS. In female group, significant correlation for BMI was observed in normal weight group with all variable and in overweight group with IGFBP-3, IGFBP-3 SDS. Significant correlation for TMI was observed in normal weight group with all variable except IGFBP-3 SDS, and in overweight group with all variable, also in obesity group with IGFBP-3 SDS (rho=0.571, p=0.041). Conclusions: TMI may have significant correlation with IGF-I and IGFBP-3 in overweight and obesity group more than BMI. Especially IGFBP-3 SDS with TMI may be more helpful to evaluate overweight and obesity in female adolescent
Presentation: Friday, June 16, 2023
FRI054 Partial Lipodystrophy As A Manifestation Of Autoimmune Polyglandular Syndrome 1
Authors: Agarwal Shubham , Xing Chao , Anderson Mark Stuart , Garg Abhimanyu 
Published: October 2023

Abstract
Disclosure: S. Agarwal: None. C. Xing: None. M.S. Anderson: Stock Owner; Self; Medtronic Diabetes, Merck. A. Garg: None.
Background: Autoimmune polyglandular syndrome 1 (APS1) is a rare autosomal recessive disorder due to mutations in AIRE gene that manifests mainly with chronic mucocutaneous candidiasis, primary hypoparathyroidism and adrenal insufficiency. We report an extremely rare APS1 patient who developed partial lipodystrophy during adulthood. Clinical Case: This 39-year-old white female developed frequent diaper rashes, oral thrush and tetany at the age of one year due to candidiasis and hypoparathyroidism. At 6 years, she developed hypothyroidism. At 11 years, she developed fatigue, excessive thirst, and anorexia due to primary adrenal insufficiency. At 13 years of age, she had thelarche and adrenarche but never attained menarche. At 14 years, she underwent a sibling matched allogenic bone marrow transplant due to multiple antibiotic-refractory fungal infections. At 35 years, her serum triglycerides level was 904 mg/dL and loss of subcutaneous fat from the upper and lower extremities and hips was noted but she had increased subcutaneous fat on the chest and abdomen as well as buffalo hump. Thigh skinfold thickness was 8 mm (&lt;10th percentile of normal). A whole-body dual-energy X-ray absorptiometry revealed a total body fat of 38% with lower extremity fat of 25%-27% (&lt;1st percentile of normal). Whole exome sequencing on DNA extracted from saliva revealed two pathogenic variants in AIRE gene; c.83T&gt;C; p.Leu28Pro and c.769C&gt;T; p.Arg257* confirming the diagnosis of APS1. No other pathogenic variants were noted in the known lipodystrophy genes. Serum was negative for anti-perilipin 1 autoantibody. Discussion: Biallelic mutations in the AIRE hinder the process of selective apoptosis of T-cells in the thymic medulla that have a strong affinity to self-antigens leading to autoimmunity manifesting as APS1. Previously, a 5-year-old boy with APS1 was reported to develop generalized lipodystrophy and his serum was positive for anti-perilipin 1 autoantibody. Recently, serum anti-perilipin-1 autoantibodies have also been reported in the Aire gene knock out mice. In contrast, our patient has partial lipodystrophy and was negative for anti-perilipin 1 autoantibody. This suggests that patients with APS1 may harbor many different autoantibodies against adipocyte expressed proteins and develop different patterns of autoimmune lipodystrophies.
Presentation: Friday, June 16, 2023