bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antiretroviral choice and severe disease predict poorer neuropsychological outcomes in HIV+ children from Africa
Authors: Fairlie Lee , Chernoff Miriam , Cotton Mark F. , Bwakura-Dangarembizi Mutsa , Violari Avy , Familiar-Lopez Itziar , Barlow-Mosha Linda , Kamthunzi Portia , McCarthy Katie , Jean-Philippe Patrick , Laughton Barbara , Palumbo Paul E. , Boivin Michael J. 
Published: August 2022

BackgroundThe International Maternal Pediatric Adolescent AIDS Clinical Trials Network (IMPAACT) P1104s study evaluated neuropsychological outcomes over 96 weeks in children living with HIV (CLHIV) aged 5–11 years at 6 Sub-Saharan African sites to explore associations between HIV-illness related biomarkers and neuropsychological outcomes.MethodsChildren living with HIV had participated in IMPAACT P1060, which compared efficacy of nevirapine versus lopinavir/ritonavir in children initiating ART at &lt;3 years of age. At age 5–11, neuropsychological evaluations of KABC cognitive ability, TOVA attention-impulsivity and BOT-2 motor domains were assessed and repeated after 48 and 96 weeks. Clinical, antiretroviral therapy (ART) and laboratory (immunological and virological) parameters were used to predict neuropsychological outcomes using linear mixed-effects multivariable regression models, controlling for child and caregiver characteristics.Results246 CLHIV (45% male, mean age at initial neuropsychological evaluation 7.1 yrs [SD 1.2]) began ART at a median age 14.9 months (IQR 8.2, 25.2). Nadir CD4 percentage was 14.7% (IQR 11.0, 19.5); the median peak viral load (VL) was 750 000 copies/ml (IQR 366 000, 750 000) and 63% had ≥WHO stage 3 clinical disease; 164 (67%) were on lopinavir/ritonavir, 71 (29%) were on nevirapine and 7 (3%) were on efavirenz. Other antiretrovirals were similar. Nevirapine at P1104s study start or later was associated with poorer neuropsychological scores across all domains except Global Executive Composite, even when controlling for nadir CD4 percent and time-varying HIV VL. Other predictors of poorer scores in KABC domains included low birth weight, WHO stage 4 disease and serious illness history and elevated VL was associated with worse BOT-2 scores.ConclusionChildren receiving nevirapine had poorer neuropsychological scores than those on lopinavir/ritonavir. Antiretroviral choice might adversely impact neuropsychological performance. In addition, low birth weight and markers of severe HIV disease: advanced WHO clinical HIV disease, history of serious illness and an elevated VL, were associated with lower neuropsychological scores.
Comparative study of different surgical approaches for treatment of UPJ obstruction according to the degree/severity of hydronephrosis factor
Authors: Zhao Peng , Wang Cao , Mao Kaiyi , Luo Zhen , Li Yingbo , Zhou Guangxu , Tan Hongyang , Liu Hong , Mao Yucheng , Ma Hong , Shang Xianhui , Liu Bin 
Published: August 2022

ObjectiveTo compare the efficacy of two different surgical approaches during and after pyeloplasty according to the degree/severity of hydronephrosis factor.Materials and methodsSixty child patients with UPJ obstruction admitted to our hospital from August 2019 to October 2021 were collected. Patients who underwent retroperitoneal laparoscopic pyeloplasty (RPLP) were enrolled into Group A (n = 20), while those who received transperitoneal laparoscopic pyeloplasty (TLP) were selected as Group B (n = 40). Clinical parameters, including gender, age, laterality of UPJ obstruction, degree/severity of hydronephrosis, body weight, operation time, drainage tube indwelling time, complete oral feeding time, and length of hospital stay, were compared between the two groups.ResultsAll 60 child patients were operated upon successfully without conversion to open surgery. There were no statistically significant differences in gender, age, laterality of UPJ obstruction, and body weight between the two groups, while the operation time of TLP was shorter than that of RPLP, indicating a statistically significant difference (P &lt; 0.001). The differences in complete oral feeding time, drainage tube indwelling time, and length of hospital stay were statistically significant between the two groups, and RPLP was superior to TLP in terms of postoperative recovery time (P &lt; 0.001). A stratified comparison showed that there were no statistically significant differences in anteroposterior diameter ≤ 20 mm, while there were statistically significant differences in anteroposterior diameter &gt;20 mm. Hydronephrosis is reviewed after 3 months of the operation, degree/severity of hydronephrosis have been reduced.ConclusionBoth RPLP and TLP are safe and feasible in the treatment of UPJ obstruction, and their overall surgical effects are equivalent. For child patients with anteroposterior diameter ≤ 20 mm, RPLP is available, while patients with anteroposterior diameter &gt;20 mm, TLP is recommended.
Long QT syndrome and left ventricular non-compaction in a family with KCNH2 mutation: A case report
Authors: Caiffa Thomas , Tessitore Antimo , Leoni Loira , Reffo Elena , Chicco Daniela , D'Agata Mottolese Biancamaria , Rubinato Elisa , Girotto Giorgia , Lenarduzzi Stefania , Barbi Egidio , Bobbo Marco , Di Salvo Giovanni 
Published: August 2022

BackgroundLeft ventricular non-compaction (LVNC) is an abnormality of the myocardium, characterized by prominent left ventricular trabeculae and deep inter-trabecular recesses. Long QT syndrome (LQTS) is a cardiac ion channelopathy presenting with a prolonged QT interval on resting electrocardiogram and is associated with increased susceptibility to sudden death. The association between LVNC and LQTS is uncommon.Case presentationWe report an Italian family with a novel pathogenic KCNH2 variant who presented with clinical features of LVNC and LQTS. The proband came to our attention after two syncopal episodes without prodromal symptoms. His ECG showed QTc prolongation and deep T wave inversion in anterior leads, and the echocardiogram fulfilled LVNC criteria. After that, also his sister was found to have LQTS and LVNC, while his father only presented LQTS.ConclusionsPhysicians should be aware of the possible association between LVNC and LQTS. Even if this association is rare, patients with LVNC should be investigated for LQTS to prevent possible severe or even life-threatening arrhythmic episodes.
Design study of a HPGe detector array for β-decay investigation in laboratory ECR plasmas
Authors: Naselli Eugenia , Santonocito Domenico , Amaducci Simone , Celona Luigi , Galatà Alessio , Goasduff Alain , Mauro Giorgio Sebastiano , Mazzaglia Maria , Mishra Bharat , Napoli Daniel R. , Pidatella Angelo , Torrisi Giuseppe , Mascali David 
Published: August 2022

In the frame of the PANDORA project, a new experimental approach aims at measuring in-plasma β-decay rate as a function of thermodynamical conditions of the environment, namely a laboratory magnetized plasma able to mimic some stellar-like conditions. The decay rates (expected to change dramatically as a function of the ionization state) will be measured as a function of the charge state distribution of the in-plasma ions. The new experimental approach aims at correlating the plasma environment and the decay rate. This can be performed by simultaneously identifying and discriminating—through an innovative multi-diagnostic system working synergically with a γ-ray detection system —the photons emitted by the plasma and γ-rays emitted after the isotope β-decay. In this study, the numerical simulations supporting the design of the γ-ray detector array, including a statistical significance study to check the feasibility of measuring the in-plasma decay rates, are presented. Geant4 simulations focused on the design of the array of γ-ray detectors and the evaluation of total efficiency depending on the detector type and the optimal displacement of detectors around the trap (including collimation systems and shielding). The simulation results showed that, due to technical limitations in the number of apertures that can be created in the magnetic trap, the best compromise is to use 14 HPGe (70% of relative efficiency) detectors surrounding the magnetic trap. The HPGe detectors were chosen for their excellent energy resolution (0.2% @ 1 MeV), since the harsh environment (the background is represented by the intense plasma self-emission) strongly affects the signal-to-background ratio. Once determined the total photopeak efficiency (0.1–0.2%), the sensitivity of the PANDORA experiment was checked in a “virtual experimental run,” by exploring the measurability of isotope decay rates for the first three physical cases of PANDORA: 176Lu, 134Cs and 94Nb. The preliminary results demonstrated the feasibility of the measurement in terms of the signal-to-background ratio and significance that it is possible to reach. The results indicated that experimental run durations could take from several days to 3 months, depending on the isotope under investigation, thus shedding new light on the role of weak interactions in stellar nucleosynthesis.
Attention deficit hyperactivity disorder: A pilot study for symptom assessment and diagnosis in children in Chile
Authors: Fioravante Isabella , Lozano-Lozano José Antonio , Martella Diana 
Published: August 2022

BackgroundAttention Deficit Hyperactivity Disorder (ADHD) is one of the most prevalent psychiatric disorders among school-age children and is characterized by varying degrees of inattention, hyperactivity, and impulsivity. Diagnosis, which currently relies on the DSM-V criteria, is complex. This research proposes an integrated procedure for ADHD diagnosis in children, improving the diagnostic process and scientific research on etiopathology.Materials and methodsWe conducted a clinical report on ADHD diagnosis in children (n = 92) between the ages of 8 and 13, based on the results of the application of different scales to parents of school-age children in Chile. The children were divided into two groups, those with an ADHD diagnosis (n = 44) and those without (n = 48) (24% females).ResultsThe results revealed statistically significant differences between groups for scales EDAH y SDQ-Cas, Conners Comprehensive Behavior Scale, Conners Parent Scale and the criteria according to the DSM-V and its dimensions, with the exception of inattention.ConclusionThe findings indicate the importance of appropriate criteria and procedures to establish a diagnosis and implement effective interventions in ADHD.
Theta oscillations: A rhythm difference comparison between major depressive disorder and anxiety disorder
Authors: Zhang Yu , Lei Lei , Liu Ziwei , Gao Mingxue , Liu Zhifen , Sun Ning , Yang Chunxia , Zhang Aixia , Wang Yikun , Zhang Kerang 
Published: August 2022

BackgroundDue to substantial comorbidities of major depressive disorder (MDD) and anxiety disorder (AN), these two disorders must be distinguished. Accurate identification and diagnosis facilitate effective and prompt treatment. EEG biomarkers are a potential research hotspot for neuropsychiatric diseases. The purpose of this study was to investigate the differences in EEG power spectrum at theta oscillations between patients with MDD and patients with AN.MethodsSpectral analysis was used to study 66 patients with MDD and 43 patients with AN. Participants wore 16-lead EEG caps to measure resting EEG signals. The EEG power spectrum was measured using the fast Fourier transform. Independent samples t-test was used to analyze the EEG power values of the two groups, and p &lt; 0.05 was statistically significant.ResultsEEG power spectrum of the MDD group significantly differed from the AN group in the theta oscillation on 4–7 Hz at eight electrode points at F3, O2, T3, P3, P4, FP1, FP2, and F8.ConclusionParticipants with anxiety demonstrated reduced power in the prefrontal cortex, left temporal lobe, and right occipital regions. Confirmed by further studies, theta oscillations could be another biomarker that distinguishes MDD from AN.
Depression and anxiety among children and adolescents pre and post COVID-19: A comparative meta-analysis
Authors: Wang Sifan , Chen Lin , Ran Hailiang , Che Yusan , Fang Die , Sun Hao , Peng Junwei , Liang Xuemeng , Xiao Yuanyuan 
Published: August 2022

BackgroundPublished studies in comparing pre and post the COVID-19 pandemic depression and anxiety levels among children and adolescents yielded incongruent results. Therefore, there is a necessity to perform a timely meta-analysis to synthesize existing evidence.MethodsA total of 10 digital databases (PubMed, Web of Science, PsycINFO, the Cochrane Library, Embase, Scopus, ScienceDirect, CNKI, WanFang, CQVIP) were fully searched for eligible studies published before November 6, 2021. Based on quality assessment results, relevant data were extracted for eligible studies of higher quality. We combined standardized mean difference (SMD) or prevalence ratio (RR) for anxiety and depression pre and post the COVID-19 pandemic by using random-effects models. Sensitivity analysis was further performed to evaluate heterogeneity of included studies.Results14,508 articles were preliminarily identified, and after stepwise screening process, 8 articles were included eventually. The results showed that the SMD for post COVID-19 anxiety score measured by GAD-7 was 0.12 (95% CI: 0.08, 0.17), an significant increase compared with pre COVID-19 period; the SMDs and 95% CIs for post COVID-18 depression scores measured by PHQ-9, PHQ-8, and MFQ were 0.17 (95% CI: 0.10, 0.24), 0.23 (95% CI: 0.08, 0.38), and 0.11 (95% CI: 0.06, 0.17), respectively, also significantly increased compared with pre COVID-19 period. The RR for depression was 2.54 (95% CI: 2.48, 2.60) in post COVID-19 period when compared with pre-pandemic.ConclusionsChildren and adolescents reported deteriorated anxiety and depression levels after the COVID-19 pandemic. More attention should be paid to this vulnerable group. Effective, expedient, and practical intervention measures which are compatible with COVID-19 prevention and control policies should be developed and implemented to maintain mental health wellbeing of the youths.
A machine-learning model to predict suicide risk in Japan based on national survey data
Authors: Chou Po-Han , Wang Shao-Cheng , Wu Chi-Shin , Horikoshi Masaru , Ito Masaya 
Published: August 2022

ObjectiveSeveral prognostic models of suicide risk have been published; however, few have been implemented in Japan using longitudinal cohort data. The aim of this study was to identify suicide risk factors for suicidal ideation in the Japanese population and to develop a machine-learning model to predict suicide risk in Japan.Materials and MethodsData was obtained from Wave1 Time 1 (November 2016) and Time 2 (March 2017) of the National Survey for Stress and Health in Japan, were incorporated into a suicide risk prediction machine-learning model, trained using 65 items related to trauma and stress. The study included 3,090 and 2,163 survey respondents &gt;18 years old at Time 1 and Time 2, respectively. The mean (standard deviation, SD) age was 44.9 (10.9) years at Time 1 and 46.0 (10.7) years at Time 2. We analyzed the participants with increased suicide risk at Time 2 survey. Model performance, including the area under the receiver operating characteristic curve (AUC), sensitivity, and specificity, were also analyzed.ResultsThe model showed a good performance (AUC = 0.830, 95% confidence interval = 0.795–0.866). Overall, the model achieved an accuracy of 78.8%, sensitivity of 75.4%, specificity of 80.4%, positive predictive value of 63.4%, and negative predictive value of 87.9%. The most important risk factor for suicide risk was the participants' Suicidal Ideation Attributes Scale score, followed by the Sheehan Disability Scale score, Patient Health Questionnaire-9 scores, Cross-Cutting Symptom Measure (CCSM-suicidal ideation domain, Dissociation Experience Scale score, history of self-harm, Generalized Anxiety Disorder-7 score, Post-Traumatic Stress Disorder check list-5 score, CCSM-dissociation domain, and Impact of Event Scale-Revised scores at Time 1.ConclusionsThis prognostic study suggests the ability to identify patients at a high risk of suicide using an online survey method. In addition to confirming several well-known risk factors of suicide, new risk measures related to trauma and trauma-related experiences were also identified, which may help guide future clinical assessments and early intervention approaches.
Knowledge and beliefs about vaccination in pregnant women before and during the COVID-19 pandemic
Authors: Bruno Stefania , Nachira Lorenza , Villani Leonardo , Beccia Viria , Di Pilla Andrea , Pascucci Domenico , Quaranta Gianluigi , Carducci Brigida , Spadea Antonietta , Damiani Gianfranco , Lanzone Antonio , Federico Bruno , Laurenti Patrizia 
Published: August 2022

IntroductionVaccine hesitancy threatens the health of populations and challenges Public Health professionals. Strategies to reduce it aim to improve people's risk perception about vaccine-preventable diseases, fill knowledge gaps about vaccines and increase trust in healthcare providers. During pregnancy, educational interventions can provide a proper knowledge about safety and efficacy of maternal and childhood vaccinations. Fighting hesitancy and clarifying doubts is fundamental during the COVID-19 pandemic, which may have affected people's knowledge and beliefs toward vaccination. This study aimed at assessing if the advent of the pandemic was associated with changes in pregnant women's knowledge and beliefs toward vaccination, and trust in healthcare services.MethodsA repeated cross-sectional study was conducted through self-reported questionnaires in a Roman teaching hospital, where educational classes about vaccinations are routinely held as part of a birthing preparation course. Data were collected on a sample of pregnant women before and during the pandemic. Free-of-charge flu vaccinations were offered to all course participants and adherence to flu vaccination was assessed.ResultsThe proportion of pregnant women reporting that vaccines have mild side effects and that are sufficiently tested increased from 78.6 to 92.0% (p = 0.001) and from 79.4 to 93.2% (p = 0.001), respectively. There was a reduction from 33.0 to 23.3% (p = 0.065) in the proportion of those declaring that healthcare workers (HCWs) give information only on the benefits and not on the risks of vaccines, and a reduction from 27.3 to 12.1% (p = 0.001) in those reporting that vaccines are an imposition and not a free choice of mothers. Trust in National Health Service (NHS) operators slightly decreased. Among participants, the monthly flu vaccination adherence ranged from 50.0% in November to 29.2% January for 2019–20 flu season, and from 56.3% in September to 14.5% in January for 2020–21 flu season, showing a higher vaccination acceptance in the earlier months of 2020-21 flu season.ConclusionsThe pandemic may have positively affected pregnant women's knowledge and opinions about vaccinations and trust in HCWs, despite a possible negative impact on their perceptions about NHS operators. This should inspire Public Health professionals to rethink their role as health communicators.
Relationship between maternal exposure to heavy metal titanium and offspring congenital heart defects in Lanzhou, China: A nested case-control study
Authors: Sun Jianhao , Mao Baohong , Wu Zhenzhen , Jiao Xinjuan , Wang Yanxia , Lu Yongli , Ma Xuejing , Liu Xiaohui , Xu Xiaoying , Cui Hongmei , Lin Xiaojuan , Yi Bin , Qiu Jie , Liu Qing 
Published: August 2022

BackgroundPrevious studies have found that exposure to heavy metals increased the incidence of congenital heart defects (CHDs). However, there is a paucity of information about the connection between exposure to titanium and CHDs. This study sought to examine the relationship between prenatal titanium exposure and the risk of CHDs in offspring.MethodsWe looked back on a birth cohort study that was carried out in our hospital between 2010 and 2012. The associations between titanium exposure and the risk of CHDs were analyzed by using logistic regression analysis to investigate titanium concentrations in maternal whole blood and fetal umbilical cord blood.ResultsA total of 97 case groups and 194 control groups were included for a nested case-control study. The [P50 (P25, P75)] of titanium were 371.91 (188.85, 659.15) μg/L and 370.43 (264.86, 459.76) μg/L in serum titanium levels in pregnant women and in umbilical cord serum titanium content in the CHDs group, respectively. There was a moderate positive correlation between the concentration of titanium in pregnant women's blood and that in umbilical cord blood. A higher concentrations of maternal blood titanium level was associated with a greater risk of CHDs (OR 2.706, 95% CI 1.547–4.734), the multiple CHDs (OR 2.382, 95% CI 1.219–4.655), atrial septal defects (OR 2.367, 95% CI 1.215–4.609), and patent ductus arteriosus (OR 2.412, 95% CI 1.336–4.357). Dramatically higher concentrations of umbilical cord blood levels had an increased risk of CHDs and different heart defects.ConclusionTitanium can cross the placental barrier and the occurrence of CHDs may be related to titanium exposure.
Longitudinal transition of body mass index status and its associated factors among Chinese middle-aged and older adults in Markov model
Authors: Pei Heming , Kang Ning , Guo Chao , Zhang Yalu , Chu Haitao , Chen Gong , Zhang Lei 
Published: August 2022

IntroductionBody mass index (BMI) has a strong correlation with chronic diseases and all-cause mortality. However, few studies have previously reported the longitudinal transition of BMI status and its influential factors, especially among Chinese middle-aged and older adults.MethodsThis population-based cohort study involved 6,507 participants derived from the China Health and Retirement Longitudinal Study from 2011 to 2015, including objectively measured BMI recorded in 26,028 person-year of all observations followed up. Multistate Markov model was performed to estimate the BMI state transition intensity and hazard ratios of each potential exposure risk.ResultsThe mean intensity of the population that shifted from normal to overweight was more than twice than shifted to underweight. Besides, a predicted probability was up to 16.16% that the population with overweight would suffer from obesity and more than half of the population with underweight would return to normal weight over a 6-year interval. The study also implied significant effects of baseline age, gender, marital status, education level, alcohol consumption, smoking, depression symptoms, and activities of daily living impairment on BMI status transition to varying degrees.ConclusionsFindings of this study indicated that the mean transition probability between different BMI statuses varied, specific exposure factors serving as barriers or motivators to future transitions based on current BMI status was clarified for the health promotion strategies.