bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs
Authors: Clair Catherine A. , Sandberg Shana F. , Scholle Sarah H. , Willits Jacqueline , Jennings Lee A. , Giovannetti Erin R. 
Published: April 2022

Abstract
Background
Assess the feasibility of using goal attainment scaling (GAS) in care planning for older adults with complex needs. GAS is an individualized approach to goal setting and follow up using a quantified scale. To date, little is known about the feasibility of GAS among this population.

Methods
We conducted a qualitative study with a sample of 28 older adults and 23 providers from diverse settings to evaluate the value and challenges of this approach. We conducted semi-structured interviews and iteratively coded and analyzed interview transcripts for themes related to value, challenges, and implementation.

Results
Most older adults and providers reported that the GAS approach added value to the care encounter. GAS supported collaboration and patient accountability for their goals, though it could be demotivating to some patients. Some older adults and providers noted that GAS could be confusing and that it was uncomfortable to talk about negative outcomes (i.e., the − 2 and − 1 boxes of the scale). Factors that facilitated implementation included using visual copies of the GAS forms, having an established patient-provider relationship, practicing the approach, and having previous goal-related clinical training.

Conclusions
GAS was feasible to implement across diverse settings, and, despite challenges, both older adults and providers reported that it added value to care planning encounters with the potential to improve delivery of person-centered care. Further efforts to demonstrate the applicability and benefit of this method for older adults are warranted, particularly to address implementation of the approach.
Analyzing sentiments and themes on cannabis in Canada using 2018 to 2020 Twitter data
Authors: Najafizada Maisam , Rahman Arifur , Donnan Jennifer , Dong Zhihao , Bishop Lisa 
Published: April 2022

AbstractIntroductionThe Canadian Cannabis Act came into effect on October 17, 2018, which allowed Canadian adults to consume cannabis for non-medical purposes (Government of Canada, Cannabis regulations (SOR/2018-144). Cannabis Act, (2018a); Parliament of Canada, C-45: an Act respecting cannabis and to amend the Controlled Drugs and Substances Act, the Criminal Code and other Acts, 2018). With this major policy change, it is unknown how the attitude of the public changed and how information on cannabis changed. Social media platforms, including Twitter, are significant venues for studying emerging patterns in social issues such as cannabis legalization. This study aimed to examine sentiments, themes and contents of cannabis-related tweets by suppliers (both licensed and unlicensed) and general tweets in Canada. To our knowledge, this is the first analysis that mixes sentiment analysis and thematic analysis of Canadians’ cannabis-related Twitter data.MethodA sample of Canadian cannabis-related tweets was collected from January 2018 to August 2020 through the Twitter Application Programming Interface (API). Using a standard access token and the Twitter Standard Search API, tweets were extracted based on Twitter handles to capture the content of both licensed and unlicensed cannabis retailers in Canada, as well as relevant cannabis-related keywords to capture public content. We conducted sentiment and positive polarity analyses, and content analysis to identify attitudes and themes around cannabis use in Canada.ResultsThis study gathered and analyzed a total of 44,970 tweets in the sentiment analysis and a total of 1035 tweets in the thematic analysis. Descriptive analysis showed that monthly tweets peaked prior to legalization in October 2018 and again during the initial wave of the COVID-19 pandemic in February and March 2020. The data showed an overall positive sentiment polarity with a high of + 0.24 in April 2019 and a low of + 0.14 in March 2020.Thematic analysis revealed the themes: (i) education/information, (ii) uses of cannabis, (iii) cannabis products including packing, quality, price, types, and sources, (iv) cannabis policies including regulations and public safety, (v) access, (vi) social issues include gender and stigma, and (vii) COVID-19 impact.ConclusionThis study combined the power of big data collection and analysis with manual coding and analysis methods to extract rich content from large data using social media communications on issues related to cannabis in Canada. The findings of this study may inform policies on advertising cannabis products and highlighted some patterns related to education, access, and safety that deserve further investigation.
The diagnostic utility of cystoscopy in assessing patients with persistent microscopic abnormalities of urinalysis
Authors: Zainal Bahren Zulfadhly Murtadha Afiq 
Published: April 2022

Abstract
Background
Microscopic abnormalities are common findings on routine urinalysis performed for various clinical reasons. As a small proportion of these may indicate an underlying malignancy, a large number of patients with these abnormalities are referred for further investigations, which includes a cystoscopy. We aim to investigate the diagnostic utility of cystoscopy in detecting malignancy in this group of patients.

Methods
A retrospective review of patients who underwent standard diagnostic workup for microscopic abnormalities of urinalysis (microscopic haematuria, sterile pyuria and bacteriuria) between January 2013 and December 2018 was performed. Patients with macroscopic haematuria, concurrent UTI, recent kidney stone passage, dysmorphic red cells, proteinuria and casts on urinalysis were excluded. Demographic information, age at diagnosis, smoking status and final diagnosis were extracted.

Results
In total, 552 patients identified. 58% of the patients are males (319 patients). The mean age was 61 years with 35% patients having a history of smoking. 94% of the patients underwent pre-cystoscopy imaging. Twelve (2%) patients had a final diagnosis of genitourinary malignancy. Out of the 12 patients diagnosed with malignancy, pre-cystoscopy imaging detected a bladder lesion in 11 (92%) patients.

Conclusions
The incidence of genitourinary malignancy in patients with persistent microscopic abnormalities of urinalysis is low at 2%. In our cohort, flexible cystoscopy demonstrated little additional diagnostic value with only 1 malignancy (0.2%) detected by flexible cystoscopy alone. Hence, we may have to reconsider our current threshold in investigating this group of patients.
Could anakinra outmatch dexamethasone/tocilizumab in COVID-19?
Authors: Gupta Rahul 
Published: April 2022

AbstractThe hyperinflammatory state leading to an aberrant cytokine production, culminating in acute respiratory distress syndrome, sepsis and multi-organ dysfunction contribute much to the pathophysiologies of severe COVID-19. These severe patients have similar clinical manifestations with patients suffering from certain auto-inflammatory disorders and cytokine storm syndromes. Interestingly, anakinra (blocking both IL-1α and IL-1β) has shown promises in treating these patients with hyperinflammatory disorders, sepsis with multiorgan failures. Another inflammasome, AIM2, involved in production of IL-1 has also been found to be implicated in COVID-19. IL-1β, a known procoagulant, causes induction of tissue factor with increasing vascular endothelial permeability loss ensuing in hypercoagulability-one of the cardinal features of the disease. Hence, anakinra a 17kD recombinant human IL-1 receptor antagonist, used widely in Rheumatoid Arthritis treatments might prove efficacious in attenuating the hyperinflammatory state of the disease. Indeed, some of the controlled clinical trials have shown anakinra to effectively decrease mortality and hospital stay. Targeted cytokine blocking are always preferable in comparison with non-specific blocking (steroids) as it is more restrained with the chances of dampening of systemic immune system being much less. Early cell death and neutrophil migration have been one of the pivotal events in COVID-19 pathogenesis. Hence, suPAR levels which measures IL-1α (necroptosis) and S100A8/A9 (neutrophil migration) can perhaps be a good early biomarker predicting the disease progression. Lastly and importantly, as the vaccines are raised against spike protein and the different variants of concern are known to evade the neutralizing antibodies by varying degrees, it will be deserving to assess anakinra, against the variants of concern as an immunomodulatory drug.
Prevalence of viral pathogens in a sample of hospitalized Egyptian children with acute lower respiratory tract infections: a two-year prospective study
Authors: Refay Amira S. El , Shehata Manal A. , Sherif Lobna S. , Nady Hala G. El , Kholoussi Naglaa , Kholoussi Shams , Baroudy Nevine R. El , Gomma Mokhtar R. , Mahmoud Sara H. , Shama Noura M. Abo , Bagato Ola , Taweel Ahmed El , kandeil Ahmed , Ali Mohamed A. 
Published: April 2022

Abstract
Background
Viral pneumonias are a major cause of childhood mortality. Proper management needs early and accurate diagnosis. This study objective is to investigate the viral etiologies of pneumonia in children.

Results
This prospective study enrolled 158 and 101 patients in the first and second year, respectively, and their mean age was 4.72 ± 2.89. Nasopharyngeal swabs were collected and subjected to virus diagnosis by reverse transcription polymerase chain reaction (RT-PCR). Viral etiologies of pneumonia were evidenced in 59.5% of the samples in the first year, all of them were affirmative for influenza A, 2 samples were affirmative for Human coronavirus NL63, and one for Human coronavirus HKU1. In the second year, 87% of patients had a viral illness. The most prevalent agents are human metapneumovirus which was detected in 44 patients (43.6%) followed by human rhinovirus in 35 patients (34.7%) and then parainfluenza–3 viruses in 33 patients (32.7%), while 14 patients had a confirmed diagnosis for both Pan coronavirus and Flu-B virus.

Conclusions
Viral infection is prevalent in the childhood period; however, the real magnitude of viral pneumonia in children is underestimated. The reverse transcriptase polymerase chain reaction has to be a vital tool for epidemiological research and is able to clear the gaps in-between clinical pictures and final diagnoses.
Phytochemical compositions and insecticidal efficacy of four agro-waste used as biological control of cowpea beetle, Callosobruchus maculatus (Fab.) [Coleoptera: Bruchidae]
Authors: Ashamo Michael Olufemi , Ileke Kayode David , Onasile Ayomiposi Idowu 
Published: April 2022

Abstract
Background
The cowpea bruchid, Callosobruchus maculatus is the major postharvest insect pest of cowpea seeds in storage. This had led to huge losses and quality deterioration of stored cowpea seeds that serve as poor man’s meat in lieu of expensive meat source in developing countries. This research was carried out to evaluate the bioefficacy of rice husk, maize cob, groundnut, and cowpea pods against C. maculatus in the laboratory. Adult insect mortality, eggs laid, adult emergence, damaged seeds, weight loss and beetle perforation index (BPI) were evaluated. Phytochemicals of the wastes were investigated.

Results
The result showed that the agricultural wastes contained alkaloids (1.56–2.77 mg/g), saponin (1.51–3.38 mg/g), phytate (7.00–17.76 mg/g), oxalate (0.32–1.13 mg/g). All agricultural wastes showed a high mortality effect on C. maculatus, and their effects increased as the exposure time and concentration/ dosage increased. Beetle mortality was highest in cowpea pod with 80% mortality for powder after 3 and 4 days when applied at 0.5 g/20 g cowpea seed. This showed that cowpea pod powder has the greatest insecticidal activity while the least was observed in maize cob powder (73.33%). Fewer adults emerged with maize cob having the least emergence when applied at 0.2–0.5 g dosage. Extracts of all agricultural wastes tested against C. maculatus were able to affect 70–100% mortality after 4 days of application at concentration 0.5 ml with cowpea pod extract causing 100% mortality of beetle after 4 days of application. The calculated lethal dose (LD50 and LD90) and concentrations (LC50 and LC90) of wastes powders and extracts cowpea pod was observed to have the lowest lethal dose while maize cob wastes were the highest across all period of exposure.

Conclusion
Base on the results obtained, cowpea pod waste was the most toxic in biocontrol of C. maculatus.
Diversity and structure of sparids external microbiota (Teleostei) and its link with monogenean ectoparasites
Authors: Scheifler Mathilde , Sanchez-Brosseau Sophie , Magnanou Elodie , Desdevises Yves 
Published: April 2022

Abstract
Background
Animal-associated microbial communities appear to be key factors in host physiology, ecology, evolution and its interactions with the surrounding environment. Teleost fish have received relatively little attention in the study of surface-associated microbiota. Besides the important role of microbiota in homeostasis and infection prevention, a few recent studies have shown that fish mucus microbiota may interact with and attract some specific parasitic species. However, our understanding of external microbial assemblages, in particular regarding the factors that determine their composition and potential interactions with parasites, is still limited. This is the objective of the present study that focuses on a well-known fish-parasite interaction, involving the Sparidae (Teleostei), and their specific monogenean ectoparasites of the Lamellodiscus genus. We characterized the skin and gill mucus bacterial communities using a 16S rRNA amplicon sequencing, tested how fish ecological traits and host evolutionary history are related to external microbiota, and assessed if some microbial taxa are related to some Lamellodiscus species.

Results
Our results revealed significant differences between skin and gill microbiota in terms of diversity and structure, and that sparids establish and maintain tissue and species-specific bacterial communities despite continuous exposure to water. No phylosymbiosis pattern was detected for either gill or skin microbiota, suggesting that other host-related and environmental factors are a better regulator of host-microbiota interactions. Diversity and structure of external microbiota were explained by host traits: host species, diet and body part. Numerous correlations between the abundance of given bacterial genera and the abundance of given Lamellodiscus species have been found in gill mucus, including species-specific associations. We also found that the external microbiota of the only unparasitized sparid species in this study, Boops boops, harbored significantly more Fusobacteria and three genera, Shewenella, Cetobacterium and Vibrio, compared to the other sparid species, suggesting their potential involvement in preventing monogenean infection.

Conclusions
This study is the first to explore the diversity and structure of skin and gill microbiota from a wild fish family and present novel evidence on the links between gill microbiota and monogenean species in diversity and abundance, paving the way for further studies on understanding host-microbiota-parasite interactions.
Recycling of brass melting slag through the high-temperature oxidation-leaching process
Authors: Maleki Fariba , Ghasemi Samad , Heidarpour Akbar 
Published: April 2022

AbstractBrass melting slag is a valuable secondary resource for the recovery of copper and zinc. The hydrometallurgical recovery process of this material is a challenge, because of its limited dissolution in sulfuric acid. The present study aimed at studying a combined pyro-hydrometallurgical treatment processes involving high temperature oxidation and sulfuric acid leaching to industrial brass melting slag to recover copper and zinc. The effect of temperature on the performance and efficiency of the high temperature oxidation process was investigated by isothermal thermogravimetry. The results revealed that by increasing the oxidation temperature, leachability improves due to the oxidation of metallic brass particles. The results obtained showed that 3 h oxidation of as-received slag at 900 °C, increased its percent leaching amount in 2 M sulfuric acid from 34 to 81%. The pregnant leach solution containing copper sulfate and zinc sulfate was subjected to the electrowining process to recover the copper as copper cathode. The zinc was also recovered as zinc sulfate via evaporation and crystallization process. Kinetic investigations showed that the 3D diffusion model has a good agreement with the isothermal oxidation results. In this model, the oxidation reaction is controlled by the outward diffusion of zinc from the brass particle. The activation energy of isothermal oxidation was obtained as 311 kJ mol− 1.
Outcomes following the operative treatment of intra-articular fracture combined with medial patellofemoral ligament reconstruction after patellar dislocation
Authors: Repo Jussi P. , Uimonen Mikko M. , Nevalainen Mika T. , Nurmi Heikki , Ponkilainen Ville T. , Tuominen Antti , Paloneva Juha 
Published: April 2022

Abstract
Purpose
We examine the outcomes following operative treatment of intra-articular fracture combined with medial patellofemoral ligament (MPFL) reconstruction after patella dislocation.

Methods
Patients were retrospectively identified from medical records using diagnostic and surgical procedure codes. Radiological anatomical parameters and bony abnormalities of injured knees were assessed from magnetic resonance images (MRI). Inclusion criteria were traumatic patellar dislocation with chondral or osteochondral fracture and MPFL rupture, operative treatment of a chondral or osteochondral fracture combined with MPFL reconstruction, and minimum follow-up of 2 years. Outcomes were measured using the Kujala score, Tegner activity scale, and the Knee injury and Osteoarthritis Outcome Score Quality-of-Life subscale (KOOS-QLS).

Results
During 2012 and 2015, 322 patients were treated because of patellar dislocation. Thirty-three patients had chondral or osteochondral fracture. Eleven patients (five males and six females) with a mean [standard deviation (SD)] age of 17.0 (6.5) years at the time of surgery met the inclusion criteria and were included. Five of the 11 patients had a subchondral and six an osteochondral fracture. Eight patients had a fracture in the patella and three in the femur. All patients had bony abnormalities in the knee. Nine out of 11 patients scored over 90/100 points on the Kujala scale and had good results on the Tegner scale [before surgery 5.0 (2.7) points versus after surgery 5.3 (1.6) points] and the KOOS-QLS [4.1 (4.2) points] outcome measures.

Conclusion
The removal or fixation of the fracture fragment combined with MPFL reconstruction is a feasible option in the treatment of symptomatic osteochondral or subchondral fragment in traumatic patellar dislocation. The short-term outcomes are encouraging.
Level of evidence: Level IV, retrospective case series.
Evaluation of the relationship between diabetic retinopathy and left atrial deformation parameters
Authors: Külahçıoğlu Şeyhmus , Karagöz Işıl Kutlutürk , Bilen Yusuf , Kültürsay Barkın , Akbaş Ravza Betül , Yücel Enver , Tokgöz Hacer Ceren , Uslu Abdülkadir , Karagöz Ali , Kaymaz Cihangir 
Published: April 2022

Abstract
Background
Left ventricular systolic dysfunction (LVSD) may develop without coronary artery disease, hypertension (HT), or valvular pathologies in patients with diabetes mellitus (DM), which is defined as diabetic cardiomyopathy (DCM) and its pathophysiology is still unclear. Diabetic retinopathy (DR) is a microvascular complication of DM, and patients with DR have increased risk for the development of heart failure (HF). Two-dimensional speckle tracking echocardiography (2D-STE) evaluates longitudinal deformation in left atrium (LA) myocardium and previous studies utilizing 2D-STE have revealed the detrimental effects of DM on LA functions. Although some studies have shown the association between DR and left ventricle (LV) systolic functions, as far as the researchers of this study investigated, there is no study evaluating the relationship between LA deformation parameters and DR. Hence, we aimed to investigate the relationship between the presence and the degree of DR and LA deformation parameters.

Results
LA deformation parameters were analyzed in terms of LA reservoir, conduit, and contractile functions according to the degree of DR. LA reservoir strain value was 14.2 ± 3.6 in normal retina group, 12.2 ± 4.1 in non-proliferative diabetic retinopathy (NPDR) group, and 13 ± 3.7 in proliferative diabetic retinopathy (PDR) group (P = 0.04). LA contractile strain was 15.9 ± 6.8 in normal retina group, 13.1 ± 47.4 in NPDR group, and 9.9 ± 4.7 in PDR group (P < 0.001). LA conduit strain was 30.1 ± 6.6 in normal retina group, 25.3 ± 6.5 in NPDR group, and 22.9 ± 4.9 in PDR group (P < 0.001). Proportional odds regression for association between clinical data, echocardiographic parameters, and LA contractile strain function showed that increasing creatinine (from 0.7 to 1.0; OR 0.71; 95% CI 0.51–0.99; P = 0.04), DR presence (OR 0.24; 95% CI 0.11–0.50; P = 0.001), and increasing left atrial volume index (LAVI) (from 33.5 to 52.6; OR 0.62; 95% CI 0.43–0.89; P = 0.01) were associated with decreasing LA function; however, other variables indicated no association.

Conclusions
Our results showed the relationship between LA deformation parameters and DR, although microvascular involvement is not a certainly defined cardiovascular risk factor. Further prospective studies are needed to determine the clinical importance of DR presence and its degree for deformation parameters.