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Perceptions That Influence Acupuncture Use in Hospice Settings: Results of a State-Wide Survey Study.

J Altern Complement Med 2021 Jun 15. Epub 2021 Jun 15.

OHSU Division of General Internal Medicine and Geriatrics, Portland, OR, USA.

Acupuncture is an effective and low-risk therapy for a wide spectrum of medical conditions. In the hospice setting, where comfort is the top priority, acupuncture could play a vital role in reducing symptom burden at the end of life. This state-wide survey study explored perceived barriers to acupuncture use in the hospice setting from acupuncturist and hospice staff perspectives. Read More

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Metallo-β-lactamases in the Age of Multidrug Resistance: From Structure and Mechanism to Evolution, Dissemination, and Inhibitor Design.

Chem Rev 2021 Jun 15. Epub 2021 Jun 15.

Instituto de Biología Molecular y Celular de Rosario (IBR), CONICET, Universidad Nacional de Rosario, Ocampo y Esmeralda S/N, 2000 Rosario, Argentina.

Antimicrobial resistance is one of the major problems in current practical medicine. The spread of genes coding for resistance determinants among bacteria challenges the use of approved antibiotics, narrowing the options for treatment. Resistance to carbapenems, last resort antibiotics, is a major concern. Read More

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Status of Intestinal Helminth Infection in Schools Implementing the Home-Grown School Feeding Program and the Impact of the Program on Pupils in Anambra State, Nigeria.

Acta Parasitol 2021 Jun 14. Epub 2021 Jun 14.

Virology Department, College of Health Sciences, Noguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana.

Purpose: Intestinal helminthiasis among pupils is a major impediment to their well-being and development. This 2-year study determined how home-grown school feeding programme (HGSFP) impacted on pupils' school attendance and created opportunity for more children to assess interventions geared towards the prevention and possible elimination of intestinal helminthiasis.

Methods: Faecal samples were collected from 1677 consented pupils and examined for helminths using Kato-Katz technique. Read More

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Deep ensemble multitask classification of emergency medical call incidents combining multimodal data improves emergency medical dispatch.

Artif Intell Med 2021 Jul 13;117:102088. Epub 2021 May 13.

Biomedical Data Science Laboratory (BDSLab), Instituto de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politècnica de València (UPV), Camino de Vera s/n, 46022 Valencia, Spain.

The objective of this work was to develop a predictive model to aid non-clinical dispatchers to classify emergency medical call incidents by their life-threatening level (yes/no), admissible response delay (undelayable, minutes, hours, days) and emergency system jurisdiction (emergency system/primary care) in real time. We used a total of 1 244 624 independent incidents from the Valencian emergency medical dispatch service in Spain, compiled in retrospective from 2009 to 2012, including clinical features, demographics, circumstantial factors and free text dispatcher observations. Based on them, we designed and developed DeepEMC, a deep ensemble multitask model integrating four subnetworks: three specialized to context, clinical and text data, respectively, and another to ensemble the former. Read More

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E-mental health in child psychiatry during COVID-19: an initial attitudinal study.

Australas Psychiatry 2021 Jun 14:10398562211022748. Epub 2021 Jun 14.

Child and Adolescent and Forensic Psychiatry, Justice Health, Malabar, NSW, Australia.

Objective: COVID-19 propelled e-mental health within the Australian health system. It is important to learn from this to inform mental healthcare during future crises.

Method: A lexical analysis was conducted of clinician reflections during COVID-19 as they delivered psychiatry services to children and families in New South Wales ( = 6) and transitioned to e-mental health. Read More

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Implications of a cheliceral axial duplication in Tetragnatha versicolor (Araneae: Tetragnathidae) for arachnid deuterocerebral appendage development.

Dev Genes Evol 2021 Jun 14. Epub 2021 Jun 14.

Department of Integrative Biology, University of Wisconsin-Madison, 441 Birge Hall, 430 Lincoln Drive, Madison, WI, 53706, USA.

The homology of the arachnid chelicera with respect to other head appendages in Panarthropoda has long been debated. Gene expression data and the re-interpretation of early transitional fossils have supported the homology of the deutocerebrum and its associated appendages, implying a homology between primary antennae (mandibulates), chelicerae (euchelicerates), and chelifores (sea spiders). Nevertheless, comparatively little is known about the mechanistic basis of proximo-distal (PD) axis induction in chelicerates, much less the basis for cheliceral fate specification. Read More

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Top-down and bottom-up guidance in normal aging during scene search.

Psychol Aging 2021 Jun;36(4):433-451

School of Psychology.

Age-related differences in visual search have been extensively studied using simple item arrays, showing an attentional decline. Little is known about how aging affects attentional guidance during search in more complex scenes. To study this issue, we analyzed eye-movement behavior in realistic scene search. Read More

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The validity and reliability of an open source biosensing board to quantify heart rate variability.

Heliyon 2021 Jun 27;7(6):e07148. Epub 2021 May 27.

Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.

Background: Heart rate variability (HRV) is a popular tool to quantify autonomic function. However, this typically requires an expensive 3-12 lead electrocardiogram (ECG) and BioAmp system. This investigation sought to determine the validity and reliability of an OpenBCI cyton biosensing board (open source) for accurately quantifying HRV. Read More

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Applying Cryo-X-ray Photoelectron Spectroscopy to Study the Surface Chemical Composition of Fungi and Viruses.

Front Chem 2021 28;9:666853. Epub 2021 May 28.

Department of Chemistry, Umeå University, Umeå, Sweden.

Interaction between microorganisms and their surroundings are generally mediated the cell wall or cell envelope. An understanding of the overall chemical composition of these surface layers may give clues on how these interactions occur and suggest mechanisms to manipulate them. This knowledge is key, for instance, in research aiming to reduce colonization of medical devices and device-related infections from different types of microorganisms. Read More

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Stakeholder perspectives on the integration of oral health into national health schemes: A mixed-method study research design in Delhi, India.

J Family Med Prim Care 2021 Apr 29;10(4):1649-1655. Epub 2021 Apr 29.

Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.

Aim And Objectives: To assess the factors and perception of various stakeholders on the integration of oral health into the national health schemes using a mixed-method research design.

Materials And Method: A mixed-method study was carried out in 2018 in two phases. In the first phase of the study, a pretested and prevalidated self-designed close-ended questionnaire was used to assess the knowledge, attitude, perception, barriers, myths, and feasibility of the integration of oral health in national health schemes. Read More

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Teaching the Science of Human Flourishing, Unlocking Connection, Positivity, and Resilience for the Greater Good.

Glob Adv Health Med 2021 1;10:21649561211023097. Epub 2021 Jun 1.

Greater Good Science Center, University of California, Berkeley, California, USA.

Background: Human flourishing is a long sought-after aspiration historically considered and espoused through religious, philosophical, and creative avenues. Only recently has western science began to investigate the meaning, underlying foundations of, and effective strategies for promoting flourishing in life.

Objective: Here, we present a framework for teaching the science and practice of human flourishing grounded in connection, positivity, and resilience (CPR) based on a synthesis of theoretical frameworks and observations and input from a global sample of learners enrolled in an online course. Read More

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The Coaches' Perceptions and Experience Implementing a Long-Term Athletic Development Model in Competitive Swimming.

Front Psychol 2021 28;12:685584. Epub 2021 May 28.

Research Centre in Sport Sciences, Health Sciences and Human Development, CIDESD, Vila Real, Portugal.

The aim of this study was to analyze the association between coaches' experience and their perceptions on the implementation of a long-term athletic development (LTAD) model created in 2016 by the Portuguese Swimming Federation. Eighty-six swimming coaches were assembled in groups according to their experience level: "novice" ( = 24), "intermediate" ( = 26), and "experienced" ( = 36), and they answered a questionnaire with the following items: (i) awareness of the existing model (ii) acceptance (iii) usefulness for practice, and (iv) implementation of this model by their peers. Regardless of experience, ~67% of the coaches were aware of the model. Read More

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Traditional Chinese Medicine Oral Liquids Combined With Azithromycin for Pneumonia in Children: A Bayesian Network Meta-Analysis.

Front Pharmacol 2021 28;12:652412. Epub 2021 May 28.

Evidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.

pneumonia (MPP) causes flu-like symptoms in children, increasing the burden on the health and education systems. In China, traditional Chinese medicine oral liquids (TCMOLs) combined with azithromycin (TCMOLs + Azithromycin) is commonly used to treat MPP in children. However, TCMOLs with the optimal clinical applicability remain unknown. Read More

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Treatment Failure and Associated Factors among Individuals on Second Line Antiretroviral Therapy in Eastern Uganda: A Retrospective Cohort Study.

Infect Dis (Auckl) 2021 1;14:11786337211014518. Epub 2021 Jun 1.

Department of Public Health, School of Health Sciences, Soroti University, Soroti, Uganda.

Background: ART failure is a growing public health problem and a major threat to the progress of HIV/AIDS control. In Uganda however, little is documented on treatment outcomes and their associated factors among individuals on second line ART regimen. The rapid scale-up of ART over the past has resulted in substantial reductions in morbidity and mortality. Read More

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Linking inhibitory control to math achievement via comparison of conflicting decimal numbers.

Cognition 2021 Jun 11;214:104767. Epub 2021 Jun 11.

Department of Psychology, Rutgers University, Newark, USA; Behavioral Neural Sciences Graduate Program, Rutgers University, Newark, USA. Electronic address:

The relationship between executive functions (EF) and academic achievement is well-established, but leveraging this insight to improve educational outcomes remains elusive. Here, we propose a framework for relating the role of specific EF on specific precursor skills that support later academic learning. Starting from the premise that executive functions contribute to general math skills both directly - supporting the execution of problem solving strategies - and indirectly - supporting the acquisition of precursor mathematical content, we hypothesize that the contribution of domain-general EF capacities to precursor skills that support later learning can help explain relations between EF and overall math skills. Read More

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Neural Hypertrophy and Hyperplasia in a Case of Chronic Ovine Pancreatitis.

J Comp Pathol 2021 May 15;185:1-7. Epub 2021 Apr 15.

Groupe De Recherche Sur Les Maladies Infectieuses En Production Animale (GREMIP), Faculty of Veterinary Medicine, Department of Pathology and Microbiology, Université de Montréal, Saint-Hyacinthe. Electronic address:

Nerves can be severely reshaped in human pancreatic diseases such as chronic pancreatitis (CP) and pancreatic cancer, in which pancreatic nerves can undergo hypertrophy or hyperplasia. This neural plasticity is associated with neuropathic pain. Although there are several animal models of CP, pancreatic neuropathy is not well-characterized. Read More

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Palliative care education in surgery.

Ann Palliat Med 2021 Jun 1. Epub 2021 Jun 1.

Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI 48109, USA; Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.

Though incorporating palliative care principles with standard medical and surgical care has been associated with multiple benefits, surgical training devotes far less time to developing skills within the palliative care domains. In this review, we sought to explore the existing literature concerning palliative care education within the context of surgical training. Current studies may be categorized under two major areas: (I) measurement of trainee exposure through needs assessments and (II) implementation of novel palliative care-based training curricula. Read More

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Phase/Amplitude Synchronization of Brain Signals During Motor Imagery BCI Tasks.

IEEE Trans Neural Syst Rehabil Eng 2021 Jun 11;PP. Epub 2021 Jun 11.

In the last decade, functional connectivity (FC) has been increasingly adopted based on its ability to capture statistical dependencies between multivariate brain signals. However, the role of FC in the context of brain-computer interface applications is still poorly understood. To address this gap in knowledge, we considered a group of 20 healthy subjects during an EEG-based hand motor imagery (MI) task. Read More

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Appraisal of awareness on medical emergencies and its management among dentists in Bhubaneswar, India.

Rocz Panstw Zakl Hig 2021 ;72(2):193-201

Department of Public Health Dentistry, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.

Background: Medical emergencies can be distressing for any dental professional, whether in a dental practice, hospital or other sites.

Objectives: To assess the knowledge and awareness of dental practitioners towards medical emergencies and its management in Bhubaneswar.

Material And Methods: In this cross-sectional investigation, a self-administered questionnaire which included demographic details and 19 questions regarding knowledge about medical emergencies, was disseminated to a random sample of 183 dentists working in their private dental clinic set up in Bhubaneswar. Read More

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January 2021

A volumetric study of mandibular condyles in orthognathic patients by semiautomatic segmentation.

Oral Maxillofac Surg 2021 Jun 10. Epub 2021 Jun 10.

Department for Oral and Craniomaxillofacial and Plastic Surgery, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany.

Purpose: This study was conducted to elucidate volumetric data of mandibular condyles of orthognathic patients by analyzing cone beam computed tomography images based upon semiautomatic segmentation.

Methods: Cone beam computed tomography images of 87 patients with malocclusions were analyzed in this retrospective study. Patients were between 17 and 53 years old and diagnosed with Angle class I, II, or III malocclusion. Read More

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Dietary Approaches to Improve Efficacy and Control Side Effects of Levodopa Therapy in Parkinson's Disease: A Systematic Review.

Adv Nutr 2021 Jun 10. Epub 2021 Jun 10.

Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.

Although levodopa remains the most effective drug for symptomatic management of Parkinson's Disease (PD), treatment during advanced disease stages may raise unpredictable motor fluctuations and other complications. Counteracting these complications with other pharmacological therapies may prompt a vicious circle of side effects, and here, nutritional therapy may have great potential. Knowledge about the role of diet in PD is emerging and multiple studies have investigated nutritional support specifically with respect to levodopa therapy. Read More

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Nursing Students' and Preceptors' Experiences with Using an Assessment Tool for Feedback and Reflection in Supervision of Clinical Skills: A Qualitative Pilot Study.

Nurs Res Pract 2021 18;2021:5551662. Epub 2021 May 18.

Faculty of Health and Social Sciences, Department of Nursing and Health Sciences, University of South-East Norway, PoBox 7053, N-3007 Drammen, Norway.

Background: There is a need to improve students' learning in clinical practice. Undergraduate students need guidance when it comes to transferring knowledge from the classroom to clinical practice in community health services. Competence Development of Practical Procedures (COPPs), a simulation assessment tool, was used to explore students' and preceptors' experiences with feedback and reflection during the supervision of clinical skills in real practice. Read More

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Attitudes of individuals in Eastern Turkey toward epilepsy and the factors associated with these attitudes.

Epilepsy Behav 2021 Jun 7;121(Pt A):108097. Epub 2021 Jun 7.

Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey.

Aim: This study was performed to analyze the attitudes of individuals in eastern Turkey toward epilepsy and the factors associated with these attitudes.

Methods: Designed as a cross-sectional descriptive study, this study was performed from January 28 to February 8, 2021. A snowball sampling technique was used to select the study sample, and a survey was sent online to individuals aged 18 or above. Read More

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A mixed-methods study of cognitive performance in persons with multiple sclerosis: Association between neuropsychological test performance and interviews about daily cognitive functioning.

Mult Scler Relat Disord 2021 Mar 19;52:102911. Epub 2021 Mar 19.

School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada. Electronic address:

Background: Cognitive difficulties are commonly reported in persons with multiple sclerosis (MS), however, self-reports of cognition often do not correspond well to objective neuropsychological test performance. The use of qualitative interviews can allow for persons with MS to describe in more detail how their cognitive function is impacted in daily life while also taking into consideration personal and environmental influences. No study to our knowledge has examined the association between objective neuropsychological test performance and qualitative interview reports of daily cognitive function. Read More

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What predicts the early sexual debut among unmarried adolescents (10-19 years)? Evidence from UDAYA survey, 2015-16.

PLoS One 2021 10;16(6):e0252940. Epub 2021 Jun 10.

Population Council, New Delhi, India.

Introduction: The societal norm in India is such that adolescents are expected to respect and follow traditional values and view early sexual debut as undesirable and deviant from the social mores. However, a dramatic shift in attitudes towards sex before marriage has been observed in India. We in this study, aim to study the factors associated with early sexual debut among unmarried adolescents. Read More

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Comparison of complication profiles for femoral neck, intertrochanteric, and subtrochanteric geriatric hip fractures.

Arch Orthop Trauma Surg 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.

Introduction: Most geriatric hip fractures occur in the femoral neck (FN) and intertrochanteric (IT) regions of the femur, while a minority occur in the subtrochanteric (ST) region. Relative outcomes based on the anatomical subtype of fracture are not well studied. This study characterizes postoperative complications and outcomes of hip fractures distinguished by anatomic region. Read More

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Chinese mental health workers' family-focused practices: a cross-sectional survey.

BMC Health Serv Res 2021 Jun 9;21(1):569. Epub 2021 Jun 9.

Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.

Background: Mental disorders impose heavy burdens on patients' families and children. It is imperative to provide family-focused services to avoid adverse effects from mental disorders on patients' families and children. However, implementing such services requires a great deal of involvement of mental health workers. Read More

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Electrochemistry of Quinones with Respect to their Role in Biomedical Chemistry.

Chem Rec 2021 Jun 9. Epub 2021 Jun 9.

Department of Chemistry, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel.

Quinones are ubiquitous in nature and form one of the largest class of antitumor agents approved for clinical use. They are known to be efficient in inhibiting cancer cells growth. Under physiological conditions they can undergo non-enzymatic one-electron reduction to give the moderately toxic species of semiquinone radical-anion. Read More

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Predicting Breastfeeding Intentions: A Test and Extension of the Theory of Normative Social Behavior with African American Social Identity.

Health Commun 2021 Jun 9:1-13. Epub 2021 Jun 9.

College of Education, Wayne State University.

Breastfeeding is a health promoting social behavior but statistics suggest a persistent disparity of lower rates among African American mothers. The Theory of Normative Social Behavior (TNSB) explains when and how norms influence behaviors, but has produced inconsistent results with respect to proposed moderators group identity and injunctive norms (IN), limiting its predictive value in diverse cultural groups. Cultural norms are one of many influences on breastfeeding behaviors, yet little is known about their mechanisms of influence. Read More

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The word learning profile of adults with developmental language disorder.

Autism Dev Lang Impair 2020 Jan 9;5:1-19. Epub 2020 Jan 9.

University of Iowa, Iowa City, IA, USA.

Background And Aims: Previous investigations of word learning problems among people with developmental language disorder suggest that encoding, not retention, is the primary deficit. We aimed to replicate this finding; test the prediction that word form, not the linking of form to referent, is particularly problematic; and determine whether women with developmental language disorder are better word learners than men with developmental language disorder.

Methods: Twenty adults with developmental language disorder and 19 age-, sex-, and education-matched peers with typical language development attempted to learn 15 words by retrieval practice. Read More

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January 2020