Tag: pubmed

Cognition. 2021 Jul 20;215:104780. doi: 10.1016/j.cognition.2021.104780. Online ahead of print.

ABSTRACT

Familiar and unfamiliar voice perception are often understood as being distinct from each other. For identity perception, theoretical work has proposed that listeners use acoustic information in different ways to perceive identity from familiar and unfamiliar voices: Unfamiliar voices are thought to be processed based on close comparisons of acoustic properties, while familiar voices are processed based on diagnostic acoustic features that activate a stored person-specific representation of that voice. To date no empirical study has directly examined whether and how familiar and unfamiliar listeners differ in their use of acoustic information for identity perception. Here, we tested this theoretical claim by linking listeners’ judgements in voice identity tasks to complex acoustic representation – spectral similarity of the heard voice recordings. Participants (N = 177) who were either familiar or unfamiliar with a set of voices completed an identity discrimination task (Experiment 1) or an identity sorting task (Experiment 2). In both experiments, identity judgements for familiar and unfamiliar voices were guided by spectral similarity: Pairs of recordings with greater acoustic similarity were more likely to be perceived as belonging to the same voice identity. However, while there were no differences in how familiar and unfamiliar listeners used acoustic information for identity discrimination, differences were apparent for identity sorting. Our study therefore challenges proposals that view familiar and unfamiliar voice perception as being at all times distinct. Instead, our data suggest a critical role of the listening situation in which familiar and unfamiliar voices are evaluated, thus characterising voice identity perception as a highly dynamic process in which listeners opportunistically make use of any kind of information they can access.

PMID:34298232 | DOI:10.1016/j.cognition.2021.104780

Breast. 2021 Jul 8;59:211-220. doi: 10.1016/j.breast.2021.07.006. Online ahead of print.

ABSTRACT

BACKGROUND: This meta-analysis aimed to test the hypothesis that the HER2-positive metastatic breast cancer (mBC) patients treated with anti-HER2 antibodies in trial intervention arms have a greater prolongation of overall survival (OS) than of progression-free survival (PFS) and this extra-prolongation of median survival time in OS relates specifically to the anti-HER2 antibody.

METHODS: The NCBI/Pubmed and Cochrane databases were searched systematically for HER2-positive or mBC trials published in English during January 1999-November 2017. Treatment arms with shorter PFS were considered as the “control” arm, whereas those with longer PFS as the “test” arm. The between-treatment drug differences were grouped into nine categories. Groups with or without anti-HER2 antibodies were pooled respectively for comparisons. The interrelationships between PFS and OS hazard ratios (HRs) and median survival time differences were investigated by conducting fixed-effects and mixed-effects linear meta-regression analyses.

RESULTS: Twenty-eight trials (10,928 patients) from 438 articles were collected, and four with missing data were excluded in meta-regression analysis. Overall median PFS (HR = 0.73, 95% CI: 0.68-0.78) and median OS (HR = 0.82, 95% CI: 0.77-0.87) weakly favored the longer PFS arm with a weak correlation between the PFS and OS HRs. However, the between-treatment drug difference was anti-HER2 antibody, the absolute increment in median OS time was double that of median PFS time (p < 0.001) and linearly correlated, which was not found with any non-anti-HER2 antibody drug differences.

CONCLUSIONS: Anti-HER2 antibody in patients with HER2-positive mBC prolonged OS more than PFS and mandates further investigation.

PMID:34298300 | DOI:10.1016/j.breast.2021.07.006

Eur J Haematol. 2021 Jul 23. doi: 10.1111/ejh.13693. Online ahead of print.

ABSTRACT

OBJECTIVES: Autologous stem cell transplantation is the gold standard for eligible newly diagnosed multiple myeloma patients. Patients are usually hospitalized for administration of mobilization chemotherapy. We aimed to assess safety and efficacy of mobilization therapy with low (2 g/m² ) and intermediate (3-4 g/m² ) dose Cyclophosphamide administered as outpatient.

METHODS: A total of 176 consecutive newly diagnosed transplant-eligible myeloma patients receiving outpatient mobilization were retrospectively evaluated. Induction therapy was mainly performed with new drugs (91%).

RESULTS: Chemotherapy was very well tolerated with 16.6% of patients having all-grade adverse events and only 1.2% having severe adverse events. Most frequently reported adverse events were nausea and vomiting grade 1-2 (6.8%). Only 5.7% of patients required hospitalization for adverse events. Stem cell collection was successful in 93.1% of patients, with a median CD34+ harvest of 8.7×106/Kg. Target for 2 ASCT (at least 6 CD34+x106/Kg) was reached by 76.3% of patients. Administration of Plerixafor on demand was necessary in 12.1% of patients.

CONCLUSIONS: Outpatient mobilization with low and intermediate dose Cyclophosphamide appears an efficient and safe procedure, with minimal and manageable adverse events and low rate of hospitalization.

PMID:34297879 | DOI:10.1111/ejh.13693

Infancy. 2021 Jul 23. doi: 10.1111/infa.12423. Online ahead of print.

ABSTRACT

To learn their first words, infants must attend to a variety of cues that signal word boundaries. One such cue infants might use is the language-specific phonotactics to track legal combinations and positions of segments within a word. Studies have demonstrated that, when tested across statistically high and low phonotactics, infants repeatedly reject the low-frequency wordforms. We explore whether the capacity to access low-frequency phonotactic combinations is available at 9 months when pre-exposed to wordforms containing statistically low combinations of segments. Using a modified head-turn procedure, one group of infants was presented with nonwords with low-frequency complex onsets (dr-), and another group was presented with zero-frequency onset nonwords (dl-). Following pre-exposure and familiarization, infants were then tested on their ability to segment nonwords that contained either the low- or the zero-frequency onsets. Only infants in the low-frequency condition were successful at the task, suggesting some experience with these onsets supports segmentation.

PMID:34297896 | DOI:10.1111/infa.12423

Cancer. 2021 Jul 23. doi: 10.1002/cncr.33811. Online ahead of print.

NO ABSTRACT

PMID:34297849 | DOI:10.1002/cncr.33811

J Adv Nurs. 2021 Jul 23. doi: 10.1111/jan.14984. Online ahead of print.

ABSTRACT

AIM: To examine women’s evaluations of quality of care from their perspectives.

BACKGROUND: Assessing women’s satisfaction with the quality of care they receive during childbirth is an important component of care quality that should be analysed. Evidence suggests that childbirth experience has an important impact on women’s health. Therefore, taking into account the perceptions of women about quality is a means to improve care. However, studies examining care quality in this setting remain scarce.

DESIGN: Mixed-methods explanatory sequential design.

METHODS: A national survey with a sample of 1082 participants, and 15 semi-structured interviews. Data collection occurred between January 2017 and January 2019. Quantitative data were obtained through a validated scale, the Quality from the Patient’s Perspective-Intrapartal questionnaire, whose score can range from 1 (minimum satisfaction) to 4 (maximum satisfaction). Semi-structured interviews were conducted for qualitative data. Descriptive statistics, group comparison and qualitative content analysis were included in data analysis.

RESULTS: The mean score on the QPP-I tool was high (3.13; SD 0.74). Variables that had the most influence on the experience were type of birth, type of perineal trauma, admission of the baby, time since birth, home-birth, parity and duration of labour. Data from the qualitative interviews identified five themes that explained women’s experiences with the quality of care. Previous expectations influence the emotions they have regarding the experience. Relationships with professionals and their social skills are fundamental for the evaluation of quality. The separation of the newborn appears as a factor that worsens the appreciation of women. Good pain management and continuity of care by specialists are also named as key elements of the quality of care.

CONCLUSION: Findings demonstrate that experience with childbirth care is of utmost importance for women. They also show the indisputable need to listen to their opinions and assessments when lines of improvement of quality are identified.

IMPACT: This study provides information that can improve the care that women receive during their childbirths. Using their opinions will make them feel an active part of the system and in this way, we will be closer to achieve excellence in our services.

PMID:34297861 | DOI:10.1111/jan.14984

JAMA Otolaryngol Head Neck Surg. 2021 Jul 23. doi: 10.1001/jamaoto.2021.1728. Online ahead of print.

ABSTRACT

IMPORTANCE: Patients with head and neck cancer (HNC) are known to be at increased risk of suicide compared with the general population, but there has been insufficient research on whether this risk differs based on patients’ rural, urban, or metropolitan residence status.

OBJECTIVE: To evaluate whether the risk of suicide among patients with HNC differs by rural vs urban or metropolitan residence status.

DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study uses data from the Surveillance, Epidemiology, and End Results database on patients aged 18 to 74 years who received a diagnosis of HNC from January 1, 2000, to December 31, 2016. Statistical analysis was conducted from November 27, 2020, to June 3, 2021.

EXPOSURES: Residence status, assessed using 2013 Rural Urban Continuum Codes.

MAIN OUTCOMES AND MEASURES: Death due to suicide was assessed by International Statistical Classification of Diseases and Related Health Problems, Tenth Revision codes (U03, X60-X84, and Y87.0) and the cause of death recode (50220). Standardized mortality ratios (SMRs) of suicide, assessing the suicide risk among patients with HNC compared with the general population, were calculated. Suicide risk by residence status was compared using Fine-Gray proportional hazards regression models.

RESULTS: Data from 134 510 patients with HNC (101 142 men [75.2%]; mean [SE] age, 57.7 [10.3] years) were analyzed, and 405 suicides were identified. Metropolitan residents composed 86.6% of the sample, urban residents composed 11.7%, and rural residents composed 1.7%. The mortality rate of suicide was 59.2 per 100 000 person-years in metropolitan counties, 64.0 per 100 000 person-years in urban counties, and 126.7 per 100 000 person-years in rural counties. Compared with the general population, the risk of suicide was markedly higher among patients with HNC in metropolitan (SMR, 2.78; 95% CI, 2.49-3.09), urban (SMR, 2.84; 95% CI, 2.13-3.71), and rural (SMR, 5.47; 95% CI, 3.06-9.02) areas. In Fine-Gray competing-risk analyses that adjusted for other covariates, there was no meaningful difference in suicide risk among urban vs metropolitan residents. However, compared with rural residents, residents of urban (subdistribution hazard ratio, 0.52; 95% CI, 0.29-0.94) and metropolitan counties (subdistribution hazard ratio, 0.55; 95% CI, 0.32-0.94) had greatly lower risk of suicide.

CONCLUSIONS AND RELEVANCE: The findings of this cross-sectional study suggest that suicide risk is elevated in general among patients with HNC but is significantly higher for patients residing in rural areas. Effective suicide prevention strategies in the population of patients with HNC need to account for rural health owing to the high risk of suicide among residents with HNC in rural areas.

PMID:34297790 | DOI:10.1001/jamaoto.2021.1728

Brief Bioinform. 2021 Jul 23:bbab279. doi: 10.1093/bib/bbab279. Online ahead of print.

ABSTRACT

Circular RNAs (circRNAs) interact with RNA-binding proteins (RBPs) to play crucial roles in gene regulation and disease development. Computational approaches have attracted much attention to quickly predict highly potential RBP binding sites on circRNAs using the sequence or structure statistical binding knowledge. Deep learning is one of the popular learning models in this area but usually requires a lot of labeled training data. It would perform unsatisfactorily for the less characterized RBPs with a limited number of known target circRNAs. How to improve the prediction performance for such small-size labeled characterized RBPs is a challenging task for deep learning-based models. In this study, we propose an RBP-specific method iDeepC for predicting RBP binding sites on circRNAs from sequences. It adopts a Siamese neural network consisting of a lightweight attention module and a metric module. We have found that Siamese neural network effectively enhances the network capability of capturing mutual information between circRNAs with pairwise metric learning. To further deal with the small-sample size problem, we have performed the pretraining using available labeled data from other RBPs and also demonstrate the efficacy of this transfer-learning pipeline. We comprehensively evaluated iDeepC on the benchmark datasets of RBP-binding circRNAs, and the results suggest iDeepC achieving promising results on the poorly characterized RBPs. The source code is available at https://github.com/hehew321/iDeepC.

PMID:34297803 | DOI:10.1093/bib/bbab279

Br J Surg. 2021 Jul 16:znab245. doi: 10.1093/bjs/znab245. Online ahead of print.

ABSTRACT

BACKGROUND: Bariatric surgery is an established treatment for severe obesity; however, fewer than 1 per cent of eligible patients undergo surgery. The perceived risk of surgery may contribute to the low uptake. The aim of this study was to determine perioperative mortality associated with bariatric surgery, comparing different operation types and data sources.

METHODS: A literature search of Ovid MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials was conducted to identify studies published between 1 January 2014 and 31 July 2020. Inclusion criteria were studies of at least 1000 patients reporting short-term mortality after bariatric surgery. Data were collected on RCTs. Meta-analysis was performed to establish overall mortality rates across different study types. The primary outcome measure was perioperative mortality. Different operation types were compared, along with study type, in subgroup analyses. The study was registered at PROSPERO (2019: CRD 42019131632).

RESULTS: Some 4356 articles were identified and 58 met the inclusion criteria. Data were available on over 3.6 million patients. There were 4707 deaths. Pooled analysis showed an overall mortality rate of 0.08 (95 per cent c.i. 0.06 to 0.10; 95 per cent prediction interval 0 to 0.21) per cent. In subgroup analysis, there was no statistically significant difference between overall, 30-day, 90-day or in-hospital mortality (P = 0.29). There was no significant difference in reported mortality for RCTs, large studies, national databases or registries (P = 0.60). The pooled mortality rates by procedure type in ascending order were: 0.03 per cent for gastric band, 0.05 per cent for sleeve gastrectomy, 0.09 per cent for one-anastomosis gastric bypass, 0.09 per cent for Roux-en-Y gastric bypass, and 0.41 per cent for duodenal switch (P < 0.001 between operations).

CONCLUSION: Bariatric surgery is safe, with low reported perioperative mortality rates.

PMID:34297806 | DOI:10.1093/bjs/znab245

PLoS One. 2021 Jul 23;16(7):e0255141. doi: 10.1371/journal.pone.0255141. eCollection 2021.

ABSTRACT

The natural history of COVID-19 and predictors of mortality in older adults need to be investigated to inform clinical operations and healthcare policy planning. A retrospective study took place in 80 long-term nursing homes in Catalonia, Spain collecting data from March 1st to May 31st, 2020. Demographic and clinical data from 2,092 RT-PCR confirmed cases of SARS-CoV-2 infection were registered, including structural characteristics of the facilities. Descriptive statistics to describe the demographic, clinical, and molecular characteristics of our sample were prepared, both overall and by their symptomatology was performed and an analysis of statistically significant bivariate differences and constructions of a logistic regression model were carried out to assess the relationship between variables. The incidence of the infection was 28%. 71% of the residents showed symptoms. Five major symptoms included: fever, dyspnea, dry cough, asthenia and diarrhea. Fever and dyspnea were by far the most frequent (50% and 28%, respectively). The presentation was predominantly acute and symptomatology persisted from days to weeks (mean 9.1 days, SD = 10,9). 16% of residents had confirmed pneumonia and 22% required hospitalization. The accumulated mortality rate was 21.75% (86% concentrated during the first 28 days at onset). A multivariate logistic regression analysis showed a positive predictive value for mortality for some variables such as age, pneumonia, fever, dyspnea, stupor refusal to oral intake and dementia (p<0.01 for all variables). Results suggest that density in the nursing homes did not account for differences in the incidence of the infection within the facilities. This study provides insights into the natural history of the disease in older adults with high dependency living in long-term nursing homes during the first pandemic wave of March-May 2020 in the region of Catalonia, and suggests that some comorbidities and symptoms have a strong predictive value for mortality.

PMID:34297774 | DOI:10.1371/journal.pone.0255141