bluuebunny/crossref_metadata_2025_split huggingface dataset:
Research co-design in health: a rapid overview of reviews
Authors: Slattery Peter , Saeri Alexander K. , Bragge Peter 
Published: February 2020

AbstractBackgroundBillions of dollars are lost annually in health research that fails to create meaningful benefits for patients. Engaging in research co-design – the meaningful involvement of end-users in research – may help address this research waste. This rapid overview of reviews addressed three related questions, namely (1) what approaches to research co-design exist in health settings? (2) What activities do these research co-design approaches involve? (3) What do we know about the effectiveness of existing research co-design approaches? The review focused on the study planning phase of research, defined as the point up to which the research question and study design are finalised.MethodsReviews of research co-design were systematically identified using a rapid overview of reviews approach (PROSPERO: CRD42019123034). The search strategy encompassed three academic databases, three grey literature databases, and a hand-search of the journalResearch Involvement and Engagement. Two reviewers independently conducted the screening and data extraction and resolved disagreements through discussion. Disputes were resolved through discussion with a senior author (PB). One reviewer performed quality assessment. The results were narratively synthesised.ResultsA total of 26 records (reporting on 23 reviews) met the inclusion criteria. Reviews varied widely in their application of ‘research co-design’ and their application contexts, scope and theoretical foci. The research co-design approaches identified involved interactions with end-users outside of study planning, such as recruitment and dissemination. Activities involved in research co-design included focus groups, interviews and surveys. The effectiveness of research co-design has rarely been evaluated empirically or experimentally; however, qualitative exploration has described the positive and negative outcomes associated with co-design. The research provided many recommendations for conducting research co-design, including training participating end-users in research skills, having regular communication between researchers and end-users, setting clear end-user expectations, and assigning set roles to all parties involved in co-design.ConclusionsResearch co-design appears to be widely used but seldom described or evaluated in detail. Though it has rarely been tested empirically or experimentally, existing research suggests that it can benefit researchers, practitioners, research processes and research outcomes. Realising the potential of research co-design may require the development of clearer and more consistent terminology, better reporting of the activities involved and better evaluation.
Development of the WHO-INTEGRATE evidence-to-decision framework: an overview of systematic reviews of decision criteria for health decision-making
Authors: Stratil J. M. , Baltussen R. , Scheel I. , Nacken A. , Rehfuess E. A. 
Published: February 2020

AbstractBackgroundDecision-making in public health and health policy is complex and requires careful deliberation of many and sometimes conflicting normative and technical criteria. Several approaches and tools, such as multi-criteria decision analysis, health technology assessments and evidence-to-decision (EtD) frameworks, have been proposed to guide decision-makers in selecting the criteria most relevant and appropriate for a transparent decision-making process. This study forms part of the development of the WHO-INTEGRATE EtD framework, a framework rooted in global health norms and values as reflected in key documents of the World Health Organization and the United Nations system. The objective of this study was to provide a comprehensive overview of criteria used in or proposed for real-world decision-making processes, including guideline development, health technology assessment, resource allocation and others.MethodsWe conducted an overview of systematic reviews through a combination of systematic literature searches and extensive reference searches. Systematic reviews reporting criteria used for real-world health decision-making by governmental or non-governmental organization on a supranational, national, or programme level were included and their quality assessed through a bespoke critical appraisal tool. The criteria reported in the reviews were extracted, de-duplicated and sorted into first-level (i.e.criteria), second-level (i.e.sub-criteria) and third-level (i.e.decision aspects) categories. First-level categories were developed a priori using a normative approach; second- and third-level categories were developed inductively.ResultsWe included 36 systematic reviews providing criteria, of which one met all and another eleven met at least five of the items of our critical appraisal tool. The criteria were subsumed into 8criteria,45sub-criteriaand 200decision aspects. The first-level of the category system comprised the following seven substantive criteria: “Health-related balance of benefits and harms”; “Human and individual rights”; “Acceptability considerations”; “Societal considerations”; “Considerations of equity, equality and fairness”; “Cost and financial considerations”; and “Feasibility and health system considerations”. In addition, we identified an eight criterion “Evidence”.ConclusionThis overview of systematic reviews provides a comprehensive overview of criteria used or suggested for real-world health decision-making. It also discusses key challenges in the selection of the most appropriate criteria and in seeking to implement a fair decision-making process.
An antibiotic cement-coated locking plate as a temporary fixation for treatment of infected bone defects: a new method of stabilization
Authors: Jia Chao , Wang Xiaohua , Yu Shengpeng , Wu Hongri , Shen Jie , Huang Qiang , Xie Zhao 
Published: February 2020

AbstractBackgroundThe induced membrane technique has achieved good clinical results in the treatment of infected bone defects, and external fixation is the main method, but it causes inconvenience and complications in patients. In this study, our objective was to investigate the outcomes of using an antibiotic cement-coated locking plate as a temporary internal fixation in the first stage of the surgical induced membrane technique for treating extremities with infected bone defects.MethodsWe retrospectively analysed patients with lower extremity infected bone defects in our department between January 2013 and December 2017. All patients were treated with the induced membrane technique. In the first stage, the defects were stabilized with an antibiotic cement-coated locking plate as a temporary fixation after debridement, and polymethyl methacrylate cement was implanted to induce the formation of a membrane. In the second stage, bone grafting rebuilt the bone defects after infection control, and the temporary fixation was changed to a stronger fixation.ResultsA total of 183 patients were enrolled, with an average follow-up duration of 32.0 (12–66) months. There were 154 males and 29 females with an average age of 42.8 (10–68) years. The infection sites included 81 femurs, 100 tibias and 2 fibulas. After the first stage of treatment (infection control), 16 (8.7%) patients had recurrence of infection. In terms of the incidence of complications, 4 patients had poor wound healing, 2 patients had fixation failure and 1 patient had femoral fracture due to a fall. After the second stage of treatment (bone reconstruction), there were 24 (13.1%) recurrences of infection, with a mean time of 9.9 months (range 0.5 to 36). Among them, 18 patients underwent bone grafting after re-debridement, 6 received permanent placement of antibiotic bone cement after debridement and 2 patients refused further treatment and chose amputation. Bone healing was achieved in 175 (95.9%) patients at the last follow-up, and the average time to bone union was 5.4 (4–12) months.ConclusionsAntibiotic cement-coated locking plates have good clinical effects in the control of bone infection, but attention must be paid to the possible difficulty of skin coverage when applied in calves.
Integrative analysis of transcription factors and microRNAs in ovarian cancer cell spheroids
Authors: Park Hyun , Hwang Sohyun , Jeong Ju-Yeon , Jung Sang Geun , Choi Min Chul , Joo Won Duk , Song Seung Hun , Lee Chan , An Hee Jung 
Published: February 2020

Abstract
Background
Cancer stem cells (CSCs) can self-renew, proliferate into differentiated cells, or enter a quiescent state and are regarded to cause chemoresistance and recurrence. An integrative analysis of transcription factors (TF) and miRNAs was performed in ovarian CSC-enriched spheroid-forming cells (SFCs) to identify factors relevant to ovarian CSCs.

Methods
Fresh tumor cells from three ovarian cancer patients were cultured in standard and in selective medium. The mRNAs and miRNAs that exhibited significant differential expression between SFCs and adherent cells were identified using mRNA and miRNAs microarrays. Target genes of miRNAs were further selected if predicted with TargetScan by half of the miRNAs or more. Gene enrichment analysis was performed on over- or under-expressed mRNAs and target genes of miRNAs using DAVID tools. Complex regulatory networks were combined from TF-genes and miRNA-genes interactions using the MAGIA webtool.

Results
A total of 1245 mRNA and 55 miRNAs were differentially expressed (p-value< 0.05, paired t-test). Elevation of transcription-related processes and suppression of focal adhesion pathway were noted in SFCs, according to the enrichment analyses. Transcriptional hyperactivity is a known characteristic of the stem cell transcriptome. The integrative network suggested that cell cycle was arrested in SFCs where over-expressed EGR1 and under-expressed MYC and miR-130a-3p had multiple connections with target genes.

Conclusions
MYC, EGR1, and miR-130a-3p were hubs in our integrative analysis of ovarian CSC-enriched SFCs, suggesting that ovarian cancer SFCs display a stem cell identity with the quiescent phenotype where adhesion- and cell cycle-related genes were suppressed.
Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial
Authors: Brazil Kevin , Scott David , Wallace Emma , Clarke Mike , Fahey Tom , Gillespie Patrick , O’Halloran Peter , Cardwell Christopher , Carter Gillian , McGlade Kieran , Doyle Frank 
Published: February 2020

Abstract
Background
The treatment and management of long-term health conditions is the greatest challenge facing health systems around the world today. Innovative approaches to patient care in the community such as Anticipatory Care Planning (ACP), which seek to help with the provision of high-quality comprehensive care to older adults at risk of functional decline, require evaluation. This study will evaluate one approach that will include primary care as the setting for ACP.

Methods/design
This study will help to determine the feasibility for a definitive randomised trial to evaluate the implementation and outcomes of an ACP intervention. The intervention will be delivered by specially trained registered nurses in a primary care setting with older adults identified as at risk of functional decline. The intervention will comprise: (a) information collection via patient assessment; (b) facilitated informed dialogue between the patient, family carer, general practitioner and other healthcare practitioners; and, (c) documentation of the agreed support plan and follow-up review dates. Through a structured consultation with patients and their family carers, the nurses will complete a mutually agreed personalised support plan.

Discussion
This study will determine the feasibility for a full trial protocol to evaluate the implementation and outcomes of an (ACP) intervention in primary care to assist older adults aged 70 years of age or older and assessed as being at risk of functional decline. The study will be implemented in two jurisdictions on the island of Ireland which employ different health systems but which face similar health challenges. This study will allow us to examine important issues, such as the impact of two different healthcare systems on the health of older people and the influence of different legislative interpretations on undertaking cross jurisdictional research in Ireland.

Protocol version
Version 1, 17 September 2019.

Trial registration
Clinicaltrials.gov, ID: NCT03902743. Registered on 4 April 2019.
Dissection of the cecal microbial community in chickens after Eimeria tenella infection
Authors: Chen Hong-Liang , Zhao Xin-Yu , Zhao Guang-Xun , Huang Hai-Bin , Li Hao-Rui , Shi Chun-Wei , Yang Wen-Tao , Jiang Yan-Long , Wang Jian-Zhong , Ye Li-Ping , Zhao Quan , Wang Chun-Feng , Yang Gui-Lian 
Published: February 2020

AbstractBackgroundEimeriaspp. are responsible for chicken coccidiosis which is the most important enteric protozoan disease resulting in tremendous economic losses in the poultry industry. Understanding the interaction between the avian cecal microbiota and coccidia is of interest in the development of alternative treatments that do not rely on chemotherapeutics and do not lead to drug resistance.MethodsWe utilized16SrRNA gene sequencing to detect the dynamics of the cecal microbial community in AA broilers challenged withEimeria tenella. Histopathological analysis of the cecum was also conducted.ResultsWe found that microbial shifts occur during the infection.Lactobacillus,Faecalibacterium,RuminococcaceaeUCG-013,RomboutsiaandShuttleworthiadecreased in abundance. However, the opportunistic pathogensEnterococcusandStreptococcusincreased in abundance over time in response to the infection.ConclusionsEimeria tenelladisrupts the integrity of the cecal microbiota and could promote the establishment and growth of potentially pathogenic bacteria. Defining bacterial populations affected by coccidial infection might help identify bacterial markers for intestinal disease as well as populations or species that could be beneficial in maintaining and restoring gut homeostasis during and after infection withE. tenella.
Campylobacter jejuni genes Cj1492c and Cj1507c are involved in host cell adhesion and invasion
Authors: Xi De , Alter Thomas , Einspanier Ralf , Sharbati Soroush , Gölz Greta 
Published: February 2020

Abstract
Background
Campylobacter jejuni (C. jejuni) has been assigned as an important food-borne pathogen for human health but many pathogenicity factors of C. jejuni and human host cell responses related to the infection have not yet been adequately clarified. This study aimed to determine further C. jejuni pathogenicity factors and virulence genes based on a random mutagenesis approach. A transposon mutant library of C. jejuni NCTC 11168 was constructed and the ability of individual mutants to adhere to and invade human intestinal epithelial cells was evaluated compared to the wild type. We identified two mutants of C. jejuni possessing altered phenotypes with transposon insertions in the genes Cj1492c and Cj1507c. Cj1492c is annotated as a two-component sensor and Cj1507c is described as a regulatory protein. However, functions of both mutated genes are not clarified so far.

Results
In comparison to the wild type, Cj::1492c and Cj::1507c showed around 70–80% relative motility and Cj::1492c had around 3-times enhanced adhesion and invasion rates whereas Cj::1507c had significantly impaired adhesive and invasive capability. Moreover, Cj::1492c had a longer lag phase and slower growth rate while Cj::1507c showed similar growth compared to the wild type. Between 5 and 24 h post infection, more than 60% of the intracellular wild type C. jejuni were eliminated in HT-29/B6 cells, however, significantly fewer mutants were able to survive intracellularly. Nevertheless, no difference in host cell viability and induction of the pro-inflammatory chemokine IL-8 were determined between both mutants and the wild type.

Conclusion
We conclude that genes regulated by Cj1507c have an impact on efficient adhesion, invasion and intracellular survival of C. jejuni in HT-29/B6 cells. Furthermore, potential signal sensing by Cj1492c seems to lead to limiting attachment and hence internalisation of C. jejuni. However, as the intracellular survival capacities are reduced, we suggest that signal sensing by Cj1492c impacts several processes related to pathogenicity of C. jejuni.
Comparison of methacholine and mannitol challenges: importance of method of methacholine inhalation
Authors: Cockcroft Donald W. , Davis Beth E. , Blais Christianne M. 
Published: February 2020

AbstractBackgroundDirect inhalation challenges (e.g. methacholine) are stated to be more sensitive and less specific for a diagnosis of asthma than are indirect challenges (e.g. exercise, non-isotonic aerosols, mannitol, etc.). However, data surrounding comparative sensitivity and specificity for methacholine compared to mannitol challenges are conflicting. When methacholine is inhaled by deep total lung capacity (TLC) inhalations, deep inhalation inhibition of bronchoconstriction leads to a marked loss of diagnostic sensitivity when compared to tidal breathing (TB) inhalation methods. We hypothesized that deep inhalation methacholine methods with resulting bronchoprotection may be the explanation for conflicting sensitivity/specificity data.MethodsWe reviewed 27 studies in which methacholine and mannitol challenges were performed in largely the same individuals. Methacholine was inhaled by dosimeter TLC methods in 13 studies and by tidal breathing in 14 studies. We compared the rates of positive methacholine (stratified by inhalation method) and mannitol challenges in both asthmatics and non-asthmatics.ResultsWhen methacholine was inhaled by TLC inhalations the prevalence of positive tests in asthmatics, 60.2% (548/910), was similar to mannitol, 58.9% (537/912). By contrast, when methacholine was inhaled by tidal breathing the prevalence of positive tests in asthmatics 83.1% (343/413) was more than double that of mannitol, 41.5% (146/351). In non-asthmatics, the two methacholine methods resulted in positive tests in 18.8% (142/756) and 16.2% (27/166) by TLC and TB inhalations respectively. This compares to an overall 8.3% (n = 76) positive rate for mannitol in 913 non-asthmatics.ConclusionThese data support the hypothesis that the conflicting data comparing methacholine and mannitol sensitivity and specificity are due to the method of methacholine inhalation. Tidal breathing methacholine methods have a substantially greater sensitivity for a diagnosis of asthma than either TLC dosimeter methacholine challenge methods or mannitol challenge. Methacholine challenges should be performed by tidal breathing as per recent guideline recommendations. Methacholine (more sensitive) and mannitol (more specific) will thus have complementary diagnostic features.
Turtle remains from the late Miocene of the Cessaniti area, southern Italy—insights for a probable Tortonian chelonian dispersal from Europe to Africa
Authors: Georgalis Georgios L. , Insacco Gianni , Rook Lorenzo , Spadola Filippo , Delfino Massimo 
Published: February 2020

AbstractWe here describe turtle remains from the late Miocene (Tortonian) of Cessaniti (Calabria, southern Italy), an area that recently has been palaeogeographically reconstructed as being, at that time of the Neogene, directly connected (or at least rather proximate) to northern Africa, instead of Europe. The material pertains to three different turtle clades, i.e., pan-trionychids, pan-cheloniids, and pan-geoemydids. Although the material is incomplete, it nevertheless permits a more precise identification for the pan-trionychid specimens, which are referred to the speciesTrionyx pliocenicus, as well as the pan-geoemydid, which is attributed to the genusMauremys. Especially for the case ofT. pliocenicus, the new Cessaniti specimens expand its geographic and stratigraphic distribution and further comprise the sole existing material known for this species, considering that its holotype and so far only known material is currently lost. Overall, besides its taxonomic significance, the Cessaniti chelonian assemblage affords the potential for important biogeographic implications, attesting that the lineages ofTrionyxandMauremyscould have potentially used the Sicily–Calabria arch for their dispersal from Europe to Africa during the Tortonian. The new turtle specimens further complement the associated mammal remains in envisaging the Cessaniti assemblage as a mosaic of both African and Eurasian (Pikermian) faunal elements.
Apoptotic functions of microRNAs in pathogenesis, diagnosis, and treatment of endometriosis
Authors: Taghavipour Mona , Sadoughi Fatemeh , Mirzaei Hamed , Yousefi Bahman , Moazzami Bahram , Chaichian Shahla , Mansournia Mohammad Ali , Asemi Zatollah 
Published: February 2020

AbstractMicroRNAs or miRNAs are a component of the non-coding RNAs family which is engaged in many cellular functions such as cell proliferation, apoptosis, gene expression, signaling pathways, angiogenesis, and etc. Endometriosis is a malignant gynecologic disorder occurring in women before menopausal age. Pathogenesis of this illness is still a discussion subject between the scientists but in our knowledge, microRNAs can be one of the possible involved factors. The purpose of this paper is to investigate the role of apoptotic activities of miRNAs in endometriosis. Accumulative evidence has demonstrated the role of cell proliferation, apoptosis, and invasion in the progression of these diseases. In this review, we looked into the specific role of apoptosis and its related genes and pathways in endometriosis and tied to present an explanation of how miRNAs can affect endometriosis by their apoptotic activities. What we found is that a great extent of miRNAs is involved in this illness and they are responsible for repressing apoptosis and progression of the disease. As a result, miRNAs have two different usages in endometriosis: biomarkers and potential therapeutic targets. In this review we gathered a great amount of evidence to inquire into the role of micro RNAs in inducing apoptosis and how this mechanism can be exerted for therapeutic purposes for endometriosis.
Positive solutions for some discrete semipositone problems via bifurcation theory
Authors: Xu Man , Ma Ruyun 
Published: February 2020

AbstractLet $T > 1$T>1 be an integer, and let $\mathbb{T}=\{1, 2,\ldots ,T\}$T={1,2,…,T}. We show the existence of positive solutions of the Dirichlet boundary value problem with second-order difference operator
$$ \textstyle\begin{cases} -\triangle ^{2} u(j-1)=\lambda f(j, u(j)), \quad j\in \mathbb{T},\\ u(0)=u(T + 1)=0, \end{cases} $${−△2u(j−1)=λf(j,u(j)),j∈T,u(0)=u(T+1)=0, where $\lambda >0$λ>0 is a parameter, and $f:\mathbb{T}\times \mathbb{R} ^{+}\to \mathbb{R}$f:T×R+→R is a continuous function satisfying $f(j, 0)<0$f(j,0)<0 for all $j\in \mathbb{T}$j∈T. The proofs of the main results are based upon topological degree and global bifurcation techniques.