bluuebunny/crossref_metadata_2025_split huggingface dataset:
Eye in the process: Formation of “triple cation” perovskite thin films rationalized by in-situ optical monitoring
Authors: Merdasa Aboma , Rehermann Carolin , Hirselandt Katrin , Li Jinzhao , Maus Oliver , Mathies Florian , Unold Thomas , Dagar Janardan , Munir Rahim , Unger Eva 
Published: November 2020

Abstract
Record performance Metal-Halide Perovskite (MHP) based solar cells have been achieved by incremental optimization of deposition procedures based on spin-coating. We here provide unprecedented insight into the formation process of MHP thin films of the “triple cation” (Cs,MA,FA)Pb(Br,I)3 perovskite from multi-modal in-situ optical process monitoring during spin-coating and annealing. This report details small-footprint fiber-optics based optical spectroscopy setup that enables monitoring of thin-film formation processes by UV-Vis reflectance and photoluminescence spectroscopy with a sub-second time resolution. Complementary information can be obtained from optical features during different stages of film formation: 1) During the first, flow regime dominated, stage of spin-coating, the wet-film thinning can be analyzed from UV-Vis interference, 2) the onset of bulk perovskite formation is clearly observed from the evolution of the semiconductor absorption edge, and 3) Photoluminescence (PL) measurements provide complementary information on nucleation and growth processes. We here provide a comprehensive picture that rationalizes the conditions to obtain a high quality “triple cation” perovskite thin-film during spin-coating and subsequent annealing.
Prevalence and associated risk factors for childhood strabismus in Lhasa, Tibet, China: a cross-sectional, school-based study
Authors: He Hailong , Fu Jing , Meng Zhaojun , Chen Weiwei , Li Lei , Zhao Xinyu 
Published: November 2020

Abstract
Background: To estimate the prevalence of strabismus and associated risk factors among grade one school children in Lhasa, Tibet, China.Methods: The Lhasa Childhood Eye Study (LCES) was a cross-sectional, school-based childhood study conducted in Grade one students from primary schools in Lhasa, Tibet, China. Comprehensive ophthalmic examinations and basic systemic examinations were evaluated. A questionnaire survey containing information about children, as well as parents’ information, was sent to the corresponding parents of eligible children. The prevalence of strabismus and its 95% confidence interval was estimated. Univariate and multivariate logistic regression analyses were conducted to determine the associated risk factors.Results: A total of 1942 eligible grade one students were enrolled, of which 1856 participants completed all examinations. The average age was 6.83±0.46 years, 53% of participants were boys and 1762 were the Tibetan Minority. Over all, the prevalence of strabismus was 68/1856 (3.7%) (95%CI: 2.81,4.52), with no difference between the ages, genders, ethnicities and body mass index, while tilting one's head when writing may be a risk factor for strabismus (P=0.004). Strabismus students had mean best corrected visual acuity of 0.16±0.28(LogMAR), over 50% patients with esotropia were hyperopic, and participants who had stereopsis impairments showed a significant difference between esotropia and exotropia (P=0.026).Conclusions: The prevalence of strabismus in LCES was 3.7%, which is higher than previous reports from Chinese childhood epidemiology studies. Strabismus is a common contributing factor to amblyopia. Tilting one's head when writing may be a risk factor. Esotropia is more likely to affect stereopsis and be associated with the refractive state of hyperopia. Trial registration: The study has finished the clinical registration on Chinese Clinical Trial Registry. (http://www.chictr.org.cn , ChiCTR1900026693).
Virtual Barriers: Unpacking the Sustainability Implications of Online Food Spaces and the Yellowknife Farmers Market’s Response to COVID-19
Authors: Radcliffe Josalyn , Skinner Kelly , Spring Andrew , Picard Lise , Benoit France , Dodd Warren 
Published: November 2020

Abstract
Background: Through their support of local agriculture, relationships, and healthy diets, Farmers Markets can contribute to a sustainable food system. Markets like the Yellowknife Farmers Market (YKFM) are social spaces that support local food, yet the COVID-19 pandemic has forced changes to their current model. We explore the potential of online marketplaces to contribute to a resilient, sustainable food system through a case study of the YKFM.Methods: In 2019, a collaborative mixed-method evaluation was initiated by the YKFM and university partners in the Northwest Territories (NWT), Canada. The evaluation included an in-person Rapid Market Assessment dot survey and questionnaire of market patrons from two YKFM dates prior to the pandemic. Due to COVID-19, a vendor survey and interviews were deferred. Data collected from the two patron surveys, alongside researcher observations, available literature, public announcements, and informal email and phone discussions, inform the discussion. Results: For the patron surveys, 59 dot survey and 31 questionnaire participants were recruited. The top motivators for attendance were eating dinner, atmosphere, and supporting local businesses, and most patrons attended as couples and spent over half of their time talking to others. The YKFM did not move online; instead, they proposed and implemented a “Shop, don’t stop” market. Informal conversations suggested the small scale of the market and technology challenges were perceived barriers to moving online. The physically-distanced market was well-attended and featured in local media. Conclusions: NWT food strategies rely on Farmers Markets to nurture a local food system. Data suggests a potential incongruence between an online model and important market characteristics such as the event-like atmosphere. Available literature suggests online markets can support local food by facilitating purchasing and knowledge-sharing, yet they do not replicate the open-air or social experience. The decision not to move online for the YKFM reflects market patron characteristics and current food context in Yellowknife and the NWT. While online adaptation does not fit into the YKFM plan today, online markets may prove useful as a complementary strategy for future emerging stressors to enhance the resiliency of local systems.
Factors contributing to psychological distress in the working population, with a special reference to gender difference - a population-based study
Authors: Viertiö Satu , Kiviruusu Olli , Piirtola Maarit , Kaprio Jaakko , Korhonen Tellervo , Marttunen Mauri , Suvisaari Jaana 
Published: November 2020

Abstract
BackgroundPsychological distress refers to non-specific symptoms of stress, anxiety and depression, and it is more common in women. Our aim was to investigate factors contributing to psychological distress in the working population, with a special reference to gender differences.MethodsWe used questionnaire data from the nationally representative Finnish Regional Health and Well-being Study (ATH) collected in the years 2012–2016 (target population participants aged 20 +, n=96 668, response rate 53%), restricting the current analysis to those persons who were working full-time and under 65 of age (n=34 468). Psychological distress was assessed using the Mental Health Inventory-5 (MHI-5) (cut-off value <=52). We studied the following factors potentially associated with psychological distress: sociodemographic factors, living alone, having children under18 years of age, lifestyle-related factors, social support, helping others outside of the home and work-related factors. We used logistic regression analysis to examine association between having work-family conflict with the likelihood for psychological distress. We first performed the models separately for men and women. Then interaction by gender was tested in the combined data for those independent variables where gender differences appeared probable in the analyses conducted separately for men and women.ResultsWomen reported more psychological distress than men (11.0% vs. 8.8%, respectively, p<0.0001). Loneliness, job dissatisfaction and family-work conflict were associated with the largest risk of psychological distress. Having children, active participation, being able to successfully combine work and family roles, and social support were found to be protective factors. A significant interaction with gender was found in only two variables: ignoring family due to being absorbed in one’s work was associated with distress in women (OR 1.30 (95% CI 1.00–1.70), and mental strain of work in men (OR 2.71 (95% CI 1.66–4.41).ConclusionsSatisfying work, family life and being able to successfully combine the two are important sources of psychological well-being for both genders in the working population.
Radiomic model for differentiating parotid pleomorphic adenoma from parotid adenolymphoma based on MRI images
Authors: Song Le-le , Chen Shun-jun , Chen Wang , Shi Zhan , Wang Xiao-dong , Song Li-na , Chen Dian-sen 
Published: November 2020

Abstract
Background: Distinguishing parotid pleomorphic adenoma (PPA) from parotid adenolymphoma (PA) is important for precision treatment, but there is a lack of readily available diagnostic methods. In this study, we aimed to explore the diagnostic value of radiomic signatures based on magnetic resonance imaging (MRI) for PPA and PA. Methods: The clinical characteristic and imaging data were retrospectively collected from 252 cases (126 cases in the training cohort and 76 patients in the validation cohort) in this study. Radiomic features were extracted from MRI scans, including T1-weighted imaging (T1WI) sequences and T2-weighted imaging (T2WI) sequences. The radiomic features from three sequences (T1WI, T2WI and T1WI combined with T2WI) were selected using univariate analysis, LASSO correlation and Spearman correlation. Then, we built six quantitative radiomic models using the selected features through two machine learning methods (multivariable logistic regression, MLR, and support vector machine, SVM). The performances of the six radiomic models were assessed and the diagnostic efficacies of the ideal T1-2WI radiomic model and the clinical model were compared.Results: The T1-2WI radiomic model using MLR showed optimal discriminatory ability (accuracy = 0.87 and 0.86, F-1 score = 0.88 and 0.86, sensitivity= 0.90 and 0.88, specificity=0.82 and 0.80, positive predictive value=0.86 and 0.84, negative predictive value=0.86 and 0.84 in the training and validation cohorts, respectively) and its calibration was observed to be good (p>0.05). The area under the curve (AUC) of the T1-2WI radiomic model was significantly better than that of the clinical model for both the training (0.95 vs. 0.67, p=0.000) and validation (0.90 vs. 0.68, p=0.001) cohorts.Conclusions: The T1-2WI radiomic model in our study is complementary to the current knowledge of differential diagnosis for PPA and PA.
The Objective Structured Clinical Examination as an assessment strategy for clinical competence in Novice Nursing Practitioners in Taiwan
Authors: Chen Sue-Hsien , Chen Shu-Ching , Lai Yo-Ping , Chen Pin-Hsuan , Yeh Kun-Yun 
Published: November 2020

Abstract
Background: The conventional written tests and professional assessment have limitation in fair judgement of clinical competence. Because the examiners may not have total objectivity and may lack standardization throughout the assessment process. We sought to design a valid method of competence assessment in medical and nursing specialties. This work was aimed to develop an Objective Structured Clinical Exam (OSCE) to evaluate novice nursing practitioners’ clinical competency, work stress, professional confidence, and career satisfaction. Methods: A Quasi-experimental study (pre-post). Fifty-five novice nursing practitioners received the OSCE three-months following their graduation, which consisted of four stations: history taking, physical examination, problem-directed management, interpersonal communication, and the required techniques of related procedures. The examiners had to complete an assessment checklist, and the participants had to complete a pre-post questionnaire (modified from a Nursing Competency Questionnaire, a Stress scale, and Satisfaction with Learning scale). Results: Among the novice nursing practitioners, 41 of them (74.5%) passed the exam with a mean score of 61.38 ± 8.34. There was a significantly higher passing rate among nurses who were working in medical-surgical wards (85.7%) and the intensive care unit-emergency department (77.8%) compared to novice nursing practitioners working in other units. All the novice nursing practitioners at Station A had poor performance in assessing patients with a fever. OSCE performance was more associated with educational attainment and work unit, rather than the gender. Finally, the participants showed statistically significant increases in their clinical competency, confidence in their professional competence, satisfaction with the clinical practice, and decreased work stress after the OSCE. Conclusions: We found that the OSCE process had a positive educational effect, in providing a meaningful and accurate assessment of the competence of novice nursing practitioners. Although the implementation of an OSCE remains costly, the consequent benefits for novice nursing practitioners, educators, and administrators can outweigh its costs, demonstrated by the increased competence and workforce stability following OSCE training.
Enhanced xylitol production using non-detoxified xylose rich pre-hydrolysate from sugarcane bagasse by newly isolated Pichia fermentans
Authors: Prabhu Ashish A , Bosakornranut Ekkarin , Amraoui Yassin , Agarwal Deepti , Coulon Frederic , Vivekanand Vivekanand , Thakur Vijay Kumar , Kumar Vinod 
Published: November 2020

Abstract
Background: Integrated management of hemicellulosic fraction and its economical transformation to value-added products is the key driver towards sustainable lignocellulosic biorefineries. In this aspect, microbial cell factories are harnessed for the sustainable production of commercially viable biochemicals by valorising C5 and C6 sugars generated from agro-industrial waste. However, in the terrestrial ecosystem, microbial systems can efficiently consume glucose. On the contrary, pentose sugars are less preferred carbon source as most of the microbes lack metabolic pathway for their utilization. The effective utilization of both pentose and hexose sugars is key for economical biorefinery.Results: Bioprospecting the food waste and selective enrichment on xylose-rich medium led to isolation and purification of yeast which was phylogenetically identified as Pichia fermentans. The newly isolated xylose assimilating yeast was explored for xylitol production. The wild type strain robustly grew on xylose and produced xylitol with >40% conversion yield. Chemical mutagenesis of isolated yeast with ethyl methanesulphonate (EMS) yielded seven mutants. The mutant obtained after 15 min exposure, exhibited best xylose bioconversion efficiency. This mutant under shake flask conditions produced maximum xylitol titer and yield of 34.0 g/L and 0.68 g/g, respectively. However, under same conditions, the control wild type strain accumulated 27.0 g/L xylitol with a conversion yield of 0.45 g/g. Improved performance of the mutant was attributed to 34.6% activity enhancement in xylose reductase with simultaneous reduction of xylitol dehydrogenase activity by 22.9%. Later, the culture medium was optimized using statistical design and validated at shake flask and bioreactor level. Bioreactor studies affirmed the competence of mutant for xylitol accumulation. The xylitol titer and yield obtained with pure xylose were 98.9 g/L and 0.67 g/g, respectively. In comparison, xylitol produced using non-detoxified xylose rich pre-hydrolysate from sugarcane bagasse was 79.0 g/L with an overall yield of 0.54 g/g.Conclusion: This study demonstrates the potential of newly isolated P. fermentans in successfully valorising the hemicellulosic fraction for sustainable xylitol production.
Clinical characteristics and predictive value of low CD4+T cell count in patients with moderate and severe COVID-19: A multicenter retrospective study
Authors: Wen Xue-song , Gao Lei , Jiang Dan , Cheng Xiao-cheng , He Bin , Chen Yue , Lei Peng , Tan Wei-xiao , Qin Shu , Cai Guo-qiang , zhang dongying 
Published: November 2020

Abstract
BackgroundIn December 2019, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan, Hubei, China. And, it has become a global pandemic. Describe the patient's clinical symptoms in detail, finding markers that predict the prognosis of patients with COVID-19 are of great value.MethodsIn this multicenter, retrospective study, 476 patients with COVID-19 were recruited from a consecutive series. After screening, a total of 395 patients were included in this study. All-cause death was the primary endpoint. All patients were followed up from admission till discharge or death.ResultsThe dominant symptoms observed in the study included fever on admission, cough, fatigue, and shortness of breath. The most frequent comorbidities were hypertension and diabetes. Compared with patients with higher CD4+T cell levels, patients with lower CD4+T cell levels were older and were more frequently male. Reduction of CD8+T cell is an indicator of the severity of COVID-19. Both decreased CD4+T cell [HR:13.659; 95%CI: 3.235-57.671] and CD8+T cell [HR: 10.883; 95%CI: 3.277-36.145] were associated with in-hospital death in COVID-19 patients, but only decreased CD4+T cell was an independent predictor of in-hospital death in COVID-19 patients.ConclusionsReductions in lymphocytes and lymphocyte subsets were common in COVID-19 patients, especially in severe cases. It was the CD8+T cell, not the CD4+T cell, that reflected the severity of the patient’s disease. Only CD4+T cell reduction was independently associated with increased in-hospital death in COVID-19 patients.Trial registration: Prognostic Factors of Patients With COVID-19, NCT04292964. Registered 03 March 2020. https://clinicaltrials.gov/ct2/show/NCT04292964.
Present and Future Suitability of the Lake Tana Biosphere Reserve in Ethiopia for the Nile monitor (Varanus niloticus) using the MaxEnt Model
Authors: Ejigu Dessalegn , Tassie Nega 
Published: November 2020

Abstract
Introduction The Nile monitor (Varanus niloticus) is the largest lizard native to Sub-Saharan Africa along the Nile River. The species inhabits a wide variety of habitats including woodlands, grasslands, mangroves, and swamps. Although the practice is not common in the Lake Tana Biosphere Reserve, the species is being hunted in Sahelian Africa for its leather, food, and pet trade. Consequently, the species is listed under the Convention on International Trade in Endangered Species. Methodology Data collection was based on onsite GIS aided presence recording. Each record of the species was first vetted for data quality. A multicollinearity analysis was conducted before fitting the MaxEnt model to the 19 bioclimatic variables. Since it provides good coverage for Africa, the Hadley Global Environment Model 2-Atmosphere Ocean (HadGEM2-AO) model was used for extracting future climate scenarios. The implementation of change factor was to correct the modeled mean climate from the climate models. The jackknife test was selected to measure the contribution of each environmental predictor variable. Area under the curve of the receiver operating characteristic was used to evaluate the performance of MaxEnt model. Results On average 2750 individuals of Nile monitor were recorded within the Lake Tana Biosphere Reserve. Mean annual temperature, precipitation and temperature were the most important predictors that limit the potential distribution of Nile monitor in the area. Most of the suitable habitats of Nile monitor were mainly predicted in the northern parts of Lake Tana. The ecological niche model produced an average AUC of 0.85. Notable records of the species were found in the vicinity of the lake and the nearby wetlands. Future projection of potential suitable areas revealed that the currently available suitable area to Nile monitor will decline in both 2050 and 2070 under both RCP 6.5 and RCP 8.5, of which the decline in suitable area under the business as usual scenario is the greatest. Conclusion The potential distribution map for Nile monitor in the Lake Tana Biosphere Reserve can help in planning land use management around its existing habitat range, discover new populations or set priorities to restore its natural habitat for more effective conservation. Extensive reductions in the amount of suitable areas under future climate scenarios suggest that the species may become threatened in future if effective conservation measures are not implemented.
Balance and motion coordination parameters can be improved in patients with type 2 diabetes with physical balance training – non-randomized controlled trial
Authors: Stolarczyk Artur , Jarzemski Igor , Maciąg Bartosz M. , Stolarczyk Magda 
Published: November 2020

Abstract
BackgroundDiabetes mellitus type II (DMII) causes many complications, including retinopathy and peripheral neuropathy. These complications are well understood and believed to contribute to gait instability and increase the risk of falls. Poor balance control and increased falling risk have also been reported in people with diabetic peripheral neuropathy (DPN). Patients with DPN are at an increased risk of falling due to the decreased proprioceptive feedbacks. Effective balance training should improve instabilities of postural control in patients with DPN. For this purpose, evaluations and balance training was designed. MethodsThe goal of our study was to establish values for proprioception, balance, muscle coordination and strength in patients with DMII and analyze whether biofeedback balance training using the Biodex Balance System can improve those parameters. To predict fall risk parameters such as overall stability index, the index of frontal-posterior and medial-lateral stability measurements were obtained. 37 patients with diagnosed type II diabetes mellitus were recruited to this study. Their results were compared with control group consisting of 41 healthy participants who were homogenic to the study group in terms of age and body mass index (BMI). ResultsStatistically significantly worse results for all three stability indexes in patients with diabetes compared to healthy subjects. For both the overall stability index and the index of frontal-posterior and medial-lateral stability (p < 0.05). There was statistically significant improvement in static balance with visual control in study group who received training with biological feedback. A statistically significant improvement was observed for all 3 stability indices (p <0.05). There was a statistically significant increase in the risk of falling in people with diabetes compared to healthy individuals. Statistically significant decrease in the risk of falling was observed in the study group who had undergone training with biofeedback (p <0.05). ConclusionsThis study found decreased balance and motor coordination and an increasing risk of falling in patient with type II diabetes that improved after training with biofeedback. Furthermore we established an age-dependent deprivation of static balance and an increased risk of falling as a result of increasing BMI. Trial registrationThis study was registered on ClinicalTrials.gov. Registration number: NCT04484480