bluuebunny/crossref_metadata_2025_split huggingface dataset:
Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: a pooled decomposition analysis
Authors: Mahumud Rashidul Alam , Alam Khorshed , Keramat Syed Afroz , Renzaho Andre M. N. , Hossain Md. Golam , Haque Rezwanul , Ormsby Gail M. , Dunn Jeff , Gow Jeff 
Published: June 2020

Abstract
Background
Breast cancer is the most commonly occurring cancer among women in low-resourced countries. Reduction of its impacts is achievable with regular screening and early detection. The main aim of the study was to examine the role of wealth stratified inequality in the utilisation breast cancer screening (BCS) services and identified potential factors contribute to the observed inequalities.

Methods
A population-based cross-sectional multi-country analysis was used to study the utilisation of BCS services. Regression-based decomposition analyses were applied to examine the magnitude of the impact of inequalities on the utilisation of BCS services and to identify potential factors contributing to these outcomes. Observations from 140,974 women aged greater than or equal to 40 years were used in the analysis from 14 low-resource countries from the latest available national-level Demographic and Health Surveys (2008–09 to 2016).

Results
The population-weighted mean utilisation of BCS services was low at 15.41% (95% CI: 15.22, 15.60), varying from 80.82% in European countries to 25.26% in South American countries, 16.95% in North American countries, 15.06% in Asia and 13.84% in African countries. Women with higher socioeconomic status (SES) had higher utilisation of BCS services (15%) than those with lower SES (9%). A high degree of inequality in accessing and the use of BCS services existed in all study countries across geographical areas. Older women, access to limited mass media communication, being insured, rurality and low wealth score were found to be significantly associated with lower utilisation of BCS services. Together they explained approximately 60% in the total inequality in utilisation of BCS services.

Conclusions
The level of wealth relates to the inequality in accessing BCS amongst reproductive women in these 14 low-resource countries. The findings may assist policymakers to develop risk-pooling financial mechanisms and design strategies to increase community awareness of BCS services. These strategies may contribute to reducing inequalities associated with achieving higher rates of the utilisation of BCS services.
Biomass and carbon stocks in mangrove ecosystems of Kerala, southwest coast of India
Authors: Harishma K. M. , Sandeep S. , Sreekumar V. B. 
Published: June 2020

Abstract
Background
Mangroves are important tropical carbon sinks, and their role in mitigating climate change is well documented across the globe. However, the ecosystem carbon stocks in the mangroves of India have not been studied comprehensively. Data from this region is very limited for providing sufficient insights and authentic evaluation of carbon stocks on a regional scale. In this study, we evaluated the ecosystem carbon stock and its spatial variation in mangroves of Kerala, southwest coast of India.

Results
The mean biomass stored in mangrove vegetation of Kerala is 117.11 ± 1.02 t/ha (ABG= 80.22 ± 0.80, BGB =36.89 ± 0.23 t/ha). Six mangrove species were found distributed in the study area. Among the different species, Avicennia marina had the highest biomass (162.18 t/ha) and least biomass was observed in Sonneratia alba (0.61 t/ha). The mean ecosystem carbon stock of mangrove systems in Kerala was estimated to be 139.82 t/ha, equivalent to 513.13 t CO2 e/ha with the vegetation and soil storing 58.56 t C/ha and 81.26 t C/ha respectively.

Conclusion
The present study reveals that Kerala mangroves store sizable volume of carbon and therefore need to be preserved and managed sustainably, to retain along with the increase in carbon storage. This features the need of broadening mangrove cover as well as restoring deteriorated land in the past 50 years. Although mangrove forests in this region are protected by the Kerala Forest Department, they have been frequently facing illegal encroachment, prawn cultivation, and coastal erosion.
Prevalence of Candida auris in Canadian acute care hospitals among at-risk patients, 2018
Authors: Garcia-Jeldes Hector Felipe , Mitchell Robyn , McGeer Allison , Rudnick Wallis , Amaratunga Kanchana , Vallabhaneni Snigdha , Lockhart Shawn R. ,   CNISP C. auris Interest Group, Al-Rawahi Ghada , Brodkin Elizabeth , Charles Marthe , Comeau Jeannette , Davis Ian , Delport Johan , Dingle Tanis C. , Dufresne Philippe , Ellis Chelsey , Embree Joanne , Frenette Charles , Golding George , Hoang Linda M. , Hota Susy , Katz Kevin C. , Kibsey Pamela , Kus Julianne V. , Langley Joanne M. , Lee Bonita E. , Lefebvre Marie-Astrid , Longtin Yves , Malejczyk Kathy , Masud Shazia , Mertz Dominik , Mulvey Michael R. , Poutanen Susan , Purych Dale , Rantelidis Rajni , Richardson David , Schwartz Ilan S. , Smith Stephanie , Tremblay Maxime-Antoine , Wong Titus , Yamamura Deborah , Bharat Amrita 
Published: June 2020

AbstractTo identify the prevalence of C. auris in Canadian patients who are potentially at risk for colonization, we screened 488 patients who were either hospitalized abroad, had a carbapenemase-producing organism (CPO), or were in units with high antifungal use. Two patients were colonized with C. auris; both had received healthcare in India and had a CPO. Among 35 patients who had recently received healthcare in the Indian subcontinent and were CPO colonized or infected, the prevalence of C. auris was 5.7%.
Topography of the respiratory tract bacterial microbiota in cattle
Authors: McMullen Christopher , Alexander Trevor W. , Léguillette Renaud , Workentine Matthew , Timsit Edouard 
Published: June 2020

AbstractBackgroundBacterial bronchopneumonia (BP) is the leading cause of morbidity and mortality in cattle. The nasopharynx is generally accepted as the primary source of pathogenic bacteria that cause BP. However, it has recently been shown in humans that the oropharynx may act as the primary reservoir for pathogens that reach the lung. The objective was therefore to describe the bacterial microbiota present along the entire cattle respiratory tract to determine which upper respiratory tract (URT) niches may contribute the most to the composition of the lung microbiota.MethodsSeventeen upper and lower respiratory tract locations were sampled from 15 healthy feedlot steer calves. Samples were collected using a combination of swabs, protected specimen brushes, and saline washes. DNA was extracted from each sample and the 16S rRNA gene (V3-V4) was sequenced. Community composition, alpha-diversity, and beta-diversity were compared among sampling locations.ResultsMicrobiota composition differed across sampling locations, with physiologically and anatomically distinct locations showing different relative abundances of 1137 observed sequence variants (SVs). An analysis of similarities showed that the lung was more similar to the nasopharynx (R-statistic = 0.091) than it was to the oropharynx (R-statistic = 0.709) or any other URT sampling location. Five distinct metacommunities were identified across all samples after clustering at the genus level using Dirichlet multinomial mixtures. This included a metacommunity found primarily in the lung and nasopharynx that was dominated byMycoplasma. Further clustering at the SV level showed a shared metacommunity between the lung and nasopharynx that was dominated byMycoplasma dispar. Other metacommunities found in the nostrils, tonsils, and oral microbiotas were dominated byMoraxella,Fusobacterium, andStreptococcus, respectively.ConclusionsThe nasopharyngeal bacterial microbiota is most similar to the lung bacterial microbiota in healthy cattle and therefore may serve as the primary source of bacteria to the lung. This finding indicates that the nasopharynx is likely the most important location that should be targeted when doing bovine respiratory microbiota research.
Dialectical behavior therapy adapted for binge eating compared to cognitive behavior therapy in obese adults with binge eating disorder: a controlled study
Authors: Lammers Mirjam W. , Vroling Maartje S. , Crosby Ross D. , van Strien Tatjana 
Published: June 2020

Abstract
Background
Current guidelines recommend cognitive behavior therapy (CBT) as the treatment of choice for binge eating disorder (BED). Although CBT is quite effective, a substantial number of patients do not reach abstinence from binge eating. To tackle this problem, various theoretical conceptualizations and treatment models have been proposed. Dialectical behavior therapy (DBT), focusing on emotion regulation, is one such model. Preliminary evidence comparing DBT adapted for BED (DBT-BED) to CBT is promising but the available data do not favor one treatment over the other. The aim of this study is to evaluate outcome of DBT-BED, compared to a more intensive eating disorders-focused form of cognitive behavior therapy (CBT+), in individuals with BED who are overweight and engage in emotional eating.

Methods
Seventy-four obese patients with BED who reported above average levels of emotional eating were quasi-randomly allocated to one of two manualized 20-session group treatments: DBT-BED (n = 41) or CBT+ (n = 33). Intention-to-treat outcome was examined at post-treatment and at 6-month follow-up using general or generalized linear models with multiple imputation.

Results
Overall, greater improvements were observed in CBT+. Differences in number of objective binge eating episodes at end of treatment, and eating disorder psychopathology (EDE-Q Global score) and self-esteem (EDI-3 Low Self-Esteem) at follow-up reached statistical significance with medium effect sizes (Cohen’s d between .46 and .59). Of the patients in the DBT group, 69.9% reached clinically significant change at end of the treatment vs 65.0% at follow-up. Although higher, this was not significantly different from the patients in the CBT+ group (52.9% vs 45.8%).

Conclusions
The results of this study show that CBT+ produces better outcomes than the less intensive DBT-BED on several measures. Yet, regardless of the dose-difference, the data suggest that DBT-BED and CBT+ lead to comparable levels of clinically meaningful change in global eating disorder psychopathology. Future recommendations include the need for dose-matched comparisons in a sufficiently powered randomized controlled trial, and the need to determine mediators and moderators of treatment outcome.

Trial registration
Nederlands Trial Register: NL3982 (NTR4154). Date of registration: 2013 August 28, retrospectively registered,
In vitro toxicological assessment of gadolinium (III) chloride in V79–4 fibroblasts
Authors: Siew Ee Ling , Farris Ahmad Faizzudin , Rashid Noramiwati , Chan Kok Meng , Rajab Nor Fadilah 
Published: June 2020

Abstract
Background
Rare earth minerals of the lanthanide series are widely used in the field of medical and clinical application. Gadolinium (Gd), the most preferred rare earth mineral is frequently used as magnets, superconductors and magnetic resonance imaging (MRI) contrast agent. Increasing production of gadolinium waste, known potent toxicity of this element and lack of information on its Material Safety Data Sheet (MSDS) prompts health risk assessment on gadolinium. In this study, cytotoxicity and genotoxicity of Gadolinium (III) chloride (GdCl3) were investigated using MTT assay, Alkaline Comet assay and Micronucleus assay, respectively.

Results
Our results demonstrated that the viability of GdCl3 treated V79–4 cells was significantly (p < 0.05) reduced at 1.0 mM after 24 h of incubation. However, no IC50 values were obtained. GdCl3 showed no significant (p > 0.05) DNA damage both in the presence and absence of metabolic activation. However, it induced significant (p < 0.05) clastogenic effect in V79–4 cells at 1.0 mM in the absence of metabolic activation. The clastogenic effect was also seen in the presence of metabolic activation at 0.25 mM, 0.5 mM and 1.0 mM.

Conclusion
Taken together, our study indicated that GdCl3 had no cytotoxic effect and does not induce DNA damage. However, this study supports that GdCl3 is a probable clastogen. Further studies are needed to investigate the effect of free gadolinium ion (Gd3+) for risk assessment on human health.
Evaluated the lead levels at boiling water in clay pots and impact of the lead contaminated diet on nutritional, biochemical status of male rats
Authors: El Kutry Mona S. , El-Sahar El-Sayeda G.E. 
Published: June 2020

Abstract
Background
For centuries, people have been using clay or earthen pots for cooking. Also, many studies indicated a contrariety from safety or danger of it. Our study aims to assess the lead concentration in boiling water in clay pots. Contaminated the diet with lead acetate and evaluated the nutritional, biochemical statues, and histological studies for male albino rats.
Step A: Ten samples of the distilled water and/or tap water were boiled in the clay pots (glaze and/or unglazed). Then, it was left to cool for either 2 or 4 h.
Step B: Thirty male albino rats divided three groups as follows: group 1: fed on basal diet (negative control), group2: fed on basal diet+466.5 mg/kg body wt of lead acetate (L1), group 3: fed on the basal diet+933 mg/kg body wt of lead acetate (L2).

Results
Lead concentrations in distilled water samples boiled in glazed clay pots were significantly higher than the negative control. Tap water samples boiled in glazed clay pots showed lead concentrations that were significantly higher than that of the positive control. Whereas, lead concentrations in distilled water boiled in the unglazed clay pots and left to cool for either 2 h or 4 h showed no significant differences compared to the negative control. Besides, rats fed L1 and L2 of lead acetate had a significant decrease in BWG and food intake compared with the negative control group. Also, rats were given lead acetate at the two levels (L1 and L2) had significantly lower levels of hemoglobin, RBCs, and WBCs compared with rats fed basic diet only (negative control). Data illustrated that the rats of groups 2 and 3 have increased significantly in GOT concentration of serum, a significant increase in cholesterol and triglycerides levels, and increased significantly in creatinine, urea, and lead concentration in serum compared with the (negative control).

Conclusion
Bring the clay pots for cooking would be unglazed and natural forming, even if glazed may be having certified a lead free.
Metabolic Flexibility during Exercise in Children with Obesity and Matched Controls
Authors: CHU LISA , MORRISON KATHERINE M. , RIDDELL MICHAEL C. , RAHA SANDEEP , TIMMONS BRIAN W. 
Published: June 2020

ABSTRACT

Background
Impaired metabolic flexibility (MetFlex) could contribute to ectopic fat accumulation and pathological conditions, such as type 2 diabetes. MetFlex refers to the ability to adapt substrate oxidation to availability. To the best of our knowledge, no studies have examined MetFlex under exercise conditions in children with obesity (OB) compared with a control group (CON) without obesity. Therefore, the primary objective was to compare MetFlex during exercise in children with OB compared with CON matched for chronological age, sex, and biological maturation. A better understanding of MetFlex could help elucidate its role in the pathogenesis of childhood obesity and insulin resistance.

Methods
Children with obesity and without obesity age 8 to 17 yr attended two visits, which included anthropometric measurements, blood work (OB group only), a maximal aerobic fitness (V˙O2max) test, and MetFlex test with a 13C-enriched carbohydrate (1.75 g per kg of body mass, up to 75 g) ingested before 60 min of exercise at 45% V˙O2max. Breath measurements were collected to calculate exogenous CHO (CHOexo) oxidative efficiency as a measure of MetFlex.

Results
CHOexo oxidative efficiency (CHOexo oxidized/CHO ingested × 100) during exercise was significantly lower in OB (17.3% ± 4.0%) compared with CON (22.6% ± 4.7%, P < 0.001). CHOexo contributed less to total energy expenditure during exercise in OB compared with CON (P < 0.001), whereas the contribution of endogenous CHO (P = 0.19) and total fat was not significantly different (P = 0.91).

Conclusions
The ability to oxidize oral CHO, an indicator of MetFlex, was 23.5% lower in children with obesity compared with controls, independent of age, sex, and pubertal effects. Thus, obesity at a young age could be associated with reduced MetFlex and future comorbidities.
Emilia Salvanou, H συγκρότηση της προσφυγικής μνήμης: To παρελθόν ως ιστορία και πρακτική [The making of refugee memory: the past as history and practice]
Authors: Sjöberg Erik Johan 
Published: June 2020

Review of Emilia Salvanou, H συγκρότηση της προσφυγικής μνήμης: To παρελθόν ως ιστορία και πρακτική [The making of refugee memory: the past as history and practice]. Athens: Nefeli, 2018. 251 pp.
Length–weight relationships and condition factors of mullets Liza macrolepis and Moolgarda engeli (Pisces: Mugilidae) harvested from Lambada Lhok waters in Aceh Besar, Indonesia
Authors: Yulianto Derita , Indra Indra , Batubara Agung Setia , Efizon Deni , Nur Firman M. , Rizal Syamsul , Elvyra Roza , Muchlisin Zainal Abidin 
Published: June 2020

Background:The mullets fishLiza macrolepisandMoolgarda engeliare predominant in the Lambada Lhok waters in Aceh province. At present, no scientific report on this species in Aceh waters is available. Therefore, the objective of the present study is to examine the growth pattern and condition factor of the species of mulletsL. macrolepisandM. engeliharvested from the aforementioned coastal waters.Methods:The sampling was done in three locations in the Lambada Lhok waters from July to November 2018. The fish were captured using gillnets from 6:00 AM to 3:00 PM four times a month for five months. A total of 242L. macrolepisand 109M. engeliwere used for the analysis. The growth pattern was analyzed using linear allometric model; then, two condition factors, Fulton’s and relative weight, were calculated.Results:The study revealed abvalue of 2.49 for the maleL. macrolepisand 1.81 for the female. Thebvalue was 3.22 for the maleM. engeliand 3.41 for the female. Thebvalue of the fish was higher during the dry season. The Fulton’s condition factor of the maleL. macrolepiswas 1.19, and that of the female was 1.19. The relative condition factor of this species was 100.11 and 100.01 for males and females, respectively. The Fulton condition factor of maleM. engeliwas 1.05 and that of the female was 1.06. The relative weight condition factors were 101.08 and 100.61 for the male and female, respectively. Conclusions: The growth pattern of M. engeli tends to be isometric, whereas that of L. macrolepis has a negative allometric growth pattern. The condition factors indicate that the Lambada Lhok waters are still in good condition and support the growth of the mullets, but M. engeli is more adaptable than L. macrolepis.
Barriers and enablers to Caregivers Responsive feeding Behaviour (CRiB): A mixed method systematic review protocol
Authors: Slater Vicki , Rose Jennie , Olander Ellinor , Matvienko-Sikar Karen , Redsell Sarah 
Published: June 2020

Background: Childhood overweight and obesity is a major public health issue. Responsive feeding has been identified as having a protective effect against child overweight and obesity, and is associated with healthy weight gain during infancy. Responsive feeding occurs when the caregiver recognises and responds in a timely and developmentally appropriate manner to infant hunger and satiety cues. Despite its benefits, responsive feeding is not ubiquitous. To better support caregivers to engage in responsive feeding behaviours, it is necessary to first systematically identify the barriers and enablers associated with this behaviour. This mixed-methods systematic review therefore aims to synthesise evidence on barriers and enablers to responsive feeding using the COM-B model of behavioural change. Methods: 7 electronic databases will be searched (Maternal and Infant Care, CINAHL, Cochrane, PubMed, Medline, PsycINFO, EMBASE). Studies examining factors associated with parental responsive and non-responsive feeding of infants and children (<2 years) will be included. Papers collecting primary data, or analysing primary data through secondary analysis will be included. All titles, abstracts and full texts will be screened by two reviewers. Quantitative and qualitative data from all eligible papers will be independently extracted by at least two reviewers using pre-determined standardised data extraction forms. Two reviewers will independently assess the methodological quality of the studies using the Mixed Methods Appraisal Tool (MMAT). This review will be reported according to the Preferred Reporting Items for Systematic reviews and Meta Analyses (PRISMA). Ethics and dissemination: Ethical approval is not required for this review as no primary data will be collected, and no identifying personal information will be present. The review will be disseminated in a peer reviewed journal. PROSPERO registration: CRD42019144570 (06/08/2019)
What is known about the protective factors that promote LGBTI+ youth wellbeing? A scoping review protocol
Authors: Ceatha Nerilee , Bustillo Marta , Tully Louise , James Oscar , Crowley Des 
Published: June 2020

Background: There is much concern at the substantial vulnerabilities experienced by lesbian, gay, bisexual, transgender and intersex (LGBTI+) youth as a consequence of discrimination, stigmatisation and marginalisation. Recent research highlights the importance of understanding factors that can promote wellbeing for this population. This paper presents a protocol for a scoping review which aims to systematically map and synthesise the extent and nature of the peer-reviewed, published and unpublished academic literature on the protective factors that promote wellbeing for sexual and gender minority young people. Methods: In accordance with the methodological framework for scoping reviews, the following six stages will be undertaken: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, (5) collating, summarising and reporting results and (6) consultation. The PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation will be used throughout the review process. Key inclusion criteria will use the Population, Concept, Context approach, with two reviewers independently conducting the screening and extraction stages across five databases. Identified protective factors will be collated, summarised and categorised iteratively by one reviewer in consultation with the review team. Stakeholder consultation is a key strength of the scoping review process and will be complemented by the public patient involvement of LGBTI+ young people with expertise by experience. Conclusions: The scoping review has the potential to inform policy, practice and future research through enhanced understandings of the complex interplay of factors that promote wellbeing for sexual minority, gender minority and intersex youth. This first stage of the research process will inform the development of a larger research project. The findings will be disseminated through a peer reviewed publication, a conference presentation and by sharing the findings with key stakeholders, including LGBTI+ young people.