bluuebunny/crossref_metadata_2025_split huggingface dataset:
Another piece on the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis.
Authors: Author) Luciana Guerra Gallo(Former Corresponding , Martinez-Cajas Jorge L , Peixoto Henry Maia , Pereira Ana Carolina Esteves da Silva , Carter Jillian E , McKeown Sandra , Shaub Bruno , Ventura Camila V. , de França Giovanny Vinicius Araújo , Pomar Leo , Ventura Liana O. , Nerurkar Vivek R. , de Araújo Wildo Navegantes , Author) Maria P. Velez(New Corresponding 
Published: March 2020

Abstract
Background: Although it is known that Zika virus (ZIKV) infection during pregnancy may lead to microcephaly in the foetus, the risk factors associated to this tragic disorder remain unclear. We conducted a systematic review and meta-analysis toto assess risk factors associated with the incidence of microcephaly in congenital ZIKV infection.
Methods: We conducted a comprehensive search in Ovid MEDLINE, Ovid MEDLINE (R) Epub ahead of print, Embase, Embase Classic, Web of Science, CINAHL, Cochrane CENTRAL, LILACS and various thesis databases to identify human studies reporting microcephaly associated with congenital ZIKV infection. We requested primary data from authors of the studies included in this review to calculate summary estimates and conduct meta-analysis of the most prevalent factors.
Results: We screened 4,106 titles and abstracts, and identified 12 studies for inclusion in the systematic review. The assessment of ZIKV infection and the definition of microcephaly varied among studies. A total of 6,154 children/foetuses were enrolled; of those, 1,120 (18.20%) had a diagnostic of ZIKV infection, of which 509 (45.45%) were diagnosed with microcephaly. Nine studies addressed the link between congenital ZIKV infection and neurological findings in foetuses/ children. Half of the studies provided primary data. Two out of eleven factors of interest were associated with microcephaly: infant’s sex – males presented a higher risk of microcephaly compared to females (RR 1.30, 95% CI 1.14, 1.49); and the stage of pregnancy when infection occurred - infection in the first trimester of pregnancy had a higher risk of microcephaly (RR 1.41, 95% CI 1.09 to 1.82), compared to infection at other stages of pregnancy.
Conclusion: Our findings support the female-biased resistance hypothesis and reinforce the risk associated with the stage of pregnancy when Zika virus infection occurs. Continued surveillance of ZIKV during pregnancy is needed to identify additional factors that could contribute to developing microcephaly in affected foetuses.
Downregulation of S100 Calcium Binding Protein A12 inhibits the growth of glioma cells
Authors: Lu Chunhe , Liu Jia , Yao Mingze , Li Lun , Li Guangyu 
Published: March 2020

Abstract
Background: S100 Calcium Binding Protein A12 (S100A12) is a member of the S100 protein family and is widely expressed in neutrophil and low expressed in lymphocytes and monocyte. However, the role of S100A12 in glioma has not yet been identified. Methods: In the present study, we carried out immunohistochemical investigation of S100A12 in 81 glioma tissues to determine the expression of s100A12 in glioma cells, and evaluate the clinical significance of S100A12 in glioma patients. Futher we knockdown the S100A12 by ShRNA, and evaluated cell proliferation, cell migration and cell apoptosis by MTT, clony formation assay, transwell assay ,flow cytometry assa and western blot. Results: We found that S100A12 was upregulated in tissues of glioma patients and the expression was correlated to WHO stage and tumor size. Further, we found that knockdown S100A12 inhibits the proliferation, migration and invasion of glioma cells through regulating cell apoptosis and EMT. Conclusion: S100A12 plays a vital role in glioma progression, and may be an important regulatory molecule for biological behaviors of glioma cell lines.
The Fair Decision-making of Children and Adolescents with High-functioning Autism Spectrum Disorder from the Perspective of Dual-process Theories
Authors: Jin Peiying , Wang Yao , LI Yun , Xiao Yunhua , Li Chunyan , Qiu Nana , Weng Jiao , Fang Hui , Ke Xiaoyan 
Published: March 2020

Abstract
Background: Fairness has received much attention in our society. At present, the findings regarding fair decision-making in high-functioning autism spectrum disorder (HF-ASD) are inconsistent. Previous studies have shown that the fair decision-making of typically developing children is influenced by theory of mind (ToM) and executive functioning (EF). As those with HF-ASD have defects in both domains, this study aims to explore the differences in fair decision-making between children and adolescents with HF-ASD and those with typical development (TD). Methods: We used a simple ultimatum game (UG) to explore 31 children and adolescents with HF-ASD and 38 children and adolescents with TD. T tests and chi-square tests were used to compare group differences, and Pearson correlation analysis and stepwise regression analysis were used to analyse the mechanisms influencing the two groups' unfair acceptance rates. Results: The results show that children with HF-ASD are more likely to accept unfair offers, but for adolescents, the difference is not significant. Regression analysis showed that the interaction between the behavior regulation index (BRI) and age could negatively predict the unfair acceptance rate of children and adolescents with HF-ASD. Working memory and ToM can negatively predict the unfair acceptance rate of those with TD. Conclusion: This study concluded that the development of fair decision-making by children and adolescents with HF-ASD falls far behind that of those with TD. Intuition processes play a dominant role in the fair decision-making processes of children and adolescents with HF-ASD, and we believe that comorbidity, age, experience and emotional management are important factors influencing the fair decision-making of individuals with HF-ASD.
Factors contributing to post-stroke health care utilization and costs. Secondary results from the Life After Stroke (LAST) study, a pragmatic randomized controlled trial
Authors: Døhl Øystein , Halsteinli Vidar , Askim Torun , Gunnes Mari , Hansen Hege Ihle , Indredavik Bent , Langhammer Birgitta , Phan Ailan , Magnussen Jon 
Published: March 2020

Abstract
Background The result from the Life After Stroke (LAST) study showed that an 18-month follow up program as part of the primary health care, did not improve maintenance of motor function for stroke survivors. In this study we evaluated whether the follow-up program could lead to a reduction in the use of health care compared to standard care. Furthermore, we analyse to what extent differences in health care costs for stroke patients could be explained by individual need factors (such as physical disability, cognitive impairment, age, gender and marital status), and we tested whether a generic health related quality of life (HRQoL) is able to predict the utilisation of health care services for patients post-stroke as well as more disease specific indexes.Methods The Last study was a multicentre, pragmatic, single-blinded, randomized controlled trial. Adults (age ≥18 years) with first-ever or recurrent stroke, community dwelling, with modified Rankin Scale <5. The study included 380 persons recruited 10 to 16 weeks post-stroke, randomly assigned to individualized coaching for 18 months (n=186) or standard care (n=194). Individual need was measured by the Motor assessment scale (MAS), Barthel Index, Hospital Anxiety and Depression Scale (HADS), modified Rankin Scale (mRS) and Gait speed. HRQoL was measured by EQ-5D-5L. Health care costs were estimated for each person based on individual information of health care use. Multivariate regression analysis was used to analyse cost differences between the groups and the relationship between individual costs and determinants of health care utilisation.Results There were higher total costs in the intervention group. MAS, Gait speed, HADS and mRS were significant identifiers of costs post-stroke, as was EQ-5D-5L.Conclusion Long term, regular individualized coaching did not reduce health care costs compared to standard care. We found that MAS, Gait speed, HADS and mRS were significant predictors for future health care use. The generic EQ-5D-5L performed equally well as the more detailed battery of outcome measures, suggesting that HRQoL measures may be a simple and efficient way of identifying patients in need of health care after stroke and targeting groups for interventions.Clinical Trial Registration: https://www.clinicaltrials.gov NCT01467206. The trial was retrospectively registered after the first 6 participants were included.
The use of olanzapine as an antiemetic in palliative medicine: a systematic review of the literature
Authors: Saudemont Gaëtan , Prod'Homme Chloé , Silva Arlette Da , Villet Stephanie , Reich Michel , Penel Nicolas , Gamblin Vincent 
Published: March 2020

Abstract
Background: Olanzapine is an atypical antipsychotic that has affinity for many central nervous system receptors. Its efficacy is supported by several studies in the prevention and treatment of chemotherapy-induced nausea and vomiting. No recommendations exist on the antiemetic use of olanzapine in the palliative care setting. The aim of this work is to complete the initial work of Fonte et al. published in 2015, to determine whether the literature supports the use of olanzapine as an antiemetic in palliative situations and, in practice, to propose a therapeutic schema adapted to the palliative setting.
Methods: Systematic review of the literature according to the PRISMA criteria. We searched the PubMed, Cochrane, RefDoc, EMBase databases and the gray literature databases. The bibliographic search was conducted between November 2016 and August 2017.
Results: Thirteen articles were included: 2 case studies, 3 case series, 3 retrospective studies, 2 prospective studies, 2 literature reviews. All studies concluded on the efficacy of olanzapine as an antiemetic in the palliative care setting. No serious adverse effects were reported. Based on the data from the literature review, we propose a therapeutic scheme adapted to the palliative care context.
Conclusion : Action of olanzapine on many receptors and its tolerance profile make it an interesting antiemetic treatment in palliative medicine. But to date, studies are scarce and have a low statistical power. Further investigation is therefore needed to determine the benefit of this treatment in palliative care patients, compared to usual treatments.
Transcriptome profiling of human thymic CD4+ and CD8+ T cells compared to primary peripheral T cells
Authors: Helgeland Hanna , Gabrielsen Ingvild , Akselsen Helle , Sundaram Arvind Y.M. , Flåm Siri Tennebø , Lie Benedicte Alexandra 
Published: March 2020

Abstract
Background: The thymus is a highly specialized organ of the immune system where T cell precursors develop and differentiate into self-tolerant CD4+ or CD8+ T cells. No studies to date have investigated how the human transcriptome profiles differ, between T cells still residing in the thymus and T cells in the periphery. Results: We have performed high-throughput RNA sequencing to characterize the transcriptomes of primary single positive (SP) CD4+ and CD8+ T cells from infant thymic tissue, as well as primary CD4+ and CD8+ T cells from infant and adult peripheral blood, to enable the comparisons across tissues and ages. In addition, we have assessed the expression of candidate genes related to autoimmune diseases in thymic CD4+ and CD8+ T cells. The thymic T cells showed the largest number of uniquely expressed genes, suggesting a more diverse transcription in thymic T cells. Comparing T cells of thymic and blood origin, revealed more differentially expressed genes, than between infant and adult blood. Functional enrichment analysis revealed an over-representation of genes involved in cell cycle and replication in thymic T cells, whereas infant blood T cells were dominated by immune related terms. Comparing adult and infant blood T cells, the former was enriched for inflammatory response, cytokine production and biological adhesion, while upregulated genes in infant blood T cells were associated with cell cycle, cell death and gene expression. Conclusion: This study provides valuable insight into the transcriptomes of the human primary SP T cells still residing within the thymus, and offers a unique comparison to primary blood derived T cells. Interestingly, the majority of autoimmune disease associated genes were expressed in one or more T cell subset, however ~11% of these were not expressed in frequently studied adult peripheral blood.
Imaging study of coronal structural matching of the distal radius in normal adults
Authors: Zhang Xin , Yuan Feng , Yin Yong , Fan Jian 
Published: March 2020

Abstract
Background: As an important anatomical basis, coronal structural position matching of the distal radius has long been lacking in terms of a quantitative understanding, and such matching is correlated with the postoperative functional recovery of patients with distal radius fracture. The purpose of this study was to explore the degree of coronal structural matching of the distal radius in a normal population and to improve the detailed anatomical knowledge of the distal radius. Methods: The reconstructed 3D data were analysed using 3-matic research software from thin-film CT images of 80 normal adults, and the coronal structural matching of the distal radius was studied from two aspects: 1) self-matching of the distal radius; and 2) matching between the distal radius and ulna (i.e., the joint space of the distal radioulnar joint). Specific research methods: 1) The relative position of the medial wall of the distal radius with respect to the lunate was determined as the percentage (%) of the vertical distance from the medial wall of the radius to the most prominent ulnar point of the lunate in the corresponding plane from the ulna to the radius. 2) A total of 9 sets of data were collected for evaluating the palmar lateral spacing, median spacing, and dorsal lateral spacing at the distal, middle, and proximal levels of the radius. Results: In the study, 9 sets of data were obtained. And the data of self-matching of the coronal structural of distal radius was also obtained, was 45.0%±16.2%. The P values in the above data were all greater than 0.05, showing no statistical significance. Finally, data of coronal bone structural matching of distal radius in 80 normal adults were obtained. Conclusions: Our study refines the anatomical data of the degree of coronal bone structural matching of the distal radius in a normal population. To explore the relationship between coronal alignment and function in cases of distal radius fracture, a standardized approach was established. Thin- film CT may help diagnose patients with dysplasia around the lunate and radioulnar joint that is difficult to diagnose on MRI.
An Outbreak of Acute Respiratory Illness at a Training Base in Beijing, China, Due to Human Adenovirus Type B55
Authors: Lu Guilan , Peng Xiaomin , Li Renqing , Liu Yimeng , Wu Zhanguo , Wang Xifeng , Zhang Daitao , Zhao Jiachen , Sun Ying , Zhang Li , Yang Peng , Wang Quanyi 
Published: March 2020

Abstract
Background: Twelve students were diagnosed with symptoms of acute respiratory illness (ARI) at a training base in Beijing from August 26 to August 30, 2015. We investigated the cause of this ARI outbreak. Methods: In partnership with the local center for disease control, we collected a total of twelve pharyngeal swab specimens as well as demographic information for the affected patients. We used multiplex real-time PCR to screen for sixteen common respiratory viruses in these samples. To isolate the causative agent, we inoculated Hep-2 cells with the human adenovirus (HAdV)-positive samples and then carried out sequencing and phylogenetic analysis of the hexon, fiber, and penton genes of the isolated adenoviruses. In addition, we analyzed the entire genome of one strain isolated from the index case to identify single-nucleotide substitutions. Results: We identified ten HAdV-positive students using multiplex real-time PCR. None of the students were co-infected with other viruses. We successfully isolated seven HAdV strains from the pharyngeal swab specimens. The coding sequences of the hexon, fiber, and penton genes of these seven HAdV strains were identical, suggesting that they represented seven isolates of a single virus strain. One HAdV isolate obtained from the index case, BJDX-01-2015, was selected for whole genome analysis. From this isolate, we obtained a 34,774-nucleotide sequence. The genome of BJDX-01-2015 clustered with HAdV-B55 in phylogenetic analyses and had 99.97% identity with human adenovirus 55 isolate HAdV-B/CHN/BJ01/2011/55 (GenBank accession no. JX491639). Conclusions: We identified HAdV-B55 as the cause of the August 2015 ARI outbreak at this base. This outbreak was the first reported in Beijing due to HAdV-B55. Continuous surveillance of respiratory adenoviruses is urgently needed to understand the epidemiological and evolutionary features of HAdV-B55, and an epidemiological modeling approach may provide further insights into this emerging public health threat. Furthermore, the clinical laboratory data in this outbreak provided important reference for the clinical diagnosis and may ultimately aid to inform the development of strategies to control and prevent respiratory tract infections caused by HAdV-B55 later.
Spouse’s participation in perinatal care: a qualitative study
Authors: Mehran Nahid , Hajian Sepideh , Simbar Masoumeh , Majd Hamid Alavi 
Published: March 2020

Abstract
Background: Pregnancy is one of the most important and sensitive periods for any woman that in the case of the support of her relatives, especially her spouse, feels more ability to tolerate it’s difficulties and gives them good memory. However, there are very few studies about the participation of spouses/partners in perinatal period in Iran. Therefore, the present study aimed to explain the concept of spouses' participation in perinatal care. Methods: This is a qualitative study that was carried out in Qom, Iran in 2018. Purposive sampling was done from pregnant or postpartum women, spouses, midwifery care providers and key informants according to study inclusion criteria. Semi-structured in-depth interviews were carried out until data saturation. Data analysis was done based on conventional content analysis approach according to Graneheim & Lundman steps and using MaxQDA software (v.10). To ensure the trustworthiness of data, the five Guba and Lincoln criteria were used. Also, COREQ checklist was used for reporting this qualitative research. Results: fifty-three final codes were classified into 18 sub-categories, 7 main categories and 3 themes include of empathy (emotional understanding, cognitive understanding), accountability (supporting, position management, compassion) and consequences (help improve family function, improve maternal-neonatal health). Conclusion: since, spouses’ participatory behaviors in perinatal period can lead to improve maternal and neonatal health and family function, it is necessary to be considered in family-based health promotion policies and programming based on these policies such as improving the public culture of spouse participation in the process of child-rearing.
The relationship between umbilical cord blood vitamin A levels and late preterm infant morbidities: A prospective cohort study
Authors: Tao En-Fu , Chen Cai-E , Chen Yun-Qin , Cai Lin-Yan , Yuan Tian-Ming 
Published: March 2020

Abstract
Background: Low plasma vitamin A levels increases the risk of neonates’ morbidity. However, the relationship between umbilical cord blood (UCB) vitamin A levels and late-preterm infant (LPI) consequences is inconclusive. Herein, we attempted to clarify the association between UCB vitamin A levels and LPI morbidities.Methods: We conducted a prospective cohort study of 208 LPI (from 34+0 to 36+6 weeks gestational age) between January 1, 2014 and June 30, 2015. UCB specimens were collected shortly after birth, and vitamin A levels were determined by enzyme-linked immunosorbent assay. Jaundice, sepsis, respiratory distress syndrome, bronchopulmonary dysplasia, necrotizing enterocolitis, and death were recorded.Results: Prevalence of low UCB vitamin A level <0.7 μmol/L was 37.5% in LPI. Cesarean section was an independent risk factor of UCB vitamin A level < 0.7 μmol/L. Nevertheless, UCB vitamin A levels did not correlate with gestational age, birthweight, and gender. UCB vitamin A level < 0.7 μmol/L was not an independent risk factor for hospitalization, oxygen supplementation, hyperbilirubinemia, sepsis and respiratory distress syndrome. However, cesarean section, gestational age < 35 weeks and birthweight < 2500 g were independent risk factors for hospitalization and RDS. In addition, cesarean section increased the risk of oxygen supplementation, while gestational age < 35 weeks increased the risk of hyperbilirubinemia. Conclusions: Cesarean section delivery is an independent risk factor of low UCB vitamin A levels, and increases the risk of RDS. On the basis of our results, there is no association between low vitamin A levels and morbidity of late-preterm infants, including hyperbilirubinemia, sepsis and respiratory distress syndrome. Trial registration: Not applicable.
Predictive Value of Circulating Plasma Mitochondrial DNA for Sepsis in the Emergency Department: Observational Study Based on the Sepsis-3 Definition.
Authors: Wang Li feng , Zhou Wei , Wang Kai wen , He Shuang jun , Chen Yi 
Published: March 2020

Abstract
Background: The definition of sepsis is regularly updated; however, there is no standard diagnostic test. To improve diagnosis and prognostic prediction, the aim of this study was to determine the predictive value of circulating plasma mitochondrial DNA (mtDNA) levels in patients admitted to the emergency department (ED) with sepsis. Methods: A total of 107 patients hospitalized from June 2018 to January 2019 were divided into the sepsis (n = 72) and septic shock (n = 35) groups based on the sepsis-3 definition. Clinical and laboratory data were measured within 24 h of admission. The mtDNA concentrations in clarified plasma were estimated by quantitative polymerase chain reaction. Binary logistic regression analysis and the receiver operating characteristic (ROC) curve were used to determine predictive value of mtDNA and other markers for sepsis outcome (28-day mortality). Results: The median plasma mtDNA levels on admission were significantly higher in the septic shock patients than in the sepsis patients (P < 0.0 1), and were also higher in non-survivors than in survivors within 28 days (P < 0.01). Binary logistic regression showed that plasma lactate and mtDNA levels were independent risk factors for 28-day mortality [odds ratio (OR) 1.341, 95% confidence interval (CI) 1.035–1.736, P = 0.026 and OR 13.299, 95%CI 2.765–63.956, P = 0.001, respectively).The area under the ROC curve values for plasma mtDNA levels, lactate concentration, and their combined were 0.781 (p < 0.001, 95%CI 0.671–0.891), 0.733 (p < 0.001, 95%CI 0.635–0.832), and 0.799 (p < 0.001, 95%CI 0.698–0.901), respectively. The calibration test for the combined variable showed X 2 of 2.559 and P = 0.923. Conclusion: A higher plasma mtDNA level was associated with a poor prognosis of sepsis in the emergency room, and was a superior predictor to lactate for predicting 28-day mortality.