bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acceptance of Illness, Quality of Life and Nutritional Status of Patients After Lower Limb Amputation Due to Diabetes Mellitus
Authors: Juzwiszyn Jan , Łabuń Adrianna , Tański Wojciech , Szymanska-Chabowska Anna , Zielińska Dorota , Chabowski Mariusz 
Published: November 2020

Abstract
Introduction. Diabetes mellitus is one of the most common chronic diseases with a high number of sufferers worldwide. Diabetic neuropathy and diabetic angiopathy lead to serious infectious complications which are very difficult to combat and may finally lead to the amputation of a lower limb. The aim of the study was to evaluate the quality of life, the level of acceptance of the illness and the nutritional status of patients after lower limb amputation due to diabetes. Methods. Ninety nine patients (23 men and 76 women) were enrolled into the study. They had all undergone lower limb amputation due to diabetic foot and were treated in the Department of General and Oncological Surgery. The following questionnaires were used: the WHO Quality of Life-BREF (WHOQOL–BREF), the Mini Nutritional Assessment (MNA), the Acceptance of Illness Scale (AIS) and the anonymous specific socio-demographic characteristics questionnaire.Results: The diabetes-related amputees were revealed to have a higher QoL within the social domain (mean score 64.48), an intermediate QoL – within the environmental domain (mean score 63.04) and the mental domain (mean score 59.61), and a lower QoL – within physical (somatic) domain (mean score 54.69). There was no statistical correlation between genders or between all the domains of QoL (p>0.05). The mean MNA score was 22.66, which means that patients were at risk of malnutrition. There were statistical differences between women and men as regards nutritional status (p=0.034). The mean AIS score was 27.65 (27.09 women and 29.48 men), which means that the respondents accept their disease. There was no statistical correlation between gender and the acceptance of the disease (p=0.288). There was not statistical correlation between age and QoL (p>0.05). There were statistical differences between age and nutritional status (p<0.05), and between age and acceptance of the illness (p=0.044).Conclusions: The better the quality of life was in all the domains, the better the level of acceptance of illness was. The less malnourished the patient was, the better their quality of life was in all the domains.
Real-World Experience Using the IUB Ballerine MIDI Copper IUD: A Multicenter, Multinational Observational Study
Authors: Yaron Michal , Baram Ilan , Peled Zvi 
Published: November 2020

Abstract
Objective: The aim of the study was to assess efficacy, safety and patient acceptability of the intrauterine ball (IUB) Ballerine MIDI copper intrauterine device (IUD), using real-world data collected from users and physicians.Study design: Retrospective analysis of two cross-sectional survey studies conducted in seven private clinics in Israel or Switzerland, and in one Swiss hospital between January and October 2018. Participants were healthy women who had the non-hormonal IUB Ballerine MIDI inserted >12 months before enrolment. In total, 382 participants and their 19 physicians completed questionnaires relating to device insertion, user experience and performance.Results: Mean age at insertion was 31.8±7.1 years, the survey was answered 16.0±4.7 months following IUB insertion. Most women were married (56.8%) and multigravid (83.5%). In 20 (5.2%) cases premature removal was due to desire to conceive. Excluding these women, the >12-month continuation rate was 71%. The expulsion rate was 17 (4.5%) and pregnancy rate was 4 (1.1%). The IUB was associated with high tolerability, 31% of current users reported no menstrual cramps/pain or light (34%) to moderate (20%) dysmenorrhea. The majority of women (69%) reported moderate to high satisfaction with the device, and 79% said they would recommend it to friends and relatives. Physicians reported in 87% of procedures the device was simple to deploy, with no difficulties encountered.Conclusions: The IUB Ballerine MIDI was demonstrated to be safe, effective and highly accepted in a cohort of women in different clinical settings and among a socioeconomically and demographically diverse population of contraception seekers.
Therapy with of RCHOP-14 Versus RCHOP-21 for People With Aggressive or Advanced Stage Indolent B-Cell Non-Hodgkins Lymphoma: A Systematic Review and Meta-Analysis
Authors: He Yue , Tao Wenqiang , Ji Dexiang , Lu Wei , Xiong Yu , chen Guoan 
Published: November 2020

Abstract
Background: With the advent of rituximab, RCHOP is considered the appropriate chemotherapy for aggressive or advanced stage indolent B-cell Non-Hodgkins Lymphoma(NHL). RCHOP-14 seems to achieve better outcomes than RCHOP -21 in aggressive or advanced stage indolent B-cell NHL patients in recent years.Methods: To verify the befitting chemotherapy regimens for B-cell NHL patients, we searched the electronic databases for relevant English-language literature published through January 2020. The primary outcomes were complete response(CR),progression-free survival (PFS), overall survival(OS), and Adverse events (AEs). Six eligible Phase II and III clinical randomized controlled trials (RCTs) and two high-quality observational comparative studies (OCSs)were extracted, and 5565 B-cell NHL patients involved in evaluable.Results: The analysis demonstrated no significant difference for CR rate (OR= 0.98,95%CI 0.77-1.24，P=0.85)between RCHOP-14 and RCHOP-21. Compared with RCHOP-21, the merged hazard ratio (HR) for PFS and OS was, respectively, 0.94 (95% CI: 0.84-1.06, P=0.32) and 0.91(95% CI: 0.83-1.01, P= 0.08) after treatment with RCHOP-14.A subgroup analysis based on the international prognostic index(IPI) score showed that both chemotherapy regimens were applicable in B-cell NHL patients with different prognosis. The frequency of toxic side-effects was similar between schemes.Conclusions: Therefore, the data presented suggest that the efficacy and safety of both regimens are comparable and that R-CHOP14 remains a viable plan in B-cell NHL patients who prefer a shorter therapy course.
Prognostic value of biglycan in gastric cancer
Authors: Hu Sizhe , Li Peipei , Wang Chenying , Liu Xiyong 
Published: November 2020

Abstract
Background: BGN (biglycan) is a family member of small leucine-rich repeat proteoglycans. High expression of BGN might enhance the invasion and metastasis in some types of tumors. Here, the prognostic significance of BGN was evaluated in gastric cancer.Material and Methods: Two independent Gene Expression Omnibus (GEO) gastric cancer microarray datasets( n= 64, n=432) were collected for this study. Kaplan-Meier analysis was applied to evaluate if BGN impacts the outcomes of gastric cancer. The gene set enrichment analysis (GSEA) was used to explore BGN and cancer-related gene signatures. Bioinformatic analysis predicted the putative transcription factors of BGN.Results: For gastric cancer, the mRNA expression level of BGN in tumor tissues was significantly higher than that in normal tissues. Kaplan-Meier analysis showed that higher expression of BGN mRNA was significantly associated with more reduced recurrence-free survival (RFS). GSEA results suggested that BGN significantly enriched metastasis and poor prognosis gene signatures, revealing that BGN might be associated with cell proliferation, poor differentiation, high invasiveness of gastric cancer. Meanwhile, the putative transcription factors, including AR, E2F1, and TCF4, weres predicted by bioinformatic analysis and also significantly correlated with expression of BGN in mRNA levels. Conclusion: High expression of BGN mRNA was significantly related to poor prognosis, which suggested BGN was a potential prognostic biomarker and therapeutic target of gastric cancer.
Iliac vein thrombectomy in a metastatic ovarian cancer patient: a case report and literature review
Authors: Yang Fanchun , Liu Jie , Luo Ning , Jiang Hui ci , Guo Jing , Cheng Zhongping 
Published: November 2020

Abstract
BackgroundCirculating tumor cells (CTCs) is a major prognostic factor in both primary and metastatic tumor and associated with thrombosis,which may resulted in the formation of Venous thromboembolism (VTE) and the incidence of some adverse events. For the VTE, we can use anticoagulant treatment and Inferior vena cava filter (IVCF) to reduce the risk of pulmonary embolism (PE). However, For large vessels thrombus, These methods can’t solve the problem. So, innovative therapies can quickly and effectively alleviate symptoms and remove tumor thrombus, reducing the possibility of tumor hematogenous dissemination. External iliac venous thrombosis from metastatic ovarian cancer has rarely been reported, especially involving the mechanism that CTCs may lead to the formation of VTE. And little has been reported about the therapy of iliac vein thrombectomy to remove embolus. Here, we present a case of external iliac venous thrombosis and review relevant literature to provide a better recognition of this disease and relevant mechanism.Case presentationThe present case report describes a 60-year-old woman with the external iliac vein thrombosis. She received anticoagulant treatment and we inserted an IVCF to reduce the risk of PE. But it can’t alleviate symptoms and remove tumor thrombus. Finally, we incised external iliac vein to remove the embolus by open operation with the help of multiple disciplinary teamwork(MDT). The IVCF was retrieved on postoperative day nine. And the patient was discharged home on postoperative day twelve. She has good recovery after operation and has no recurrence. ConclusionsThe current report demonstrated that Preoperative IVCF insertion and iliac vein thrombectomy combined with MDT in the treatment of this metastatic cancer patient with deep venous thrombosis(DVT) is effective. And CTCs may involve in the formation of DVT of cancer patients, Exploring the mechanism of VTE that is associated with CTCs is vital important. In addition, Using innovative therapies such as iliac vein thrombectomy to remove embolus is also significant.
Clinical features and outcomes of new daily persistent headache in patients in China and comparison with medication-overuse headache: A double-center retrospective study
Authors: Liu Huanxian , Ran Ye , Dang Liang , Yang Ruirui , Sun Shuping , Zhang Meichen , Li Ke , Chen Chunfu , Dong Zhao , Yu Shengyuan 
Published: November 2020

Abstract
Background: This study examined the clinical features and outcomes of NDPH patients and comparison with medication-overuse headache (MOH) in mainland China.Methods: This retrospective study observed patients with NDPH and medication-overuse headache (MOH) visiting two outpatient clinics between November 2011 and December 2019. Clinical information was collected and all patients were followed by telephone.Results: The study recruited 73 NDPH and 638 MOH patients. The NDPH patients included 39 males (53.4%) and 34 females (46.6%), with an average age of 37.4 years and average headache duration of 10.6 years. Headache-precipitating factors included infection (15.1%) and stress (30.1%). Compared to MOH patients, NDPH patients had a male predominance (53.4% vs. 22.6%, p<0.001), younger age of CDH onset (26.7±12.3 vs. 41.4±11.3 years, p<0.001), and longer duration of CDH (10.6±11.8 vs. 6.1±6.2 years, p=0.023). Of the 62 NDPH patients followed up for 31 months, on average, therapeutic responses were more effective in NDPH patients with trigger factors than in those without trigger factors (71.4% vs. 32.4%; p = 0.002); the odds ratio (OR) of an effective outcome was 5.25 (1.73-17.84, p = 0.005).Conclusions: NDPH is significantly different from MOH, with a male predominance, younger age of CDH onset, and longer duration of CDH. The presence of trigger factors is an independent predictor of better treatment effect in NDPH patients.
Functional proximity mapping of RNA binding proteins uncovers a mitochondrial mRNA anchor that promotes stress recovery
Authors: Qin Wei , Myers Samuel , Carey Dominique , Carr Steven , Ting Alice 
Published: November 2020

Abstract
Proximity labeling (PL) with genetically-targeted promiscuous enzymes has emerged as a powerful tool for unbiased proteome discovery. By combining the spatiotemporal specificity of PL with methods for functional protein enrichment, it should be possible to map specific protein subclasses within distinct compartments of living cells. Here we demonstrate this capability for RNA binding proteins (RBPs), by combining peroxidase-based PL with organic-aqueous phase separation of crosslinked protein-RNA complexes (“APEX-PS”). We validated APEX-PS by mapping nuclear RBPs, then applied it to uncover the RBPomes of two unpurifiable subcompartments - the nucleolus and the outer mitochondrial membrane (OMM). At the OMM, we discovered the RBP SYNJ2BP, which retains specific nuclear-encoded mitochondrial mRNAs during translation stress, to promote their local translation and import of protein products into the mitochondrion during stress recovery. APEX-PS is a versatile tool for compartment-specific RBP discovery and expands the scope of PL to functional protein mapping.
Real Time Viral Sub-Strains Discovery in Emerging Infectious Disease Situation – The African Perspective
Authors: Ekpenyong Moses Effiong , Edoho Mercy , Inyang Udoinyang G. , Uzoka Faith-Michael , Udo Ifiok J , Uto Nseobong P. , Ekaidem Itemobong S. , Moses Anietie E. , Anwana Enoabasi D. , Tatfeng Youchou M. , Joseph Geoffrey , Dan Emmanuel A. 
Published: November 2020

Abstract
BackgroundThe increased number of accessible genomes has prompted large-scale comparative studies for decerning evolutionary knowledge of infectious diseases, but challenges such as non-availability of close reference sequence(s), incompletely assembled or large number of genomes, preclude real time multiple sequence alignment and sub-strain(s) discovery. This paper introduces a cooperatively inspired open-source framework, for intelligent mining of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) genomes. We situate this study within the African context, to drive advancement on state-of-the-art, towards intelligent infectious disease characterization and prediction. The outcome is an enriched Knowledge Base, sufficient to provide deep understanding of the viral sub-strains’ identification problem. We also open investigation by gender, which to the best of our knowledge has been ignored in related research. Data for the study came from the Global Initiative on Sharing All Influenza Data database (https://gisaid.org) and processed for precise discovery of viral sub-strains transmission between and within African countries. To localize the transmission route(s) of each isolate excavated and provide appropriate links to similar isolate strain(s), a cognitive solution was imposed on the genome expression patterns discovered by unsupervised self-organizing map (SOM) component planes visualization. The Freidman-Nemenyi’s test was finally performed to validate our claim.ResultsEvidence of inter- and intra-genome diversity was noticed. While some isolates (or genomes) clustered differently, implying different evolutionary source (or high-diversity), others clustered closely together, indicating similar evolutionary source (or less-diversity). SOM component planes analysis revealed multiple sub-strains patterns, strongly suggesting local or intra-community and country to country transmissions. Cognitive maps of both male and female isolates revealed multiple transmission routes. Statistical results indicate significant difference between the various isolate groups at the 0.05 level of significance.ConclusionThe proposed framework offers explanations to SARS-CoV-2 diversity and provides real time identification to disease transmission routes, as well as rapid decision support for facilitating inter- and intra-country contact tracing of infected case(s). Intermediate data produced in this paper are helpful to enrich the genome datasets for intelligent characterization and prediction of COVID-19 and related pandemics, as well as the construction of intelligent device for accurate infectious disease monitoring.
Non Linearity Coefficient Evaluation of Zinc Oxide Doped Modulated Red Sea Egyptian Clay as a Varistor
Authors: Elkhatib Mohamed Ibrahim Elsaeed , Dawoud Maher , Ramah Yasser , Hammad Fawzy 
Published: November 2020

Abstract
Doping ZnO with different ratios of clays can increase the value of nonlinear parameters. The natural clay has been precipitated in water column, as a result of the difference in the physical properties of the different phases, the clay will precipitate in layers lighter by lighter from the bottom of the water column, So SiO2 concentrates in lower layers and decreases to the upper layers, whereas Albite, montomorillonite, and dolomite behaves in opposite.ZnO has been doped with different layers up to 20 % clay and sintered at 1200 C for one hour. The obtained samples have been prepared for the different measurements XRD, J-E characteristics, and SEM. XRD showed different phases with different percentages along the whole divided layers of the precipitated column. The maximum value of SiO2 concentrates at layer 3 while the other phases have their lowest values. The electrical measurements (J-E) declared that the maximum value of α obtained by dope ZnO with layer 7 or layer no.11. The peak in α obtained at doping levels 10% or 18% for all the studied layers, this indicates the proper concentration of Si and Al that stabilize the interface potential barrier.
Proteomic Analysis for Identification of Novel Urinary Biomarkers in Juvenile Systemic Lupus Erythematosus
Authors: Zhang Song , CAI Zhe , Zhi Cheng , Lin Yanhao , Wu Ping , Ren Qi , Wei Ping , Chen Rui , Li Feng , Xie Ying , Wong Chun Kwok , Tang Hong , Zeng Huasong 
Published: November 2020

Abstract
Background: To identify new markers of juvenile systemic lupus erythematosus (JSLE) that facilitate patient stratification and prognosis is quite important. Therefore, our aim of the present study is to analyze alteration of protein expression and potential valuable biomarkers in juvenile systemic lupus erythematosus (JSLE) urine. Methods: Based on this aim, proteomics assay analyzed the changes of urinary proteins in study groups consisting of 9 healthy controls, 9 inactive JSLE and 10 active JSLE patients. And the correlationship between clinical characteristics of JSLE patients and new biomarkers discovered from proteomics assay was qualified.Results: We have identified a group of 105 differentially expressed proteins with ≥1.3 fold up-regulation or ≤0.77 fold down-regulation in JSLE patients. In gene ontology and functional enrichment analysis, we discovered these proteins were involved in several important biological processes such as acute phase inflammatory responses, complement activation, hemostasis, and immune system regulation. Interestingly, we found that Ephrin type-A receptor 4 (EPHA4) and Vitronectin (VTN) were significantly reduced in the urine of both inactive and active JSLE patients. Especially, the urinary VTN was also linear correlated with clinical characteristics of JSLE. Conclusion: In summary, this study provided a reliable proteomic reference profile for JSLE. Patients with active and inactive JSLE have differentially obvious metabolic proteins in the urine. VTN could be a specific diagnostic biomarker to distinguish inactive and active JSLE. These identified proteins as new biomarkers in this study can warrant some further exploiting in a larger prospective validation study.
Juvenile Idiopathic Arthritis in Jordan: Single-Center Experience
Authors: Alzyoud Raed , Alsuweiti Motasem O. , Almaaitah Heba Q. , Aladaileh Bushra N. , Alnoubani Mohammad K. , Alwahadneh Adel M. 
Published: November 2020

Abstract
Background: Juvenile idiopathic arthritis (JIA) is a heterogeneous group of disorders, including all forms of arthritis, begin in children who are less than 16 years old. This study aims to evaluate the clinical and laboratory features of JIA in Jordanian children in a single center.Methods: A retrospective analysis of the medical records of pediatric patients who were diagnosed as JIA based on the International League of Associations for Rheumatology (ILAR) criteria from 2015 through 2019 at a pediatric Rheumatology clinic in Queen Rania Children Hospital. All patients were below the age of 14 at the time of diagnosis. Collected data included age, gender, age at initial presentation and diagnosis, JIA subtypes, and laboratory data.Results: A total of 210 patients were included in this cohort (94 males and 116 females) with a mean age at diagnosis 5.33 ± 3.4 years and the mean age at onset of the disease was 5.08 ± 3.4 years (range 7 months – 14 years). Oligoarticular JIA was the commonest subtype (54.7%), followed by systemic arthritis (17.1%), polyarticular (12.3%). ANA was positive in 70 patients (33.6%). Uveitis occurred in thirty (14.2%) patientsConclusion: To the best of our knowledge, this cohort is the first report on JIA in Jordan, in comparison with other regional and international published reports, Oligoarticular JIA found to be the most common Subtype in our experience. To have more details about JIA characteristics, a population-based rather than a single-center study needs to be conducted in Jordan
Are the Effects in Temperature and Current Flow Dependent on the Areas of Electrode Application of Capacitive-resistive Electric Transfer on the Shoulder? A Cadaveric Study
Authors: Rodríguez-Sanz Jacobo , López-de-Celis Carlos , Hidalgo-García César , Canet-Vintró Max , Fanlo-Mazas Pablo , Pérez-Bellmunt Albert 
Published: November 2020

Abstract
Background

Impingement syndrome is currently estimated to represent 60% of all shoulder pain disorders. Capacitive-Resistive electric transfer therapy is aimed to provoke temperature and current flow changes in superficial and deep tissues. This in vitro study has evaluated the variation of temperature and current flow in the shoulder tissues during two different areas of application of the movable capacitive-resistive electric transfer electrode.
Methods

A cross-sectional study designed, five fresh cryopreserved cadavers (10 shoulders) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) were performed for 5 minutes each by a diathermy “T-Plus” device in two shoulder regions: postero-superior and antero-lateral. Supraspinatus tendon, glenohumeral capsule and superficial temperatures were recorded at 1-min intervals and 5 min after treatment.
Results

A statistically significant difference was found only for the superficial area and time interaction, with high power-resistive application at the postero-superior shoulder area (P < 0.035). All the applications showed a final temperature increase compared with the basal data, in all the application points. Superficial temperature in the high power-resistive application showed the greatest percent increase (42.93% ± 22.58), followed by the temperature in the tendon area with the same high power-resistive application (22.97% ± 14.70). The high power-resistive application showed the greatest percent of temperature increase in the applications, reaching 65.9% ± 22.96 at 5-min at the superficial level, and 32% ± 24.25 at 4-min at the level of the supraspinatus tendon. At the capsule level, high power-resistive was also the application that showed the greatest percent of increase, with 21.52% ± 16.16. The application with the lowest percent of temperature increase was the low power-capacitive, with a mean value of 4.86% at supraspinatus tendon level and 7.47% at capsular level.
Conclusion

The shoulder postero-superior or antero-lateral areas of application of capacitive-resistive electric transfer did not cause statistically significant differences in the temperature changes in either supraspinatus tendon or glenohumeral capsule tissues in cadaveric samples. The high power-resistive application in the postero-superior area significantly increased superficial temperature compared with the same application in the antero-lateral position area.