bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bio-economics of Indian hybrid Bt cotton and farmer suicides
Authors: Gutierrez Andrew Paul , Ponti Luigi , Kranthi Keshav R. , Baumgärtner Johann , Kenmore Peter. E. , Gilioli Gianni , Boggia Antonio , Cure Jose Ricardo , Rodríguez Daniel 
Published: October 2020

Abstract
Background
The implementation of hybrid Bt cotton unique to India has been heralded as a grand success by government agencies, seed companies and other proponents, and yet yields have stagnated at low levels and production costs have risen 2.5–3-fold. The low-yield hybrid cotton system of India contributes thousands of farmer suicides to the annual national toll. Conceptual and methodological barriers have hindered bioeconomic analysis of the ecological and social sustainability of such cross-scale agro-ecological problems in time and geographic space, under global technology and climate change. As a paradigm shift, we use conceptually simple, parameter-sparse, theoretically based, mechanistic, weather-driven physiologically based demographic models (PBDMs) to deconstruct the bio-economics of the Indian cotton system.

Results
Our analysis of Indian hybrid cotton system explains some extant ecological and economic problems, and suggests a viable solution. Specifically, the model accurately captured the age-stage mass dynamics of rainfed and irrigated cotton growth/development and the interactions with the key pest pink bollworm across five south-central Indian states, and enabled identification of proximate bioeconomic factors responsible for low yield and their relationship to farmer suicides. The results are reinforced by analysis of Ministry of Agriculture annual state-level data. We explain why short-season, high-density non-GM cotton is a highly viable solution for Indian cotton farmers in rainfed and irrigated cotton areas of the five states, and possibly nationally. The transition from a theoretical bioeconomic construct to a real-world regional bioeconomic analysis proved seamless.

Conclusions
The hybrid long-season Bt technology for rainfed and irrigated cotton is unique to India, and is a value capture mechanism. This technology is suboptimal leading to stagnant yields, high input costs, increased insecticide use, and low farmer incomes that increase economic distress that is a proximate cause of cotton farmer suicides. The current GM Bt technology adds costs in rainfed cotton without commensurate increases in yield. Non-GM pure-line high-density short-season varieties could double rainfed cotton yield, reduce costs, decrease insecticide use, and help ameliorate suicides. The GM hybrid technology is inappropriate for incorporation in short-season high-density varieties.
Bayesian splines versus fractional polynomials in network meta-analysis
Authors: Heinecke Andreas , Tallarita Marta , De Iorio Maria 
Published: October 2020

AbstractBackgroundNetwork meta-analysis (NMA) provides a powerful tool for the simultaneous evaluation of multiple treatments by combining evidence from different studies, allowing for direct and indirect comparisons between treatments. In recent years, NMA is becoming increasingly popular in the medical literature and underlying statistical methodologies are evolving both in the frequentist and Bayesian framework. Traditional NMA models are often based on the comparison of two treatment arms per study. These individual studies may measure outcomes at multiple time points that are not necessarily homogeneous across studies.MethodsIn this article we present a Bayesian model based on B-splines for the simultaneous analysis of outcomes across time points, that allows for indirect comparison of treatments across different longitudinal studies.ResultsWe illustrate the proposed approach in simulations as well as on real data examples available in the literature and compare it with a model based on P-splines and one based on fractional polynomials, showing that our approach is flexible and overcomes the limitations of the latter.ConclusionsThe proposed approach is computationally efficient and able to accommodate a large class of temporal treatment effect patterns, allowing for direct and indirect comparisons of widely varying shapes of longitudinal profiles.
Revisiting: “prevalence of and factors associated with sarcopenia among multi-ethnic ambulatory older Asians with type 2 diabetes mellitus in a primary care setting”
Authors: Li Xueting , Xu Fengqiang , Hu Longgang , Fang Hao , An Yi 
Published: October 2020

Abstract
Background
Sarcopenia is an age-related clinical syndrome characterized by loss of muscle mass and reduced muscle function. Diseases that contribute to sarcopenia include type 2 diabetes mellitus (T2DM), chronic obstructive pulmonary disease (COPD), heart failure, chronic kidney disease, and cancer and others. Fung FY et al. (BMC Geriatrics. 2019;19(1):122) conducted a single-center study aimed to determine the prevalence of sarcopenia among older patients with T2DM and to identify factors which mitigate sarcopenia. Their study entitled “Prevalence of and factors associated with sarcopenia among multi-ethnic ambulatory older Asians with type 2 diabetes mellitus in a primary care setting” suggested that the prevalence of sarcopenia in older patients with T2DM was 27.4%, and that Chinese ethnicity was associated with a greater risk of sarcopenia in the study population.

Discussion
Deficiency in scientific research and analysis of other diseases associated with sarcopenia such as COPD, may contribute to misestimation of the prevalence of sarcopenia in older patients with T2DM. We are concerned that the conclusions of this single-center study with a small study population might be unreliable.

Summary
The prevalence of sarcopenia in older patients with T2DM in a single-center study with a small sample size may be misestimated due to the lack of strict exclusion criteria and detailed analysis of other diseases that contribute to sarcopenia. In addition, it is inappropriate to draw the conclusion that Chinese ethnic group was associated with a greater risk of sarcopenia among the study population.
Urinary nitrate concentration as a marker for kidney transplant rejection
Authors: Riddell Amy , Kirkwood John , Smallwood Miranda , Winyard Paul , Knight Beatrice , Romanczuk Lidia , Shore Angela , Gilchrist Mark 
Published: October 2020

Abstract
Background
Early identification and treatment of kidney transplant rejection episodes is vital to limit loss of function and prolong the life of the transplanted kidney and recipient. Current practice depends on detecting a creatinine rise. A biomarker to diagnose transplant rejection at an earlier time point than current practice, or to inform earlier decision making to biopsy, could be transformative.
It has previously been shown that urinary nitrate concentration is elevated in renal transplant rejection. Nitrate is a nitric oxide (NO) oxidation product. Transplant rejection upregulates NO synthesis via inducible nitric oxide synthase leading to elevations in urinary nitrate concentration. We have recently validated a urinary nitrate concentration assay which could provide results in a clinically relevant timeframe. Our aim was to determine whether urinary nitrate concentration is a useful tool to predict renal transplant rejection in the context of contemporary clinical practice.

Methods
We conducted a prospective observational study, recruiting renal transplant participants over an 18-month period. We made no alterations to the patients’ clinical care including medications, immunosuppression, diet and frequency of visits. We collected urine samples from every clinical attendance. We assessed the urinary nitrate to creatinine ratio (uNCR) between patient groups: routine attendances, biopsy proven rejection, biopsy proven no rejection and other call backs. uNCR was examined over time for those with biopsy proven transplant rejection. These four groups were compared using an ANOVA test.

Results
A total of 2656 samples were collected. uNCR during biopsy proven rejection, n = 15 (median 49 μmol/mmol, IQR 23–61) was not significantly different from that of routine samples, n = 164 (median 55 μmol/mmol, IQR 37–82) (p = 0.55), or biopsy proven no rejection, n = 12 (median 39 μmol/mmol, IQR 21–89) (P = 0.77).
Overall uNCR was highly variable with no diagnostic threshold for kidney transplant rejection. Furthermore, within-patient uNCR was highly variable over time, and thus it was not possible to produce individualised patient thresholds to identify rejection. The total taking Tacrolimus was 204 patients, with no statistical difference between the uNCR of all those on Tacrolimus, against those not, p = 0.18.

Conclusion
The urinary nitrate to creatinine ratio is not a useful biomarker for renal transplant rejection.
Value of monitoring urine ammonia at time of biopsy in patients with lupus nephritis
Authors: Zhu Huanhuan , Wan Huiting , Duan Suyan , Zhang Chengning , Li Qing , Liu Simeng , Wu Lin , Zhang Bo , Xing Changying , Yuan Yanggang 
Published: October 2020

Abstract
Objective
Although lupus nephritis (LN) is mostly characterized by glomerular involvement, tubular injury is indispensable in its pathogenesis and progression. The purpose of this study is to examine associations between urinary acidification function and clinical and pathological features in LN.

Methods
A total of 103 patients with renal biopsy-proven LN were included, and clinical parameters and laboratory data were obtained from the medical records. Plasma samples, 24-h urine samples and the urinary acidification function, including urine pH, titratable acid, and ammonia, were collected within 3 days before the day of renal biopsy. The correlations between defects of acid excretion and clinical and pathological features were then assessed. Logistic regression analysis was used to assess factors associated with the presence of nephrotic range proteinuria.

Results
The urine ammonia level was inversely correlated with SLEDAI-2 K scores, rSLEDAI scores, serum creatinine levels and proteinuria, while it was positively correlated with eGFR. And urine titratable acid was only inversely correlated with rSLEDAI scores and proteinuria. Moreover, urine ammonia had significant negative correlations with AI scores, interstitial inflammatory cell infiltration, CI scores, glomerular sclerosis, fibrous crescents, tubular atrophy and interstitial fibrosis. And urine titratable acid was mainly inversely correlated with CI scores. Furthermore, univariate logistic analyses identified that both urine titratable acid and ammonia were correlated with the presence of nephrotic range proteinuria. After the adjustment for chronicity index and eGFR in a multivariate logistic analysis, only urine titratable acid was still identified as an independent risk factor for the occurrence of nephrotic range proteinuria.

Conclusions
Urine ammonia was associated with clinical and pathological features of chronicity and tubulointerstitial disease activity among patients with lupus nephritis. Furthermore, the strong association between urinary protein and titratable acid excretion at the time of kidney biopsy is significant even after adjusting for the chronicity index and eGFR at biopsy.
LncRNA SNHG10 is downregulated in non-small cell lung cancer and predicts poor survival
Authors: Liang Meng , Wang Linlin , Cao Chuanhua , Song Shimao , Wu Feng 
Published: October 2020

Abstract
Background
LncRNA SNHG10 has been reported to be an oncogenic lncRNA in liver cancer. However, its roles in non-small cell lung cancer (NSCLC) remains unknown.

Methods
Tumor and paired non-tumor tissues were harvested from 62 NSCLC patients. RT-qPCR was used to detect the expression of SNHG10 and miR-21 in tissues. Overexpression experiments were used to evaluate the interaction between SNHG10 and miR-21 in NSCLC cells. CCK-8 assay was used to detect the cell proliferation.

Results
We observed the expression of SNHG10 was down-regulated in non-small cell lung cancer (NSCLC) compared with that in non-tumor tissues. Moreover, we found that high expression levels of SNHG10 predicted favorable survival of NSCLC patients, and the expression of miR-21 were increased in NSCLC and inversely correlated with SNHG10 expression. In NSCLC cells, overexpression of SNHG10 resulted in increased miR-21 gene methylation and decreased miR-21 expression. Moreover, overexpression of SNHG10 attenuated the enhancing effect of miR-21 overexpression on cell proliferation.

Conclusions
SNHG10 may involve in NSCLC cell proliferation by regulating the miR-21 gene methylation.
The differences in whole-body sagittal alignment between different postures in young, healthy adults
Authors: Xue Rui , Liu Dai , Shen Yong 
Published: October 2020

Abstract
Study design
Prospective study.

Objective
To identify the radiographic differences between the standard upright position and the natural and comfortable upright position.

Methods
The radiographic data of 50 young and healthy adults were evaluated, and parameters including the global cervical angle (GCA), global thoracic angle (GTA), global lumbar angle (GLA) were used to depict the spine profile; the distance from the cranial center to the posterior corner of S1 (CSVA-S), the center of the hip (CSVA-H), the center of the knee (CSVA-K) and the center of the ankle (CSVA-A) were measured in both the standard and the natural and comfortable upright positions to assess whole-body balance.

Results
Significant differences were observed in the GCA (17.39 ± 6.90 vs. 10.90 ± 3.77, p < .001), GTA (25.63 ± 7.27 vs. 45.42 ± 8.15 p < .001), GLA (42.64 ± 8.05 vs. 20.21 ± 7.47 p < .001), CSVA-S (0.33 ± 2.76 cm vs. 8.54 ± 3.78 cm, p < 0.001), CSVA-H (1.53 ± 3.11 cm vs. 5.71 ± 3.26 cm, p < 0.001), CSVA-K (3.58 ± 2.47 cm vs. 5.22 ± 2.69 cm, p = 0.002) and CSVA-A (1.79 ± 1.92 cm vs. 4.79 ± 2.51 cm, p < 0.001) between the two different standing postures. Compared with the standard upright position, the natural and comfortable upright position results in a more kyphotic spine profile.

Conclusion
Significant differences in sagittal radiographic parameters were found between the standard upright position and the natural and comfortable upright position; the latter served as a marker for energy conservation during standing and revealed a more kyphotic spinal profile. The standard upright position and natural and comfortable upright position are equally important and should be addressed before a surgical plan is developed for patients who need surgery.
Caregiver’s perspectives on facilitators and barriers of active participation in cerebral palsy rehabilitation in North West Nigeria: a qualitative study
Authors: Abdullahi Auwal , Isah Auwal 
Published: October 2020

AbstractBackgroundCerebral Palsy (CP) refers to the permanent disorders involving postural and movement control as a result of injury to the developing brain. As a result of impairment in postural and movement control, children with CP usually have problems in carrying out activities of daily living (ADL). This makes them dependent on help from their caregivers. Thus, for effective rehabilitation of children with CP, active participation of their caregivers is important. This study seeks to explore the facilitators and barriers of active participation of caregivers in the rehabilitation of children with CP in Kano, Nigeria.MethodsThe study design used was qualitative in-depth interview. The participants were caregivers of children with CP at Hasiya Bayero Paediatric Specialists Hospital, Kano. The caregivers were interviewed face-to-face, and their responses were audio-recorded with a tape recorder, supplemented with note taking. The data generated was analyzed using constant comparative analysis.ResultsForty young caregivers (mean age, 27.17 ± 4.46 years) participated in the study. They expressed encouragement from the therapist managing the child, family support, empathy, improvement in the conditions of other children with CP, cooperation of the child during home programs family support and improvement in the child’s condition as factors that facilitate their active participation in the rehabilitation of the children. However, they mentioned occupation, financial resources and the number of children the caregiver has are the barriers to their active participation in the rehabilitation of the children.ConclusionsBoth the facilitators and barriers of active participation of caregivers in the rehabilitation of children with CP need to be recognized in order to help caregivers reinforce or overcome them respectively. In addition, economically sustainable and accessible rehabilitation services are needed for all children with CP. Similarly, sharing caregiving rehabilitation tasks amongst family members could facilitate caregiver active participation.
Large-scale in silico mutagenesis experiments reveal optimization of genetic code and codon usage for protein mutational robustness
Authors: Schwersensky Martin , Rooman Marianne , Pucci Fabrizio 
Published: October 2020

Abstract
Background
How, and the extent to which, evolution acts on DNA and protein sequences to ensure mutational robustness and evolvability is a long-standing open question in the field of molecular evolution. We addressed this issue through the first structurome-scale computational investigation, in which we estimated the change in folding free energy upon all possible single-site mutations introduced in more than 20,000 protein structures, as well as through available experimental stability and fitness data.

Results
At the amino acid level, we found the protein surface to be more robust against random mutations than the core, this difference being stronger for small proteins. The destabilizing and neutral mutations are more numerous in the core and on the surface, respectively, whereas the stabilizing mutations are about 4% in both regions. At the genetic code level, we observed smallest destabilization for mutations that are due to substitutions of base III in the codon, followed by base I, bases I+III, base II, and other multiple base substitutions. This ranking highly anticorrelates with the codon-anticodon mispairing frequency in the translation process. This suggests that the standard genetic code is optimized to limit the impact of random mutations, but even more so to limit translation errors. At the codon level, both the codon usage and the usage bias appear to optimize mutational robustness and translation accuracy, especially for surface residues.

Conclusion
Our results highlight the non-universality of mutational robustness and its multiscale dependence on protein features, the structure of the genetic code, and the codon usage. Our analyses and approach are strongly supported by available experimental mutagenesis data.
Haematological and serum biochemical reference values in Chinese water deer (Hydropotes inermis): a preliminary study
Authors: Nie Dayi , Gui Jianfeng , Zhao Na , Lin Yi , Tang Haiming , Cai Feng , Shen Guoping , Liu Jiazhong , Zhang Endi , Chen Min 
Published: October 2020

Abstract
Background
A selection of haematological and serum biochemical profile was first presented from the 81 samples of Chinese water deer (Hydropotes inermis). The deer health assessment database was initially established, especially in relation to determining potential effects associated with diseases diagnosis.

Results
Blood samples were analyzed for different haematological parameters viz. white blood cells (WBC), red blood cells (RBC), haemoglobin (HGB), packed-cell volume (PCV), platelet count (PLT), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), mean corpuscular volume (MCV), mean red blood cells distribution width coefficient of variation (RDW) and different hematological parameters viz. total protein (TP), albumin (ALB), globulin (GLB), albumin to globulin ratio (A/G), total bilirubin (TBIL), alkaline phosphatase (ALP), γ-glutamyl transferase (GGT), alanine aminotransferase (ALT), aspartate aminotransferase (AST), AST/ALT, creatinine, urea (BUN), uric acid, total cholesterol (TC), triglyceride, creatine kinase (CK), lactate dehydrogenase (LDH) and cortisol. The adult females had higher values than adult males in albumin, mean corpuscular volume, packed-cell volume, and hemoglobin content values. The deer from Shanghai had higher urea nitrogen values than those from Zhoushan.

Conclusion
To our knowledge this is the first report about the haematological and serum biochemical parameters in Chinese water deer. We had initially established a profile of Chinese water deer on haematological and serum biochemical parameters based on 81 samples we had collected. The findings can serve as a primary reference for health monitoring and disease prevention in this species.
Elasticity spectra as a tool to investigate actin cortex mechanics
Authors: Lüchtefeld Ines , Bartolozzi Alice , Mejía Morales Julián , Dobre Oana , Basso Michele , Zambelli Tomaso , Vassalli Massimo 
Published: October 2020

Abstract
Background
The mechanical properties of single living cells have proven to be a powerful marker of the cell physiological state. The use of nanoindentation-based single cell force spectroscopy provided a wealth of information on the elasticity of cells, which is still largely to be exploited. The simplest model to describe cell mechanics is to treat them as a homogeneous elastic material and describe it in terms of the Young’s modulus. Beside its simplicity, this approach proved to be extremely informative, allowing to assess the potential of this physical indicator towards high throughput phenotyping in diagnostic and prognostic applications.

Results
Here we propose an extension of this analysis to explicitly account for the properties of the actin cortex. We present a method, the Elasticity Spectra, to calculate the apparent stiffness of the cell as a function of the indentation depth and we suggest a simple phenomenological approach to measure the thickness and stiffness of the actin cortex, in addition to the standard Young’s modulus.

Conclusions
The Elasticity Spectra approach is tested and validated on a set of cells treated with cytoskeleton-affecting drugs, showing the potential to extend the current representation of cell mechanics, without introducing a detailed and complex description of the intracellular structure.
Health professional regulation in historical context: Canada, the USA and the UK (19th century to present)
Authors: Adams Tracey L. 
Published: October 2020

Abstract
Background
There is no widespread agreement over what form healthcare professional regulation should take, and the evidence base concerning the effectiveness and fairness of regulatory systems and practices is limited. Those urging policy change argue there is a need to modernize; however, there is much we can learn from reviewing the history of healthcare professional regulation.

Main body
An overview of the history of regulation in Canada, with consideration of the United States of America and the United Kingdom, is provided. Self-regulating professions emerged in the nineteenth century, influenced by a variety of stakeholders responding to local concerns for healthcare quality, access and professional training. Regulatory practices changed over the course of the twentieth and twenty-first centuries in response to changing stakeholders and shifting interests.

Conclusions
Reviewing the history of healthcare professional regulation reveals lessons to inform policy in a range of settings.