bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long interspersed nuclear element 1 hypomethylation has novel prognostic value and potential utility in liquid biopsy for oral cavity cancer
Authors: Misawa Kiyoshi , Yamada Satoshi , Mima Masato , Nakagawa Takuya , Kurokawa Tomoya , Imai Atsushi , Mochizuki Daiki , Shinmura Daichi , Yamada Taiki , Kita Junya , Ishikawa Ryuji , Yamaguchi Yuki , Misawa Yuki , Kanazawa Takeharu , Kawasaki Hideya , Mineta Hiroyuki 
Published: October 2020

Abstract
Background
New biomarkers are urgently needed to improve personalized treatment approaches for head and neck squamous cell carcinoma (HNSCC). Global DNA hypomethylation has wide-ranging functions in multistep carcinogenesis, and the hypomethylation of long interspersed nucleotide element-1 (LINE-1) is related to increased retrotransposon activity and induced genome instability. However, little information is available regarding LINE-1 hypomethylation and its prognostic implications in HNSCC.

Methods
In this study, we analyzed LINE-1 hypomethylation levels in a well-characterized dataset of 317 primary HNSCC tissues and 225 matched pairs of normal mucosa tissues, along with five oral cavity cancer (OCC) circulating tumor DNA (ctDNA) samples using quantitative real-time methylation and unmethylation PCR. The analysis was performed according to various clinical characteristics and prognostic implications.

Results
The results demonstrated that LINE-1 hypomethylation levels were significantly higher in the HNSCC tissues than in corresponding normal tissues from the same individuals (P < 0.001). Univariate analysis revealed that high levels of LINE-1 hypomethylation were correlated with poor disease-free survival (DFS; log-rank test, P = 0.038), whereas multivariate analysis demonstrated that they were significant independent prognostic factor for DFS (hazard ratio: 2.10, 95% confidence interval: 1.02–4.36; P = 0.045). Moreover, samples with high LINE-1 hypomethylation levels exhibited the greatest decrease in 5-hydroxymethylcytosine (5-hmC) levels and increase in tumor-suppressor gene methylation index (P = 0.006 and P < 0.001, respectively). Further, ctDNA studies also showed that LINE-1 hypomethylation had high predictive ability in OCC.

Conclusions
LINE-1 hypomethylation is associated with a higher risk of early OCC relapse, and is hence, a potential predictive biomarker for OCC. Furthermore, 5-hmC levels also exhibited predictive potential in OCC, based on their inverse correlation with LINE-1 hypomethylation levels. LINE-1 hypomethylation analysis, therefore, has applications in determining patient prognosis and real-time surveillance of disease recurrence, and could serve as an alternative method for OCC screening.
Anatomy of active volcanic edifice at the Kusatsu–Shirane volcano, Japan, by magnetotellurics: hydrothermal implications for volcanic unrests
Authors: Tseng Kuo Hsuan , Ogawa Yasuo , Nurhasan  , Tank Sabri Bülent , Ujihara Naoto , Honkura Yoshimori , Terada Akihiko , Usui Yoshiya , Kanda Wataru 
Published: October 2020

AbstractWe aimed to perform three-dimensional imaging of the underlying geothermal system to a depth of 2 km using magnetotellurics (MT) at around the Yugama crater, the Kusatsu–Shirane Volcano, Japan, which is known to have frequent phreatic eruptions. We deployed 91 MT sites focusing around the peak area of 2 km × 2 km with typical spacings of 200 m. The full tensor impedances and the magnetic transfer functions were inverted, using an unstructured tetrahedral finite element code to include the topographic effect. The final model showed (1) low-permeability bell-shaped clay cap (C1) as the near-surface conductor, (2) brine reservoir as a deep conductor (C3) at a depth of 1.5 km from the surface, and (3) a vertical conductor (C2) connecting the deep conductor to the clay cap which implies an established fluid path. The columnar high-seismicity distribution to the east of the C2 conductor implies that the flushed vapor and magmatic gas was released from the brine reservoir by breaking the silica cap at the brittle–ductile transition. The past magnetization/demagnetization sources and the inflation source of the 2014 unrest are located just below the clay cap, consistent with the clay capped geothermal model underlain by brine reservoir. The resistivity model showed the architecture of the magmatic–hydrothermal system, which can explain the episodic volcanic unrest.
Neuromuscular blocking agents in acute respiratory distress syndrome: updated systematic review and meta-analysis of randomized trials
Authors: Tarazan Nehal , Alshehri Moayad , Sharif Sameer , Al Duhailib Zainab , Møller Morten Hylander , Belley-Cote Emilie , Alshahrani Mohammed , Centofanti John , McIntyre Lauralyn , Baw Bandar , Meade Maureen , Alhazzani Waleed ,   for the GUIDE Group
Published: October 2020

Abstract
Purpose
Existing clinical practice guidelines support the use of neuromuscular blocking agents (NMBA) in acute respiratory distress syndrome (ARDS); however, a recent large randomized clinical trial (RCT) has questioned this practice. Therefore, we updated a previous systematic review to determine the efficacy and safety of NMBAs in ARDS.

Methods
We searched MEDLINE, EMBASE (October 2012 to July 2019), the Cochrane (Central) database, and clinical trial registries (ClinicalTrials.gov, ISRCTN Register, and WHO ICTRP) for RCTs comparing the effects of NMBA as a continuous infusion versus placebo or no NMBA infusion (but allowing intermittent NMBA boluses) on patient-important outcomes for adults with ARDS. Two independent reviewers assessed the methodologic quality of the primary studies and abstracted data.

Results
Seven RCTs, including four new RCTs, met eligibility criteria for this review. These trials enrolled 1598 patients with moderate to severe ARDS at centers in the USA, France, and China. All trials assessed short-term continuous infusions of cisatracurium or vecuronium. The pooled estimate for mortality outcomes showed significant statistical heterogeneity, which was only explained by a subgroup analysis by depth of sedation in the control arm. A continuous NMBA infusion did not improve mortality when compared to a light sedation strategy with no NMBA infusion (relative risk [RR] 0.99; 95% CI 0.86–1.15; moderate certainty; P = 0.93). On the other hand, continuous NMBA infusion reduced mortality when compared to deep sedation with as needed NMBA boluses (RR 0.71; 95% CI 0.57–0.89; low certainty; P = 0.003). Continuous NMBA infusion reduced the rate of barotrauma (RR 0.55; 95% CI 0.35–0.85, moderate certainty; P = 0.008) across eligible trials, but the effect on ventilator-free days, duration of mechanical ventilation, and ICU-acquired weakness was uncertain.

Conclusions
Inconsistency in study methods and findings precluded the pooling of all trials for mortality. In a pre-planned sensitivity analysis, the impact of NMBA infusion on mortality depends on the strategy used in the control arm, showing reduced mortality when compared to deep sedation, but no effect on mortality when compared to lighter sedation. In both situations, a continuous NMBA infusion may reduce the risk of barotrauma, but the effects on other patient-important outcomes remain unclear. Future research, including an individual patient data meta-analysis, could help clarify some of the observed findings in this updated systematic review.
The dangers of mass drug administration of albendazole in Nepal, a Neurocysticercosis-endemic region
Authors: Nepal Gaurav , Kharel Ghanshyam , Shing Yow Ka , Ojha Rajeev , Jamarkattel Sujan , Yadav Jayant Kumar , Vyas Himani , Poudyal Dhiraj , Sah Ranjit 
Published: October 2020

AbstractThe majority of cases of Neurocysticercosis (NCC) are asymptomatic. Injudicious use of antihelmintics like albendazole (ALB) can cause cyst degeneration and perilesional inflammation, thus rendering asymptomatic individuals symptomatic with seizures, headache, vascular events, or cerebral edema. Mass drug administration (MDA) using ALB is a very common practice in developing countries like Nepal to contain transmission of soil-transmitted helminths (STH) and lymphatic filariasis (LF). Although the benefits of ALB-based MDA in the general population cannot be undermined, there can be severe consequences in certain groups, especially those with latent NCC. In this commentary, we discuss the effect it may have on such patients, and suggest potential solutions.
Discontinuation of implants use and associated factors among women attending health facility clinics in Hawassa City, Southern Ethiopia, 2019; cross sectional study
Authors: Amare Abebe Belay , Reda Terefe Mulu 
Published: October 2020

Abstract

Background
Despite improving the availability and use of Implants, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern in the health system and its consequence may lead to a program failure. This might have also social and economic consequences for users. Only 8% of married women in Ethiopia use implants. Apart from its low utilization, premature removal is common for unknown reasons. However, there is paucity of information on discontinuation of implants use and associated factors in the study area.

Objective
The study was aimed to assess discontinuation of implants use and associated factors among women attending health facility clinics in Hawassa city, southern Ethiopia, from March, 01-April, 01/2019.

Methods
Facility based cross sectional study design was used. Out of 16 health facilities, 9 of them were selected for this study using simple random sampling. Total sample size of this study was determined to be 351. Data were collected from study subjects using pretested, structured questionnaire through a face-to-face interview. Data was analyzed using descriptive statistics and logistic regression. The result is presented using the Crude Odds ratio as well as Adjusted Odds Ratio with the corresponding 95% confidence level.

Result
Out of 351 study participants, the overall proportion of implants discontinuation was 49.3%(95% CI: 44.2–55.0). Lack of counseling about side effects (AOR = 2.394; 95% CI: 1.422–4.030), developing side effects (AOR = 6.325; 95% CI: 3.719–10.757) and lack of post insertion follow-up (AOR = 2.241; 95% CI: 1.186–4.234) the major factors associated with discontinuation of Implants.

Conclusion and recommendation
In this study, the overall proportion of discontinuation of Implants among women who were using Implants was high. Health professionals could give pre-insertion counseling about side effects and post insertion dates for follow-up to improve of utilization of implants.
The development of body and organ shape
Authors: Cobham Ansa E. , Mirth Christen K. 
Published: October 2020

Abstract
Background
Organisms show an incredibly diverse array of body and organ shapes that are both unique to their taxon and important for adapting to their environment. Achieving these specific shapes involves coordinating the many processes that transform single cells into complex organs, and regulating their growth so that they can function within a fully-formed body.

Main text
Conceptually, body and organ shape can be separated in two categories, although in practice these categories need not be mutually exclusive. Body shape results from the extent to which organs, or parts of organs, grow relative to each other. The patterns of relative organ size are characterized using allometry. Organ shape, on the other hand, is defined as the geometric features of an organ’s component parts excluding its size. Characterization of organ shape is frequently described by the relative position of homologous features, known as landmarks, distributed throughout the organ. These descriptions fall into the domain of geometric morphometrics.

Conclusion
In this review, we discuss the methods of characterizing body and organ shape, the developmental programs thought to underlie each, highlight when and how the mechanisms regulating body and organ shape might overlap, and provide our perspective on future avenues of research.
The effect of individual factors on user behaviour and the moderating role of trust: an empirical investigation of consumers’ acceptance of electronic banking in the Kurdistan Region of Iraq
Authors: M. Hamakhan Yadgar Taha 
Published: October 2020

AbstractThe popularity of self-service technologies, particularly in the banking industry, more precisely with electronic banking channel services, has undergone a major change as individuals' lifestyles develop. This change has affected individuals’ decisions about accepting any new Information Technology, and Information Communications Technology services that are electronically mediated, for example, E-Banking channel services. This study investigates the effect of Individual Factors on User Behaviour, and the moderating role of Trust in the relationship between Individual Factors, and User Behaviour based on the Unified Theory of Acceptance and Use of Technology. This research proposes a model, with a second-order components research framework. It improves current explanations of the acceptance of electronic banking channel services. Furthermore, this study highlights the role of trust on the acceptance of electronic banking channel services, which is the most crucial consideration in customers’ decisions to accept electronic banking channels services. Thus, trust is the spine of the system in the Kurdistan Region of Iraq. Data were collected using an online questionnaire that received 476 valid responses from academic staff who work at the University of Sulaimani. The model tested data using the Partial Least Squares-Structural Equation Modelling approach. The results show that Individual Factors have a positive effect on User Behaviour. Besides, results show that trust moderates the relationship between Individual Factors and User Behaviour.
UV irradiation-promoting effect on the antibacterial activity of cyanobacterial extracts against plant pathogens: a first record
Authors: Aldayel Munirah , El Semary Nermin 
Published: October 2020

Abstract
Background
Cyanobacteria possess a wide array of bioactive compounds including those with antimicrobial activities. The target was to investigate the UV effect on antimicrobial activity of cyanobacterial extracts. Several cyanobacterial strains were isolated from Eastern region of KSA as well as three plant pathogenic bacterial strains. Four cyanobacterial strains were used. Two strains were isolated from Al Uquair region, Arabian Gulf, and identified as Synechococcus sp. and Oscillatoria sp. The two other strains were collected from brackish stream of underground water and were characterized as Synechocystis sp. and Phormidium sp. The antimicrobial bioassay was then performed using cyanobacterial aqueous extracts. The antimicrobial effect was estimated by measuring the inhibition zone compared to that of control. The extract was divided into 2 parts: part was not exposed to UV and the other was exposed to UV-B irradiation for 10 min. The antimicrobial bioassay was performed for both parts of the extract, using plant pathogenic bacteria, namely, Erwinia sp., Pseudomonas sp., and Bacillus sp.

Main body
The antimicrobial profile was examined and results showed that the extracts showed non-antimicrobial effect before UV irradiation, and antimicrobial effect after UV exposure. Also, those that were active against pathogenic bacteria were more active after UV exposure. This is mostly attributed to a high optical energy of UV irradiation that subsequently had a significant impact on the electron transitions in the molecules of the extract rendering some of them more effective in their antibacterial action.

Conclusion
This short communication was the first report where the UV can alter the antimicrobial profile of cyanobacterial extracts. This is a novel approach in enhancing antibacterial activity. Future molecular investigations will be conducted to further characterize the isolate whose extract showed the highest response to UV treatment.
Nutritional quality of formulated complementary diet from defatted almond seed, yellow maize and quality protein maize flours
Authors: Adesanmi Ade Raymond , Malomo Sunday Abiodun , Fagbemi Tayo Nathaniel 
Published: October 2020

AbstractTraditional complementary foods are mainly starchy foods with limiting nutrient quality and can be fortified using protein rich crops like almond seed. This research thus aimed at investigating the nutritional quality of the formulated complementary diet from locally available almond seeds (Prunus amygdalus), high quality protein (QPM) and yellow maize after blending into flours. The proximate and amino acid compositions, in vitro protein qualities and functional properties of the blended flours were determined using standard methods. The in vivo studies involved feeding the weanling Wister albino rats with blended flours and commercial Cerelac (control), followed by hematological and histopathological determinations, while sensory attributes were evaluated by the semi-trained panelists. The protein contents of the flour blends (24–28%) were significantly (p < 0.05) better with adequate indispensable amino acids and improved functionalities than commercial cerelac (23%). Comparatively, the dried germinated QPM (DGQPM) has significant (p < 0.05) higher biological value (~ 37%) than fermented high QPM (FHQPM) (~ 30%), thereby indicating that the germination process improved protein quality of the diets. Besides, the in vivo data showed a positive effect of germination process as the rats fed with DGQPM has low white blood cells (30 × 102) compared to FHQPM (42 × 102) and cerelac (51 × 102). However, the fermentation process improved the packed cell volume of rats fed with FHQPM (49%) when compared to DGQPM and cerelac (47%). The formulated diets have no negative effects on the protein content (45.19–51.88 mg N/g) and weight (0.25–1.36 g) of the internal organs (liver, kidney and tissue) of the animals when compared to cerelac (53.72–55.04 mg N/g; 0.25–1.98 g), respectively. The panelists generally accepted all the formulated diets, hence encouraging their utilization in the global preparation of complimentary foods for young children to meet their nutritional needs and adding value to the locally produced underutilized almond seeds.
PET/CT and contrast-enhanced CT: making a difference in assessment and staging of patients with lymphoma
Authors: Zytoon Ashraf Anas , Mohamed Hala Hafez , Mostafa Basma Adel Abd Elaziz , Houseni Mohamed Mohamed 
Published: October 2020

AbstractBackgroundThe aim of this study is to evaluate the diagnostic performance of contrast-enhanced computed tomography (CECT) and 2-[Fluorine-18] fluoro-2-deoxy-d-glucose positron emission tomography combined to computed tomography (18 F-FDG PET/CT) in assessment of lymphoma.MethodsHundred patients, pathologically proven as lymphoma, were evaluated by CECT and 18F-FDG PET/CT for initial assessment and staging of the disease. The number of lesions and the disease stage detected by each modality was calculated and further analyzed to be compared.Results18F-FDG PET/CT diagnosed a total number of 545 lymphoma involved regions with sensitivity 96.6%, specificity 98.8%, and accuracy 99% that was higher than CECT which diagnosed a total number of 439 lymphomatous regions with sensitivity 87.5%, specificity 85.7%, and accuracy 88%. Discordant staging by both modalities was found in 23% of the patients. Lymphoma was upstaged by PET/CT in 17% of the patients; with major changes in 12% of them and downstaged in 6% of the patients.Conclusion18F-FDG PET/CT scan has a better diagnostic performance, represented by sensitivity, specificity, and accuracy, than CECT scan in the initial assessment of lymphoma regarding its nodal and extra-nodal lesions that could lead to alteration of disease staging which in turn markedly affecting the decision of treatment regimens.
Heterotopic pregnancy: a case report
Authors: Ali Tamer , Tawab Mohamed A. , ElHariri Mona Abdel Ghaffar , Ayad Alaa A. 
Published: October 2020

Abstract

Background
Heterotopic pregnancy describes the occurrence of two pregnancies in different implantation sites simultaneously, which is rare, yet it is a challenge to diagnose such a problem due to complex clinical and laboratory findings. In the current study, we present a case of first trimester heterotopic pregnancy diagnosed by ultrasound (US) and magnetic resonance imaging (MRI) and was managed successfully.

Case presentation
A 22-year-old primigravida lady with spontaneous pregnancy was presented by increasing lower abdominal pain for 5 days with brownish vaginal discharge, nausea, and vomiting episodes. Trans-abdominal and endovaginal ultrasound was performed and revealed a viable intrauterine pregnancy of 8 weeks and 1 day, associated with a heterogeneous complex right adnexal mass. MR imaging revealed a right adnexal mass intimately anterior to the normal right ovary. Laparascopy was done; it revealed a distended right fallopian tube with pregnancy while the right ovary was not seen (impeded in the pouch of Douglas), and right salpingectomy was done. The specimen was sent for histopathology. The patient tolerated the procedure well and was then taken to the recovery room in stable condition. The histopathological report confirmed the diagnosis of ectopic pregnancy.

Conclusion
However, heterotopic is a rare condition, any pregnant woman presenting with alarming abdominal pain and adnexal abnormality; heterotopic pregnancy should be among the differential diagnosis possibilities. The patient should be thoroughly investigated using ultrasound and MRI if needed, to exclude this rare diagnosis and allow on-time proper management.