bluuebunny/crossref_metadata_2025_split huggingface dataset:
Person-centred, occupation-based intervention program supported with problem-solving therapy for type 2 diabetes: a randomized controlled trial
Authors: Bahadır Ağce Zeynep , Ekici Gamze 
Published: August 2020

Abstract
Background
Individuals with diabetes mellitus have difficulty solving problems in meaningful occupations and have similar difficulties with self-care regimens. We examined the effects of an occupation-based intervention supported with problem-solving therapy in individuals with type 2 diabetes mellitus on participation in and satisfaction with meaningful occupations, diabetes-related psychosocial self-efficacy, preferred coping strategies and individual well-being.

Methods
This study was planned as a single-blind, randomised controlled study with a 3-month follow-up involving 67 adults with type 2 diabetes. The Canadian Occupational Performance Measure, Diabetes Empowerment Scale, Brief COPE and five-item World Health Organisation Well-Being Index were used. This programme included evaluations, diabetes education, and problem-solving therapy. The intervention was conducted for 6 weeks, and each weekly session lasted approximately 60 min. Differences between groups were analysed using the Mann-Whitney U test, and the Friedman test was used to calculate group-time interaction differences (i.e., baseline, after 6 weeks and after 3 months).

Results
All participants identified the most significant occupational performance problems in self-care as personal care. Significant improvement was reported in the intervention group compared to the control group regarding participation in meaningful occupation, satisfaction with performance, psychosocial self-efficacy, and well-being results (p < 0.001) after the programme and 3 months of follow-up. Participant use of effective coping strategies, active coping and acceptance strategies, and self-efficacy, as revealed by the results, suggested improvement in favour of the intervention group (p < 0.05).

Conclusions
Occupation-based problem-solving therapy encourages participation in meaningful occupations and improves psychosocial self-efficacy, effective coping styles, and well-being in patients with type 2 diabetes mellitus. Problem-solving therapies that incorporate individuals’ priorities via meaningful occupation can be used to lead to a meaningful and quality life for individuals with type 2 diabetes mellitus.

Trial registration
ClinicalTrials.gov Identifier: NCT03783598. Retrospectively Registered. First Posted-December 21, 2018, Last Update Posted-February 18, 2020.
Higher toenail selenium is associated with increased insulin resistance risk in omnivores, but not in vegetarians
Authors: Gu Qiuyun , Cui Xueying , Du Kun , Wang Bian , Cai Wei , Tang Qingya , Shen Xiuhua 
Published: August 2020

Abstract
Background
The relationship between selenium (Se) and insulin resistance remains unclear. We aim to explore the association between toenail Se levels and insulin resistance through a cross-sectional study comprising Chinese vegetarians and matched omnivores.

Methods
In this study, we enrolled 220 vegetarians and 220 omnivores matched by age and sex from Shanghai. The inductively coupled plasma mass spectrometry method was used to measure toenail Se levels. Dietary Se intakes were assessed by the 24-h dietary recall method. Blood samples were collected to measure fasting blood glucose level and fasting insulin concentrations. Insulin resistance index (HOMA-IR) and insulin secretion index (HOMA-B) were calculated to evaluate insulin resistance. Multi-linear regression analysis was performed to determine the association between toenail Se levels and insulin resistance, after adjusting for confounders.

Results
The mean ages of vegetarians (76 vegans, 144 lacto-ovo-vegetarians) and omnivores were 35.96 ± 8.73 years and 35.23 ± 8.93 years, respectively. Of these, 180 (81.8%) were female and 40 (18.2%) were male. No association was found between toenail Se levels and insulin resistance in vegetarians. However, the concentration of Se in toenails was positively correlated with fasting insulin levels (β = 1.030, 95%CI: 0.393 to 1.667) and HOMA-IR (β = 0.245, 95%CI: 0.098 to 0.392) in omnivores, after multivariate adjustment for age, sex, BMI, alcohol consumption, income, and daily dietary intakes (energy, protein, fat, carbohydrate, and fiber). This positive relationship persisted only in omnivores whose dietary Se intake was above 60 μg/d.

Conclusions
Higher toenail Se levels were associated with increased insulin resistance risk in Chinese omnivores whose dietary Se intake was above 60 μg/d, but not in vegetarians. These findings create awareness on the association of dietary Se intake above 60 μg/d with the risk of insulin resistance.
Smoking habit and chemo-radiotherapy and/or surgery affect the sensitivity of EGFR plasma test in non-small cell lung cancer
Authors: Tran Vinh Thanh , Phan Thang Thanh , Nguyen Son Truong , Tran Bich-Thu , Ho Toan Trong , Pho Suong Phuoc , Nguyen Tran Bao , Pham Tuyen Thi Bich , Le Anh Tuan , Le Vu Thuong , Nguyen Hang Thuy 
Published: August 2020

AbstractObjectiveThis study aimed to identify the influential factors for the sensitivity of epidermal growth factor receptor (EGFR) plasma test in non-small cell lung cancer (NSCLC). The mutations were detected in tumor tissue and matched plasma samples from 125 newly diagnosed adenocarcinoma, clinical-stage IIIB-IV patients, and compared the diagnostic values ofEGFRplasma test between groups of clinical characteristics. The influential factors for the sensitivity were identified and assessed by logistic regression.ResultsEGFRmutations were detected in 65 (52.0%) tumor tissue and 50 (40.0%) matched plasma samples (P = 0.028). Compared to the tissue method, the concordance rate, sensitivity, and specificity of theEGFRplasma test were 86.4%, 75.4%, and 98.3%, respectively. Notably, we found that sensitivity of the test is higher in non-smokers (84.1%) compared to smokers (57.1%,P = 0.018), and in treatment naïve subjects (85.7%) compared to whom undergone chemo-radiotherapy with/without surgery before testing (56.5%,P = 0.009). Furthermore, the highest sensitivity was attained in patients without these two factors (90.3%), whilst the lowest value was noted in those with both factors (40.0%,P = 0.004). The multivariable analysis confirmed that smoking habit and treatment history have independently negative impacts on sensitivity (OR = 0.24,P = 0.019, and OR = 0.36,P = 0.047, respectively).
Mitigative efficacy of the clinical dosage administration of granulocyte colony-stimulating factor and romiplostim in mice with severe acute radiation syndrome
Authors: Yamaguchi Masaru , Suzuki Marino , Funaba Moeri , Chiba Akane , Kashiwakura Ikuo 
Published: August 2020

AbstractBackgroundIt has been reported that the high-dosage administration of domestically approved pharmaceutical drugs, especially granulocyte colony-stimulating factor (G-CSF) and romiplostim (RP), is a rapid and appropriate medical treatment for preventing severe acute radiation syndrome (ARS) of victims exposed to lethal total-body irradiation (TBI). However, it remains unclear whether or not the clinical dosage administration of these drugs can ameliorate TBI-induced ARS and related high mortality in order to find various drug treatment options and less toxic optimum protocol depending on the situation surrounding the radiological accidents.MethodsWe assessed the clinical dosage administration in combination with G-CSF and RP as intraperitoneal injection in C57BL/6 J mice exposed to more than 7-Gy lethal dose of X-ray TBI for the survival study evaluated by the log-rank test. Bone marrow and splenic cells were collected on the 21st day, when 1 week has passed from last administration, to detect the level of cell apoptosis, intracellular reactive oxygen species (ROS), and nuclear factor erythroid 2-related factor 2 (Nrf2)-related anti-oxidative gene expressions, and enzyme-linked immune sorbent assay using sera was performed for cell senescence and inflammation status analyzed with one-way ANOVA and Tukey-Kramer or Bonferroni/Dunn multiple comparison tests.ResultsThe combined once-daily administration of 10 μg/kg G-CSF for 4 times and 10 μg/kg RP once a week for 3 times improve the 30-day survival rate of lethal TBI mice compared with untreated TBI mice, accompanied by a gradual increase in the body weight and hematopoietic cell numbers. The radio-mitigative effect is probably attributed to the scavenging of ROS and the reduction in cell apoptosis. These changes were associated with the upregulation of Nrf2 and its downstream anti-oxidative targets in TBI mice. Furthermore, this combination modulated TBI-induced cell senescence an d inflammation markers.ConclusionsThis study suggested that the clinical dosage administration in combination with G-CSF and RP may also have radio-mitigative effects on mice exposed to lethal TBI and may be a potent therapeutic agent for mitigating radiation-induced severe ARS.
Simultaneous detection of downy mildew and powdery mildew pathogens on Cucumis sativus and other cucurbits using duplex-qPCR and HRM analysis
Authors: Bandamaravuri Kishore Babu , Nayak Ashish K. , Bandamaravuri Anu Sharma , Samad Abdul 
Published: August 2020

AbstractPowdery mildew and downy mildew are two devastating diseases on cucumber and other cucurbit crops caused by Podosphaera xanthii and Pseudoperonospora cubensis, respectively. Identification and detection of these pathogens from field and plant material could be significant for the selection of resistant varieties and formulation of disease management strategies. In the present study, a duplex qPCR assay developed for simultaneous detection and quantification of both pathogens from different samples. Two sets of species-specific primers developed for the detection of P. xanthii and P. cubensis pathogens by targeting the internal transcribed spacer (ITS) region of the rDNA gene cluster. The specificity of designed primers was also evaluated against the different microbial, plant, soil, and environmental samples. Initially, the individual assays for P. cubensis and P. xanthii were validated using their corresponding species-specific primers, which amplified the prominent and distinctive products of ~ 705 bp and ~ 290 bp size, respectively. SYBR green-based duplex real-time PCR assay was developed to detect and quantify both mildew pathogens from different field samples. The species-specific oligonucleotide primer sets showed high specificity with melt curve peaks at 85.83 °C and 88.05 °C, for P. xanthii and P. cubensis, respectively. The relative quantification and lowest detection limit of qPCR assays using tenfold diluted plasmid (Csp1 and Csd1) DNA were estimated (0.1 pg/µl) through a standard curve. In this study, the species-specific PCR and qPCR assays in both simplex and duplex formats have been validated successfully. These assays could be useful for efficient detection and quantification of mildew pathogens from the cucumber and other cucurbit crops.
Hopf bifurcation analysis of nonlinear HIV infection model and the effect of delayed immune response with drug therapies
Authors: Geetha V. , Balamuralitharan S. 
Published: August 2020

AbstractA mathematical model of HIV infection with the combination of drug therapy including cytotoxic T-lymphocyte (CTL) and the antibody immune response is examined. The threshold value represented as the basic reproduction ratio $R_{0}$

R
0

is derived. This reveals that $R_{0} < 1$

R
0

<
1
is locally asymptotically stable in the viral free steady state, and the infected steady state condition remains locally asymptotically stable with $R_{0} > 1$

R
0

>
1
in the absence of a delay in the immune response. Moreover, the existence of Hopf bifurcation with CTL response delay is demonstrated. The estimation of delay length is used to maintain stability. Numerical simulations are implemented to explain the mathematical results.
Explicit monotone iterative sequences for positive solutions of a fractional differential system with coupled integral boundary conditions on a half-line
Authors: Zhang Haiyan , Wang Yongqing , Xu Jiafa 
Published: August 2020

AbstractIn this paper we consider a fractional differential system with coupled integral boundary value problems on a half-line, where the nonlinearity terms depend on unknown functions and the lower-order fractional derivative of unknown functions, and the fractional infinite boundary value conditions depend on the coupled infinite integral of unknown functions. By virtue of the monotone iterative technique, we find two explicit monotone iterative sequences which converge to the positive minimal and maximal solutions when the nonlinearities can satisfy certain nonlinear growth conditions.
Seasonal activity levels of a farm-island population of striated caracaras (Phalcoboenus australis) in the Falkland Islands
Authors: Harrington Katie J. , Fahlbusch James A. , Langrock Roland , Therrien Jean-François , Houtz Jennifer L. , McDonald Birgitte I. 
Published: August 2020

AbstractBackgroundAnimals need adaptive strategies to cope with seasonal changes in prey availability to survive and reproduce, which can include migrating, prey-switching, or reducing metabolic needs. Human settlements can disrupt spatiotemporal patterning in resource availability, which can affect animals’ foraging success, particularly for juveniles who are behaviorally developing and learning efficient foraging skills. Here, we investigate behavioral responses of juvenile striated caracaras, a near-threatened scavenging falconid, to seasonally migratory seabird prey and a farm settlement on Saunders Island, Falklands. We deployed accelerometer–GPS dataloggers (n = 27) to measure seasonal differences in daily and hourly vectorial dynamic body acceleration (VeDBA; an activity index measured in gravitational g) and space use, and investigated seasonal variation in body mass of the tagged subset and an additional 65 caracaras.ResultsJuvenile caracaras were overall similarly active in winter and summer. However, during winter, caracaras made the most of limited daylight by increasing average daytime activity (winter males: 0.16 ± 0.03 g, summer males: 0.09 ± 0.01 g, winter females: 0.12 ± 0.02 g, summer females: 0.08 ± 0.01 g). During winter, both sexes increased the percentage of daylight spent in high activity (winter males: 35 ± 5%, summer males: 21 ± 3%, winter females: 25 ± 6%, summer females: 16 ± 3%,p < 0.001) and ranged nearly 4 times farther (95% kernel density estimate winter: 2.36 ± 0.96 km2, summer: 0.61 ± 0.20 km2;p < 0.001). Furthermore, on a daily scale, males were 21% more active than females year-round (24-h average VeDBA: males 0.07 ± 0.01 g, females 0.06 ± 0.01 g;p < 0.01). We did not observe a significant seasonal difference in mass.ConclusionThat caracaras’ daily activity and body mass did not vary between seasons suggests that wintering birds on Saunders are meeting resource requirements despite the absence of seasonally migratory prey. We hypothesize that human subsidies may mitigate the effect of seasonal food limitations. Further research should include studies on seasonal energetics to improve our understanding of baseline body condition, and comparative studies on other islands and including adults to understand the importance of human subsidies.
Deep Q-network to produce polarization-independent perfect solar absorbers: a statistical report
Authors: Sajedian Iman , Badloe Trevon , Lee Heon , Rho Junsuk 
Published: August 2020

AbstractUsing reinforcement learning, a deep Q-network was used to design polarization-independent, perfect solar absorbers. The deep Q-network selected the geometrical properties and materials of a symmetric three-layer metamaterial made up of circular rods on top of two films. The combination of all the possible permutations gives around 500 billion possible designs. In around 30,000 steps, the deep Q-network was able to produce 1250 structures that have an integrated absorption of higher than 90% in the visible region, with a maximum of 97.6% and an integrated absorption of less than 10% in the 8–13 µm wavelength region, with a minimum of 1.37%. A statistical analysis of the distribution of materials and geometrical parameters that make up the solar absorbers is presented.
Thrombocytopenic purpura on an organic farm with pen mating: a case report on the re-emergence of an old disease
Authors: Joller Sara , Häfliger Irene M. , Drögemüller Cord , Richard Olivia K. , Grahofer Alexander 
Published: August 2020

AbstractBackgroundThrombocytopenia is an immune-mediated disease, which affects suckling piglets. Piglets are pale and inactive, show multiple hemorrhages and often die within days. Pathological examination reveals severe haemorrhages and oedema in several organs. Severe thrombocytopenia and elongated bleeding time characterize the disease haematologically.The sow produces antibodies against the thrombocyte antigens of the boar, which are present in the blood of the piglets. These isoimmune antibodies attack the platelets and megakaryocytes of the piglets, causing thrombocytopenia in succeeding matings of the same boar and sow. There is no known therapy against this condition. In the last few decades, the disease has become rare due to the increase of artificial insemination.Case presentationOn an organic breeding farm in Switzerland with a high percentage of natural pen matings, piglets of three litters showed haemorrhages on the skin, prolonged bleeding time and were generally in a reduced general state. A pathological examination revealed multifocal haemorrhages in the stomach, kidneys, dermis, mesenterium and spinal cord. Haematology showed a massive thrombocytopenia and regenerative anaemia. Due to these findings the diagnosis of thrombocytopenic purpura was established.To avoid further matings of the same boar and sow and thus more affected piglets, out of three possible boars the responsible sire had to be determined. This was achieved through array genotyping and subsequent computation of identity by descent and calculation of Mendelian errors for parentage verification. Thereby the responsible boar was identified and as a consequence removed from the farm. Further preventive measures, that had been established, included the recording of all matings and regular exchange of boars.ConclusionThe decreased number of natural matings with the surge of artificial insemination has probably reduced the number of cases of thrombocytopenic purpura and thus the disease awareness of farmers and veterinarians. However, as consumers wish for better animal welfare and higher ecological standards we may see a rise in natural matings and thus a return of the disease. In case of affected litters, genetic testing was proven a valid method for investigation and prevention of more cases and may be used more in the future.
Geographical disparities and determinants of childhood diarrheal illness in Ethiopia: further analysis of 2016 Ethiopian Demographic and Health Survey
Authors: Atnafu Asmamaw , Sisay Malede Mequanent , Demissie Getu Debalkie , Tessema Zemenu Tadesse 
Published: August 2020

Abstract
Background
Childhood diarrheal illness is the second leading cause of child mortality in sub-Saharan Africa, including Ethiopia. Epidemiology of diarrhea has long-term implications with respect to medical, social, and economic consequences. Studies hypothesize that there have been regional differences, and this study aimed to examine the spatial variations and identify the determinants of childhood diarrhea in Ethiopia.

Methods
Data from the 2016 Demographic and Health Survey of Ethiopia (EDHS), which included 10,337 aged under 5 years were analyzed. The survey was conducted using a two-stage stratified sampling design. The study attempted to detect and test the clustering of diarrhea cases using global Moran’s I and LISA. Descriptive statistics followed by mixed-effect logistic regressions were used to identify factors related to the prevalence of diarrhea.

Results
Overall, 11.87% of the children experienced childhood diarrheal illness. The study showed that the risk was high in the southern and central parts and low in the eastern and western regions of the country. Children aged 6–12 (AOR = 2.66, [95% CI 2.01, 3.52]), 12–23 (AOR = 2.45, [95% CI 1.89, 3.17]), and 24–35 (AOR = 1.53, [95% CI 1.17, 2.01]) months were more likely to suffer from childhood diarrhea than those aged less than 6 months. Children in Tigray (AOR = 1.69 [95% CI 1.01, 2.83]), Amhara (AOR = 1.80, [95% CI 1.06, 3.06]), SNNPR (AOR = 2.04, [95% CI 1.22, 3.42]), and Gambella (AOR = 2.05, [95% CI 1.22, 3.42]) were at higher risk than those in Addis Ababa. The odds of getting diarrhea decreased by 24% among households with ≥ 3 under-five children compared to those with only one under-five child (AOR = 0.76 [95% CI 0.61, 0.94]). The odds of getting diarrheal illness for the children of employed mothers increased by 19% compared to those children of non-employed mothers (AOR = 1.19 [95% CI 1.03, 1.38]).

Conclusions
Childhood diarrheal disease is prevalent among under-five children, particularly in the regions of SNNP, Gambella, Oromia, and Benishangul Gumuz, while the regions are generally making progress in reducing childhood illness. Capacity building programs with the best experience sharing and better home environments can be effective in reducing the incidence of childhood diarrhea in Ethiopia.
Surveillance and distribution of the emergent Sri Lankan cassava mosaic virus in China
Authors: Wang Duan , Huang Guixiu , Shi Tao , Wang Guofen , Fang Rongxiang , Zhang Xuan , Ye Jian 
Published: August 2020

AbstractCassava (Manihot esculenta Crantz) is a major staple food crop for more than a billion people in the world. Cassava mosaic virus (CMV), belonging to the Geminiviridae family, is a primary threat to cassava production. Sri Lankan cassava mosaic virus (SLCMV) is the only emergent CMV prevalent in South Asia and Southeast Asia since its identification in 2002. We reported the identification of two invasive strains of SLCMV, Col and HN7, in China in 2018. However, the occurrence and distribution of these known SLCMV strains and the presence of unknown geminivirus in China are still elusive. In this study, we firstly reported an improved CMV detection system based on molecular and serological methods, which was further used to determine the distribution of CMV in major cassava plantations in China. Two optimized PCR primer pairs based on the conserved regions of AV1 and AC1 genes were designed to detect different CMV species and distinguish SLCMV simultaneously. For a serological method, a polyclonal antibody against SLCMV AV1-encoded capsid protein was raised and used for enzyme-linked immunosorbent assay (ELISA). Consistent detection results were achieved by PCR- and ELISA-based methods. Among 62 examined samples collected in 2018, 10 were SLCMV positive, with 4 coinfection cases of two strains (HN7 and Col) in the same cassava plant. Two primer pairs could also be used to detect the presence of CMV in whitefly (Bemisia tabaci) sensitively. All positive samples were from Fujian and Hainan Provinces, indicating a limited distribution of SLCMV in cassava plants in China. Our detection methods could be used for future surveillance system to control and manage cassava mosaic disease in China and other countries.