bluuebunny/crossref_metadata_2025_split huggingface dataset:
Qualitative exploration of the acceptability of a postnatal pelvic floor muscle training intervention to prevent urinary incontinence
Authors: Grant Aileen , Currie Sinead 
Published: December 2019

Abstract
Background Childbirth is a major risk factor for urinary incontinence (UI). As a result, pelvic floor muscle training (PFMT) is commonly recommended during and after pregnancy to prevent the onset of UI. PFMT is often classed as a physical activity (PA) behaviour, hence PA guidelines for postnatal women encourage PFMT alongside aerobic activities. However, postnatal lifestyle interventions tend to overlook PFMT which can be detrimental to women’s health and future health risks, including urinary incontinence. This study aimed to explore perceptions and acceptability of a postnatal physical activity and PFMT intervention with postnatal women in Scotland.Methods We recruited women who had given birth within the last five years by displaying posters in health centres and community centres in Stirling and through Facebook. Data was gathered via online and face-to-face focus groups, which were audio recorded and transcribed verbatim. Analytic themes were initially organised under related concepts derived from the topic guide and thematic analysis conducted. Subsequent analysis was by the Framework technique.Results A total of seven online and face-to-face focus group discussions with 31 women identified there was a clear intention behaviour gap for engagement in PA with both psychological and logistical barriers identified such as motivation and childcare. This was distinct from PFMT where there was a feeling of helplessness around not knowing how to perform a correct PFMT contraction subsequently resulting in women not adhering to PFMT guidance. Women felt there was no accessible PFMT advice available through the NHS. Some participants had received PFMT advice after childbirth and spoke of the Squeezee app being useful in adhering to a PFMT regimen but they did require additional teaching on how to do correct contractions. There was need for clarity and practical support for PFMT in the postnatal period with an approved intervention incorporating an accessible app being suggested by participants.Conclusions Women would like to be trained on postnatal PFMT but face barriers to accessing adequate information and education on how to do a PFMT contraction. An intervention combining PFMT training and an app would be the most useful for their needs and circumstances.
Genome-wide identification and analysis of WRKY gene family in jute(Corchorus capsularis)
Authors: Zhang Lilan , Wan Xuebei , Xu Yi , Niyitanga Sylvain , Qi Jianmin , Zhang Liwu 
Published: December 2019

Abstract
Background WRKY transcription factor is a kind of transcription factor which plays an important role in plant response to biotic, abiotic stress, plant growth and development. However, little information was available about the WRKY genes in jute ( Corchorus capsularis ).Results In the present study, 43 jute WRKY (CcWRKY) genes were identified by using Pfam database domain search and BLAST homology alignment based on the transcriptome data of jute. And the gene structure, phylogeny, conserved domain and three-dimensional structure of protein were also analyzed by GSDS2.0, MEGA7.0, DNAMAN5.0, WebLogo 3 and SWISS-MODEL bioinformatics tools. According to the WRKY conserved domain features and the evolution analysis with Arabidopsis thaliana , 43 members were divided into three classes: I, II and III containing 9, 28, 6 members, respectively. According to the evolutionary relationship, class II further divided into five subclasses: II-a (2), II-b (7), II-c (7), II-d (6) and II-e (6). Genetic structure analysis showed that exon and intron number of CcWRKY genes had high variability (3-11 exons), even within the same subgroup. Most of the CcWRKY genes were expressed in different tissues, but they were mainly expressed in stem bark and stem stick. After GA 3 stress, the expression of most WRKY genes in GA 3 -sensitive variety "Aidianyehuangma" was significantly different from that of normal variety "Huangma 179". These results indicated that CcWRKY genes play an important role in gibberellin biosynthesis pathway and fiber development.Conclusions CcWRKY proteins are highly conserved, the length of the gene sequence and the number of introns varied widely, all WRKY genes showed a variety of expression patterns in different tissues, most of the WRKY genes responded to GA 3 stress, which play an important role in gibberellin biosynthesis pathway and bast fiber development.
The S68G polymorphism is a compensatory mutation associated with the drug resistance mutation K65R in CRF01_AE strains
Authors: Li Shengjia , Ouyang Jinming , Zhao Bin , An Minghui , Wang Lin , Ding Haibo , Zhang Min , Han Xiaoxu , Shang Hong 
Published: December 2019

Abstract
Background

The rate of S68G mutation in human immunodeficiency virus type 1 (HIV-1) reverse transcriptase has increased and is closely related to the K65R mutation among CRF01_AE-infected patients who failed treatment. We aimed to explore the temporal association of S68G and K65R mutations and disclose the role of the former on susceptibility to nucleotide/nucleoside reverse transcriptase inhibitor (NRTI) and viral replication with the K65R double mutations among CRF01_AE-infected patients who failed treatment.

Methods

The occurrence of S68G and K65R mutations was evaluated among HIV-1 of various subtypes in the global HIV Drug Resistance Database. The temporal association of S68G and K65R mutations was analyzed through next-generation sequencing in four CRF01_AE-infected patients who failed treatment with tenofovir/lamivudine/efavirenz. The impact of the S68G mutation on susceptibility to NRTI and replication fitness was analyzed using pseudovirus phenotypic resistance assays and growth competition assays, respectively.

Results

The frequency of the S68G mutation increased by 1.4–9.7% in almost all HIV subtypes and circulating recombinant forms in treatment-experienced patients, except subtype F. The S68G mutation often occurred in conjunction with the K65R mutation among RTI-treated patients, with frequencies ranging 21.1%–61.7% in various subtypes. Next-generation sequencing revealed that the S68G mutation occurred following the K65R mutation in three of the four CRF01_AE-infected patients. In these three patients, there was no significant change detected in the half maximal inhibitory concentration for zidovudine, tenofovir, or lamivudine between the K65R and K65R/S68G mutations, as demonstrated by the phenotypic resistance assays. Virus stocks of the K65R and K65R/S68G mutations were mixed with 4:6, 1:1, and 9:1 and cultured for 13 days, the K65R/S68G mutants outgrew those of the K65R mutants irrespective of the input ratio.

Conclusions

S68G may be a natural polymorphism and compensatory mutation of K65R selected by NRTIs in the CRF01_AE strain of HIV-1. This mutation does not affect susceptibility to NRTI; however, it improves the replication fitness of K65R mutants. This study deciphers the role of the S68G mutation in the HIV reverse transcriptase of the CRF01_AE strain and provides new evidence for the interpretation of drug-resistant mutations in non-B subtypes of HIV-1.
Absence of reproduction-immunity trade-off in male Drosophila melanogaster evolving under differential sexual selection.
Authors: Syed Zeeshan Ali , Gupta Vanika , Arun Manas Geeta , Dhiman Aatashi , Nandy Bodhisatta , Prasad Nagaraj Guru 
Published: December 2019

Abstract
Background: The theory of trade-off suggests that limited resources should lead to trade-off in resource intensive traits such as, immunity related and sexually selected traits in males. Alternatively, sexual exaggerations can also act as an honest indicator of underlying immunocompetence, leading to positive correlations between these traits. Evidences in support of either hypothesis in invertebrates is equivocal. Whereas several studies have addressed this question, few have used naturally occurring pathogens and realized post infection realized immunity (e.g., survivorship) to assay the fitness correlations between these two sets of traits. Results: Adopting an experimental evolution approach, we evolved replicate populations of Drosophila melanogaster under (high and low) sexual selection regimes for over a hundred generations and found the following in virgin and mated males in three separate assays: a. Post infection survivorship against two natural pathogens - Pseudomonas entomophila (Pe) and Staphylococcus succinus (Ss): Mated males survived better against Pe, but were no different than virgins against Ss. b. Bacterial clearance ability against a third natural pathogen Providencia rettgeri (Pr): Mated males had significantly lower CFUs than virgins. However, sexual selection history had no effect on realized immunity of either virgin or mated males. Conclusion: We show that while mating can affect realized immunity in a pathogen specific way, sexual selection did not affect the same. The results highlight that complex polygenic traits such as immunity and reproductive traits not necessarily evolve following a binary trade-off model. We also stress the importance natural pathogens while studying sexual selection-immunity correlations.
If you can’t make it, you're not tough enough to do medicine’: A qualitative study of Sydney-based medical students’ experiences of bullying and harassment in clinical settings
Authors: Colenbrander Laura , Causer Louise , Haire Bridget 
Published: December 2019

Abstract
Background: Media exposés and academic literature reveal high rates of bullying and harassment of medical students, most commonly by consultant physicians and/or surgeons. Recent reports reveal the medical profession to be characterised by hierarchy, with verbal abuse a ‘rite of passage’, as well as sexist and racist behaviours. Methods : Semi-structured in-depth interviews were conducted with ten current or recently graduated medical students from Sydney-based medical schools. Interviews were audio-recorded, transcribed verbatim, and thematically analysed. Results : Hierarchy, and a culture of self-sacrifice, resilience and deference, were identified as problematic elements of the medical profession. In the minds of participants, these factors created barriers to reporting mistreatment, as participants felt reporting led to being labelled a ‘troublemaker’, affecting career progression. Additionally, participants stated that avenues of recourse were unclear and did not guarantee confidentiality or desired outcomes. Conclusions : Mistreatment is continuing in clinical teaching and has negative consequences on medical students’ mental health and learning. Structural change is needed to combat institutionalised mistreatment to ensure the wellbeing of future doctors and high quality patient care.
The propionic acid and butyric acid in serum but not in feces are increased in patients with diarrhea-predominant irritable bowel syndrome
Authors: Tian zhenyi , zhuang xiaojun , LUO mei , Yin wei , Xiong Lishou 
Published: December 2019

Abstract
Background: Short-chain fatty acids (SCFAs) alteration have been reported in irritable bowel syndrome (IBS), but the results are conflicting. Our study aims to explore the alteration of SCFAs in patients with diarrhea-predominant IBS (IBS-D) and their potential role in the occurrence and development of IBS. Methods： We recruited patients with IBS-D defined by Rome Ⅳ criteria and age-and-gender matched healthy controls (HCs). A headspace solid-phase microextraction gas chromatography–mass spectrometric (HS-SPME-GC-MS) method was developed for the analysis of acetic, propionic and butyric acid in feces and serum. Results: Compared with HCs, the levels of the serum propionate (2.957 ± 0.157 vs 2.843 ± 0.098 mmol/L, P = 0.012) and butyrate (2.798 ± 0.126 vs 2.697 ± 0.077 mmol/L, P = 0.012) were significantly higher in IBS-D group. No significant differences were found among two groups with regard to the concentration of fecal acetate (4.953 ± 1.065 vs 4.774 ± 1.465 mg/g, P = 0.679), propionate (6.342 ± 1.005 vs 6.282 ± 1.077 mg/g, P = 0.868) and butyrate (2.984 ± 0.512 vs 3.071 ± 0.447 mg/g, P = 0.607). Conclusions ： Metabolites of gut microbiota, the propionic and butyric acid, are increased in patients with IBS-D in serum but not in feces. It suggests that propionic and butyric acid might be associated with the occurrence and development of IBS.
Think-aloud usability testing of an app to increase physical activity
Authors: Fischer Tillmann , Reinhardt Gesine , Stumpf Paul , Schwarz Peter E.H. , Harst Lorenz 
Published: December 2019

Abstract
Background Insufficient physical activity is one of the most important risk factors for non-communicable diseases and should therefore be intensively prevented in all age groups. According to several trials, activity can be effectively increased by smartphone-based interventions. However, the use of digital applications depends on many factors such as user acceptance and intuitive operability. Therefore, usability testing has proven to be important for the successful development of digital interventions. Thus, the German app “VIDEA bewegt” was tested for its usability in order to assess strengths and weaknesses and to improve the app. Methods In April 2019, ten interviews were conducted using the think-aloud method and following a standardised protocol. The adult participants were confronted with “VIDEA bewegt” for the first time and had to perform pre-defined tasks covering the main features of the app. Demographics of the participants and their expectations towards the app were collected. The interviews were recorded and transcribed. The analysis of the transcripts was performed independently by two team members following the deductive qualitative content analysis according to Mayring. Results The app was rated positively in terms of design, basic registration process and the largely self-explanatory navigation. Users missed an explanation of the basic structure and included components of the programme. Several usability problems were described, including technical errors and problems with understanding individual control elements. Four of ten participants could imagine using the app in the future. Conclusions All test participants were able to use the app independently to a large extent and most of the a priori defined goals were achieved successfully. With certain minor changes, the usability can therefore be assessed as good. Trial registration The performed usability test is the basis of a study named “Evaluation of an app-based activity intervention for statutory health insured people” which is registered in the German Clinical Trials Register (DRKS). DRKS-ID: DRKS00017392 (14 June 2019)
Enhanced antitumor efficacy on colon cancer using EGF functionalized PLGA nanoparticles loaded with 5-Fluorouracil and perﬂuorocarbon
Authors: Wu pingping , Zhou Qing , Zhu Huayun , Zhuang Yan , Bao Jun 
Published: December 2019

Abstract
Background: Recurrence and metastasis are the shortcomings of the clinical treatment of colon cancer. Finding an efficacy strategy for the treatment of colon cancer is important. In recent years, poly lactic-co-glycolic acid (PLGA) has been shown to have potential as a broad therapeutic drug delivery system. This study aimed to design a dual-loaded nanoparticles drug delivery system to overcome the limitations of chemotherapeutic drugs in colon cancer therapy. Methods: We developed epidermal growth factor (EGF) functionalized poly PLGA nanoparticles (NPs) co-loaded with 5-fluorouracil (5Fu) and perﬂuorocarbon (PFC) (EGF-PLGA@5Fu/PFC NPs) for target therapy of colon cancer. EGF-PLGA@5Fu /PFC NPs were estimated by morphology, size distribution, in vitro stability and release profile. CCK-8, Hoechst33342 staining and flow cytometry assays were performed to investigate the functions of EGF-PLGA@5Fu/PFC NPs in SW620 cells. Results: We found that EGF-PLGA@5Fu/PFC NPs had an average size of 200 nm with a 5Fu-loading efficiency of 7.29%. Targeted EGF-PLGA@5Fu/PFC NPs exhibited higher cellular uptake than non-targeted NPs in colon cancer cells. EGF-PLGA@5Fu/PFC NPs were found to have the best efficiency on cell viability suppression and apoptosis induction in SW620 colon cancer cells. In xenograft mice, EGF-PLGA@5Fu/PFC NPs had the best suppressive effects on tumor growth compared with 5Fu, PLGA@5Fu and PLGA@5Fu/PFC NPs. The results of histopathological analysis further indicated that EGF-targeted NPs were the most efficient on tumor growth inhibition. Mechanically, the data demonstrated the improved therapeutic outcomes were owing to the fact that PFC relieved tumor hypoxia via transporting oxygen to the tumor. Conclusions: We creatively constructed a biocompatible nanodrug delivery system and functionalized nanoparticles might provide new potential for selective delivery of chemotherapy drugs to cancers.
Cell-division pattern and phylogenetic position of a new ciliate genus Parasincirra n. g. (Protista, Ciliophora, Hypotrichia), with report of a new soil species, P. sinica n. sp. found from northwest China
Authors: Ma Jiyang , Zhao Yan , Zhang Tengyue , Shao Chen , Al-Rasheid Khaled A.S. , Song Weibo 
Published: December 2019

Abstract
Ciliated species, unicellular eukaryotes, are extremely diverse and occupy a very broad spectrum of ecological niches. Even though there is a growing recognition that enormous ciliates associates with key ecosystem processes in different niches, their diversity is not well understood. One reason is that ciliates are very tiny and may often be overlooked in routine biodiversity survey. Furthermore, the morphological and genetic diversity of ciliates per se is vast and dwarfs that among other multicellular eukaryotes. Here, we present the study of a new stichotrichid ciliate, Parasincirra sinica n. g., n. sp. based on classical living morphology, infraciliature, ontogenesis analyses and a comprehensive phylogenetic study, and enhance understanding of ciliates diversity in sludge soil.
This new, monotypic genus is defined by having a bipartite adoral zone of membranelles, three frontal cirri, an amphisiellid median cirral row about as long as, or slightly longer than, the adoral zone, one short frontoventral cirral row, cirrus III/2 and transverse cirri present, buccal cirrus and caudal cirri absent, three dorsal kineties. The main morphogenetic features are: (1) five frontoventral-transverse cirral anlagen (excluding undulating membranes anlage) are formed in primary mode; (2) the amphisiellid median cirral row is formed by anlagen V and VI, while the frontoventral row is generated from anlage IV; (3) cirral streaks IV to VI generate one transverse cirrus each; (4) frontoventral-transverse cirral anlage II generates one or two cirri, while the posterior one will be absorbed in late stages, that is, no buccal cirrus is formed; (5) the posterior part of the parental adoral zone of membranelles is renewed; (6) dorsal morphogenesis follows a typical Gonostomum -pattern. Based on the SSU rDNA information, analyses of the phylogenetic relationship inferred from Bayesian inference and maximum likelihood analyses were unable to outline the exact position of this new form among some other species of related genera which are generally assigned in the family Amphisiellida . The morphological/ morphogenetical differences between the new genus/species and Uroleptoides / Parabistichella , as well as other amphisiellids, clearly support the validity of the establishment of this new genus Parasincirra .
P2Y6 receptor inhibition aggravates ischemic brain injury by reducing microglial phagocytosis
Authors: Wen Ruoxue , Shen Hui , Huang Shuxian , Wang Liping , Li Zongwei , Peng Peng , Mamtilahun Muyassar , Tang Yaohui , Shen Fanxia , Tian Heng-Li , Yang Guo-Yuan , Zhang Zhijun 
Published: December 2019

Abstract
The authors have withdrawn this preprint from Research Square
Comprehensive utilization of Aspergillus niger mycelium waste from citric acid fermentation on the basis of steam explosion and ionic liquid pretreatment
Authors: Ma Qinyuan , Gao Xiuzhen , Bi Xinyu , Xia Menglei , Han Qi , Peng Mingmeng , Tu Linna , Yang Yupeng , Shen Yanbing , wang min 
Published: December 2019

Abstract
Background Aspergillus niger mycelium waste, a by-product from citric acid fermentation is considered a good raw material to produce fungal chitosan and glucosamine (GlcN). However, its successful application has always been a challenge.Results In this work, the effects of combined pretreatment involving steam explosion and ionic liquid (IL) on mycelium waste were investigated. Results show that pretreatment of mycelium waste at 2.5 MPa for 1 min improved the GlcN hydrochloride yield by 65.49%, the release of soluble sugar reached 0.46 g/g of sample, and the deacelation degree of fungal chitosan by hydrolysis of chitin deacetylase from Rhodococcus equi CGMCC14861 (ReCDA) was from scratch and a 1.3-fold increase by combined with IL pretreatment. In addition, a recycling strategy for by-products, which promoted the fermentation of ReCDA used for fungal chitosan, was efficiently developed.Conclusion This is the first report of comprehensive utilization of Aspergillus niger mycelium waste from citric acid fermentation on the basis of steam explosion and ionic liquid pretreatment. This study demonstrates a green-like technology for the comprehensive utilization of A. niger mycelium waste from citric acid fermentation.
Blood pressure and risk of cognitive impairment. The role of vascular disease in neurodegeneration.
Authors: Carmona-Abellan Mar , Trzeciak Malwina , Recio-Fernandez Miriam , Echeveste Beatriz , Imaz Laura , Luquin-Piudo Rosario , Riverol Mario 
Published: December 2019

Abstract
Background: Both cerebral vascular disorders and cognitive decline increase in incidence with age. The role of cerebral vascular disease and hemodynamic changes in the development of cognitive deficits is controversial. The objective of this study was to assess cardiovascular response during cardiac stress testing in neurologically asymptomatic individuals who developed cognitive impairment several years after the cardiac stress testing.Methods: This is a retrospective cohort study of patients who underwent cardiac stress testing between January 2001 and December 2010. Patients were followed up until May 2015 and we selected those who developed cognitive dysfunction including dementia, mild cognitive impairment and subjective cognitive decline, after the stress test. Heart rate and blood pressure both at rest and at peak exercise and the mean R-R interval at rest were recorded. For each patient who developed cognitive impairment, we selected one matched control who did not show cognitive decline by the end of the follow-up period.Results: From this cohort of 7224 patients, 371 developed cognitive impairment; of these, 186 (124 men) met the inclusion criteria and 186 of the other patients were selected as matched controls. During follow-up, cognitive impairment appeared 6.2 ± 4.7 years after the cardiac stress test. These patients who subsequently developed cognitive impairment had significantly lower at-rest systolic, diastolic and mean blood pressure than controls (p<0.05). Further, compared with controls, their maximum heart rate was significantly higher at peak exercise and both systolic and diastolic blood pressures increased significantly more during exercise. Conclusion: The results from this study suggest that differences in cardiovascular response to stress are present in the preclinical phase of cognitive decline, serving as a potential risk factor for cognitive impairment. These findings challenge the potential use of blood pressure and heart rate variability at rest and during cardiac stress assessment as a risk factor for cognitive impairment.