bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical treatments for women with stress urinary incontinence: a systematic review of economic evidence
Authors: Javanbakht Mehdi , Moloney Eoin , Brazzelli Miriam , Wallace Sheila , Omar Muhammad Imran , Monga Ash , Saraswat Lucky , Mackie Phil , Imamura Mari , Hudson Jemma , Shimonovich Michal , MacLennan Graeme , Vale Luke , Craig Dawn 
Published: April 2020

Abstract
Background
Surgical interventions for the treatment of stress urinary incontinence (SUI) in women are commonly employed following the failure of minimally invasive therapies. Due to the limited information available on the relative cost-effectiveness of available surgeries for treating SUI, a de novo economic analysis was conducted to assess costs and effects of all relevant surgeries. To inform the economic analysis, the objective of this review was to identify and assess the quality of existing economic evaluation studies on different surgical interventions for the treatment of SUI in women.

Methods
The following databases were searched during the review process: Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process, Excerpta Medica Database (Embase), National Health Service Economic Evaluation Database (NHS EED), and Health Management Information Consortium and Cost-Effectiveness Analysis Registry (CEA registry). The key criteria for inclusion were that the study population included women with SUI and that the surgical interventions considered were utilised as either a primary or a follow-up surgery. The review included only full economic evaluations. Studies were quality assessed using the Drummond checklist for economic evaluations. No quantitative synthesis of the results by meta-analysis was conducted due to the high methodological heterogeneity.

Results
Twenty-six economic evaluations were included, of which 13 were model-based analyses. Surgical treatments assessed most frequently were mid-urethral slings and open and laparoscopic colposuspension. There were some differences in the methodological approaches taken, including differences in type of economic analysis, perspective, time horizon, types of resource use, and costs and outcomes that were included in the analysis. The majority of studies conducted a cost-utility analysis from a health system perspective and applied a time horizon of between 1 and 5 years. The cost-effectiveness results suggest that single-incision mini-sling and mid-urethral slings are among the most cost-effective options.

Conclusions
The review has shown that methods used for the economic evaluation of surgical treatments for SUI vary widely in terms of study design, analysis type, compared alternatives, time horizon, costing methodologies and effect outcomes. Future economic evaluation studies on surgical treatments for SUI may be improved by the application of available guidelines.

Systematic review registration
Registered in PROSPERO in 2016, CRD42016049339
Perioperative Quality Initiative (POQI) consensus statement on fundamental concepts in perioperative fluid management: fluid responsiveness and venous capacitance
Authors: Martin Greg S. , Kaufman David A. , Marik Paul E. , Shapiro Nathan I. , Levett Denny Z. H. , Whittle John , MacLeod David B. , Chappell Desiree , Lacey Jonathan , Woodcock Tom , Mitchell Kay , Malbrain Manu L. N. G. , Woodcock Tom M. , Martin Daniel , Imray Chris H. E. , Manning Michael W. , Howe Henry , Grocott Michael P. W. , Mythen Monty G. , Gan Tong J. , Miller Timothy E. 
Published: April 2020

Abstract
Background
Optimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state.

Methods
The Perioperative Quality Initiative (POQI-5) consensus conference brought together an international team of multidisciplinary experts to survey and evaluate the literature on the physiology of volume responsiveness and perioperative fluid management. The group used a modified Delphi method to develop consensus statements applicable to the physiologically based management of intravenous fluid therapy in the perioperative setting.

Discussion
We discussed the clinical and physiological evidence underlying fluid responsiveness and venous capacitance as relevant factors in fluid management and developed consensus statements with clinical implications for a broad group of clinicians involved in intravenous fluid therapy. Two key concepts emerged as follows: (1) The ultimate goal of fluid therapy and hemodynamic management is to support the conditions that enable normal cellular metabolic function in order to produce optimal patient outcomes, and (2) optimal fluid and hemodynamic management is dependent on an understanding of the relationship between pressure, volume, and flow in a dynamic system which is distensible with variable elastance and capacitance properties.
Disentangling the mechanisms shaping the surface ocean microbiota
Authors: Logares Ramiro , Deutschmann Ina M. , Junger Pedro C. , Giner Caterina R. , Krabberød Anders K. , Schmidt Thomas S. B. , Rubinat-Ripoll Laura , Mestre Mireia , Salazar Guillem , Ruiz-González Clara , Sebastián Marta , de Vargas Colomban , Acinas Silvia G. , Duarte Carlos M. , Gasol Josep M. , Massana Ramon 
Published: April 2020

AbstractBackgroundThe ocean microbiota modulates global biogeochemical cycles and changes in its configuration may have large-scale consequences. Yet, the underlying ecological mechanisms structuring it are unclear. Here, we investigate how fundamental ecological mechanisms (selection,dispersalandecological drift) shape the smallest members of the tropical and subtropical surface-ocean microbiota: prokaryotes and minute eukaryotes (picoeukaryotes). Furthermore, we investigate the agents exerting abiotic selection on this assemblage as well as the spatial patterns emerging from the action of ecological mechanisms. To explore this, we analysed the composition of surface-ocean prokaryotic and picoeukaryotic communities using DNA-sequence data (16S- and 18S-rRNA genes) collected during the circumglobal expeditionsMalaspina-2010andTARA-Oceans.ResultsWe found that the two main components of the tropical and subtropical surface-ocean microbiota, prokaryotes and picoeukaryotes, appear to be structured by different ecological mechanisms. Picoeukaryotic communities were predominantly structured by dispersal-limitation, while prokaryotic counterparts appeared to be shaped by the combined action of dispersal-limitation, selection and drift. Temperature-driven selection appeared as a major factor, out of a few selected factors, influencing species co-occurrence networks in prokaryotes but not in picoeukaryotes, indicating that association patterns may contribute to understand ocean microbiota structure and response to selection. Other measured abiotic variables seemed to have limited selective effects on community structure in the tropical and subtropical ocean. Picoeukaryotes displayed a higher spatial differentiation between communities and a higher distance decay when compared to prokaryotes, consistent with a scenario of higher dispersal limitation in the former after considering environmental heterogeneity. Lastly, random dynamics ordriftseemed to have a more important role in structuring prokaryotic communities than picoeukaryotic counterparts.ConclusionsThe differential action of ecological mechanisms seems to cause contrasting biogeography, in the tropical and subtropical ocean, among the smallest surface plankton, prokaryotes and picoeukaryotes. This suggests that the idiosyncrasy of the main constituents of the ocean microbiota should be considered in order to understand its current and future configuration, which is especially relevant in a context of global change, where the reaction of surface ocean plankton to temperature increase is still unclear.
The influence of spaceflight on the astronaut salivary microbiome and the search for a microbiome biomarker for viral reactivation
Authors: Urbaniak Camilla , Lorenzi Hernan , Thissen James , Jaing Crystal , Crucian Brian , Sams Clarence , Pierson Duane , Venkateswaran Kasthuri , Mehta Satish 
Published: April 2020

Abstract
Background
Spaceflight impacts astronauts in many ways but little is known on how spaceflight affects the salivary microbiome and the consequences of these changes on astronaut health, such as viral reactivation. In order to understand this, the salivary microbiome was analyzed with 16S rRNA gene amplicon sequencing, and saliva viral titers were analyzed with quantitative polymerase chain reaction (qPCR) with primers specific for Epstein-Barr virus (EBV), herpes simplex virus (HSV), and varicella zoster virus (VZV) from 10 astronauts pre-flight, in-flight, and post-flight.

Results
Streptococcus was the most abundant organism in the saliva, making up 8% of the total organisms detected, and their diversity decreased during spaceflight. Other organisms that had statistically significant changes were Proteobacteria and Fusobacteria which increased during flight and Actinobacteria which decreased during flight. At the genus level, Catonella, Megasphera, and Actinobacillus were absent in more than half of saliva samples collected pre-flight but were then detected during flight. In those subjects that already had these genera pre-flight, their relative abundances increased during flight. Correlation analyses between the microbiome and viral titers revealed a positive correlation with Gracilibacteria, Absconditabacteria, and Abiotrophia and a negative correlation between Oribacterium, Veillonella, and Haemophilus. There was also a significant positive correlation between microbiome richness and EBV viral titers.

Conclusions
This is the first study to look at how the salivary microbiome changes as a result of spaceflight and the search for bacterial biomarkers for viral reactivation. Further studies examining the role of specific organisms that were shown to be correlative and predictive in viral reactivation, a serious problem in astronauts during spaceflight, could lead to mitigation strategies to help prevent disease during both short and long duration space missions.
Multidirectional UV-LED lithography using an array of high-intensity UV-LEDs and tilt-rotational sample holder for 3-D microfabrication
Authors: Shiba Sabera Fahmida , Tan Jun Ying , Kim Jungkwun 
Published: April 2020

AbstractThis paper presents a computer-controlled multidirectional UV-LED lithography system for 3-D microfabrication. The presented UV-LED system has adopted adjustable or programmable high-intensity UV-LEDs as a light source enabling for photopatterning both thin and thick SU-8 photoresist process. The prototype of the proposed system comprises 5-by-5 surface-mounted type LEDs with customized collimation lens, a tilt-rotational sample holder for introducing multidirectional light exposure, and a computer-control asset for synchronized controls of the light source and the sample holder. An adjustable light intensity provides an ease of lithography both for a few micron feature size patterning and a millimeter thick photopatterning by providing optimal light exposure condition by considering diffraction, and absorption of the UV light. Together with the tilt-rotational sample holder, the multidirectional UV-LED lithography can fabricate various 3-D microstructures in a wide range of the photoresist film thickness. The 3-D fabrications include an array of micro triangle slabs, 1-mm tall pillar array, the different scale same 3-D geometry structures on the same substrate.
Chinese expert consensus on diagnosis and treatment of coagulation dysfunction in COVID-19
Authors:   People’s Liberation Army Professional Committee of Critical Care Medicine, Chinese Society on Thrombosis and Haemostasis, Song Jing-Chun , Wang Gang , Zhang Wei , Zhang Yang , Li Wei-Qin , Zhou Zhou 
Published: April 2020

AbstractSince December 2019, a novel type of coronavirus disease (COVID-19) in Wuhan led to an outbreak throughout China and the rest of the world. To date, there have been more than 1,260,000 COVID-19 patients, with a mortality rate of approximately 5.44%. Studies have shown that coagulation dysfunction is a major cause of death in patients with severe COVID-19. Therefore, the People’s Liberation Army Professional Committee of Critical Care Medicine and Chinese Society on Thrombosis and Hemostasis grouped experts from the frontline of the Wuhan epidemic to come together and develop an expert consensus on diagnosis and treatment of coagulation dysfunction associated with a severe COVID-19 infection. This consensus includes an overview of COVID-19-related coagulation dysfunction, tests for coagulation, anticoagulation therapy, replacement therapy, supportive therapy and prevention. The consensus produced 18 recommendations which are being used to guide clinical work.
Neurodegeneration in systemic lupus erythematosus: layer by layer retinal study using optical coherence tomography
Authors: Dias-Santos Arnaldo , Tavares Ferreira Joana , Pinheiro Sofia , Cunha João Paulo , Alves Marta , Papoila Ana L. , Moraes-Fontes Maria Francisca , Proença Rui 
Published: April 2020

Abstract
Background
Systemic lupus erythematosus (SLE) is a chronic, autoimmune and multisystemic disease. Recent studies with functional and structural magnetic resonance imaging and cognitive tests report an unexpectedly high frequency of central nervous system involvement, even in patients with asymptomatic SLE. The purpose of this study was to identify early signs of retinal neurodegeneration by comparing the thickness of the peripapillary retinal nerve fiber layer (pRNFL) and all macular layers between patients with SLE without ophthalmologic manifestations and healthy controls. The effect of disease duration and systemic comorbidities was also studied.

Methods
Cross-sectional study, in which all participants underwent a complete ophthalmologic evaluation including retinal segmentation analysis with spectral domain-optical coherence tomography. Patients with SLE also received a detailed autoimmune disease specialist evaluation to assess the disease activity state and systemic involvement. For pRNFL thickness, the global and six peripapillary sectors were determined. Each macular layer thickness was determined in the nine Early Treatment Diabetic Retinopathy Study (ETDRS) subfields. A multiple linear regression analysis was performed to control for the effect of potential demographic, ophthalmic and systemic confounders. A second multivariable analysis, including patients with SLE only, was performed to assess the effect of disease-specific variables on the outcome measures.

Results
Sixty-eight eyes of 68 patients with SLE and 50 eyes of 50 healthy controls were considered. The pRNFL was significantly thinner in the SLE group globally (p = 0.026) and in the temporal superior (p = 0.007) and temporal (p = 0.037) sectors. In patients with SLE, chronic medication for hypercholesterolemia, hypertension and anticoagulants were associated with a significant thinning of the pRNFL. Patients with SLE presented significant thinning in the photoreceptor layer in five ETDRS areas (p < 0.05). Shorter disease duration was associated with greater photoreceptor thinning in all ETDRS subfields. Neuropsychiatric SLE, higher disease activity and cardiovascular risk factors were associated with a thinner photoreceptor layer. No differences were observed in overall retinal thickness or the remaining macular layers.

Conclusion
Patients with SLE present early signs of retinal neurodegeneration, as evidenced by a reduction in the photoreceptor layer and pRNFL. These signs are more pronounced in patients with higher cardiovascular risk burden or neuropsychiatric involvement.
Canada’s role in strengthening global health security during the COVID-19 pandemic
Authors: Chattu Vijay Kumar , Adisesh Anil , Yaya Sanni 
Published: April 2020

AbstractThe world is confronted by the current pandemic of Corona Virus Disease (COVID-19), which is a wake-up call for all nations irrespective of their development status or geographical location. Since the start of the century we have seen five big infectious outbreaks which proved that epidemics are no more regarded as historic and geographically confined threats. The Canadian government underlined that these infectious disease outbreaks are threats to global health security and disrupt societal wellbeing and development. In this context, the Public Health Agency of Canada is proactive and has shown its preparedness for outbreaks of emerging and epidemic-prone diseases, and in dealing with these pathogens. Even before the declaration of pandemic, Canada has proved its global health leadership by ensuring collective action and multisectoral coordination which still remains a serious challenge especially for low and middle- income countries with existing poor health systems. In this article we discuss how Canada is addressing the global challenges posed by the COVID-19 pandemic through its leadership and practice of global health diplomacy.
Sedimentary characteristics of microbialites influenced by volcanic eruption: a case study from the Lower Cretaceous Shipu Group in Zhejiang Province, East China
Authors: Wang Xiao-Fang , Tan Xiu-Cheng , Zhang Shao-Nan , Shen An-Jiang , Li Chang , Hu Guang , Wang Xin , Chen Zi-Liao , Pan Li-Yin , Zhang Jie , Chen Wei 
Published: April 2020

AbstractThis study describes a sequence of microbialites and volcanics of the Lower Cretaceous Shipu Group, an example of microbialites influenced by volcanic activity. It is located at Shipu town in eastern Zhejiang Province on the coast of southeastern China. Based on macroscopic outcrop observations, microscopic examination of thin sections, electron probe microanalysis (EPMA), field emission scanning electron microscopy (FESEM) imaging analysis, and energy dispersive X-ray spectrometry (EDS) analysis, nine microbialite–tuffite assemblages have been recognized in the section. Their thickness increased gradually upwards as volcanism decreased. There are ooids, bioclastic grains, intraclasts and tuffaceous grains in the grain shoal with local dolomitization. Above the grain shoal, microbial reefs develop either individually or conjoining with adjacent ones, and consist of stromatolites and serpulid tubes with common recrystallization. Tubes of serpulids are calcified and the tube wall is micrite. The tube and intertube parts are filled by sparry calcite. Colonial serpulids are surrounded by microbes to form stromatolites. Black layers of stromatolites contain many calcite crystals with fan-shaped growth pattern and preserved organic matter. Microbes are so well preserved in crystal lattices that the original microstructure of the microbes can be clearly observed by FESEM imaging analysis. Microbial reefs develop at a local high point near or above fair-weather wave-base where waves removed fine volcanic ashes. Interreef deposits are coarse tuffite due to physical differentiation. Volcanic activity could provide rich nutrition for microbes, but too much fine volcanic ash inhibits microbial growth. As a result, a moderate supply of volcanic ash favors the development of microbialites.
Rare Disease Research Partnership (RAinDRoP): a collaborative approach to identify the top 15 research priorities for rare diseases
Authors: Somanadhan Suja , Nicholson Emma , Dorris Emma , Brinkley Aoife , Kennan Avril , Treacy Eileen , Atif Awan , Ennis Sean , McGrath Vicky , Mitchell Derick , O’Sullivan Grace , Power Julie , Lawlor Anne , Harkin Paul , Lynch Sally Ann , Watt Philip , Daly Avril , Donnelly Susie , Kroll Thilo 
Published: April 2020

Background: The Rare Disease Research Partnership (RAinDRoP) was established in 2018 to bring together a wide variety of diverse voices in the rare disease community in Ireland and form a research partnership. This approach enabled clinicians, patients, carers and researchers to work together to identify top research priorities for rare diseases, which focused on a life-course perspective rather than a disease-specific need. Methods: A participatory multiple phase approach was used to identify research priorities for rare diseases. The research process involved three main phases: Phase I, Public Consultation Survey on Research in Rare Diseases in Ireland (PCSRRDI); Phase II, Research Prioritisation Workshop (RPW); Phase III, Follow-up Public Consultation and Prioritisation Survey (FWPCPS). Results: In total, 240 individuals completed the phase I PCSRRDI, which comprised of a cross-section of health care professionals, researchers and people living with rare diseases. One thousand and fifteen statements were collected, reflecting issues and shared challenges in rare diseases. A shortlisting step by step was used to identify any statements that had received a total score of above 50% into 10-12 researchable questions or statements per the theme for the phase II workshop. Phase II was focused on three main themes: (1) Route to Diagnosis, (2) Living with Rare Disease, (3) Integrated and Palliative Care. In total, 62 individuals attended the overall workshop; 42 participated in the prioritisation sessions. A cross-section of health care professionals, researchers and people living with rare diseases were engaged at each workshop. Seventy-five individuals completed the final phase III public ranking by priority responses, and they ranked the top 15 research priorities defined by the multi-stakeholders at the phase II consensus meeting. Conclusions: This study identified priorities for rare diseases research aimed at improving the health and wellbeing of people living with rare diseases.
Remembering people with dementia during the COVID-19 crisis
Authors: O'Shea Eamon 
Published: April 2020

This letter argues that we need to pay particular attention to people with dementia during this difficult time of the COVID-19 pandemic. Social distancing rules and cocooning for people aged 70 years and over are now in place in Ireland to slow down the rate of infection and protect vulnerable older people. This letter argues that we need, more than ever, to assert the personhood of people with dementia at this difficult time. That means more person-centred care and practical support structures for family carers to allow them to continue to care at home in a safe and life-enhancing way. New public broadcasting initiatives could create information and communication channels for people with dementia and their carers, as well as demonstrating empathy and solidarity with their predicament. Government, the Department of Health, the HSE and the voluntary sector have risen to the challenge of COVID-19 in all sectors of society. So too have ordinary citizens. Now we need to unite even more to create an unyielding commitment and adherence to the principles of decency, justice and equity in the allocation of scarce health and social care resources. By doing this, we will demonstrate our caring potential and capacity in a way that reflects our shared humanity, not only in the current crisis, but into the future.
302  W single-mode power from an Er/Yb fiber MOPA
Authors: Matniyaz Turghun , Kong Fanting , Kalichevsky-Dong Monica T. , Dong Liang 
Published: April 2020

There has been very little progress in the power scaling of Er/Yb fiber lasers in over a decade, reflecting the difficulties involved. Here we report, to the best of our knowledge, a new record of 302 W single-mode power from an Er/Yb fiber master oscillator power amplifier (MOPA) with a record optical efficiency of 56%, near the quantum limit. This is made possible by new fiber development from Nufern and off-resonant pumping of the Er/Yb fiber. We also show that further power scaling is no longer limited by ytterbium parasitic lasing but by fiber fuse in the Er/Yb fiber.