bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fibrin Sealant Artiss Compared to Progressive Tension Sutures With Stratafix in the Management of Wound Drainage Following Post-Bariatric Body-Contouring Surgery
Authors: Zeplin Philip H. , Langer Stefan , Schwarzenberger Sarah , Spindler Nick 
Published: July 2020

Background: Post-bariatric body-contouring surgery is one of the most rapidly growing areas in plastic surgery. One of the most common complications following post-bariatric body-contouring surgery is seroma. There are a number of approaches to reducing wound drainage and seroma formation. A promising strategy to reduce these complications is to develop effective methods for reducing dead space between the tissue layers. Methods: We conducted a retrospective trial assessing the use of human fibrin sealant Artiss in comparison to progressive tension sutures (PTS) with Stratafix, a bidirectional barbed suture device in patients undergoing post-bariatric body-contouring surgery. Thirty-six patients for abdominoplasty or lower-body-lift were evaluated. Treatment patients underwent procedure with fibrin sealant applied to adapt the tissue layers. Control patients underwent an identical procedure but with PTS. Primary outcome measures included total wound drainage and time to drain removal. Results: The use of Artiss in abdominoplasty was associated with a mean drain volume that was significantly higher and more days that were needed to remove all drains compared to the PTS group. In body-lift, the mean drain volume and number of days needed to remove all drains tended to be higher when using Artiss compared to the PTS group. Conclusion: The use of Artiss in post-bariatric body-contouring surgery did not decrease the rate of seromas and the length of time required for post-surgical drains when compared to PTS.
Optimal board independence with gray independent directors
Authors: Pascual-Fuster Bartolomé , Crespí-Cladera Rafel 
Published: July 2020

Based on the optimal board independence theory, we analyze how Spanish listed firms determine the presence of genuine and gray independent directors. We classify independents as gray whenever they do not satisfy formal independence requirements. Given the findings in previous literature, this type of gray independent does not promote poor corporate governance practices. Our results suggest that the presence of gray and genuine independent directors is related to the optimal board independence determinants as if both provided real board independence. Results are not affected by the number and the type of unsatisfied independence criteria, nor by the firm’s achievement of regulators’ recommended level of board independence. Therefore, we conclude that firms pay little attention to formal independence requirements to reach their optimal board structure. JEL CLASSIFICATION: G30; G34; K22
Genetic Polymorphism of Head and Neck Cancers in African Populations: A Systematic Review
Authors: Okoturo Eyituoyo , Osasuyi Anslem , Opaleye Taofiq 
Published: July 2020

ObjectiveHead and neck cancers are mostly composed of head and neck squamous cell carcinoma (HNSCC). The incidence and mortality of HNSCC are higher in countries with emerging health care systems, particularly Africa. Given that they are more genetically diverse, characterization of polymorphism in African HNSCC may result in the identification of distinct molecular targets as compared with the known HNSCC candidate genes. This study objective is to review the current evidence of genetic data on HNSCC among African populations as well as to demonstrate any distinctions as compared with known candidate genes and to appraise any research gaps.Data SourcesPublications that interrogated susceptible gene polymorphisms to African‐based populations with cancer were reviewed for this study.Review MethodsOur search methodology was modeled after the Cochrane systematic review protocol, which included MeSH terms and keywords related to cancer, polymorphisms, and African countries.ResultsSeven articles studying 2 HNSCC cancer types in 3 of 54 African countries met the inclusion criteria. Thirteen polymorphisms from 10 genes were screened (NOS3, CYP1A1, CYP2D6, NAT1, NAT2, NQO1, IL‐10, IL‐12, IL‐8, COX2). All articles were screened for polymorphisms based on a polymerase chain reaction–based technique. All polymorphs suggested association to HNSCC, with 10 of 13 polymorphs demonstrating a statistically significant association.ConclusionStudies on known HNSCC candidate genes should be undertaken in Africa, particularly among sub‐Saharan Africans. Importantly, these studies should be large scale with multiple HNC sites and with use of high‐throughput methods.
Measures of outer setting constructs for implementation research: A systematic review and analysis of psychometric quality
Authors: McHugh Sheena , Dorsey Caitlin N , Mettert Kayne , Purtle Jonathan , Bruns Eric , Lewis Cara C 
Published: July 2020

Background: Despite their influence, outer setting barriers (e.g., policies, financing) are an infrequent focus of implementation research. The objective of this systematic review was to identify and assess the psychometric properties of measures of outer setting used in behavioral and mental health research. Methods: Data collection involved (a) search string generation, (b) title and abstract screening, (c) full-text review, (d) construct mapping, and (e) measure forward searches. Outer setting constructs were defined using the Consolidated Framework for Implementation Research (CFIR). The search strategy included four relevant constructs separately: (a) cosmopolitanism, (b) external policy and incentives, (c) patient needs and resources, and (d) peer pressure. Information was coded using nine psychometric criteria: (a) internal consistency, (b) convergent validity, (c) discriminant validity, (d) known-groups validity, (e) predictive validity, (f) concurrent validity, (g) structural validity, (h) responsiveness, and (i) norms. Frequencies were calculated to summarize the availability of psychometric information. Information quality was rated using a 5-point scale and a final median score was calculated for each measure. Results: Systematic searches yielded 20 measures: four measures of the general outer setting domain, seven of cosmopolitanism, four of external policy and incentives, four of patient needs and resources, and one measure of peer pressure. Most were subscales within full scales assessing implementation context. Typically, scales or subscales did not have any psychometric information available. Where information was available, the quality was most often rated as “1-minimal” or “2-adequate.” Conclusion: To our knowledge, this is the first systematic review to focus exclusively on measures of outer setting factors used in behavioral and mental health research and comprehensively assess a range of psychometric criteria. The results highlight the limited quantity and quality of measures at this level. Researchers should not assume “one size fits all” when measuring outer setting constructs. Some outer setting constructs may be more appropriately and efficiently assessed using objective indices or administrative data reflective of the system rather than the individual.
Determinants and risk factors of gastroenteritis in the general population, a web-based cohort between 2014 and 2017 in France
Authors: Ecollan Marie , Guerrisi Caroline , Souty Cécile , Rossignol Louise , Turbelin Clément , Hanslik Thomas , Colizza Vittoria , Blanchon Thierry 
Published: July 2020

Abstract
Background
Although it is rarely fatal in developed countries, acute gastroenteritis (AGE) still induces significant morbidity and economic costs. The objective of this study was to identify factors associated with AGE in winter in the general population.

Methods
A prospective study was performed during winter seasons from 2014 to 2015 to 2016–2017. Participants filled an inclusion survey and reported weekly data on acute symptoms. Factors associated with having at least one AGE episode per winter season were analyzed using the generalized estimating equations (GEE) approach.

Results
They were 13,974 participants included in the study over the three seasons. On average, 8.1% of participants declared at least one AGE episode during a winter season. People over 60 declared fewer AGE episodes (adjusted OR (aOR) = 0.76, 95% CI [0.64; 0.89]) compared to individuals between 15 and 60 years old, as well as children between 10 and 15 (aOR = 0.60 [0.37; 0.98]). Overweight (aOR = 1.25 [1.07; 1.45]) and obese (aOR = 1.47 [1.19; 1.81]) individuals, those having frequent cold (aOR = 1.63 [1.37; 1.94]) and those with at least one chronic condition (aOR = 1.35 [1.16; 1.58]) had more AGE episodes. Living alone was associated with a higher AGE episode rate (aOR = 1.31 [1.09; 1.59]), as well as having pets at home (aOR = 1.23 [1.08; 1.41]).

Conclusions
Having a better knowledge of AGE determinants will be useful to adapt public health prevention messages.
Use of leflunomide in patients with chronic hypersensitivity pneumonitis
Authors: Noh Sungryong , Yadav Ruchi , Li Manshi , Wang Xiaofeng , Sahoo Debasis , Culver Daniel A. , Pande Aman 
Published: July 2020

Abstract
Background
Prednisone has been shown to reverse lung function declines in hypersensitivity pneumonitis patients without established fibrosis. Second line immunosuppressants like azathioprine and mycophenolate mofetil have a steroid sparing effect and improve DLCO. There is no published literature on the use of leflunomide in such patients.

Methods
We reviewed our experience with leflunomide for treatment of chronic hypersensitivity pneumonitis in 40 patients. We stratified patients according to the presence or absence of significant (> 20%) fibrosis. We studied the effect of leflunomide on FVC and DLCO trajectory and reported the changes at 12 months.

Results
Treatment with leflunomide tended to improve the estimated FVC slope from 0.18 ± 1.90% (SEM) of predicted per year to 4.62 ± 1.65% of predicted (NS, p = 0.118). It significantly improved the FVC at 12 months of treatment by 4.4% of predicted (p = 0.02). DLCO continued to increase at 1.45 ± 1.44% (SEM) of predicted per year. Non-fibrotic cHP patients had the largest gain in pulmonary function. Their FVC increased by 8.3% (p = 0.001) and DLCO by 4.8% (p = 0.011). Patients with fibrotic cHP did not improve. Leflunomide treatment was associated with significant gastrointestinal and other adverse effects leading 40% of patients to discontinue therapy. It had a significant steroid sparing effect with half the patients weaned off prednisone entirely.

Conclusions
Leflunomide appears to be a fairly well tolerated steroid sparing immunosuppressant that improves pulmonary function in cHP patients. It is most effective in patients without significant fibrosis.
iNOS is not responsible for RyR1 S-nitrosylation in mdx mice with truncated dystrophin
Authors: Nogami Ken’ichiro , Maruyama Yusuke , Elhussieny Ahmed , Sakai-Takemura Fusako , Tanihata Jun , Kira Jun-ichi , Miyagoe-Suzuki Yuko , Takeda Shin’ichi 
Published: July 2020

Abstract
Background
Previous research indicated that nitric oxide synthase (NOS) is the key molecule for S-nitrosylation of ryanodine receptor 1 (RyR1) in DMD model mice (mdx mice) and that both neuronal NOS (nNOS) and inducible NOS (iNOS) might contribute to the reaction because nNOS is mislocalized in the cytoplasm and iNOS expression is higher in mdx mice. We investigated the effect of iNOS on RyR1 S-nitrosylation in mdx mice and whether transgenic expression of truncated dystrophin reduced iNOS expression in mdx mice or not.

Methods
Three- to 4-month-old C57BL/6 J, mdx, and transgenic mdx mice expressing exon 45–55-deleted human dystrophin (Tg/mdx mice) were used. We also generated two double mutant mice, mdx iNOS KO and Tg/mdx iNOS KO to reveal the iNOS contribution to RyR1 S-nitrosylation. nNOS and iNOS expression levels in skeletal muscle of these mice were assessed by immunohistochemistry (IHC), qRT-PCR, and Western blotting. Total NOS activity was measured by a citrulline assay. A biotin-switch method was used for detection of RyR1 S-nitrosylation. Statistical differences were assessed by one-way ANOVA with Tukey-Kramer post-hoc analysis.

Results
mdx and mdx iNOS KO mice showed the same level of RyR1 S-nitrosylation. Total NOS activity was not changed in mdx iNOS KO mice compared with mdx mice. iNOS expression was undetectable in Tg/mdx mice expressing exon 45–55-deleted human dystrophin, but the level of RyR1 S-nitrosylation was the same in mdx and Tg/mdx mice.

Conclusion
Similar levels of RyR1 S-nitrosylation and total NOS activity in mdx and mdx iNOS KO demonstrated that the proportion of iNOS in total NOS activity was low, even in mdx mice. Exon 45–55-deleted dystrophin reduced the expression level of iNOS, but it did not correct the RyR1 S-nitrosylation. These results indicate that iNOS was not involved in RyR1 S-nitrosylation in mdx and Tg/mdx mice muscles.
Achieving GWAS with homomorphic encryption
Authors: Sim Jun Jie , Chan Fook Mun , Chen Shibin , Meng Tan Benjamin Hong , Mi Aung Khin Mi 
Published: July 2020

Abstract
Background
One way of investigating how genes affect human traits would be with a genome-wide association study (GWAS). Genetic markers, known as single-nucleotide polymorphism (SNP), are used in GWAS. This raises privacy and security concerns as these genetic markers can be used to identify individuals uniquely. This problem is further exacerbated by a large number of SNPs needed, which produce reliable results at a higher risk of compromising the privacy of participants.

Methods
We describe a method using homomorphic encryption (HE) to perform GWAS in a secure and private setting. This work is based on a proposed algorithm. Our solution mainly involves homomorphically encrypted matrix operations and suitable approximations that adapts the semi-parallel GWAS algorithm for HE. We leverage upon the complex space of the CKKS encryption scheme to increase the number of SNPs that can be packed within a ciphertext. We have also developed a cache module that manages ciphertexts, reducing the memory footprint.

Results
We have implemented our solution over two HE open source libraries, HEAAN and SEAL. Our best implementation took 24.70 minutes for a dataset with 245 samples, over 4 covariates and 10643 SNPs.

Conclusions
We demonstrate that it is possible to achieve GWAS with homomorphic encryption with suitable approximations.
Leveraging blockchain for immutable logging and querying across multiple sites
Authors: Ozdayi Mustafa Safa , Kantarcioglu Murat , Malin Bradley 
Published: July 2020

Abstract
Background
Blockchain has emerged as a decentralized and distributed framework that enables tamper-resilience and, thus, practical immutability for stored data. This immutability property is important in scenarios where auditability is desired, such as in maintaining access logs for sensitive healthcare and biomedical data. However, the underlying data structure of blockchain, by default, does not provide capabilities to efficiently query the stored data. In this investigation, we show that it is possible to efficiently run complex audit queries over the access log data stored on blockchains by using additional key-value stores. This paper specifically reports on the approach we designed for the blockchain track of iDASH Privacy & Security Workshop 2018 competition. In this track, participants were asked to devise an efficient way to run conjunctive equality and range queries on a genomic dataset access log trail after storing it in a permissioned blockchain network consisting of 4 identical nodes, each representing a different site, created with the Multichain platform.

Methods
Multichain duplicates and indexes blockchain data locally at each node in a key-value store to support retrieval requests at a later point in time. To efficiently leverage the key-value storage mechanism, we applied various techniques and optimizations, such as bucketization, simple data duplication and batch loading by accounting for the required query types of the competition and the interface provided by Multichain. Particularly, we implemented our solution and compared its loading and query-response performance with SQLite, a commonly used relational database, using the data provided by the iDASH 2018 organizers.

Results
Depending on the query type and the data size, the run time difference between blockchain based query-response and SQLite based query-response ranged from 0.2 seconds to 6 seconds. A deeper inspection revealed that range queries were the bottleneck of our solution which, nevertheless, scales up linearly.

Conclusions
This investigation demonstrates that blockchain-based systems can provide reasonable query-response times to complex queries even if they only use simple key-value stores to manage their data. Consequently, we show that blockchains may be useful for maintaining data with auditability and immutability requirements across multiple sites.
Identifying the novel key genes in renal cell carcinoma by bioinformatics analysis and cell experiments
Authors: Chen Yeda , Gu Di , Wen Yaoan , Yang Shuxin , Duan Xiaolu , Lai Yongchang , Yang Jianan , Yuan Daozhang , Khan Aisha , Wu Wenqi , Zeng Guohua 
Published: July 2020

AbstractBackgroundAlthough major driver gene have been identified, the complex molecular heterogeneity of renal cell cancer (RCC) remains unclear. Therefore, more relevant genes need to be identified to explain the pathogenesis of renal cancer.MethodsMicroarray datasets GSE781, GSE6344, GSE53000 and GSE68417 were downloaded from Gene Expression Omnibus (GEO) database. The differentially expressed genes (DEGs) were identified by employing GEO2R tool, and function enrichment analyses were performed by using DAVID. The protein-protein interaction network (PPI) was constructed and the module analysis was performed using STRING and Cytoscape. Survival analysis was performed using GEPIA. Differential expression was verified in Oncomine. Cell experiments (cell viability assays, transwell migration and invasion assays, wound healing assay, flow cytometry) were utilized to verify the roles of the hub genes on the proliferation of kidney cancer cells (A498 and OSRC-2 cell lines).ResultsA total of 215 DEGs were identified from four datasets. Six hub gene (SUCLG1, PCK2, GLDC, SLC12A1, ATP1A1, PDHA1) were identified and the overall survival time of patients with RCC were significantly shorter. The expression levels of these six genes were significantly decreased in six RCC cell lines(A498, OSRC-2, 786- O, Caki-1, ACHN, 769-P) compared to 293t cell line. The expression level of both mRNA and protein of these genes were downregulated in RCC samples compared to those in paracancerous normal tissues. Cell viability assays showed that overexpressions of SUCLG1, PCK2, GLDC significantly decreased proliferation of RCC. Transwell migration, invasion, wound healing assay showed overexpression of three genes(SUCLG1, PCK2, GLDC) significantly inhibited the migration, invasion of RCC. Flow cytometry analysis showed that overexpression of three genes(SUCLG1, PCK2, GLDC) induced G1/S/G2 phase arrest of RCC cells.ConclusionBased on our current findings, it is concluded that SUCLG1, PCK2, GLDC may serve as a potential prognostic marker of RCC.
Left atrial longitudinal strain as a predictor of Cancer therapeutics-related cardiac dysfunction in patients with breast Cancer
Authors: Park Hyukjin , Kim Kye Hun , Kim Hyung Yoon , Cho Jae Yeong , Yoon Hyun Ju , Hong Young Joon , Park Hyung Wook , Kim Ju Han , Ahn Youngkeun , Jeong Myung Ho , Cho Jeong Gwan 
Published: July 2020

Abstract
Background
We investigated the usefulness of the left atrial (LA) strain measurement on the prediction of upcoming cancer therapeutics-related cardiac dysfunction (CTRCD) after trastuzumab therapy in patients with breast cancer who did not develop CTRCD after chemotherapy.

Methods
A total of 72 females with breast cancer who did not develop CTRCD after chemotherapy and underwent additional trastuzumab therapy were divided into CTRCD (n = 13) and no CTRCD group (n = 59). Echocardiographic measurements including left ventricular global longitudinal strain (LVGLS) and peak atrial longitudinal strain (PALS) decline were compared.

Results
CTRCD was identified in 13 patients (18.1%) after additional trastuzumab therapy. Baseline echocardiographic findings were not different. After the completion of chemotherapy, conventional echocardiographic parameters were not different, but PALS decline (15.0 ± 4.7 vs. 8.9 ± 3.2%, p < 0.001) and LVGLS decline (10.5 ± 1.3 vs. 9.1 ± 1.1%, p = 0.002) were significantly greater in CTRCD than in no CTRCD group. PALS decline at the time of chemotherapy completion could predict future CTRCD after trastuzumab therapy with better sensitivity and specificity (cutoff value 11.79%, sensitivity 76.9% and specificity 81.4%) than LVGLS decline (cutoff value 9.9%, sensitivity 69.2% and specificity 78.0%).

Conclusions
PALS or LVGLS decline developed before developing overt CTRCD after chemotherapy for breast cancer, and PALS decline showed better sensitivity and specificity in predicting future CTRCD than LVGLS decline. Serial measurement of PALS can be used as a useful parameter in the prediction of future CTRCD.
Overrunning in clinical trials: some thoughts from a methodological review
Authors: Baldi Ileana , Azzolina Danila , Soriani Nicola , Barbetta Beatrice , Vaghi Paola , Giacovelli Giampaolo , Berchialla Paola , Gregori Dario 
Published: July 2020

Abstract
Background
In sequential and adaptive trials, the delay that happens after the trial is stopped, by a predetermined stopping criterion, takes the name of overrunning. Overrunning consists of extra data, collected by investigators while awaiting results of the interim analysis (IA). The inclusion of such extra data in the analyses is scientifically appropriate and follows regulatory advice. Nevertheless, its effect from a broader perspective is unclear.

Methods
This article aims at clarifying the overall impact of including such overrunning data, providing first a revision, and then a comparison of the several approaches proposed in the literature for treating such data. A simulation study is performed based on two real-life examples.

Results
The paper shows that overrunning inclusion could seriously change the decision of an early conclusion of the study. It also shows that some of the methods proposed in the literature to include overrunning data are more conservative than others.

Conclusion
The choice of a more or a less conservative method could be considered more appropriate depending on the endpoint type or the design type.