bluuebunny/crossref_metadata_2025_split huggingface dataset:
When is work a cause of early retirement and are there any effective organizational measures to combat this? A population-based study of perceived work environment and work-related disorders among employees in Sweden
Authors: Nilsson Kerstin 
Published: March 2020

Abstract
Background: The ageing workforce has an impact on public health. The aim of this study was to evaluate work-related disorders, work tasks and measures associated with the possibility of working beyond 65 years of age or not. Method: The data comprised two sample surveys based on the Swedish population: the Survey of National Work-Related Health Disorders, and the National Work Environment Survey. Results: A logistic regression analysis showed that an active systematic work environmental management in the workplace was a statistically significant association with whether individuals could work in their current occupation until 65 years of age (OR 1.7). The final multivariate model stated that whether individuals could work until 65 years was associated with bodily exhaustion after work, frequent feeling of the own work effort being insufficient at the end of the day, experience of the work as restricted and with a lack of freedom, working alone and at risk of unsafe or threatening situations, and generally feeling dissatisfied with the work tasks. Women-dominated workplaces were more highly associated with both male and female employees not being able to work until age 65 (OR 1.6). Conclusion: Deficiencies in the working environment seems to be a threat to the public health. An active systematic work environmental management in the workplace increases the possibility to extend the working life. Tools for managers, like the swAge-model, to easily perform active systematic work environmental controls could therefore be a possible way to decrease the risk of work injury as well as increase the possibility for a sustainable extended working life.
Critical clinical situations in adult patients with Mucopolysaccharidoses (MPS)
Authors: Stepien Karolina M , Gevorkyan A. K. , Hendriksz Christian J , Lobzhanidze T V , Pérez-López J , Tol Govind , Riera Mireia delToro , Vashakmadze N D , Lampe Christina 
Published: March 2020

Abstract
Background: Mucopolysaccharidoses (MPS) are rare, inherited disorders associated with enzyme deficiencies that result in glycosaminoglycan (GAG) accumulation in multiple organ systems. Management of MPS is evolving as patients increasingly survive to adulthood and undergo multiple surgeries throughout their lives. As surgeries in these patients are considered to be high risk, this can result in a range of critical clinical situations in adult patients.
Results: We discuss strategies to prepare for and manage critical clinical situations in adult patients with MPS, including supporting the multidisciplinary team, preoperative and airway assessments, surgical preparations, and postoperative care. We also present eight critical clinical cases (age range: 21–38 years) from four leading inherited metabolic disease centres in Europe to highlight challenges and practical solutions to optimise the care of adult patients with MPS. Critical clinical situations included surgical procedures, pregnancy and a thrombus in a port-a-cath.
Conclusions: Individualised strategies to manage critical clinical situations need to be developed for each patient to compensate for the heterogeneous symptoms that may be present and the potential complications that may occur. These strategies should include input from the wider MDT, and be coordinated by metabolic specialists with expertise in the management of MPS disorders and surgery in adult patients with MPS.
Prevalence of Crowding, Boarding and Staffing Levels in Swedish Emergency Departments - a National Cross Sectional Study
Authors: Wretborn Jens , Henricson Joakim , Ekelund Ulf , Wilhelms Daniel B 
Published: March 2020

Abstract
Background Emergency Department (ED) crowding occurs when demand for care exceeds the available resources. Crowding has been associated with decreased quality of care and increased mortality, but the prevalence on a national level is unknown in most countries. Methods We performed a national, cross-sectional study on staffing levels, staff workload, occupancy rate and patients waiting for an in-hospital bed (boarding) at five time points during 24 hours in Swedish EDs. Results Complete data were collected from 37 (51% of all) EDs in Sweden. High occupancy rate indicated crowding at twelve hospitals (37.5 %) at 31 out of 170 (18.2%) time points. Mean workload (measured on a scale from 1, no workload to 6, very high workload) was moderate at 2.65 (±1.25). Boarding was more prevalent in academic EDs than rural EDs (median 3 vs 0). There were an average of 2.6, 4.6 and 3.2 patients per registered nurse, enrolled nurse and physician, respectively. Conclusion ED crowding based on occupancy rate was prevalent on a national level in Sweden and comparable with international data. Staff workload, boarding and patient to staff ratios were generally lower than previously described.
Aqueous humour cytokine profiles in eyes with Coats disease and the association with the severity of the disease
Authors: Liang Tingyi , Xu Yu , Zhu Xiuyu , Zhang Xiang , Li Jing , Zhao Peiquan 
Published: March 2020

Abstract
Background: To investigate aqueous humour (AH) cytokine profiles in eyes with Coats disease and analyze the association between cytokine concentrations and the severity of the disease.
Methods: The study included 36 patients (36 eyes) with Coats disease and 15 control patients (15 eyes) with congenital cataract. AH samples were obtained preoperatively and the concentrations of 22 different cytokines were measured through Cytometric Bead Array technology. Clinical characteristics of Coats disease, including the extent of retinal exudation and exudative retinal detachment (ERD), were recorded for analysis.
Results: The concentrations of 8 cytokines (VEGF, IL-6, IL-8, MCP-1, MIP-1α, IP-10, VCAM-1 and ICAM-1) were significantly higher in the Coats disease group than in the control group (all P < 0.002). Except for VCAM-1 and ICAM-1, the concentration of the other cytokines listed above showed a significant increase from stage 2 to stage 3 (all P < 0.05). Meanwhile, the concentrations of VEGF, IL-8, MCP-1 and MIP-1α showed a significant and positive association with the extent of retinal exudation and ERD (all r > 0.4, P < 0.05). Among these, IL-8 showed a strong association with the extent of retinal exudation and ERD (all r > 0.7, P < 0.001). The concentrations of IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-10, IL-12, Fractalkine, RANTES, G-CSF and GM-CSF were very low in both groups.
Conclusions: Various cytokines in the AH, including elevated VEGF, IL-6, IL-8, MCP-1, MIP-1α, IP-10, VCAM-1 and ICAM-1, may be involved in the pathogenesis and progression of Coats disease. Increasing severity of Coats disease is significantly associated with the AH concentrations of VEGF, IL-8, MCP-1 and MIP-1α. Further clinical treatment aimed to reduce vascular leakage and antagonize neovascularization and inflammation may be useful in preventing the progression of Coats disease.
Spatial Statistics and Influencing Factors of the Epidemic of Novel Coronavirus Pneumonia 2019 in Hubei Province, China
Authors: Xiong Yongzhu , Wang Yunpeng , Chen Feng , Zhu Mingyong 
Published: March 2020

Abstract
An in-depth understanding of spatiotemporal dynamic characteristics of infectious diseases could be helpful to an epidemic prevention and control. Based on the novel coronavirus pneumonia (NCP) data published on official websites, GIS spatial statistics and Pearson correlation methods were used to analyze the spatial autocorrelation and influencing factors of the 2019 NCP epidemic from January 30, 2020 to February 18, 2020. The results of the study showed that: (1) During the study period, Hubei Province was the only significant cluster area and hot spot of the cumulative cases confirmed with the NCP infection in China on the provincial scale; (2) The epidemic of the NCP infection in China on the prefecture-city scale had a very significant global spatial autocorrelation, and Wuhan had always been the significant hot spot and cluster city of the cumulative cases confirmed with the NCP infection in the whole country; (3) The cumulative cases confirmed with the NCP infection in Hubei Province on the county scale had a very significant global spatial autocorrelation, and the county-level districts under the jurisdiction of Wuhan and its neighboring Huangzhou district in Huanggang City were the significant hot spots and spatial clusters of the cumulative cases confirmed with the NCP infection; (4) Based on Pearson correlation analysis, the number of the accumulative cases confirmed with the NCP infection in Hubei Province on the prefecture-city scale and also on the county scale had very significant and positive correlations (p < 0.01) with the four indexes of population of registration population, resident population, regional GDP and total retail sales of consumer goods, respectively, during the study period; (5) The number of the cumulative cases confirmed with the NCP infection in Hubei Province on the prefecture-city scale also had a very significant and positive correlation (p < 0.01) with Baidu migration index and population density, respectively, but not with land area, whereas that in Hubei Province on the county scale had a significant and positive correlation (p < 0.05) with land area, but not with population density from January 30, 2020 to February 18, 2020. It is found that the NCP epidemic in Hubei Province has the distinctive characteristics of significantly centralized outbreak, significantly spatial autocorrelation and complex influencing factors and that the spatial scale has a significant effect on the global spatial autocorrelation of the NCP epidemic. The findings help to deepen the understanding of spatial distribution patterns and transmission trends of the NCP epidemic and may also benefit scientific prevention and control of epidemics such as NCP 2019.
Differentiation of soft tissue and bone sarcomas from benign lesions utilizing 18F- FDG PET/CT-derived parameters
Authors: Chen Bo , Feng Hongbo , Xie Jinghui , Li Chun , Zhang Yu , Wang Shaowu 
Published: March 2020

Abstract
Background: Accurate differentiation between malignant and benign in soft tissue and bone lesions is essential for the prevention of excessive pathological biopsy and unplanned surgical resection. However, it remains a challenge and a standard diagnosis modality is urgently needed. The purpose of this study is to evaluate the usefulness of 18F- FDG PET/CT-derived parameters to differentiate soft tissue sarcoma (STS) and bone sarcoma (BS) from benign lesions.Methods: Patients who underwent pretreatment 18F-FDG PET/CT imaging and subsequent biopsy to confirm malignant (STS and BS, n=37) and benign (n=33) soft tissue and bone lesions were retrospectively reviewed. The tumor size, maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), total lesion glycolysis (TLG) and heterogeneous factor (HF) of each lesion were measured. Univariate analysis and multivariate logistic regression analysis were performed to screen the significant risk factors to distinguish STS and BS from benign lesions. To establish a regression model based on independent risk factors, receiver operating characteristic (ROC) analysis was performed to assess the diagnostic performances.Results: Univariate analysis results showed that tumor size, SUVmax, MTV, TLG and HF of 18F-FDG PET/CT imaging in STS and BS group were all higher than benign lesions group, the difference were statistically significant (all P value were<0.01). However, the multivariate regression model only included SUVmax and HF as independent risk factors, odds radios were 1.135(95%CI: 1.026~1.256, P =0.014), 7.869(95%CI: 2.119~29.230, P =0.002), respectively. The regression model was as follow: Logit (P) = -2.461+0.127SUVmax+2.063HF. The area under the ROC was 0.860 (95%CI: 0.771~0.948, P <0.001) higher than SUVmax 0.744(95%CI: 0.628~0.860, P <0.001) and HF 0.790 (95%CI:0.684~0.896, P <0.001).Conclusion: The regression model including SUVmax and HF based on 18F-FDG PET/CT imaging may be useful for differentiating STS and BS from benign lesions.
The ferroptosis and iron-metabolism signature robustly predicts clinical diagnosis, prognosis and immune microenvironment for hepatocellular carcinoma
Authors: Ji Jiansong , Tang Bufu , Zhu Jinyu , Li Jie , Fan Kai , Gao Yang , Cheng Shimiao , Kong Chunli , Zheng Liyun , Wu Fazong , Weng Qiaoyou , Lu Chenying 
Published: March 2020

Abstract
Background : In this study, we comprehensively analyzed genes related to ferroptosis and iron metabolism to construct diagnostic and prognostic models and explore the relationship with the immune microenvironment in HCC. Methods : Integrated analysis, cox regression and the least absolute shrinkage and selection operator (LASSO) method of 104 ferroptosis- and iron metabolism-related genes and HCC-related RNA sequencing were performed to identify HCC-related ferroptosis and iron metabolism genes. Results : four genes (ABCB6, FLVCR1, SLC48A1 and SLC7A11) were identified to construct prognostic and diagnostic models. Poorer overall survival (OS) was exhibited in the high-risk group than that in the low-risk group in both the training cohort (P < 0.001, HR = 0.27) and test cohort (P < 0.001, HR = 0.27). The diagnostic models successfully distinguished HCC from normal samples and proliferative nodule samples. Compared with low-risk groups, high-risk groups had higher TMB; higher fractions of macrophages, follicular helper T cells, memory B cells, and neutrophils; and exhibited higher expression of CD83, B7H3, OX40 and CD134L. As an inducer of ferroptosis, erastin inhibited HCC cell proliferation and progression, and it was showed to affect Th17 cell differentiation and IL-17 signaling pathway through bioinformatics analysis, indicating it a potential agent of cancer immunotherapy. Conclusions : The prognostic and diagnostic models based on the four genes indicated superior diagnostic and predictive performance, indicating new possibilities for individualized treatment of HCC patients.
Role of PVT1 Polymorphisms in the Glioma Susceptibility and Prognosis
Authors: Ding Xiaoying , Zhao Yaqin , Yuan Haozheng , Zhang Yong , Gao Ya 
Published: March 2020

Abstract
Background: Genetic factors play a crucial role in the glioma risk and prognosis of glioma patients. To explore the role of PVT1 polymorphism in the susceptibility and survival of glioma in the Chinese Han population, we conducted a case-control study.Methods: The three single-nucleotide polymorphisms (SNPs) in PVT1 were genotyped using Agena MassARRAY from 575 patients with glioma and 500 healthy controls. We used the χ 2 test to analyze the differences in distribution of allele and genotype between the cases and controls. Odds ratio (OR) and 95% confidence interval (95% CI) were calculated by logistic regression analysis to evaluate the association SNPs with glioma risk. The effects of polymorphisms and clinical features on survival of glioma patients were evaluated using the log-rank test, Kaplan-Meier and Cox regression analysis.Results: We found that rs13255292 was associated with a decreased risk of glioma in the recessive model in overall or male; and rs4410871 was significantly associated with an increased the risk of glioma in age≤40 years old or female. Moreover, the extent of resection and chemotherapy were found to be key prognostic factors in survival of glioma patients. However, the gender, age, tumor grade, radiotherapy and PVT1 polymorphisms have no effect on prognosis of glioma patients.Conclusions: Our results indicated that PVT1 polymorphisms (rs13255292 and rs4410871) were associated with glioma susceptibility, but have no effect on prognosis of glioma patients. Further studies with large samples are required to confirm the results.
Prevalence and association of malaria with ABO blood group and hemoglobin levels in individuals visiting Mekaneeyesus Primary Hospital, Estie District, northwest Ethiopia: A cross-sectional study
Authors: Tazebew Balaynesh , Abitew Abaineh Munshea , Nibret Endalkachew 
Published: March 2020

Abstract
Background Malaria continues to be a major health problem in developing sub-Saharan countries including Ethiopia. Malaria is a complex disease and its local characteristics are determined by a variety of geographical, environmental, insect vector, host, and parasite factors.Methods A hospital based cross-sectional study was conducted to determine the prevalence of malaria and its possible association with hemoglobin level and ABO blood group among individuals attending Mekaneeyesus Primary Hospital, Estie District, northwestern Ethiopia. Socio-demographic variables and relevant data were collected from 390 randomly selected individuals through structured questionnaire. Then, thick and thin smears were prepared from finger pricked blood samples, stained, and examined microscopically for detection and identification of malaria parasites. ABO blood group and hemoglobin levels of the same subjects were also determined. The data generated were entered into a computer and analyzed for descriptive and logistic regression models using SPSS version 23.0. Variables with p-value < 0.05 in multivariable logistic regression were considered as explanatory variables.Results The overall prevalence of malaria was 8.5%; Plasmodium vivax (5.6%) was the most predominant, followed by P. falciparum (2.3%), and mixed infection of the two species (0.5%). In multivariate logistic regression analysis, being male (AOR = 3.48), under-five years of age (AOR = 72.84), rural residence (AOR = 2.64), and failing to use bed net (AOR =4.65) were significantly associated with the risk of malaria infection. Most (14.6%) of malaria positives cases were among individuals with blood group “A”, while the least number of cases were among subjects with blood group “O”. Individuals with blood group “A” were about four times more likelihood of getting malaria as compared to individuals with blood group “O” (AOR= 3.74). The prevalence of anemia was 23% and significantly associated with malaria (p<0.05).Conclusions Malaria in the study area is still higher than the average prevalence at country level. Therefore special attention should be given to the prevention and control strategies with the objective of increasing the awareness of local community towards malaria.
Comparison of whole-body vibration training, strength training and health education on physical function and neuromuscular function of individuals with knee osteoarthritis: a randomized clinical trial
Authors: Lai Zhangqi , Lee Seullee , Chen Yiyang , Wang Lin 
Published: March 2020

Abstract
Background Knee osteoarthritis (KOA) is among the most common osteoarthritis diseases that affect adults older than 65 years old. Impaired neuromuscular function contributes to the development and/or progression of KOA. As a new modality in strength training, whole-body vibration (WBV) training is considered in the management of KOA. However, the inconsistent results of previous studies dampened the enthusiasm for the clinical application of WBV.Methods Eligible participants with KOA were randomly allocated to WBV, strength training (ST) and health education (HE) groups. Finally, 57 participants completed the intervention and measurements. The participants in each group were encouraged to perform the WBV training, similar strength training or health education program. These supervised interventions were performed three times per week for 8 weeks. Physical function was assessed with Timed Up and Go (TUG) and 6-min Walk Distance tests. Neuromuscular function was measured with isokinetic muscle strength and proprioception. Results All variables of physical function and neuromuscular function failed to change significantly among three groups. However, compared with the baseline, the time of TUG and isokinetic muscle strength improved significantly only in WBV group. Conclusion WBV training has been recommended for strength training in elderly people and patients with musculoskeletal diseases. The 8-week WBV training under the protocol of our study was not superior to ST and HE. Hence, more clinical studies are required in the future to develop an optimal training protocol.
S100A2 induces the growth of Calu-6 Lung Cancer Cells via apoptosis inhibition, invasion enhancement and promoting cell division
Authors: Liang Yiqian , Wang Ting , Yin Bianling , Thakur Asmitananda 
Published: March 2020

Abstract
Background S100 calcium binding protein A2 (S100A2) has been confirmed to have an abnormal expression in lung cancer and is associated with a better disease-free internal of lung cancer patients. Our previous studies on S100A2 in lung cancer concentrated on the clinical roles of this protein in lung cancer, finding that S100A2 increasingly expressed in the sera, tissues and plural effusion of lung cancer patients. This study emphasizes its value in the lung cancer cell line. Methods We constructed a S100A2 expression lentivirus vector, then transfected it and blank vector into the Calu-6 lung cancer cell line respectively. After the successful transfection, (which was confirmed by RT-PCR and Western-blot), we used MTT, transwell and flow cytometric analysis to compare the differences in cell proliferation, cell migration, cell invasion, cell apoptosis and cell cycle among the three groups (Calu-6, Calu/neo, Calu-6/S100A2). Results Calu-6 lung cancer cells showed a shift from G1 to S phase after being transfected with S100A2, compared with the control groups. Additionally, Calu-6/S1000A2 cells had enhanced abilities of invasion and down-abilities of apoptosis in contrast with the blank groups (P<0.05). However, there were no significant difference among these three group in the cell behaviors of migration and proliferation (P>0.05). Conclusion Our results firstly indicate that S100A2 has a positive influence on the biological characteristics of Calu-6 lung cancer cell line, including cell division, invasion and apoptosis inhibition. It may play a significant role in the genesis and progression of lung cancer.