bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experiences from Decentralised Radiological Services in Norway- a rural case study.
Authors: Myklebust Aud Mette , Eide Hilde , Ellis Brian , Beattie Rona 
Published: December 2019

Abstract
Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this single case study was to highlight experiences from different stakeholders’ of organiseing decentralised radiological services in a rural area in Norway. Methods A qualitative single case study design was adopted, collected data using focus groups with healthcare professionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. The key emergent themes from the literature, decentralisation, quality, professional roles, organisation and economic consequences were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: 1) organisation, 2) quality and safety, 3) funding of radiological services and 4) cooperation between health care professions and health care levels. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. The experience is that the Norwegian funding system hinders an efficient decentralised health care service. Effective cooperation and responsibility between health care professions and levels was challenging. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Quality of the service could be improved and should be given priority. Structural change to the financial system whereby money follows patients, might also facilitate more patientcentred services across healthcare levels. Improved mutual understanding between rural radiological services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.
Comparative study on the effects of different feeding habits and diets on intestinal microbiota in Acipenser baeri Brandt and Huso huso
Authors: Xu Guanling , Xing Wei , Li Tieliang , Xue Min , Ma Zhihong , Jiang Na , Luo Lin 
Published: December 2019

Abstract
Background: Siberian sturgeon ( Acipenser baeri Brandt) and Beluga sturgeon ( Huso huso ) are two important commercial fish in China, and the feeding habits of them are very different. Diets and feeding habits are two significant factors to affect the gastrointestinal microbiota in ﬁsh. The intestinal microbiota has been reported to play a key role in nutrition and immunity. However, it is rarely reported about the relationship between the intestinal microbiota and feeding habits/diets on different Acipenseridae fish. This study is to comparative analysis of gut microbial community in Siberian sturgeon and Beluga sturgeon fed with the same diet/Beluga sturgeon fed with different diets in order to determine the effects of different feeding habits/diets on the fish intestinal microbiota. Results: According to the experimental objectives, BL and BH groups were Beluga sturgeon ( Huso huso ) fed with low fishmeal diet and high fishmeal diet, respectively. SH group represented Siberian sturgeon ( Acipenser baeri Brandt) fed with the same diet as BH group. After 16 weeks feeding trial, the intestinal microbiota was examined by 16S rRNA high-throughput sequencing technology. On the phylum level, Proteobacteria and Bacteroidetes were signiﬁcantly higher in BL group than BH group, and Cyanobacteria showed the opposite trend. Compared with BH group, Proteobacteria and Firmicutes were signiﬁcantly increased in SH group, whereas Cyanobacteria were clearly decreased. At the genus level, Pseudomonas and Citrobacter in BL group were signiﬁcantly higher comparing with BH group, while Bacillus , Luteibacter , Staphylococcus and Oceanobacillus was lower in BH group than SH group. Conclusions: Alpha and beta diversities indicated that the intestinal microﬂora were significant difference between Siberian sturgeon and Beluga sturgeon when they fed with the same diet. Meanwhile, Beluga sturgeon fed with low fishmeal diet can increase the species diversity of intestinal microbiota than it fed with high fishmeal diet. Therefore, feeding habits clearly affected the gastrointestinal microbiota of sturgeons. Moreover, the impact of changes in food on the gut microbiota of sturgeons should be taken into consideration during the process of sturgeon aquaculture.
Diagnostic value of serum Aspergillus IgG antibody for invasive pulmonary aspergillosis and chronic pulmonary aspergillosis in non-agranulocytic patients
Authors: Yu Qihong , He Jingdong , Xing Bin , Li Xin , Qian Hongyu , Zhang Hong , Xu Meilin , Peng Haiying 
Published: December 2019

Abstract
Background: At present, serum Aspergillus IgG and IgM antibodies are mainly used in the diagnosis of chronic pulmonary aspergillosis (CPA), but their diagnostic value in invasive pulmonary aspergillosis (IPA) in non-agranulocytic patients is still unclear. IgM can be used as a marker of acute infection to help diagnosing acute infection-related diseases. IgG is a marker of long-term infection and used to assist in the diagnosis of preexisting or chronic infection-related diseases. The aim of this study was to investigate and compare the value of serum Aspergillus IgG and IgM antibody detection in diagnosis of IPA and CPA in non-agranulocytic patients. Methods: 58 cases of pulmonary aspergillosis (37 IPA and 21 CPA cases), 15 cases of community-acquired bacterial pneumonia and 50 cases of healthy control group were collected. Serum (1,3)-β-D-glucan test (G test) was performed with a chromogenic method, and galactomannan test (GM test), Aspergillus IgG and IgM antibody were detected by commercial enzyme-linked immunosorbent assay (ELISA) in all patients. The sensitivity and specificity, cut off value and the area under curve (AUC) of Aspergillus IgG and IgM antibodies were further obtained by the receiver operating characteristic (ROC) curves. Results: The positive rate of G test, Aspergillus IgG antibody and GM test also showed notably differences among IPA, CPA, community-acquired bacterial pneumonia and healthy groups (P = 0.006, P < 0.001 and P = 0.217, respectively). Only the positive rate of GM test statistically distinct difference between IPA and CPA groups (P = 0.04). ROC curves indicated that Aspergillus IgG antibody with the highest specificity when IPA group compared with CPA groups (0.952). Aspergillus IgG antibody can preferably distinguish IPA from community-acquired bacterial pneumonia and healthy controls (sensitivity = 0.923, specificity = 0.459, cut off value = 134.46, AUC = 0.727). It can also distinguish CPA from community-acquired bacterial pneumonia and healthy controls (sensitivity = 0.952, specificity = 0.692, cut off value = 75.46, AUC = 0.873). Conclusions: Serum Aspergillus IgG has certain clinical value in the diagnosis of IPA and CPA in non-agranulocytic patients.
Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.
Authors: Ababor Abdo Abazinab , Tesso Desalegn Wirtu , Cheme Melese Chego 
Published: December 2019

Abstract
Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.
WITHDRAWN: De novo assembly and comparative transcriptome analysis revealed the genes that were potentially involved in defensive terpenoids emission in the wheat against the wheat aphid Sitobion avenae (Fabricius)
Authors: Zhao Lei , Liu Zhen , Zhan Yidi , Liu Yong 
Published: December 2019

Abstract
Background
Terpenoid volatiles play an important role directly or indirectly in the plant defense mechanisms against herbivores, including the gramineous crops such as transgenic rice and corn. The conventional varieties of wheat are important gramineous cereal crops that lack aphid-resistant genes. Therefore, it is necessary to seek the aphid-resistant genes by screening for potential terpenoid synthase genes in the wheat germplasm resources.
Results
The result showed that aphid-damaged Octoploid Tirtitrigia emitted a higher amount of S-linalool, ent-kaurene, (+)-delta-cadinene, (3S,6E)-nerolidol as compared to the intact plant. In addition, (E)-β-caryophyllene, β‐Myrcene, (E)-4,8-dimethyl-1,3,7-nonatriene (DMNT) were new volatile terpenoids emitted by the damaged plant. Further olfactory responses tests showed that S-linalool significantly repelled Sitobion avenae (Fabricius). After de novo assembly and quantitative assessment, a total of 182348 (74.8%) unigenes were annotated by alignment with the public protein databases. Of these unigenes, 2389 differentially expressed genes were identified between the intact and damaged ears of Octoploid Trititrigia. The expression profile of 10 randomly selected TPSs was confirmed with RT-qPCR. Candidate genes involved in terpenes biosynthesis were identified by showing the significant transcript changes between the intact and damaged plant ears of Octoploid Trititrigia. The transcript abundances of terpenes biosynthetic pathway-related genes were also positively correlated with the production of volatile terpenoids in the ears. The unigenes of S-linalool synthase gene was mapped to the cloned cDNA WT008_M07 (AK333728) and WT013_P07 (AK335856) of the Chinese spring wheat cultivar. The predicted protein complete ORF sequence (TaLIS1/2) when compared with the S-linalool synthase gene of other species, contained an aspartate-rich region DDxxD motif. Its function was characterized as coordinating the divalent metal ions involved in substrate binding. Furthermore, the phylogenetic tree results indicated that the TaLIS1 and TuNES1 are highly homologous.
Conclusions
This assembled transcriptome of S. avenae-damaged Octoploid Trititrigia and the intact ears could provide more molecular resources for the future functional characterization analysis of genomics in volatile terpenoids involved in direct or indirect defenses. Our study describes the metabolic regulation mechanism of the volatile terpenoids in the gramineous crops, which provides support for both breeding and genetic modification of the wheat varieties resistant to wheat aphid.
A novel individualized strategy for cryoballoon catheter ablation in patients with paroxysmal atrial fibrillation
Authors: Ding Jun , Xu Jing , Ma Wei , Chen Bingwei , Yang Peigen , Qi Yu , Sun Shan , Cheng Aijuan 
Published: December 2019

Abstract
Background : The optimal dosage for cryoablation of atrial fibrillation (Cryo-AF) is still unknown. To evaluate the efficacy of an individualized freeze duration, we compared the clinical outcome of patients treated with a time-to-pulmonary vein isolation (TT-PVI) or temperature-guided ablation protocol to the outcome of patients treated with a conventional ablation protocol.
Methods: A total of 164 consecutive patients were included in the study. One method employed was a conventional dosing protocol (at least 2 applications of 180 seconds each)(the Cryo-AF Conventional group n=84), and the second method had a shorter protocol that was based on the TT-PVI or achievement of -40°C within 60 seconds (the Cryo-AF Dosing group n=80).
Results: We treated 656 pulmonary veins (PVs) with 1420 cryotherapy applications. The mean number of applications per patient was 8.7±0.8, with no difference between groups (Cryo-AF Conventional , 8.7±0.8 versus Cryo-AF Dosing ,8.6±0.8; P =0.359). The Cryo-AF Dosing group required significantly less total cryotherapy application time (990.60±137.77versus 1501.58±89.60 seconds; P <0.001) and left atrial dwell time (69.91±6.91 versus 86.48±7.03 minutes; P <0.001) than the Cryo-AF Conventional group. Additionally, the Cryo-AF Dosing group required significantly less total procedure time (95.03±6.50 versus 112.43±7.11 minutes; P <0.001). We observed acute ATP-induced or spontaneous vein electric reconnections in 13 veins (1.98%) after 20 minutes. The reconnection rates between the Cryo-AF Conventional and Cryo-AF Dosing groups were similar in that 2.98% and 0.94% of the initially isolated veins were reconnected, respectively, ( P =0.061). There was no difference in the recurrence rate of free atrial arrhythmia after a 1-year follow-up, which were 78.75% in the Cryo-AF Dosing group versus 78.57% in the Cryo-AF Conventional group ( P =0.978).
Conclusion: A novel Cryo-AF dosing protocol guided by temperature or the TT-PVI can be used to individualize an ablation strategy. This new protocol can lead to a significant reduction in duration of the procedure, the cryoenergy dosage and the left atrial dwell time. The procedure had equal safety and similar acute and 1-year follow-up outcomes compared to the conventional approach.
Maternal age and educational level modify the association between chronic hepatitis B infection and preterm labor
Authors: Peng Songxu , Chen Hongyan , Li Xiu , Du Yukai , Gan Yong 
Published: December 2019

Abstract
Background: Few studies have investigated whether maternal age and education level modify the association of chronic hepatitis B virus (HBV) infection with preterm labor. We hypothesized that the association of HBV infection with preterm labor is modified by maternal age and education level. Methods: A retrospective cohort study was conducted on the HBsAg-positive and HBsAg-negative pregnant women delivered from June 2012 to August 2017 at Wuhan Medical Care Center for Women and Children, Wuhan, China. A multivariate regression model was used in this study. Results: This study included 2050 HBsAg-positive pregnant women and 2050 HBsAg negative women. In the stratified analyses, positive HBsAg status was associated with the increased risk of preterm labor in women aged <30 years, having low educational level, with an odds ratio of 1.65(95% CI 1.07-2.54) and 2.59(95% CI 1.41-4.76), respectively. Breslow-Day test showed that there existed significant differences in the ORs for HBsAg carriage across each stratum of maternal age ( p = 0.023), educational level ( p = 0.002). After adjusting other co-variables, we observed maternal HBV infection (OR 1.60, 95% CI 1.03-2.49) was still associated with risk of preterm labor in pregnancy women with age <30. Similarly, the significant association of HBV infection (OR 2.49, 95% CI 1.34-4.63) with preterm labor remained in low educated women. Conclusions: Our results indicated that HBV infection was associated with high risk of preterm labor, but maternal age and educational level could modify the association between HBV infection and preterm labor.
Transcriptome and metabolome reveal redirection of flavonoids in a white testa peanut mutant
Authors: Wan Liyun , Lei Yong , Yan Liying , Liu Yue , Pandey Manish Kumar , Wan Xia , Varshney Rajeev Kumar , Fang Jiahai , Liao Boshou 
Published: December 2019

Abstract
Background: Coat color determines both appearance and nutrient quality of peanut. White seed coat in peanut can enhance the processing efficiency and quality of peanut oil.An integrative analysis of transcriptomes, metabolomes and histocytology was performed on wsc mutant and its wild type to investigate the regulatory mechanisms underlying color pigmentation.
Result：Metabolomes revealed flavonoids were redirected in wsc, while multi-omics analyses of wsc mutant seeds and testae uncovered WSC influenced the flavonoids biosynthesis in testa as well as suberin formation, glycolysis, the TCA cycle and amino acid metabolism. The mutation also enhanced BR, GA, and JA biosynthesis as well as ABA, AUX, BR and JA signaling. Further, co-expression analysis showed that FLS genes co-expressed with MBW complex member genes. Combining tissue expression patterns, genetic analyses, and the annotation of common DEGs for these three stages revealed that three testa specific expressed candidate genes, Araip.M7RY3, Aradu.R8PMF and Araip.MHR6K were likely responsible for the white testa phenotype. WSC might be regulated expression competition between FLS and DRF by controlling hormone synthesis and signaling as well as the MBW complex.
Conclusions: The results of this study therefore provide both candidate genes and novel approaches that can be applied to improve peanut with desirable seed coat color and flavonoid quality.
Withdraw of prophylactic antimicrobials does not change resistome in pigs
Authors: Villa Maria Fernanda Loayza , Torres Alejandro , Zhang Lixin , Trueba Gabriel 
Published: December 2019

Abstract
Background: The use of antimicrobials in the animal industry has increased the prevalence of antibiotic resistant bacteria and antimicrobial-resistance genes which can be transferred to human microbiota through the food chain or the environment. To reduce the influx of antibiotic-resistance to the human microbiota, restrictions on antimicrobials (in food animals) have been implemented in different countries. We investigated the impact of an antimicrobial restriction on the frequency of antimicrobial-resistant bacteria in pigs (PCI 1050) from an Ecuadorian farm. Results: No differences in antimicrobial resistant coliforms or antimicrobial resistance genes (richness and abundance) were found when we compared animals fed with or without antibiotics. Nevertheless, the absence of antimicrobials in pigs didn’t impact the productive performance of animals. Conclusion: Fitness costs of antimicrobial resistance in bacteria within intestinal microbiota of animals seems to be overestimated. Avoiding antimicrobials as prophylactics in pigs fed is not enough to control maintenance and spread of antimicrobial resistance.
Surveillance of antimicrobial resistance of maltose negative Staphylococcus aureus in South African dairy herds
Authors: Karzis Joanne , Petzer Inge-Marié , Donkin Edward F. , Naidoo Vinny , Etter Eric M. C. 
Published: December 2019

Abstract
BackgroundThe discovery of antimicrobials in the 1930s was one of the greatest achievements in medicine. However, bacterial resistance to antimicrobials was already observed in the 1940s and has been reported since then in both human and veterinary medicine, including in dairy cows. Many years of monitoring milk samples in South Africa, has led to the identification of a new strain of Staphylococcus aureus (S. aureus), which is maltose negative and appears to be an emerging pathogen. In this study the differences in susceptibility to antimicrobials of this strain were evaluated over time, over different seasons, in different provinces, and according to somatic cell count (SCC) categories.Results A data set of 271 maltose negative S. aureus isolates, cultured from milk samples from 117 herds out of the estimated 2000 commercial dairy herds in South Africa between 2010 and 2017, was studied using the disc diffusion method. This analysis was done using the Clinical Laboratory Standards Institute (CLSI) breakpoints in order to compare using both the previously used system (intermediate category grouped with resistant) and more recent system, (intermediate category grouped with susceptible). The results between the previously used system and the more recent system analysis differed for tylosin, cefalonium, oxy-tetracycline and cloxacillin. Neither the analysis using the previous system nor the more recent system showed an effect of province for the maltose negative S. aureus. This was in contrast to the results for maltose positive S. aureus where differences between provinces were shown in a previous study. For the susceptibility testing of 57 maltose negative S. aureus and 57 maltose positive S. aureus the minimum inhibitory concentration (MIC) results for the maltose negative S. aureus confirmed the results of the disc diffusion method. ConclusionsThe maltose negative strains of S. aureus differed in general, in their antimicrobial resistance patterns over time, in comparison to maltose-positive S. aureus strains. MIC testing also indicated that more multi-resistant isolates were seen with the maltose negative S. aureus than in the maltose positive strains.