bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estabilidad de la alanina aminotransferasa en suero. Efecto del modelo de estudio, la concentración catalítica inicial y la plataforma analítica
Authors: Bauça Josep Miquel , Caballero Andrea , Gómez Carolina , Martínez-Espartosa Débora , García del Pino Isabel , Puente Juan José , Llopis Maria Antonia , Marzana Itziar , Segovia Marta , Ibarz Mercedes , Ventura Montserrat , Salas Paloma , Gómez-Rioja Rubén 
Published: April 2020

Resumen

Objetivos
Existen multitud de estudios de estabilidad de magnitudes de interés clínico, aunque con resultados muy diferentes o incluso contradictorios, como es el caso de la alanina aminotransferasa (ALT). El objetivo de este estudio fue evaluar la estabilidad de la ALT en suero incluyendo múltiples variables.

Métodos
Se realizó un estudio multicéntrico en ocho laboratorios, con muestras de suero con concentración catalítica inicial conocida de ALT, en cuatro intervalos diferentes: <50 U/L (<0.83 μkat/L), 50–200 U/L (0.83–3.33 μkat/L), 200–400 U/L (3.33–6.67 μkat/L) y >400 U/L (>6.67 μkat/L). Se conservaron las muestras durante siete días a dos temperaturas diferentes, siguiendo cuatro modelos experimentales y utilizando cuatro plataformas analíticas diferentes. Se calcularon las respectivas ecuaciones de estabilidad mediante regresión lineal y se valoró la influencia de las diferentes variables en un modelo multivariante.

Resultados
Se observó una disminución constante de la concentración catalítica de la ALT respecto al tiempo. Asimismo, se observó un marcado efecto de la temperatura y de la plataforma analítica utilizada (−4%/día a temperatura ambiente frente a −1%/día refrigerado), con una mayor inestabilidad en Architect (Abbott). Se detectó un ligero efecto de la concentración catalítica inicial de ALT, sin embargo, no se observó influencia del modelo experimental utilizado.

Conclusiónes
La ALT en suero sufre una disminución constante en el tiempo que se mitiga con la refrigeración de la muestra. Se ha encontrado un efecto significativo de variables poco estudiadas que, unidas a una gran variabilidad interindividual, hacen necesarios estudios con un alto número de muestras para determinar las ecuaciones de estabilidad.
Observation of Induced Luminescence and Thermochromism in Achiral Hydrogen Bonded Liquid Crystal Complexes
Authors: Ramya A. , Balasubramanian V. , Jayaprakasam R. , Vijayakumar V. N. 
Published: April 2020

Abstract
A novel hydrogen bonded liquid crystal (HBLC) complexes are obtained from the non-mesogenic (benzylmalonic acid) and mesogenic (p-n-alkyloxybenzoic acid, where n = 6, 7 and 8) compound via intermolecular hydrogen bonds (H-bond). H-bonds are experimentally confirmed by the Fourier transform infrared spectroscopic (FT-IR) studies and the same is validated using density functional theory (DFT). Induced thermochromism is observed by the polarizing optical microscope (POM) and its possible applications are reported. Phase transition temperature and their analogous enthalpy values, stability factor and span width are determined by the differential scanning calorimetry (DSC) studies. Band gap energy is calculated using UV-visible and photoluminescence spectrum. Hyper conjugative stabilization energy and atomic charge distribution is studied by the natural bond orbital (NBO) studies. Mulliken analysis clearly reveals the intermolecular interaction and steric effect of the HBLC complexes. An interesting phenomenon is that the observation of luminescence and thermochromism in the highly fluidity nematic phase. This peculiar behavior is attributed due to the intermolecular H-bonding interaction between the BMA and nOBA compounds and the effect of rotatory motion of the molecules in nematic phase. Luminescence increases when the spacer moiety decreases in the present complexes is also reported. In nematic phase, the molecules are in different degrees of the excited state which is correlated with the hyper conjugative energy through NBO studies.
Gracia César fora de foco: a protagonista oculta em “O inferno tão temido”, de Juan Carlos Onetti
Authors: Wolff Renata Fonseca 
Published: April 2020

O presente artigo tem como objetivo examinar elementos estruturais do conto “O inferno tão temido”, do escritor uruguaio Juan Carlos Onetti, e investigar a forma como esses elementos conduzem à centralidade da personagemGracia César para essa narrativa. Tendo como base a pesquisa bibliográfica relativa à teoria geral do conto enquanto gênero e a estudos teóricos dessa obra em particular, o artigo analisa suas categorias de enredo, temas, personagens, narrador e focalização, concluindo que a articulação desses dispositivos corrobora a personagem feminina como protagonista oculta, ao mesmo tempo diluída e enfatizada pelo oscilante distanciamento narrativo com que é observada ao longo do conto.
„Bogactwo” Bożego miłosierdzia w listach św. Pawła
Authors: Rycerz Zbigniew 
Published: April 2020

Autor stawia sobie za cel prezentację miłosierdzia w listach św. Pawła w aspekcie ubogacającej relacji Boga do człowieka. Poddaje analizie najbardziej reprezentatywne teksty, które zawierają bazę semantyczną: ἔλεος–ἐλεέω i οἰκτιρμός–οἰκτίρω. Punktem wyjścia czyni osobiste doświadczenie miłosierdzia Bożego w życiu apostoła. Następnie podejmuje próbę wnioskowania jak ono wpłynęło na rozwój nauki o miłosierdziu i jakie znalazło przełożenie na praktykę życia chrześcijańskiego. W końcu zadaje pytanie o dojrzałość Pawłowej nauki o Bożym miłosierdziu.
Análise estrutural e dinâmica de Gymnanthes klotzschiana (Müll. Arg.) em um fragmento de floresta ombrófila mista
Authors: Kieras Wesllen Schuhli , Machado Sebastião Do Amaral , Accioly Yuri 
Published: April 2020

A Gymnanthes klotzschiana é uma espécie arbórea pioneira característica das planícies aluviais da Floresta Ombrófila Mista, importante para a conservação das matas ciliares. Portanto este trabalho tem como objetivo analisar a estrutura e a dinâmica de G. klotzschiana em um fragmento de Floresta Ombrófila Mista. Os dados utilizados na pesquisa provêm de um censo (inventário 100%) realizado nos anos de 2007, 2010 e 2013 no Capão da Engenharia Florestal, situado na Universidade Federal do Paraná, Curitiba (PR), com área total de 15,2 ha. As medições foram realizadas em intervalos de 3 anos, sendo mensuradas e identificadas todas ás árvores com circunferência à altura do peito superiores a 30 cm. As análises estruturais foram realizadas com base nos parâmetros populacionais por espécie e a dinâmica foi obtida por meio do acompanhamento do crescimento, ingresso e mortalidade entre os períodos de medição. Os resultados mostram um aumento de indivíduos entre as três medições, passando de 120 para 256 indivíduos, consequentemente, houve um incremento considerável em área basal entre as medições, de 3,26 m² para 6,2 m². A taxa de incremento periódico anual em diâmetro aumentou de 0,31 cm/ano para 0,34 cm/ano, e o incremento periódico anual em área transversal majorou de 0,0280 m² ha-1 para 0,0397 m² ha-1. A taxa de ingresso aumentou gradativamente, enquanto não houve mortalidade no período de medições. A G. klotzschiana possui alto valor de importância para a Floresta Ombrófila Mista, bem como uma dinâmica que favorece o desenvolvimento de outras espécies.
Comparison of Visual Outcomes for Myopia after Refractive Surgery using Femtosecond Laser-Assisted and Flap-off Epi-LASIK
Authors: PIAO JUNJIE , Whang Woong-Joo , Joo Choun-Ki 
Published: April 2020

Abstract
Background This study clinically evaluated the visual outcomes after refractive surgery for myopia using femtosecond laser-assisted in situ keratomileusis (femto-LASIK) and epi-LASIK (flap-off). Methods In this prospective cohort study, 40 eyes of 27 patients were divided into two groups depending on the technique used for refractive surgery. Femto-LASIK flaps and epi-LASIK flaps (flap-off) were created using femtosecond laser and Epi-K TM epikeratome, respectively. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction (MR), corneal asphericity (Q-value), and corneal higher-order aberrations (HOAs) were assessed pre- and postoperatively. Results The improvement in LogMAR UDVA after refractive surgery was statistically significant for both groups ( P < 0.001 for all groups); it was significantly improved in the femto-LASIK group, 1 day and 1 week postoperatively ( P < 0.001, P = 0.019, respectively). With regard to the front and total corneal HOAs, there were significant differences in spherical aberrations (Z 4,0 ) between the femto-LASIK and flap-off epi-LASIK groups ( P = 0.016 and P = 0.017, respectively). With regard to the back corneal HOAs, there were significant differences in vertical coma (Z 3,-1 ) aberration, 0.027 ± 0.027 μm (femto-LASIK) and 0.001 ± 0.034 μm (flap-off epipolis LASIK); horizontal secondary astigmatism (Z 4,2 ) aberration, -0.008 ± 0.012 μm (femto-LASIK) and 0.007 ± 0.018 μm (flap-off epipolis LASIK); oblique tetrafoil (Z 4,-4 ) aberration, -0.008 ± 0.029 μm (femto-LASIK) and 0.015 ± 0.026 μm (flap-off epi-LASIK), respectively ( P = 0.018, P = 0.007, and P = 0.022, respectively). However, the back corneal HOA changes did not have a significant effect on the total corneal HOA changes. Conclusion Femto-LASIK yielded better early visual outcomes than did flap-off epi-LASIK, but there was no significant difference between the outcomes of the two procedures, 1 week postoperatively.
A novel framework for classification of selection processes in epidemiological research
Authors: Bjork Jonas , Nilsson Anton , Bonander Carl , Strömberg Ulf 
Published: April 2020

Abstract
Background: Selection and selection bias are terms that lack consistent definitions and have varying meaning and usage across disciplines. There is also confusion in current definitions between underlying mechanisms that lead to selection and their consequences. Consequences of selection on study validity must be judged on a case-by-case basis depending on research question, study design and analytical decisions. The overall aim of the study was to develop a simple but general framework for classifying various types of selection processes of relevance for epidemiological research. Methods: Several original articles from the epidemiological literature and from related areas of observational research were reviewed in search of examples of selection processes, used terminology and description of the underlying mechanisms. Results: We classified the identified selection processes in three dimensions: i) selection level (selection at the population level vs. study-specific selection), ii) type of mechanism (selection in exposure vs. selection in population composition), iii) timing of the selection (at exposure entry, during exposure or post-outcome). Conclusions: Increased understanding of when, how, and why selection occur is an important step towards improved validity of epidemiological research.
Implementing a Multidisciplinary Approach for Older Adults with Cancer: Geriatric Oncology in Practice
Authors: Presley Carolyn , Krok-Schoen Jessica , Wall Sarah , Noonan Anne , Jones Desiree , Folefac Edmund , Williams Nicole , Overcash Janine , Rosko Ashley 
Published: April 2020

Abstract
Background: Evidence-based practice in geriatric oncology is growing, and national initiatives have focused on expanding cancer care and research to improve health outcomes for older adults. However, there are still gaps between knowledge and practice for older adults with cancer.Methods: Here we provide a detailed methodology of geriatric oncology care delivery within a single institution. The Cancer and Aging Resiliency (CARE) clinic is a multidisciplinary approach for implementing geriatric-driven health care for older adults with cancer. The CARE clinic was developed as a direct response to recommendations targeting key multifactorial geriatric health conditions (e.g. falls, nutritional deficits, sensory loss, cognitive impairment, frailty, multiple chronic conditions, and functional status). The multidisciplinary team assesses and delivers a comprehensive set of recommendations, all in one clinic visit, to minimize burden on the patient and the caregiver. The CARE clinic consultative model is a novel approach integrating cancer subspecialties with geriatric oncology healthcare delivery.Conclusions: Older adults with cancer have unique needs that are independent of routine oncology care. The CARE clinic model provides specific assessments and interventions to improve health outcomes among older adults with cancer.
The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China
Authors: Zhang Ting , Wang Huien , Wang Xinling , Yang Yue , Zhang Yingkui , Tang Zengjun , Wang Li 
Published: April 2020

Abstract
Background The adverse pregnancy outcomes caused by teenage pregnancy are major public health problems with significant social impact. While China is the most populous country in the world, and 8.5% of the women aged 10-50 years are adolescent women, we aimed to analyze the adverse maternal and perinatal outcomes of the adolescent pregnancy in Hebei Province, China. Methods There were 238,598 singleton pregnant women aged 10-34 years from January 1, 2013 to December 31, 2017 in the database of Hebei Province Maternal Near Miss Surveillance System (HBMNMSS). The 238,598 pregnant women were divided into two groups: adolescent group ( aged 10-19 years) and adult group (aged 20-34 years). The adolescent group was divided into two subgroups (aged 10-17 years, aged 18-19 years), the adult group was divided into two subgroups (aged 20-24 years, aged 25-34 years). We compared the risk of adverse pregnancy outcomes using univariate and multivariate logistic regression. We also made a stratified analysis of nulliparous and multiparous adolescent pregnancy. Results Compared with women aged 20-34 years, women aged 10-19 years had lower risk of cesarean delivery [adjusted risk ratio (aRR): 0.75, 95% confidence interval (CI): 0.70-0.80], gestational diabetes mellitus (GDM) (aRR: 0.55, 95%CI: 0.41-0.73). Women aged 10-19 years had higher risk of preterm delivery (aRR: 1.76, 95%CI: 1.54-2.01), small for gestational age (SGA) (aRR: 1.19, 95%CI: 1.08-1.30), stillbirth (aRR: 2.58, 95%CI: 1.83-3.62), neonatal death (aRR: 2.63, 95%CI: 1.60-4.32). The adolescent women aged 10-17 years had significantly higher risk of stillbirth (aRR: 5.69, 95%CI: 3.36-9.65) and neonatal death (aRR: 7.57, 95%CI: 3.74-15.33) compared with the women aged 25-34 years. Younger adults (20-24 years) also had higher risks of preterm delivery (aRR: 1.26, 95%CI: 1.20-1.32), stillbirth (aRR: 1.45, 95%CI: 1.23-1.72), and neonatal death (aRR: 1.51, 95%CI: 1.21-1.90) compared with women aged 25-34 years. The structural equation model showed that preterm delivery and cesarean delivery had an indirect effect on neonatal death in adolescent pregnancy. Conclusions The adolescent pregnancy was related to adverse perinatal (fetal and neonatal) outcomes, such as preterm delivery, stillbirth and neonatal death, especially in younger adolescent pregnancies.
A meta-analytic evaluation of the correlation between event-free survival and overall survival in randomized controlled trials of newly diagnosed Ewing sarcoma.
Authors: Tanaka Kazuhiro , Kawano Masanori , Iwasaki Tatsuya , Itonaga Ichiro , Tsumura Hiroshi 
Published: April 2020

Abstract
BackgroundIn randomized controlled trials (RCTs) of adjuvant treatment for malignant tumors, event-free survival (EFS) is considered the most acceptable surrogate for overall survival (OS). However, even though EFS has repeatedly been selected as a primary endpoint in RCTs of Ewing sarcoma (ES), the surrogacy of EFS for OS has not been investigated. This study aimed to evaluate the correlation between EFS and OS in RCTs of chemotherapy for newly diagnosed ES using a meta-analytic approach.MethodsWe identified seven RCTs of newly diagnosed ES through a systematic review, and a meta-analysis was performed to evaluate the efficacy and adverse events associated with chemotherapy for previously untreated ES. The correlation between EFS and OS was investigated using weighted linear regression analysis and Spearman rank correlation coefficients (ρ). The strength of the correlation was evaluated using the coefficient of determination (R2). ResultsA total of 3,612 patients were randomly assigned to 17 treatment arms in the eligible RCTs. The meta-analysis revealed that the hazard ratios for OS and EFS showed significantly better results in the experimental treatment groups with increasing toxicities. The correlation between the hazard ratios for EFS and OS was good (R2 = 0.747, ρ = 0.683), and the correlation tended to be more favorable in cases of localized ES (R2 = 0.818, ρ = 0.929). ConclusionsOverall, the trial-level correlation between EFS and OS was good for newly diagnosed ES and was very good in cases of localized disease. EFS may be a useful endpoint in RCTs of ES chemotherapy, and it is worth verifying using individual patient data.
All-trans retinoic acid reduces cancer stem cell-like cell-mediated resistance to gefitinib in NSCLC adenocarcinoma cells
Authors: Yao Wenxiu , Wang Liyang , Huang Huan , Li Xin , Wang Pinjia , Mi Kun , Cheng Jia , Liu Huifen , Gu Cuirong , Huang Lingxiao , Huang Jianming 
Published: April 2020

Abstract
Background: The enrichment of cancer stem cell-like cells (CSCs) has been considered to be responsible for tumor progression after an initial response to epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (EGFR-TKIs) in patients with non-small cell lung adenocarcinoma (NSCLC/ADC). CSCs with ALDH1A1bright /CD44high expression contribute to the TKIs resistance in NSCLC/ADC cells. All-trans retinoic acid (ATRA) has been shown to be a potential targeted therapy against CSCs due to its ability to inhibit ALDH1A1 activity. We therefore investigated whether ATRA could circumvent the resistance to improve the response to gefitinib in NSCLC/ADC cells.Methods: Treatment of NSCLC/ADC A549 and H1650 cells with gefitinib enriched the gefitinib surviving cells (GSCs). The expression of ALDH1A1 and CD44 and the IC50 values for gefitinib were determined by flow cytometry (FCM) and crystal violet assay in GSCs and ATRA-treated GSCs, respectively. Using DEAB as the positive control, direct inhibitory effect of ATRA on ALDH1A1 activity was determined by ALDEFLUOR assay, Results: GSCs showed higher expression of ALDH1A1 and CD44 and IC50 values for gefitinib than their respective parental cells, suggesting that gefitinib can lead to propagation of CSC-enriched gefitinib-resistant cells. Treatment with ATRA was found to significantly reduce the increased expression of ALDH1A1 and CD44 and the IC50 values for gefitinib in A549GSC and H1650GSC cells, and ATRA could directly inhibit active ALDH1A1 as compared to DEAB.Conclusion: Our findings suggest that combination treatment with ATRA prevents gefitinib-induced enrichment of ALDH1A1bright/CD44high CSCs and enhances gefitinib-induced growth inhibition of NSCLC/ADC cells.
The change of color by whiteness indexes and its psychosocial and self-perception effects when using low vs. high concentration whitening gels: a one-year follow-up.
Authors: Estay Juan , Angel Pablo , Bersezio Cristian , Peña Manuel , Fernandéz Eduardo 
Published: April 2020

Abstract
Background: Dental bleaching in traditional concentrations generates greater sensitivity. In this respect, new systems of lower concentration of hydrogen peroxide for tooth bleaching appeared, with color stability unknown over time. The aim of this study was to compare the change and stability of color with low-concentration (6%) hydrogen peroxide gel in an in-office bleaching setting relative to conventional 37.5% gel, including their effects on psychosocial and esthetic self-perception, after one year. Methods: Patients (n=25) were assessed at 12 months post bleaching treatment (whitening with 6% chemo-activated alkaline formula gel versus 37.5% traditional concentration gel). Color changes were measured objectively using total variation in color (ΔE), and subjectively using Vita Classical and Vita Bleached scale (ΔSGU) by calibrated evaluators (Kappa=0.85). The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and Oral Health Impact Profile (OHIP-14) aesthetic questionnaires were used to measure the self-perception and the psychosocial impact of the bleaching protocols. Results: The effect (ΔE) of 37.5% HP (8.37 ± 2.73) was significantly better than that of 6% HP (5.27 ± 2.53) in terms of color rebound after one year of follow-up. There were significant differences in psychosocial impact and esthetic self-perception measurements prior to bleaching versus one-year post-whitening time points; positive effects were maintained. Conclusions: Low concentration (6%) achieved effective bleaching with good stability after one year, accompanied by a positive psychosocial impact and enhanced self-perception at follow-up. Trial registration: NCT03217994 Keywords: Bleaching, Randomized clinical trial, Low concentration, OHIP-14 , PIDAQ
Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: A scoping review
Authors: Selveindran Santhani M , Tango Tamara , Khan Muhammad Mukhtar , Simadibrata Daniel Martin , Hutchinson Peter JA , Brayne Carol , Hill Christine , Servadei Franco , Kolias Angelos G , Rubiano Andres M , Joannides Alexis J , Shabani Hamisi K 
Published: April 2020

Abstract
Background: Neurotrauma is an important global health problem. The largest cause of neurotrauma worldwide is road traffic collisions (RTCs), particularly in low-and middle-income countries (LMICs). Neurotrauma and RTCs are preventable, and many preventative interventions have been implemented over the last decades, especially in high income countries (HICs). However, it is uncertain if these strategies are applicable globally due to variations in environment, resources, population, culture and infrastructure. Given this issue, this scoping review aims to identify, quantify and describe the evidence on approaches in neurotrauma and RTCs prevention, and ascertain contextual factors that influence their implementation in LMICs and HICs.Methods: A systematic search was conducted using five electronic databases (MEDLINE, EMBASE, CINAHL, Global Health on EBSCO host, Cochrane Database of Systematic Reviews), grey literature databases, government and non-government websites, as well as bibliographic and citation searching of selected articles. The extracted data were presented using figures, tables, and accompanying narrative summaries. The results of this review were reported using the PRISMA Extension for Scoping Reviews (PRISMA-ScR).Results: A total of 411 publications met the inclusion criteria, including 349 primary studies and 62 reviews. More than 80 percent of the primary studies were from HICs, and described all levels of neurotrauma prevention. Only 65 papers came from LMICs, which mostly described primary prevention, focussing on road safety. For the reviews, 41 papers (66.1%) reviewed primary, 18 tertiary (29.1%), and three secondary preventative approaches. Most of the primary papers in the reviews came from HICs (67.7%) with 5 reviews on only LMIC papers. Fifteen reviews (24.1%) included papers from both HICs and LMICs. Intervention settings ranged from nation-wide to community-based, but were not reported in 44 papers (10.8%), most of which were reviews. Contextual factors were described in 62 papers, and varied depending on the interventions.Conclusions: There is a large quantity of global evidence on strategies and interventions for neurotrauma and RTCs prevention. However, fewer papers were from LMICs, especially on secondary and tertiary prevention. More primary research needs to be done in these countries to determine what strategies and interventions exist, and the applicability of HIC interventions in LMICs.