bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ knowledge, attitude, and fall prevention practices at south Korean hospitals: a cross-sectional survey
Authors: Cho Mi-young , Jang Sun Joo 
Published: November 2020

Abstract
Background
Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals.

Methods
Nurses (N = 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016.

Results
Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities.

Conclusion
Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.
Could KL-6 levels in COVID-19 help to predict lung disease?
Authors: Frix AN , Schoneveld L. , Ladang A. , Henket M. , Duysinx B. , Vaillant F. , Misset B. , Moutschen M. , Louis R. , Cavalier E. , Guiot J. 
Published: November 2020

Abstract
Background
Coronavirus disease COVID-19 has become a public health emergency of international concern. Together with the quest for an effective treatment, the question of the post-infectious evolution of affected patients in healing process remains uncertain. Krebs von den Lungen 6 (KL-6) is a high molecular weight mucin-like glycoprotein produced by type II pneumocytes and bronchial epithelial cells. Its production is raised during epithelial lesions and cellular regeneration. In COVID-19 infection, KL-6 serum levels could therefore be of interest for diagnosis, prognosis and therapeutic response evaluation.

Materials and methods
Our study retrospectively compared KL-6 levels between a cohort of 83 COVID-19 infected patients and two other groups: healthy subjects (n = 70) on one hand, and a heterogenous group of patients suffering from interstitial lung diseases (n = 31; composed of 16 IPF, 4 sarcoidosis, 11 others) on the other hand. Demographical, clinical and laboratory indexes were collected. Our study aims to compare KL-6 levels between a COVID-19 population and healthy subjects or patients suffering from interstitial lung diseases (ILDs). Ultimately, we ought to determine whether KL-6 could be a marker of disease severity and bad prognosis.

Results
Our results showed that serum KL-6 levels in COVID-19 patients were increased compared to healthy subjects, but to a lesser extent than in patients suffering from ILD. Increased levels of KL-6 in COVID-19 patients were associated with a more severe lung disease.

Discussion and conclusion
Our results suggest that KL-6 could be a good biomarker to assess ILD severity in COVID-19 infection. Concerning the therapeutic response prediction, more studies are necessary.
Wnt signaling in breast cancer: biological mechanisms, challenges and opportunities
Authors: Xu Xiufang , Zhang Miaofeng , Xu Faying , Jiang Shaojie 
Published: November 2020

AbstractWnt signaling is a highly conserved signaling pathway that plays a critical role in controlling embryonic and organ development, as well as cancer progression. Genome-wide sequencing and gene expression profile analyses have demonstrated that Wnt signaling is involved mainly in the processes of breast cancer proliferation and metastasis. The most recent studies have indicated that Wnt signaling is also crucial in breast cancer immune microenvironment regulation, stemness maintenance, therapeutic resistance, phenotype shaping, etc. Wnt/β-Catenin, Wnt–planar cell polarity (PCP), and Wnt–Ca2+signaling are three well-established Wnt signaling pathways that share overlapping components and play different roles in breast cancer progression. In this review, we summarize the main findings concerning the relationship between Wnt signaling and breast cancer and provide an overview of existing mechanisms, challenges, and potential opportunities for advancing the therapy and diagnosis of breast cancer.
Panax ginseng C. A. Meyer as a potential therapeutic agent for organ fibrosis disease
Authors: Liu Hao , Lv Chongning , Lu Jincai 
Published: November 2020

Abstract
Background
Ginseng (Panax ginseng C. A. Meyer), a representative Chinese herbal medicine, can improve the body’s antioxidant and anti-inflammatory capacity. Recently, scientists have shifted emphasis towards the initial stages of different malignant diseases—corresponding organ fibrosis and explored the essential role of P. ginseng in the treatment of fibrotic diseases.

Main body
In the first instance, the review generalizes the molecular mechanisms and common therapeutic methods of fibrosis. Next, due to the convenience and safety of individual medication, the research progress of ginseng extract and formulas in treating liver fibrosis, pulmonary fibrosis, myocardial fibrosis, and renal fibrosis has been systematically summarized. Finally, we describe active ingredients isolated from P. ginseng for their outstanding anti-fibrotic properties and further reveal the potential therapeutic prospect and limitations of P. ginseng in fibrotic diseases.

Conclusions
P. ginseng can be regarded as a valuable herbal medicine against fibrous tissue proliferation. Ginseng extract, derived formulas and monomers can inhibit the abundant deposition of extracellular matrix which caused by repeated damage and provide protection for fibrotic organs. Although the molecular mechanisms such as transforming growth factor β signal transduction have been confirmed, future studies should still focus on exploring the underlying mechanisms of P. ginseng in treating fibrotic disease including the therapeutic targets of synergistic action of multiple components in P. ginseng. Moreover, it is also necessary to carry out clinical trial to evaluate the feasibility of P. ginseng in combination with common fibrosis drugs.
Establishment of a duplex real-time qPCR method for detection of Salmonella spp. and Serratia fonticola in fishmeal
Authors: Ruan Jinghua , Wang Wujun , Zhang Tiyin , Zheng Teng , Zheng Jing , Yu Shiyu , Yu Daojin , Huang Yifan 
Published: November 2020

AbstractSalmonella spp. is a high-risk bacterial pathogen that is monitored in imported animal-derived feedstuffs. Serratia fonticola is the bacterial species most frequently confused with Salmonella spp. in traditional identification methods based on biochemical characteristics, which are time-consuming and labor-intensive, and thus unsuitable for daily inspection and quarantine work. In this study, we established a duplex real-time qPCR method with invA- and gyrB-specific primers and probes corresponding to Salmonella spp. and S. fonticola. The method could simultaneously detect both pathogens in imported feedstuffs, with a minimum limit of detection for Salmonella spp. and S. fonticola of 197 copies/μL and 145 copies/μL, respectively (correlation coefficient R2 = 0.999 in both cases). The amplification efficiency for Salmonella spp. and S. fonticola was 98.346% and 96.49%, respectively. Detection of fishmeal was consistent with method GB/T 13091-2018, and all seven artificially contaminated imported feed samples were positively identified. Thus, the developed duplex real-time qPCR assay displays high specificity and sensitivity, and can be used for the rapid and accurate detection of genomic DNA from Salmonella spp. and S. fonticola within hours. This represents a significant improvement in the efficiency of detection of both pathogens in imported feedstuffs.
Web-based information on the treatment of the mouth in systemic sclerosis
Authors: Abdouh Ismail , Porter Stephen , Fedele Stefano , Elgendy Nadia , Ni Riordain Richeal 
Published: November 2020

Abstract
Background
To categorise the content and assess the quality and readability of the web-based information regarding treatment of the mouth in systemic sclerosis.

Methods
An online search using three different search terms regarding the treatment of the mouth in SSc was undertaken using the Google search engine. The first 100 websites from each search were selected for analysis. Data recorded included DISCERN instrument scores along with the Journal of the American Medical Association (JAMA) benchmarks and the presence of the Health on the Net seal (HON). Flesch Reading Ease Scores, Flesch-Kincaid Grade Level, the Simplified Measure of Gobbledygook Index and Coleman-Liau index were calculated to assess readability.

Results
Fifty seven of the first websites remained for analysis after applying appropriate exclusion criteria. The mean overall DISCERN score was 2.37 (±1.01). Only 4 websites (7%) achieved all four JAMA benchmarks. Only 12 websites (21.1%) displayed the HON seal. The reading level was found to be difficult to very difficult among the majority of websites.

Conclusion
The overall quality of the available online information concerning the treatment of the mouth of systemic sclerosis is questionable and requires a high level of reading skill. Further efforts should be directed toward establishing higher quality, reliable online information sources on the treatment of oral disease relevant to patients with systemic sclerosis.
Cognitive impairment among patients with diabetes in Saudi Arabia: a cross-sectional study
Authors: Naguib Rania , Soliman Eman S. , Neimatallah Fatima Mohammed , AlKhudhairy Najd Sulaiman , ALGhamdi Amjad Muashaq , Almosa Reema Saad , Aldashash Kholud Abdullaziz , Alkhalifah Bashayer Yaqoub , Elmorshedy Hala 
Published: November 2020

Abstract
Background
The incidence of cognitive impairment (CI) is higher in patients with diabetes mellitus (DM). The association between DM and CI and the risk factors for CI need to be addressed to estimate the prevalence of cognitive impairment in patients with DM and to identify the potential risk factors. The study is a cross-sectional study using a convenient sample of 269 subjects. Sociodemographic diabetes-related variables including biochemical markers were collected. CI and diabetes-related distress (DRD) were assessed using the Arabic version of Montreal Cognitive Assessment scale (MoCA) and the Diabetes Distress Screening Scale respectively.

Results
Overall, 80.3% had cognitive impairment while 33.8% had severe impairment. Older age, female gender, low level of education, and low income were associated with CI; duration of diabetes and DRD were associated with CI while ophthalmic complications were associated with severe CI. Duration of diabetes was inversely associated with CI. Level of HbA1c was significantly higher in patients with severe CI, and the probability of CI increased as the level of HbA1c increased. Low level of education was associated with severe CI, and CI was two times more likely among patients with DRD.

Conclusion
CI was higher than worldwide figures. Elderly females with low educational level, long duration of DM, and low socioeconomic status are at more risk. The probability of severe CI increased with increased level of HbA1c. Screening for CI in patients with diabetes along with intervention programs while considering the DRD and the level of HbA1c is crucial.
Linear Momentum of a Microfluid Realizes an Anisotropic Reaction at the Ends of a Supramolecular Nanofiber
Authors: Kanzaki Chisako , Matoba Shota , Inagawa Arinori , Fukuhara Gaku , Okada Tetsuo , Narushima Tetsuya , Okamoto Hiromi , Numata Munenori 
Published: November 2020

Abstract
The anisotropic properties of one-dimensional (1D) supramolecules have generally been the sole way to input molecular information along a structure of high density. Although the chain reaction of a synthetic polymer (e.g., in radical polymerization) does realize anisotropic polymer elongation, it has remained challenging to induce such properties in artificial 1D self-assembling systems. Herein, by employing J-aggregate nanofibers of TPPS — a sort of self-assembling porphyrin — as a model, we describe a system in which linear momentum of laminar flow facilitates directional supramolecular elongation of the flowing nanofibers. In situ fluorescence and linear dichroism (LD) measurements revealed that the elongation of the J-aggregate nanofibers could be accelerated only when they were oriented in the flow direction. Moreover, linear transport of the oriented nanofibers along the stream disrupted the isotropic reactivity at their two termini; one terminus could be activated selectively, resulting in directional nanofiber elongation. The shear rate gradient of the laminar flow induced collisions of the TPPS monomer units at the end of one terminus of the nanofibers. This strategy should be applicable more generally to supramolecular 1D elongation (supramolecular polymerization) of various functional molecules, regardless of their chemical properties, thereby extending the frontiers of supramolecular chemistry.
Chemoselective Reduction of α,β-Unsaturated Carbonyl and Carboxylic Compounds by Hydrogen Iodide
Authors: Matsumoto Shoji , Marumoto Hayato , Akazome Motohiro , Otani Yasuhiko , Kaiho Tatsuo 
Published: November 2020

Abstract
The selective reduction of α,β-unsaturated carbonyl compounds was achieved to produce saturated carbonyl compounds with aqueous HI solution. The introduction of an aryl group at an α or β position efficiently facilitated the reduction with good yield. The reaction was applicable to compounds bearing carboxylic acids and halogen atoms. Through the investigation of the reaction mechanism, it was found that Michael-type addition of iodide occurred to produce β-iodo compounds followed by the reduction of C-I bond via anionic and radical paths.
CTD data profiling to assess the natural hazard of active submarine vent fields: the case of Santorini Island
Authors: Dura Ana , Mertzimekis Theo J. , Bakalis Evangelos , Nomikou Paraskevi , Gondikas Andreas , Hannington Mark D. , Petersen Sven 
Published: November 2020

Almost three quarters of known volcanic activity on Earth occurs in underwater locations. The presence of active hydrothermal vent fields in such environments is a potential natural hazard for the environment, the society, and the economy. Despite its importance for risk assessment and risk mitigation, monitoring of the activity is impeded by the remoteness and the extreme conditions of underwater volcanoes. The large difference of population present on Santorini between the winter and summer seasons, all within a partially enclosed system, make the Santorini-Kolumbo volcanic field, an ideal place for detailed exploration. In 2017, GEOMAR in collaboration with the National and Kapodistrian University of Athens (mission: POS-510 ANYDROS), used an Autonomous Underwater Vehicle (AUV) to map the NE–trending Santorini–Kolumbo line, where it also collected CTD data. Here we present the preliminary results from the 15-hour survey held on the 25th March 2017, during the POS-510 expedition targeting the vent field which is located in the North Basin of Santorini Caldera. Detailed CTD 3D profiles have been reconstructed from the raw data of Santorini’s vent field. An anomaly emerges at the depth of 350 m in the Conductivity and Salinity depth profiles, as the CTD sensor is placed directly above the vent sources. Anomalies were evident in the 3D maps reconstructed, showing for the first time a rather weak, but underlying hydrothermal vent activity at various locations. As the present results are the first ones produced from this expedition, further investigation is required incorporating the full dataset. Based on those results, the impact of developing appropriate mechanisms and policies to avoid the associated natural hazard is expected to be immense.
Performance studies of evolutionary transfer learning for end-to-end QoT estimation in multi-domain optical networks [Invited]
Authors: Liu Che-Yu , Chen Xiaoliang , Proietti Roberto , Yoo S. J. Ben 
Published: November 2020

This paper proposes an evolutionary transfer learning approach (Evol-TL) for scalable quality-of-transmission (QoT) estimation in multi-domain elastic optical networks (MD-EONs). Evol-TL exploits a broker-based MD-EON architecture that enables cooperative learning between the broker plane (end-to-end) and domain-level (local) machine learning functions while securing the autonomy of each domain. We designed a genetic algorithm to optimize the neural network architectures and the sets of weights to be transferred between the source and destination tasks. We evaluated the performance of Evol-TL with three case studies considering the QoT estimation task for lightpaths with (i) different path lengths (in terms of the numbers of fiber links traversed), (ii) different modulation formats, and (iii) different device conditions (emulated by introducing different levels of wavelength-specific attenuation to the amplifiers). The results show that the proposed approach can reduce the average amount of required training data by up to13×while achieving an estimation accuracy above 95%.
Simultaneous measurement of liquid-level and density by detecting buoyancy and hydraulic pressure
Authors: Lyu Guohui , Sun Yu , Zhou Boning , Chen Zexian , Zhan Hui , Li Hongwei 
Published: November 2020

In this Letter, we propose and experimentally demonstrate a method for simultaneous and complete discriminative measurement of liquid-level and density for the first time, to the best of our knowledge. The principle is to measure the responses of optical fiber sensing units caused by buoyancy and hydraulic pressure. By utilizing a designed steel diamond structure, the sensor sensitivity is significantly improved. The theoretical models and experimental methods are analyzed in detail. For large-range liquid-level measurement, a high sensitivity of 77.3 pm/cm with resolution of 0.129 mm (accuracy of 0.149‰) is achieved. As a trade-off between density measurement and sensor capability, a dual-parameter sensing is demonstrated experimentally, which features liquid-level sensitivity of 34.7 pm/cm and density sensitivity varying from 1 to

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. Taking advantage of the compact size, easy fabrication, and low cost, this method has great potential in real-time intelligent monitoring of reserves and quality for industrial storage of fuels and chemicals.
Availability, prices and affordability of essential medicines in Zhejiang Province, China
Authors: Dong Zuojun , Tao Qiucheng , Yan Bobo , Sun Guojun 
Published: November 2020

Objective
To evaluate the availability, prices, and affordability of essential medicines in Zhejiang Province, China.

Methods
The survey was carried out in Zhejiang Province in 2018 following the methodology of the World Health Organization (WHO) and Health Action International (HAI). This method is an international standard method.Data on 50 medicines were collected from public health facilities and private pharmacies. Medication prices were compared with international reference prices to obtain a median price ratio. The affordability of medicines was measured based on the daily wage of the lowest-paid unskilled government worker. In private pharmacies, the mean availability of Originator Brands (OBs) and Lowest-priced Generics (LPGs) was 36.7% and 40.3%, respectively.

Findings
The effects of the mean availability of OBs and LPGs were seen in private pharmacies. Correspondingly, the average availability of OBs and LPGs was 41.8% and 35.1% in the public sector, respectively. In the public sector, the median price ratios (MPRs) were 5.21 for generics and 13.49 for OBs. In the private sector, the MPRs were 4.94 for generics and 14.75 for OBs. Treating common diseases with LPGs was generally affordable, while treatment with OBs was less affordable.

Conclusions
In Zhejiang Province, low availability was observed for medicines surveyed in the public and private sectors. Price differences between originator brands and generics in both sectors are apparent. OBs were more expensive than LPGs in both the public and private sectors. Low availability affects access to essential medicines. Policy measures should be taken to improve the availability of essential medicines.
A clinical audit of anatomical side marker use in a pediatric medical imaging department: A quantitative and qualitative investigation
Authors: Chung Lilian , Kumar Saravana , Oldfield Joanne , Phillips Maureen , Stratfold Megan 
Published: November 2020

Background
The presence of a radiopaque or digital anatomical side marker (ASM) is an important diagnostic feature on radiographs and should be a routine feature on every radiographic image. Despite its importance, research has indicated numerous instances where ASMs were absent which have the potential to lead to adverse events. To date, few studies have systematically examined the use of ASMs in clinical practice and explored medical imaging professionals’ perspectives on ASM use. This research aimed to address this knowledge gap.

Methods
This investigation was conducted in two stages. Stage 1 involved a retrospective clinical audit of 421 randomly selected radiographs within 12-months at a pediatric medical imaging department. The data were analyzed for overall presence and type of marker use. Stage 2 comprised of semi-structured interviews with 11 radiographers to garner their perspectives on ASM use, and barriers and enablers to their use in clinical practice. The interviews were transcribed verbatim and thematically analyzed.

Results
The overall presence of ASMs (radiopaque and digital) was observed on 99 per cent of radiographs. There was a noticeable shift towards the use of digital (78.8 per cent) compared to radiopaque ASMs (20.2 per cent), highlighting the growing trend towards using ASM in post-processing. A handful of images (N = 4) did not include any ASMs. Semi-structured interviews revealed multifaceted barriers (time, infection precautions, and patient factors) and few enablers (professionalism, legal requirement) for ASM use.

Conclusion
This investigation, informed by quantitative and qualitative research paradigms, has shed new light on an important area of radiography practice. While missing ASMs were a small feature, there continue to remain opportunities where best practice standards can be improved. The increasing use of digital ASMs potentially highlights a shift in clinical practice standards.