bluuebunny/crossref_metadata_2025_split huggingface dataset:
Real-world adherence and persistence for newly-prescribed HIV treatment: single versus multiple tablet regimen comparison among US medicaid beneficiaries
Authors: Cohen Joshua , Beaubrun Anne , Bashyal Richa , Huang Ahong , Li Jieni , Baser Onur 
Published: April 2020

AbstractBackgroundOnce-daily, single-tablet regimens (STRs) have been associated with improved patient outcomes compared to multi-tablet regimens (MTRs). This study evaluated real world adherence and persistence of HIV antiretroviral therapy (ART), comparing STRs and MTRs.MethodsAdult Medicaid beneficiaries (aged ≥ 18 years) initiating ART with ≥ 2 ART claims during the identification period (January 1, 2015–December 31, 2016) and continuous health plan enrollment for a 12-month baseline period were included. For STRs, the first ART claim date was defined as the index date; for MTRs, the prescription fill claim date for the last drug in the regimen was defined as the index date, and prescription fills were required to occur within a 5-day window. Adherence was assessed in 30-day intervals over a 6-month period, with adherence defined as having less than a 5-day gap between fills. Persistence was evaluated as median number of days on therapy and percent persistence at 12 months. Cox Proportional Hazard models were used to evaluate risk of discontinuation, controlling for baseline and clinical characteristics.ResultsA total of 1,744 (STR = 1290; MTR = 454) and 2409 (STR = 1782; MTR = 627) patients newly prescribed ART had available data concerning adherence and persistence, respectively. Average age ranged 40–42 years. The patient population was predominantly male. Adherence assessments showed 22.7% of STR initiators were adherent to their index regimens over a 6-month period compared to 11.7% of MTR initiators. Unadjusted persistence analysis showed 36.3% of STR initiators discontinued first-line therapy compared to 48.8% for MTR initiators over the 2-year study period. Controlling for baseline demographic and clinical characteristics, MTR initiators had a higher risk of treatment discontinuation (hazard ratio [HR] = 1.6, p < 0.0001). Among STRs, compared to the referent elvitegravir(EVG)/cobicistat(COBI)/emtricitabine(FTC)/tenofovir alafenamide(TAF), risk of discontinuation was higher for efavirenz(EFV)/FTC/tenofovir disoproxil fumarate(TDF) (HR = 3.6, p < 0.0001), EVG/COBI/FTC/TDF (HR = 2.8, p < 0.0001), and abacavir (ABC)/lamivudine (3TC)/dolutegravir (DTG) (HR = 1.8, p = 0.004). Among backbones, FTC/TAF was associated with lower risk of discontinuation than FTC/TDF (HR = 4.4, p < 0.0001) and ABC/3TC (HR = 2.2, p < 0.0001).ConclusionsAmong patients newly prescribed ART, STR initiators were significantly less likely to discontinue therapy and had greater adherence and persistence compared to MTR initiators. Regimens containing FTC/TAF as a backbone had higher persistence than those consisting of other backbones.
Prevalence of knee injuries among male college students in Riyadh, Kingdom of Saudi Arabia
Authors: Almaawi Abdulaziz , Awwad Waleed , Bamugaddam Azzam , Alasheikh Muath , Muaddi Mohammed , Almutair Omar , Alomar Abdulaziz Z. 
Published: April 2020

Abstract
Background
The knee is considered the most common injured joint between young sport participants. However, there is lack of proper prevalence estimation in our population.
The purpose of this study was to identify the prevalence of knee injuries among male college students and to observe the demographic data associated with it. Our secondary objective was to evaluate the awareness and knowledge about these injuries.

Methods
This is a cross-sectional study. A survey was distributed to collect the data among male college students, King Saud University, Riyadh, Saudi Arabia. Out of 688 students who participated and completed the questionnaire, a total of 482 were considered valid and met the inclusion criteria. Data were analyzed using Statistical Package for Social Sciences (SPSS).

Results
The overall prevalence of knee injury was 23.2% (n = 112). Most of them injured during sport activities especially soccer and 68.7% involved in a non-contact mechanism of injury. Among those who went to a hospital mostly were diagnosed as contusion (31.4%) then as meniscus tear, ACL, and collateral ligament injury, respectively. Majority was treated conservatively and only 10.7% needed surgery surprisingly. There was no statistically significant difference between those who are injured and whether they were warmed up and stretched or not (P = 0.619). Low level of knowledge about knee injuries was noticed among the participants 57.7%.

Conclusion
Our study has highlighted the high prevalence of knee injuries and the need to raise the level of awareness and knowledge about these injuries in our population. Soccer was the most common sport associated with knee injuries; most of these injuries were treated conservatively.
Increasing access to CBT for psychosis patients: a feasibility, randomised controlled trial evaluating brief, targeted CBT for distressing voices delivered by assistant psychologists (GiVE2)
Authors: Hayward Mark , Berry Clio , Cameron Ben , Arnold Kate , Berry Katherine , Bremner Stephen , Cavanagh Kate , Fowler David , Gage Heather , Greenwood Kathryn , Hazell Cassie , Jones Anna-Marie , Robertson Sam , Strauss Clara 
Published: April 2020

Abstract
Background
The National Institute for Health and Care Excellence (NICE) recommends that Cognitive Behaviour Therapy for psychosis (CBTp) is offered to all patients with a psychosis diagnosis. However, only a minority of psychosis patients in England and Wales are offered CBTp. This is attributable, in part, to the resource-intensive nature of CBTp. One response to this problem has been the development of CBTp in brief formats that are targeted at a single symptom and the mechanisms that maintain distress. We have developed a brief form of CBTp for distressing voices and reported preliminary evidence for its effectiveness when delivered by highly trained therapists (clinical psychologists). This study will investigate the delivery of this intervention by a cost-effective workforce of assistant psychologists following a brief training and evaluate the acceptability and feasibility of conducting a future, definitive, randomised controlled trial (RCT).

Methods
This is a feasibility study for a pragmatic, three-arm, parallel-group, superiority 1:1:1 RCT comparing a Guided self-help CBT intervention for voices and treatment as usual (GiVE) to Supportive Counselling and treatment as usual (SC) to treatment as usual alone (TAU), recruiting across two sites, with blinded post-treatment and follow-up assessments. A process evaluation will quantitatively and qualitatively explore stakeholder experience.

Discussion
Expected outcomes will include an assessment of the feasibility of conducting a definitive RCT, and data to inform the calculation of its sample size. If evidence from a subsequent, fully powered RCT suggests that GiVE is clinically and cost-effective when delivered by briefly trained assistant psychologists, CBTp offered in these less resource-intensive forms has the potential to generate benefits for individual patients (reduced distress, enhanced recovery and enhanced quality of life), service-level patient benefit (increased access to evidence-based psychological therapies) and economic benefits to the NHS (in terms of the reduced use of mental health inpatient services).

Trial registration
Current Controlled Trials, ISRCTN registration number: 16166070. Registered on 5 February 2019.
Engineering of Trichoderma reesei for enhanced degradation of lignocellulosic biomass by truncation of the cellulase activator ACE3
Authors: Chen Yumeng , Wu Chuan , Fan Xingjia , Zhao Xinqing , Zhao Xihua , Shen Tao , Wei Dongzhi , Wang Wei 
Published: April 2020

Abstract
Background
The filamentous fungus Trichoderma reesei is a major workhorse employed to produce cellulase, which hydrolyzes lignocellulosic biomass for the production of cellulosic ethanol and bio-based products. However, the economic efficiency of biorefineries is still low.

Results
In this study, the truncation of cellulase activator ACE3 was identified and characterized in T. reesei classical mutant NG14 and its direct descendants for the first time. We demonstrated that the truncated ACE3 is the crucial cause of cellulase hyper-production in T. reesei NG14 branch. Replacing the native ACE3 with truncated ACE3 in other T. reesei strains remarkably improves cellulase production. By truncating ACE3, we engineered a T. reesei mutant, PC-3-7-A723, capable of producing more cellulase than other strains. In a 30-L fermenter, fed-batch fermentation with PC-3-7-A723 drastically increased the maximum cellulase titer (FPase) to 102.63 IU/mL at 240 h, which constitutes a 20–30% improvement to that of the parental strain PC-3-7.

Conclusions
This work characterized the function of truncated ACE3 and demonstrated that analysis of classical mutants allows rational engineering of mutant strains with improved cellulase production necessary to process lignocellulosic biomass. Our rational engineering strategy might be useful for enhancing the production of other bio-based products.
Neuroprotective and neurotoxic outcomes of androgens and estrogens in an oxidative stress environment
Authors: Duong Phong , Tenkorang Mavis A. A. , Trieu Jenny , McCuiston Clayton , Rybalchenko Nataliya , Cunningham Rebecca L. 
Published: March 2020

Abstract
Background
The role of sex hormones on cellular function is unclear. Studies show androgens and estrogens are protective in the CNS, whereas other studies found no effects or damaging effects. Furthermore, sex differences have been observed in multiple oxidative stress-associated CNS disorders, such as Alzheimer’s disease, depression, and Parkinson’s disease. The goal of this study is to examine the relationship between sex hormones (i.e., androgens and estrogens) and oxidative stress on cell viability.

Methods
N27 and PC12 neuronal and C6 glial phenotypic cell lines were used. N27 cells are female rat derived, whereas PC12 cells and C6 cells are male rat derived. These cells express estrogen receptors and the membrane-associated androgen receptor variant, AR45, but not the full-length androgen receptor. N27, PC12, and C6 cells were exposed to sex hormones either before or after an oxidative stressor to examine neuroprotective and neurotoxic properties, respectively. Estrogen receptor and androgen receptor inhibitors were used to determine the mechanisms mediating hormone-oxidative stress interactions on cell viability. Since the presence of AR45 in the human brain tissue was unknown, we examined the postmortem brain tissue from men and women for AR45 protein expression.

Results
Neither androgens nor estrogens were protective against subsequent oxidative stress insults in glial cells. However, these hormones exhibited neuroprotective properties in neuronal N27 and PC12 cells via the estrogen receptor. Interestingly, a window of opportunity exists for sex hormone neuroprotection, wherein temporary hormone deprivation blocked neuroprotection by sex hormones. However, if sex hormones are applied following an oxidative stressor, they exacerbated oxidative stress-induced cell loss in neuronal and glial cells.

Conclusions
Sex hormone action on cell viability is dependent on the cellular environment. In healthy neuronal cells, sex hormones are protective against oxidative stress insults via the estrogen receptor, regardless of sex chromosome complement (XX, XY). However, in unhealthy (e.g., high oxidative stress) cells, sex hormones exacerbated oxidative stress-induced cell loss, regardless of cell type or sex chromosome complement. The non-genomic AR45 receptor, which is present in humans, mediated androgen’s damaging effects, but it is unknown which receptor mediated estrogen’s damaging effects. These differential effects of sex hormones that are dependent on the cellular environment, receptor profile, and cell type may mediate the observed sex differences in oxidative stress-associated CNS disorders.
Eating disorders in Australia: a commentary on the need to address stigma
Authors: Baffsky Rachel 
Published: March 2020

AbstractThis commentary justifies the need for the Australian government to address stigma and shame in its effort to increase help-seeking by individuals with eating disorders from the intersectional perspective of a health consumer with a history of anorexia nervosa and a public health researcher. It does so in response to the government’s planned 2019 investment of $110 million to subsidise eating disorders treatment services. The commentary identifies stigma and shame as the leading barrier to help-seeking among individuals with eating disorders. It then uses peer-reviewed evidence and analyses of popular press articles to show how media create stigma and shame through labelling and stereotyping individuals with eating disorders in a way that incites status loss and discrimination. The commentary justifies why Australia provides an interesting test case to trial the use of media regulations to address this international problem. It is recommended that the Australian government work with individuals with eating disorders to co-design a Mandatory Code of Conduct to guide media towards a more medicalised approach to representing the diverse spectrum of real individuals who experience eating disorders. This commentary is relevant to an international audience as it provides solutions to common challenges with media representations of individuals with eating disorders found in Western and Eastern contexts.
The effect of induced optimism on the optimistic update bias
Authors: Yoshimura Shinpei , Hashimoto Yuma 
Published: March 2020

Abstract
Background
Individuals tend to have an optimism bias, processing desirable information more frequently than undesirable information. However, people who have been diagnosed with depression often have a more pessimistic view of the future. A recent study suggests that future expectations in individuals with dysphoria become more optimistic when asked to make optimistic future predictions about the future. In the present study, we investigated the differential effects of induced optimism training which making optimistic future prediction to change future beliefs in normal participants with various levels of dysphoria (low, mild, high).

Methods
We recruited normal participants (n = 69) from a local university students and divided participants into three groups (low, mild, high dysphoria) by measuring dysphoric mood. These three groups were assigned to the induced optimism training or control condition. After the training, participants performed the two-stage belief updating task. In the first stage, participants estimated their personal probability of experiencing adverse events while being presented with the average probability of the event occurring to a living person. This information could be desirable for participants(when presented with a probability that was below their estimation) or undesirable (when presented with a probability that was above their estimation). To assess how desirable versus undesirable information influenced beliefs, participants estimated their personal probability of experiencing the events again in the second stage. The amount of update error was calculated as the difference between the estimates in the first stage and the second stage. The difference between the errors was classified as the update bias.

Results
After the induced optimism training, individuals with the mild dysphoria demonstrated a higher update bias than low (p < .001) and the high dysphoria (p < .05) group in induced optimism condition. Significant differences were not found in control group. Results indicates that individuals in the mild dysphoria group showed an increased update bias after being exposed to the induced optimism training Dysphoric mood and trait optimism remained unchanged in both the experimental and control groups.

Conclusions
Results suggest that induced optimism training has potential to change individuals with mild dysphoria perceptions’ about the future.
Pheochromocytoma With Adrenergic Biochemical Phenotype Shows Decreased GLP-1 Secretion and Impaired Glucose Tolerance
Authors: Petrák Ondřej , Klímová Judita , Mráz Miloš , Haluzíková Denisa , Doležalová Radka Petráková , Kratochvílová Helena , Lacinová Zdeňka , Novák Květoslav , Michalský David , Waldauf Petr , Holaj Robert , Widimský Jiří , Zelinka Tomáš , Haluzík Martin 
Published: March 2020

Abstract

Context
Impaired glucose homeostasis is a common finding in pheochromocytoma (PHEO), especially with adrenergic phenotype. The possible contribution of incretin dysfunction to dysglycemia in PHEO patients has not been studied.

Objective
To compare changes in pancreatic endocrine function and gut hormones’ production during a liquid meal test before and 1 year after adrenalectomy.

Methods
In a prospective study, we included 18 patients with PHEO (13 females) with adrenergic biochemical phenotype. A liquid meal test with predefined isocaloric enteral nutrition was performed to evaluate dynamic changes in pancreatic hormones and incretins.

Results
During the meal test, insulin levels were significantly lower before adrenalectomy only in the early phase of insulin secretion, but changes in area under the curve (AUC) did not reach statistical significance (AUC = 0.07). Plasma glucagon (AUC &lt; 0.01) and pancreatic polypeptide levels (AUC &lt; 0.01) were suppressed in comparison with the postoperative state. Impaired response to the meal was found preoperatively for glucagon-like peptide-1 (GLP-1; AUC P &lt; 0.05), but not glucose-dependent insulinotropic polypepide (GIP; AUC P = 0.21). No significant changes in insulin resistance indices were found, except for the homeostatic model assessment-beta index, an indicator of the function of islet β cells, which negatively correlated with plasma metanephrine (R = –0.66, P &lt; 0.01).

Conclusions
Our study shows suppression of pancreatic α and β cell function and impaired GLP-1 secretion during a dynamic meal test in patients with PHEO, which is improved after its surgical treatment. These data demonstrate a novel and potentially significant interconnection between excessive catecholamine production and the secretion of glucoregulatory hormones.
The role of cardiopulmonary exercise testing and echocardiography prior to elective endovascular aneurysm repair
Authors: Straw S , Waduud MA , Drozd M , Warman P , Bailey MA , Hammond CJ , Abdel-Rahman SED , Witte KK , Scott DJA 
Published: April 2020

Introduction Cardiopulmonary exercise testing (CPET) and transthoracic echocardiography (TTE) are common preparative investigations prior to elective endovascular aneurysm repair (EVAR). Whether these investigations can predict survival following EVAR and contribute to shared decision making is unknown. Methods Patients who underwent EVAR at a tertiary centre between June 2007 and December 2014 were identified from the National Vascular Registry. Variables obtained from preoperative investigations were assessed for their association with survival at three years. Regression analysis was used to determine variables that independently predicted survival at three years. Results A total of 199 patients underwent EVAR during the study period. Of these, 120 had preoperative CPET and 123 had TTE. Lower forced expiratory ventilation (FEV1), ratio of FEV1 to forced vital capacity, work at peak oxygen consumption and higher ventilatory equivalent for carbon dioxide were associated with increased mortality. Variables obtained from TTE were not associated with survival at three years although there was a low incidence of left ventricular systolic dysfunction and significant valvular disease in this cohort. Conclusions CPET might be a useful adjunct to assist in shared decision making in patients undergoing elective EVAR and may influence anaesthetic technique. TTE does not appear to be able to discriminate between high and low risk individuals. However, a low rate of significant ventricular dysfunction and valvular disease in patients undergoing elective EVAR may account for these findings.
Synthesis of CdSe/ZnS Nanoparticles with Multiple Photoluminescence
Authors: Sliusariak T. K. , Andriichuk Y. M. , Vojtovych S. A. , Zhukovskyi M. A. , Khalavka Y. B. 
Published: March 2020

The CdSе/ZnS nanostructures of Core-Shell type, that have multi-wave emission, are described and a scheme of possible energy transitions in the studied system is presented. CdSe nuclei were synthesized by mixing cadmium and selenium precursors without creating an inert atmosphere. The cadmium complex with sulphanilamide was used as a cadmium precursor and simultaneously as a stabilizing ligand. To grow the shell, zinc stearate and thiourea were gradually added to the solution of cadmium selenide nuclei in octadecene at 200°C. TEM studies show that the obtained CdSe/ZnS nanoparticles have the shape close to tetrahedral with an effective diameter up to 10 nm. The thickness of the ZnS shell is about 3-4 nm. From the absorption spectra of the CdSe/ZnS nanoparticles, it is clear that the shell growth leads to a sharp increase in the absorption in the short wavelentgh area, which means the formation of a wide gap ZnS material. The obtained CdSe/ZnS nanostructures emit three fluorescence peaks in the visible range. They are attributed to exciton transitions in the nucleus, recombination at defects of the boundary between the core and the shell, and recombination at defects of the shell. Such property provides CdSe/ZnS nanocrystals with a wide range of functionalities.
Structure and Morphology of Anthraquinone Triazene Films on Silicon Substrate
Authors: Shupenyuk V. I. , Mamykin S. V. , Taras T. N. , Matkivskyi M. P. , Sabadakh O. P. , Matkivskyi O. M. 
Published: March 2020

An optimal imposition method of anthraquinone triazenes on silicon lining was selected. This allowed to create a nanometer film that can be used as dielectric aromatic buffer layers. A morphological research of triazene films shows the existence of delocalized globular anthraquinone macromolecular microformation on the background of triazene uneven layers. The oxidized surface of the triazene substrate is applied better than those without the oxide. This is caused by distribution of electron density in triazene which creates an additional Si/SiO2 coupling system and by presence of voluminous aromatic substituents which impairs the uniformity of film deposition and reduces its thickness.
Hydrogen Sorption Properties, Thermal Stability and Kinetics of Hydrogen Desorption From the Hydride Phase of The MgH2 of a Mechanical Alloys of Magnesium with Ti, Ni and Y
Authors: Ershova O. G. , Dobrovolsky V. D. , Solonin Yu. M. 
Published: March 2020

The mechanical alloys-composite MАs (Mg +10 % wt.Ti + 5 % wt.Y and Mg +10 % wt.Ni + 5 % wt.Y) were synthesized. The phase content, microstructure, the thermal stability, kinetics of hydrogen desorption from the MgH2 hydride phase of the obtained MAs were studiedby using XRD, SEM, TDS methods. It has been established that the addition of Ti + Y and Ni + Y to magnesium leads to significant improvement in the kinetics of hydrogen desorption from the MgH2 hydride phase, which is evidenced by a significant reduction (in 6 and 15 times)in the time of release of all hydrogen from MA1 and MA2, respectively. Due to, Ti, Ni,Y alloying, the decrease in the thermodynamic stability of MgH2 is not found.