bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact on Decision Making Framework for Medicine Purchasing in Chinese Public Hospital Decision-making: Determining the Value of Five Dipeptidyl Peptidase 4 (DPP-4) inhibitors
Authors: Bao Yun , Gao Bei , Meng Min , Ge Bin , Yang Yan , Ding Chunchun , Shi Bingyin , Tian Limin 
Published: October 2020

Abstract
Background: Medicine purchasing in Chinese public hospitals is decided by the hospital Pharmacy Management Committee (PMC), that is complex, subjective and requires efficient methods to ensure transparency and consistency for the factors being considered. This study aimed to use the Evidence and Value: Impact on Decision Making (EVIDEM) framework to assess medicine in these hospitals. In this study anti-diabetic drugs DPP-4 inhibitors, which work by inhibiting the activation of the Dipeptidyl Peptidase 4 (DPP-4) inhibitors, were appraised.Methods: Following EVIDEM methodology, we convened an appraisal group and asked each individual to express their perspectives by assigning weights to each criterion. A systematic literature search for information of each criterion of five DPP-4 inhibitors was completed. Then the appraisal group scored for each criterion of the five DPP-4 inhibitors. The estimated value of the five DPP-4 inhibitors was obtained by Multi-Criteria Decision Analysis (MCDA) which combined individual weighting of each criterion with individual scoring for each intervention in each criterion.Results: By assigning weights, the most important criterion was the quality of evidence (4.01±0.52), and that the comparative cost consequences-non-medical cost had lowest weight (2.87±1.03). Criteria included disease severity, size of the affected population, comparative effectiveness, type of therapeutic/preventive benefit and cost of intervention, all of which were assigned the same weight of 3.58. After MCDA, the overall value orders for each DPP-4 inhibitor included Sitagliptin (0.45), Linagliptin (0.44), Vildagliptin (0.43), Alogliptin (0.42) and Saxagliptin (0.40).Conclusions: Based on EVIDEM framework and MCDA, we found that overall value of five DPP-4 inhibitors was similar. it is feasible to use the EVIDEM framework and MCDA in purchasing medicine for Chinese public hospitals.
Genetic analysis reveals unique characteristics of Plasmodium falciparum parasite populations in Haiti
Authors: Daniels Rachel , Chenet Stella , Rogier Eric , Lucchi Naomi , Herman Camelia , Pierre Baby , Lemoine Jean Frantz , Boncy Jacques , Wirth Dyann , Chang Michelle , Udhayakumar Venkatachalam , Volkman Sarah 
Published: October 2020

Abstract
Background With increasing interest in eliminating malaria from the Caribbean region, Haiti is one of the two countries on the island of Hispaniola with continued malaria transmission. While the Haitian population remains at risk for malaria, there are a limited number of cases annually, making conventional epidemiological measures such as case incidence and prevalence of potentially limited value for fine-scale resolution of transmission patterns and trends. In this context, genetic signatures may be useful for the identification and characterization of the Plasmodium falciparum parasite population in order to identify foci of transmission, detect outbreaks, and track parasite movement to potentially inform malaria control and elimination strategies. Methods This study evaluated the genetic signals based on analysis of 21 single-nucleotide polymorphisms (SNPs) from 462 monogenomic (single-genome) P. falciparum DNA samples extracted from dried blood spots collected from malaria-positive patients reporting to health facilities in three southwestern Haitian departments (Nippes, Grand’Anse, and Sud) in 2016. Results Assessment of the parasite genetic relatedness revealed evidence of clonal expansion within Nippes and the exchange of parasite lineages between Nippes, Sud, and Grand'Anse. Furthermore, 437 of the 462 samples shared high levels of genetic similarity–at least 20 of 21 SNPS–with at least one other sample in the dataset. Conclusions These results revealed patterns of relatedness suggestive of the repeated recombination of a limited number of founding parasite types without significant outcrossing. These genetic signals offer clues to the underlying relatedness of parasite populations and may be useful for the identification of the foci of transmission and tracking of parasite movement in Haiti for malaria elimination.
Longitudinal change in arterial stiffness after delivery in women with preeclampsia and normotension: a prospective cohort study
Authors: KIM Sehun , LIM Hyun Ja , KIM Jeung-Ran , OH Kyung Joon , HONG Joon-Seok , Suh Jung-Won 
Published: October 2020

Abstract
Background: Preeclampsia is associated with increased arterial stiffness during pregnancy. However, data on the longitudinal change in arterial stiffness after delivery in women with preeclampsia are lacking. In this pilot study, we aimed to examine the longitudinal change in arterial stiffness using the cardio-ankle vascular index after delivery in women with preeclamptic and normotensive pregnancies. Methods: We enrolled pregnant women with preeclampsia (n=37) and normotension (n=36) who gave birth at Seoul National University Bundang Hospital between March 2013 and May 2016, and followed-up at day 1, 6 months, and 12 months after delivery. The longitudinal change in the cardio-ankle vascular index and other variables (blood pressure, lipid profiles, serum creatinine, and liver enzymes) were compared between the two groups using the mixed-effects model, and interactions among the main predictors were examined. Results: The longitudinal change in the cardio-ankle vascular index did not significantly differ between the two groups (β=0.11, 95% CI: -0.31–0.54, p=0.60). Predictors of the longitudinal change in the cardio-ankle vascular index included age, time since delivery, body mass index, and diabetes mellitus. Women with preeclampsia showed significantly elevated blood pressure, lipid profiles, serum creatinine, and liver enzymes compared to women with normotension over the course of one year of follow-up. Conclusions: Preeclampsia is associated with unfavorable blood pressure and metabolic indices after delivery. However, we found no difference in the longitudinal change in arterial stiffness between women with preeclampsia and normotension over the course of one year after delivery. Trial registration: Retrospectively registered at ClinicalTrials.gov on October 29, 2019 (NCT04142268).
Adjoint-based Direct Data Assimilation of GNSS time series for optimizing frictional parameters and predicting postseismic deformation following the 2003 Tokachi-oki earthquake
Authors: Kano Masayuki , Miyazaki Shin'ichi , Ishikawa Yoichi , Hirahara Kazuro 
Published: October 2020

Abstract
Postseismic Global Navigation Satellite System (GNSS) time series followed by megathrust earthquakes can be interpreted as a result of afterslip on the plate interface, especially in its early phase. Afterslip is a stress release process accumulated by adjacent coseismic slip and can be considered a recovery process for future events during earthquake cycles. Spatio-temporal evolution of afterslip often triggers subsequent earthquakes through stress perturbation. Therefore, it is important to quantitatively capture the spatio-temporal evolution of afterslip and related postseismic crustal deformation and to predict their future evolution with a physics-based simulation. We developed an adjoint data assimilation method, which directly assimilates GNSS time series into a physics-based model to optimize the frictional parameters that control the slip behavior on the fault. The developed method was validated with synthetic data. Through the optimization of frictional parameters, the spatial distributions of afterslip could roughly (but not in detail) be reproduced if the observation noise was included. The optimization of frictional parameters reproduced not only the postseismic displacements used for the assimilation but also improved the prediction skill of the following time series. Then, we applied the developed method to the observed GNSS time series for the first 15 days following the 2003 Tokachi-oki earthquake. The frictional parameters in the afterslip regions were optimized to A-B ~ O(10 kPa), A ~ O(100 kPa), and L ~ O(10 mm). A large afterslip is inferred on the shallower side of the coseismic slip area. The optimized frictional parameters quantitatively predicted the postseismic GNSS time series for the following 15 days. These characteristics can also be detected if the simulation variables can be simultaneously optimized. The developed data assimilation method, which can be directly applied to GNSS time series following megathrust earthquakes, is an effective quantitative evaluation method for assessing risks of subsequent earthquakes and for monitoring the recovery process of megathrust earthquakes.
Dietary Intake, Intestinal Infection, and Safe Drinking Water Among Children with Anemia in Peru: A Cross-Sectional Analysis
Authors: Westgard Christopher M , Orrego-Ferreyros Luis A. , Calderón Liz Franco , Rogers Alexandra M. 
Published: October 2020

Abstract
Anemia is a major public health concern that is present in 41.7% of children under 5 worldwide. The prevalence of anemia in Peru was 43.6% in 2017, a decrease by only 6.8% in 8 years. Despite great efforts made by the government to reduce anemia by distributing free multi-micronutrient supplements and promote the consumption of iron rich foods, progress has been slow. The current study sought to better understand the dietary intake, incidence of intestinal infectious disease, and access to safe drinking water by children with anemia in Peru to help explain why the prevalence remains high. METHODS A cross-sectional analysis was conducted using data from two national surveys that were combined by child ID. Descriptive statistics was analyzed to understand the experience of children with anemia in comparison to child without anemia. Logistic multivariate regression analyses were conducted to test the associations between anemia and dietary intake, intestinal infection, and access to safe drinking water. RESULTS The sample included 586 children between 6 and 35 months. The prevalence of anemia in this population was 53.2%. The portion of children that consumed sufficient micronutrients to meet the recommendation for their age was 51.9%. Of the children with anemia, 45.1% consumed sufficient micronutrients to meet their recommendation, vs. 54.9% of children without anemia (p<0.001). The children with anemia were more likely to have an intestinal infection in the last year (35% vs. 26%, p=0.057) and less likely to have access to safe drinking water (23% vs. 14%, p=0.02) than those without anemia.. The logistic analysis revealed that having an intestinal infection increased the odds of having anemia (OR=1.59, CI 95% [1.01-2.49]), and having access to safe drinking waters decreased the odds of having anemia (OR=0.56, [0.32-0.96]), while controlling for the consumption of sufficient iron. CONCLUSIONS Nearly half of the children with anemia in Peru already consume sufficient micronutrients to meet their daily requirement. However, they continue to have anemia, likely due to intestinal infection, such as diarrhea and parasites, and a lack of access to safe drinking water.
The scope and nature of sexual orientation and gender identity and expression change efforts: A systematic review protocol
Authors: Kinitz David J , Salway Travis , Dromer Elisabeth , Giustini Dean , Ashley Florence , Goodyear Trevor , Ferlatte Olivier , Kia Hannah , Abramovich Alex 
Published: October 2020

Abstract
Background: Sexual orientation and gender identity and expression change efforts (SOGIECE) are a set of scientifically discredited practices that aim to deny and suppress the sexual orientations, gender identities, and/or gender expressions of sexual and gender minorities (SGMs). SOGIECE are associated with significant adverse health and social outcomes. SOGIECE continue to be practiced around the world, despite denouncements from professional bodies and survivors, as well as calls for legislative advocacy to prohibit SOGIECE and protect SGMs. There are substantial gaps in the availability of consolidated international research to support and refine legislative proposals related to SOGIECE, including those currently underway to enforce bans in Canada and elsewhere. We therefore propose the first systematic review of international data on SOGIECE that will outline the scope and nature of these practices worldwide. Specifically, we aim to estimate how many SGMs have been exposed to SOGIECE, which sub-groups of SGMs experience higher rates of SOGIECE, and how estimates of SOGIECE vary over time and place. In addition, we aim to describe when, where, how, and under what circumstances SGMs are exposed to SOGIECE. Methods: To locate an interdisciplinary swath of papers, nine (9) bibliographic databases will be searched: Medline (OVID), Embase (OVID), PsycInfo and Social Work Abstracts via EBSCO, Web of Science Core Collection, LGBTQ+ Source, Proquest Dissertations & Theses Global and Sociology Collection (ProQuest). A gold standard search will be developed for Medline and adapted to the other databases. Grey literature will be searched at relevant websites, and reference harvesting will be performed in relevant SOGIECE scientific consensus statements. Two authors will independently screen abstracts/titles, screen full texts, abstract data, and apply risk of bias assessments. A narrative synthesis will be implemented to summarize findings. Discussion: This review will address the gap in synthesized data regarding the prevalence of SOGIECE, social correlates of SOGIECE, variations of SOGIECE over time and place, and the circumstances, settings, and time-points of SOGIECE exposure. Findings from this review will directly inform ongoing and new legislative efforts to ban SOGIECE and other interventions that aim to stem SOGIECE practices and support SOGIECE survivors. Systematic Review Registration: Prospective registration with PROSPERO will occur before completion of full-text screening.
Exosomal LncRNA–NEAT1 derived from MIF-treated mesenchymal stem cells protected against doxorubicin-induced cardiac senescence through sponging miR-221-3p
Authors: Zhuang Lei , Xia Wenzheng , Chen Didi , Ye Yijia , Hu Tingting , Li Shiting , Hou Meng 
Published: October 2020

Abstract
Background: The chemotherapy drug doxorubicin (Dox) is widely used for treating a variety of cancers. However, its high cardiotoxicity hampered its clinical use. Exosomes derived from stem cells showed a therapeutic effect against Dox-induced cardiomyopathy (DIC). Previous studies reported that exosomes derived from mesenchymal stem cells (MSCs) pretreated with macrophage migration inhibitory factor (MIF) (exosome MIF ) showed a cardioprotective effect through modulating long noncoding RNAs/microRNAs (lncRNAs/miRs). This study aimed to investigate the role of exosome MIF in the treatment of DIC. Results: Exosomes were isolated from control MSCs (exosome) and MIF-pretreated MSCs (exosome MIF ). Regulatory lncRNAs activated by MIF pretreatment were explored using genomics approaches. Fluorescence-labeled exosomes were tracked in vitro by fluorescence imaging. In vivo and in vitro, miR-221-3p mimic transfection enforced miR-221-3p overexpression, and senescence-associated β-galactosidase assay was applied to test cellular senescence. Exosomal delivering LncRNA-NEAT1 induced therapeutic effect in vivo was confirmed by echocardiography. It demonstrated that exosomes MIF recovered the cardiac function and exerted the anti-senescent effect through LncRNA–NEAT1 transfer against Dox. TargetScan and luciferase assay showed that miR-221-3p targeted the Sirt2 3'-untranslated region. Silencing LncRNA–NEAT1 in MSCs, miR-221-3p overexpression or Sirt2 silencing in cardiomyocytes decreased the exosome MIF -induced anti-senescent effect against Dox. Conclusions: The results indicated exosome MIF serving as a promising anti-senescent effector against Dox-induced cardiotoxicity through LncRNA–NEAT1 transfer, thus inhibiting miR-221-3p and leading to Sirt2 activation. The study proposed that exosome MIF might have the potential to serve as a cardioprotective therapeutic agent during cancer chemotherapy.
Validity and reliability of the Self-Care Activities Screening Scale (SASS-14) during COVID-19 lockdown
Authors: Martinez Martín , Luis Elkin , Oliveros Edwin Yair , Fernández-Berrocal Pablo , Sarrionandia Ainize , Vidaurreta Marta , Bermejo-Martins Elena 
Published: October 2020

Abstract
Background. In a context where there is no treatment for the current COVID-19 virus, the combination of self-care behaviours together with confinement, are strategies to decrease the risk of contagion and remain healthy. However, there are no self-care measures to screen self-care activities in general population and which, could be briefly in a lockdown situation. This research aims to build and validate a psychometric tool to screen self-care activities in general population. Methods. Firstly, an exploratory factor analysis was performed in a sample of 226 participants to discover the underlying factorial structure and to reduce the number of items in the original tool into a significant pool of items related to self-care. Later a confirmatory factor analyses were performed in a new sample of 261 participants to test for the fit and goodness of factor solutions. Internal validity, reliability, criterion validity, and convergent validity between its score with perceived stress and psychological well-being measures were examined on this sample. Results. The exploratory analyses suggested a four-factor solution, corresponding to health consciousness, nutrition and physical activity, sleep, and intra-personal and inter-personal coping skills (14 items). Then, the four-factor structure was confirmed as the best model fit for self-care activities. The tool demonstrated good reliability, predictive validity of individuals’ perception of coping with COVID-19 lockdown, and convergent validity with well-being and perceived stress.Conclusions. This screening tool could be helpful to address future evaluations and interventions to promote healthy behaviours. Likewise, this tool can be targeted to specific population self-care’s needs during a scalable situation.
Human levator veli palatini muscle: A novel source of mesenchymal stromal cells for use in the rehabilitation of patients with congenital craniofacial malformations
Authors: Bueno Daniela Franco , Kabayashi Gerson Shigueru , Pinheiro Carla Cristina Gomes , Tanikawa Daniela Y S , Raposo-Amaral Cassio Eduardo , Rocha Diogenes Laercio , Ferreira José Ricardo Muniz , Shibuya Yoichiro , Hokugo Ashigue , Jarrahy Reza , Zuk Patricia A , Bueno Maria Rita Passos 
Published: October 2020

Abstract
Background. Bone reconstruction in congenital craniofacial differences, which affect about 2-3% of newborns, has long been the focus of intensive research in the field of bone tissue engineering. The possibility of using mesenchymal stromal cells in regenerative medicine protocols has opened a new field of investigation aimed at finding optimal sources of multipotent cells that can be isolated via non-invasive procedures. In this study we analysed whether levator veli palatini muscle fragments, which can be readily obtained in non-invasive manner during palatoplasty in cleft palate p­­atients, represent a novel source of MSCs with osteogenic potential. Methods . We obtained levator veli palatini muscle fragments (3-5 mm 3 ), during surgical repair of cleft palate in 5 unrelated patients. Mesenchymal stromal cells were isolated from the muscle using a pre-plating technique and other standard practices. The multipotent nature of the isolated stromal cells was demonstrated via flow cytometry analysis and by induction along osteogenic, adipogenic and chondrogenic differentiation pathways. To demonstrate the osteogenic potential of these cells in vivo, they were used to reconstruct a critical-sized full-thickness calvarial defect model was in immunocompentent rats. Results. Flow cytometry analysis showed that the isolated stromal cells were positive for mesenchymal stem cell antigens (CD29, CD44, CD73, CD90 and CD105) and negative for hematopoietic (CD34 and CD45) or endothelial cell markers (CD31). The cells successfully underwent osteogenic, chondrogenic and adipogenic cell differentiation under appropriate cell culture conditions. Calvarial defects treated with CellCeram TM scaffolds seeded with the isolated levator veli palatini muscle cells showed greater bone healing compared to defects treated with acellular scaffolds. Conclusion. Cells derived from levator veli palatini muscle have phenotypic characteristics similar to other mesenchymal stromal cells, both in vitro and in vivo . Our ﬁndings suggest that these cells may have clinical relevance in the surgical rehabilitation of patients with cleft palate and other craniofacial anomalies characterized by significant bone deficit.
Developing a specialist children’s nursing workforce in sub-Saharan Africa: a descriptive programme evaluation.
Authors: Ruthe Jennifer , North Natasha Lee 
Published: October 2020

Abstract
Background: Achieving Universal Health Coverage in low and lower-middle income countries requires an estimated additional five and a quarter million nurses. Despite an increasing focus on specialist nursing workforce development, specialist children’s workforce in most African countries falls well below recommended densities. The Child Nursing Practice Development Initiative was established with the aim of building the children’s nursing workforce in Southern and Eastern Africa, and Ghana. The purpose of this evaluation was to enable scrutiny of programme activities conducted between 2008 and 2018 to inform programme review and where possible to identify wider lessons of potential interest in relation to specialist nursing workforce strengthening initiatives. Methods: The study took the form of a descriptive programme evaluation. Data analysed included quantitative programme data and contextual information from documentary sources. Anonymised programme data covering student enrolments between January 2008 and December 2018 were analysed. Findings were member-checked for accuracy.Results: The programme recorded 348 enrolments in 11 years, with 75% of students coming from South Africa and 25% from other sub-Saharan African countries. With a course completion rate of 94%, 99% of known alumni were still working in Africa at the end of 2018. Most graduates were located at top-tier (specialist) public hospital facilities. Nine percent of known alumni were found to be working in education, with 54% of graduates at centres that offer or plan to offer children’s nursing education. Conclusion: The programme has made a quantifiable, positive and sustained contribution to the capacity of the specialist clinical and educational children’s nursing workforce in nine African countries. Data suggest there may be promising approaches within programme design and delivery in relation to very high course completion rates and the retention of graduates in service which merit further consideration. Outputs from this single programme are however modest when compared to the scale of need. Greater clarity around the vision and role of specialist children’s nurses and costed plans for workforce development are needed for investment in specialist children’s nursing education to realise its potential in relation to achievement of Universal Health Coverage.