bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Shamiri Group Intervention for Adolescent Anxiety and Depression: Study Protocol for a Randomized Controlled Trial of a Lay Provider-Delivered, School-Based Intervention in Kenya
Authors: Osborn Tom Lee , Venturo-Conerly Katherine E. , Wasil Akash R. , Rodriguez Micaela , Roe Elizabeth , Alemu Rediet , G. Susana Arango , Gan Jenny , Wasanga Christine , Schleider Jessica L. , Weisz John R. 
Published: August 2020

Abstract
Background Developing low-cost, socio-culturally appropriate, and scalable interventions for youth depression and anxiety symptoms in low-income regions such as countries in Sub Saharan Africa is a global mental health priority. We developed and intend to evaluate one such intervention for adolescent depression and anxiety in Kenya. The intervention, named Shamiri (a Swahili word for ‘thrive’), draws upon evidence-based components of brief interventions that involve nonclinical principles rather than treatment of psychopathology (e.g. growth mindset, gratitude and virtues).Methods At least 400 Kenyan adolescents (ages 13-18) with clinically elevated depression and/or anxiety symptoms will be randomized to either the four-week Shamiri group intervention or a group study-skills control intervention of equal duration and dosage. Participating adolescents will meet in groups of 8-15, led by a high-school graduate trained to deliver Shamiri as a lay-provider. Adolescents will self-report primary outcome measures (depression—measured by the PHQ-8, and anxiety symptoms—measured by the GAD-7) and secondary outcome measures (perceived social support, perceived academic control, self-reported optimism and happiness, loneliness, and academic grades) at the 2-week intervention midpoint, 4-week post-intervention endpoint, and 2-week post-intervention follow-up. We predict that adolescents in the Shamiri group, when compared to the study-skills control group, will show greater improvements in primary outcomes and secondary outcomes. Discussion Results may suggest that a brief, lay-provider delivered, school-based intervention may reduce depression and anxiety symptoms, improve academic outcomes and other psychosocial outcomes in adolescents with clinically-elevated symptoms in Sub-Saharan Africa.Trial RegistrationPan African Clinical Trials Registry. Trial ID: PACTR201906525818462. Registered 12th June 2019.
Multi-measure assessment of adherence to Antiretroviral Therapy among children under five years living with HIV in Jinja, Uganda
Authors: Ssanyu Jacquellyn Nambi , Nakafeero Mary , Nuwaha Fred 
Published: August 2020

Abstract
Background: Adherence to Antiretroviral Therapy (ART) is required to achieve HIV viral load suppression. However, children under five years in Jinja, Uganda, had been shown to have low HIV suppression rates. This study aimed to determine the level of ART non-adherence among these children and the associated factors.
Methods: Data for the cross-sectional study was collected from April to July 2019, from caregivers of 206 children under five years living with HIV who were attending health facilities in Jinja and had been on ART for at least three months. Non-adherence was measured using a Visual Analog Scale that assessed both dosing and timing non-adherence, and by determining the Proportion of Days Covered by the medication. A questionnaire administered to the caregivers was used to collect the data, together with medical record review. A child was only considered adherent if they had adherence greater than 95% on all the measures. The data was analysed using Modified Poisson Regression, taking a p-value less than 0.05 as statistically significant.
Results: Of the 206 children, 73.8% were older than 2 years, and 52.9% were female. Likewise, the majority of caregivers were female (93.7%). Using the combined adherence measure, 57.3% of the children were categorised as non-adherent. School/day-care attendance, Prevalence Ratio (PR) = 1.25 (p = 0.042), the caregiver having higher than a primary school education, PR = 0.72 (p = 0.044) and satisfaction with the quality of service at the health facility, PR = 0.97 (p <0.001) were associated with non-adherence. Household food insecurity was also associated with non-adherence: PR = 1.55 (p = 0.011) for mild food insecurity, PR= 1.75 (p = 0.001) for moderate insecurity and PR = 1.48 (p = 0.015) for severe food insecurity.
Conclusions: Children under five years in Jinja had a high level of ART non-adherence. It is important to engage schools to support adherence among children living with HIV. Addressing household food insecurity and improving the quality of paediatric ART services would also reduce the barriers to optimal adherence.
An assessment of sensitivity biomarkers for urinary cadmium burden
Authors: Li Yuting , Wang Hongmei , Yu Jie , Yan Qiong , Hu Honggang , Zhang Lishu , Tian Tian , Peng Xianglei , Yang Shuo , Ke Shen 
Published: August 2020

Abstract
Background: Excess cadmium (Cd) intake poses a general risk to health and to the kidneys in particular. Among indices of renal dysfunction under Cd burden measures are the urinary N-acetyl-β-D-glucosidase (UNAG) and urinary β2-microglobulin (Uβ2-MG) enzymes. However, the end-pointed values and the Cd burden threshold remain controversial because the scopes fluctuate widely.Methods: To ascertain the clinical benchmark dose of urinary Cd (UCd) burden for renal dysfunction, 1595 residents near a Cd site were surveyed. Urine was sampled and assayed. A benchmark dose low (BMDL) was obtained by fitting UCd levels and index levels.Results: We found that over 50% of the subjects were suffering from Cd exposure as their UCd levels far exceeded the national standard threshold of 5.000 μg/g creatinine (cr). Further analysis indicated that Uβ2-MG was more sensitive than UNAG for renal dysfunction. The BMDL for UCd was estimated as 3.486 U/g cr (male, where U is unit of enzyme) and 2.998 U/g cr (female) for UNAG. The BMDL for Uβ2-MG, which is released into urine from glomerulus after Cd exposure, was found to be 2.506 μg/g cr (male, where μg is the unit of microglobulin) and 2.236 μg/g cr (female).Conclusions: Uβ2-MG is recommended as the sensitivity index for renal dysfunction, with 2.2 μg/g cr as the threshold for clinical diagnosis. Our findings suggest that Uβ2-MG is the better biomarker for exposure to Cd.
Arthroscopic treatment of synovial chondromatosis of hip joint
Authors: Liu Yufeng , Li Ji , Ma Ning , An Mingyang , Gao Feng , Hu Bo , Zhang Boqing , Wang Zhigang , Liu Yujie , Li Chunbao 
Published: August 2020

Abstract
Purpose：This retrospective study summarized the clinical, radiographic and arthroscopic manifestation of synovial chondromatosis (SC) of the hip, along with the post-operative effect to discuss the curative effect of arthroscopic management of hip SC.Methods: 21 patients underwent arthroscopic surgery from the same surgeon for hip SC were followed up for an average of 45 months. T-shaped capsulotomy was routinely performed in each case. Visual analog scale, range of motion, modified Harris Hip score and International Hip Outcome Tool score were collected preoperatively and at the time of the latest follow-up. All patients’ demographics, radiographs and arthroscopic images were collected to summarize and conclude the similarities and differences of their manifestation.Results: Large wedged-clumps of loose bodies demonstrated distinguishable radiographic, arthroscopic appearance and demanded different surgical strategy. Postoperative scores were all significantly improved. One case of residual pain and two cases of residual loose bodies with no symptom related were reported at the final follow up. All but one patients were satisfied with the outcome. Conclusion: Arthroscopy treatment of hip SC with T-shaped capsulotomy has demonstrated good result in terms of clinical outcome score, recurrence rate and complication rate. On the basis of this study, we concluded the clinical performance of large wedged-clumps of loose bodies of hip SC.
A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study
Authors: Iyemosolo Blanchard Mbay , Chivese Tawanda , Esterhuizen Tonya Marianne 
Published: August 2020

Abstract
Background South Africa has a persistent burden of sexually transmitted infections (STIs). Male circumcision has been shown to be effective in preventing HIV, and STIs but data are scarce on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to assess the effect of medical and traditional circumcision on the prevalence of STIs after adjusting for other risk factors in Rustenburg, a mining town in North West Province, South Africa.Methods This cross-sectional study used baseline data collected from a cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interviewer-administered questionnaire. Multiple logistic regression analysis was used to assess the independent effect of circumcision on STI presence after adjusting for confounders. Results A total of 339 participants with a median age of 25 years (IQR 22-29) were included in the study, of whom 116 (34.2%) were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8% to 32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p<0.001). Both medical (OR 0.57, 95% CI 0.34-0.95, p = 0.030) and traditional circumcision (OR 0.34, 95% CI 0.13-0.86, p = 0.022) were strongly associated with a lower risk of STIs after adjustment for employment and condom use. Conclusion In this high-risk population, with a relatively high prevalence of STIs, and 34% circumcision, both medical and traditional circumcision appear to be protective against STIs.
Comparison of oral health behaviour between dental and non-dental undergraduates in a university in southwestern China--exploring the future priority for oral health education
Authors: Li Mingming , Wu Zhiwu , Zhang Rui , Lei Lei , Ye Siqi , Cheng Ran , Hu Tao 
Published: August 2020

Abstract
Background: Based on a national survey in 2015, people’s oral health behaviour (OHB) has not kept up with the pace of knowledge and attitudes in China after decades of oral health education (OHE). Thus, we need to improve OHE to strengthen people’s OHB. Undergraduates are regarded as the best candidates for the improvement of OHE. The objective of this study is to determine undergraduates’ oral health status and existing problems in OHB by comparing dental and non-dental students at Sichuan University. We hope to provide some suggestions for future OHE to improve people’s OHB.Methods: A quasi-experimental study designed with a pre-test and post-test group was conducted. A total of 217 dental students and 135 non-dental students were enrolled. They were administered an OHE course focused on OHB. A survey about oral health behaviour and knowledge was conducted before and after the course.Results: According to the pre-course survey, dental students surpassed non-dental students in terms of toothbrushing frequency, method, and time, but unfortunately, flossing was overlooked by all the students. After the course, both dental and non-dental students showed strong willingness to improve their OHB. More non-dental students than dental students were willing to use toothpicks and Chinese herbal toothpaste before and after the course.Conclusions: OHE focused on behaviour has a positive effect on university students. Future OHE and interventions should focus on flossing, toothbrushing methods, toothpicks, Chinese herbal toothpaste and modifications to adopt new media.
NCMHap: A novel method for haplotype reconstruction based on Neutrosophic c-means clustering
Authors: Zamani Fatemeh , Olyaee mohammad , Khanteymoori Alireza 
Published: August 2020

Abstract
Background: Single individual haplotype (SIH) problem refers to reconstructing haplotypes of an individual based on several input fragments sequenced from a specified chromosome. Solving this problem is an important task in computational biology and has many applications in the pharmaceutical industry, clinical decision-making, and genetic diseases. It is known that solving the problem is NP-hard. Although several methods have been proposed to solve the problem, it is found that most of them have low performances in dealing with noisy input fragments. Therefore, proposing a method which is accurate and scalable, is a challenging task. Results: In this paper, we introduced a method, named NCMHap, which utilizes the Neutrosophic c-means (NCM) clustering algorithm. The NCM algorithm can effectively detect the noise and outliers in the input data. In addition, it can reduce their effects in the clustering process. The proposed method has been evaluated by several benchmark datasets. Comparing with existing methods indicates when NCM is tuned by suitable parameters, the results are encouraging. In particular, when the amount of noise increases, it outperforms the comparing methods. Conclusion: The proposed method is validated using simulated and real datasets. The achieved results recommend the application of NCMHap on the datasets which involve the fragments with a huge amount of gaps and noise.
Adsorption of Lead, Manganese, and Copper onto biochar in landfill leachate: implication of non-linear regression analysis
Authors: Zand Ali Daryabeigi , Abyaneh Maryam Rabiee 
Published: August 2020

Abstract
The feasibility of using wood-derived biochar (BC) to remove Pb, Mn, and Cu from landfill leachate was investigated and modeled in this study. BC was produced under the pyrolytic temperature of 740 °C. The effect of contact time, BC dosage and particle size on adsorption of the heavy metals onto BC was examined. BC was used in two forms i.e., pulverized (PWB) and crushed (CWB) to evaluate the effect of BC particle size on adsorption characteristics. The kinetics of Pb, Mn, and Cu adsorption onto PWB and CWB were assessed using the pseudo second-order and Elovich models, where both applied models could well describe the adsorption kinetics. Removal efficiencies of the heavy metals were increases by 1.2, 1.4, and 1.6 times, respectively, for Pb, Mn, and Cu, when PWB content of the leachate increased from 0.5 to 5 g L-1. Equilibrium adsorption capacity of the heavy metals onto BC in leachate system was evaluated using the Langmuir, non-linearized Freundlich, linearized Freundlich, and Temkin isotherms and found to have the following order for PWB: Non-linearized Freundlich > Temkin > Langmuir > Linearized Freundlich. The Langmuir and linearized Freundlich models could not adequately represent adsorption of the heavy metals onto BC, especially for CWB. The highest removal of 88% was obtained for Pb, while the greatest adsorption intensity was found to be 1.58 mg g-1 for Mn. Using the non-linearized Freundlich isotherm significantly reduced adsorption prediction error. The adsorption affinity of PWB for Pb, Mn, and Cu was greater than that of CWB in all treatments. Wood-derived BC is suggested to be used for the removal of heavy metals from landfill leachate as an economical adsorbent.
Weight maintenance interventions for people with type 2 diabetes mellitus: A systematic review protocol
Authors: Sauchelli Sarah , Bradley Julia , Cox Jennifer , England Clare , Perry Rachel 
Published: August 2020

Abstract
Background: Weight loss maintenance is a challenge for people with Type 2 Diabetes Mellitus (T2DM), which attenuates the long-term benefits of weight loss for diabetes management. Medication, specific dietary requirements, and the psychosocial burden of T2DM signify that weight loss maintenance designed for obesity may not suit people with T2DM. The primary objective of this review is to comprehensively evaluate existing weight maintenance interventions for people with or at high risk of T2DM. Methods: We registered a protocol for the systematic review and meta-analysis of randomised and non-randomised weight maintenance interventions for T2DM. Studies included will have been carried out in adults with clinical diagnosis of T2DM or pre-diabetes. All intervention types will be accepted (e.g. behavioural/lifestyle change and pharmacological). The primary outcomes will be weight control, glycaemic control, and adverse effects. Secondary outcomes will include cardiovascular risk factors (e.g. total cholesterol, LDL-cholesterol, blood pressure control), psychological wellbeing (including health-related quality of life), change in glucose medication and waist circumference. Multiple electronic databases will be searched such as MEDLINE, EMBASE, Web of Science, PsychINFO and international registers (e.g. Cochrane Central Register of Controlled Trials, WHO ICTRP). OpenGrey will be searched for grey literature. Two researchers will screen all citations and abstracts. This process will also be conducted by an additional researcher using a semi-automated tool to reduce human error. Full-text articles will be further examined by the researchers to select a final set for further analysis, and a narrative synthesis of the evidence will be presented. Potential sources of heterogeneity will be assessed, and a meta-analysis will be conducted if feasible. Risk of bias will be evaluated using the Cochrane risk of bias tool and the certainty of evidence using the GRADE (grading of recommendations, assessment, development, and evaluation) approach. Discussion: This review will critically appraise existing weight maintenance interventions targeting T2DM. Findings will inform future intervention development to support people with T2DM delay weight regain and prolong successful diabetes management. Systematic Review Registration: PROSPERO 168032
Determinants Of Adherence To Dental Treatment Of Socially Vulnerable Adolescents In Primary Health Care: A Cohort Study
Authors: Bulgareli Jaqueline Vilela , Cortellazzi Karine Laura Cortellazzi , Guerra Luciane Miranda , Ambrosano Gláucia Maria Bovi , Kaieda Armando Koichiro , Cunha Inara , Vazquez Fabiana Lima , Pereira Antonio Carlos 
Published: August 2020

Abstract
Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Methods: A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015. The sample consisted of 1179 adolescents examined in family health units; of these, 474 were referred to treatment (40.2%) and 325 (68.6%) were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, sociodemographic, access to the service, reporting pain, oral impacts on daily performance, family cohesion) and contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage). Results: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p=0.039) and number of individuals in the family (p=0.003) were associated with non-adherence to dental treatment. Conclusions: It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.
A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
Authors: Pan Yinglian , Jia LiPing , Liu Yuzhu , Han Yiyu , Li Qian , Zou Qin , Zhang Zhongpei , huang jin , Deng Qingchun 
Published: August 2020

Abstract
Background: In this study we aimed to identify a prognostic signature in BRCA1/2 mutations to predict disease progression and the efficiency of chemotherapy ovarian cancer (OV), the second most common cause of death from gynecologic cancer in women worldwide. Methods: Univariate Cox proportional-hazards and multivariate Cox regression analyses were used to identifying prognostic factors from data obtained from The Cancer Genome Atlas (TCGA) database. The area under the curve of the receiver operating characteristic curve was assessed, and the sensitivity and specificity of the prediction model were determined.Results: A signature consisting of two long noncoding RNAs(lncRNAs), Z98885.2 and AC011601.1, was selected as the basis for classifying patients into high and low-risk groups (median survival: 7.2 years vs. 2.3 years). The three-year overall survival (OS) rates for the high- and low-risk group were approximately 38% and 100%, respectively. Chemotherapy treatment survival rates indicated that the high-risk group had significantly lower OS rates with adjuvant chemotherapy than the low-risk group. The one-, three-, and five-year OS were 100%, 40%, and 15% respectively in the high-risk group. The survival rate of the high-risk group declined rapidly after two years of OV chemotherapy treatment. Multivariate Cox regression associated with other traditional clinical factors showed that the 2-lncRNA model could be used as an independent OV prognostic factor. Analyses of data from the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) indicated that these signatures are pivotal to cancer development. Conclusion: In conclusion, Z98885.2 and AC011601.1 comprise a novel prognostic signature for OV patients with BRCA1/2 mutations, and can be used to predict prognosis and the efficiency of chemotherapy.
Identification of pigments in artworks by inverse tangent derivative of spectrum and a new filtering method
Authors: Fazlali Fatemeh , KANDI Saeideh GORJI 
Published: August 2020

Abstract
Employing an economical and non-destructive method for identifying pigments utilized in artworks is a significant aspect for preserving their antiquity value. One of the non-destructive methods for this purpose is spectrophotometry, which is based on the selected absorption of light. Mathematical descriptive methods such as derivatives of the reflectance spectrum, the Kubelka-­Munk function and logarithm have been employed for the characterization of the peak features corresponding to the spectrophotometric data. In the present study, the mentioned mathematical descriptive methods were investigated with the aim to characterize the constituents of an Iranian artwork but were not efficient for the samples. Therefore, inverse tangent derivative equation was developed on spectral data for the first time, providing considerable details in the profile of reflectance curves. In the next part, to have a simpler and more practical method it was suggested to use filters made up of pure pigments. By using these filters and placing them on the samples, imaging was done. Then, images of samples with and without filter were evaluated and pure pigments were distinguished. The mentioned methods were also used to identify pigments in a modern Iranian painting specimen. The results confirmed these methods with reliable answers indicating that physical methods (alongside chemical methods) can also be effective in determining the types of pigments.