bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Efficacy of Temozolomide Combined with Levetiracetam for Glioblastoma (GBM) After Surgery: a Study Protocol for a Double-Dlinded and Randomized Controlled Trial
Authors: Sun Maoyuan , Huang Ning , Tao Yihao , Wen Rong , Zhao Guanjian , Zhang Xiang , Xie Zongyi , Cheng Yuan , Mao Jinning , Liu Guodong 
Published: December 2021

Abstract
Background: Temozolomide is applied as the standard chemotherapy agent in patients with glioblastoma (GBM) after surgery. However, the benefit of this treatment for patients is limited by the invasive growth of glioma and drug resistance. There are indications from fundamental experimental and retrospective studies that levetiracetam has the potential to improve the survival rate of GBM patients. However, it has yet to be ascertained whether the combination of temozolomide and levetiracetam is more effective than temozolomide chemotherapy alone. Therefore, we designed a randomized clinical trial to investigate the therapeutic effect of the new combined regime for the treatment of GBM.Methods/design: This is a double-blind and randomized clinical trial carried out in a single center. A total of 142 patients will be recruited and screened for the inclusion and exclusion criteria. Then, eligible participants will be enrolled and randomly allocated into an Experimental group or a Control group in a 1:1 ratio. Based on the administration of radiation therapy (RT), participants in the Experimental group will be prescribed levetiracetam plus temozolomide chemotherapy for 34 weeks while participants in the Control group will be prescribed placebo tablets plus temozolomide for the same duration. All patients will be followed-up for three years after intervention. Accordingly, the primary outcome will be progression-free survival (PFS). The secondary endpoints include overall survival (OS), the Karnofsky Performance Status (KPS), the objective response rate (ORR), and the incidence of adverse events. Discussion: The results of this trial are expected to provide high-level evidence regarding the clinical benefits of the combination of levetiracetam and temozolomide in the treatment of GBM.Trial registration: www.ChiCTR.org.cn, ID: ChiCTR-2100049941. Registered on 14thAugust 2021.
Sediment Phosphate Release Flux Under Hydraulic Disturbances in the Shallow Lake of Chaohu, China
Authors: LUO Wenguang , Yue Yao , Lu Jing , Pang Lina , Zhu Senlin 
Published: December 2021

Abstract
Quantifying the effect of hydraulic disturbances on sediment phosphate release is a key issue in the water quality assessment of lakes, especially for the shallow lakes which are susceptible to winds and waves. Here, we sampled the original sediment columns from 12 positions in the eastern, central, and western areas of the Chaohu Lake, a representative shallow lake in China, and observed phosphate release under three levels of hydraulic disturbances in the laboratory. When the disturbance was weak and the surface sediment of bottom mud moved individually (the Individual Motion Mode), sediment phosphate release rate was insignificant (0.24 mg/m2/d). When the disturbance was medium and only a small percentage (<16%) of surface sediment started to move (the Small Motion Mode), phosphate release rate sharply increased to 4.81 mg/m2/d. When the disturbance was further strengthened and most (≥16%) of the surface sediment moved (the General Motion Mode), phosphate release rate was more than doubled (10.23 mg/m2/d). With the increase of hydraulic disturbance intensity, the variation range of phosphate release also became wider. Spatial distribution showed that the release rate varies the most in the western area, followed by the eastern and the central areas. By extrapolating the experimental results to the real scale, we found the phosphate release fluxes would probably fall within a wide range between 203.43 kg/d to 7311.01kg/d under different levels of hydrodynamic disturbances with considerably affects phosphate release from shallow lakes. This study also has implications for the pollutant management in other shallow lakes.
Axillary Web Syndrome: characterization of the different forms of clinical presentation of the cord.
Authors: Carmo Karla , Freitas-Junior Ruffo , Rahal Rosemar Macedo de Souza , Lemos Nayara Alves de Freitas 
Published: December 2021

Abstract
ObjectiveDescribe and characterize the forms of presentation and manifestation of the cord present in the Axillary Web Syndrome.Materials and MethodsAfter a favorable opinion from the Research Ethics Committee of the Federal University of Goiás, the construction of items for the Axillary Web Syndrome Classification Scale began, based on the search for concepts involved in its diagnosis. The various steps of construction, application and validation of the instrument occurred from April 2020 to August 2021. The research took place at the outpatient clinic of Mastology at Hospital das Clínicas (Goiás). In the evaluation position: supine, upper limb ipsilateral to the breast operated in abduction, extension and external rotation of the shoulder, extension and supination of the elbow, extension of the wrist and fingers, information on the specific characteristics of the cord was recorded.ResultsThe means presented by the evaluators were almost identical for the variables related to the characterization of the cord, indicating a strong correlation, Cronbach's alpha was 0.894 for evaluator 1 and 0.879 for evaluator 2, indicating strong internal consistency. Inter-rater agreement was 100% (p>0.001) for almost all variables evaluated, with the lowest Kappa coefficient (0.77 p>0.001) for “Length”.ConclusionA consensus on classification criteria can be useful among researchers and practitioners. The fibrous cord classification items compiled in this study address its forms of presentation and manifestation and contribute to standardizing the assessment and classification of Axillary Web Syndrome.
The Effect of Femoral Nerve Block Versus Adductor Canal Block on the Quality of early Recovery after Revision Total Knee Arthroplasty, a retrospective Study
Authors: AlJa'bari Aboud , AlSheikh Khalid 
Published: December 2021

Abstract
Background
Multimodal pain analgesia strategies are common in perioperative management of total knee arthroplasty (TKA), although the role of adductor canal blocks (ACB) versus femoral nerve block on early postoperative recovery for revision knee surgery is not investigated.
Aim
The purpose of this study is to independently evaluate the effect of ACB on short-term postoperative outcomes including (1) length of stay (LOS), (2) postoperative narcotic utilization, and (3) function with physical therapy in revision TKA.
Methods
We retrospectively identified a cohort study of consecutive 40 patients from January 2021 to July 2021 who had undergone unilateral revision TKA using a single-shot ACB (19 patients) vs femoral nerve block (21 patients) under spinal anesthesia ( hyperbaric 0.5% Marcaine 2.5 ml and 20 microgram fentanyl) in addition to a standardized multimodal pain analgesia protocol. These 2 groups were compared using independent sample t-tests with primary end points of interest being distance ambulated after surgery, and inpatient narcotic use.
Results
Quadriceps strength was better preserved in adductor group than in femoral group. Walking meters and going upstairs were better results in adductor group. IV morphine consumption within the first 48 hours period were less in adductor group comparing to femoral group.
Conclusion
Adductor nerve block showed better early recovery in revision TKA when comparing to femoral nerve block (FNB).
Use of WATCH antibiotics prior to presentation to the hospital in rural Burkina Faso
Authors: VALIA Daniel , Ingelbeen Brecht , Kaboré Bérenger , Karama Ibrahima , Peeters Marjan , Lompo Palpouguini , Vlieghe Erika , Post Annelies , Cox Janneke , de Mast Quirijn , Robert Annie , Sande Marianne A.B. van der , Villalobos Hector Rodriguez , Ven Andre van der , Tinto Halidou , Jacobs Jan 
Published: December 2021

Abstract
Background
In low- and middle-income countries, the prevalence of antimicrobial resistance (AMR) is increasing. To control AMR, WHO recommends monitoring antibiotic use, in particular Watch antibiotics. These are critically important antibiotics, with restricted use because at risk of becoming ineffective due to increasing AMR. We investigated pre-hospital antibiotic use in rural Burkina Faso.
Methods
During 2016-2017, we collected data from patients aged >3 months presenting with severe acute fever to the rural hospital of Nanoro Health District, Burkina Faso, including antibiotic use in the two weeks prior to consultation or hospitalization. We analysed reported antibiotic use with the WHO Access, Watch, Reserve (AWaRe) classification.
Results
Of 920 febrile participants (63.0% ≤14 years), pre-hospital antibiotic use was reported by 363 (39.5%). Among these 363, microbiological diagnoses were confirmed for 275 (75.8%) patients, of which 162 (58.9%) were non-bacterial infections. Use of more than one antibiotic was reported by 58/363 (16.0%) participants. Of 491 patients who did not previously visit a primary health center, 131 (26.7%) reported antibiotic use. Of 424 antibiotics reported, 263 (62.0%) were Access and 159 (37.5%) Watch antibiotics. Watch antibiotic use was more frequent among patients >14 year olds (51.1%) compared to those 0-14 year old (30.7%) and among referrals from the primary health centers (42.2%) compared to self-referred patients (28.1%). Most frequently reported Watch antibiotics were ceftriaxone (114, 71.7%) and ciprofloxacin (32, 20.1%).
Conclusion
The reported frequent use of Watch group antibiotics among febrile patients prior to presentation to the hospital in rural Burkina Faso highlights the need to develop targeted interventions to improve antibiotic use in community settings as part of strengthening antibiotic stewardship in low- and middle-income countries. This should include facilitating referral, access to qualified prescribers and diagnostic tools in rural primary health centers.
Trial registration
: ClinicalTrials.gov identifier: NCT02669823. Registration date was February 1, 2016
Documentation of Adherence To Infection Prevention Best Practice in Patient Records – A Mixed-Methods Investigation
Authors: Hascic Alen , Wolfensberger Aline , Clack Lauren , Schreiber Peter Werner , Kuster Stefan P , Sax Hugo 
Published: December 2021

Abstract
Background

Healthcare-associated infections remain a preventable cause of patient harm in healthcare. Full documentation of adherence to evidence-based best practices for each patient can support monitoring and promotion of infection prevention measures. Thus, we reviewed the extent, nature, and determinants of the documentation of infection prevention (IP) standards in patients with HAI.
Methods

We reviewed the electronic patient records (EMRs) of patients included in four annual point-prevalence studies 2013-2016 who developed a device- or procedure-related HAI (catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), ventilator-associated infection (VAP), surgical site infection (SSI)). We examined the documentation quality of mandatory preventive measures published as institutional IP standards. Additionally, we undertook semi-structured interviews with healthcare providers and a two-step inductive (grounded theory) and deductive (Theory of Planned Behaviour) content analysis.
Results

Of overall 2972 surveyed patients, 249 patients developed 272 healthcare-associated infections (8.4%). Of these, 116 patients met the inclusion criteria, classified as patients with CAUTI, CLABSI, VAP, SSI in 21 (18%), 7 (6%), 10 (9%), 78 (67%) cases, respectively. We found a documentation of the IP measures in electronic medical records (EMR) in 432/1308 (33%) cases. Documentation of execution existed in the study patients’ EMR for CAUTI, CLABSI, VAP, SSI, and overall, in 27/104 (26%), 26/151 (17%), 46/122 (38%), 261/931 (28%), and 360/1308 (28%) cases, respectively, and documentation of non-execution in 2/104 (2%), 3/151 (2%), 0/122 (0%), 67/931 (7%), and 72/1308 (6%) cases, respectively. Healthcare provider attitude, subjective norm, and perceived behavioural control indicated reluctance to document IP standards.
Conclusions

EMRs rarely included conclusive data about IP standards adherence. Documentation had to be established indirectly through data captured for other reasons. It can be projected that a mandatory institutional documentation protocol and technically automated documentation would be necessary to alleviate this shortcoming in patient safety documentation.
Investigation On Psychological Status of Patients With Cervical Precancerous Lesions And Cancer Among Han And Ethnic Minority In Yunnan Province of China
Authors: Zhao Min , Liu Dan , Gu Rong-Yan , Lei Hong-Tao , Zhang Shao , Ding Song-Rui , Luo Lei , Zhang Meng-Jiao , Ma Guo-Yu , Li Zheng 
Published: December 2021

Abstract
Objective The aim of this study was to explore the correlation and difference of influencing factors by analyzing the psychological status of patients with cervical precancerous lesions and cancer in Han and Ethnic minorities. So as to provide evidence for more targeted psychological intervention for categories types of patients. Methods 200 Han patients with cervical lesions and 100 Ethnic minority patients in Yunnan cancer center were investigated with the Chinese version of Kessler 10 Scale. Statistical analysis was performed using t-test, analysis of variance, and multivariable linear regression. Results There was no significant difference in the distribution of demographic characteristics between the two groups (P>0.05).The results of univariate analysis showed that the impression of K10 score was statistically significant among the following factors: educational level, awareness of HPV vaccine, disease screening status, employee medical insurance, economic burden of disease, cancerous or not, pathological type, treatment modalities, marital status, and family genetic history of tumor (P<0.05).Among them, the marital status had opposite effects on the two groups of patients. The mean score of married Han patients were higher than those of Han patients with other marital status, but the score of Ethnic minority patients the opposite. Multivariate analysis indicates that the economic burden of the disease, occupation, and family genetic history of tumor had a greater impact on the total score of Han patients among many factors, accounting for a total of 8.1% (Adj=0.081).Treatment modalities had the greatest effect on the scores of ethnic minority patients, accounting for 8.4%(Adj=0.084). Conclusion The factors affecting the psychological status of patients between the two groups have similarities and differences. Multifactorial analysis showed that the main factors affecting the psychology of Han patients were: economic burden caused by the disease, occupation, and family genetic history of tumor; while the main factors affecting the psychology of minority patients were: treatment modalities. Therefore, targeted recommendations and policy measures can be proposed respectively. We should not only increase the publicity of disease-related knowledge, but also call on all women to receive vaccines and regular screening of women in the high incidence age group. It is also necessary to positively guide patients with higher education level and give more encouragement and spiritual support to patients with family genetic history of tumor and heavy economic burden of the disease. The effect of marital relationship on patients cannot be neglected at the same time. More targeted psychological intervention and more favorable treatment modalities should be provided for patients.
The Importance of Physical Exercise in Cardiovascular Fitness in Breast Cancer Survivors. A Cross-sectional Study: Women in Motion 2.0.”
Authors: Herrero Lucía Gil , Santamaría Marina Pollán , Jimenez Miguel Martín , Tarruella Sara López , Montealegre Mónica Castellanos , Barrio Soraya Casla 
Published: December 2021

Abstract
PurposeTo compare the cardiovascular fitness of breast cancer (BC) survivors with an active lifestyle to those with a sedentary lifestyle. MethodsA cross-sectional study was conducted. Participants were classified into four different groups: sedentary with BC (Sed-BCW), active with BC (Act-BCW), sedentary without BC (Sed-HW) and active without BC (Act-HW). VO2max was estimated by the 6-minute walking test (6MWT); speed was measured by the 35-meter test; isometric strength was measured by dynamometry tests; lower body maximum strength was measured by the squat test; explosive strength was measured by the Sargent Jump Test; balance was measured by the 30-second balance test; and body composition was measured by bioimpedance. ANOVA was used to analyze group differences and post hoc comparisons were developed with the Bonferroni test. ResultsA total of 92 women were recruited. Significant differences were found in VO2max between the Act-BCW and Sed-BCW groups (MeanDif=5.86, p<0.001). No differences in VO2max were observed between the active groups (MeanDif= 0.42, p= 0.753). Related body composition and fat mass levels were significantly lower in the Act-BCW group than in the sedentary groups (Sed-BCW MeanDif= -6.78; p= 0.012 and Sed-HW MeanDif= -12.07; p<0.001) ConclusionsWomen who are Act-BCW can achieve similar values in physical condition as women who are Act-HW and have better values than women in who are sedentary. Moreover, physical exercise might be a stronger determinant of body composition than a previous history of BC.
A Rapid Learning Health System to Support Implementation of Early Intervention Services for Psychosis in Quebec, Canada: Study Protocol
Authors: Ferrari Manuela , Iyer Srividya , Leblanc Annie , Roy Marc-André , Abdel-Baki Amal 
Published: December 2021

Abstract
Background: Given the strong evidence for their effectiveness, early intervention services for psychosis (EIS) are being widely implemented. However, heterogeneity in the implementation of essential components, remains an ongoing challenge. Rapid learning health systems (RLHS), that embed data collection in clinical settings for real-time learning and continual quality improvement, can address this challenge. We therefore implemented a RLHS in 11 EIS in Quebec, Canada. This project aims to determine the feasibility and acceptability of implementing a RLHS in EIS, and to assess its impact on compliance with standards for essential EIS components. Methods: Following literature recommendations, the implementation of this RLHS involves six iterative phases: external and internal scan, design, implementation, evaluation, adjustment, and dissemination. Multiple stakeholder groups (service users, families, clinicians, researchers, decision makers, provincial EIS association) are involved in all phases. Meaningful indicators of EIS quality (e.g., satisfaction, timeliness of response to referrals) were selected based on literature review, provincial guidelines, and stakeholder consensus on indicators prioritisation. A digital infrastructure was designed and deployed that comprises (a) a user-friendly interface for routinely collecting data from programs (b) a digital terminal and mobile app to collect feedback from service users and families regarding care received, health, and quality of life (c) data analytic, visualization and reporting functionalities to provide participating programs with real-time feedback on their performance over time, and in relation to standards and to other programs, along with tailored recommendations. Community of practice activities are being conducted that leverage insights from data to build capacity among programs to continually progress towards aligning their practice with standards/best practices. Guided by the RE-AIM framework, we are collecting quantitative and qualitative data on the Reach, Effectiveness Adoption, Implementation and Maintenance of our RLHS. These RE-AIM data will be analyzed to evaluate our RLHS’s impacts. Discussion: This project will yield valuable insights about how a RLHS can be implemented by EIS, along with preliminary evidence for its acceptability, feasibility and impacts on program-level outcomes. Its findings will refine our RLHS further and advance approaches that bring data, stakeholder voices and collaborative learning to improve outcomes and service quality in psychosis. Trial registration: NA
Prime Editor-mediated Correction of a Pathogenic Mutation in Purebred Dogs
Authors: Kim Dong Ern , Lee Ji Hye , Ji Kuk Bin , Lee Eun Ji , Li Chuang , Oh Hyun Ju , Park Kang Sun , Lee Seung Hoon , Koo Okjae , Kim Min Kyu 
Published: December 2021

Abstract
Canine hip dysplasia (HD) is a multifactorial disease caused by interactions between genetic and environmental factors. HD, which mainly occurs in medium- to large-sized dogs, is a disease that causes severe pain and requires surgical intervention. However, the procedure is not straight-forward, and the only way to ameliorate the situation is to exclude individual dogs with HD from breeding programs. Recently, prime editing (PE), a novel genome editing tool based on the CRISPR-Cas9 system, has been developed and validated in plants and mice. In this study, we successfully corrected a mutation related to HD in Labrador retriever dogs for the first time. We collected cells from a dog diagnosed with HD, corrected the mutation using PE, and generated mutation-corrected dogs by somatic cell nuclear transfer. The results indicate that PE technology can potentially be used as a platform to correct genetic defects in dogs.
Green Credit, Environmental Pollution and High-Quality Development of Green Economy
Authors: Zheng Weidan , Zhang Luni 
Published: December 2021

Abstract
Based on the panel data of 30 provinces (cities and districts) in China from 2003 to 2019, this paper uses the Green Development Index System jointly formulated and released by the National Development and Reform Commission, the National Bureau of Statistics, the Ministry of Environmental Protection and the Central Organization Department to construct a comprehensive index system which can calculate the high-quality development index of green economy, and research the impact of green credit, environmental pollution and high-quality development of green economy. The results show that: (1) The improvement of green credit is conducive to promoting the high-quality development of green economy. Considering the high autocorrelation of the high-quality development of green economy, the impact of green credit on the high-quality development of green economy is still robust and does not depend on the specific metrology. (2) With Moran Index, it is found that the high-quality development of green economy has spatial characteristics. By using Spatial Dobbin Model (SDM), it is found that under both (0,1) weight matrix and geographical distance weight matrix, the impact of green credit on the high-quality development of green economy is positive, forming a positive spatial spillover effect on the high-quality development of green economy in surrounding areas. (3) By using the Intermediary Effect Model,it can be seen that environmental pollution plays a partial intermediary effect between green credit and high-quality development of green economy. There is a transmission channel of "green credit → environmental pollution → high-quality development of green economy". (4) By using Panel Quantile Regression Model, it is found, with the improvement of high-quality development of green economy, that the promotional effect brought by green credit increased.