bluuebunny/crossref_metadata_2025_split huggingface dataset:
A prolonged, two-step oxygenation of Earth's early atmosphere: Support from confidence intervals
Authors: Hodgskiss Malcolm S.W. , Sperling Erik A. 
Published: October 2021

Abstract
The Great Oxidation Event (GOE), among Earth's most transformative events, marked the sustained presence of oxygen above 10−5 times the present atmospheric level. Estimates of the onset of the GOE span 2501–2225 Ma and are based primarily on the loss of mass-independent fractionation of sulfur isotopes (MIF-S) in pyrite. To better constrain the timing of the GOE, we apply probabilistic techniques to estimate the confidence intervals of four proxies: MIF-S, redox-sensitive detrital minerals, “red beds,” and I/(Ca + Mg). These GOE proxies are drawn from a highly fragmentary geologic record, and consequently, estimates of the 95% confidence intervals span tens to hundreds of millions of years—orders of magnitude larger than suggested by radiometric constraints on individual successions. Confidence interval results suggest that red beds and nonzero I/(Ca + Mg) values may have appeared earlier than 2480 Ma and 2460 Ma, respectively, whereas redox-sensitive detrital minerals and MIF-S may have disappeared after 2210 Ma and 2190 Ma, respectively. These data suggest a delay of potentially &gt;300 m.y. between initial and permanent oxygenation of the atmosphere and a delay of tens of millions of years between onset of the Lomagundi-Jatuli carbon isotope excursion and permanent oxygenation of the atmosphere.
Fully automated grading system for the evaluation of punctate epithelial erosions using deep neural networks
Authors: Qu Jing-Hao , Qin Xiao-Ran , Li Chen-Di , Peng Rong-Mei , Xiao Ge-Ge , Cheng Jian , Gu Shao-Feng , Wang Hai-Kun , Hong Jing 
Published: October 2021

PurposeThe goal was to develop a fully automated grading system for the evaluation of punctate epithelial erosions (PEEs) using deep neural networks.MethodsA fully automated system was developed to detect corneal position and grade staining severity given a corneal fluorescein staining image. The fully automated pipeline consists of the following three steps: a corneal segmentation model extracts corneal area; five image patches are cropped from the staining image based on the five subregions of extracted cornea; a staining grading model predicts a score for each image patch from 0 to 3, and automated grading score for the whole cornea is obtained from 0 to 15. Finally, the clinical grading scores annotated by three ophthalmologists were compared with automated grading scores.ResultsFor corneal segmentation, the segmentation model achieved an intersection over union of 0.937. For punctate staining grading, the grading model achieved a classification accuracy of 76.5% and an area under the receiver operating characteristic curve of 0.940 (95% CI 0.932 to 0.949). For the fully automated pipeline, Pearson’s correlation coefficient between the clinical and automated grading scores was 0.908 (p<0.01). Bland-Altman analysis revealed 95% limits of agreement between the clinical and automated grading scores of between −4.125 and 3.720 (concordance correlation coefficient=0.904). The average time required for processing a single stained image during pipeline was 0.58 s.ConclusionA fully automated grading system was developed to evaluate PEEs. The grading results may serve as a reference for ophthalmologists in clinical trials and residency training procedures.
IQOS marketing strategies in the USA before and after US FDA modified risk tobacco product authorisation
Authors: Berg Carla J , Romm Katelyn F , Bar-Zeev Yael , Abroms Lorien C , Klinkhammer Katharina , Wysota Christina N , Khayat Amal , Broniatowski David A , Levine Hagai 
Published: October 2021

IntroductionGiven that the US Food and Drug Administration (FDA) authorised reduced exposure messaging to be used in IQOS marketing, we examined: (1) IQOS ad content; (2) advertising media channels and (3) changes in advertising efforts over time.MethodsWe conducted a mixed-methods study regarding IQOS ad content (headlines, themes, images), ad occurrence characteristics (including content, media channels and adspend) in the USA from August 2019 to April 2021 using Numerator advertising/marketing data.ResultsAcross 24 unique ads and 591 occurrences (84.6% online, 8.0% print, 7.4% mobile), there was $4 902 110 total adspend (98.9% allocated to print). Across unique ads, occurrences and adspend, prominent themes included ‘real tobacco’ (45.8%, 47.4%, 30.1%, respectively), less odour/ash (29.2%, 21.0%, 29.9%) and switching from cigarettes (25.0%, 19.5%, 69.4%), and images mainly featured the product alone (58.2%, 61.4%, 99.5%) or with women (25.0%, 19.1%, 0.3%). Per occurrences and adspend, the most prominent media channel themes (eg, magazine/website topics) were technology (19.3%, 10.6%), women’s fashion (18.1%, 26.2%), weather/news (9.0%, 15.3%) and entertainment/pop culture/gaming (8.5%, 23.1%). Ad themes appearing only post-FDA authorisation included switching from traditional cigarettes, same-day/home-delivery, convenience (eg, use indoors), reduced exposure to some dangerous substances, science/research and distinction from e-cigarettes. Overall adspend per occurrence increased postauthorisation (p=0.016); the highest adspend per unique ad (69.3% of total) focused on ads featuring reduced exposure.ConclusionsRegulatory efforts must be informed by ongoing surveillance of IQOS marketing efforts and its impacts, particularly how specific consumer subgroups (eg, tobacco non-users, women, young people) are impacted by marketing exposure.
Dispersion of light traveling through the interstellar space, induced and intrinsic Lorentz invariance violation
Authors: Brevik I. , Chaichian M. , Oksanen M. 
Published: October 2021

AbstractTheoretical models and experimental observations suggest that gamma-ray bursts (GRB) and high-energy neutrino bursts travelling through the interstellar space may reach the Earth at different speeds. We propose and study in details the mechanism (i), which always exists, where GRB are slowed down due to the dispersion of light in the interstellar medium. In addition to the standard media such as electrons and photons as CMB, we consider the medium with invisible axions. The amount of GRB delays in different media are calculated in details utilizing a novel technique in QFT by using the hitherto known or estimated densities of particles in the space without introducing any arbitrary parameter. Previously, the GRB delays have been interpreted as a sign of Lorentz invariance violation by modifying the dispersion relation of Special Relativity, which relates the energy, the momentum and the mass of a particle, based on different mechanisms (ii), such as a stringy spacetime foam, coming from a quantum gravity effect and using an adjustable parameter. Obviously, all the above-mentioned mechanisms (i) and (ii) are induced (seeming) Lorentz invariance violations but not an intrinsic (genuine) one. The amount of GRB delay due to the two aforementioned interpretations can be distinguished by observing the time of arrival of light with different frequencies. Namely, dispersion of light (i) predicts that the higher energy GRB arrive the Earth earlier, while in the other interpretations (ii), they arrive later. We notice that the needed amount for delay due to the dispersion of light shall have the potential power to shed additional light on the microstructure of interstellar media with respect to the densities of constituent particles and the origins of their sources. Finally, we indicate the ways to detect the intrinsic Lorentz invariance violation and to interpret them theoretically.
Haptoglobin Gene Polymorphism among Sickle Cell Patients in West Cameroon: Hematological and Clinical Implications
Authors: Bernard Kengne Fotsing Christian , Anatole Pieme Constant , Cabral Biapa Nya Prosper , Paul Chedjou Jean , Ashusong Samuel , Njindam Gisele , Nengom Jocelyn Tony , Teto Georges , Nguemeni Carine , Fon Mbacham Wilfred , Gatsing Donatien 
Published: October 2021

Haptoglobin is a protein involved in protecting the body from the harmful effects of free hemoglobin. The haptoglobin gene exhibits a polymorphism, and the different genotypes do not have the same capacity to combat the free hemoglobin effects. The present study aimed at determining the polymorphic distribution of haptoglobin in sickle cell patients (SCPs) from West Cameroon and their impact on the hematological parameters, as well as clinical manifestations of the disease severity. Haptoglobin genotype of 102 SCPs (SS) and 115 healthy individuals (60 AA and 55 AS) was determined by allele-specific polymerase chain reaction, and the complete blood count was determined using the AutoAnalyser. Results showed that the genotype Hp2-2 was significantly (

p

< 0.05) represented in SS patients (54%) than in controls AA and AS (27% and 29%, respectively), while Hp2-1 was mostly found (

p

< 0.05) in AS (42%) and AA (38%), against 15% in SS. The allelic distribution in SS patients was Hp2: 0.613, Hp1S: 0.304, and Hp1F: 0.084. In AA and AS controls, the proportions of the Hp1 and Hp2 alleles were similar (around 0.5 each), with 0.282 for Hp1S and 0.218 for Hp1F in AS and 0.283 for Hp1S and 0.258 for Hp1F in AA. The distribution of the haptoglobin genotypes did not reveal any significant difference across hematological parameters and clinical manifestations of disease severity in SCP and controls. SCP with Hp1S-1F genotype presented the highest level of hemoglobin. Although Hp2-2 was more frequent in SS patients, it appeared not to be related to the hematological parameters and to the disease’s severity. Further investigations are necessary to explore the impact of Hp polymorphism such as antioxidant, lipid profile, and functionality of some tissues in SCP in Cameroon.
Linking Physical Activity to Breast Cancer via Sex Steroid Hormones, Part 2: The Effect of Sex Steroid Hormones on Breast Cancer Risk
Authors: Drummond Ann E. , Swain Christopher T.V. , Brown Kristy A. , Dixon-Suen Suzanne C. , Boing Leonessa , van Roekel Eline H. , Moore Melissa M. , Gaunt Tom R. , Milne Roger L. , English Dallas R. , Martin Richard M. , Lewis Sarah J. , Lynch Brigid M. 
Published: October 2021

Abstract
We undertook a systematic review and appraised the evidence for an effect of circulating sex steroid hormones and sex hormone–binding globulin (SHBG) on breast cancer risk in pre- and postmenopausal women. Systematic searches identified prospective studies relevant to this review. Meta-analyses estimated breast cancer risk for women with the highest compared with the lowest level of sex hormones, and the DRMETA Stata package was used to graphically represent the shape of these associations. The ROBINS-E tool assessed risk of bias, and the GRADE system appraised the strength of evidence. In premenopausal women, there was little evidence that estrogens, progesterone, or SHBG were associated with breast cancer risk, whereas androgens showed a positive association. In postmenopausal women, higher estrogens and androgens were associated with an increase in breast cancer risk, whereas higher SHBG was inversely associated with risk. The strength of the evidence quality ranged from low to high for each hormone. Dose–response relationships between sex steroid hormone concentrations and breast cancer risk were most notable for postmenopausal women. These data support the plausibility of a role for sex steroid hormones in mediating the causal relationship between physical activity and the risk of breast cancer.
See related reviews by Lynch et al., p. 11 and Swain et al., p. 16
The Epithelial–Stromal Microenvironment in Early Colonic Neoplasia
Authors: Ideta Takayasu , Li Boyang , Flynn Christopher , Igarashi Yuichi , Lowman Geoffrey , Looney Tim , Devers Thomas J. , Birk John , Forouhar Faripour , Giardina Charles , Rosenberg Daniel W. 
Published: October 2021

Abstract

Stromal cells play a central role in promoting the progression of colorectal cancer. Here, we analyze molecular changes within the epithelial and stromal compartments of dysplastic aberrant crypt foci (ACF) formed in the ascending colon, where rapidly developing interval cancers occur. We found strong activation of numerous neutrophil/monocyte chemokines, consistent with localized inflammation. The data also indicated a decrease in interferon signaling and cell-based immunity. The immune checkpoint and T-cell exhaustion gene PDCD1 was one of the most significantly upregulated genes, which was accompanied by a decrease in cytotoxic T-cell effector gene expression. In addition, CDKN2A expression was strongly upregulated in the stroma and downregulated in the epithelium, consistent with diverse changes in senescence-associated signaling on the two tissue compartments.

Implications:
Decreased CD8 T-cell infiltration within proximal colon ACF occurs within the context of a robust inflammatory response and potential stromal cell senescence, thus providing new insight into potential promotional drivers for tumors in the proximal colon.
ILIVE Project Volunteer study. Developing international consensus for a European Core Curriculum for hospital end-of-life-care volunteer services, to train volunteers to support patients in the last weeks of life: A Delphi study
Authors: McGlinchey Tamsin , Mason Stephen R , Smeding Ruthmarijke , Goosensen Anne , Ruiz-Torreras Inmaculada , Haugen Dagny Faksvåg , Bakan Miša , Ellershaw John E 
Published: October 2021

Background: Volunteers make a huge contribution to the health and wellbeing of the population and can improve satisfaction with care especially in the hospice setting. However, palliative and end-of-life-care volunteer services in the hospital setting are relatively uncommon. The iLIVE Volunteer Study, one of eight work-packages within the iLIVE Project, was tasked with developing a European Core Curriculum for End-of-Life-Care Volunteers in hospital. Aim: Establish an international consensus on the content of a European Core Curriculum for hospital end-of-life-care volunteer services which support patients in the last weeks of life. Design: Delphi Process comprising the following three stages: 1. Scoping review of literature into palliative care volunteers. 2. Two rounds of Delphi Questionnaire. 3. Nominal Group Meeting. Setting/participants: Sixty-six participants completed the Round 1 Delphi questionnaire; 75% (50/66) took part in Round 2. Seventeen participants attended the Nominal Group Meeting representing an international and multi-professional group including, clinicians, researchers and volunteer coordinators from the participating countries. Results: The scoping review identified 88 items for the Delphi questionnaire. Items encompassed organisational issues for implementation and topics for volunteer training. Three items were combined and one item added in Round 2. Following the Nominal Group Meeting 53/87 items reached consensus. Conclusion: Key items for volunteer training were agreed alongside items for implementation to embed the end-of-life-care volunteer service within the hospital. Recommendations for further research included in-depth assessment of the implementation and experiences of end-of-life-care volunteer services. The developed European Core Curriculum can be adapted to fit local cultural and organisational contexts.
Clinical Outcomes After Anterior Cruciate Ligament Reconstruction in Patients With a Concomitant Segond Fracture: A Systematic Review
Authors: Nagai Kanto , Kamada Kohei , Kay Jeffrey , Hoshino Yuichi , Matsushita Takehiko , Kuroda Ryosuke , de SA Darren 
Published: October 2021

Background: The Segond fracture can be observed in patients with an anterior cruciate ligament (ACL) tear. It is unclear whether the Segond fracture affects clinical outcomes after ACL reconstruction. Purpose: To investigate whether the presence of a concomitant Segond fracture affects clinical outcomes after ACL reconstruction and to compare clinical outcomes when a Segond fracture is repaired surgically or left unrepaired. Study Design: Systematic review; Level of evidence, 4. Methods: Three databases (PubMed, Embase, Cochrane Library) were searched in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines on July 27, 2020. Relevant studies regarding ACL injury with concomitant Segond fracture treated by primary ACL reconstruction were screened in duplicate. Data regarding patient characteristics and clinical outcomes were extracted. Descriptive data are presented, and a random-effects model was used to pool amenable data. Results: A total of 5 studies examining 2418 patients (987 female; 40.8%), mean age 25.4 years, were included in this study. There were 304 patients with a Segond fracture (mean age, 28.1 years; 35.9% female) and 2114 patients without a Segond fracture (mean age, 25.1 years; 41.5% female). Four studies directly compared outcomes between patients with an unrepaired Segond fracture and no Segond fracture. One study reported 12 patients who underwent ACL reconstruction and repair of a Segond fracture. Among 4 studies, 11 of 292 (3.8%) graft failures/revision surgeries were reported in the groups that had Segond fracture, whereas 145 of 2114 (6.9%) graft failures/revision surgeries were reported in groups that did not have Segond fracture. No significant difference was observed in the risk of graft failure between the 2 groups, with a pooled risk ratio of 0.59 (95% CI, 0.32-1.07; P = .08; I2 = 0%). No clinically significant differences were observed with regard to International Knee Document Committee score, Lysholm score, Tegner activity scale, and postoperative knee laxity between the group with Segond fracture and those without. Conclusion: An unrepaired Segond fracture does not appear to have any significant negative effect on postoperative stability or risk of graft failure or revision surgery after ACL reconstruction. Future prospective studies may be warranted to confirm the finding that patients with combined ACL injury and Segond fracture may have outcomes comparable with those of ACL-injured patients without a Segond fracture when isolated ACL reconstruction is performed.
Leadership for quality in long-term care
Authors: Bourgeault Ivy L. , Daly Tamara , Aubrecht Catherine , Armstrong Pat , Armstrong Hugh , Braedley Susan 
Published: October 2021

Leadership in long-term care is a burgeoning field of research, particularly that which is focused on enabling point of care staff to provide high-quality and responsive healthcare. In this article, we focus on the relatively important role that leadership plays in enabling the conditions for high-quality long-term care. Our methodological approach involved a rapid in-depth ethnography undertaken by an interdisciplinary team across eight public and non-profit long-term care homes in Canada, where we conducted over 1,000 hours of observations and 275 formal and informal interviews with managers, staff, residents, family members and volunteers. Guiding our analysis post hoc is the LEADS in a Caring Environment framework. We mapped key promising leadership practices identified by our analysis and discuss how these can inform the development of leadership standards across staff and management in long-term care.
Vinpocetine attenuates fluoxetine-induced liver damage in rats; Role of Nrf2 and PPAR-γ
Authors: Mohamed Kamel Gellan Alaa 
Published: October 2021

Background Fluoxetine (FLX) has been widely used as first-line treatment in cases of depression and other neuropsychiatric disorders. Although its safety has been approved, the use of FLX was associated with liver injury and chronic liver disease. Vinpocetine (Vinpo), a nootropic drug, possesses antioxidant and anti-inflammatory effects. Objective This study aimed to evaluate the protective effects of Vinpo on FLX-induced liver damage pointing to the role of peroxisome proliferator-activated receptor-gamma (PPAR-γ) and nuclear factor erythroid 2-related factor 2 (Nrf2). Methods Rats were randomized to four groups: control group, Vinpo group (20 mg/kg/day; orally), FLX group (10 mg/kg/day; orally), and Vinpo + FLX group. Results FLX-induced liver damage was evidenced through elevated liver function biomarkers and induced hepatic histopathological changes. Concurrent Vinpo treatment resulted in a significant decrease in hepatotoxicity biomarkers and histopathological alterations. FLX-induced oxidative stress and inflammation were attenuated by Vinpo. In addition, Vinpo attenuated the hepatic NRF2 and HO-1 levels and up-regulated PPAR-γ expression. Moreover, FLX elevated Bcl-2-associated X protein (Bax) mRNA expression and decreased B-cell lymphoma 2 (Bcl2) mRNA expression were markedly reversed by Vinpo. Conclusion Vinpo possesses ameliorative effects against FLX-induced liver injury in rats. This effect may be due to attenuation of oxidative stress and inflammation, in addition to upregulation of PPAR-γ expression.
A comprehensive overview of dual-layer composite membrane for air (O2/N2) separation
Authors: Karim Syed Shujaat , Farrukh Sarah , Hussain Arshad , Noor Tayyaba , Younas Mohammad 
Published: October 2021

The separation of air (O2/N2) via a polymeric membrane has recently piqued the interest of academic researcher as well as the industrial sector. Because of its remarkable characteristics, the polymeric membrane has emerged as one of the innovative and fast growing technology. However, two major problems faced by membrane technology, which hinder its growth in the commercial sector are, 1): The trade-off between permeability and selectivity. 2): Maintaining physical and chemical structural stability in a long-term commercial scale process. Recent advancements in membrane material, structural, and process design have enabled the development of dual-layer composite (DLC) membranes. This concept combines the benefits of both thinner mixed matrix membranes (MMMs) based active layer and porous support substrate. Due to these properties, the membrane exhibits higher perm-selectivity with enhanced mechanical strength as compared to single layer polymeric membrane. This review article mainly focused on the developmental progress of DLC membrane throughout the years. In which membrane structural details, selection criteria, fabrication methodologies, application [e.g., air (O2/N2) separation] were critically reviewed. In addition, challenges arising in the DLC membrane production and future prospects for the development of these membranes were also thoroughly discussed in this literature. This creates a paradigm for future research in the commercial development of these membranes for the air (O2/N2) separation process, which can be utilized in both medical and industrial sectors. [Formula: see text]