bluuebunny/crossref_metadata_2025_split huggingface dataset:
Understanding the implementation, impact and sustainable use of an electronic pharmacy referral service at hospital discharge: A qualitative evaluation from a sociotechnical perspective.
Authors: Jeffries Mark , Keers Richard N. , Belither Hilary , Sanders Caroline , Gallacher Kay , Alqenae Fatema , Ashcroft Darren M. 
Published: December 2021

Introduction
The transition of patients across care settings is associated with a high risk of errors and preventable medication-related harm. Ensuring effective communication of information between health professionals is considered important for improving patient safety. A National Health Service(NHS) organisation in the North West of England introduced an electronic transfer of care around medicines (TCAM) system which enabled hospital pharmacists to send information about patient’s medications to their nominated community pharmacy. We aimed to understand the adoption, and the implications for sustainable use in practice of the TCAM service

Methods
We evaluated the TCAM service in a Clinical Commissioning Group (CCG) and NHS Foundation Trust in Salford, United Kingdom (UK). Participants were opportunistically recruited to take part in qualitative interviews through stakeholder networks and during hospital admission, and included hospital pharmacists, hospital pharmacy technicians, community pharmacists, general practice-based pharmacists, patients and their carers. A thematic analysis, that was iterative and concurrent with data collection, was undertaken using a template approach. The interpretation of the data was informed by broad sociotechnical theory.

Results
Twenty-three interviews were conducted with health care professionals patients and carers. The ways in which the newly implemented TCAM intervention was adopted and used in practice and the perceptions of it from different stakeholders were conceptualised into four main thematic areas: The nature of the network and how it contributed to implementation, use and sustainability; The material properties of the system; How work practices for medicines safety were adapted and evolved; and The enhancement of medication safety activities. The TCAM intervention was perceived as effective in providing community pharmacists with timely, more accurate and enhanced information upon discharge. This allowed for pharmacists to enhance clinical services designed to ensure that accurate medication reconciliation was completed, and the correct medication was dispensed for the patient.

Conclusions
By providing pharmacy teams with accurate and enhanced information the TCAM intervention supported healthcare professionals to establish and/or strengthen interprofessional networks in order to provide clinical services designed to ensure that accurate medication reconciliation and dispensing activities were completed. However, the intervention was implemented into a complex and at times fragmented network, and we recommend opportunities be explored to fully integrate this network to involve patients/carers, general practice pharmacists and two-way communication between primary and secondary care to further enhance the reach and impact of the TCAM service.
Mortality predictors of hospitalized patients with COVID-19: Retrospective cohort study from Nur-Sultan, Kazakhstan
Authors: Pya Yuriy , Bekbossynova Makhabbat , Gaipov Abduzhappar , Lesbekov Timur , Kapyshev Timur , Kuanyshbek Aidyn , Tauekelova Ainur , Litvinova Liya , Sailybayeva Aliya , Vakhrushev Ivan , Sarria-Santamera Antonio 
Published: December 2021

Background
First reported case of Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) in Kazakhstan was identified in March 2020. Many specialized tertiary hospitals in Kazakhstan including National Research Cardiac Surgery Center (NRCSC) were re-organized to accept coronavirus disease 2019 (COVID-19) infected patients during summer months of 2020. Although many studies from worldwide reported their experience in treating patients with COVID-19, there are limited data available from the Central Asia countries. The aim of this study is to identify predictors of mortality associated with COVID-19 in NRCSC tertiary hospital in Nur-Sultan, Kazakhstan.

Methods
This is a retrospective cohort study of patients admitted to the NRCSC between June 1st–August 31st 2020 with COVID-19. Demographic, clinical and laboratory data were collected from electronic records. In-hospital mortality was assessed as an outcome. Patients were followed-up until in-hospital death or discharge from the hospital. Descriptive statistics and factors associated with mortality were assessed using univariate and multivariate logistic regression models.

Results
Two hundred thirty—nine admissions were recorded during the follow-up period. Mean age was 57 years and 61% were males. Median duration of stay at the hospital was 8 days and 34 (14%) patients died during the hospitalization. Non-survivors were more likely to be admitted later from the disease onset, with higher fever, lower oxygen saturation and increased respiratory rate compared to survivors. Leukocytosis, lymphopenia, anemia, elevated liver and kidney function tests, hypoproteinemia, elevated inflammatory markers (C-reactive protein (CRP), ferritin, and lactate dehydrogenase (LDH)) and coagulation tests (fibrinogen, D-dimer, international normalized ratio (INR), and activated partial thromboplastin time (aPTT)) at admission were associated with mortality. Age (OR 1.2, CI:1.01–1.43), respiratory rate (OR 1.38, CI: 1.07–1.77), and CRP (OR 1.39, CI: 1.04–1.87) were determined to be independent predictors of mortality.

Conclusion
This study describes 14% mortality rate from COVID-19 in the tertiary hospital. Many abnormal clinical and laboratory variables at admission were associated with poor outcome. Age, respiratory rate and CRP were found to be independent predictors of mortality. Our finding would help healthcare providers to predict the risk factors associated with high risk of mortality. Further investigations involving large cohorts should be provided to support our findings.
Application of recommended preventive measures against COVID-19 could help mitigate the risk of SARS-CoV-2 infection during dental practice: Results from a follow-up survey of French dentists
Authors: Diakonoff Hadrien , Jungo Sébastien , Moreau Nathan , Mazevet Marco E. , Ejeil Anne-Laure , Salmon Benjamin , Smaïl-Faugeron Violaine 
Published: December 2021

Background
During the first-wave of the COVID-19 pandemic, dentists were considered at high-risk of infection. In France, to stop the spread of SARS-CoV-2, a nationwide lockdown was enforced, during which dentists suspended their routine clinical activities, working solely on dental emergencies. This measure has had an indisputable mitigating effect on the pandemic. To continue protecting dentists after suspension of nationwide lockdown, implementation of preventive measures was recommended, including adequate personal protective equipment (PPE) and room aeration between patients. No study has explored whether implementation of such preventive measures since the end of the first-wave has had an impact on the contamination of dentists.

Methods
An online survey was conducted within a French dentist population between July and September 2020. To explore risk factors associated with COVID-19, univariate and multivariate logistic regression analyses were performed.

Results
The results showed that COVID-19 prevalence among the 3497 respondents was 3.6%. Wearing surgical masks during non-aerosol generating procedures was a risk factor of COVID-19, whereas reducing the number of patients was a protective factor.

Conclusions
Considering the similar COVID-19 prevalence between dentists and the general population, such data suggest that dentists are not overexposed in their work environment when adequate preventive measures are applied.

Impact
Dentists should wear specific PPE (FFP2, FFP3 or (K)N95 masks) including during non-aerosol generating procedures and reduce the number of patients to allow proper implementation of disinfection and aeration procedures. Considering the similarities between COVID-19 and other viral respiratory infections, such preventive measures may also be of interest to limit emerging variants spread as well as seasonal viral outbreaks.
Undergraduate nursing students’ COVID-19 vaccine intentions: A national survey
Authors: Fontenot Holly B. , Mattheus Deborah B. , Lim Eunjung , Michel Alexandra , Ryan Nicole , Knopf Amelia , Abuelezam Nadia N. , Stamp Kelly , Hekel Barbara , Branson Sandra , Zimet Gregory 
Published: December 2021

Introduction
In December 2020, the first two COVID-19 vaccines were approved in the United States (U.S.) and recommended for distribution to front-line personnel, including nurses. Nursing students are being prepared to fill critical gaps in the health care workforce and have played important supportive roles during the current pandemic. Research has focused on vaccine intentions of current health care providers and less is known about students’ intentions to vaccinate for COVID-19.

Methods
A national sample of undergraduate nursing students were recruited across five nursing schools in five U.S. regions in December 2020. The survey measured perceived risk/threat of COVID-19, COVID-19 vaccine attitudes, perceived safety and efficacy of COVID-19 vaccines, sources for vaccine information and level of intention to become vaccinated [primary, secondary (i.e., delayed), or no intention to vaccinate].

Results
The final sample consisted of 772 students. The majority (83.6%) had intentions to be vaccinated, however of those 31.1% indicated secondary intention, a delay in intention or increased hesitancy). The strongest predictors of primary intention were positive attitudes (OR = 6.86; CI = 4.39–10.72), having lower safety concerns (OR = 0.26; CI = 0.18–0.36), and consulting social media as a source of information (OR = 1.56; CI = 1.23–1.97). Asian (OR = 0.47; CI = 0.23–0.97) and Black (OR 0.26; CI = 0.08–0.80) students were more likely to indicate secondary intention as compared to primary intention. Students in the Midwest were most likely to indicate no intention as compared to secondary intention (OR = 4.6; CI = 1.32–16.11).

Conclusions
As the first two COVID-19 vaccines were approved/recommended in the U.S. nursing students had overall high intentions to vaccinate. Findings can guide development of educational interventions that reduce concerns of vaccine safety that are delivered in a way that is supportive and affirming to minoritized populations while being respectful of geo-political differences.
Higher-order structure of DNA determines its positioning in cell-size droplets under crowded conditions
Authors: Nishio Takashi , Yoshikawa Yuko , Yoshikawa Kenichi 
Published: December 2021

Background
It is becoming clearer that living cells use water/water (w/w) phase separation to form membraneless organelles that exhibit various important biological functions. Currently, it is believed that the specific localization of biomacromolecules, including DNA, RNA and proteins in w/w microdroplets is closely related to their bio-activity. Despite the importance of this possible role of micro segregation, our understanding of the underlying physico-chemical mechanism is still unrefined. Further research to unveil the underlying mechanism of the localization of macromolecules in relation to their steric conformation in w/w microdroplets is needed.

Principal findings
Single-DNA observation of genome-size DNA (T4 GT7 bacteriophage DNA; 166kbp) by fluorescence microscopy revealed that DNAs are spontaneously incorporated into w/w microdroplets generated in a binary aqueous polymer solution with polyethylene glycol (PEG) and dextran (DEX). Interestingly, DNAs with elongated coil and shrunken conformations exhibit Brownian fluctuation inside the droplet. On the other hand, tightly packed compact globules, as well as assemblies of multiple condensed DNAs, tend to be located near the interface in the droplet.

Conclusion and significance
The specific localization of DNA molecules depending on their higher-order structure occurs in w/w microdroplet phase-separation solution under a binary aqueous polymer solution. Such an aqueous solution with polymers mimics the crowded conditions in living cells, where aqueous macromolecules exist at a level of 30–40 weight %. The specific positioning of DNA depending on its higher-order structure in w/w microdroplets is expected to provide novel insights into the mechanism and function of membraneless organelles and micro-segregated particles in living cells.
Risk factors for suicidal ideation and suicide attempt among medical students: A meta-analysis
Authors: Seo Chanhee , Di Carlo Christina , Dong Selina Xiangxu , Fournier Karine , Haykal Kay-Anne 
Published: December 2021

Background
Medical training poses significant challenge to medical student wellbeing. With the alarming trend of trainee burnout, mental illness, and suicide, previous studies have reported potential risk factors associated with suicidal behaviours among medical students. The objective of this study is to provide a systematic overview of risk factors for suicidal ideation (SI) and suicide attempt (SA) among medical students and summarize the overall risk associated with each risk factor using a meta-analytic approach.

Methods
Systemic search of six electronic databases including MEDLINE, Embase, Education Source, Scopus, PsycInfo, and CINAHL was performed from database inception to March 19, 2021. Studies reporting original quantitative or epidemiological data on risk factors associated with SI and SA among undergraduate medical students were included. When two or more studies reported outcome on the same risk factor, a random-effects inverse variance meta-analysis was performed to estimate the overall effect size.

Results
Of 4,053 articles identified, 25 studies were included. Twenty-two studies reported outcomes on SI risk factors only, and three studies on both SI and SA risk factors. Meta-analysis was performed on 25 SI risk factors and 4 SA risk factors. Poor mental health outcomes including depression (OR 6.87; 95% CI [4.80–9.82] for SI; OR 9.34 [4.18–20.90] for SA), burnout (OR 6.29 [2.05–19.30] for SI), comorbid mental illness (OR 5.08 [2.81–9.18] for SI), and stress (OR 3.72 [1.39–9.94] for SI) presented the strongest risk for SI and SA among medical students. Conversely, smoking cigarette (OR 1.92 [0.94–3.92]), family history of mental illness (OR 1.79 [0.86–3.74]) and suicidal behaviour (OR 1.38 [0.80–2.39]) were not significant risk factors for SI, while stress (OR 3.25 [0.59–17.90]), female (OR 3.20 [0.95–10.81]), and alcohol use (OR 1.41 [0.64–3.09]) were not significant risk factors for SA among medical students.

Conclusions
Medical students face a number of personal, environmental, and academic challenges that may put them at risk for SI and SA. Additional research on individual risk factors is needed to construct effective suicide prevention programs in medical school.
Novel Advanced Impedance Metrics on Impedance-pH Testing Predict Lung Function Decline in Idiopathic Pulmonary Fibrosis
Authors: Rangan Vikram , Borges Lawrence F. , Lo Wai-Kit , Gavini Sravanya , Bailey Mariel , Hathorn Kelly E. , Goldberg Hilary J. , Chan Walter W. 
Published: December 2021

INTRODUCTION:
Gastroesophageal reflux has been associated with idiopathic pulmonary fibrosis (IPF). Mean nocturnal baseline impedance (MNBI) is a marker of esophageal mucosal integrity, whereas postreflux swallow-induced peristaltic wave (PSPW) index reflects esophageal chemical clearance. Both metrics offer novel ways to assess reflux burden on multichannel intraluminal impedance-pH testing (MII-pH), but their role in extraesophageal reflux remains unclear. We aimed to evaluate the relationship between these novel metrics and lung function decline in patients with IPF.

METHODS:
Adults with IPF undergoing prelung transplant MII-pH were enrolled. All patients completed pulmonary function testing (PFT) at the time of MII-pH and at the 1-year follow-up. MNBI was calculated by averaging baseline impedance at three 10-minute intervals (1 AM/2 AM/3 AM). PSPW index was the proportion of all reflux episodes, followed by a peristaltic swallow within 30 seconds. Univariate (Student t-test/Pearson correlation) and multivariable (general linear regression) analyses were performed.

RESULTS:
One hundred twenty-five subjects (mean age = 61.7 years, 62% men) were included. Forced expiratory volume in one second and forced vital capacity declined more significantly over 12 months in subjects with lower distal MNBI, proximal MNBI, and PSPW index (all P < 0.05). On multivariable analyses adjusting for age, sex, proton pump inhibitor use, and baseline lung function, distal MNBI (β = −10.86, P = 0.024; β = −8.03, P = 0.045), proximal MNBI (β = −13.5, P = 0.0068; β = −9.80, P = 0.025), and PSPW index (β = −18.1, P = 0.010; β = −12.55, P = 0.050) remained predictive of greater forced expiratory volume in one second and forced vital capacity decline.

DISCUSSION:
Low distal MNBI, proximal MNBI, and PSPW index independently predicted more severe lung function decline over 1 year in patients with IPF. These impedance metrics may have prognostic value and support a role for reflux in IPF pathogenesis.
Observations of the gamma-ray pulsar J1836+5925 at 111 MHz
Authors: Timirkeeva Maria , Malov Igor , Malofeev Valery , Malov Oleg 
Published: December 2021

Abstract
We describe the 10-day radio observations of the gamma-ray pulsar J1836+5925. Observations were carried out in the Pushchino Radio Astronomical Observatory at the frequency of 111 MHz using the Large Phased Array of the Lebedev Physical Institute.
Long non-coding RNA FAM66C regulates glioma growth via the miRNA/LATS1 signaling pathway
Authors: Xiao Kai , Peng Gang 
Published: December 2021

Abstract
Glioma is one of the most common primary intracranial carcinomas and typically associated with a dismal prognosis and poor quality of life. The identification of novel oncogenes is clinically valuable for early screening and prevention. Recently, the studies have revealed that long non-coding RNAs (lncRNAs) play important roles in the development and progression of cancers including glioma. The expression of lncRNA FAM66C is reduced in glioma cell lines and clinical samples compared to non-tumor samples. Knockdown of FAM66C in U87 and U251 cells significantly promoted cell proliferation and migration, respectively. Furthermore, the correlation between FAM66C and Hippo pathway regulators YAP1 and LATS1, along with the alteration of their protein expression level indicated that FAM66C regulated cell growth through this pathway. Moreover, luciferase assay demonstrated that another two noncoding RNAs, miR15a/miR15b, directly bonded to the 3′UTR of LATS1 to facilitated its transcriptional expression and inhibited cell growth. In addition, the luciferase activity of FAM66C was block by miR15a/miR15b, and the promotion of cell growth effects caused by FAM66C deficiency was attenuated by miR15a/miR15b mimics, further proved that FAM66C functioned as a competing endogenous RNA to regulate glioma growth via the miRNA/LATS1 signaling pathway.
Category-Biased Neural Representations Form Spontaneously during Learning That Emphasizes Memory for Specific Instances
Authors: Ashby Stefania R. , Zeithamova Dagmar 
Published: December 2021

Category learning, learning to sort a set of stimuli into categories or groups, can induce category biases in perception such that items in the same category are perceived as more similar than items from different categories. To what degree category bias develops when learning goals emphasize individuation of each stimulus and whether the bias emerges spontaneously during learning itself rather than in response to task demands is unclear. Here, we used functional MRI (fMRI) during encoding to test for category biases in neural representations of individual stimuli during learning. Human participants (males and females) encountered face-blend stimuli with unique first names and shared family names that indicated category membership. Participants were instructed to learn the full name for each face. Neural pattern classification and pattern similarity analyses were used to track category information in the brain. Results showed that stimulus category could be decoded during encoding across many frontal, parietal, and occipital regions. Furthermore, two stimuli from the same category were represented more similarly in the prefrontal cortex than two stimuli from different categories equated for physical similarity. These findings illustrate that a mere presence of category label can bias neural representations spontaneously during encoding to emphasize category-relevant information, even in the absence of explicit categorization demands and when category-irrelevant information remains relevant for task goals.SIGNIFICANCE STATEMENTEntities belonging to the same category are perceived as being more similar than entities belonging to different categories. Here, we show that neural representations highlighting category-relevant information form spontaneously during encoding. Notably, the presence of a category label led to neural category bias although participants focused on remembering individual stimuli and category-irrelevant stimulus features remained important for explicit task goals. These results may inform our understanding of bias in general and suggest that bias may emerge when category information is present even when one's explicit focus is on individuals.
Spatial distribution of atmospheric oil and natural gas volatile organic compounds in the Northern Colorado Front Range
Authors: Rossabi Samuel , Hueber Jacques , Wang Wei , Milmoe Pam , Helmig Detlev 
Published: December 2021

Methane and nonmethane volatile organic compounds (VOCs) were monitored near Boulder in the Northern Colorado Front Range to investigate their spatial distribution and sources as a part of the Front Range Air Pollution and Photochemistry Experiment (FRAPPE) and the Deriving Information on Surface conditions from Column and Vertically Resolved Observations Relevant to Air Quality (DISCOVER-AQ) campaign, in summer 2014. A particular emphasis was the study of the contribution of emissions from oil and natural gas (O&NG) operations on the regional air quality. One network extended along an elevation gradient from the City of Boulder (elevation ≈1,600 m) to the University of Colorado Mountain Research Station (≈2900 m) on the eastern slopes of the Rocky Mountains. Light alkane petroleum hydrocarbons had the highest mole fraction of the VOCs that could be analyzed with the applied techniques. The longer lived VOCs ethane and propane decreased with increasing elevation, suggesting that Boulder and the surrounding plains were a source of these anthropogenic compounds. VOC diurnal time series showed a few events with elevated mole fractions at the mountain sites, which were likely the result of the upslope transport of plumes with elevated VOCs from the plains. Within the other site network, which extended into suburban East Boulder County (EBC), VOCs were monitored at 5 sites increasingly close to O&NG development in the Denver Julesburg Basin. Mean mole fractions and variability of primarily O&NG-associated VOCs (ethane, propane, butane isomers) increased by a factor of 2.4–5.2 with closer proximity to the O&NG producing region. Median mole fractions of C2–C5 n-alkanes and of imuch-butane at the EBC sites were higher than those previously reported from 28 larger urban areas in the United States. Among the VOCs that could be quantified with the gas chromatography methods, VOCs most clearly associated to O&NG-related emissions (C2–C5 alkanes) accounted for 52%–79% of the VOC hydroxyl radical reactivity (OHR). The horizontal gradient in OHR of the considered VOCs, with ≈3 times higher values at the furthest eastern sites, points toward higher chemical reactivity and ozone production potential from these ozone precursors in the eastern area of the county than within the City of Boulder.