bluuebunny/crossref_metadata_2025_split huggingface dataset:
Examining The Objectivity of Scoring and Evaluation of Simulation Training
Authors: Murai Yasuo , Sato Shun , Tsukiyama Atsushi , Kubota Asami , Matano Fumihiro , Mizunari Takayuki , Morita Akio 
Published: March 2021

Abstract
Objective: The increase in minimally invasive surgery and endovascular procedures has led to a decrease in surgical experience. This may adversely affect both surgical training and postoperative management. Since it poses no risk to a patient, simulation training may be a solution these problems. COVID-19 requires social distancing which has created a negative impact on the simulation educational environment. To date, there is only limited research examining whether skills are evaluated objectively and equally in simulation training, especially in microsurgery. The purpose of this study was to analyze the objectivity and equality of simulation evaluation results conducted in a contest format.Methods: A nationwide recruitment process was conducted to select study participants. Participants were recruited from a pool of qualified physicians with less than 10 years’ experience. In this study, the simulation procedure consisted of incising a 1 mm thick artificial blood vessel and suturing it with a 10-0 thread using a surgical microscope. To evaluate the simulation procedures, a scoring chart was developed with a maximum of 5 points each for eight different evaluation criteria. Five neurosurgical supervisors from different hospitals were asked to use this scoring chart to grade the simulation proceduresResults: Initially, we planned to have the neurosurgical supervisors score the simulation procedure by direct observation. However, due to COVID-19 some study participants were unable to attend. Thus requiring some simulation procedures to be scored by video review. A total of 14 trainees participated in the study. The Cronbach's alpha coefficient among the scorers was 0.99, indicating a strong correlation. There was no statistically significant difference between the scores from the video review and direct observation judgments. There was a statistically significant difference (p < 0.001) between the scores for some criteria. For the eight criteria, individual scorers assigned scores in a consistent pattern. However, this pattern differed between scorers indicating that some scorers were more lenient than others.Conclusions: The results of this study indicate that both video review and direct observation methods are useful and highly objective techniques evaluate simulation procedures. Despite differences in score assignment patterns between individual scorers.
Pediatric Diagnostic Reference Levels for Diagnostic and Therapeutic Cardiac Catheterization in Japan
Authors: Ishibashi Toru , Takei Yasutaka , Kato Mamoru , Yamashita Yukari , Tsukamoto Atsuko , Matsumoto Kazuma , Sakamoto Hajime , Masuda Takanori , Miyazaki Osamu 
Published: March 2021

Abstract
To propose Japanese national DRLs for air-kerma at the reference point (Ka,r), air-kerma area product (PKA), fluoroscopy time (FT), and number of cine images (CI) for four age groups. We posted a nationwide questionnaire to 132 facilities. Questions focused on identifying the procedure, age, weight, height, Ka,r, PKA, FT, and CI during diagnostic and therapeutic pediatric cardiac catheterization. For diagnostic cardiac angiography, the 75th percentile values were as follows; Ka,r: 103, 127, 194, and 351 mGy; PKA: 7.0, 12.3, 14.3, and 47.2 Gy.cm2; FT: 36.8, 30.7, 33.4, and 35.7 min; and CI: 2018, 2313, 2408, and 2016 images for less than one year, 1–5 years, 6–10 years, and 11–15 years respectively. For therapeutic cardiac angiography, the 75th percentile values were as follows: Ka,r: 146, 209, 130, and 501 mGy; PKA: 7.54, 16.0, 8.35, and 46.0 Gy.cm2; FT: 56.5, 52.0, 49.4, and 52.0 min; and CI: 4075, 4514, 3576, and 5984 images for less than one year, 1–5 years, 6–10 years, and 11–15 years respectively. Our survey of diagnostic and therapeutic cardiac catheterization in Japanese pediatric patients showed that all age-based Japanese 75th percentiles for the Ka,r, PKA, FT, and CI were higher than in other surveys. Based on the result of our study, it is necessary to establish DRLs for pediatric cardiac catheterization examinations in Japan, in order to optimize the safety of pediatric protocols for diagnostic and therapeutic cardiac catheterization.
The Effect of Micro RNA-34a and carboplatin combination on the inducing apoptosis of Breast Cancer Cell line
Authors: Eslamkhah Sajjad , Alizadeh Nazila , Safaei Sahar , Amini Mohammad , Mokhtarzadeh ahad , Baghbanzadeh Amir , baradaran Behzad 
Published: March 2021

Abstract
Aim: Breast cancer (BC) has been classified among the main causes of death owing to females' cancer. Carboplatin is a platinum-based chemotherapeutic drug that is an important treatment option for BC. But high and frequent doses of carboplatin usually reducing the reaction of cancer cells to medication. There is an immediate need to establish methods for increasing the carboplatin susceptibility to BC cells. For instance, micro RNAs (miRNAs) such as MiR34a demonstrate significant potential. Considering that, this research was planned to explore the better clinical effect and underlying mechanism of miR-34a as a possible tumor inhibitor and drug resistance regulator in compound with carboplatin chemotherapy drug in the cell lines of BC in humans. Methods: MCF-7 cell line was transfected with miR-34a to perform functional analyses. Subsequently, the MTT assay was applied to assess cell viability. Cell viability and cell death associated gene expression amounts including Bax, Bcl-2, caspase-3, MDR1, P53, and mir34-a, were examined through real-time quantitative PCR. Results: Findings showed that miR-34a upregulation significantly decreased MCF7 cell viability in comparison with control group. Furthermore, separate treatment of cells with miR-34a mimics and carboplatin could significantly increase Bax, Caspase-3, P53, and decrease in Bcl-2 mRNA expression levels evaluated to the non-treated group. Moreover, by reduction in expression levels of the MDR1 gene, BC cells' reaction to carboplatin has increased via miR-34a. Conclusion: In line with the findings, it could be inferred that miR-34a may improve the responsiveness of breast cancer cells to carboplatin chemotherapy with downregulation of MDR1.
Impact of Labor Induction at 39 Weeks Gestation Compared with Expectant Management on Maternal and Perinatal Morbidity among a Cohort of Low-risk Women
Authors: Burn Sabrina C. , Yao Ruofan , Diaz Maria , Rossi Jordan , Contag Stephen 
Published: March 2021

Abstract
Objective: To determine rates of maternal and perinatal outcomes after induction of labor (IOL) at 39 weeks compared with expectant management.Methods: Cohort study of low risk women delivered between 39-42 weeks from 2015 to 2018. We excluded births with fetal abnormalities, previous cesarean, multiple pregnancies or those with spontaneous onset of labor (SOL) or indicated delivery at 39 weeks. Data was abstracted from National Center for Health Statistics birth files. Relative risks (aRR) were estimated with multivariable log-binomial regression. Main Outcome Measures: Maternal outcomes: chorioamnionitis (Triple I), blood transfusion, neonatal intensive care unit (NICU) admission, uterine rupture, cesarean delivery and cesarean hysterectomy. Fetal and infant outcomes: fetal death, 5-minute Apgar ≤3, prolonged ventilation, seizures, ICU admission, and death within 28 days. Results: There were 15,900,956 births, with 8,540,063 after exclusions. The IOL group included 1,177,790 births excluding women with diabetes or hypertensive disease. There were 3,835,185 births after 39 weeks excluding women with diabetes or chronic hypertension. With IOL at 39 weeks the risk for blood transfusion (p-value < 0.01; aRR 0.78; 95% CI [0.75-0.82]), Triple I (p-value < 0.01; aRR 0.71; 95% CI [0.70-0.73]) and cesarean delivery (p-value <0.01; aRR 0.87; 95% CI [0.87-0.88]) were lower, albeit increased risk of cesarean hysterectomy (p-value <0.01; aRR 1.23; 95% CI [1.07-1.41]). Neonates had a lower risk for 5-minute Apgar ≤3 (p-value < 0.01; aRR 0.68; 95% CI [0.66-0.71]), prolonged ventilation (p-value < 0.01; aRR 0.84; 95% CI [0.81-0.87]), NICU admission (p-value < 0.01; aRR 0.86; 95% CI [0.85-0.87]), and neonatal seizures (p-value <0.01; aRR 0.85; 95% CI [0.76-0.96]). There was no difference in risk for neonatal death 0.99% (p-value 0.99; aRR 1.00; 95%CI [0.99-1.00]), or fetal death (p-value 0.78; aRR 1.0002; 95%CI [0.99-1.002]. This benefit was greater compared with each subsequent week.Conclusions: Induction of labor at 39 weeks of gestation in a low risk cohort is associated a lower risk of cesarean delivery, transfusions and infection, as well as lower neonatal morbidity, without difference in fetal or neonatal death. This appears to be associated with increased risk for cesarean hysterectomy.
ACE2 peptide fragment interacts with several sites on the SARS-CoV-2 spike protein S1
Authors: Kuznetsov Aleksei , Arukuusk Piret , Härk Heleri Heike , Juronen Erkki , Langel Ülo , Ustav Mart , Jarv Jaak 
Published: March 2021

Abstract
The influence of the peptide QAKTFLDKFNHEAEDLFYQ on the kinetics of the SARS-CoV-2 spike protein S1 binding to angiotensin-converting enzyme 2 (ACE2) was studied to model the interaction of the virus with its host cell. This peptide corresponds to the sequence 24–42 of the ACE2 α1 domain, which is the binding site for the S1 protein. The on-rate and off-rate of S1-ACE2 complex formation were measured in the presence of various peptide concentrations using Bio-Layer Interferometry (BLI). The formation of the S1-ACE2 complex was inhibited when the S1 protein was preincubated with the peptide, however, no significant inhibitory effect was observed in the absence of preincubation. Dissociation kinetics revealed that the peptide remained bound to the S1-ACE2 complex and stabilized this complex. This suggestion was confirmed by computational mapping of the S1 protein surface for peptide binding that revealed two additional sites, located at some distance from the receptor binding domain of S1. These additional binding sites may affect the interaction between the peptide, the S1 protein, and ACE2.
Direct Identification of Two Regimes of Metal Particle Combustion using Condense-luminescence
Authors: Tran Quan , Pantoya Michelle L. , Altman Igor 
Published: March 2021

Abstract
Experiments were designed to investigate two regimes of metal particle combustion: fast and slow burning regimes. Stress-altering aluminum particles had been shown to produce a distinctly faster burning rate compared to untreated aluminum particles. The root cause for the differences in burning rate had been unclear. In this study, stress-altered and untreated aluminum particles were reacted as dispersed powder in a closed bomb calorimeter designed to monitor the transient temperature changes resulting from energy release upon combustion. The product residue was analyzed for size and species concentration. Results showed metastable γ-alumina that is associated with nano-oxide formation was in substantially higher concentration for stress-altered particle reactions that produced greater energy transfer rates. The increased energy transfer rate corresponded to higher radiant energy emission owing to condensation of nano-oxide particles. This study justifies condense-luminescence as a means for increasing the energy release rate of aluminum particles. By strategically altering metal fuels to control a formation of nano-oxide particles upon combustion, appreciable increases in the radiant energy flux can transform energy release rates.
Antibacterial Activity and Mechanism of Plant Flavonoids to Gram-positive Bacteria Predicted from their Lipophilicities
Authors: Yuan Ganjun , Guan Yingying , Yi Houqin , Lai Shan , Sun Yifei , Cao Seng 
Published: March 2021

Abstract
Antimicrobial resistance seriously threatened human health, and new antimicrobial agents are desperately needed. As one of the largest classes of plant secondary metabolite, flavonoids can be widely found in various parts of the plant, and their antibacterial activities have been increasingly paid attention to. Based on the physicochemical parameters and antibacterial activities of sixty-six flavonoids reported, two regression equations between their ACD⁄LogP or LogD7.40 and their minimum inhibitory concentrations (MICs) to gram-positive bacteria were established with the correlation coefficients above 0.93, and then were verified by another sixty-eight flavonoids reported. From these two equations, the MICs of most flavonoids against gram-positive bacteria could be roughly calculated from their ACD⁄LogP or LogD7.40, and their minimum values were respectively predicted as approximately 1.7 or 3.0 μM, more likely fall into the range from 0.9 to 3.4 μM, or from 1.5 to 6.0 μM, respectively. Simultaneously, both tendentiously concave regression curves indicated that the lipophilicity is a key factor for flavonoids against gram-positive. Combined with the literature analyses, the results also suggested that the cell membrane is the main site of flavonoids acting on gram-positive bacteria, and which likely involves the damage of phospholipid bilayers, the inhibition of the respiratory chain or the ATP synthesis, or some others.
LINC01213 promotes prostate cancer cell progression through miR-597/ BCL2L1 axis
Authors: Zhao Xian , Xu Xiaojing , Wang Qiong , Wu Xiaofei 
Published: March 2021

Abstract
Background: Majority of cancer related deaths in males are attributed to prostate cancer (PRAD) throughout the world. Recently, the role of long non-coding RNAs (lncRNAs) in the pathogenesis of cancer has been widely explored. In this study, we investigated the role of lncRNA LINC01213 (LINC01213) in tumorigenesis of prostate cancer (PRAD).Methods: PRAD and adjacent tissue samples were collected from cancer patients. Survival rate among these patients was compared by Kaplan–Meier analysis. PRAD cells viability was estimated by CCK-8 method while AnnexinV/PI cytometry assay was used to determine the percent of apoptotic cells. qRT-PCR and western blot assay were used to determine the mRNA and protein expressions, respectively. Interaction between LINC01213 and corresponding miRNA as well as between miRNA and mRNA was confirmed by dual luciferase reporter gene assay. PRAD cells were also injected subcutaneously in nude mice to support in vitro findings.Results: It was observed that LINC01213 was highly expressed in PRAD samples and cell lines. Down-regulation of LINC01213 in PRAD cells decreased cell viability and inhibited proliferation. Luciferase reporter gene assay and RNA pull-down confirmed that LINC01213 targeted miR-597-3p. Increased expression of miR-597-3p resulted in decreased BCL2L2 expression in vitro. Inhibitory effects of miR-597-3p on PRAD cells’ survival and growth were diminished after LINC01213 overexpression which was also associated with alteration in the protein expression of BCL-xL, BCL-2 as well as caspase 3 and caspase 9.Conclusion: Taken together, our findings suggest that LINC01213 plays its role in PRAD tumorigenesis through miR-597-3p/ BCL2L2 dependent pathway with associated modulation of genes involved in cell survival and apoptosis.
Identification of GROWTH-REGULATING FACTOR Transcription Factor Family Involved in Leaf Growth Regulation in Lettuce (Lactuca sativa L.)
Authors: Zhang Bin , Tong Yanan , Luo Kangsheng , Zhai Zhaodong , Liu Xue , Shi Zhenying , Zhang Dechun , Li Dayong 
Published: March 2021

Abstract
Background: GROWTH-REGULATING FACTORs (GRFs), a type of plant-specific transcription factors, play important roles in regulating plant growth and development. Although GRF gene family has been identified in various plant species, a genome-wide analysis of GRF gene family in lettuce (Lactuca sativa L.) has not been reported yet. Results: Here we identified 15 members of GRF genes in lettuce and performed comprehensive analysis of them, including chromosomal locations, gene structures, and conserved motifs. Through phylogenic analysis between GRF genes in Arabidopsis and rice, we divided LsaGRFs into six groups. Specifically, the N-terminal of LsaGRF5 showed transcriptional activity, LsaGRF5 probably functioned as a transcriptional factor in cell nucleus. Meanwhile, 14 LsaGRF genes were predicted to be the target of Lsa-miR396 except of LsaGRF9 using free energies of duplex structures. LsaGRF5 could be cleaved by Lsa-miR396 at speciﬁc binding site between the 9th and 10th nucleotides. Furthermore, overexpression of LsaGRF5 in lettuce exhibited larger leaves, while smaller leaves were observed in LsaMIR396a overexpression lines, in which LsaGRF5 was down-regulated. Conclusions: These results in lettuce provide insight into the molecular mechanism of GRF gene family in regulating leaf growth and development and foundational information for genetic improvement of the lettuce variations specialized in leaf character.
Title: The complete chloroplast genome of Onobrychis gaubae (Fabaceae-Papilionoideae): comparative analysis with related IR-lacking clade species
Authors: Moghaddam Mahtab , Ohta Atsushi , Shimizu Motoki , Terauchi Ryohei , Kazempour-Osaloo Shahrokh 
Published: March 2021

Abstract
Plastid genome sequences provide valuable markers for surveying the evolutionary relationships and population genetics of plant species. In the present study, the complete plastid genome of Onobrychis gaubae, endemic to Iran, was sequenced using Illumina paired-end sequencing and was compared with previously known genomes of the IRLC species of legumes. The O. gaubae plastid genome was 123,645 bp in length and included a large single-copy (LSC) region of 81,034 bp, a small single-copy (SSC) region of 13,788 bp and one copy of the inverted repeat (IRb) of 28,823 bp. The genome encoded 110 genes, including 76 protein-coding genes, 30 transfer RNA (tRNA) genes and four ribosome RNA (rRNA) genes and possessed 89 simple sequence repeats (SSRs) and 28 repeated structures with the highest proportion in the LSC. Comparative analysis of the chloroplast genomes across IRLC revealed three hotspot genes (ycf1, ycf2, clpP) which could be used as molecular markers for resolving phylogenetic relationships and species identification. IRLC plastid genomes also showed multiple gene losses and inversions. Phylogenetic analyses revealed that O. gaubae is closely related to Hedysarum. The complete O. gaubae genome is a valuable resource for investigating evolution of Onobrychis species and can be used to identify related species.
Audiobooks from terminally ill parent for their children – a qualitative evaluation
Authors: Cuhls Henning , Hesse Michaela , Ates Gülay , Radbruch Lukas 
Published: March 2021

Abstract
Background Improving the quality of life is one of the main objectives of palliative care. Biographical approaches are often used in combination with leaving a legacy in a range of different interventions such as Dignity Therapy or Life Review. This study presents an evaluation of audiobook biographies for palliative care patients with young children. Methods Young parents diagnosed with a life-limiting disease could participate and create an audiobook for their young children. The audiobook itself was recorded over several days and edited by qualified radio journalists. After providing informed consent participants were interviewed twice over the course of the intervention regarding expectations, concerns, motivation, and experiences. Interviews and notes were transcribed verbatim and were analyzed using content analysis. Results The data were collected from February 2017 till September 2020. Fifty-four patients with ninety-six children at a mean age of seven years were included and created an audiobook. The main theme of all interviews were the children. Within this field identified main topics were legacy, motivation, usage, benefit, aims, difficulties and worries in descending order. All patients would recommend the intervention.Conclusion Creating an audiobook as a legacy to their children seemed to help the diseased parents to cope with their limited life span.
Interleukin 6 as a Marker of Severe Bacterial Infection in Children with Sickle Cell Disease and Fever: A Case-Control Study
Authors: Rincón-López Elena María , Gómez María Luisa Navarro , Matos Teresa Hernández-Sampelayo , Aguilera-Alonso David , Moreno Eva Dueñas , Saavedra-Lozano Jesús , García Begoña Santiago , Sebastián María del Mar Santos , Morín Marina García , Bieler Cristina Beléndez , Romero Jorge Lorente , de Julián Elena Cela , Group F-DREP Study 
Published: March 2021

Abstract
BackgroundEtiological diagnosis of fever in children with sickle cell disease (SCD) is often challenging. The aim of this study was to analyze the pattern of inflammatory biomarkers in SCD febrile children and controls, in order to determine predictors of severe bacterial infection (SBI).MethodsA prospective, case-control study of febrile and steady-state SCD children was carried out during 3 years. Clinical characteristics and laboratory parameters, including 10 serum proinflammatory cytokines (IL-1β, IL-2, IL-4, IL-6, IL-8, IL-10, IL-12p70, IL-17a, IFN-γ and TNF-α) and comparisons among study subgroups were analyzed.ResultsA total of 137 patients (79 cases and 58 controls) were included in the study; 78.5% males, median age 4.1 (1.7-7.5) years. Four cases were diagnosed with SBI, 41 viral infection (VI) and 33 no proven infection (NPI). IL-6 was significantly higher in patients with SBI than in patients with VI or NPI (163 vs 0.7 vs 0.7 pg/ml, p < 0.001), and undetectable in all controls. The rest of the cytokines analyzed did not show any significant difference. The optimal cut-off value of IL-6 for the diagnosis of SBI was 125 pg/mL, with high PPV and NPV (PPV of 100% for a prevalence of 5, 10 and 15% and NPV of 98.7%, 97.3% and 95.8% for those prevalences, respectively).ConclusionWe found that IL-6 (with a cut-off value of 125 pg/ml) was an optimal marker for SBI in this cohort of febrile SCD children, with high PPV and NPV. Therefore, given its rapid elevation, IL-6 may be useful to early discriminate SCD children at risk of SBI, in order to guide their management.