bluuebunny/crossref_metadata_2025_split huggingface dataset:
Endovascular management of giant common iliac artery pseudoaneurysm after complications in simultaneous pancreas–kidney transplant: a case report
Authors: de Oliveira Leite Túlio Fabiano , Pazinato Lucas Vatanabe , Nunes Thiago Franchi , da Motta Leal Filho Joaquim Mauricio 
Published: June 2021

Abstract
Background
Pancreatic transplantation is a definitive treatment for selected patients with insulin-dependent diabetes. It is a technically challenging surgery, and vascular complications are the most common cause of pancreatic graft failure. Although rare, pancreas transplants present higher rates of pseudoaneurysms at the vascular anastomosis than other visceral transplants. We present a case of a simultaneous pancreas–kidney transplant complicated with graft failure and common iliac artery pseudoaneurysm that was successfully treated through endovascular techniques.

Case presentation
A 34-year-old White woman presented with abdominal pain and a history of type 1 diabetes mellitus, end-stage renal disease, and two previous pancreas transplantation failures. The first was a simultaneous pancreas–kidney transplantation performed 7 months prior that was complicated by pancreas graft thrombosis within 1 month and required graft resection. Five months later, she underwent a second pancreas transplantation with another pancreatic graft thrombosis requiring graft resection. Abdominal angiotomography revealed a pseudoaneurysm in the right common iliac artery at the point of the previous graft anastomosis. The patient was successfully treated endovascularly with a covered stent in the common iliac artery.

Conclusion
Stent graft implantation for the treatment of common iliac artery pseudoaneurysm as a complication of simultaneous pancreas–kidney transplantation is a safe and feasible procedure.
Identification of the molecular mechanisms underlying brisket disease in Holstein heifers via microbiota and metabolome analyses
Authors: Yao Kun , Wang Shuxiang , Gaowa Naren , Huang Shuai , Li Shengli , Shao Wei 
Published: June 2021

AbstractBrisket disease (BD) is common among Holstein heifers in high-altitude environments, and this disease may result in serious economic loss. At present, no effective treatment is available for brisket disease. In this study, liver and cecum samples were collected from five heifers with BD and five healthy heifers (HH) for analyses of the metabolome and microbiota. The mean pulmonary arterial pressure and systolic blood pressure were significantly higher in BD heifers, whereas the average breathing rate, blood oxygen saturation, and glucose level were significantly lower in BD group than in the HH group. Further, 16S rDNA data showed that the abundance of Firmicutes was significantly lower and that of Bacteroidetes was significantly higher in BD group than in the HH group. At the genus level, the BD group heifers harbored fewer Ruminococcaceae and Lachnospiraceae than the HH group. Several metabolites, including beta-d-fructose, d-ribose, 1,4-beta-d-glucan, sucrose, and glucose-6-phosphate were present at low levels in BD heifers. Moreover, the mean pulmonary arterial pressure was negatively correlated with beta-d-fructose (r =  − 0.74; P = 0.013), d-ribose (r =  − 0.72; P = 0.018), and acetyl-tyrosine-ethyl-ester (r =  − 0.71; P = 0.022). We also found that mean pulmonary arterial pressure was negatively correlated with most of the genera, including those in the families of Lachnospiraceae and Ruminococcaceae. In summary, the decreased levels of metabolites and microbial genera might affect BD by limiting the energy supply. This study may help us better understand the role of the microbiota in BD and provide new insights into the management of feeding to decrease the rate of BD in Holstein dairy cows in the Qinghai-Tibetan plateau.
Commonplace and out-of-place diversities in London and Tokyo: migrant-run eateries as intercultural third places
Authors: Wessendorf Susanne , Farrer James 
Published: June 2021

AbstractIn global cities such as London and Tokyo, there are neighbourhoods where ethnic, religious, cultural and other forms of diversity associated with migration are commonplace and others where migrants are regarded as unusual or even out-of-place. In both types of contexts, migrant-run eateries are spaces in which people of various backgrounds interact. In some contexts, eateries may serve as ‘third places’ in which regular forms of intercultural conviviality occur, yet in others, interactions are civil but fleeting. This comparative paper is based on findings from two ethnographic neighbourhood studies in West Tokyo and East London. The Tokyo neighbourhood of Nishi-Ogikubo is one of emerging diversity, in which migrant entrepreneurship is rather new and uncommon, whereas East London has seen immigration for decades and migrant-run businesses are so common as to be taken-for-granted. In Tokyo the Japanese norms of ‘drinking communication’ in small eating and drinking spots inevitably involve migrant proprietors and their customers more deeply in social interactions. In East London, in contrast, intercultural interactions are much more commonplace in public and semi-public spaces, but in the case of migrant-run eateries, they are characterized by somewhat superficial encounters. This paper contributes to scholarship on the role of third places for intercultural relations, highlighting the importance of established cultural norms of interaction in specific third places. By comparing two vastly different contexts regarding the extent of immigration-related diversity, it demonstrates how encounters between residents of different backgrounds are deeply embedded in cultural norms of interaction in these places, and how migrant entrepreneurs in each context adapt to these established norms.
The influence of gender dynamics on polio eradication efforts at the community, workplace, and organizational level
Authors: Kalbarczyk Anna , Rao Aditi , Adebayo Adedamola , Decker Ellie , Gerber Sue , Morgan Rosemary 
Published: June 2021

AbstractBackgroundGlobally, gender as a barrier or facilitator in achieving health outcomes is increasingly being documented. However, the role of gender in health programming and organization is frequently ignored. The Global Polio Eradication Initiative, one of the largest globally coordinated public health programs in history, has faced and worked to address gender-based challenges as they emerge. This paper seeks to describe the role of gender power relations in the polio program across global, national, subnational, and front-line levels to offer lessons learned for global programs.MethodsWe conducted qualitative key-informant interviews with individuals purposively selected from the polio universe globally and within seven country partners: Afghanistan, Bangladesh, the Democratic Republic of the Congo, Ethiopia, India, Indonesia, and Nigeria. The interview tool was designed to explore nuances of implementation challenges, strategies, and consequences within polio eradication. All interviews were conducted in the local or official language, audio-recorded, and transcribed. We employed a deductive coding approach and used four gender analysis domains to explore data at the household, community, workplace, and organizational levels.ResultsWe completed 196 interviews globally and within each partner country; 74.5% of respondents were male and 25.5% were female. Male polio workers were not allowed to enter many households in conservative communities which created demand for female vaccinators. This changed the dynamics of front-line program teams and workplaces and empowered many women to enter the workplace for the first time. However, some faced challenges with safety and balancing obligations at home. Women were less likely to receive promotions to managerial or supervisory roles; this was also reflected at the global level. Some described how this lack of diverse management and leadership negatively affected the quality of program planning, delivery and limited accountability.ConclusionsGender power relations play an important role in determining the success of global health programs from global to local levels. Without consideration of gender, large-scale programs may fail to meet targets and/or reinforce gender inequities. Global disease programs should incorporate a gender lens in planning and implementation by engaging men and boys, supporting women in the workplace, and increasing diversity and representation among leadership.
Single-cell conventional pap smear image classification using pre-trained deep neural network architectures
Authors: Mohammed Mohammed Aliy , Abdurahman Fetulhak , Ayalew Yodit Abebe 
Published: June 2021

Abstract
Background
Automating cytology-based cervical cancer screening could alleviate the shortage of skilled pathologists in developing countries. Up until now, computer vision experts have attempted numerous semi and fully automated approaches to address the need. Yet, these days, leveraging the astonishing accuracy and reproducibility of deep neural networks has become common among computer vision experts. In this regard, the purpose of this study is to classify single-cell Pap smear (cytology) images using pre-trained deep convolutional neural network (DCNN) image classifiers. We have fine-tuned the top ten pre-trained DCNN image classifiers and evaluated them using five class single-cell Pap smear images from SIPaKMeD dataset. The pre-trained DCNN image classifiers were selected from Keras Applications based on their top 1% accuracy.

Results
Our experimental result demonstrated that from the selected top-ten pre-trained DCNN image classifiers DenseNet169 outperformed with an average accuracy, precision, recall, and F1-score of 0.990, 0.974, 0.974, and 0.974, respectively. Moreover, it dashed the benchmark accuracy proposed by the creators of the dataset with 3.70%.

Conclusions
Even though the size of DenseNet169 is small compared to the experimented pre-trained DCNN image classifiers, yet, it is not suitable for mobile or edge devices. Further experimentation with mobile or small-size DCNN image classifiers is required to extend the applicability of the models in real-world demands. In addition, since all experiments used the SIPaKMeD dataset, additional experiments will be needed using new datasets to enhance the generalizability of the models.
Paradigms to assess the human health risks of nano- and microplastics
Authors: Noventa Seta , Boyles Matthew S. P. , Seifert Andreas , Belluco Simone , Jiménez Aracaeli Sánchez , Johnston Helinor J. , Tran Lang , Fernandes Teresa F. , Mughini-Gras Lapo , Orsini Massimiliano , Corami Fabiana , Castro Kepa , Mutinelli Franco , Boldrin Massimo , Puntes Victor , Sotoudeh Mahshid , Mascarello Giulia , Tiozzo Barbara , McLean Polly , Ronchi Francesca , Booth Andy M. , Koelmans Albert A. , Losasso Carmen 
Published: June 2021

AbstractHuman exposure to nano- and microplastics (NMPs) has raised major societal concerns, yet no framework to assess the risks of NMPs for human health exists. A substantial proportion of plastic produced worldwide is not properly disposed and persists in the environment for decades while degrading. Plastic degradation generates a size continuum of fragments, including nano- and microplastic particles, with numerous associated environmental pollutants and plastic additives, and microbial communities colonising their surfaces. The ubiquitous presence of NMPs, their availability for uptake by organisms and their potential to act as vectors for toxicants and pathogens render risk assessment a priority on the political agenda at the global level. We provide a new, fully integrated risk assessment framework tailored to the specificities of NMPs, enabling an assessment of current and future human health risks from NMPs. The framework consists of four novel paradigms to the traditional risk assessment methodology. These paradigms deal with techniques in NMP analysis, gaps in empirical data, theoretical and modelling approaches and stakeholder engagement. Within the proposed framework, we propose how we can use research experiences gained so far to carry out the different steps of the assessment process, and we define priorities for further research.
Urban Poor Community Settings' Knowledge and Screening Practices for Cervical Cancer in Ibadan, Nigeria
Authors: John-Akinola Yetunde O. , Oluwasanu Mojisola M. , Oladepo Oladimeji 
Published: June 2021

PURPOSE This study investigated knowledge and screening practices for cervical cancer among two urban poor community settings in Ibadan, Nigeria. METHODS A cross-sectional design was used. ODK tool was used to collect quantitative data among a sample size of 500 respondents. Data were analyzed using IBM SPSS version 21 for descriptive and inferential statistics. Scores for knowledge were on a scale of 0-39 points (0-18 low, 19-23 fair, and 24-39 high knowledge). RESULTS A majority of respondents (77.2%) had low knowledge of cervical cancer and were not aware (93.6%) of the Papanicolaou test (Pap smear test) or cervical cancer screening (91.2%). Very few women (10%) were aware of the human papillomavirus vaccine for the prevention of cervical cancer, 4% had been screened with the Papanicolaou test, and one woman (0.3%) with visual inspection with acetic acid. Four (1.1%) women had taken human papillomavirus vaccine before. CONCLUSION The findings of this study have underscored a necessity for increased awareness creation through health promotion interventions and strategies to alleviate low knowledge, prevention, and screening practices for cervical cancer in poor community settings in Nigeria.
Features of the Professional Direction of University Students in the Era of Digitalization
Authors: Fatyhova A. , Bakanev O. , Kohanovskaya I. 
Published: June 2021

In the digital era, the success of the professional development of future specialists in the process of obtaining higher education largely depends on their professional orientation (PN). Despite the significant interest in the subject of the study, the problem of identifying the factors that affect PN remains poorly understood.
The purpose of the study is to determine the factors of the formation of PN of students enrolled in training and retraining programs, and the features of PN in the digital era.
The article reveals the content and structure of the PN of future specialists in the era of digitalization. According to the results of the empirical research, the relationship of students' PN with indicators of life-meaning orientations, motives for choosing a profession and training was revealed; the relationship between students' life-meaning orientations and indicators of motives for choosing a profession and training at the stage of digitalization of education. The factors influencing the personal condition, and the factors of the formation of the personal condition of students, who are trained according to the programs of training and retraining of specialists, have been determined.
As a result of an empirical study, it was concluded that a negative impact on the formation of PN is created by factors caused by various life circumstances, lack of independence of decisions in choosing a profession, low reflection of life goals, prospects for the future, rigidity of volitional and personal qualities, internal conflict in the structure of personality relationships, low pleasure training and the like. At the same time, the level of PN is significantly higher among students who receive a second higher education and who understand its importance at the stage of digitalization of education.
Nuevo registro del grisón mayor (Galictis vittata) en la Sierra Nororiental de Puebla, México
Authors: Lucas-Juárez Gaudencio , Lucas-Juárez Jesús David , Díaz-García Juan M. 
Published: June 2021

A pesar de su amplia distribución por el Continente Americano, el grisón mayor (Galictis vittata) es uno de los mamíferos con menor número de estudios que reportan su presencia o describen aspectos de su ecología. En México, el grisón mayor es una especie en peligro de extinción y se encuentra protegida por el gobierno mexicano. Conocer la distribución de esta especie amenazada puede ayudar a diseñar estrategias de conservación. Nuestro objetivo fue describir un nuevo registro del grisón mayor en un paisaje heterogéneo de la Sierra Nororiental de Puebla, México. El 24 de Octubre de 2020 alrededor de las 12:00 horas, encontramos un individuo de la especie Galictis vittata en un cafetal bajo sombra, ubicado en un paisaje de bosque de niebla en Tuxtla, Puebla, México. Este registro del grisón mayor es el cuarto conocido para el estado de Puebla, México. Asimismo, amplía la distribución de la especie 11.2 km al suroeste de la localidad más cercana y ocurre fuera de su rango de distribución potencial. Resaltamos que este mamífero amenazado puede desplazarse en paisajes ribereños conformados por bosque de niebla, vegetación secundaria, cafetales y cultivos agrícolas manejados tradicionalmente por habitantes de una comunidad tutunakú.
First record of collared peccary (Pecari tajacu) in the southern part of the Mexican Altiplano
Authors: Carrasco-Ortiz Marco A. , Riojas-López Mónica E. , Mellink Eric 
Published: June 2021

El pecarí de collar (Pecari tajacu) se encuentra desde el norte de Argentina hasta el sur de Estados Unidos. En México se distribuye ampliamente en diferentes hábitats, principalmente en zonas tropicales. En la porción sur del Altiplano Mexicano su distribución histórica es poco clara y se le ha llegado a considerar extirpado por la sobreexplotación de sus poblaciones y el desarrollo de agricultura. Reportamos el primer registro de pecarí de collar para los Llanos de Ojuelos, obtenido mediante una cámara trampa colocada en hábitat xeroribereño. Este hallazgo confirma los informes de campesinos sobre la presencia de pecarí en la región, unos 20 km al norte del registro aquí reportado. Dos registros recientes de la especie en los municipios de Pinos, Zacatecas y Corral de Palmas, San Luis Potosí, distan aproximadamente 60 km del nuestro, por lo que serían de manadas diferentes. El sitio de donde proviene el registro aquí presentado es el cauce de un arroyo con cobertura densa de árboles y arbustos, rodeado de pastizal y matorral xerófilo con abundantes nopales que proveen alimento y agua a los pecaríes. La presencia del pecarí y otros mamíferos grandes, como el puma y el venado, en Los Llanos de Ojuelos puede aprovecharse para realizar campañas de sensibilización entre los habitantes para conservar los recursos naturales de la región.
High intensity power training in middle-aged women with Charcot–Marie–Tooth disease: a case series
Authors: Hackett Daniel , Roberts-Clarke Daniel , Halaki Mark , Burns Joshua , Singh Maria Fiatarone , Fornusek Che 
Published: June 2021

Background/aims High-intensity power training has been shown to be effective in improving muscular capabilities, functional performance and health-related quality of life in populations with physical impairments. However, the effectiveness of high-intensity power training in people with Charcot–Marie–Tooth disease remains uncertain. This case series investigated the effects of high-intensity power training on muscle performance, function and health-related quality of life in middle-aged women with Charcot-Marie-Tooth disease. Methods Four women (age 51–58 years) with Charcot–Marie–Tooth disease type 1A participated in 8 weeks of supervised high-intensity power training. Results All participants improved strength of the right hip abductors (46.7–109.7%) and left hip abductors (27.3–128.6%), maximal gait speed (2.3–9.1%), static balance (0.7–4.9%), tandem walk (−3.3 to −58.5%), and mental component scores on the Short Form 36 Health Status Survey (0.8–27.6%). Adherence to high-intensity power training was 100% and only one minor adverse event related to the intervention was reported. Conclusions Although promising, larger controlled studies are indicated to confirm the safety and efficacy of high-intensity progressive resistance and power training in this cohort.
Functional outcomes of unstable ankle fractures with and without syndesmotic fixation in the adolescent population
Authors: Paez Conner J. , Lurie Benjamin M. , Upasani Vidyadhar V. , Pennock Andrew T. 
Published: June 2021

Purpose The purpose of this study was to compare functional outcomes of adolescents with and without ankle syndesmotic injuries and identify predictors of functional outcome after operative ankle fractures. Methods A retrospective review was conducted on operative adolescent ankle fractures treated between 2009 and 2019 with a minimum of one-year follow-up (mean 4.35 years). Patients who underwent syndesmotic fixation (SF) (n = 48) were compared with operative ankle fractures without syndesmotic injury (n = 63). Functional outcomes were assessed using standardized questionnaires, specifically the Foot and Ankle Ability Measure (FAAM) and Single Assessment Numerical Evaluation. Results There were no differences in patient-reported outcomes, rates of return to sport or complications between groups with and without SF. The SF group had a longer tourniquet time (p = 0.04), duration of non-weight-bearing (p = 0.01), more Weber C fibula fractures (p < 0.001), fewer medial malleolus fractures (p = 0.03) and more frequently underwent implant removal (p < 0.0001). Male sex, lower body mass index (BMI) and longer duration of follow-up were significant predictors of a higher FAAM sports score using multivariable linear regression. SF was not a predictor of functional outcome. Conclusion This study demonstrated that patients that undergo surgical fixation of syndesmotic injuries have equivalent functional outcomes compared to operative ankle fractures without intraoperative evidence of syndesmotic injury. We also identified that male sex, lower BMI and longer duration of follow-up are predictors of a good functional outcome. Level of Evidence III