bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Contributing to the High Prevalence of Multidrug- Resistant/Rifampicin-Resistant Tuberculosis: A Study From Russia
Authors: Bykov Ilia , Dyachenko Olga , Ratmanov Pavel , Wu Qunhong 
Published: December 2021

Abstract
Background: Rapidly growing prevalence of multidrug-resistant/Rifampicin-resistant tuberculosis (MDR/RR-TB; resistance to Isoniazid and Rifampicin/Isolated resistance to Rifampicin) is putting in jeopardy the WHO End TB strategy. This study aimed to identify factors contributing to the high prevalence of MDR/RR-TB in Khabarovsk krai region of Russia.Methods: A cross-sectional retrospective study was conducted. Clinical, demographic and drug susceptibility testing data on 1440 patients were analyzed. Factors associated with MDR/RR-TB were identified through logistic regression analysis, along with in-depth interviews with eight patients, five healthcare managers and five doctors.Findings: 618 patients (42.9%) were identified with MDR/RR-TB. Patients with a history of imprisonment were 16.53 times (95% CI 5.37 to 50.88,) more likely to have MDR/RR-TB, whereas re-treatment patients were 2.82 times (95% CI 2.16 to 3.66) more likely to have MDR/RR-TB. Other influencing factors included presence of disability (AOR is 2.32, 95% CI 1.38 to 3.89) and cavitary disease (AOR is 1.76, 95% CI 1.37 to 2.25). Poor knowledge, progressive tiredness of prolonged TB treatment and inability to hospitalize infectious patients without their consent were perceived by the interviewees as major influencing factors. Conclusions: Incarceration and treatment history, regardless of outcome, were identified as major factors influencing MDR/RR-TB prevalence. It is essential for TB care system to eliminate legal loopholes, which deprive doctors of means to enforce quarantine procedures and epidemiological surveillance on infected patients, former and current inmates. In addition, increasing people’s awareness of TB, early detection and appropriate treatment of patients with TB are needed for successfully combating MDR/RR-TB.
Mechanical Overload Regulates Osteoblast Proliferation, Differentiation And Mineralization Through Wnt/Β-Catenin Signaling Pathway
Authors: Fan Yaru , Yan Yingbin , Liu Han , Luo Rui , Liu Hao , Liu Yingjie , Li Ruixin 
Published: December 2021

Abstract
Objectives: To study the effect of mechanical overload stimulation on proliferation, differentiation and mineralization of osteoblast and the underlying mechanisms.Methods: MC3T3-E1 cells were divided into overload group and control group. Four-point bending loading device was used to exert mechanical overload stimulation on MC3T3-E1 cells for a certain time. The proliferation of osteoblasts was detected by MTT colorimetric assay. Real-time PCR and Western Blot were used to detect the transcription and expression of osteoblast marker genes and proteins. The specific fluorescent dyes were used to label the actin filament and the nucleus, and the changes of cytoskeleton were observed under laser scanning confocal microscope. The mineralization of osteoblasts was evaluated by the number of calcium nodules formed by alizarin red staining. Results: Compared with the control group, the mechanical overload group significantly inhibited the proliferation of osteoblasts (p <0.05). Real-time PCR and Western Blot showed that the expression of osteoblast differentiation marker gene and protein was inhibited by mechanical overload stimulation. Under laser confocal microscopy, the overload group cell shrinkage deformation was observed, also the microfilament arrangement disorder, the skeleton arrangement loose, the direction difference and the skeleton breakage, but the nucleus does not have obvious change. Alizarin red staining showed that mechanical overload inhibited the formation of calcium nodules in osteoblasts. The expression of β-catenin protein in Wnt signaling pathway was inhibited by overload mechanical stimulation under immunofluorescence microscopy.Conclusion: Mechanical overload stimulation reduces the expression of Runx 2 by affecting the classical Wnt/β-catenin signaling pathway, thus it was inhibited osteoblast proliferation, differentiation and mineralization.
Improving the Safety of the Manchester Triage System for Children with Congenital Heart Disease
Authors: Leeb Franziska , Sharma Ursula , Yeghiazaryan Lusine , Moll Henriëtte A. , Greber-Platzer Susanne 
Published: December 2021

Abstract
This study is a prospective evaluation of the validity of a Manchester Triage System (MTS) modification for detecting under-triaged pediatric patients with congenital heart disease (CHD). Children with CHD visiting the emergency unit of the Department of Pediatrics and Adolescent Medicine, Vienna General Hospital, in 2014 were included. The MTS modification updated the prioritization of patients with complex syndromic diseases, specific symptoms related to chronic diseases, decreased general condition (DGC), profound language impairment, unknown medical history, or special needs. A four-level outcome severity index based on diagnostic and therapeutic interventions, admission to hospital, and follow-up strategies, was defined as a reference standard for the correct clinical classification of the MTS urgency level. Of the 19,264 included children, 940 had CHD. Of this group, 266 fulfilled the inclusion criteria for the modified triage method. The MTS modification was significantly more often applied in under-triaged (65.9%) than correctly or over-triaged (25%) children with CHD (p-value χ²test <0.0001, OR 5.848 95% CI: 3.636-9.6).Conclusion: The MTS urgency level upgrade modification could reduce under-triage in children with CHD. Applying a safety strategy concept to the MTS could mitigate under-triage in such a high-risk patient group.
A Global Study of COVID-19 Vaccination Intentions: The Role of Personal Experiences and Risk Perceptions
Authors: Akel Kaitlyn , Noppert Grace , Rajamoorthy Yogambigai , Lu Yihan , Singh Awnish , Harapan Harapan , Chang Hao-Yuan , Shih Shu-Fang , Wagner Abram 
Published: December 2021

Abstract
Background
The COVID-19 pandemic presents an opportunity to assess the impact of personal experiences on vaccine decision-making. The aim of this study was to examine the associations between experiences with COVID-19 and intention to vaccinate against COVID-19.
Methods
We administered 28 repeated cross-sectional, online surveys between June 2020 and June 2021 in the US and Asia. The main exposures were three types of experiences: COVID-19 diagnosis, knowing a friend/family member with COVID-19, and exposures to media containing COVID-19 patients. A series of logistic regression models estimated the association between each experience and acceptance of a hypothetical COVID-19 vaccine. We also explored perceived susceptibility as a potential mediator.
Results
Intent to vaccinate was lowest in the US and Taiwan, and highest in India, Indonesia, and China. Personal diagnosis with COVID-19 had the greatest impact on intentions to vaccinate across country sites compared to those who experienced a friend or family member diagnosed with COVID-19 or exposures to personal stories reported through media. In India participants that reported a personal diagnosis with COVID-19 had 12.95 times the odds (95% CI: 4.89, 34.28) of accepting a COVID-19 vaccine compared to those with no diagnosis. Higher risk perceptions were associated with higher intention to vaccinate against COVID-19.
Conclusions
Proximity and seriousness of experiences are influential factors for intention to vaccinate against COVID-19. This study highlights the numerous ways in which pandemic experiences may influence intention to vaccinate against COVID-19 across geographies and cultures, where the course of the pandemic differed.
Feasibility Studies on Treatment of Household Greywater Using Phytoremediation Plants
Authors: Kulandaiswamy Neetha Delphin Mary , Nithyanandam Muralimohan 
Published: December 2021

Abstract
Recycling and reusing of wastewater acquired high priority among the research community to meet the ever-increasing demand for groundwater, and to tackle water scarcity in every country. In this scenario, a grey water treatment system is developed with a vertical flow wetland construction tank (VFWCT)with sand, gravel and silex as media combined with phytoremediation technology using plants like Cyperus rotundus, Canna indica, Typha angustifolia, Cyperus pangorei, and Phragmites australis. The assessment parameters like color, odor, temperature, pH, electrical conductivity, free residual chlorine, Total Dissolved Solids (TDS), chloride, Sulphate, Total Suspended Solids (TSS),oil & grease, Sulphide,Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), Nitrate Nitrogen, E.coli and Salmonella are used to substantiate the performance of proposed greywater treatment system. Simulation outcomes showed that most of the guideline values of the effluent are notably lower compared to the influent. The experimentation also focused on finding the best plant as Typha angustifolia for greywater treatment in the VFWCT. The plant’s rapid growth and the removal efficiency parameters of the plant with regard to the contaminants present in the greywater was highly notable. The removal efficiency was 56.56% and 50.25% for BOD5 and COD, the solids content TSS and TDS was 68% and 64.4%. The salt Cl− and Na+ removal efficiencies are 63.4% and 81.39% respectively. Majority of the parameters like pH value, Electrical conductivity, odor and TDS are higher than the groundwater aquifers, but falls within the world health organization safety limits.
Fast Detection And Quantification of Plasmodium Species Infected Erythrocytes In A Non-Endemic Region By Using The Sysmex XN-31 Analyzer
Authors: Khartabil T.A. , de Rijke Y.B. , Koelewijn R. , Hellemond J.J. van , Russcher H. 
Published: December 2021

Abstract
BACKGOUND: Due to increased travel from endemic countries, malaria occurs more frequently in non-endemic regions. It is a challenge for diagnostic laboratories in non-endemic countries to provide reliable results, as experience of staff is often limited to only a few cases per year. In this study, we evaluated the diagnostic accuracy of the fully automated Sysmex XN-31 malaria analyzer in a routine diagnostic setting in a non-endemic region. METHODS: Samples from 112 patients suspected for malaria were examined by the Sysmex XN-31 analyzer to determine the absolute count of malaria-infected red blood cells count (MI-RBC/µl). Microscopic examination of both Quantitative Blood Coat capillary tubes and thick and thin blood films were used as reference methods. Limits of blank (LoB), detection (LoD) and quantification (LoQ) were investigated using an in vitro Plasmodium falciparum culture . Nine hundred twenty samples of patients with RBC abnormalities were included to determine which RBC abnormalities trigger indeterminate or false positive results. RESULTS: No false positive nor false negative results were obtained for the examined patient samples suspected for malaria. For 3% of samples an indeterminate result by the XN-31 was obtained. The Passing-Bablok regression line for diagnostic accuracy of the parasitemia was y = 39.75 + 0.7892x showing a positive bias of about 21% when comparing the MI-RBC results to microscopy. The LoB, LoD and LoQ were calculated to be 4.7, 5.9, and 19.0 infected RBC/mL, respectively. From the 920 abnormal RBC samples collected, 4.6% resulted in a false positive MI-RBC result and almost half of the samples produced indeterminate results. These results were related to increases in nucleated red blood cells, reticulocytes and other abnormal RBC morphologies such as sickle cells. CONCLUSIONS: Based on the results we conclude that the XN-31 is a fast and reliable screening method in the detection and quantification of Plasmodium species in patients However, if an abnormal red blood cell morphology is present, the results of the XN-31 should be interpreted with caution as false positive results can be caused by interfering abnormal erythrocytes.
Evaluation of biosimilar trastuzumab MYL-1401O in HER2-positive early-stage and metastatic breast cancer in real-life data
Authors: Eser Kadir , Sezer Emel , Erçolak Vehbi , İnal Ali 
Published: December 2021

Abstract
Background The trastuzumab biosimilar MYL-1401O has demonstrated equivalent efficacy and comparable safety to reference trastuzumab (RTZ) in clinical trials of human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer (MBC) as non-dual HER2 therapy. Here, we present the first real-world comparison of MYL-1401O versus RTZ with single/dual HER2-targeted therapy for the neoadjuvant, adjuvan and palliative first-/second-line treatment with HER2-positive early breast cancer (EBC) and metastatic breast cancer (MBC) patients in two tertiary hospitals in Turkey. Methods We retrospectively investigated medical records in the Severance Breast Cancer Registry in Turkey. We identified patients with HER2-positive EBC (n=159) who had received neoadjuvant chemotherapy (n= 92) with RTZ or MYL-1401O±pertuzumab and adjuvant chemotherapy (n=67) with RTZ or MYL-1401O plus taxan between january 2018 and jun 2021. Stage IV MBC (n=53) who had received palliative first-line treatment with RTZ or MYL-1401O, and docetaxel±pertuzumab (THP) or second-line treatment with RTZ or MYL-1401O, and taxan between january 2018 and jun 2021. Primary endpoints were pathological complete response in neoadjuvant grup (pCR) and progression-free survival (PFS) in adjuvant and metastatic grup. Secondary endpoints in the metastatic patient group (MBC) was overall response rate (ORR), disease control rate (DCR) and cardiac safety. Results The rate of achieving pCR in the group receiving neoadjuvant chemotherapy was similar between MYL and RTZ (62.7% [37/59] and 55.9% [19/34] p=0.509). Median PFS similar in EBC-adjuvant group, 12-24-36 months PFS respectively 96.3%, 84.7%, 71.5% in patients with MYL and 100%, 88.5%, 64.8% in patients with RTZ (95% CI p=0.577). Median PFS similar in metastatic group, 23.0 (9.8-16.1) months in patients with MYL-1401O and 23 (19.9-26.0) months in patients with RTZ (95% CI p=0.270). The ORR, DCR, and cardiac safety profiles did not also show significant difference efficacy outcomes between two groups. Conclusion These real-world data suggest that biosimilar trastuzumab MYL-1401O has similar effectiveness and cardiac safety to RTZ in HER2-positive EBC and MBC patients when administered as part of single/dual HER2-targeted therapy with chemotherapy in the neoadjuvant, adjuvant or palliative setting.
Colonic Mucosa-associated Mycobiota in Individuals With Normal Colons
Authors: Kourkoumpetis Themistoklis , Hoffman Kristi L. , Kim Yuna , Graham David Y. , White Donna L. , Day R. Sue , Brown Eric L. , Rosen Gail , El-Serag Hashem B. , Petrosino Joseph F , Jiao Li 
Published: December 2021

Abstract
To characterize the spatial variation of the mucosa-associated adherent mycobiota along the large intestine in individuals with a normal-colon, we performed eukaryotic rRNA operon’s internal transcribed spacer-2 sequencing to profile fungal community composition and structure in 70 mucosal biopsies taken from the cecum, ascending, transverse, descending colon, and rectum of 14 polyp-free individuals. The bacteriome of these samples was previously characterized by sequencing the V4 region of the 16S rRNA gene. We identified 64 amplicon sequence variants (ASVs) with the relative abundance no less than 0.05% from these colonic mucosa samples. Each individual has a unique community composition of the gut mycobiome (P = 0.001 for beta diversity). Alpha-diversity and beta-diversity did not differ significantly across the colon segments. The most common phyla (relative abundance) were Ascomycota (45.4%) and Basidiomycota (45.3%). The most common genera were Malassezia (28.2%) and Candida (13.4%). Malassezia was found in 13 of 14 individuals. Other fungi genera were sporadically found in the large intestine. The most common species were Malassezia restricta (22.7%), Candida albicans (11.9%), Malasseziales sp. (8.80%), unclassified fungi (7.80%), and Penicillium paneum (5.70%). Malasseziaceae was co-abundant with Enterobacteriaceae and co-exclusive with Barnesiellaceae, Rikenellaceae, and Acidaminococcaceae. Malassezia was widely colonized whereas other fungal genera were sporadically colonized in the large intestine. The physiologic and pathogenic functions of fungi in human gastrointestinal tract including Malasseziaceae that may interact with several bacterial families remain to be fully elucidated.
Doxorubicin-loaded Black Phosphorus Multifunctional Nanodelivery System Combined With Photothermal Therapy Promotes Immunogenic Death of Prostate Cancer PC-3 cells.
Authors: Li Linfeng , Gao Li , Xu Haoyang 
Published: December 2021

Abstract
Prostate cancer is the second most harmful malignant tumor in men because of its insidious onset, easy metastasis, and easy development into castration-resistant prostate cancer even after treatment. Due to its high immunogenicity and a small number of specific infiltrating T cells with tumor-associated antigens in the tissue, it is difficult to obtain a good therapeutic effect with immune checkpoint blocking therapy alone. Therefore, in the current study, we developed a platform carrying Doxorubicin (DOX)-loaded black phosphate nanometer combined with photothermal therapy (PTT) and found this drug combination stimulated the immungentic cell death (ICD) process in PC-3 cells and DC maturation, allowing the DCs to present the related antigens and stimulate the body to produce more of CD8+ T cells, leading to a stronger immune response.More importantly, the introduction of Zn2+ and Aptamer (Apt) improved the prostate cancer cell killing ability of the nanosystem.
Next-generation Sequencing-based Test for Resectable Colorectal Cancer in Real-world Clinical Practice
Authors: Ogiri Masayo , Seishima Ryo , Nakamura Kohei , Aimono Eriko , Matsui Shimpei , Shigeta Kohei , Chiyoda Tatsuyuki , Tanishima Shigeki , Okabayashi Koji , Nishihara Hiroshi , Kitagawa Yuko 
Published: December 2021

Abstract
Purpose:

This study aimed to evaluate the significance of Next-generation sequencing (NGS)-based gene panel testing in resectable colorectal cancers (CRC)s by analyzing real-world data collected prospectively from patients.
Methods:

Patients with CRC who underwent surgery from July 2018 to February 2020 at our institution were included, and correlations between various NGS data and clinicopathological findings were evaluated.
Results:

Overall, 107 patients were included in this study. The tumor stage was I in 28 cases (26.2%), II in 40 cases (37.4%), III in 32 cases (29.9%), and IV in 7 cases (6.5%). Actionable gene alterations were found in 97.2% of the cases. Co-alteration analysis suggested that either TP53- or APC-related alterations were more frequently found in early-stage tumors (stage I). The copy number alteration count was significantly lower in right side colon tumors than in tumors in other locations (P < 0.05). Homologous recombination deficiency (HRD) was more often identified in stage IV tumors than in stage I or II tumors (P < 0.05). Moreover, high HRD status was suggested to be useful for identifying high-risk stage II tumors (P < 0.05).
Conclusion:

In this study, real-world NGS data represented the biological features of CRCs. HRD was identified as a useful result of gene panel testing with novel utility in clinical practice.
Clinical Observation of Retinal Vessel Density In Type 2 Diabetic Patients With High Mopyopia
Authors: Su Ruifeng , Jia Zhiyang 
Published: December 2021

Abstract
Purpose: To quantitatively analyze the difference of superficial and deep retinal vessel density between diabetic patients with high myopia , diabetic patients without high myopia and normal subjects.Methods: This cross-sectional study recruited type 2 diabetic patients with no history of ocular treatment in Shijiazhuang, China.Thirty type 2 diabetic patients with high myopia (30 eyes) were included in group A, 30 type 2 diabetic patients (30 eyes) without myopia were included in group B. Another 30 sex-,age-matched healthy volunteers (30 eyes)were included in group C. The superficial and deep retinal vessel density were measured and compared among the three groups to determine the effects of high myopia on diabetes.Results: No statistically significant differences in central superficial retinal vessel density(CSVD) was found in three groups（P＞0. 05).There were significant differences in the temporal superficial retinal vessel density（TSVD）,superior superficial retinal vessel density(SSVD), nasal superficial retinal vessel density(NSVD),inferior superficial retinal vessel density(ISVD) between the three groups, respectively (P＜0.05).TSVD,SSVD,NSVD,ISVD in group A were all lower than those in group B and group C(P ＜0.05).ISVD in group B was lower than that in group C and no statistically significant differences in TSVD,SSVD,NSVD were found between groups B and C(P＞0.05). There were significant differences in central deep retinal vessel density(CDVD),temporal deep retinal vessel density(TDVD),superior deep retinal vessel density(SDVD), nasal deep retinal vessel density(NDVD),inferior deep retinal vessel density(IDVD) between the three groups, respectively (P＜0.05).CDVD in group A was higher than that in group B , but there was no significant difference between group A and group C.TDVD,SDVD,NDVD,IDVD in group A were all lower than those in group B and C(P ＜0.05),and those in group B were lower than those in group C(P ＜0.05).Conclusion: Myopia and diabetes are important factors affecting vessel density. The parafoveal superficial and deep vessel density of type 2 diabetic patients with high myopia were lower than those of diabetics and normal persons. However,there was no difference in macular fovea superficial and deep retinal vessel density between diabetic patients with high myopia and normal persons.Myopia did not show a protective effect on retinal vessel density reduction in diabetic patients.
Classification of Rice Leaf Blast Severity Using Hyperspectral Imaging
Authors: Zhang Guosheng , Xu Tongyu , Tian Youwen , Feng Shuai , Zhao Dongxue , Guo Zhonghui 
Published: December 2021

Abstract
Background: Hyperspectral imaging is an emerging technology applied in plant disease research, including disease detection, multiple disease identification, disease severity assessment, and disease resistance evaluation. Rice leaf blast is prevalent all over the world and is a serious threat to rice yield and quality. In this paper, the standard deviation (STD) of the spectral reflectance of whole leaves was calculated and a support vector machine (SVM) model was built to classify the degree of rice leaf blast at different growth stages.Results: The classification accuracy of the full-spectrum-based SVM model at jointing stage, booting stage and heading stage was 94.44%, 81.58% and 80.48%, respectively. The corresponding macro recall values were 0.9714, 0.715 and 0.79. The average STD of the spectral reflectance of the whole leaf differed not only within samples with different disease grades, but also those with the same disease level. Conclusion: The STD of the spectral reflectance of whole leaf could be utilized to classify the rice leaf blast degree at different growth stages. The classification method was derived from physiological phenomena that were visible to the naked eye, making it more intuitive and convincing.