bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medical education too: sexual harassment within the educational context of medicine – insights of undergraduates
Authors: Schoenefeld Eva , Marschall Bernhard , Paul Berit , Ahrens Helmut , Sensmeier Janina , Coles Jan , Pfleiderer Bettina 
Published: January 2021

Abstract
Background: Assessment of the presence and characteristics of sexual harassment in academic medicine is a global issue. Only limited international data are available so far. Methods: Aim: To assess the extent of sexual harassment and identify the perpetrators in the student population of the medical school of Münster, Germany. A survey was undertaken, using the Medical Women’s International Association sexual harassment questionnaire translated into German. The anonymous online questionnaire was sent as a link to all medical undergraduates at Münster Medical School via a mailing list between 1 October and 30 November 2018. Identifying or potentially identifying data were not collected. Data were analysed by descriptive statistical methods such as categorical variables. Baseline characteristics, e.g. answers by male or female medical students, were correlated with their individual sexual harassment experiences and perpetrator groups by means of univariate analysis. Results: A total of 2162 medical students were asked to participate, with 623 (28.8%) completing the survey. Sexual harassment is a significant issue among medical students at Münster Medical School with over half (58.9%) of all undergraduates being exposed to sexually harassing behaviour. In total, 31.8% of all participants reported having experienced unwanted physical sexual contact such as unwanted physical touching, with 87.6% of the victims being female. Overall, 41.3% personally experienced verbal sexual harassment of which 87.4% were female. Furthermore, 8.5% of undergraduates faced forced sexual contact such as oral, anal or vaginal penetration, intercourse and rape, with all victims being female. Perpetrators in these cases were mostly male medical superiors (7.0%) and male patients (18.3%). In general, most perpetrators were patients, followed by medical superiors and educators, and less frequently by colleagues. Conclusions: Sexual harassment in medical education and the medical workplace is a significant problem in a German medical school. Most students experiencing sexual harassment are females. Female students also experience the more serious forms of sexual harassment more often.
Transcriptome Analysis of the Transdifferentiation of canine BMSCs into Insulin Producing Cells
Authors: WANG JINGLU , Dai Pengxiu , Zou Tong , Lv Yangou , Zhao Wen , Zhang Xinke , Zhang Yihua 
Published: January 2021

Abstract
Background Bone marrow mesenchymal stem cells are a potential resource for the clinical therapy of certain diseases. Canine, as a companion animal, living in the same space with human, is an ideal new model for human diseases research. Because of the high prevalence of diabetes, alternative transplantation islets resource (i.e. insulin producing cells) for diabetes treatment will be in urgent need, which makes our research on the transdifferentiation of Bone marrow mesenchymal stem cells into insulin producing cells become more important.Result In this study, we completed the transdifferentiation process and achieved the transcriptome profiling of five samples with two biological duplicates, namely, “BMSCs”, “islets”, “stage1”, “stage2” and “stage3”, and the latter three samples were achieved on the second, fifth and eighth day of induction. A total of 11,530 differentially expressed transcripts were revealed in the profiling data. The enrichment analysis of differentially expressed genes revealed several signaling pathways that are essential for regulating proliferation and transdifferentiation, including focal adhesion, ECM–receptor interaction, tight junction, protein digestion and absorption, and the Rap1 signaling pathway. Meanwhile, the obtained protein–protein interaction network and functional identification indicating involvement of three genes, SSTR2, RPS6KA6, and VIP could act as a foundation for further research.Conclusion In conclusion, to the best of our knowledge, this is the first survey of the transdifferentiation of canine BMSCs into insulin-producing cells according with the timeline using next-generation sequencing technology. The three key genes we pick out may regulate decisive genes during the development of transdifferentiation of insulin producing cells.
Heterologous Expression of Arabidopsis thaliana rty Gene in Strawberry (Fragaria × ananassa Duch.) Improves Drought Tolerance
Authors: Li Maofu , Yang Yuan , Raza Ali , Yin Shanshan , Wang Hua , Zhang Yuntao , Dong Jing , Wang Guixia , Zhong Chuanfei , Zhang Hong , Liu Jiashen , Jin Wanmei 
Published: January 2021

Abstract
Background: Strawberry (Fragaria × ananassa Duch.) is an important fruit crop worldwide. It was particularly sensitive to drought stress because of their fibrous and shallow root systems. Mutant rty of Arabidopsis thaliana ROOTY (RTY) results in increased endogenous auxin levels, more roots, and shoot growth. It is still unclear whether the rty gene improves stress tolerance in strawberry. Results: rty gene was isolated from Arabidopsis thaliana and placed under the control of the cauliflower mosaic virus (CaMV) 35S promoter in the pBI121-rty binary vector carrying the selectable marker of neomycin phosphotransferase Ⅱ (NPT Ⅱ). Seven transgenic lines were confirmed by PCR and western blot analysis. Accumulations of IAA and ABA were significantly increased in the transgenic plants. The endogenous IAA contents were 46.5 ng g–1 and 66.0 ng g–1in control and transgenic plants respectively. The endogenous ABA contents in the control plant were 236.3 ng g–1 and in transgenic plants were 543.8 ng g–1. The production of adventitious roots and trichomes were enhanced in the transgenic plants. Furthermore, transcript levels of the genes including IAA and ABA biosynthetic, and stress-responsive genes, were higher in the transgenic plants than in the control plants under drought conditions. Water use efficiency and a reduced water loss rate were enhanced in the transgenic strawberry plants. Additionally, peroxidase and catalase activities were significantly higher in the transgenic plants than in the control plants. The experiment results revealed a novel function for rty related to ABA and drought responses. Conclusions: The rty gene improved hormone-mediated drought tolerance in transgenic strawberry. The heterologous expression of rty in strawberry improved drought tolerance by promoting auxin and ABA accumulation. These phytohormones together brought about various physiological changes that improved drought tolerance via increased root production, trichome density, and stomatal closure. Our results suggested that a transgenic approach can be used to overcome the inherent trade-off between plant growth and drought tolerance by enhancing water use efficiency and reducing water loss rate under water shortage conditions.
Translation and Cross-Cultural Adaptation of WHOQOL-HIV Bref Among People Living with HIV/AIDS in Pakistan
Authors: Ahmed Ali , Saqlain Muhammad , Akhtar Nasim , Hashmi Furqan K , Blebil Ali , Dujaili Juman , Umair Malik M , Bukhsh Allah 
Published: January 2021

Abstract
Background Reliable Health-Related Quality of Life (HRQoL) assessment will be useful in identifying health issues and in identifying health care actions. Due to the lack of a psychometrically valid tool in Urdu, we aim to translate and examine the psychometric and cross-cultural adaptation of WHOQOL HIV Bref among people living with HIV/AIDS (PLWHA) in Pakistan. Methods The standard forward-backwards translation technique was used to convert English version of the WHOQOL HIV Bref into Urdu. After cognitive debriefing, final Urdu version of instrument was developed. Based on the principle of at least 5 subjects for each item, a sample of 182 patients was used using a universal random sampling technique from the Pakistan Institute of Medical Sciences, Islamabad. The Cronbach’s alpha and intra-class correlation coefficients (ICC) were estimated to assess internal validity and reliability of the translated version. Exploratory factor analysis was carried out to determine the factor structure and independent associations between the instrument domains and CD-4 T-cell count were assessed using multivariable linear regressionResults High Cronbach alpha 0.93 was found for all WHOQOL HIV Bref facets. The test-retest reliability demonstrated a statistically significant ICC ranged from 0.88 – 0.98 (p < 0.001). In known group validity, lower CD-4 lymphocytes count was significantly related to poor scores for all six domains (p < 0.001). Similarly, symptomatic subjects had significantly lower scores compared to asymptomatic subjects on the physical, psychological, social relationship and independence domains (p < 0.05). Statistically significant positive correlation of all six domains of instrument with CD4 cells count (p < 0.001), exhibiting patients with higher CD-4 cells will have higher mean scores of all domains. Factor analysis revealed 5 domains, including physical health, psychological health, social relationship, environmental, and spiritual health. Multivariable linear regression analysis reported; only physical, psychological health and environment health domains were found significantly associated with higher CD-4 lymphocytes count (Beta = 0.121, p < 0.001, Beta = 0.103, p = 0.002, and Beta = 0.032, p = 0.032).Conclusion Findings suggested that the Urdu version of WHOQOL HIV Bref is a psychometrically valid and culturally well-adapted HRQoL measurement tool for PLWHA in Pakistan.
Association between surgical volumes and hospital mortality in patients: a living donor liver transplantation single center experience
Authors: Hsieh Chia-En , Hsu Ya-Lan , Lin Kuo-Hua , Lin Ping-Yi , Hung Yu-Ju , Lai Yi-Chun , Weng Li-Chueh , Chen Yao-Li 
Published: January 2021

Abstract
Background: Many factors cause hospital mortality (HM) after liver transplantation (LT).Methods: We performed a retrospective research in a single center from October 2005 to June 2019. The study included 463 living donor LT patients. They were divided into a no-HM group (n=433, 93.52%) and an HM group (n=30, 6.48%). We used logistic regression analysis to determine how clinical features and surgical volume affected HM. We regrouped patients based on periods of surgical volume and analyzed the clinical features.Results: Multivariate analysis revealed that donor age (OR= 1.050, 95% CI: 1.011– 1.091, p=0.012), blood loss (OR=1.000, 95% CI: 1.000–1.000, p=0.004), and annual surgical volumes being < 30 LTs (OR=2.540, 95% CI: 1.011–6.381, p=0.047) were significant risk factors. A comparison of years based on surgical volume found that when the annual surgical volumes were at least 30 the recipient age (p=0.023), donor age (p=0.026), and ABO-incompatible operations (p<0.001) were significantly higher and blood loss (p<0.001), operative time (p<0.001), intensive care unit days (p<0.001), length of stay (p=0.011), rate of re-operation (p<0.001), and HM (p=0.030) were significantly lower compared to when the annual surgical volumes were less than 30.Conclusions: Donor age, blood loss and an annual surgical volume < 30 LTs were significant pre- and peri-operative risk factors. Hospital mortality and annual surgical volume were associated with statistically significant differences; surgical volume may impact quality of care and transplant outcomes.
Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference
Authors: Metelmann Camilla , Metelmann Bibiana , Kohnen Dorothea , Brinkrolf Peter , Andelius Linn , Böttiger Bernd W , Burkart Roman , Hahnenkamp Klaus , Krammel Mario , Marks Tore , Müller Michael P , Prasse Stefan , Stieglis Remy , Strickmann Bernd , Thies Karl 
Published: January 2021

Abstract
Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR.Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies. Conclusions: Members of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.
Natural hybridization between two butterfly bushes in Tibet: dominance of F1 hybrids promotes strong reproductive isolation
Authors: Liao Rongli , Sun Weibang , Ma Yongpeng 
Published: January 2021

Abstract
Background: It has been recognized that certain amount of habitat disturbance is a prerequisite for occurrence of natural hybridization, yet we are currently still not aware of any studies exploring hybridization and reproductive barriers to those plants preferably occupying disturbed habitats. Buddleja plants (also called butterfly bush) generally grow in disturbed habitat, and several species with hybrid origin only on basis of morphology evidence have been proposed. Results: In the present study, we test the natural hybridization origin hypothesis of B. × wardii in two sympatric populations of three taxa including B. × wardii and its parents (B. alternifolia and B. crispa) plus 4 referenced parental populations, using four nuclear genes and three chloroplast intergenic spacers, as well as with 10 morphological characters. Our results suggest that at both sites B. × wardii was likely to be hybrids between B. alternifolia and B. crispa, and moreover, most of the hybrids examined were confirmed to be F1s. This was further supported by morphology as no transgressive characters were detected. B. crispa was found to be the maternal parent in Bahe (BH) population from the cpDNA. While in the Taji (TJ) population was difficult to distinguish the hybridization direction due to the shared haplotypes of cpDNA between B. alternifolia and B. crispa, we still predicted the similar unidirectional hybridization pattern due to results from cross-specific pollination treatments which supported the “SI x SC rule”. Conclusions: Hybrids mainly consisting of F1s can successfully impede gene flow and thus maintain species boundaries of parental species in its typical distribution of Buddleja, i.e. disturbed habitats.
Identification of risk factors for in-hospital death of COVID - 19 pneumonia -- lessions from the early outbreak
Authors: Wang Zhigang , Wang Zhiqiang 
Published: January 2021

Abstract
Background: To examine the clinical characteristics and identify independent risk factors for in-hospital mortality of 2019 novel coronavirus (COVID-19) pneumonia.Methods: A total of 156 patients diagnosed with COVID-19 pneumonia at the Central Hospital of Wuhan from January 29, 2020, to March 20, 2020, and 20 healthy individuals were enrolled in this single-centered retrospective study. The epidemiological parameters, clinical presentations, underlying diseases, laboratory test results, and disease outcomes were collected and analyzed. Results: The median age of all enrolled patients was 66 years. At least one underlying disease was identified in 101 COVID-19 patients, with hypertension being the most common one, followed by cardiovascular disease and diabetes. The most common symptoms identified upon admission were fever, cough, dyspnea, and fatigue. Compared to survival cases, patients who died during hospitalization had higher plasma levels of D-dimer, creatinine, creatine kinase, lactate dehydrogenase, lactate, and lower percentage of lymphocytes (LYM [%]), platelet count and albumin levels. Most enrolled patients received antibiotics and anti-viral treatment. In addition, 60 patients received corticosteroids, and 51 received intravenous immunoglobulin infusion. 44 patients received noninvasive ventilation and 19 received invasive ventilation. Respiratory failure was the most frequently observed complication (106 [67.9%]), followed by sepsis (103 [66.0%]), acute respiratory distress syndrome (ARDS) (67 [42.9%]), and septic shock (50 [32.1%]). Multivariable regression suggested that advanced age (OR [odds ratio]=1.098, 95% CI [confidence interval]: 1.006-1.199, P=0.037), shorter duration from onset to admission (OR= 0.853, 95% CI: 0.750-0.969, P=0.015) and elevated lactate level upon admission (OR= 2.689, 95% CI: 1.044-6.926, P=0.040) were independent risk factors for in-hospital mortality for COVID-19 infection. Meanwhile, increased LYM (%) at admission (OR= 0.787, 95% CI: 0.686-0.903, P=0.001) indicated a better prognosis. Conclusions: In this study, we discovered that age, duration from onset to admission, LYM (%), and lactate level upon admission were independent factors that affecting the in-hospital mortality rate.
Virulence Characteristics and Molecular Epidemiology of Pyogenic Liver Abscess Causing Multidrug Resistant Klebsiella pneumoniae in Wenzhou, China
Authors: Wang Zhongyong , Zhang Siqin , Huang Na , Liu Shixing , Xu Ye , Zhao Yajie , Cao Jianming , Zhou Tieli 
Published: January 2021

Abstract
Background: To date, little is known about the virulence characteristics of pyogenic liver abscess (PLA) that cause multidrug resistant (MDR) Klebsiella pneumoniae (K. pneumoniae), and this might be due to that these strains are rare. This study aimed to analyze the virulence characteristics and molecular epidemiology of 12 MDR strains obtained from 163 PLA cases in a tertiary teaching hospital from the perspective of clinical characteristics, virulence phenotypes, and genotypes.Results: The results of growth curves, string test, capsular quantification, serum killing test, biofilm formation assay, and infection model revealed that the virulence phenotypes of the 12 PLA-causing MDR K. pneumoniae were similar or even more obvious than those of typical hypervirulent K. pneumoniae strains. These MDR strains were mainly non-K1/K2 serotypes and carried multiple virulence genes. The results of multilocus sequence typing (MLST) illustrated that the MDR strains were categorized into 9 sequence types.Conclusions: This study is the first to analyze the virulence characteristics in PLA-causing MDR strains. Our data exhibited the coexistence of hypervirulence and MDR in PLA-causing MDR K. pneumoniae strains, and the clones of those PLA-causing MDR strains were diverse and scattered. This study first found one ST11 carbapenem-resistant hypervirulent strain in PLA.
The trends of Zika virus-related research from 2014 to 2018: a systematic review and meta-analysis
Authors: Gwon Yong-Dae , Evander Magnus 
Published: January 2021

Abstract
Background Zika virus (ZIKV) is a mosquito-borne disease discovered in 1947, but with no reports of serious disease for almost 60 years. The first large ZIKV outbreak was reported from Yap island in 2007, then in 2015, the emergence of ZIKV in the Americas highlighted clinical manifestations such as microcephaly and Guillain‐Barré syndrome. On February 1, 2016, WHO declared a Public Health Emergency of International Concern due to the magnitude of the outbreak, which then officially ended in November 2016. Methods Ever since the Brazilian authority released the first report of autochthonous transmission of ZIKV in 2015, it became the object of interdisciplinary investigation and global research collaboration. To follow and understand the trend of ZIKV research, we performed a systematic review and meta-analysis of ZIKV publications during 2014-2018, by using the scientific database Scopus.Results We found that the number of ZIKV related publications increased in 2016, 2017, and 2018 (39.2, 56.5, and 58.5 times, respectively) compared to an average number of publications (23.5) in 2014-2015. During the five years, there was not only an increment of publication numbers but also the area of research was expanded. In 2014-2015, the majority in the research area was epidemiological research with the aims to report the consequence of the ZIKV outbreak, and the trend was shifted to the development of diagnostic methods, antiviral treatment, and vaccine in the following three years. In addition, the number of countries involved in ZIKV research increased from 11 and 13 in 2014-2015 to 59, 67, and 66 in 2016-2018, showing that ZIKV research was changed from a low-level stage to active and globalized in the coming five years.Conclusions Our results highlight the importance of gathering public interest when the world is facing the phase of global health alert, and how it can drive the research field from inactive to active. However, despite this enormous progress in ongoing ZIKV research, many questions are yet to be answered and should be addressed to accelerate the development of effective ZIKV countermeasures. Nevertheless, our systematic review and meta-analysis emphasized the importance of a worldwide multidisciplinary effort to combat outbreaks or unknown infectious disease threats in the future.
Changes in cerebrospinal fluid interleukin-10 levels display better performance in predicting disease relapse than conventional magnetic resonance imaging in primary central nervous system lymphoma&nbsp;
Authors: Zhang Yan , Zou Dongmei , Yin Jingjing , Zhang Li , Zhang Xiao , Wang Wei , Zhang Meifen , Zhou Daobin , Zhang Wei 
Published: January 2021

Abstract
Backgroud: Establishing diagnostic and prognostic biomarkers of primary central nervous system lymphoma (PCNSL) is a challenge. This study evaluated the value of dynamic interleukin (IL)-10 cerebrospinal fluid (CSF) concentrations for prognosis and relapse prediction in PCNSL. Methods: Consecutive 40 patients newly diagnosed with PCNSL between April 2015 and April 2019 were recruited, and serial CSF specimens were collected by lumbar punctures (LP) or by Ommaya reservoir at diagnosis, treatment, and follow-up phase.Results: We confirmed that an elevated IL-10 cutoff value of 8.2 pg/mL for the diagnosis value of PCNSL showed a sensitivity of 85%. A persistent detectable CSF IL-10 level at the end of treatment was associated with poor progression-free survival (PFS) (836 vs. 481 days, p = 0.049). Within a median follow-up of 13.6 (2–55) months, 24 patients relapsed. IL-10 relapse was defined as a positive conversion in patients with undetectable IL-10 or an increased concentration compared to the last test in patients with sustained IL-10. IL-10 relapse was detected a median of 67 days (28–402 days) earlier than disease relapse in 10/16 patients. Conclusion: This study highlights a new perspective that CSF IL-10 relapse could be a surrogate marker for disease relapse and detected earlier than conventional magnetic resonance imaging (MRI) scan. Further evaluation of IL-10 monitoring in PCNSL follow-up is warranted.