bluuebunny/crossref_metadata_2025_split huggingface dataset:
The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan, Iran
Authors: Haghi Robabeh , Ashouri Asieh , Karimy Mahmood , Rouhani-Tonekaboni Nooshin , Kasmaei Parisa , Pakdaman Farahnaz , Zareban Iraj 
Published: May 2021

AbstractBackgroundTooth decay is one of the diseases that is closely related to people’s behaviors and it can have adverse effects on their performance and their success in the future. Brushing twice a day is the simplest and most effective way to reduce tooth decay. The study aim was to determining the roles of correlational factors based on the Pender’s health promotion model in brushing behavior of ninth grade students at urban public schools of Guilan province during the academic year 2019.MethodsThe present study was cross-sectional and had a descriptive-analytical type. We performed the multi-stage random sampling on 761 ninth-grade students (374 girls and 387 boys) at urban public schools of six counties (ten cities) of Guilan province in 2019. The primary tool was a questionnaire on oral health behaviors focusing on brushing behavior. In the present study, which was conducted only on brushing behavior, we revised and changed the initial questionnaire during the sessions of the research team, and then confirmed its validity and reliability. The questionnaire consisted of three parts, demographic characteristics, constructs of health promotion model, and brushing behavior. We analyzed data in SPSS 21 using regression models.Results20.1% of students brushed their teeth at least twice a day. Optimal behavior had a statistically significant relationship with parents’ education level, and gender. Based on the regression model, the health promotion model constructs described 58% of the variance of the commitment to plan of action. Perceived self-efficacy, situational influences, and perceived barriers of action had significantly stronger relationships with commitment to plan of action respectively. Multiple logistic regression analysis indicated that one-unit increase in scores of commitment to plan of action and self-efficacy increased the chance of desired behavior by 12 and 14% respectively.ConclusionDue to the low rate of brushing behavior in the students and the predictive power of the health promotion model in brushing behavior, we suggest planning and implementation of educational interventions for this group with an emphasis on influencing the commitment to plan of action, self-efficacy, and also the level of knowledge.
Analysis of the consumption of sports supplements in elite fencers according to sex and competitive level
Authors: Mata Fernando , Domínguez Raúl , López-Samanes Álvaro , Sánchez-Gómez Ángela , Jodra Pablo , Sánchez-Oliver Antonio J. 
Published: May 2021

Abstract
Background
The aim of this study was to analyze the consumption of sports supplements (SS) in competitive level fencers and compare differences based on sex and competitive level (international and national).

Methods
A total of 49 fencers (18 men and 31 women) of national (n = 16) and international (n = 33) level completed a questionnaire with questions about SS consumption and the possible repercussions on health and / or sports performance. The results were analyzed based on the different categorizations established by the Australian Institute of Sport (AIS), as well as by sex and level of competence to which the participants belonged to.

Results
46.9% of fencers have consumed SS with the main motivation being performance improvement (34.2%). Medical doctors were the individuals who were more likely to advise men to consume SS (50.0% vs 5.6%; OR = 3.29 [1.50–7.20]). Friends were most likely to advise women (38.9% vs 8.3%; OR = 1.75 [1.05–2.93]). The most consumed SS were sport drinks (44.9%), vitamin C (43.4%), sport bars (38.8%), and caffeine (28.6%). In regards to the SS categories, it was observed differences in the interaction level·sex in medical supplements (p = 0.017). In addition, there was a higher prevalence of whey protein consumption in women (25.8% vs 0%; p = 0.020) and iron consumption in men (33% vs 6.5%; p = 0.039).

Conclusions
The prevalence of SS use in fencers is within the values previously reported in athletes of the same competitive level. There were no differences by sex and competitive level in the total consumption of SS, nor in each of the groups of level of evidence, being sport drinks, bars and caffeine the most consumed SS.
Ultralow amounts of DNA from long-term archived serum samples produce high-quality methylomes
Authors: Wojewodzic Marcin W. , Leithaug Magnus , Lauritzen Marianne , Lyle Robert , Haglund Sofia , Rubin Carl-Johan , Ewels Philip A. , Grotmol Tom , Rounge Trine B. 
Published: May 2021

Abstract
Background
Long-term stored serum is considered challenging for epigenomic analyses: as there are no cells, circulating DNA is scarce, and amplification removes epigenetic signals. Additionally, pre-analytical treatments and storage might introduce biases and fragmentation to the DNA. In particular, starting with low-input DNA can result in low-diversity libraries. However, successful whole-genome bisulphite sequencing (WGBS) of such serum samples has the potential to open biobanks for epigenetic analyses and deliver novel prediagnostic biomarkers. Here, we perform WGBS using the Accel-NGS library preparation kit on ultralow amounts of DNA from long-term archived samples with diverse pretreatments from the Janus Serum Bank.

Results
Ninety-four of the 96 samples produced satisfactory methylation calls; an average of 578 M reads per sample generated a mean coverage of 17× and mean duplication level of 35%. Failed samples were related to poor bisulphite conversion rather than to sequencing or library preparation. We demonstrate the feasibility of WGBS on ultralow DNA yields from serum samples stored up to 48 years.

Conclusions
Our results show the potential of large serum biobank collections for future epigenomic studies and biomarker discovery.
User selection and dynamic power allocation in the SWIPT-NOMA relay system
Authors: Xie Xianzhong , Li Min , Shi Zhaoyuan , Tang Hong , Huang Qian 
Published: May 2021

AbstractNon-orthogonal multiple access (NOMA) technology provides an effective solution to massive access with a high data rate demand in new-generation mobile networks. The paper combinations with NOMA and simultaneous wireless information and power transfer (SWIPT) relay to maximize the sum rate in the downlink system. To that end, it is critical how to select effectively users access system and power allocation for the access user. This paper proposes a user selection and dynamic power allocation (USDPA) scheme in the NOMA-SWIPT relay system based on neural network because traditional optimization methods have difficulty solving nonlinear and non-convex problems. We establish a user selection network utilizing a deep neural network (DNN) and propose a power allocation network using deep reinforcement learning. The simulation results show that the proposed scheme achieves better performance than other related schemes, especially for high quality of service requirements.
A novel spectral entropy-based index for assessing the depth of anaesthesia
Authors: Ra Jee Sook , Li Tianning , Li Yan 
Published: May 2021

AbstractAnaesthesia is a state of temporary controlled loss of awareness induced for medical operations. An accurate assessment of the depth of anaesthesia (DoA) helps anesthesiologists to avoid awareness during surgery and keep the recovery period short. However, the existing DoA algorithms have limitations, such as not robust enough for different patients and having time delay in assessment. In this study, to develop a reliable DoA measurement method, pre-denoised electroencephalograph (EEG) signals are divided into ten frequency bands (α, β1, β2, β3, β4, β, βγ, γ, δ and θ), and the features are extracted from different frequency bands using spectral entropy (SE) methods. SE from the beta-gamma frequency band (21.5–38.5 Hz) and SE from the beta frequency band show the highest correlation (R-squared value: 0.8458 and 0.7312, respectively) with the most popular DoA index, bispectral index (BIS). In this research, a new DoA index is developed based on these two SE features for monitoring the DoA. The highest Pearson correlation coefficient by comparing the BIS index for testing data is 0.918, and the average is 0.80. In addition, the proposed index shows an earlier reaction than the BIS index when the patient goes from deep anaesthesia to moderate anaesthesia, which means it is more suitable for the real-time DoA assessment. In the case of poor signal quality (SQ), while the BIS index exhibits inflexibility with cases of poor SQ, the new proposed index shows reliable assessment results that reflect the clinical observations.
Efficacy of the entomopathogenic nematode, Steinernema feltiae (Filipjev) (Rhabditida: Steinernematidae) on Mecorhis ungarica (Herbst, 1784) (Coleoptera: Rhynchitidae)
Authors: Uzun Asiye , Özdemir Fatma Gül Göze , Demirözer Ozan 
Published: May 2021

Abstract
Background
In this study, the virulances of 4 different concentrations of the entomopathogenic nematode, Steinernema feltiae (Filipjev) on adults of the rose weevil, Mecorhis ungarica (Herbst, 1784) (Coleoptera: Rhynchitidae) were tested under laboratory conditions.

Results
Ten replications for each concentration where 5 adults for each replicate were used. Suspensions prepared from each concentration, containing 3rd instar juveniles (infective juveniles) of S. feltiae, were sprayed on the pest adults for 20 s at 1 atm pressure. Deltamethrin was applied, at the recommended concentration (30 ml/ha), as a positive control, while pure water was used as negative control. Observations started 72 h after the applications and continued until the 15th day. The White Trap Method used for the re-isolation of nematodes from dead individuals obtained in observation days. As a result of the study, obtained mortality rates in concentration of S. feltiae (100, 150, 200, 250 million IJs/100 l water) were not different from each other but were found significant than control (P < 0.05). Additionally, among the number of re-isolated 3rd juveniles, the highest mean number was found on 200 million IJs concentration and the lowest mean was determined on 150 million IJs concentration. Tested concentrations of S. feltiae caused 80, 86, 82, and 92% death on adult individuals on the 15th day. Mortality rates caused by each concentration depending on the time were not significant between each other (P > 0.05).

Conclusion
In this study, it was determined that different concentrations of S. feltiae were effective on adults of rose weevil. It is thought that entomopathogenic nematodes may be an alternative and promising biological control strategy to reduce the risk of pesticide residues in oil-bearing rose production areas.
Surgical treatment for lumbar spinal stenosis: a single-blinded randomized controlled trial
Authors: Rodrigues Luiz Claudio Lacerda , Natour Jamil 
Published: May 2021

Abstract
Objective
To evaluate the effectiveness of surgery for the management of patients with symptomatic lumbar spinal stenosis.

Methods
Sixty-three patients with lumbar canal stenosis were randomized into two groups: the intervention group (IG) and control group (CG). IG patients underwent surgery and both groups participated in the same physical therapy program twice a week for a period of 12 weeks and were followed up at 1 year. The primary endpoint was visual analogue scale for pain, and the secondary endpoints were function (6-min walk test, Roland Morris and Oswestry questionnaires), quality of life (SF-36 questionnaire) and satisfaction with treatment (Likert scale).

Results
No significant difference between groups was observed for pain over time (p = 0.145). Significant differences between groups, in favor of the IG, were observed for the Oswestry score (p = 0.006) and vitality domain score of the SF-36 (p = 0.047). Function in the Roland Morris and 6-min walk test and the role of the physical domain of SF-36 also showed significant differences between the groups; however, these differences occurred due to a worsening of the IG in the short term, and the medium-term. The Likert scale demonstrated greater satisfaction with the IG treatment compared to control group.

Conclusions
Lumbar stenosis surgery did not improve pain in short and medium terms. Function and vitality were better in the group that underwent surgery in the medium term, and patients were more satisfied with the surgical treatment.

Trial registration
Clinicaltrials.gov (NCT02879461).
Role of renal Duplex ultrasonography in evaluation of hepatorenal syndrome
Authors: Mogawer Mohamad Sherif , Nassef Sahar Abdel Rahman , Elhamid Samah Mohamad Abd , Elkholy Shaimaa , El Aziz Nahla Emad Abd , Al-Jarhi Ula Mabid , Abdellatif Abeer Awad 
Published: May 2021

Abstract
Background
Hepatorenal syndrome is a potentially fatal complication of advanced liver disease. Markers for early diagnosis and identification of high-risk patients are lacking. Our aim was to evaluate the role of renal Duplex ultrasonography in the diagnosis and early prediction of hepatorenal syndrome. This study included 50 patients. Clinical assessment, liver function tests, hepatitis C virus antibody, kidney function tests, and abdominal and renal color Duplex ultrasound were done to all subjects.

Results
Univariate regression analysis for hepatorenal syndrome showed a statistically significant positive correlation with the Model For End-Stage Liver Disease score (p-value <0.0001) and renal artery hilum resistivity index (p-value = 0.0017). Logistic multivariable regression analysis proved that the renal artery hilum resistivity index was an independent predictor of hepatorenal syndrome. Renal artery hilum resistivity index can be used as a predictor of hepatorenal syndrome with 100% sensitivity and 66.7% specificity with a cut-off value > 0.77.

Conclusion
The renal resistive index could be a good predictor of hepatorenal syndrome.
Renal functional improvement after pediatric pyeloplasty in kidneys with split renal function less than 20%: a single institute experience
Authors: Salih Elsayed , Abdelmaksoud Ibrahim , Elfeky Mohamed , Selmy Gamal , Galal Hussein , Zekry Mohsen 
Published: May 2021

Abstract
Background
Pediatric pyeloplasty in ureteropelvic junction obstruction (UPJO) is indicated in renal impaired drainage or renal function deterioration. The improvement of renal function after pediatric pyeloplasty is still controversial in poorly functioning kidneys. Past studies on poorly functioning kidneys had a variable SRF specification, and these studies often had a limited number of patients so that they did not achieve statistical significance. The study aims to detect the renal functional improvement after pediatric Anderson-Hynes pyeloplasty (AHP) with split renal function (SRF) less than 20% (poor renal function).

Results
A retrospective study included 46 pediatric patients with unilateral UPJO who underwent open AHP with SRF < 20% on a renal isotope scan from August 2012 to October 2018. Success was defined based on either improvement in symptoms, improvement in drainage on postoperative renography, and/or improvement or stability in SRF on the renal scan done 6 months postoperatively and yearly thereafter. Deterioration of SRF by more than 5% was deemed to be deterioration. An increase in SRF of more than 5% was deemed to be an improvement.
A total of 46 patients with a mean age of 32 months with poor renal function on isotope renogram (SRF < 20%) were included. All patients had an obstructive pattern on the preoperative radionuclide scans. The median preoperative SRF was 9.26%. The mean (range) follow-up was 30 months. The success rate was 91.3%. Three patients underwent redo pyeloplasty, whereas a secondary nephrectomy was necessary for one. The remaining (42) patients showed stability or improvement of SRF with no further symptoms. Renal scintigraphy at 6 and 12 months after surgery revealed significantly increased SRF compared to preoperative one.

Conclusion
Poorly functioning renal unit with SRF < 20% can show functional improvement and recoverability after pediatric pyeloplasty.
Perspectives: involving persons with lived experience of mental health conditions in service delivery, development and leadership
Authors: Sunkel Charlene , Sartor Claudia 
Published: May 2021

SummaryGlobally, there has been an emphasis on the importance and value of involving people with lived experience of mental health conditions in service delivery, development and leadership. Such individuals have taken on various roles, from peer support specialists and other specialised professions to leadership in mainstream industries. There are, however, still obstacles to overcome before it is possible to fully include people with lived experience at all levels in the mental health and related sectors. This article discusses the benefits, both to the individual and to the public, of involving persons with lived experience in service delivery, development and leadership.
Effects of the COVID-19 pandemic on mental healthcare and services: results of a UK survey of front-line staff working with people with intellectual disability and/or autism
Authors: Sheehan Rory , Dalton-Locke Christian , Ali Afia , Vera San Juan Norha , Totsika Vaso , Hassiotis Angela 
Published: May 2021

Aims and methodMental health services have changed the way they operate during the COVID-19 pandemic. We investigated the challenges and innovations reported by staff working in services for people with intellectual disability and/or autism in National Health Service (NHS) and non-NHS sectors, and in in-patient and community settings.ResultsData were drawn from 648 staff who participated in a UK-wide online survey. Issues around infection risk and mitigation were more important to those working in the NHS and in-patient settings. Community staff were more likely to express concern about the practicalities of a rapid shift to remote working and engaging patients remotely. Qualitative data revealed support for maintaining remote staff working and remote service provision post-pandemic.Clinical implicationsGiven the current emphasis on community support for people with intellectual disability and/or autism, the focus of research and clinical practice should be the development of accessible and effective models of remote service provision.
Lifileucel, a Tumor-Infiltrating Lymphocyte Therapy, in Metastatic Melanoma
Authors: Sarnaik Amod A. , Hamid Omid , Khushalani Nikhil I. , Lewis Karl D. , Medina Theresa , Kluger Harriet M. , Thomas Sajeve S. , Domingo-Musibay Evidio , Pavlick Anna C. , Whitman Eric D. , Martin-Algarra Salvador , Corrie Pippa , Curti Brendan D. , Oláh Judit , Lutzky Jose , Weber Jeffrey S. , Larkin James M. G. , Shi Wen , Takamura Toshimi , Jagasia Madan , Qin Harry , Wu Xiao , Chartier Cecile , Graf Finckenstein Friedrich , Fardis Maria , Kirkwood John M. , Chesney Jason A. 
Published: May 2021

PURPOSEEffective treatment options are limited for patients with advanced (metastatic or unresectable) melanoma who progress after immune checkpoint inhibitors and targeted therapies. Adoptive cell therapy using tumor-infiltrating lymphocytes has demonstrated efficacy in advanced melanoma. Lifileucel is an autologous, centrally manufactured tumor-infiltrating lymphocyte product.METHODSWe conducted a phase II open-label, single-arm, multicenter study in patients with advanced melanoma who had been previously treated with checkpoint inhibitor(s) and BRAF ± MEK targeted agents. Lifileucel was produced from harvested tumor specimens in central Good Manufacturing Practice facilities using a streamlined 22-day process. Patients received a nonmyeloablative lymphodepletion regimen, a single infusion of lifileucel, and up to six doses of high-dose interleukin-2. The primary end point was investigator-assessed objective response rate (ORR) per RECIST, version 1.1.RESULTSSixty-six patients received a mean of 3.3 prior therapies (anti–programmed death 1 [PD-1] or programmed death ligand 1 [PD-L1]: 100%; anticytotoxic T-lymphocyte-associated protein-4: 80%; BRAF ± MEK inhibitor: 23%). The ORR was 36% (95% CI, 25 to 49), with two complete responses and 22 partial responses. Disease control rate was 80% (95% CI, 69 to 89). Median duration of response was not reached after 18.7-month median study follow-up (range, 0.2-34.1 months). In the primary refractory to anti–PD-1 or PD-L1 therapy subset, the ORR and disease control rate were 41% (95% CI, 26 to 57) and 81% (95% CI, 66 to 91), respectively. Safety profile was consistent with known adverse events associated with nonmyeloablative lymphodepletion and interleukin-2.CONCLUSIONLifileucel demonstrated durable responses and addresses a major unmet need in patients with metastatic melanoma with limited treatment options after approved therapy, including the primary refractory to anti–PD-1 or PD-L1 therapy subset.
Epidemiological, humanistic and economic burden of dog-mediated rabies in India: a systematic review protocol
Authors: John Denny , Royal Abhishek , Bharti Omesh 
Published: May 2021

Background: Rabies is a neglected zoonotic disease. It is transmitted through the bite of a rabid animal and dog bites are responsible for around 95% of human cases. The disease is almost always fatal after the onset of symptoms. It is an endemic and major public health problem in India with one-third of the global deaths reported from this country. Protocol: This systematic review aims to estimate the epidemiological, humanistic and economic burden of dog-mediated rabies in India. Initially the existence of controlled descriptors in MeSH terms (such as 'Epidemiology', 'Rabies', 'Cost', 'Dog bite', 'Quality of Life', 'India' etc), and their synonyms (key words) was identified in MEDLINE, and were later combined with Boolean operators 'AND' and 'OR' to develop a detailed search strategy. Two independent reviewers will screen the titles and abstracts and select the studies as per the inclusion criteria. The selected studies will be assessed for their quality and risk of bias. Data will be extracted using standardized data extraction tools and will be synthesized for analysis. Disagreements that arise between the reviewers will be resolved through discussion, or with a third reviewer. Discussion: This systematic review will be performed to critically examine relevant literature and report the epidemiological, humanistic and economic burden of dog-mediated rabies in Indian context. The findings will help in estimation of burden of the disease in India and expected to contribute in policy making and planning of the program and interventions in the country. Protocol registration: PROSPERO ID: CRD4202021326