bluuebunny/crossref_metadata_2025_split huggingface dataset:
Alcohol use and its determinants among adults living with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
Authors: Mekuriaw Birhanie , Belayneh Zelalem , Molla Alemayehu , Mehare Tsegaye 
Published: May 2021

Abstract
Background
Alcohol use is a common practice of almost all communities worldwide and it is more common among persons with HIV infection. Alcohol consumption among people with HIV/AIDS may result in poor treatment adherence, further immunity suppression and increase the risk of comorbid illness (diseases) which collectively diminish the anti-retroviral therapy responses. Although there are separate studies conducted regarding alcohol use among people with HIV/AIDS in Ethiopia, the finding results are highly variable and inconsistent. Therefore, conducting a systematic review and meta-analysis has a paramount importance to show the pooled prevalence of alcohol use and to identify its determinants among people with HIV/AIDS.

Methods
A systematic search of electronic databases of PubMed/Medline, Science Direct, Hinnari and Cochrane library was employed. Additionally, the grey literature was searched from Google and Google Scholar. Data were extracted using a standardized data extraction format prepared in Microsoft Excel . STATA-version 14 statistical software was used for analysis. Heterogeneity of primary studies was found as evaluated using the I2 test result. As a result, a random-effect meta-analysis model was used to estimate the pooled prevalence of alcohol use.

Results
A total of 22 primary studies which comprises 8,368 study participants were included in this systematic review and meta-analysis. The pooled prevalence of lifetime, current and hazardous alcohol use among HIV patients in Ethiopia were 36.42% [95% CI (19.96, 52.89)], 19.00% [95% CI (12.98, 25.01)] and 21.64% [95% CI (12.72, 30.55)], respectively. Khat chewing [OR = 3.53, (95% CI 1.31, 9.51)] and cigarette smoking [OR = 7.04, (95% CI 3.53, 14.04)] were found as statistically significant determinants of hazardous alcohol use among people with HIV infection.

Conclusions
The result of this review showed that alcohol drinking is highly practiced among people with HIV/AIDS in Ethiopia. The magnitude of alcohol use was highly variable based on the screening methods used to measure alcohol use. Comorbid substance use (khat and cigarette) increases the risk of alcohol consumption among HIV patients. This suggests a need for designing appropriate and culturally applicable intervention programs and policy responses.
Trial registration PROSPERO 2019, “CRD42019132524.”
Development and preliminary psychometric investigation of the German Satisfaction with Comprehensive Cancer Care (SCCC) Questionnaire
Authors: Esser Peter , Sautier Leon , Sarkar Susanne , Schilling Georgia , Bokemeyer Carsten , Koch Uwe , Friedrich Michael , Defossez Gautier , Mehnert-Theuerkauf Anja 
Published: May 2021

Abstract
Purpose
The assessment of patient satisfaction during treatment is essential to provide patient-centered high-quality cancer care. Nevertheless, no German instrument assesses patient satisfaction with comprehensive cancer care, which not only includes oncological treatment, but also interpersonal quality of care as well as psychosocial support services. Based on the French REPERES-60, we developed the German Patient Satisfaction with Comprehensive Cancer Care (SCCC) questionnaire.

Methods
The REPERES-60 was translated and the items were adapted to make it applicable to the German healthcare system and across different tumor entities. Scales of the resulting instrument were extracted via principal axis factoring (PAF). Subsequently, we investigated the reliability (Cronbach’s Alpha, CA), discriminatory power (corrected item-scale correlations) and convergent validity (pre-specified correlations of the SCCC with different outcomes).

Results
The SCCC consisted of 32 items which were subsequently tested among a sample of 333 patients across different tumor entities (response rate: 47%). Average age was 59 years (standard deviation: 14), 63% were male. PAF revealed four multi-item scales named Competence, Information, Access and Support accounting for 71% of the variance. Two single-items scales assess global satisfaction with medical and psychosocial care, respectively. CA across the multi-item scales ranged from .84 to .96. Discriminatory power was sufficiently high, with all r ≥ .5. Convergent validity was largely verified by negative associations of the four multi-item scales with depressive/anxious symptomatology (r ≥ − .18, p < .01) and fatigue/overall symptom burden (r ≥ − .14, p < .01).

Conclusion
We developed a tool to assess patient satisfaction with comprehensive cancer care in Germany. The SCCC showed satisfactory psychometric properties. Further studies are needed to verify these preliminary findings.
The emerging role of the KCTD proteins in cancer
Authors: Angrisani Annapaola , Di Fiore Annamaria , De Smaele Enrico , Moretti Marta 
Published: May 2021

AbstractThe human family ofPotassium (K+) Channel Tetramerization Domain(KCTD) proteins counts 25 members, and a significant number of them are still only partially characterized. While some of the KCTDs have been linked to neurological disorders or obesity, a growing tally of KCTDs are being associated with cancer hallmarks or involved in the modulation of specific oncogenic pathways. Indeed, the potential relevance of the variegate KCTD family in cancer warrants an updated picture of the current knowledge and highlights the need for further research on KCTD members as either putative therapeutic targets, or diagnostic/prognostic markers. Homology between family members, capability to participate in ubiquitination and degradation of different protein targets, ability to heterodimerize between members, role played in the main signalling pathways involved in development and cancer, are all factors that need to be considered in the search for new key players in tumorigenesis. In this review we summarize the recent published evidence on KCTD members’ involvement in cancer. Furthermore, by integrating this information with data extrapolated from public databases that suggest new potential associations with cancers, we hypothesize that the number of KCTD family members involved in tumorigenesis (either as positive or negative modulator) may be bigger than so far demonstrated.
Hanging by a thread: unusual nocturnal resting behaviour in a jumping spider
Authors: Rößler Daniela C. , De Agrò Massimo , Biundo Elia , Shamble Paul S. 
Published: May 2021

AbstractBackgroundFor diurnal animals that heavily rely on vision, a nocturnal resting strategy that offers protection when vision is compromised, is crucial. We found a population of a common European jumping spider (Evarcha arcuata) that rests at night by suspending themselves from a single silk thread attached overhead to the vegetation, a strategy categorically unlike typical retreat-based resting in this group.ResultsIn a comprehensive study, we collected the first quantitative field and qualitative observation data of this surprising behaviour and provide a detailed description. We tested aspects of site fidelity and disturbance response in the field to assess potential functions of suspended resting. Spiders of both sexes and all developmental stages engage in this nocturnal resting strategy. Interestingly, individual spiders are equally able to build typical silk retreats and thus actively choose between different strategies inviting questions about what factors underlie this behavioural choice.ConclusionsOur preliminary data hint at a potential sensory switch from visual sensing during the day to silk-borne vibration sensing at night when vision is compromised. The described behaviour potentially is an effective anti-predator strategy either by acting as an early alarm system via vibration sensing or by bringing the animal out of reach for nocturnal predators. We propose tractable hypotheses to test an adaptive function of suspended resting. Further studies will shed light on the sensory challenges that animals face during resting phases and should target the mechanisms and strategies by which such challenges are overcome.
The role of schools as an opportunity for transmission of local knowledge about useful Restinga plants: experiences in southeastern Brazil
Authors: van Luijk Nicky , Soldati Gustavo Taboada , da Fonseca-Kruel Viviane Stern 
Published: May 2021

Abstract
Background
The study of cultural transmission can help identify processes that influence knowledge systems dynamics and evolution, especially during childhood and youth, which are fundamental phases in acquiring survival skills. In this sense, we use the knowledge about useful restinga plants (Brazilian coastal vegetation) as an analytical model to describe, compare, and analyze cultural transmission during youth, while factoring in origin, in the Cabo Frio region, southeastern Brazil. We tested (1) whether transmission of knowledge is conservative, (2) whether immigration events define the transmission modes, (3) whether teaching is the most important social transmission cognitive process, and (4) which type of stimulus/context is most important for the knowledge transmission process.

Methods
Questionnaires and free listings were applied to 150 high school students aged between 15 and 20 to obtain information about socioeconomic characteristics, useful plant knowledge, and cultural transmission. We analyzed the distribution of knowledge according to the informant’s origin and evaluated the models, processes, and context with which this information was transmitted. The chi-square test was used to determine the association between origin, plant knowledge, and transmission as well as to reveal the most important models, modes, and processes during youth.

Results
Informants provided 299 plant citations ($$ \overline{x} $$

x
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= 1.75; s = 1.73) related to 37 species. The categories of the most cited uses were edible (93) and medicinal (32). Statistical results showed that origin did not influence knowledge distribution and transmission. In addition, although the most relevant mode was the conservative (vertical) one, the one-to-many diffuse mode (teacher) was highlighted. The new environmental context for immigrants did not influence transmission, the main transmission process was teaching, and the learning contexts were predominantly school-related.

Conclusion
Plant knowledge in youth was related to local edible and medicinal plants, indicating adaptive knowledge linked to material demands for survival. While the initial models for cultural transmission are family (vertical), during the development phase of juveniles, other actors become models (one-to-many). In addition, the nature of the information (survival demand) and age are more relevant to cultural transmission than the socio-environmental context.
Method for accurate multi-growth-stage estimation of fractional vegetation cover using unmanned aerial vehicle remote sensing
Authors: Yue Jibo , Guo Wei , Yang Guijun , Zhou Chengquan , Feng Haikuan , Qiao Hongbo 
Published: May 2021

Abstract
Background
Fractional vegetation cover (FVC) is an important parameter for evaluating crop-growth status. Optical remote-sensing techniques combined with the pixel dichotomy model (PDM) are widely used to estimate cropland FVC with medium to high spatial resolution on the ground. However, PDM-based FVC estimation is limited by effects stemming from the variation of crop canopy chlorophyll content (CCC). To overcome this difficulty, we propose herein a “fan-shaped method” (FSM) that uses a CCC spectral index (SI) and a vegetation SI to create a two-dimensional scatter map in which the three vertices represent high-CCC vegetation, low-CCC vegetation, and bare soil. The FVC at each pixel is determined based on the spatial location of the pixel in the two-dimensional scatter map, which mitigates the effects of CCC on the PDM. To evaluate the accuracy of FSM estimates of the FVC, we analyze the spectra obtained from (a) the PROSAIL model and (b) a spectrometer mounted on an unmanned aerial vehicle platform. Specifically, we use both the proposed FSM and traditional remote-sensing FVC-estimation methods (both linear and nonlinear regression and PDM) to estimate soybean FVC.

Results
Field soybean CCC measurements indicate that (a) the soybean CCC increases continuously from the flowering growth stage to the later-podding growth stage, and then decreases with increasing crop growth stages, (b) the coefficient of variation of soybean CCC is very large in later growth stages (31.58–35.77%) and over all growth stages (26.14%). FVC samples with low CCC are underestimated by the PDM. Linear and nonlinear regression underestimates (overestimates) FVC samples with low (high) CCC. The proposed FSM depends less on CCC and is thus a robust method that can be used for multi-stage FVC estimation of crops with strongly varying CCC.

Conclusions
Estimates and maps of FVC based on the later growth stages and on multiple growth stages should consider the variation of crop CCC. FSM can mitigates the effect of CCC by conducting a PDM at each CCC level. The FSM is a robust method that can be used to estimate FVC based on multiple growth stages where crop CCC varies greatly.
DE-MR simulation imaging for prone radiotherapy after breast-conserving surgery: assessing its application in lumpectomy cavity delineation based on deformable image registration
Authors: Zhao Changhui , Li Jianbin , Wang Wei , Gong Guanzhong , Xu Liang , Zhang Yingjie , Li Fengxiang , Shao Qian , Wang Jinzhi , Liu Xijun , Xu Min 
Published: May 2021

Abstract
Background
The application of delayed-enhancement magnetic resonance (DE-MR) simulation imaging in lumpectomy cavity (LC) delineation for prone radiotherapy in patients with an invisible seroma or a low seroma clarity score (SCS) after breast-conserving surgery (BCS) based on deformable image registration (DIR) was assessed.

Methods
Twenty-six patients who were suitable for radiotherapy in prone positions after BCS were enrolled, and both computed tomography (CT) and DE-MR simulation scans were acquired. The LC delineated based on titanium surgical clips on CT images was denoted as LCCT. The LC delineated based on the signal of cavity boundaries on fat-suppressed T2-weighted imaging (T2WI) and multiphase delayed-enhancement T1-weighted imaging (DE-T1WI), which was performed at 2 min, 5 min and 10 min postinjection, were denoted as LCT2, LC2T1, LC5T1 and LC10T1, respectively. Afterwards, DIR was performed to compare the volumes and locations of the LCs with MIM software. The generalized conformity index (CIgen) of inter (intra) observer (Inter-CIgen and Intra-CIgen) was also used to explore the inter(intra) observer variation for LC delineation on each image modality.

Results
LCCT–LC10T1 provided the best conformal index (CI) and degree of inclusion (DI), increasing by 2.08% and 4.48% compared to LCCT–LCT2, 11.36% and 2.94% for LCCT–LC2T1, and 8.89% and 7.69% for LC5T1–LCCT, respectively. The center of mass (COM) of LCCT–LC10T1 decreased by 17.86%, 6.12% and 13.21% compared with that of LCCT–LCT2, LCCT–LC2T1 and LCCT–LC5T1, respectively. The agreement of LC delineation was strongest for 10th min DE-TIWI (coefficient of variation, COV = 2.30%, Inter-CIgen = 87.06%, Intra-CIgen = 92.64%).

Conclusion
For patients with a low SCS (SCS ≤ 2) after BCS, it is feasible to contour the LC based on prone DE-MR simulation images. Furthermore, the LC derived from prone DE-T1WI at 10 min was found to be most similar to that derived from prone CT simulation scans using titanium surgical clips regardless of the volume and location of the LC. Inter (intra) variability was minimal for the delineation of the LC based on 10th min DE-TIWI.
High dose simultaneous integrated boost for node positive cervical cancer
Authors: Jayatilakebanda Iresha , Tsang Yat Man , Hoskin Peter 
Published: May 2021

Abstract
Introduction
Lymph node metastases presenting with locally advanced cervical cancer are poor prognostic features. Modern radiotherapy approaches enable dose escalation to radiologically abnormal nodes. This study reports the results of a policy of a simultaneous integrated boost (SIB) in terms of treatment outcomes.

Materials and methods
Patients treated with radical chemoradiation with weekly cisplatin for locally advanced cervical cancer including an SIB to radiologically abnormal lymph nodes were analysed. All patients received a dose of 45 Gy in 25 fractions and a SIB dose of 60 Gy in 25 fractions using intensity modulated radiotherapy/volumetric modulated arc therapy, followed by high dose rate brachytherapy of 28 Gy in 4 fractions. A control cohort with radiologically negative lymph nodes was used to compare impact of the SIB in node positive patients. Treatment outcomes were measured by overall survival (OS), post treatment tumour response and toxicities. The tumour response was based on cross sectional imaging at 3 and 12 months and recorded as local recurrence free survival (LRFS), regional recurrence free survival (RRFS) and distant recurrence free survival (DRFS).

Results
In between January 2015 and June 2017, a total of 69 patients with a median follow up of 30.9 months (23 SIB patients and 46 control patients) were identified. The complete response rate at 3 months was 100% in the primary tumour and 83% in the nodal volume receiving SIB. The OS, LRFS, RRFS and DRFS at 3 years of the SIB cohort were 69%, 91%, 79% and 77% respectively. High doses can be delivered to regional pelvic lymph nodes using SIB without excessive toxicity.

Conclusion
Using a SIB, a total dose of 60 Gy in 25 fractions chemoradiation can be delivered to radiologically abnormal pelvic nodes with no increase in toxicity compared to node negative patients. The adverse impact of positive nodal status may be negated by high dose deposition using SIB, but larger prospective studies are required to confirm this observation.
Percutaneous, PMMA-augmented, pedicle screw instrumentation of thoracolumbar ankylotic spine fractures
Authors: Buxbaum Rina E. , Shani Adi , Mulla Hani , Rod Alon , Rahamimov Nimrod 
Published: May 2021

Abstract
Introduction
Fractures in the ankylotic spine may have an insidious presentation but are prone to displace with devastating consequences. The long lever arm of ankylosed spine fragments may lead to pulmonary and great vessel injury and is difficult to adequately immobilize. Conservative treatment will produce in many cases poor outcomes with high morbidity and mortality. Open surgical treatment is also fraught with technical difficulties and can lead to major blood loss and prolonged operative times.
In recent years, percutaneous instrumentation of non-ankylotic spine fractures has gained popularity, producing similar outcomes to open surgery with shorter operative times and reduced blood loss and hospital length of stay. We describe our experience implementing these techniques in ankylotic spine patients.

Methods
We retrospectively retrieved from our hospital’s electronic health records all patients treated for thoracolumbar spine fractures between 2008 and 2015 with a diagnosis of ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH). Operative and postoperative data, results, and complications were tabulated, and radiographic parameters were evaluated.

Results
Twenty-four patients with ankylotic spine disease underwent percutaneous augmented instrumentation between 2008 and 2015. The mean age was 76. All patients had at least one comorbidity. The mean number of ankylosed levels was 14. Mean operative time was 131 min. The average postoperative hemoglobin decrease was 1.21 gr/%, with only 4 patients requiring blood transfusion.
45.8% of the patients had postoperative medical complications. One patient (4.2%) had a superficial postoperative infection, and one patient died in hospital. The average hospital length of stay was 14.55 days.
All patients retained their preoperative ASIA grades, and 3 improved one grade. All patients united their fractures without losing reduction.

Conclusions
PMMA-augmented percutaneous instrumentation is an attractive surgical option for this difficult patient subset, especially when compared to other available current alternatives.
Anterior positioning screw in proximal femoral plating restricts posterior tilt of retroverted femoral neck fractures: a retrospective cohort study
Authors: Nie Sheng-Bo , Liu Jun-Feng , Zhu Jiang-Hua , Zhou Zi-Fei , Zhang Lei , Zheng Long-Po 
Published: May 2021

Abstract
Background
Preoperative posterior tilt is a risk factor for fixation failure in femoral neck fractures. This study aimed to evaluate the configuration of anterior positioning screw in proximal femoral plating in the treatment of retroverted femoral neck fractures in terms of resisting posterior tilt.

Methods
We retrospectively analyzed patients with retroverted femoral neck fractures who were fixed by proximal femoral plating from January 2014 to August 2019. All patients were divided into two groups according to screw configuration: anterior long-threaded screw (ALTS, n = 36) and normally short-threaded screws (NTS, n = 46). Baseline characteristics were reviewed and radiological and clinical outcomes were analyzed. Logistic regression analysis was used to identify risk factors for developing posterior tilt.

Results
Age, gender, Garden classification, posterior comminution, and reduction quality showed no significant difference between the groups. Increased posterior tilt was lower in the ALTS group (3.2°, 2.1–4.3°) than that in the NTS group (5.3°, 4.2–8.3°) (p < 0.001), and the percentage of people with > 5° of posterior tilt was also lower in the ALTS group (5, 13.9% vs. 24, 52.2%; p < 0.001). Femoral neck shortening (FNS) was lower in the ALTS group (3.1 (2.1–4.7) mm vs. 4.3 (3.1–6.3) mm, p = 0.003), though not statistically significant when using 5 mm as the cut-off value. Harris Hip Score in the ALTS group was higher than that in the NTS group (87.0, 84.0–90.0 vs. 82.0, 76.0–84.5; p < 0.001). Postoperative complications including delayed union, nonunion, and avascular necrosis were comparable between the groups. Multivariable analysis identified posterior comminution (OR 15.9, 95% CI 3.6–70.3, p < 0.001), suboptimal reduction quality (OR 12.0, 95% CI 2.6–56.1, p = 0.002), and NTS configuration (reference: ALTS configuration) (OR 21.9, 95% CI 4.1–116.4, p < 0.001) as risk factors for developing posterior tilt.

Conclusions
Configuration of anterior positioning screw in proximal femoral plating provides better resistance against posterior tilt in the fixation of retroverted femoral neck fractures. Also, posterior comminution, suboptimal reduction, and NTS configuration (reference: ALTS) are risk factors for developing posterior tilt.

Trial registration
The trial registration number was ChiCTR2000039482.