bluuebunny/crossref_metadata_2025_split huggingface dataset:
Financial Impact of Breast Cancer in Black Versus White Women
Authors: Wheeler Stephanie B. , Spencer Jennifer C. , Pinheiro Laura C. , Carey Lisa A. , Olshan Andrew F. , Reeder-Hayes Katherine E. 
Published: April 2018

Purpose Racial variation in the financial impact of cancer may contribute to observed differences in the use of guideline-recommended treatments. We describe racial differences with regard to the financial impact of breast cancer in a large population-based prospective cohort study. Methods The Carolina Breast Cancer Study oversampled black women and women younger than age 50 years with incident breast cancer in North Carolina from 2008 to 2013. Participants provided medical records and data regarding demographics, socioeconomic status, and financial impact of cancer at 5 and 25 months postdiagnosis. We report unadjusted and adjusted financial impact at 25 months postdiagnosis by race. Results The sample included 2,494 women who completed follow-up surveys (49% black, 51% white). Since diagnosis, 58% of black women reported any adverse financial impact of cancer ( v 39% of white women; P < .001). In models adjusted for age, stage at diagnosis, and treatment received, black women were more likely to report adverse financial impact attributable to cancer (adjusted risk difference [aRD], +14 percentage points; P < .001), including income loss (aRD, +10 percentage points; P < .001), health care–related financial barriers (aRD, +10 percentage points; P < .001), health care–related transportation barriers (aRD, +10 percentage points; P < .001), job loss (aRD, 6 percentage points; P < .001), and loss of health insurance (aRD, +3 percentage points; P < .001). The effect of race was attenuated when socioeconomic factors were included but remained significant for job loss, transportation barriers, income loss, and overall financial impact. Conclusion Compared with white women, black women with breast cancer experience a significantly worse financial impact. Disproportionate financial strain may contribute to higher stress, lower treatment compliance, and worse outcomes by race. Policies that help to limit the effect of cancer-related financial strain are needed.
Smallholder farmers’ perception of climatic and socio-economic factors influencing livelihoods in the transition zone of Ghana
Authors: Derkyi Mercy , Adiku Samuel G.K. , Nelson Valerie , Dovie Benjamin Delali , Codjoe Samuel , Awuah Esi 
Published: April 2018

Background:The study analyzed smallholder farmers’ perception with regards to climatic and socio-economic changes influencing their agriculture livelihoods and coping strategies thereof in the transition zone of Ghana.Methods:We used semi-structured questionnaires for household survey involving 59 households and focus group discussions (n=60) for data collection in three communities.Results:Farming systems are influenced by high and extreme temperatures, delayed onsets of rain, short raining season as well as unpredictable raining seasons. Similarly, socioeconomic factors affecting the communities and their households’ livelihood included i) bad road network; ii) high prices of farm inputs; iii) prevalent crop pests and diseases and iv) absence of irrigation facilities. It was ascertained that though most farmers have not made conscious efforts to adapt strategies in their farming system to climate change and the social stressors, as expressed in ‘doing nothing or bearing losses’ and we are at the ‘mercy’ of the weather, there are hidden resilience mechanisms that can be harnessed to strengthen their adaptation capabilities. Women in the study area have adapted to the changes in the weather and safeguarded against post-harvest loss of cassava more effectively as compared to their male counterparts. Similarly, the prevailing group farming and maintenance structure (locally known as ‘Noboa’) strengthen the shared responsibility and reciprocity among migrant’ farmers.Conclusions:Though these agrarian communities have some coping strategies to overcome some climatic and socioeconomic challenges, their general adaptive capacity in terms of physical, financial and human assets are limited. This, therefore, calls for the capacity building of both men and women on best farming practices, adaptation strategies and piloting of irrigation systems to enhance their major livelihood but these must be complemented with good road network for ease of access to the market centres.
Transgenerational effects of the genocide against the Tutsi in Rwanda: A post-traumatic stress disorder symptom domain analysis
Authors: Rudahindwa Susan , Mutesa Léon , Rutembesa Eugene , Mutabaruka Jean , Qu Annie , Wildman Derek E. , Jansen Stefan , Uddin Monica 
Published: April 2018

Background: A number of studies have investigated transgenerational effects of parental post-traumatic stress disorder (PTSD) and its repercussions for offspring. Few studies however, have looked at this issue in the African context. Methods: The present study addresses this gap, utilizing confirmatory factor analysis (CFA), to investigate symptom severity within the three Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) PTSD symptom domains in mothers exposed to the genocide against the Tutsi in Rwanda (n=25) and offspring (n=25), and an ethnically matched control group of mothers (n=25) and offspring (n=25) who were outside of Rwanda during the genocide. All mothers were pregnant during the time of the genocide with the offspring included in the study. Missing data were excluded from the analyses. Results: We found that among the three symptom domains of PTSD, the re-experiencing symptom domain loaded most strongly onto PTSD among mothers directly exposed to the genocide (Beta = 0.95). In offspring of exposed mothers, however, the three symptom domains of PTSD yielded almost equal loading values (Beta range = 0.84-0.86). Conversely, among non-exposed mothers and their offspring, the hyperarousal symptom domain of PTSD loaded most strongly onto PTSD (Beta = 1.00, Beta = 0.94, respectively). As a secondary analysis, we also explored the relation between DNA methylation in the glucocorticoid receptor (NR3C1) locus, an important stress modulating gene, and individual PTSD symptom domains, finding a strong association between DNA methylation and re-experiencing among genocide-exposed mothers that exceeded any other observed associations by approximately two-fold. Conclusions: This is the first report, to our knowledge, of a symptom-based analysis of transgenerational transmission of PTSD in Africa. These findings can be leveraged to inform further mechanistic and treatment research for PTSD.
miR-155 induction is a marker of murine norovirus infection but does not contribute to control of replication in vivo
Authors: Thorne Lucy , Lu Jia , Chaudhry Yasmin , Goodfellow Ian 
Published: April 2018

Background: Due to their role in fine-tuning cellular protein expression, microRNAs both promote viral replication and contribute to antiviral responses, for a range of viruses. The interactions between norovirus and the microRNA machinery have not yet been studied. Here, we investigated the changes that occur in microRNA expression during murine norovirus (MNV) infection. Methods: Using RT-qPCR-based arrays, we analysed changes in miRNA expression during infection with the acute strain MNV-1 in two permissive cell lines, a murine macrophage cell line, RAW264.7, and a murine microglial cell line, BV-2. By RT-qPCR, we further confirmed and analysed the changes in miR-155 expression in the infected cell lines, bone-marrow derived macrophage, and tissues harvested from mice infected with the persistent strain MNV-3. Using miR-155 knockout (KO) mice, we investigated whether loss of miR-155 affected viral replication and pathogenesis during persistent MNV-3 infection in vivo and monitored development of a serum IgG response by ELISA. Results: We identified cell-specific panels of miRNAs whose expression were increased or decreased during infection. Only two miRNAs, miR-687 and miR-155, were induced in both cell lines. miR-155, implicated in innate immunity, was also upregulated in bone-marrow derived macrophage and infected tissues. MNV-3 established a persistent infection in miR-155 knockout (KO) mice, with comparable levels of secreted virus and tissue replication observed as for wildtype mice. However, serum anti-MNV IgG levels were significantly reduced in miR-155 KO mice compared to wildtype mice. Conclusions: We have identified a panel of miRNAs whose expression changes with MNV infection. miR-155 induction is a marker of MNV infection in vitro and in vivo, however it does not contribute to the control of persistent infections in vivo. This finding suggests that the immune defects associated with miR-155 deletion, such as lower serum IgG levels, are also not important for control of persistent MNV-3 infection.
Operational challenges in conducting a community-based technology-enabled mental health services delivery model for rural India: Experiences from the SMART Mental Health Project
Authors: Maulik Pallab K. , Kallakuri Sudha , Devarapalli Siddhardha 
Published: April 2018

Background: There are large gaps in the delivery of mental health care in low- and middle-income countries such as India, and the problems are even more acute in rural settings due to lack of resources, remoteness, and lack of infrastructure, amongst other factors. The Systematic Medical Appraisal Referral and Treatment (SMART) Mental Health Project was conceived as a mental health services delivery model using technology-based solutions for rural India. This paper reports on the operational strategies used to facilitate the implementation of the intervention. Method: Key components of the SMART Mental Health Project included delivering an anti-stigma campaign, training of primary health workers in screening, diagnosing and managing stress, depression and increased suicide risk and task sharing of responsibilities in delivering care; and using mobile technology based electronic decision support systems to support delivery of algorithm based care for such disorders. The intervention was conducted in 42 villages across two sites in the state of Andhra Pradesh in south India. A pre-post mixed methods evaluation was done, and in this paper operational challenges are reported. Results: Both quantitative and qualitative results from the evaluation from one site covering about 5000 adults showed that the intervention was feasible and acceptable, and initial results indicated that it was beneficial in increasing access to mental health care and reducing depression and anxiety symptoms. A number of strategies were initiated in response to operational challenges to ensure smoother conduct of the project and facilitated the project to be delivered as envisaged. Conclusions: The operational strategies initiated for this project were successful in ensuring the delivery of the intervention. Those, coupled with other more systematic processes have informed the researchers to understand key processes that need to be in place to develop a more robust study, that could eventually be scaled up.
Mineralogical Evolution of the Paleogene Formations in the Kyzyltokoy Basin, Kyrgyzstan: Implications for the Formation of Glauconite
Authors: Bektemirova Tursunai , Bakirov Apas , Hu Ruizhong , He Hongping , Cai Yuanfeng , Tan Wei , Chen Aiqing 
Published: April 2018

AbstractAlthough several hypotheses for the formation of glauconite have been proposed, the sedimentary environment and mechanism of glauconitization are still poorly understood. In this contribution, the mineralogy and chemical compositions of sediments from Paleogene formations (Fms) in the Kyzyltokoy basin (Kyrgyzstan) were examined to better understand glauconitization processes. The samples were analyzed using microscopic petrography, X-ray diffraction (XRD), electron probe microanalysis (EPMA), and X-ray fluorescence (XRF). Interlayered diatomite-argillaceous rocks were newly identified within the diatomites of the Isfara Fm. Glauconite from the Kyzyltokoy basin displayed two stages of maturity: 1) early stage (nascent) glauconite grains composed of ∼3.5% K2O and ~8% FeOT; 2) late-stage (highly evolved) glauconite grains composed of 7–9% K2O and ~27% FeOT. The early stage glauconite grains in the Hanabad Fm green clay (green clay is clay with a greenish color) indicate interruptions in glauconitization processes, whereas the (highly) evolved glauconite grains show a completed glauconitization process along the contact between the Hanabad and Sumsar Fms. Hematite was detected in the red clay (clay with reddish color) of the Sumsar Fm and probably formed by glauconite disintegration. Accordingly, the Paleogene Fms depositional conditions were of three types: 1) beginning of glauconitization with interruptions, 2) completion of glauconitization, and 3) glauconite disintegration. Glauconitization in the Kyzyltokoy basin, thus, likely occurred via a combination of dissolution, precipitation, and recrystallization processes.
Environmental characteristics of shallow bottoms used by Greater Flamingo Phoenicopterus roseus in a northern Adriatic lagoon
Authors: Scarton Francesco 
Published: April 2018

Abstract
Since the beginning of this century, Greater Flamingo Phoenicopterus roseus flocks have been observed regularly when feeding in the large extensions of shallow bottoms in the Lagoon of Venice (NE Italy), the largest lagoon along the Mediterranean. Nowadays thousands of flamingos are present throughout the year. Between 2013 and 2017 I collected data on the environmental features of the shallow bottoms used by feeding flocks, along with measurements of flight initiation distance (FID) of Greater Flamingo in response to the approach of boats and pedestrians. Shallow bottoms were shown to be used when covered with approximately 10 to 60 cm of water. All the feeding sites were in open landscapes, with low occurrence of saltmarshes in a radius of 500 m. The bottoms were barely covered with seagrasses (<4% of the surface around the survey points) and were mostly silty. Feeding flocks were on average 1.2 km far from the nearest road or dyke, while the mean distance from channels that could be used by boats was about 420 m. The mean FID caused by boats or pedestrians was 241 m ± 117 m (N = 31, ± 1 SD) without significant differences between those for the two disturbance sources. The use of shallow bottoms by the Greater Flamingo appears governed primarily by the tidal cycle, but boat disturbance probably modifies this effect. According to FID values, a set-back distance of 465 m is suggested to reduce the disturbance caused by boats and pedestrians to the flamingo feeding flocks.
Results of the January 2017 waterbird census in Slovenia
Authors: Božič Luka 
Published: April 2018

Summary
In 2017, the International Waterbird Census (IWC) was carried out in Slovenia on January 14 and 15. Waterbirds were counted on all larger rivers, along the entire Slovenian Coastland and on most of the major standing waters in the country. During the census, in which 235 observers took part, 413 sections of the rivers and coastal sea with a total length of 1,427 km and 200 other localities (164 standing waters and 36 streams) were surveyed. The census was characterized by harsh winter conditions and high proportion of frozen water bodies. Altogether, 51,790 waterbirds of 61 species were counted. Thus, the number of waterbirds and the number of species recorded were close to the 21-year average. The highest numbers of waterbirds were counted in the Drava count area, i.e. 20,064 individuals (38.7% of all waterbirds in Slovenia). By far the most numerous species was Mallard Anas platyrhynchos (46.1% of all waterbirds), followed by Coot Fulica atra (6.8% of all waterbirds), Cormorant Phalacrocorax carbo (5.9% of all waterbirds), Black-headed Gull Chroicocephalus ridibundus (5.7% of all waterbirds) and Mute Swan Cygnus olor (3.9% of all waterbirds). The number of 1,000 counted individuals was also surpassed by Yellow-legged Gull Larus michahellis, Teal An. crecca, Tufted Duck Aythya fuligula, White-fronted Goose Anser albifrons, Pygmy Cormorant P. pygmeus and Grey Heron Ardea cinerea. Among the rarer recorded species, the Red-breasted Goose Branta ruficollis (registered for the first time during the January Waterbird Censuses and only for the third time ever in Slovenia) and Barnacle Goose Branta leucopsis (the first probable A category individual for IWC and Slovenia) deserve special mention. Numbers of the following species were the highest so far recorded during the IWC: Mandarin Duck Aix galericulata (together with 2006 and 2012), Pintail An. acuta, Ferruginous Duck Ay. nyroca, Long-tailed Duck Clangula hyemalis (together with 2003), Goosander Mergus merganser, Pygmy Cormorant, Herring Gull L. argentatus and Caspian Gull L. cachinnans. Number of Pochards Ay. ferina was the lowest so far recorded during the IWC.
Profile of Fatty Acids and Spectroscopic Characteristics of Selected Vegetable Oils Extracted by Cold Maceration
Authors: Kachel Magdalena , Matwijczuk Arkadiusz , Przywara Artur , Kraszkiewicz Artur , Koszel Milan 
Published: April 2018

Abstract
Biodiesel has become more attractive material for its properties such as biodegradability, renewability and very low toxicity of its combustion products. A higher quality of this fuel is essential in its potential commercialization. Analytical methods used in biodiesel analysis are constantly refined. The most popular analytical techniques include chromatography and molecular spectroscopy. The ATR-FTIR spectroscopy is one of the most important methods of spectroscopy. This paper presents the results of studies on selected oils of natural origin using ATR-FTIR infrared absorption spectroscopy. Three types of oils from pumpkin seeds and winter rapeseed were analysed. The main fatty acids were also determined in all the samples.
The Skin and the Eye - Herpes Zoster Ophthalmicus in a Healthy 18-month-old Toddler
Authors: Komitova Radka T. , Boykinova Oliana B. , Stoyanova Nina S. 
Published: April 2018

Abstract
Herpes zoster, caused by reactivation of varicella-zoster virus, is uncommon in infancy. Even more uncommon is herpes zoster ophthalmicus, defined as herpes zoster of the ophthalmic branch of the fifth cranial nerve. Among healthy children, primary varicella-zoster virus infection during gestation as a result of maternal varicella or the first year of life is the major risk factor for development of herpes zoster in a relatively young age. Here we present an unusual case of herpes zoster ophthalmicus with dissemination in an immunocompetent toddler with favorable outcome. The child’s mother contracted chickenpox in late pregnancy and her son was very likely infected with varicella-zoster virus in utero. During a two-year follow-up the child vision was normal and there was no evidence of post herpetic neuralgia.
On the Concepts and History of Glioblastoma Multiforme - Morphology, Genetics and Epigenetics
Authors: Stoyanov George St. , Dzhenkov Deyan L. 
Published: April 2018

AbstractGlioblastoma multiforme(GBM) is a grade IV WHO malignant tumor with astrocytic differentiation. As one of the most common clinically diagnosed central nervous system (CNS) oncological entries, there have been a wide variety of historical reports of the description and evolution of ideas regarding these tumors.The first recorded reports of gliomas were given in British scientific reports, by Berns in 1800 and in 1804 by Abernety, with the first comprehensive histomorphological description being given in 1865 by Rudolf Virchow. In 1926 Percival Bailey and Harvey Cushing gave the base for the modern classification of gliomas. Between 1934 and 1941 the most prolific researcher in glioma research was Hans-Joachim Scherer, who postulated some of the clinico-morphological aspects of GBM. With the introduction of molecular and genetic tests the true multifomity of GBM has been established, with different genotypes bearing the same histomorphological and IHC picture, as well as some of the aspects of gliomagenesis. For a GBM to develop, a specific trigger mutation needs to occur in a GBM stem cell – primary GBM, or a slow aggregation of individual mutations, without a distinct trigger mutation – secondary GBM.Knowledge of GBM has been closely related to general medical knowledge of the CNS since these malignancies were first described more than 200 years ago. Several great leaps have been made in that time, in the footsteps of both CNS and advancements in general medical knowledge.
Tranexamic Acid in Pertrochanteric Femoral Fracture: Is it a Safe Drug or Not?
Authors: Schiavone Andrea , Bisaccia Michele , Inkov Ivan , Rinonapoli Giuseppe , Manni Mattia , Rollo Giuseppe , Meccariello Luigi , Vicente Cristina Ibáñez , Ceccarini Paolo , Ruggiero Carmelinda , Caraffa Auro 
Published: April 2018

AbstractBackground:There is a high incidence of blood transfusion following hip fractures in elderly patients.Aim:The aim of this study is to evaluate the effectiveness and complications of use of tranexamic acid in proximal femur nailing surgery.Materials and methods:Our sample group consisted of 90 patients suffering from pertrochanteric fractures surgically treated with osteosynthesis with SupernailGT(LimaCorporate). The classification system AO/OTA was used to divide the fractures into 31A1 (n=45) and 31A2 (n=45). The patients were divided into two groups: 47 patients were administered 15 mg of tranexamic acid per kg (group A) and 43 patients were administered placebo (group B). Blood counts were monitored daily to evaluate the rate of anemia. As a safety criterion, we monitored the possible occurrence of vascular events, symptomatic or not, over the 8 weeks post-surgery. Markers predicting mortality and deep venous thrombosis (DVE) were also monitored (fibrinogen D-dimer).Results:Blood loss occurring post-surgery can be influenced by numerous factors that are not linked to the use or non-use of tranexamic acid. While closely monitoring hemoglobin levels daily, we observed that 42% of the patients in group A required blood transfusion as opposed to 60% in group B. The results of the markers predicting mortality (alpha1-acid glycoprotein; albumin LDL) and those of DVE were not statistically significant between the two groups in this study (p>0.05).Conclusion:Based on this study, the use of tranexamic acid was statistically significant in reducing post-surgery blood loss.
Mucocele of the Paranasal Sinuses – Retrospective Analysis of a Series of Seven Cases
Authors: Dzhambazov Karen B. , Kitov Borislav D. , Zhelyazkov Hristo B. , Traykova Nikoleta I. , Kehayov Ivo I. , Kitova Tanya T. 
Published: April 2018

Abstract
Aim: The present study aimed at identifying the risk factors, typical clinical symptoms and applied treatment in seven cases with mucocele of the paranasal sinuses.
Materials and methods: Seven patients suffering from mucocele of the paranasal sinuses were admitted to the Clinic of Neurosurgery and the Clinic of Ear, Nose and Throat Diseases between 2014 and 2016. There were 4 females and 3 males aged between 22 and 78 (95% CI [31.44, 70.23]). Initial symptoms, their duration, clinical presentation upon admission, localization of the mucocele, type of surgical intervention and outcome have all been studied.
Results: The localization of the mucocele was frontal (2 cases), fronto-ethmoidal (2 cases), ethmoidal (1 case) and spheno-ethmoidal (2 cases). Risk factors were identified in 4 cases. Endoscopic marsupialization of the mucocele was performed in 5 cases. One patient with intracranial extension of frontal mucocele was treated via right frontobasal craniotomy. One of the patients refused surgery.
Conclusion: Endoscopic marsupialization should be considered as a method of choice in cases with mucoceles without extensive intracranial invasion. This approach offers adequate drainage, balloon dilatation of the natural sinus openings that prevents future recurrence.