bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of toxic leadership on workplace deviance: the mediating effect of emotional exhaustion, and the moderating effect of organizational cynicism
Authors: Ahmed Asmaa Kamal , Atta Mohamed Hussein Ramadan , El-Monshed Ahmed Hashem , Mohamed Alia Ibrahim 
Published: September 2024

Abstract
Background
Toxic leadership is abusive, destructive, and detrimental to nurses, can decrease nurse morale, increase stress levels, diminish organizational performance, and cause employee emotional exhaustion. Emotional exhaustion, a key component of burnout, has been linked to decreased job performance and increased likelihood of engaging in deviant behaviors at work. Organizational cynicism, as a negative attitude or distrust towards the organization and its leadership, may exacerbate the relationship between toxic leadership and workplace deviance. This study aims to explore how toxic leadership, workplace deviance, emotional exhaustion, and organizational cynicism are interrelated in the nursing profession.

Method
A multicenter descriptive, cross-sectional research design was conducted at three university hospitals affiliated with three Egyptian governorates: Zagazig, El-Fayoum, and Alexandria. Two hundred forty-three nurses completed the Personal and Job-related Data Questionnaire, Toxic Leadership Scale, Emotional Exhaustion Scale, Workplace Deviance Scale, and Organizational Cynicism Scale. Mediation analysis using SPSS PROCESS revealed that emotional exhaustion indirectly influences the relationship between toxic leadership and workplace deviance, while hierarchical multiple regression showed that organizational cynicism moderates this relationship, with linear regression confirming the predictive impact of these variables on workplace deviance.

Results
Toxic leadership exhibits a substantial positive influence on workplace deviance (B = 16.132, p < 0.001), as does emotional exhaustion (B = 8.760, p < 0.001) and organizational cynicism (B = 5.376, p = 0.036). Furthermore, the interaction terms of toxic leadership, organizational cynicism, and emotional exhaustion are significant (B = -3.012, p = 0.036). The negative coefficient of the interaction term implies a mitigating impact, indicating that the combined presence of high toxic leadership, high emotional exhaustion, and high organizational cynicism may counterintuitively reduce workplace deviance (t = -2.110).

Conclusion
These results suggest that while toxic leadership, emotional exhaustion, and organizational cynicism each independently increase workplace deviance, their combined presence may unexpectedly reduce deviant behaviors.

Implication for nursing
These results highlight the significance of tackling toxic leadership practices and cultivating a positive organizational culture to enhance a healthier work environment and reduce instances of workplace deviance. Healthcare settings should prioritize interventions to improve leadership practices, enhance employee well-being, and cultivate a supportive organizational climate.
Combinatorial Wnt signaling landscape during brachiopod anteroposterior patterning
Authors: Vellutini Bruno C. , Martín-Durán José M. , Børve Aina , Hejnol Andreas 
Published: September 2024

AbstractBackgroundWnt signaling pathways play crucial roles in animal development. They establish embryonic axes, specify cell fates, and regulate tissue morphogenesis from the early embryo to organogenesis. It is becoming increasingly recognized that these distinct developmental outcomes depend upon dynamic interactions between multiple ligands, receptors, antagonists, and other pathway modulators, consolidating the view that a combinatorial “code” controls the output of Wnt signaling. However, due to the lack of comprehensive analyses of Wnt components in several animal groups, it remains unclear if specific combinations always give rise to specific outcomes, and if these combinatorial patterns are conserved throughout evolution.ResultsIn this work, we investigate the combinatorial expression of Wnt signaling components during the axial patterning of the brachiopodTerebratalia transversa. We find thatT. transversahas a conserved repertoire of ligands, receptors, and antagonists. These genes are expressed throughout embryogenesis but undergo significant upregulation during axial elongation. At this stage, Frizzled domains occupy broad regions across the body while Wnt domains are narrower and distributed in partially overlapping patches; antagonists are mostly restricted to the anterior end. Based on their combinatorial expression, we identify a series of unique transcriptional subregions along the anteroposterior axis that coincide with the different morphological subdivisions of the brachiopod larval body. When comparing these data across the animal phylogeny, we find that the expression of Frizzled genes is relatively conserved, whereas the expression of Wnt genes is more variable.ConclusionsOur results suggest that the differential activation of Wnt signaling pathways may play a role in regionalizing the anteroposterior axis of brachiopod larvae. More generally, our analyses suggest that changes in the receptor context of Wnt ligands may act as a mechanism for the evolution and diversification of the metazoan body axis.
Nigeria sodium study 2023 policy meeting on dietary sodium reduction in Nigeria
Authors: Ojo Adedayo E. , Alfa Vanessa O. , Huffman Mark D. , Ojji Dike B. 
Published: September 2024

Abstract
Background
In line with the WHO Global Action Plan’s objective to achieve a 30% relative reduction in the mean population intake of sodium by 2025, the Nigeria Sodium Study (NaSS) team, which aimed to evaluate the implementation and scale-up of national sodium reduction programme, hosted a policy meeting May 22, 2023, in Abuja, the Federal Capital Territory of Nigeria. The aim was to deliberate on strategies for translating data on salt levels in food and dietary patterns, intending to strengthen sodium policies in Nigeria, with the ultimate goal of producing evidence-based information that can effectively guide strategies and policies for sodium reduction.

Methods
Policymakers from federal, state, and local government levels attended, as well as representatives from national and international universities and non-governmental organizations. Topics presented and discussed included retail survey data from the NaSS to inform front-of-package labeling, salt targets for packaged food, and best practices for supporting stakeholders in implementing best-practice evidence-informed policymaking.

Results
The meeting brought together 72 participants from 38 organizations, including government ministries and agencies (n = 21), international and non-governmental organizations (n = 6), and international health organizations and institutes (n = 2). Participants took decisive policy actions, including stringent national-level food system monitoring by relevant government agencies, implementing front-of-package labeling for healthier choices, establishing mandatory sodium limits for both packaged and unpackaged foods and school meals, launching diverse sector-wide educational campaigns to reduce salt use, conducting mass mobilization campaigns for awareness, and advocating for salt reduction in fast food outlets. Salt substitutes were also recognized as integral to the comprehensive sodium reduction approach.

Conclusion
To advance policy action, stakeholders should prioritize establishing robust monitoring systems, engage in public awareness campaigns, and collaborate with international organizations for insights. Exploring partnerships, addressing funding challenges, and implementing innovative strategies like low-sodium substitutes are crucial steps toward effective sodium reduction policies in Nigeria.
A comprehensive review of AAV-mediated strategies targeting microglia for therapeutic intervention of neurodegenerative diseases
Authors: Zhou Livia , Wang Yafeng , Xu Yiran , Zhang Yaodong , Zhu Changlian 
Published: September 2024

AbstractNeurodegenerative diseases pose a significant health burden globally, with limited treatment options available. Among the various cell types involved in the pathogenesis of these disorders, microglia, the resident immune cells of the central nervous system, play a pivotal role. Dysregulated microglial activation contributes to neuroinflammation and neuronal damage, making them an attractive target for therapeutic intervention. Adeno-associated virus (AAV) vectors have emerged as powerful tools for delivering therapeutic genes to specific cell types in the central nervous system with remarkable precision and safety. In the current review, we discuss the strategies employed to achieve selective transduction of microglia, including the use of cell-specific promoters, engineered capsids, and microRNA (miRNA) strategies. Additionally, we address the challenges and future directions in the development of AAV-based therapies targeting microglia. Overall, AAV-mediated targeting of microglia holds promise as a novel therapeutic approach for neurodegenerative diseases, offering the potential to modify disease progression and improve patient outcomes.
Need to explore metagenomics of the gut microbiomes to reduce antimicrobial resistance
Authors: Abdulkadir Muritala 
Published: September 2024

AbstractThe level of antimicrobial resistance in the world is increasing with an exponential burden on the global healthcare system. Quality of life is reduced due to the ineffectiveness of antimicrobials used in the treatment of infection and this called for the development of various apparatuses in fighting the menace to achieve one health. Among the several methods used to mitigate the development of resistance is the metagenomics study. This bioinformatics technique makes use of Isolated DNA or free existing DNA in an environment to detect possible genes responsible for a particular resistance and get an insight into ways to develop solutions.
Explosive regeneration and anamorphic development of legs in the house centipede Scutigera coleoptrata
Authors: Barutia Iulia , Sombke Andy 
Published: September 2024

Abstract
Background
Regenerating legs is advantageous for arthropods as their appendages exhibit crucial functional specializations. Many arthropods possess a ‘preferred breakage point’, where the appendage is most likely to break and where regeneration likely to occur, however, different taxa exhibit different levels of regenerative potential. Centipede appendage regeneration is categorized as 'progressive' or 'explosive'. In the later, the appendage is fully regenerated after one molt. This term was used for house centipedes that frequently lose their long legs. We chose Scutigera coleoptrata as a model to comprehensively investigate the process of leg appendotomy and regeneration as well as compare it with leg development in anamorphic instars.

Results
The trochanter exhibits a preferred breakage point. Internally, it houses a three-layered diaphragm that effectively seals the lumen. In case of leg loss, the wound is quickly sealed. The epidermis detaches from the cuticle and muscles of the coxa get compacted, giving sufficient space for the regenerating leg. A blastema forms and the leg then grows in a coiled manner. The regenerating leg is innervated and syncytial muscles form. If the leg is lost in an early intermolt phase, progression of regeneration is slower than when a specimen is closer to the next molt. Instars of house centipedes can simultaneously develop and regenerate legs. The legs develop laterally on the posterior segments under the cuticle. As opposed to regeneration, the progression of leg development always follows the same temporal pattern throughout the entire intermolt phase.

Conclusion
Several factors are of major significance in house centipede leg regeneration. First, the ease with which they lose legs: the diaphragm represents an efficient tool for appendotomy. Moreover, the functional extension of the coxa provides space for a leg to be regenerated in. Lastly, the genetic predisposition allows them to regenerate legs within one molting cycle. This “package” is unique among land arthropods, and to this degree rare in marine taxa. Furthermore, observing leg regeneration and anamorphic leg development in parallel suggest that regeneration is most likely an epiphenomenon of development, and the differences are a requirement for the novel context in which re-development occurs.
Changes in the net primary production of ecosystems across Western Europe from 2015 to 2022 in response to historic drought events
Authors: Potter Christopher , Pass Stephanie 
Published: September 2024

Abstract
Background
Ecosystem models are valuable tools to make climate-related assessments of change when ground-based measurements of water and carbon fluxes are not adequately detailed to realistically capture geographic variability. The Carnegie-Ames-Stanford Approach (CASA) is one such model based on satellite observations of monthly vegetation cover to estimate net primary production (NPP) of terrestrial ecosystems.

Results
CASA model predictions from 2015 to 2022 for Western Europe revealed several notable high and low periods in growing season NPP totals in most countries of the region. For the total land coverage of France, Greece, Italy, Portugal, and Spain, 2018 was the year with the highest terrestrial plant growth, whereas 2017 and 2019 were the years with the highest summed NPP across the UK, Germany, and Croatia. For most of Western Europe, 2022 was the year predicted with the lowest summed plant growth. Annual precipitation in most countries of Western Europe gradually declined from a high average rate in 2018 to a low average precipitation level in 2022.

Conclusions
The CASA model predicted decreased growing season NPP of between − 25 and − 60% across all of Spain, southern France, and northern Italy from 2021 to 2022, and much of that plant production loss was detected in the important cropland regions of these nations.
International expert opinion on the considerations for combining vosoritide and limb surgery: a modified delphi study
Authors: Boero Silvio , Vodopiutz Julia , Maghnie Mohamad , de Bergua Josep M. , Ginebreda Ignacio , Kitoh Hiroshi , Langendörfer Micha , Leiva-Gea Antonio , Malone Jason , McClure Philip , Mindler Gabriel T. , Popkov Dmitry , Rodl Robert , Rosselli Pablo , Verdoni Fabio , Vilenskii Viktor , Huser Aaron J. 
Published: September 2024

Abstract
Background
Achondroplasia is the most common form of skeletal disorder with disproportionate short stature. Vosoritide is the first disease-specific, precision pharmacotherapy to increase growth velocity in children with achondroplasia. Limb surgery is a standard approach to increase height and arm span, improve proportionality and functionality, as well as correcting deformities. The aim of this study was to gain expert opinion on the combined use of vosoritide and limb surgery in children and adolescents with achondroplasia.

Methods
An international expert panel of 17 clinicians and orthopaedic surgeons was convened, and a modified Delphi process undertaken. The panel reviewed 120 statements for wording, removed any unnecessary statements, and added any that they felt were missing. There were 26 statements identified as facts that were not included in subsequent rounds of voting. A total of 97 statements were rated on a ten-point scale where 1 was ‘Completely disagree’ and 10 ‘Completely agree’. A score of ≥ 7 was identified as agreement, and ≤ 4 as disagreement. All experts who scored a statement ≤ 4 were invited to provide comments.

Results
There was 100% agreement with several statements including, “Achieve a target height, arm span or upper limb length to improve daily activities” (mean level of agreement [LoA] 9.47, range 8–10), the “Involvement of a multidisciplinary team in a specialist centre to follow up the patient” (mean LoA 9.67, range 7–10), “Planning a treatment strategy based on age and pubertal stage” (mean LoA 9.60, range 8–10), and “Identification of short- and long-term goals, based on individualised treatment planning” (mean LoA 9.27, range 7–10), among others. The sequence of a combined approach and potential impact on the physes caused disagreement, largely due to a lack of available data.

Conclusions
It is clear from the range of responses that this modified Delphi process is only the beginning of new considerations, now that a medical therapy for achondroplasia is available. Until data on a combined treatment approach are available, sharing expert opinion is a vital way of providing support and guidance to the clinical community.
Evaluation of serum irisin level and severity of erectile dysfunction in diabetic males: a cross sectional prospective study
Authors: Ragab Ahmed , Sayed Ahmed Reda , GamalEl Din Sameh Fayek , Zeidan Ashraf , Ewis Faten Fathi , Hamed Mostafa Ahmed 
Published: September 2024

Abstract
Background
Irisin is an exercise-induced myokine that alleviates endothelial dysfunction and reduces insulin resistance in type 2 diabetes mellitus (T2DM). The current study aimed to assess the serum level of irisin in T2DM men with erectile dysfunction (ED) compared to T2DM patients with normal erectile function and healthy controls, as well as investigate the association between serum irisin level and the severity of ED in T2DM patients.

Patients and methods
A cross-sectional study was conducted on 90 males, divided into three groups: 32 T2DM patients with ED, 24 T2DM patients without ED, and 34 healthy controls. Socio-demographic characteristics and scores of the validated Arabic version of the international Index of Erectile Function-5 (ArIIEF-5), Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were obtained. Furthermore, routine laboratory tests employed for diabetes monitoring and serum levels of total testosterone and irisin were assessed within these groups.

Results
T2DM men with ED had significantly lower serum levels of irisin and testosterone, as well as a lower ArIIEF-5 score, but their GAD-7 and PHQ-9 scores were significantly higher than those without ED or controls (p < 0.001). Among T2DM men, serum irisin levels positively associated with ArIIEF-5 scores and serum testosterone (r = 0.413, p = 0.002; r = 0.936, p < 0.001, respectively) but negatively associated with glycosylated hemoglobin levels (r = -0.377, p = 0.004). Multivariate regression analysis to predict ED in T2DM patients found that GAD-7 score was the only most significant predictor for ED (ꞵ = − 1.176, standard error = 0.062, p < 0.001).

Conclusion
The current study had demonstrated that irisin positively correlated with the ArIIEF-5 and serum testosterone but negatively correlated with HbA1c in T2DM men. Nevertheless, further validation of these findings is necessary through cohort studies.
Duck hepatitis A virus utilizes PCBP2 to facilitate viral translation and replication
Authors: Xu Chenxia , Jiang Yurui , Wang Mingshu , Cheng Anchun , Zhang Wei , Ou Xumin , Sun Di , Yang Qiao , Wu Ying , Tian Bin , He Yu , Wu Zhen , Zhang Shaqiu , Zhao Xinxin , Huang Juan , Zhu Dekang , Chen Shun , Liu Mafeng , Jia Renyong 
Published: September 2024

AbstractDuck hepatitis A virus type 1 (DHAV-1) is an important member of the Picornaviridae family that causes highly fatal hepatitis in ducklings. Since picornaviruses have small genomes with limited coding capacity, they must utilize host proteins for viral cap-independent translation and RNA replication. Here, we report the role of duck poly(rC)-binding protein 2 (PCBP2) in regulating the replication and translation of DHAV-1. During DHAV-1 infection, PCBP2 expression was upregulated. A biotinylated RNA pull-down assay revealed that PCBP2 positively regulates DHAV-1 translation through specific interactions with structural domains II and III of the DHAV-1 internal ribosome entry site (IRES). Further studies revealed that PCBP2 promotes DHAV-1 replication via an interaction of its KH1 domain (aa 1–92) with DHAV-1 3Dpol. Thus, our studies demonstrated the specific role of PCBP2 in regulating DHAV-1 translation and replication, revealing a novel mechanism by which host‒virus interactions regulate viral translation and replication. These findings contribute to further understanding of the pathogenesis of picornavirus infections.
Insights from a web-based questionnaire: examining diagnostic procedures prior to magnetic resonance imaging
Authors: Sosna Jacob 
Published: September 2024

AbstractThe appropriate use of diagnostic imaging, particularly MRI, is a critical concern in modern healthcare. This paper examines the current state of MRI utilization in Israel, drawing on a recent study by Kaim et al. that surveyed 557 Israeli adults who underwent MRI in the public health system. The study revealed that 60% of participants had undergone other imaging tests before their MRI, with 23% having more than one prior examination. While these findings highlight potential inefficiencies in the diagnostic pathway, they also underscore the complexity of medical decision-making in imaging.The paper discusses various factors influencing MRI utilization, including regulatory pressures, healthcare system structure, and the need for evidence-based guidelines. It explores potential strategies for optimizing MRI justification and scheduling, such as implementing clinical decision support systems, enhancing interdisciplinary communication, and leveraging artificial intelligence (AI) for predictive analytics and resource optimization.The need for comprehensive research into MRI justification and scheduling optimization is presented. Key areas for investigation include the effectiveness of decision support tools, patient outcomes, economic analyses, and the application of quality improvement methodologies.
Intraoperative pneumatic tourniquet application reduces soft-tissue microcirculation, but without affecting wound healing in calcaneal fractures
Authors: Lichte Philipp , Bläsius Felix M. , Ganse Bergita , Gueorguiev Boyko , Pastor Torsten , Nebelung Sven , Migliorini Filippo , Klos Kajetan , Modabber Ali , Scaglioni Mario F. , Schopper Clemens , Hildebrand Frank , Knobe Matthias 
Published: September 2024

Abstract
Background
Wound healing complications are a major challenge following the extended lateral approach in calcaneal fractures. Soft-tissue microcirculation plays an important role via the delivery of oxygen, nutrients, and the regulation of a local milieu. The aim of this clinical study was to examine the effect of intraoperative pneumatic tourniquet application on skin and subcutaneous microcirculation, and its impact on wound healing progression.

Methods
Patients with calcaneal fractures were randomly assigned to two groups defined by a surgery conducted either with use or without use of a tourniquet. Blood flow (BF [AU]), tissue oxygen saturation (SO2[%]) and the relative amount of haemoglobin (rHb[AU]) were intraoperatively measured at two depths (2 and 8 mm) non-invasively by spectrophotometry (Micro-Lightguide O2C®, LEA Medizintechnik, Giessen, Germany). Time points were before and after inflation of the pneumatic tourniquet and also at the end of surgery before deflation. A linear mixed model (LMM) was fitted for statistical analysis.

Results
Thirty-four patients (3 women and 31 men) with 37 calcaneal fractures were included. In 22 of them, the surgery was conducted with a tourniquet and in the other 15 without its use. A significant decrease of microcirculation, characterized by decreases in blood flow (p = 0.011) and tissue oxygenation (p = 0.023) was measured in 8 mm depth after inflating the tourniquet. However, these changes did not influence the time of postoperative wound healing.

Conclusion
The use of a pneumatic tourniquet reduces deep microcirculation without affecting postoperative wound healing.
Trial registration The study was registered in www.ClinicalTrials.gov (NCT01264146).