bluuebunny/crossref_metadata_2025_split huggingface dataset:
Condition of State and Trait Anxiety in Pregnant Women with Fetal Malformations
Authors: Khudaverdyan A. D. 
Published: December 2015

Objective: Our aim was to assess the level of state and trait anxiety, and the level of tolerated stress in pregnant women with fetus malformations.Methods: A controllled non-randomized clinical study with sequential inclusion of participants was carried out. Psychoemotional status of pregnant women was assessed by Spielberger anxiety scale, with identification of state and trait anxiety, as well as on the basis of medical history data. Pregnant women were divided into 2 groups. Control group — 20 women with physiological gestation course without any fetus malformations and absence of stress situations in medical history. Main group — 40 women with fetus malformations, presence of long stressful situations in medical history, starting from early gestation period.Results: 60 women aged 20–37 years old, at the pregnancy age of 20–38 weeks were examined by ultrasound with assessment anatomy of the fetus. Comparative analysis of the psychological and emotional status of pregnant women from both groups indicated significant increase of the state and trait anxiety level in the main group of women compared to the control in the average grew from 30.80±1.47 to 48.13±3.84 (p 0.001) and from 32.35±1.45 to 50.25±3.40 (p 0.001) respectively. Conclusion: The identified high level of state and trait anxiety in pregnant women with fetus malformations allows concluding that maternal stress is a potential risk factor for generation of intrauterine malformations of the fetus. This serves as a basis to recommend corresponding prophylactic, anti-stress measures should be taken during such pregnancy, especially at early stages, when fetus tissues formation process is taking place.
Using “The Wave” to Facilitate Participants' Understanding of the Implicit Pressures Associated With the Auditing Profession
Authors: Stefaniak Chad M. 
Published: December 2015

SUMMARY
This case presents a collaborative and experiential learning technique that can be used to engage new auditing students in a classroom, or junior auditors in a training session, to facilitate their understanding of the social complexities and pressures associated with auditing. The case utilizes “the wave” (the collaborative activity performed at most stadium-based events) to represent the flow of information through an accounting system, and demonstrate how auditors are often put in a position in which they must decide how to handle the implicit pressures resultant from identifying a problem in an accounting system. The case creates real-world social and psychological pressures, and requires a participant to navigate the social awkwardness of identifying poorly performing participants and to choose between the well-being of a handful of participants compared with the well-being of the entire class. The case, which requires only three participant volunteers, no student pre-work, and about 25 minutes of class time, can stimulate dialogue about audit-related pressures, the audit risk model, fraud risk, professional responsibilities (and results of auditors not fulfilling their professional responsibilities), as well as the importance of internal controls.
Emission Characteristics and Effect of Battery Drain in “Budget” Curing Lights
Authors: AlShaafi MM , Harlow JE , Price HL , Rueggeberg FA , Labrie D , AlQahtani MQ , Price RB 
Published: December 2015

SUMMARY
Recently, “budget” dental light-emitting diode (LED)–based light-curing units (LCUs) have become available over the Internet. These LCUs claim equal features and performance compared to LCUs from major manufacturers, but at a lower cost. This study examined radiant power, spectral emission, beam irradiance profiles, effective emission ratios, and the ability of LCUs to provide sustained output values during the lifetime of a single, fully charged battery. Three examples of each budget LCU were purchased over the Internet (KY-L029A and KY-L036A, Foshan Keyuan Medical Equipment Co, and the Woodpecker LED.B, Guilin Woodpecker Medical Instrument Co). Major dental manufacturers provided three models: Elipar S10 and Paradigm (3M ESPE) and the Bluephase G2 (Ivoclar Vivadent). Radiant power emissions were measured using a laboratory-grade thermopile system, and the spectral emission was captured using a spectroradiometer system. Irradiance profiles at the tip end were measured using a modified laser beam profiler, and the proportion of optical tip area that delivered in excess of 400 mW/cm2 (termed the effective emission ratio) was displayed using calibrated beam profile images. Emitted power was monitored over sequential exposures from each LCU starting at a fully charged battery state. The results indicated that there was less than a 100-mW/cm2 difference between manufacturer-stated average tip end irradiance and the measured output. All the budget lights had smaller optical tip areas, and two demonstrated lower effective emission ratios than did the units from the major manufacturers. The budget lights showed discontinuous values of irradiance over their tip ends. One unit delivered extremely high output levels near the center of the light tip. Two of the budget lights were unable to maintain sustained and stable light output as the battery charge decreased with use, whereas those lights from the major manufacturers all provided a sustained light output for at least 100 exposures as well as visual and audible indications that the units required recharging.
Effects of Surface Treatments on the Bond Strength Between Resin Cement and a New Zirconia-reinforced Lithium Silicate Ceramic
Authors: Sato TP , Anami LC , Melo RM , Valandro LF , Bottino MA 
Published: December 2015

SUMMARY
This study evaluated the effects of surface treatments on the bond strength between the new zirconia-reinforced lithium silicate ceramic (ZLS) and resin cement. VITA Suprinity blocks were crystallized according to the manufacturer's instructions and randomly assigned to six groups (N=36; n=6), according to the surface treatment to be performed and aging conditions: HF20, 10% hydrofluoric acid for 20 seconds, baseline (control); HF20tc, 10% hydrofluoric acid for 20 seconds, aging; HF40, 10% hydrofluoric acid for 40 seconds, baseline; HF40tc, 10% hydrofluoric acid for 40 seconds, aging; CJ, CoJet sandblasting (25 seconds, 2.5 bar, 15-mm distance), baseline; and CJtc, CoJet sandblasting (25 seconds, 2.5 bar, 15-mm distance), aging. All specimens were silanized (Monobond S) and cemented with Panavia F to newly polymerized Z250 resin blocks. After specimens were immersed for 24 hours in distilled water at 37° C, 1-mm2 cross-section microbars were obtained by means of a cutting machine under constant cooling. Baseline groups were immediately tested, whereas “tc” groups were used to analyze the effect of aging on bond strength (10,000 thermal cycles, 5/55°C, 30-second bath). The microtensile bond strength test was performed with a universal testing machine (0.5 mm/min), and bond strength (MPa) was calculated when the load-to-failure (N) was divided by the adhesive area (mm2). We also evaluated the surface roughness (Sa, average roughness; Str, texture aspect ratio; Sdr, developed interfacial area ratio) and the contact angle resulting from the treatments. Data were statistically analyzed by one- or two-way analysis of variance and Tukey's test (all α=5%). The failure mode of each specimen was evaluated by stereomicroscopy, and representative specimens were analyzed by scanning electron microscopy. The microtensile bond strength was affected by the surface conditioning (p&lt;0.0001), storage condition (p&lt;0.0001), and the interaction between them (p=0.0012). The adhesion for HF etching was stable, whereas for CJ, aging significantly damaged the adhesion. Most failures were predominantly adhesive between ceramic and cement (52.6%). The roughness of the treated samples was higher compared with that of polished specimens for the three evaluated parameters (Sa, Str, and Sdr; all p&lt;0.0001). Contact angle was also influenced by treatments (p&lt;0.0001), with the CJ group showing values similar to those of control specimens. It can be concluded that the three surface treatment techniques present favorable immediate results, but silica coating was not effective in maintaining the bond strength over the long term.
Economic value of treating lumbar disc herniation in Brazil
Authors: Falavigna Asdrubal , Scheverin Nicolas , Righesso Orlando , Teles Alisson R. , Gullo Maria Carolina , Cheng Joseph S. , Riew K. Daniel 
Published: December 2015

OBJECT
Lumbar discectomy is one of the most common surgical spine procedures. In order to understand the value of this surgical care, it is important to understand the costs to the health care system and patient for good results. The objective of this study was to evaluate for the first time the cost-effectiveness of spine surgery in Latin America for lumbar discectomy in terms of cost per quality-adjusted life year (QALY) gained for patients in Brazil.

METHODS
The authors performed a prospective cohort study involving 143 consecutive patients who underwent open discectomy for lumbar disc herniation (LDH). Patient-reported outcomes were assessed utilizing the SF-6D, which is derived from a 12-month variation of the SF-36. Direct medical costs included medical reimbursement, costs of hospital care, and overall resource consumption. Disability losses were considered indirect costs. A 4-year horizon with 3% discounting was applied to health-utilities estimates. Sensitivity analysis was performed by varying utility gain by 20%. The costs were expressed in Reais (R$) and US dollars ($), applying an exchange rate of 2.4:1 (the rate at the time of manuscript preparation).

RESULTS
The direct and indirect costs of open lumbar discectomy were estimated at an average of R$3426.72 ($1427.80) and R$2027.67 ($844.86), respectively. The mean total cost of treatment was estimated at R$5454.40 ($2272.66) (SD R$2709.17 [$1128.82]). The SF-6D utility gain was 0.044 (95% CI 0.03197–0.05923, p = 0.017) at 12 months. The 4-year discounted QALY gain was 0.176928. The estimated cost-utility ratio was R$30,828.35 ($12,845.14) per QALY gained. The sensitivity analysis showed a range of R$25,690.29 ($10,714.28) to R$38,535.44 ($16,056.43) per QALY gained.

CONCLUSIONS
The use of open lumbar discectomy to treat LDH is associated with a significant improvement in patient outcomes as measured by the SF-6D. Open lumbar discectomy performed in the Brazilian supplementary health care system provides a cost-utility ratio of R$30,828.35 ($12,845.14) per QALY. The value of acceptable cost-effectiveness will vary by country and region.
Cancer screening, prevention, and treatment in people with mental illness
Authors: Weinstein Lara C. , Stefancic Ana , Cunningham Amy T. , Hurley Katelyn E. , Cabassa Leopodo J. , Wender Richard C. 
Published: December 2015

Answer questions and earn CME/CNEPeople with mental illness die decades earlier in the United States compared with the general population. Most of this disparity is related to preventable and treatable chronic conditions, with many studies finding cancer as the second leading cause of death. Individual lifestyle factors, such as smoking or limited adherence to treatment, are often cited as highly significant issues in shaping risk among persons with mental illness. However, many contextual or systems‐level factors exacerbate these individual factors and may fundamentally drive health disparities among people with mental illness. The authors conducted an integrative review to summarize the empirical literature on cancer prevention, screening, and treatment for people with mental illness. Although multiple interventions are being developed and tested to address tobacco dependence and obesity in these populations, the evidence for effectiveness is quite limited, and essentially all prevention interventions focus at the individual level. This review identified only one published article describing evidence‐based interventions to promote cancer screening and improve cancer treatment in people with mental illness. On the basis of a literature review and the experience and expertise of the authors, each section in this article concludes with suggestions at the individual, interpersonal, organizational, community, and policy levels that may improve cancer prevention, screening, and treatment in people with mental illness.CA Cancer J Clin 2016;66:133–151. © 2015 American Cancer Society.
<i>In silico</i> and antithrombotic studies of 1,3,4-oxadiazoles derived from benzimidazole
Authors: Vishwanathan B. , Gurupadayya B. M. , Sairam K. Venkata 
Published: December 2015

<p class="Abstract">In the present study, a series of 1,3,4-oxadiazole derivatives (4a-4k) derived from benzimidazole were docked onto factor Xa (PDB: 1NFY) protein using SYBYLX 2.1. and also evaluated for <em>in vitro</em> clot lysis for thrombolytic activity. The synthesized molecules were also screened for in silico ADME studies. The molecular docking studies highlighted that the molecules showed high affinity towards 1NFY with higher docking score and the <em>in silico</em> ADME results were promising and indicated that the molecules holds great potential as a drug candidate. The thrombolytic evaluation was performed for decrease in solid clot weight by the clot lysis study at a concentration of 6.25, 12.5 and 25 µM strengths, respectively. The results of in vitro clot lysis for thrombolytic evaluation revealed that the tested compounds 4a-4k exhibited significant clot lysis with respect to negative control phosphate buffered saline and in comparison to the reference drug streptokinase (30,000 IU). Among all the tested compounds, compound 4j, 4d and 4g exhibited potent thrombolytic activity with EC<sub>50</sub> value of 16.2, 18.1 and 23.7 µM, respectively. The thrombolytic efficacy investigation highlights that the synthesized compound 4j could be considered for further clinical studies to ascertain its possible hit as thrombolytic agents.</p><p> </p>
Microvesicle phenotypes are associated with transfusion requirements and mortality in subjects with severe injuries
Authors: Matijevic Nena , Wang Yao‐Wei W. , Holcomb John B. , Kozar Rosemary , Cardenas Jessica C. , Wade Charles E. 
Published: December 2015

BackgroundSevere injury often results in substantial bleeding and mortality. Injury provokes cellular activation and release of extracellular vesicles. Circulating microvesicles (MVs) are predominantly platelet‐derived and highly procoagulant. They support hemostasis and vascular function. The roles of MVs in survival after severe injury are largely unknown. We hypothesized that altered MV phenotypes would be associated with transfusion requirements and poor outcomes.MethodsThis single‐centre study was approved by the Institutional Review Board. The study cohort consisted of patients with major trauma requiring blood product transfusion and 26 healthy controls. Plasma samples for MVs were collected upon admission to the emergency department (n=169) and post‐resuscitation (n=42), and analysed by flow cytometry for MV counts and cellular origin: platelet (PMV), erythrocyte (RMV), leukocyte (LMV), endothelial (EMV), tissue factor (TFMV), and annexin V (AVMV). Twenty‐four hour mortality is the outcome measurement used to classify survivors versus non‐survivors. Data were compared over time and analysed with demographic and clinical data.ResultsThe median age was 34 (IQR 23, 51), 72% were male, Injury Severity Score was 29 (IQR 19, 36), and 24 h mortality was 13%. MV levels and phenotypes differed between patients and controls. Elevated admission EMVs were found both in survivors (409/µL) and non‐survivors (393/µL) compared to controls (23/µL, p<0.001) and persisted over time. Admission levels of PMV, AVMV, RMV, and TFMV were significantly lower in patients who died compared to survivors, but were not independently associated with the 24 h mortality rate. Patients with low MV levels at admission received the most blood products within the first 24 h. AVMV and PMV levels either increased over time or stabilized in survivors but decreased in non‐survivors, resulting in significantly lower levels at intensive care unit admission in non‐survivors (1,048 vs. 1,880 AVMV/µL, p<0.00004 and 1,245 PMP/µL vs. 1,866 PMP/µL, p=0.003).ConclusionSevere injury results in endothelial activation and altered MV phenotypes. Significant differences in specific MV phenotypes or changes over time were associated with blood product requirements and the 24 h mortality rate.
The Fractalkine-Receptor Axis Improves Human Colorectal Cancer Prognosis by Limiting Tumor Metastatic Dissemination
Authors: Erreni Marco , Siddiqui Imran , Marelli Giulia , Grizzi Fabio , Bianchi Paolo , Morone Diego , Marchesi Federica , Celesti Giuseppe , Pesce Samantha , Doni Andrea , Rumio Cristiano , Roncalli Massimo G. , Laghi Luigi , Mantovani Alberto , Allavena Paola 
Published: December 2015

Abstract
Human colorectal cancer (CRC) is a frequent neoplasia in Western countries, and its metastatic progression is a major cause of cancer-related death. In search of specific molecules upregulated in CRC, with possible clinical relevance, we performed a differential gene-profiling analysis in surgery-derived CRC samples and adjacent uninvolved intestinal mucosa. The chemokine CX3CL1 and its specific receptor CX3CR1 were significantly upregulated in tumors. Higher expression of CX3CL1 and CX3CR1 was confirmed by immunohistochemistry in 100 CRC tumor samples (stages I–III). Unexpectedly, high immune scores of CX3CL1 did not correlate with the density of tumor-infiltrating CD3+ T cells or CD68+ macrophages. Coexpression of ligand and receptor by tumor cells (axis-positive tumors) significantly associated with longer disease-free (p = 0.01) and disease-specific survival (p = 0.001). Conversely, axis-negative tumors (with low expression of both ligand and receptor) had increased risk of tumor relapse (p = 0.02), and increased likelihood of metachronous metastasis (p = 0.001), including after stage adjustment (p = 0.006). Transduction of CX3CL1 and CX3CR1 in CRC tumor cell lines induced cell aggregation that strongly inhibited in vitro migration in chemotaxis assays. In a mouse model of spleen–liver metastases, cancer dissemination to liver was dramatically reduced in CX3CL1-CX3CR1–expressing tumors, and ligand–receptor interaction was confirmed in cancer cells in vivo by fluorescence resonance energy transfer analysis. In conclusion, tumoral expression of the CX3CL1-CX3CR1 chemokine axis functions as a retention factor, increasing homotypic cell adhesion and limiting tumor spreading to metastatic sites. Lack or low levels of expression of CX3CL1-CX3CR1 by tumor cells identifies a group of CRC patients at increased risk of metastatic progression.
MASP-1 and MASP-2 Do Not Activate Pro–Factor D in Resting Human Blood, whereas MASP-3 Is a Potential Activator: Kinetic Analysis Involving Specific MASP-1 and MASP-2 Inhibitors
Authors: Oroszlán Gábor , Kortvely Elod , Szakács Dávid , Kocsis Andrea , Dammeier Sascha , Zeck Anne , Ueffing Marius , Závodszky Péter , Pál Gábor , Gál Péter , Dobó József 
Published: December 2015

Abstract
It had been thought that complement factor D (FD) is activated at the site of synthesis, and only FD lacking a propeptide is present in blood. The serum of mannose-binding lectin–associated serine protease (MASP)-1/3(−/−) mice contains pro-FD and has markedly reduced alternative pathway activity. It was suggested that MASP-1 and MASP-3 directly activate pro-FD; however, other experiments contradicted this view. We decided to clarify the involvement of MASPs in pro-FD activation in normal, as opposed to deficient, human plasma and serum. Human pro-FD containing an APPRGR propeptide was produced in insect cells. We measured its activation kinetics using purified active MASP-1, MASP-2, MASP-3, as well as thrombin. We found all these enzymes to be efficient activators, whereas MASP proenzymes lacked such activity. Pro-FD cleavage in serum or plasma was quantified by a novel assay using fluorescently labeled pro-FD. Labeled pro-FD was processed with t1/2s of ∼3 and 5 h in serum and plasma, respectively, showing that proteolytic activity capable of activating pro-FD exists in blood even in the absence of active coagulation enzymes. Our previously developed selective MASP-1 and MASP-2 inhibitors did not reduce pro-FD activation at reasonable concentration. In contrast, at very high concentration, the MASP-2 inhibitor, which is also a poor MASP-3 inhibitor, slowed down the activation. When recombinant MASPs were added to plasma, only MASP-3 could reduce the half-life of pro-FD. Combining our quantitative data, MASP-1 and MASP-2 can be ruled out as direct pro-FD activators in resting blood; however, active MASP-3 is a very likely physiological activator.
Total polyphenols content in fruits of selected cultivars of strawberries in relation to concentrations of cadmium and lead in soil
Authors: Trebichalský Pavol , Molnárová Juliana , Bajčan Daniel , Timoracká Mária , Musilová Janette , Harangozo Ľuboš 
Published: December 2015

The key aim of our study was to define the correlation of total polyphenols contents in seven cultivars of strawberries (Clery, Sonata, Alba, Korona, Ázia juh, Anthea, Joly) grown in the parcels with exceeded levels of pseudo-total Cd and mobile Pb in soil. Strawberries were grown in rows long 200 m, the distance of the plants was 0.35 m and inter-row distance was 1 m. Following fertilizing was applied - at the beginning of vegetation period the doses of elements (in kg.ha-1) were: N48.2 +P78.3 +K66.3 +Mg7.2, afterwards 23 days of elements were applied in liquid irrigation in amount: N46.5 +P34.8 +K118.7. Heavy metals in contamination soil were analysed by the method of atomic absorption spectroscopy and total contents of polyphenols spectrophotometrically. The highest content of all monitored parameters (pseudo-total and mobile Cd and Pb, as well as the amount of total polyphenols) was found in Ázia juh cultivar. There was statistically significant positive relation of total polyphenols contents in Anthea cultivar to levels of all monitored forms of metals in soil and contrary, in Clery cultivar there was found non-correlation of total polyphenols contents on levels of monitored heavy metals in soil (mainly of mobile contents of Cd and Pb contents). Contents of mobile forms of individual heavy metals positively correlated with total polyphenols (except of Clery and Ázia juh cultivars). Varietal relation on levels of total polyphenols was confirmed in experiment prior to relation of these organic compounds to the presence of monitored heavy metals in soil.