bluuebunny/crossref_metadata_2025_split huggingface dataset:
How I treat iron overload in adult MDS
Authors: Leitch Heather A. , Buckstein Rena 
Published: June 2024

Abstract
Although clinical benefits of iron chelation therapy (ICT) in red blood cell (RBC) transfusion–dependent (TD) hereditary anemias such as α-thalassemia major are incontrovertible, the evidence supporting a similar benefit in patients with TD myelodysplastic neoplasms (MDS) and iron overload (IOL) is sometimes debated. MDS presents later in life, has a limited repertoire of life-extending therapies, and patients may have comorbidities acting as competing causes of death. However, refined prognostication identifies patients with MDS with a reasonable life expectancy, and because 50% of patients will ultimately become RBC TD and develop transfusional IOL, ICT should be considered in some. Using illustrative cases, we summarize mechanisms of iron toxicity, strategies for the identification of IOL, and propose definitions of IOL severity. We provide rationale for, and recommend which patients may benefit from, ICT. We discuss currently available chelators, their administration, monitoring, side effects, and their management. Given challenges with the use of iron chelators, we suggest the nuances to be considered when planning chelation initiation to include the rate of iron accumulation, the presence of organ iron and/or dysfunction, and detectable indicators of oxidative stress. Areas for future investigation are identified.
LMWH prevents thromboinflammation in the placenta via HBEGF-AKT signaling
Authors: Singh Kunal Kumar , Gupta Anubhuti , Forstner Désirée , Guettler Jacqueline , Ahrens Mirjam Susanne , Prakasan Sheeja Akshay , Fatima Sameen , Shamkeeva Saikal , Lia Massimiliano , Dathan-Stumpf Anne , Hoffmann Nikola , Shahzad Khurrum , Stepan Holger , Gauster Martin , Isermann Berend , Kohli Shrey 
Published: June 2024

Abstract
Low molecular weight heparins (LMWH) are used to prevent or treat thromboembolic events during pregnancy. Although studies suggest an overall protective effect of LMWH in preeclampsia (PE), their use in PE remains controversial. LMWH may convey beneficial effects in PE independent of their anticoagulant activity, possibly by inhibiting inflammation. Here, we evaluated whether LMWH inhibit placental thromboinflammation and trophoblast NLRP3 inflammasome activation. Using an established procoagulant extracellular vesicle–induced and platelet-dependent PE-like mouse model, we show that LMWH reduces pregnancy loss and trophoblast inflammasome activation, restores altered trophoblast differentiation, and improves trophoblast proliferation in vivo and in vitro. Moreover, LMWH inhibits platelet-independent trophoblast NLRP3 (NLR family pyrin domain containing 3) inflammasome activation. Mechanistically, LMWH activates via heparin-binding epidermal growth factor (HBEGF) signaling the PI3-kinase-AKT pathway in trophoblasts, thus preventing inflammasome activation. In human PE placental explants, inflammasome activation and PI3-kinase-AKT signaling events were reduced with LMWH treatment compared with those without LMWH treatment. Thus, LMWH inhibits sterile inflammation via the HBEGF signaling pathway in trophoblasts and ameliorates PE-associated complications. These findings suggest that drugs targeting the inflammasome may be evaluated in PE and identify a signaling mechanism through which LMWH ameliorates PE, thus providing a rationale for the use of LMWH in PE.
Genome-wide association analysis identify candidate genes for feed efficiency and growth traits in Wenchang chickens
Authors: Cai Keqi , Liu Ranran , Wei Limin , Wang Xiuping , Cui Huanxian , Luo Na , Wen Jie , Chang Yuxiao , Zhao Guiping 
Published: June 2024

Abstract
Background
Wenchang chickens are one of the most popular local chicken breeds in the Chinese chicken industry. However, the low feed efficiency is the main shortcoming of this breed. Therefore, there is a need to find a more precise breeding method to improve the feed efficiency of Wenchang chickens. In this study, we explored important candidate genes and variants for feed efficiency and growth traits through genome-wide association study (GWAS) analysis.

Results
Estimates of genomic heritability for growth and feed efficiency traits, including residual feed intake (RFI) of 0.05, average daily food intake (ADFI) of 0.21, average daily weight gain (ADG) of 0.24, body weight (BW) at 87, 95, 104, 113 days of age (BW87, BW95, BW104 and BW113) ranged from 0.30 to 0.44. Important candidate genes related to feed efficiency and growth traits were identified, such as PLCE1, LAP3, MED28, QDPR, LDB2 and SEL1L3 genes.

Conclusion
The results identified important candidate genes for feed efficiency and growth traits in Wenchang chickens and provide a theoretical basis for the development of new molecular breeding technology.
A bias-reduced generalized estimating equation approach for proportional odds models with small-sample longitudinal ordinal data
Authors: Tada Yukio , Sato Tosiya 
Published: June 2024

Abstract
Background
Longitudinal ordinal data are commonly analyzed using a marginal proportional odds model for relating ordinal outcomes to covariates in the biomedical and health sciences. The generalized estimating equation (GEE) consistently estimates the regression parameters of marginal models even if the working covariance structure is misspecified. For small-sample longitudinal binary data, recent studies have shown that the bias of regression parameters may result from the GEE and have addressed the issue by applying Firth’s adjustment for the likelihood score equation to the GEE as if generalized estimating functions were likelihood score functions. In this manuscript, for the proportional odds model for longitudinal ordinal data, the small-sample properties of the GEE were investigated, and a bias-reduced GEE (BR-GEE) was derived.

Methods
By applying the adjusted function originally derived for the likelihood score function of the proportional odds model to the GEE, we produced the BR-GEE. We investigated the small-sample properties of both GEE and BR-GEE through simulation and applied them to a clinical study dataset.

Results
In simulation studies, the BR-GEE had a bias closer to zero, smaller root mean square error than the GEE with coverage probability of confidence interval near or above the nominal level. The simulation also showed that BR-GEE maintained a type I error rate near or below the nominal level.

Conclusions
For the analysis of longitudinal ordinal data involving a small number of subjects, the BR-GEE is advantageous for obtaining estimates of the regression parameters of marginal proportional odds models.
Rational construction of a high-quality and high-efficiency biosynthetic system and fermentation optimization for A82846B based on combinatorial strategies in Amycolatopsis orientalis
Authors: Zhao Xinyi , Zhu Chenyang , Gao Wenli , Xie Huang , Lyu Zhongyuan , Zhao Qingwei , Li Yongquan 
Published: June 2024

Abstract
Background
Oritavancin is a new generation of semi-synthetic glycopeptide antibiotics against Gram-positive bacteria, which served as the first and only antibiotic with a single-dose therapeutic regimen to treat ABSSSI. A naturally occurring glycopeptide A82846B is the direct precursor of oritavancin. However, its application has been hampered by low yields and homologous impurities. This study established a multi-step combinatorial strategy to rationally construct a high-quality and high-efficiency biosynthesis system for A82846B and systematically optimize its fermentation process to break through the bottleneck of microbial fermentation production.

Results
Firstly, based on the genome sequencing and analysis, we deleted putative competitive pathways and constructed a better A82846B-producing strain with a cleaner metabolic background, increasing A82846B production from 92 to 174 mg/L. Subsequently, the PhiC31 integrase system was introduced based on the CRISPR-Cas12a system. Then, the fermentation level of A82846B was improved to 226 mg/L by over-expressing the pathway-specific regulator StrR via the constructed PhiC31 system. Furthermore, overexpressing glycosyl-synthesis gene evaE enhanced the production to 332 mg/L due to the great conversion of the intermediate to target product. Finally, the scale-up production of A82846B reached 725 mg/L in a 15 L fermenter under fermentation optimization, which is the highest reported yield of A82846B without the generation of homologous impurities.

Conclusion
Under approaches including blocking competitive pathways, inserting site-specific recombination system, overexpressing regulator, overexpressing glycosyl-synthesis gene and optimizing fermentation process, a multi-step combinatorial strategy for the high-level production of A82846B was developed, constructing a high-producing strain AO-6. The combinatorial strategies employed here can be widely applied to improve the fermentation level of other microbial secondary metabolites, providing a reference for constructing an efficient microbial cell factory for high-value natural products.
Diagnostic accuracy of an automated microscope solution (miLab™) in detecting malaria parasites in symptomatic patients at point-of-care in Sudan: a case–control study
Authors: Hamid Muzamil M. Abdel , Mohamed Abdelrahim O. , Mohammed Fayad O. , Elaagip Arwa , Mustafa Sayed A. , Elfaki Tarig , Jebreel Waleed M. A. , Albsheer Musab M. , Dittrich Sabine , Owusu Ewurama D. A. , Yerlikaya Seda 
Published: June 2024

Abstract
Background
Microscopic detection of malaria parasites is labour-intensive, time-consuming, and expertise-demanding. Moreover, the slide interpretation is highly dependent on the staining technique and the technician’s expertise. Therefore, there is a growing interest in next-generation, fully- or semi-integrated microscopes that can improve slide preparation and examination. This study aimed to evaluate the clinical performance of miLab™ (Noul Inc., Republic of Korea), a fully-integrated automated microscopy device for the detection of malaria parasites in symptomatic patients at point-of-care in Sudan.

Methods
This was a prospective, case–control diagnostic accuracy study conducted in primary health care facilities in rural Khartoum, Sudan in 2020. According to the outcomes of routine on-site microscopy testing, 100 malaria-positive and 90 malaria-negative patients who presented at the health facility and were 5 years of age or older were enrolled consecutively. All consenting patients underwent miLab™ testing and received a negative or suspected result. For the primary analysis, the suspected results were regarded as positive (automated mode). For the secondary analysis, the operator reviewed the suspected results and categorized them as either negative or positive (corrected mode). Nested polymerase chain reaction (PCR) was used as the reference standard, and expert light microscopy as the comparator.

Results
Out of the 190 patients, malaria diagnosis was confirmed by PCR in 112 and excluded in 78. The sensitivity of miLab™ was 91.1% (95% confidence interval [CI] 84.2–95.6%) and the specificity was 66.7% (95% Cl 55.1–67.7%) in the automated mode. The specificity increased to 96.2% (95% Cl 89.6–99.2%), with operator intervention in the corrected mode. Concordance of miLab with expert microscopy was substantial (kappa 0.65 [95% CI 0.54–0.76]) in the automated mode, but almost perfect (kappa 0.97 [95% CI 0.95–0.99]) in the corrected mode. A mean difference of 0.359 was found in the Bland–Altman analysis of the agreement between expert microscopy and miLab™ for quantifying parasite counts.

Conclusion
When used in a clinical context, miLab™ demonstrated high sensitivity but low specificity. Expert intervention was shown to be required to improve the device’s specificity in its current version. miLab™ in the corrected mode performed similar to expert microscopy. Before clinical application, more refinement is needed to ensure full workflow automation and eliminate human intervention.
Trial registration ClinicalTrials.gov: NCT04558515
Addressing anti-Black racism within public health in North America: a scoping review
Authors: Rakotovao Lucina , Simeoni Michelle , Bennett-AbuAyyash Caroline , Walji Taheera , Abdi Samiya 
Published: June 2024

Abstract
Objectives
The syndemic that is COVID-19 and the disproportionate policing of Black communities have recently generated mass social consciousness of the anti-Black racism (ABR) pervading health, social, and cultural institutions. However, little is known about the implementation of public health measures addressing ABR in an evolving pandemic context. The objective of this scoping review is to provide an overview of public health initiatives undertaken to address ABR across North American jurisdictions between December 2019 and June 2022.

Methods
A search for public health initiatives was conducted in June 2021 across MEDLINE, Ovid Embase, EBSChost, CINAHL, SocINDEX, and Google.ca. Included initiatives were those focussing on Black, African diasporic, or African American communities in the North American context. Community-led action, as well as initiatives in primary healthcare care, academic journals, and those broadly focused on racialized communities, were excluded from this review.

Synthesis
Seventy-five articles were included in this review, suggesting that ABR emerged as a public health priority. Strategies and action plans to address structural ABR were the most common types of initiatives observed (n = 21), followed by programs or interventions (n = 16), budget allocations or investments (n = 8), task forces (n = 7), guidance and recommendations for organizational capacity (n = 8), action-oriented declarations of ABR as a public health crisis (n = 8), and legislation and mandates (n = 7). Initiatives were largely cross-cutting of two or more socioeconomic themes (n = 23), while organizational change was also common (n = 16). Gaps in the current literature include a lack of community participation and outcome measurement for actions identified, which limit institutional accountability to communities of interest.

Conclusion
This research provides insights on public health accountability to social justice. This research outlines activities in upstream interventions, organizational transformation, and resource allocation in shaping anti-racist change, and require evaluation and input from those whom initiatives are intended to serve.
Comparing the effects of Pilates, corrective exercises, and Alexander’s technique on upper cross syndrome among adolescent girls student (ages 13–16): a six-week study
Authors: Shadi Nesa , Khalaghi Karim , Seyedahmadi Mohammad 
Published: June 2024

Abstract
Introduction
Upper Cross Syndrome is a pattern of muscle imbalance and postural dysfunction that can cause discomfort and pain. This study’s objective was to compare the effects of Pilates exercises, corrective exercises, and Alexander’s technique on upper cross syndrome in adolescent girls aged 13–16 years: a six-week intervention study.

Methods
The present study was Quasi-experimental, and its statistical population consisted of 13 to 16-year-old female students. Forty-five students who were diagnosed with upper cross syndrome were purposefully selected as samples and randomly assigned to three groups: Pilates exercises (N = 15), corrective exercises (N = 15), and Alexander’s technique (N = 15). The participants performed exercises for 60 min per session, three sessions per week, and six weeks. This study’s objective was to compare the effects of Pilates exercises, corrective exercises, and Alexander’s technique on upper cross syndrome in adolescent girls aged 13–16 years: a six-week intervention study. This study was retrospectively registered in the Iranian Registry of Clinical Trials (IRCT) on 2023-09-19 to comply with the journal’s policies. The assigned trial registration number is IRCT20230810059106N1.

Results
The results of the dependent t-test showed significant decreases in forward head angle (p = 0.0001), rounded shoulder (p = 0.001), and kyphosis (p = 0.0001) as a result of corrective exercises. There were also significant decreases in forward head angle (p = 0.0001), rounded shoulder (p = 0.002), and kyphosis (p = 0.001) after six weeks of practising Alexander’s technique. However, in the case of Pilates exercises, a significant decrease in forward head angle (p = 0.110), rounded shoulder (p = 0.598), and kyphosis (p = 0.371) was not observed. The one-way analysis of variance revealed a significant difference in the forward head angle (p = 0.012), rounded shoulders (p = 0.013), and kyphosis (p = 0.009).

Conclusions
The effect of Alexander’s technique and corrective exercises on forward head angle, rounded shoulder, and kyphosis abnormalities was almost similar and more effective than pilates exercises.
High-throughput screening carbon and nitrogen sources to promote growth and sporulation in Rhizopus arrhizus
Authors: Zhao Heng , Ju Xiao , Nie Yong , James Timothy Y. , Liu Xiao-Yong 
Published: June 2024

AbstractRhizopus arrhizus is a saprotrophic, sometimes clinically- and industrially-relevant mold (Mucorales) and distributed worldwide, suggesting it can assimilate a broad spectrum of substrates. Here, 69 strains of R. arrhizus were investigated by using the Biolog FF MicroPlate for the profiles of utilizing 95 carbon and nitrogen substrates. The study showed that most R. arrhizus strains were similar in average well color development (AWCD) and substrate richness (SR). Nevertheless, 13 strains were unique in principal component analyses, heatmap, AWCD, and SR analyses, which may imply a niche differentiation within R. arrhizus. The species R. arrhizus was able to utilize all the 95 carbon and nitrogen substrates, consistent with the hypothesis of a great metabolic diversity. It possessed a substrate preference of alcohols, and seven substrates were most frequently utilized, with N-acetyl-d-galactosamine and l-phenylalanine ranking at the top of the list. Eight substrates, especially l-arabinose and xylitol, were capable of promoting sporulation and being applied for rejuvenating degenerated strains. By phenotyping R. arrhizus strains in carbon and nitrogen assimilation capacity, this study revealed the extent of intra-specific variability and laid a foundation for estimating optimum substrates that may be useful for industrial applications.
A survey of machine learning techniques for improving Global Navigation Satellite Systems
Authors: Mohanty Adyasha , Gao Grace 
Published: June 2024

AbstractGlobal Navigation Satellite Systems (GNSS)-based positioning plays a crucial role in various applications, including navigation, transportation, logistics, mapping, and emergency services. Traditional GNSS positioning methods are model-based, utilizing satellite geometry and the known properties of satellite signals. However, model-based methods have limitations in challenging environments and often lack adaptability to uncertain noise models. This paper highlights recent advances in machine learning (ML) and its potential to address these limitations. It covers a broad range of ML methods, including supervised learning, unsupervised learning, deep learning, and hybrid approaches. The survey provides insights into positioning applications related to GNSS, such as signal analysis, anomaly detection, multi-sensor integration, prediction, and accuracy enhancement using ML. It discusses the strengths, limitations, and challenges of current ML-based approaches for GNSS positioning, providing a comprehensive overview of the field.
Supply chain management of micro, small, and medium enterprises (MSMEs) in Africa: a bibliometric analysis
Authors: Wube Mulugeta Chane , Atwal Heena 
Published: June 2024

AbstractThis study examines the supply chain management of micro, small, and medium enterprises (MSMEs) in Africa, aiming to demonstrate the patterns of publication in this field. An extensive examination of bibliometric analysis has been conducted using 338 published works obtained from the Dimensions database over the last 20 years. The study was conducted based on publications, sources, authors, and institutions as the primary units of analysis. The study determined the leading journals, prolific authors, partnering countries, and organizations involved in research on supply chain management specifically focused on micro, small, and medium enterprises (MSMEs) in Africa. Furthermore, it has been uncovered that the investigation of supply chain management in MSMEs in Africa needs to be revised in comparison to that of larger organizations. Moreover, publications in the field are not only insufficiently accessible, but also authored by scholars who are not of African descent. Given the crucial role of MSMEs in the African economy, scholars in this field are encouraged to prioritize research on the supply chain management of MSMEs as a critical issue for the twenty-first century. Furthermore, researchers are recommended to do additional analyses utilizing alternative databases such as Web of Sciences and Scopus.
Driving gut microbiota enterotypes through host genetics
Authors: Larzul Catherine , Estellé Jordi , Borey Marion , Blanc Fany , Lemonnier Gaëtan , Billon Yvon , Thiam Mamadou Gabou , Quinquis Benoît , Galleron Nathalie , Jardet Deborah , Lecardonnel Jérôme , Plaza Oñate Florian , Rogel-Gaillard Claire 
Published: June 2024

Abstract
Background
Population stratification based on interindividual variability in gut microbiota composition has revealed the existence of several ecotypes named enterotypes in humans and various animal species. Enterotypes are often associated with environmental factors including diet, but knowledge of the role of host genetics remains scarce. Moreover, enterotypes harbor functionalities likely associated with varying abilities and susceptibilities of their host. Previously, we showed that under controlled conditions, 60-day-old pig populations consistently split into two enterotypes with either Prevotella and Mitsuokella (PM enterotype) or Ruminococcus and Treponema (RT enterotype) as keystone taxa. Here, our aim was to rely on pig as a model to study the influence of host genetics to assemble enterotypes, and to provide clues on enterotype functional differences and their links with growth traits.

Results
We established two pig lines contrasted for abundances of the genera pairs specifying each enterotype at 60 days of age and assessed them for fecal microbiota composition and growth throughout three consecutive generations. Response to selection across three generations revealed, per line, an increase in the prevalence of the selected enterotype and in the average relative abundances of directly and indirectly selected bacterial genera. The PM enterotype was found less diverse than the RT enterotype but more efficient for piglet growth during the post-weaning period. Shotgun metagenomics revealed differentially abundant bacterial species between the two enterotypes. By using the KEGG Orthology database, we show that functions related to starch degradation and polysaccharide metabolism are enriched in the PM enterotype, whereas functions related to general nucleoside transport and peptide/nickel transport are enriched in the RT enterotype. Our results also suggest that the PM and RT enterotypes might differ in the metabolism of valine, leucin, and isoleucine, favoring their biosynthesis and degradation, respectively.

Conclusion
We experimentally demonstrated that enterotypes are functional ecosystems that can be selected as a whole by exerting pressure on the host genetics. We also highlight that holobionts should be considered as units of selection in breeding programs. These results pave the way for a holistic use of host genetics, microbiota diversity, and enterotype functionalities to understand holobiont shaping and adaptation.