bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anterior tibial tendon transfer in idiopathic clubfoot: pull-out vs. other fixations – a systematic review
Authors: Moreira Andreia , Benjamin Ravetti Luciano , Carrapeiro Prina Douglas , Paschoal Nogueira Monica 
Published: August 2024

Abstract
Purpose
Review the literature and describe the complications associated with each of the anterior tibial tendon transfer (ATTT) techniques described.

Methods
A systematic review of the literature was performed with the keywords ‘’clubfoot’’, ‘’Ponseti’’ and ‘’anterior tibial’’. Studies in patients with clubfoot recurrence, who underwent ATTT, whose method of tendon fixation was different from the classical method, were included.

Results
Six studies were included in this systematic review, which described multiple techniques for tibialis anterior fixation: bone anchors, interference screws, endobotton, K-wires, transosseous suture, and suture to the plantar fascia. In the papers that described postoperative complications, no major complications were reported, however the samples are generally small.

Conclusion
Several options have now emerged for tendon fixation in tendon transfers around the foot and ankle, including ATTT for treatment of relapsed clubfoot. To our knowledge this is the first paper that questioned the potential complications associated with the use of these new techniques. Due to the scarcity of published works in favor of other fixation methods, we believe that the traditional method is the optimal one for the transfer of the tendon of the tibialis anterior muscle.
The impact of a nutrition course on self-epistemic authority, professional meaning as mediating factors on professional identity among nursing students
Authors: Theilla Miriam , Weil-Lotan Dorit 
Published: August 2024

Abstract
Background
The professional competence of nursing personnel is integral to the efficacy of nursing procedures. Educational endeavors, especially those encompassing professional training programs, are critical in fostering a professional identity among nurses. The role of nurses within a multi-disciplinary nutrition team has the potential to enhance professional identity and improve the quality of care provided.

Objective
This study aimed to explore the potential impact of knowledge acquisition and practical nutrition education on the development of professional identity among nursing school students. Furthermore, we hypothesize that professional autonomy and self-epistemic authority mediated the relationship between a sense of meaning, professional mission, and professional identity.

Design
A cross-sectional survey compared nursing students who had completed a practical nutrition course with those who had not. The study measured professional identity, professional autonomy, self-epistemic authority, and sense of meaning. Data collection was conducted using validated questionnaires, with questions tailored to suit the study demographic. Mediation analysis was conducted on the combined sample of both groups.

Participants
The study included 98 nursing students, divided into a study group (57 students who completed a nutrition course) and a control group (41 students who did not complete the course).

Results
Significant differences were found between the groups in measures of professional identity (t = 3.42, p < .001), professional autonomy (t = 2.93, p < .005), and self-epistemic authority (t = 2.78, p < .007). There was no significant difference in the sense of meaning (t = 1.45, p = .150). Mediation analysis on the combined sample revealed that self-epistemic authority mediated the relationship between professional meaning and professional identity, while professional autonomy did not.

Conclusion
The findings suggest that practical nutrition education enhances nursing students’ professional identity, autonomy, and self-epistemic authority. Future studies should include larger and more diverse samples to further explore these relationships.
Patient responsiveness as a safewards fidelity indicator: a qualitative interview study on an acute psychiatric in-patient ward
Authors: Pelto-Piri Veikko , Kjellin Lars , Backman Gabriella , Carlsson Karoline , Björkdahl Anna 
Published: August 2024

Abstract
Background
The Safewards model aims to reduce conflict and use of containment on psychiatric wards. To evaluate the implementation of Safewards and understand why it is effective in some settings but not in others, it is important to assess the level of implementation fidelity. To do this, the Safewards Fidelity Checklist (SFC) is often used, which focuses on objective visual observations of interventions but does not include patient responsiveness. The latter is a key indicator of implementation fidelity and includes engagement, relevance, acceptability and usefulness. The aim of the present study was to investigate the fidelity of Safewards implementation on an acute psychiatric ward from the perspective of patient responsiveness.

Method
The study was conducted on a ward for patients with mainly affective disorders. To assess the general level of fidelity the SFC was used together with a detailed ward walkthrough. Ten patients were interviewed with a focus on patient responsiveness to each of the seven interventions implemented on the ward. Data were analysed using qualitative descriptive analysis.

Results
The findings indicate high implementation fidelity, which was reflected in the SFC assessment, walkthrough and patient responsiveness. Patients gave examples of improvements that had happened over time or of the ward being better than other wards. They felt respected, less alone, hopeful and safe. They also described supporting fellow patients and taking responsibility for the ward climate. However, some patients were unfamiliar with a ward where so much communication was expected. Several suggestions were made about improving Safewards.

Conclusions
This study confirms previous research that patient responsiveness is an important factor for achieving fidelity in a prevention programme. The patients’ descriptions of the acceptability, relevance and usefulness of the specific interventions reflected to a high degree the objective visual observations made by means of the SFC and ward walkthrough. Patient engagement was demonstrated by several suggestions about how to adapt the interventions. There is potential to obtain valuable input from patients when adapting Safewards in practice. This study also presents many examples of practical work with these interventions and the effects it can have on patients’ experiences of care.
Detection and management of localized prostate cancer in Nigeria: barriers and facilitators according to patients, caregivers and healthcare providers
Authors: Tolani Musliu Adetola , Agbo Christian A. , Paciorek Alan , Umar Shehu S. , Ojewola Rufus W. , Mohammed Faruk , Kaninjing Ernie , Ahmed Muhammed , DeBoer Rebecca 
Published: August 2024

Abstract
Background
Prostate cancer mortality rates are high in Nigeria. While prostate cancer is highly curable with early detection and effective multidisciplinary management, the quality of care is suboptimal in this setting. Sustainable delivery of high-quality care for patients with localized prostate cancer is needed to save more lives. To inform future interventions to improve care, this study aimed to identify barriers and facilitators that influence prostate cancer detection and management in Nigeria.

Methods
Six focus group discussions (FGDs), stratified by stakeholders were conducted with a purposive sample of prostate cancer patients (n = 19), caregivers (n = 15), and healthcare providers (n = 18), in two academic tertiary hospitals in northern and southern Nigeria. A discussion guide organized based on the socio-ecological model was used. FGDs were recorded, transcribed, and analysed using the framework technique.

Results
Barriers and facilitators were identified at the individual, interpersonal, and organizational levels. Barriers to detection included limited knowledge and misperceptions among patients, caregivers, and community-based non-specialist healthcare providers, and limitations of centralized opportunistic screening; while facilitators included the potential for religious institutions to encourage positive health-seeking behaviour. Barriers to management included non-uniformity in clinical guideline usage, treatment abandonment amidst concerns about treatment and survival, absence of patient interaction platforms and follow-up support systems, difficulty in navigating service areas, low health insurance coverage and limited financial resource of patients. Facilitators of management included the availability of resource stratified guidelines for prostate cancer management and the availability of patient peers, caregivers, nurses, and medical social workers to provide correct medical information and support patient-centred services. Participants also provided suggestions that could help improve prostate cancer detection and management in Nigeria.

Conclusion
This study identified multiple determinants affecting the detection and management of localized prostate cancer. These findings will inform the refinement of implementation strategies to improve the quality of prostate cancer care in Nigeria.
Seminal plasma removal for medium-term preservation of ram sperm at 5 °C
Authors: Neila-Montero Marta , Alvarez Mercedes , Riesco Marta F. , Soriano-Úbeda Cristina , Montes-Garrido Rafael , Palacin-Martinez Cristina , de Paz Paulino , Anel Luis , Anel-Lopez Luis 
Published: August 2024

AbstractThis study aimed to investigate if washing ram sperm from seminal plasma (SP) could be an effective tool to extend sperm lifespan in medium-term preservation in liquid form to optimize ovine artificial insemination protocols. To this end, in Experiment 1 SP was added to a sperm model without previous contact with this substance (ram epididymal sperm) at the beginning or the end of a 48-hour preservation protocol at 5 °C (n = 13). Sperm motility and kinetic parameters and sperm functionality in terms of sperm viability, apoptosis, mitochondrial activity and reacted acrosomes were assessed after 6 h of storage at 15 °C (standard liquid preservation method) and 24 and 48 h at 5 °C. Extended sperm showed better results after 48 h when stored in the absence than in the presence of SP in most sperm quality parameters. Moreover, the final SP supplementation of this experimental group resulted in the highest sperm motility and kinetic parameters, viability and mitochondrial activity. These results suggested that initial SP deprivation could be beneficial in a medium-term ram sperm preservation protocol in liquid form, as well as a final supplementation. Therefore, we conducted Experiment 2 to evaluate the effect of SP removal from freshly ejaculated ram semen under the same storage conditions as in Experiment 1 (n = 12). Surprisingly, SP withdrawal impaired sperm functionality, leading to increased apoptosis and decreased mitochondrial activity after 24 and 48 h at 5 °C. Conversely, SP supplementation at the end of the preservation protocol of the ejaculate processed as usual had a positive effect on sperm quality and fertility. To summarize, SP absence was beneficial for a medium-term preservation protocol (up to 48 h at 5 °C) of ram epididymal sperm, but the same preservation protocol for ram ejaculated sperm revealed a possible failure of the SP removal method in avoiding the sperm-SP interaction effect. Meanwhile, SP supplementation of ram semen at the end of the preservation protocol increased in vitro sperm quality and fertility after artificial insemination.
Adipocytes promote metastasis of breast cancer by attenuating the FOXO1 effects and regulating copper homeostasis
Authors: Chen Xiu , Zhang Heda , Fang Zheng , Wang Dandan , Song Yuxin , Zhang Qian , Hou Junchen , Yang Sujin , Xu Di , Fei Yinjiao , Zhang Wei , Zhang Jian , Tang Jinhai , Li Lei 
Published: August 2024

Abstract
Background
Obesity and the forkhead box O1(FOXO1) affect the survival of breast cancer patients, but the underlying mechanism remains unclear. We aimed to investigate the role of FOXO1 in obesity-associated-breast cancer.

Methods
We screened 383 breast disease patients from the first affiliated hospital with Nanjing Medical University in 2020. We performed wound healing, transwell, matrigel assays to assess the metastatic ability of cancer cells. We adopted mRNAs sequencing to select the differentially expressed transcripts in breast cancer. We applied immunohistochemistry, western blot, tissue microarrays to assess the level of FOXO1 and epithelial-mesenchymal transition (EMT) pathways. We conducted bioinformatic analysis to investigate interactions between FOXO1 and miR-135b. We used fluorescence in situ hybridization, RT-qPCR to confirm the characteristics of circCNIH4. We conducted luciferase reporter assay, rescue experiments to investigate interactions between circCNIH4 and miR-135b.

Results
Obesity was positively correlated with the incidence and progression of breast cancer. Adipocytes enhanced the migration of breast cancer and attenuated the effects of FOXO1. MiR-135b was a binding gene of FOXO1 and was regulated by circCNIH4. CircCNIH4 exhibited antitumor activity in vitro and in vivo.

Conclusion
Adipocytes might accelerate the progression of breast cancer by modulating FOXO1/miR-135b/ circCNIH4 /EMT axis and regulating copper homeostasis.
Enhancing mutation detection in multiple myeloma with an error-corrected ultra-sensitive NGS assay without plasma cell enrichment
Authors: Kim Jin Ju , Kim Soo-Jeong , Lim Seoyoung , Lee Seung-Tae , Choi Jong Rak , Shin Saeam , Hwang Doh Yu 
Published: August 2024

Abstract
Background
Risk stratification in multiple myeloma (MM) patients is crucial, and molecular genetic studies play a significant role in achieving this objective. Enrichment of plasma cells for next-generation sequencing (NGS) analysis has been employed to enhance detection sensitivity. However, these methods often come with limitations, such as high costs and low throughput. In this study, we explore the use of an error-corrected ultrasensitive NGS assay called positional indexing sequencing (PiSeq-MM). This assay can detect somatic mutations in MM patients without relying on plasma cell enrichment.

Method
Diagnostic bone marrow aspirates (BMAs) and blood samples from 14 MM patients were used for exploratory and validation sets.

Results
PiSeq-MM successfully detected somatic mutations in all BMAs, outperforming conventional NGS using plasma cells. It also identified 38 low-frequency mutations that were missed by conventional NGS, enhancing detection sensitivity below the 5% analytical threshold. When tested in an actual clinical environment, plasma cell enrichment failed in most BMAs (14/16), but the PiSeq-MM enabled mutation detection in all BMAs. There was concordance between PiSeq-MM using BMAs and ctDNA analysis in paired blood samples.

Conclusion
This research provides valuable insights into the genetic landscape of MM and highlights the advantages of error-corrected NGS for detecting low-frequency mutations. Although the current standard method for mutation analysis is plasma cell-enriched BMAs, total BMA or ctDNA testing with error correction is a viable alternative when plasma cell enrichment is not feasible.
Nest site selection and fidelity of European pond turtle (Emys orbicularis) population of Babat Valley (Gödöllő, Hungary)
Authors: Kiss István , Erdélyi Gergő , Szabó Borbála 
Published: August 2024

Abstract
Background
The conservation of aquatic and semiaquatic turtles requires knowledge of the area and vegetation structure of habitat used for nesting, and nesting migration route. We aimed to survey the effects of habitat features to the nest site selection, nesting success, and test the possibility of nest site fidelity. Our study was carried out at 10 different nesting areas, with special emphasis on data from returning females in a pond system in Hungary between 2014 and 2017.

Results
Most nesting attempts were found in closed sand steppes, uncharacteristic dry and semi-dry grasslands habitat patches. The principal component analysis (PCA) showed that increased sandy soil cover, sunlight and slope were important variables in nest site choice. The increasing PCA first axis score significantly increased the chance of an emergence. The degradation of open steppe vegetation, occurrence of weeds, invasive and disturbance tolerant species have a negative effect on the selection of nest sites. We observed that 96.55% of nests were located within 20 m south of a pine forest at preferred nest site at pond 5, which provided the right incubation temperature through partial shading. The returning females nested significantly closer to the northern pine forest than the single clutch females. Most probably the returning females already has the necessary experience to select the right nesting site. The individually marked females did not choose new nesting areas during the monitored years which suggests nesting area fidelity, but we did not find nest site fidelity.

Conclusion
The maintenance of mosaic habitat structure, slowing down the succession process at the nesting area should be basic priorities in European pond turtle conservation programs. We suggested a spatial and temporal scheduling of land management and agricultural work to the local farmers. If the actual nest site is in an agricultural area, all work should be avoided throughout the year. Agricultural machinery should avoid the migration routes of adult turtles and emerged hatchlings during the concerned period. Under strong predation pressure, predator control should be carried out, and use nest protection.
High expression of L-GILZ transcript variant 1 (GILZ TV 1) is associated with increased 30-day sepsis mortality, and a high expression ratio possibly contraindicates hydrocortisone administration
Authors: Rusev Stefan , Thon Patrick , Dyck Birte , Ziehe Dominik , Rahmel Tim , Marko Britta , Palmowski Lars , Nowak Hartmuth , Ellger Björn , Limper Ulrich , Schwier Elke , Henzler Dietrich , Ehrentraut Stefan Felix , Bergmann Lars , Unterberg Matthias , Adamzik Michael , Koos Björn , Rump Katharina 
Published: August 2024

Abstract
Background
Sepsis presents a challenge due to its complex immune responses, where balance between inflammation and anti-inflammation is critical for survival. Glucocorticoid-induced leucine zipper (GILZ) is key protein in achieving this balance, suppressing inflammation and mediating glucocorticoid response. This study aims to investigate GILZ transcript variants in sepsis patients and explore their potential for patient stratification and optimizing glucocorticoid therapy.

Methods
Sepsis patients meeting the criteria outlined in Sepsis-3 were enrolled, and RNA was isolated from whole blood samples. Quantitative mRNA expression of GILZ transcript variants in both sepsis patient samples (n = 121) and the monocytic U937 cell line (n = 3), treated with hydrocortisone and lipopolysaccharides, was assessed using quantitative PCR (qPCR).

Results
Elevated expression of GILZ transcript variant 1 (GILZ TV 1) serves as a marker for heightened 30-day mortality in septic patients. Increased levels of GILZ TV 1 within the initial day of sepsis onset are associated with a 2.2-[95% CI 1.2–4.3] fold rise in mortality, escalating to an 8.5-[95% CI 2.0–36.4] fold increase by day eight. GILZ TV1 expression is enhanced by glucocorticoids in cell culture but remains unaffected by inflammatory stimuli such as LPS. In septic patients, GILZ TV 1 expression increases over the course of sepsis and in response to hydrocortisone treatment. Furthermore, a high expression ratio of transcript variant 1 relative to all GILZ mRNA TVs correlates with a 2.3-fold higher mortality rate in patients receiving hydrocortisone treatment.

Conclusion
High expression of GILZ TV 1 is associated with a higher 30-day sepsis mortality rate. Moreover, a high expression ratio of GILZ TV 1 relative to all GILZ transcript variants is a parameter for identifying patient subgroups in which hydrocortisone may be contraindicated.
Production of rare ginsenosides by biotransformation of Panax notoginseng saponins using Aspergillus fumigatus
Authors: Yang Lian , Lin Dongmei , Li Feixing , Cui Xiuming , Lou Dengji , Yang Xiaoyan 
Published: August 2024

AbstractPanax notoginseng saponins (PNS) are the main active components of Panax notoginseng. But after oral administration, they need to be converted into rare ginsenosides by human gut microbiota and gastric juice before they can be readily absorbed into the bloodstream and exert their effects. The sources of rare ginsenosides are extremely limited in P. notoginseng and other medical plants, which hinders their application in functional foods and drugs. Therefore, the production of rare ginsenosides by the transformation of PNS using Aspergillus fumigatus was studied in this research. During 50 days at 25 ℃ and 150 rpm, A. fumigatus transformed PNS to 14 products (1–14). They were isolated by varied chromatographic methods, such as silica gel column chromatography, Rp-C18 reversed phase column chromatography, semi-preparative HPLC, Sephadex LH-20 gel column chromatography, and elucidated on the basis of their 1H-NMR, 13C-NMR and ESIMS spectroscopic data. Then, the transformed products (1–14) were isolated and identified as Rk3, Rh4, 20 (R)-Rh1, 20 (S)-Protopanaxatriol, C-K, 20 (R)-Rg3, 20 (S)-Rg3, 20 (S)-Rg2, 20 (R)-R2, Rk1, Rg5, 20 (S)-R2, 20 (R)-Rg2, and 20 (S)-I, respectively. In addition, all transformed products (1–14) were tested for their antimicrobial activity. Among them, compounds 5 (C-K) and 7 [20 (S)-Rg3] showed moderate antimicrobial activities against Staphylococcus aureus and Candida albicans with MIC values of 6.25, 1.25 μg/mL and 1.25, 25 μg/mL, respectively. This study lays the foundation for production of rare ginsenosides.
Graphical abstract
Human-De Brazza’s monkey conflict in Kafa Biosphere Reserve, Kafa Zone South West, Ethiopia
Authors: Haile Melaku , Gadisa Tsegaye , Gutema Tariku Mekonnen 
Published: August 2024

Abstract
Background
Human-wildlife conflict (HWC) is any interaction between humans and wildlife that arises when wildlife necessities encroach on those of the human population. It affects all areas where animal and peoples cohabit regardless of geography or climatic circumstances; but the burden is great in developing nations. De Brazza’s monkey (DM) (Cercopithecus neglectus) is one of the most unusual species in the group of Old-World monkeys commonly known as guenons. The De Brazza’s monkey is distributed in different parts of African forests from Guinea to Ethiopia. This study was conducted in Kafa Biosphere Reserve, Kafa Zone, South West Ethiopia, to assess the causes of human wildlife conflict in the area. The methods used were, household questionnaire, focus group discussion and direct field observation from June 2022 to May 2023.

Results
The study revealed that the major causes of human De Brazza’s monkey conflicts were; habitat destruction 52.9%, (n = 72), human proximity to natural forest, 25.7%, (n = 35) and increasing of its population size 8.1 %, (n = 11). These monkeys’ raids crop usually early in the morning 42.6%, (n = 58), and late evening 29.4%, (n = 40). Maize was the most damaged crop by De Brazza’s monkey followed by coffee. The study also confirmed that guarding was the most common method used to protect crops from crop raiding wildlife in the area. Majority 66.2%, (n= 90) of the informants had negative attitude but 22.1%, (n = 30) had positive attitude towards De Brazza’s monkey conservation.

Conclusion
The study discovered that, in contrast to olive baboons and grivet monkeys in the area, De Brazza's monkeys were not previously identified as crop raiders; however, they are currently causing damage to crops, especially maize and coffee crops. This could be due to habitat destruction and human proximity to the forest boundary. Thus, the conflict between humans and De Brazza's monkeys is escalating. As such, we recommended more research on the population status of the monkeys and strategies for coexist in the area.