bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determination of gas flux of growing steers under intensive grazing conditions
Authors: Vargas Juan de J , Carvalho Pedro H V , Raynor Edward J , Martins Edilane C , Souza Willian A , Shadbolt Anna M , Stackhouse-Lawson Kimberly R , Place Sara E 
Published: August 2024

ABSTRACT
Ruminants produce one-third of the anthropogenic methane (CH4) emissions worldwide, and 47% of the CH4 emissions result from ruminants under grazing conditions. However, there is limited information regarding the appropriate number of visits to accurately determine enteric CH4 emissions using the automated head-chamber system (AHCS) from growing beef cattle under intensive grazing conditions. Data from one experiment were analyzed to determine the number of visits to assess gas flux (CH4, carbon dioxide [CO2], and oxygen [O2]) from Angus-crossbreed steers grazing in a pivot-irrigated improved pasture. A total of 110 steers (324 ± 37.3 kg initial body weight) were selected and divided into two blocks. Steers were under intensive grazing management for 84 d. Depending on forage availability, steers were rotated at 2- to 4-d intervals. Pastures were predominately composed of cool-season forages. Two different databases using the same animals (n = 16) were defined to calculate the gas flux using the first 100 visits to an AHCS with 2 or more or 3 or more minutes of visitation length. The mean gas flux was estimated as the average for increasing (forward) or decreasing (reverse) the gas flux of 5-visit intervals starting with the first or the last 5 visits and increasing or decreasing until the full 100-visit dataset was utilized, respectively. Spearman and Pearson correlations were computed between the maximum visits and each shortened visit interval. Concurrently, the residual variance and the residual variance change were determined for each interval by fitting a mixed model. The minimum number of visits was defined when correlations with the total visits were greater than 0.95, and the residual variance was stabilized. The results indicated that the minimum number of visits needed to determine CH4 production varied between 45 and 70, while CO2 production and O2 consumption varied between 45 and 50 according to the visitation length. Additionally, steers that visited the AHCS for 2 or more minutes in visit duration required a greater number of visits than those that visited for 3 or more minutes. Thus, based on the average daily visitation in this experiment (1.4 visit/d), the assessment of CH4 emissions requires 32 d, while CO2 production and O2 consumption require between 32 and 36 d using 3 or more minutes of visit length from growing steers under intensive grazing conditions.
Funneliformis mosseae potentiates defense mechanisms of citrus rootstocks against citrus nematode, Tylenchulus semipenetrans
Authors: Shahabi Iman , Goltapeh Ebrahim Mohammadi , Amirmijani Amirreza , Pedram Majid , Atighi Mohammad Reza 
Published: August 2024

Abstract
Using integrated pest management without relying on chemical pesticides is one of the most attractive approaches to controlling plant pathogens. Among them, using resistant cultivars or rootstocks against diseases in combination with beneficial microorganisms has attracted special attention. The citrus nematode is one of the major constraints of citrus cultivation worldwide. We showed that the mycorrhizal arbuscular fungus, Funneliformis mosseae, increased growth parameters including shoot and root length and biomass of two main rootstocks of citrus, sour orange and Volkamer lemon, in noninfected and infected plants with citrus nematode. It decreased the infection rate by citrus nematode in both rootstocks compared with nonmycorrhizal plants. The rate of decrease in nematode infection was highest when plants were pre-inoculated with F. mosseae and was lowest when nematode was inoculated before F. mosseae. However, when nematode was inoculated before the fungus, the fungus was still able to mitigate the negative effect of infection by nematode compared with plants inoculated with nematode only. This suggests that the timing of inoculation plays a crucial role in the effectiveness of F. mosseae in reducing nematode infection. Moreover, monitoring of the expression of two genes, phenylalanine ammonia-lyase and β-1,3-glucanase, which are involved in systemic-acquired resistance (SAR) showed that although they were significantly upregulated in mycorrhizal plants compared with nonmycorrhizal plants, they showed the highest expression when plants were pretreated with fungus before nematode inoculation, thus, indicating that plants were primed. In summary, F. mosseae primes the defense-related genes involved in SAR, increasing plant defensive capacity and boosting growth parameters in citrus rootstock. This has important implications for the agricultural industry.
Impaired intestinal FXR signaling is involved in aberrant stem cell function leading to intestinal failure‐associated liver disease in pediatric patients with short bowel syndrome
Authors: Zhao Yuling , Wang Ying , Jiang Lu , Cai Wei , Yan Junkai 
Published: August 2024

AbstractIntestinal failure‐associated liver disease (IFALD) is a serious complication of long‐term parenteral nutrition in patients with short bowel syndrome (SBS), and is the main cause of death in SBS patients. Prevention of IFALD is one of the major challenges in the treatment of SBS. Impairment of intestinal barrier function is a key factor in triggering IFALD, therefore promoting intestinal repair is particularly important. Intestinal repair mainly relies on the function of intestinal stem cells (ISC), which require robust mitochondrial fatty acid oxidation (FAO) for self‐renewal. Herein, we report that aberrant LGR5+ ISC function in IFALD may be attributed to impaired farnesoid X receptor (FXR) signaling, a transcriptional factor activated by steroids and bile acids. In both surgical biopsies and patient‐derived organoids (PDOs), SBS patients with IFALD represented lower population of LGR5+ cells and decreased FXR expression. Moreover, treatment with T‐βMCA in PDOs (an antagonist for FXR) dose‐dependently reduced the population of LGR5+ cells and the proliferation rate of enterocytes, concomitant with decreased key genes involved in FAO including CPT1a. Interestingly, however, treatment with Tropifexor in PDOs (an agonist for FXR) only enhanced FAO capacity, without improvement in ISC function and enterocyte proliferation. In conclusion, these findings suggested that impaired FXR may accelerate the depletion of LGR5 + ISC population through disrupted FAO processes, which may serve as a new potential target of preventive interventions against IFALD for SBS patients.
Chinese national clinical practice guidelines on prevention, diagnosis and treatment of early colorectal cancer
Authors: Li Jingnan , Yao Hongwei , Lu Yun , Zhang Shutian , Zhang Zhongtao ,   Society of Digestive Endoscopy of the Chinese Medical Association, Colorectal Surgery Group of the Chinese Medical Association, Chinese Association of Gastroenterologist & Hepatologist, National Clinical Research Center for Digestive Diseases, Chinese Medical Journal Clinical Practie Guideline Collaborative
Published: August 2024

Abstract

Background:
The incidence and mortality of colorectal cancer (CRC) in China are increasing in recent years. The clarified pathogenesis and detectable precancerous lesions of CRC make it possible to prevent, screen, and diagnose CRC at an early stage. With the development of endoscopic and surgical techniques, the choice of treatment for early CRC is also worth further discussion, and accordingly, a standard follow-up program after treatment needs to be established.

Methods:
This clinical practice guideline (CPG) was developed following the recommended process of the World Health Organization, adopting Grading of Recommendations Assessment, Development and Evaluation (GRADE) in assessing evidence quality, and using the Evidence to Decision framework to formulate clinical recommendations, thereby minimizing bias and increasing transparency of the CPG development process. We used the Reporting Items for practice Guidelines in HealThcare (RIGHT) statement and Appraisal of Guidelines for Research and Evaluation II (AGREE II) as reporting and conduct guides to ensure the guideline’s completeness and transparency.

Results:
This CPG comprises 46 recommendations concerning prevention, screening, diagnosis, treatment, and surveillance of CRC. In these recommendations, we have indicated protective and risk factors for CRC and made recommendations for chemoprevention. We proposed a suitable screening program for CRC based on the Chinese context. We also provided normative statements for the diagnosis, treatment, and surveillance of CRC based on existing clinical evidence and guidelines.

Conclusions:
The 46 recommendations in this CPG are formed with consideration for stakeholders’ values and preferences, feasibility, and acceptability. Recommendations are generalizable to resource-limited settings with similar CRC epidemiology pattern as China.
The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics
Authors: Noghrehchi Pejmon , Hefner Jennifer L. , Walker Daniel M. 
Published: August 2024

BackgroundDespite the intense policy focus on reducing health-care-associated conditions, adverse events in health care settings persist. Therefore, evaluating patient safety efforts and related health policy initiatives remains critical.PurposeThe aim of this study was to explore the relationship between hospital patient safety culture and hospital performance on Centers for Medicare & Medicaid Services (CMS) Hospital Value-Based Purchasing (HVBP) metrics.Methodology/ApproachA pooled cross-sectional study design was used utilizing three secondary datasets from 2018 and 2021: the Hospital Survey on Patient Safety Culture, the American Hospital Association annual survey, and the Hospital Compare data from CMS. We used two multivariable linear regression models to examine the relationship between organizational patient safety culture and hospital performance. The dependent variables included the overall CMS total performance score (TPS) and the four individual TPS domain scores. Hospital patient safety culture, the independent variable, was operationalized using two measures from the Hospital Survey on Patient Safety Culture: (a) the domain score of overall perceptions of patient safety and (b) the patient safety grade.ResultsWe observed positive and significant associations between hospital patient safety culture and a hospital's overall TPS and the “patient and community engagement” and “safety” domains.ConclusionFindings suggest that building a strong patient safety culture has the potential to lead health care organizations to achieve high performance on HVBP metrics.Practice ImplicationsOur findings have important policy implications for both the future of CMS HVBP as a motivator of patient safety and how health care managers integrate culture change into programs to meet external quality metrics.
Silent Struggles: Traumatic Brain Injuries and Mental Health in Law Enforcement
Authors: Caccese Jaclyn B. , Smith Carly R. , Edwards Nathan A. , Emerson Angela M. , Le Flao Enora , Wing Jeffrey J. , Hagen Joshua , Paur Scott , Walters Joshua , Onate James A. 
Published: August 2024

Objective:
To determine the prevalence of head injuries (HIs), posttraumatic stress disorder (PTSD), and depressive symptoms in law enforcement officers (LEOs) and (2) the association between HIs and psychological health conditions.

Setting:
County-level survey administered via Research Electronic Data Capture.

Participants:
A total of 381 LEOs completed the survey (age = 43 ± 11 years; 40 [11%] females; time as LEO = 1-50 years, median = 15 years).

Design:
Cross-sectional study.

Main Measures:
We examined the prevalence of HIs (the Ohio State University Traumatic Brain Injury Identification Method), PTSD (PTSD Checklist—Civilian [PCL-C]), and depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]). We used Mann-Whitney U and chi-square analyses to compare PTSD and depressive symptoms between those with and without a HI history.

Results:
There were 282 (74%) participants who reported a lifetime history of 1 or more HIs; 116 (30%) sustained 1 or more HIs on the job. PCL-C scores ranged 17 to 85 (median = 27); 33 (10%) participants met or exceeded the clinical cutoff score of 50 to indicate a positive PTSD screening. Participants with a HI history (median = 29) had higher PCL-C scores than those with no HI history (median = 24; P < .001), but the proportion of participants who met the clinical cutoff for PTSD was not different between those with (n = 28, 11%) and without (n = 5, 5%) a HI history (X2 = 2.52, P = .112, odds ratio = 2.18; 95% confidence interval, 0.82-5.83). PHQ-9 scores ranged 0 to 20 (median = 3); 124 (36%) participants reported mild or greater depressive symptoms. Participants with a HI history (median = 3) had higher depressive symptoms than those with no HI history (median = 2; P = .012). The proportion of participants with mild or greater depressive symptoms was higher among those with a HI history (n = 99, 39%) than without (n = 25, 27%; X2 = 4.34, odds ratio = 1.74; 95% confidence interval, 1.03-2.93).

Conclusion:
HIs are prevalent in LEOs, which may have consequences for their performance, well-being, and career longevity. PTSD and depressive symptoms are higher in those with a HI history, suggesting LEOs need better traumatic brain injuries and mental health resources.
Assessment of the Corneal Biomechanical Features of Sturge–Weber Syndrome Using Dynamic Ultrahigh-speed Scheimpflug Imaging
Authors: Xie Mengzhen , Tang Jing , Zhang Yao , Deng Yingping , Ma Ke , Xiang Xingye , Tang Li 
Published: August 2024

Purpose:
To evaluate the corneal biomechanical characteristics of eyes with Sturge–Weber syndrome (SWS) secondary glaucoma (SSG) by analyzing corneal biomechanical parameters obtained using the Corneal Visualization Scheimpflug Technology instrument (Corvis ST).

Methods:
In patients with SWS, eyes affected by SSG were designated as the SSG group while the contralateral eyes were designated as the SWS contralateral group (SC group). Patients from the myopia clinic served as the control group. Dynamic corneal response parameters (DCRs) including the stress–strain index (SSI)—a critical material stiffness parameter that excludes interference from IOP and central corneal thickness (CCT)—were analyzed.

Results:
For CCT, no significant difference was observed between the SSG and SC groups. However, significant differences were found between the SSG and control groups and between the SC and control groups. Parameters such as HC Time, A1 Deformation Amp., A2 Deformation Amp., length of Whole Eye Movement (WEM), DA Ratio Max (2 mm), PachySlope, DA Ratio Max (1 mm), and ARTh showed significant differences between the SSG group and control group. In the SSG group, 4 of night eyes had an SSI of less than 0.85.

Conclusions:
Some DCRs indicated a stiffer cornea in the SSG group, possibly due to a thicker cornea in this group. On analyzing SSI, it was found that corneal material properties change, becoming less stiff in some of the patients with SSG. In conclusion, our study provides a preliminary exploration of the biomechanical properties of SWS secondary glaucoma.
Impact of the COVID-19 Pandemic on Measles Vaccination Coverage and Estimated Catch-up Efforts for Serbia
Authors: Burgess Colleen , Lisul Bogdan , Pawaskar Manjiri , Petigara Tanaz , Murtagh Janice , Kanazir Milena , Loncarevic Goranka , Carias Cristina 
Published: August 2024

Background:
Measles is highly infectious, requiring ≥95% vaccine coverage rate (VCR) to prevent outbreaks. This study aimed to understand the impact of the COVID-19 pandemic on routine measles-containing vaccine (MCV) VCRs in Serbia and estimate national and regional catch-up vaccination required to prevent outbreaks.

Methods:
A multiplier model was used to calculate annual MCV dose 1 (MCV1) and MCV dose 2 (MCV2) VCRs for children 1-6 and 6-12 years of age, respectively, for 2011-2022. Postpandemic (2023–2024) VCRs were modeled. The numbers of administered doses were compared to prepandemic and postpandemic, and monthly catch-up rates were calculated for 12-, 18- and 24-month campaigns.

Results:
Between prepandemic and pandemic periods, national MCV1 VCR decreased from 88% to 81%, while MCV2 VCR decreased from 92% to 89%, corresponding to 20,856 missed MCV1 and 8760 missed MCV2 doses. Assuming national VCRs returned to prepandemic levels post-2022, 18% of children 1-6 years of age and 11% of children 6-12 years of age would have missed their MCV1 and MCV2 doses, respectively, by 2024. To catch up missed doses under this scenario, most regions would require monthly catch-up rates of 25%, 16% or 12% for MCV1 and 14%, 9% or 7% for MCV2, considering 12-, 18- or 24-month campaigns, respectively.

Conclusions:
The pandemic negatively impacted MCV VCRs in Serbia, leaving a sizeable proportion of children with missed doses. Significant catch-up efforts are required to recover VCRs to prepandemic levels and avoid future measles outbreaks, with increased monthly administration rates versus those in prepandemic periods.
Enhancing the autologous fascial sling procedure: A novel fixation method for treating stress urinary incontinence in female patients
Authors: Huang Yu-Kai , Fan Yu-Hua , Lin Alex Tong-Long , Huang William J. , Lin Chih-Chieh 
Published: August 2024

Background:
Synthetic mid-urethral sling surgery has long been the standard surgical treatment for stress urinary incontinence (SUI) worldwide. Using an autologous fascial sling is an alternative to reduce adverse events. We evaluated the treatment outcomes of a novel fixation method applied to the autologous transobturator fascial (TOF) sling procedure for female patients with SUI.

Methods:
A retrospective study was conducted between 2017 and 2020, including 33 patients with SUI who underwent mid-urethral TOF sling surgery with the novel fixation method. We used a self-locking feature (V-LOC™) that was fixed to each side of skin layer above the obturator foramen, and the tension of the fascia sling was adjusted by manipulating the V-LOC™ suture. We analyzed all data collected through questionnaires, including Urinary Distress Inventory-Short Form (UDI-6), Incontinence Impact Questionnaire-Short Form (IIQ-7), Overactive Bladder Symptom Score (OABSS), and Clinical Global Impressions of Improvement (CGI-I). Adverse events were also recorded.

Results:
This study included 33 female patients aged 39 to 79 (mean 59.76 years). Following the procedure, there was a significant reduction in the total scores of UDI-6, IIQ-7, and OABSS (preoperative 9.73 ± 4.35, 10.21 ± 5.79, 6.06 ± 4.03 and postoperative 3.52 ± 3.41, 0.85 ± 3.67, 3.06 ± 2.90, respectively) (p < 0.001). Further analysis of each sub-score of the questionnaires revealed significant improvement in certain symptoms. The mean total score of CGI-I was 2.00 ± 0.80. The maximum flow rate was documented for 18 patients, and no significant reduction was observed after the procedure (p = 0.804). Complications reported included voiding dysfunction in two patients (6.1%), inguinal pain in one patient (3.0%), and mild delayed wound healing in one patient (3.0%).

Conclusion:
This modified TOF sling surgery with a novel fixation method by V-LOC™ suture offers feasibility and adjustability as its main advantages. Our study demonstrated significant improvements in patient outcomes.
The Spectrum of Nail Disorders in Patients With End-Stage Renal Disease Undergoing Conservative Treatment: A Case-Control Study
Authors: Shigidi Mazin MT 
Published: August 2024

Objective:
Various nail disorders have been reported in patients with chronic kidney disease. However, few studies have investigated nail disorders in patients with advanced chronic kidney disease. This study focused on nail disorders seen in patients with end-stage renal disease (ESRD) undergoing conservative treatment.

Methods:
A case-control study was conducted at Baraha Medical City in Khartoum State, Sudan. Data on patients with ESRD who were on conservative treatment and presented for follow-up between March and September 2021 were collected. Patients’ demographic features, nail findings on clinical examination, and laboratory results were recorded. The obtained data were compared with those on age- and sex-matched healthy individuals from the general population. The chi-square test and Student t test were performed to analyze categorical and numerical variables, respectively.

Results:
Data on 78 patients with ESRD were studied. Their mean age was 54.6 ± 17.6 years, and 45 (57.7%) were men. These patients were compared with 129 controls. Nail disorders were seen in 65 (83.3%) ESRD patients and 86 (66.6%) controls (P = 0.009). Patients with ESRD were found to be at increased relative risk of developing a wide spectrum of nail disorders. An absent lunula, half-and-half nails, nail dystrophy, Terry’s nails, onychomycosis, and koilonychia were the most common disorders and were seen in 44 (56.4%), 13 (16.7%), 10 (12.8%), 9 (11.5%), 6 (7.7%), and 5 (6.4%) patients, respectively. Patients with ESRD had a statistically significant risk of developing above diseases (all P < 0.05).

Conclusion:
The current study demonstrated a wide spectrum of nail disorders in patients with ESRD undergoing conservative treatment. Further studies are essential to understand their pathogenesis.
Mitigating infections in implantable urological continence devices: risks, challenges, solutions, and future innovations. A comprehensive literature review
Authors: Yang Bob , Lavigne Axelle , Carugo Dario , Turney Ben , Somani Bhaskar , Stride Eleanor 
Published: August 2024

Purpose of review
Stress urinary incontinence is a growing issue in ageing men, often following treatment for prostate cancer or bladder outflow obstruction. While implantable urological devices offer relief, infections are a significant concern. These infections can lead to device removal, negating the benefits and impacting patient outcomes. This review explores the risks and factors contributing to these infections and existing strategies to minimize them. These strategies encompass a multifaceted approach that considers patient-specific issues, environmental issues, device design and surgical techniques. However, despite these interventions, there is still a pressing need for further advancements in device infection prevention.

Recent findings
Faster diagnostics, such as Raman spectroscopy, could enable early detection of infections. Additionally, biocompatible adjuncts like ultrasound-responsive microbubbles hold promise for enhanced drug delivery and biofilm disruption, particularly important as antibiotic resistance rises worldwide.

Summary
By combining advancements in diagnostics, device design, and patient-specific surgical techniques, we can create a future where implantable urological devices offer men a significant improvement in quality of life with minimal infection risk.