bluuebunny/crossref_metadata_2025_split huggingface dataset:
Guardian’s knowledge and attitude towards inhaled corticosteroids aerosol therapy and medication compliance of children with wheezing diseases
Authors: Liu Zuojiao , Dai Haiqing , Tao Fengjiao , He Xiaoxiao , Jin Ting 
Published: July 2024

Abstract
Background
Glucocorticoids are widely used in inhalation aerosol therapy for wheezing diseases. This study aims to explore guardians’ knowledge and attitude towards inhaled corticosteroids (ICS) aerosol therapy and the medication compliance of children with wheezing diseases in China.

Methods
This cross-sectional study enrolled guardians of children with wheezing diseases at the First Hospital Affiliated to Shaoyang College between October 2022 and February 2023. A self-administered questionnaire was developed to collect demographic information of the participants and evaluate their knowledge and attitude towards ICS aerosol therapy. The 8-item Morisky Medication Adherence Scale was used to assess the medication compliance of children.

Results
A total of 506 valid questionnaires were collected. 260 (51.38%) participants were guardians of a ≤ 3-year-old child and 327 (64.62%) were children’s mothers. The knowledge, attitude, and medication compliance scores of all participants were 12.61 ± 5.78, 20.95 ± 2.37, and 4.69 ± 2.18, respectively. Multivariate logistic regression showed that knowledge scores [OR = 1.053, 95% CI (confidence interval): 1.017–1.090, P = 0.003], attitude scores (OR = 1.121, 95% CI: 1.030–1.219, P = 0.008), guardians of children aged 4–6 years (OR = 0.385, 95% CI: 0.242–0.612, P < 0.001), and grandparents of children (OR = 2.633, 95% CI: 1.104–6.275, P = 0.029) were independently associated with children’s medication compliance.

Conclusions
In conclusion, guardians of children with wheezing diseases in China had insufficient knowledge, unsatisfactory attitude, and poor medication compliance towards ICS aerosol therapy.

Trial registration
Retrospectively registered.
β-catenin mediates endodermal commitment of human ES cells via distinct transactivation functions
Authors: Ma Xun , Dai Liujiang , Tan Chunlai , Li Jiangchuan , He Xiangjun , Wang Yaofeng , Xue Junyi , Huang Min , Ren Jianwei , Xia Yin , Wu Qiang , Zhao Hui , Chan Wai-Yee , Feng Bo 
Published: July 2024

Abstract
Background
β-catenin, acting as the core effector of canonical Wnt signaling pathway, plays a pivotal role in controlling lineage commitment and the formation of definitive endoderm (DE) during early embryonic development. Despite extensive studies using various animal and cell models, the β-catenin-centered regulatory mechanisms underlying DE formation remain incompletely understood, partly due to the rapid and complex cell fate transitions during early differentiation.

Results
In this study, we generated new CTNNB1-/- human ES cells (hESCs) using CRISPR-based insertional gene disruption approach and systematically rescued the DE defect in these cells by introducing various truncated or mutant forms of β-catenin. Our analysis showed that a truncated β-catenin lacking both N- and C-terminal domains (ΔN148C) could robustly rescue the DE formation, whereas hyperactive β-catenin mutants with S33Y mutation or N-terminal deletion (ΔN90) had limited ability to induce DE lineage. Notably, the ΔN148C mutant exhibited significant nuclear translocation that was positively correlated with successful DE rescue. Transcriptomic analysis further uncovered that two weak β-catenin mutants lacking the C-terminal transactivation domain (CTD) activated primitive streak (PS) genes, whereas the hyperactive β-catenin mutants activated mesoderm genes.

Conclusion
Our study uncovered an unconventional regulatory function of β-catenin through weak transactivation, indicating that the levels of β-catenin activity determine the lineage bifurcation from mesendoderm into endoderm and mesoderm.
Ultrasensitive detection of aggregated α-synuclein using quiescent seed amplification assay for the diagnosis of Parkinson’s disease
Authors: Mao Hengxu , Kuang Yaoyun , Feng Du , Chen Xiang , Lu Lin , Xia Wencheng , Gan Tingting , Huang Weimeng , Guo Wenyuan , Yi Hancun , Yang Yirong , Wu Zhuohua , Dai Wei , Sun Hui , Wu Jieyuan , Zhang Rui , Zhang Shenqing , Lin Xiuli , Yong Yuxuan , Yang Xinling , Li Hongyan , Wu Wenjun , Huang Xiaoyun , Bian Zhaoxiang , Wong Hoi Leong Xavier , Wang Xin-Lu , Poppell Michael , Ren Yi , Liu Cong , Zou Wen-Quan , Chen Shengdi , Xu Ping-Yi 
Published: July 2024

AbstractBackgroundSeed amplification assays (SAA) enable the amplification of pathological misfolded proteins, including α-synuclein (αSyn), in both tissue homogenates and body fluids of Parkinson’s disease (PD) patients. SAA involves repeated cycles of shaking or sonication coupled with incubation periods. However, this amplification scheme has limitations in tracking protein propagation due to repeated fragmentation.MethodsWe introduced a modified form of SAA, known as Quiescent SAA (QSAA), and evaluated biopsy and autopsy samples from individuals clinically diagnosed with PD and those without synucleinopathies (control group). Brain biopsy samples were obtained from 14 PD patients and 6 controls without synucleinopathies. Additionally, skin samples were collected from 214 PD patients and 208 control subjects. Data were analyzed from April 2019 to May 2023.ResultsQSAA successfully amplified αSyn aggregates in brain tissue sections from mice inoculated with pre-formed fibrils. In the skin samples from 214 PD cases and 208 non-PD cases, QSAA demonstrated high sensitivity (90.2%) and specificity (91.4%) in differentiating between PD and non-PD cases. Notably, more αSyn aggregates were detected by QSAA compared to immunofluorescence with the pS129-αSyn antibody in consecutive slices of both brain and skin samples.ConclusionWe introduced the new QSAA method tailored for in situ amplification of αSyn aggregates in brain and skin samples while maintaining tissue integrity, providing a streamlined approach to diagnosing PD with individual variability. The integration of seeding activities with the location of deposition of αSyn seeds advances our understanding of the mechanism underlying αSyn misfolding in PD.
Blue petrel electrocardiograms measured through a dummy egg reveal a slow heart rate during egg incubation
Authors: Bonadonna Francesco , Caro Samuel P. , Belle Solenne , Torrente Angelo G. 
Published: July 2024

Abstract
Background
Seabirds like penguins and petrels, living in Antarctic and sub-Antarctic regions, often feed hundreds or even thousands of kilometers away from the islands where they breed. They therefore adapted to endure prolonged fasting during egg incubation, enabling their partner to undertake foraging trips that can last up to two weeks. Aside from accumulating and consuming fat reserves, it is unclear whether seabirds have developed further adaptations to extended fasting periods. This lack of knowledge is in part due to their remote nesting location and their extreme sensitivity to manipulation. To overcome this lack of knowledge, we developed a non-invasive device to record the heart rate (HR) of burrow-nesting blue petrels (Halobaena caerulea) during egg incubation. For that, we encapsulated a small-size logger in a dummy egg to record electrocardiograms (ECGs) through the featherless incubation patch of the birds.

Results
The blue petrels’ HR (208 ± 15 beats per min [bpm]; n = 6) that we recorded during egg incubation was slower than the HR predicted by two different allometric functions regressing HR against body mass (242 and 250 bpm). Blue petrels’ HR also presented cyclical variation correlated to respiration, resembling the physiological Respiratory Sinus Arrhythmia (RSA) described in humans and other species, and that is mainly modulated by the vagal nerve. Moreover, the basal HR of incubating blue petrels increased about every minute during egg movements that presumably reflect egg turning, important for embryo survival and development. During these events, blue petrels’ HR increased up to a maximum of 296 ± 27 bpm for 18 ± 2 s (n = 6). We estimated that those egg movements increased energy expenditure (EE) by 8.4 ± 1.3%, which is approximately 10 times less than the energy increase induced by the disturbance linked with the removal of the dummy egg at the end of the experiment. Interestingly, we noticed that the beginning of HR increase preceded egg movements by 4.3 ± 0.9 s (n = 6), as if birds needed to gradually increase their metabolism to achieve the following action. As well, blue petrels needed 9.1 ± 1.3 s (n = 6) to recover basal levels of HR after the end of egg movements.

Conclusion
We recorded for the first time ECGs, HR and RSA in blue petrels in a completely non-invasive way. This allowed us to observe (1) slow basal HR during egg incubation, which could save energy for prolonged fasting and (2) temporal HR increase, possibly necessary to reposition the egg for proper embryonic development.
Clinician perspectives on how change occurs in multi-family therapy for adolescent anorexia nervosa: a qualitative study
Authors: Baudinet Julian , Eisler Ivan , Roddy Michelle , Turner Jasmin , Simic Mima , Schmidt Ulrike 
Published: July 2024

Abstract
Background
Multi-family Therapy (MFT) is being increasingly used in specialist eating disorder services internationally. Despite evidence of its efficacy, little is understood about the treatment mechanisms and what specifically promotes change. This study aimed to understand clinician perspectives on how change occurs during MFT.

Methods
Clinicians with (a) 5 or more years’ experience facilitating MFT and (b) who had facilitated a minimum of two MFT groups were eligible for this study. Two individual interviews and four semi-structured focus groups were conducted online. Recordings were transcribed verbatim and analysed using reflexive thematic analysis.

Results
Twelve clinicians (five systemic/family psychotherapists, five clinical psychologists, and two consultant child and adolescent psychiatrists) from six different specialist services in the UK participated. Four main inter-connected themes describing how change is perceived to occur were generated; (1) Intensity and immediacy, (2) Flexibility, (3) New ideas and channels of learning and (4) Containment.

Conclusions
Current data matches closely with young person and parent experiences of MFT and intensive day treatment and how they perceive change to occur. Quantitative data are now needed to evaluate the impact of these factors on outcome.
Plain English Summary
Multi-family Therapy (MFT) is being increasingly used in specialist eating disorder services internationally. While there is evidence that it is helpful, little is understood about how the treatment works and what specifically promotes change. This study aimed to understand how clinician believe change to occur during MFT for young people and their family members. Clinicians with (a) five or more years’ experience facilitating MFT and (b) who had facilitated a minimum of two MFT groups were eligible for this study. Two individual interviews and four semi-structured focus groups were conducted online. Recordings were written out word-for-word and analysed using reflexive thematic analysis, a commonly used method for analysing this type of data. Twelve clinicians (five systemic/family psychotherapists, five clinical psychologists, and two consultant child and adolescent psychiatrists) from six different specialist services in the UK participated. Four related themes describing how change is perceived to occur were generated; (1) Intensity and immediacy, (2) Flexibility, (3) New ideas and channels of learning and (4) Containment. Current data matches closely with young person and parent experiences of MFT and intensive day treatment and how they perceive change to occur. These factors now need to be tested in future research.
Late La Tène bronze rivets from selected sites in Bohemia: material research
Authors: Msallamova Sarka , Zlamalova Cilova Zuzana , Cistakova Viktoria , Benes Zdenek , Dudak Jan , Zemlicka Jan , Tymlova Veronika , Krejci Jan , Mikova Jitka , Soucek Josef 
Published: July 2024

Abstract
The study presented focuses on material research of La Tène rivets and represents the very first study conducted into this class of archaeological finds from the Bohemian region. The rivets examined come from two significant archaeological sites situated in this geographical area—a hillfort Kolo near Týnec nad Labem and an oppidum in Stradonice. The sets of the rivets selected for the study were dated to the Late La Tène period (second–first century BC)—in the context of Western Europe, the term Celtic period can also be found. Thorough material research of the objects utilised a range of methods such as scanning electron microscopy with energy dispersive analyser, atomic absorption spectrometry, X-ray micro-tomography scanning, laser ablation-inductively coupled plasma-mass spectrometry, and Raman spectrometry. As a result, the research has identified and described three different technologies used to produce the rivets. The rivets uncovered there were mostly produced by casting from a bronze alloy or by putting wrought iron pins into the bronze melt of rivet heads. In addition, a minority of the rivets were produced using forged wrought iron with their heads plated with a very thin bronze plate. The results of the elemental analysis showed that several of the rivets and most of the rivet heads were made of bronze alloys with a tin content of 2–10 wt.%. The lead content of bronze alloy rivets from both sites varies from 0.2 to 10.1 wt.%. It can be assumed, that lead was intentionally added to the bronze melt used to produce the majority of the artefacts examined. Also, several bronze rivet heads were found to be decorated with enamel, which is a type of soda-lime-silica high lead glass coloured with crystals of Cu2O (the Colour of the enamel was predominantly red). In conclusion, two different groups of enamels were distinguished: (a) enamels with PbO up to 20% and (b) enamels with a higher content of PbO reaching up to 40%.
An ensemble machine learning model for predicting one-year mortality in elderly coronary heart disease patients with anemia
Authors: Cheng Longcan , Nie Yan , Wen Hongxia , Li Yan , Zhao Yali , Zhang Qian , Lei Mingxing , Fu Shihui 
Published: July 2024

Abstract
Objective
This study was designed to develop and validate a robust predictive model for one-year mortality in elderly coronary heart disease (CHD) patients with anemia using machine learning methods.

Methods
Demographics, tests, comorbidities, and drugs were collected for a cohort of 974 elderly patients with CHD. A prospective analysis was performed to evaluate predictive performances of the developed models. External validation of models was performed in a series of 112 elderly CHD patients with anemia.

Results
The overall one-year mortality was 43.6%. Risk factors included heart rate, chronic heart failure, tachycardia and β receptor blockers. Protective factors included hemoglobin, albumin, high density lipoprotein cholesterol, estimated glomerular filtration rate (eGFR), left ventricular ejection fraction (LVEF), aspirin, clopidogrel, calcium channel blockers, angiotensin converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs), and statins. Compared with other algorithms, an ensemble machine learning model performed the best with area under the curve (95% confidence interval) being 0.828 (0.805–0.870) and Brier score being 0.170. Calibration and density curves further confirmed favorable predicted probability and discriminative ability of an ensemble machine learning model. External validation of Ensemble Model also exhibited good performance with area under the curve (95% confidence interval) being 0.825 (0.734–0.916) and Brier score being 0.185. Patients in the high-risk group had more than six-fold probability of one-year mortality compared with those in the low-risk group (P < 0.001). Shaley Additive exPlanation identified the top five risk factors that associated with one-year mortality were hemoglobin, albumin, eGFR, LVEF, and ACEIs/ARBs.

Conclusions
This model identifies key risk factors and protective factors, providing valuable insights for improving risk assessment, informing clinical decision-making and performing targeted interventions. It outperforms other algorithms with predictive performance and provides significant opportunities for personalized risk mitigation strategies, with clinical implications for improving patient care.
Profiling of rhizosphere bacterial community associated with sugarcane and banana rotation system
Authors: Yao Ziting , Khan Abdullah , Xu Yuzhi , Pan Kaiyuan , Zhang Muqing 
Published: July 2024

Abstract
Background
Guangxi is the leading sugarcane-producing area in China. Due to the Panama disease outbreak in banana gardens, sugarcane and banana rotation was recommended. A field experiment with the newly released sugarcane cultivar Zhongzhe 1 (ZZ1) was conducted to understand the role of the sugarcane–banana rotation system in shaping the rhizosphere microbiota. Fields in the region possess characteristics of red laterite soil.

Results
Using Illumina HiSeq sequencing to analyze soil samples’ 16S rRNA V3-V4 region, the preceding banana rotation field had relatively greater bacterial diversity than the monoculture sugarcane field. Proteobacteria, Chloroflexi, Actinobacteria, and Acidobacteria were the dominant phyla, with distinct taxa enriched in each environment. However, the preceding sugarcane monoculture field enriched functional groups related to nitrogen fixation and cellulolysis. Network analysis highlighted contrasting network structures between sugarcane and banana rhizospheres, suggesting differential stability and susceptibility to environmental influences. Furthermore, correlations between soil properties and bacterial alpha-diversity underscored the influence of preceding crops on rhizosphere microbial communities.

Conclusion
This research enhances our understanding of crop rotation effects on soil microbial ecology and provides insights into optimizing agricultural practices for enhanced soil health and crop productivity. Future studies should explore the underlying mechanisms driving these interactions and evaluate the long-term impacts of crop rotation on soil microbial dynamics.

Graphical abstract
Diversity, distribution, and relative abundance of medium and large-sized mammals in Chukala Mountain Forest, East Shoa Zone, Oromia, Ethiopia
Authors: Alemu Nimona , Gadisa Tsegaye , Habtamu Tadesse , Kuma Tolera 
Published: July 2024

AbstractThis study investigates the diversity, distribution, and relative abundance of medium and large-sized mammals in the biodiverse Chukala Mountain Forest of East Shoa, Oromia, Ethiopia, during March to August 2020. Three distinct habitat types—Montane forest with grassland (Panthera pardus, Papio anubis), woodland (Lepus fagani), and riverine forest (Procavia capensis)—were surveyed using line transects. Over four months, surveys were conducted bi-monthly, focusing on parameters such as species richness, and population distribution. Analysis revealed twelve mammal species spanning five orders and eight families, with olive baboons (Papio anubis) prevailing as the most abundant species, while leopards (Panthera pardus), bush hares (Lepus fagani), and rock hyraxes (Procavia capensis) were less frequently encountered. Woodland habitats exhibited the highest species richness (H = 1.700), followed by montane forest with grassland (H = 1.156) and riverine forest (H = 1.070). Notably, montane forest with grassland and riverine forest habitats shared similar species compositions across seasons (SI = 1). In conclusion, these findings provide valuable insights into the mammalian diversity and ecology of the Chukala Mountain Forest, highlighting the importance of ongoing conservation efforts in the region. Based on the findings, it is recommended to implement conservation measures focusing on preserving and enhancing the habitats of less common species such as the leopard, bush hare, and rock hyrax. Continual monitoring and research are recommended to track population dynamics and guide conservation initiatives for long-term ecosystem preservation. Overall, this study emphasizes the importance of proactive conservation measures in maintaining the ecological integrity of this vital ecosystem.
A phase 2, multicenter study of TILs treatment in advanced tumors with alterations in the SWI/SNF complex: The TILTS study.
Authors: Martin-Liberal Juan , Garralda Elena , Donas Jesus Garcia , Soto Juan Jose , Codony Carles , Martín-Lluesma Silvia , Muñoz Susana , Galvao Vladimir , Lostes-Bardaji M. Julia , Rotxés Marta , Querol Sergio , Rodriguez Luciano , Muñoz Ainhoa , Moreno Rafael , Garcia del Muro Xavier , Alemany Ramón , Gros Alena , Piulats Josep M. 
Published: July 2024

TPS2674 Background: Tumors associated with SWI/SNF complex (SWI/SNFc) mutations, mainly SMARCA4 and SMARCB1 loss, are a heterogeneous group of malignancies with rhabdoid features that typically affect young patients (pts). These are aggressive malignancies with poor prognosis for which no standard treatment is available. Despite not having a high tumor mutation burden, tumor infiltrating lymphocytes (TILs) are usually present in high numbers. The biologic reasons for this feature are not clearly understood but might be associated to changes in gene expression due to aberrant chromatin remodeling. However, these TILs indicate that tumor antigens are recognized by lymphocytes unveiling a vulnerability that can be exploited by immunotherapy. The objective of the TILTS study is to develop a personalized adoptive cell therapy using TILs in pts affected by these tumors. Methods: Single arm, multi center, phase 2 study of TILs in pts with advanced tumors associated with SWI/SNFc mutations. Pts are treated at 3 centers in Spain: Catalan Institute of Oncology (ICO), Barcelona, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, and Centro Integral Oncológico Clara Campal (HM CIOCC), Madrid. Primary endpoint is overall response rate (ORR) by RECIST 1.1. Secondary endpoints include toxicity evaluation, duration of response (DOR), progression-free survival (PFS) or overall survival (OS). After informed consent is obtained, tumor resection is performed. Total volume of tumor resected should be at least 1.5 cc to assure TIL isolation. Eligible pts enter the treatment phase. TILs are produced under GMP conditions. During the TILs manufacturing process, pts are allowed to receive standard treatment if clinically indicated. Before TIL infusion, pts receive non-myeloablative preconditioning lymphodepletion with daily intravenous (IV) cyclophosphamide (60 mg/kg; IV x2 doses) and daily fludarabine (25 mg/m2; IV x5 doses). Infusion of autologous TILs is given on Day 0 followed by administration of IL-2 at 600,000 international units (IU)/kg every 8-12 hours for a maximum of 6 doses. After 4 weeks, a new tumor biopsy is optional. First image evaluation is performed after 8 weeks from TIL infusion. Pts without progression enter the follow-up phase. An ancillary translational study will explore mechanisms of immunogenicity, antigen recognition, TILs anti-tumor activity, and changes in the stool microbiome and specific TCR population during treatment. Also, tumor immune microenvironment will be analyzed. Clinical trial information: 2023-504632-17-00 . [Table: see text]