bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of COVID-19 pandemic-induced surgical restrictions on operational performance: a case study at the University Hospital of Ulm
Authors: Datzmann Thomas , Dörfer Lena , Freude Gregor , Hannemann Michael , Tharmaratnam Gayathiri , Stangl Philipp , Swoboda Walter , Schafmeister Sylvia , Gebhard Florian , Kaisers Udo X. , Huber-Lang Markus 
Published: June 2024

Abstract
Introduction
The operating room (OR) is a high-cost and high-revenue area in a hospital comprising extremely complex process steps to treat patients. The perioperative process quality can be optimized through an efficiency-oriented central OR management based on performance indices. However, during the COVID-19 pandemic with the corresponding OR restrictions, there was a significant nation- and worldwide decline in the performance, which may have a lasting impact. Therefore, we proposed the hypothesis that COVID-19 pandemic-related OR restrictions could reduce operative performance in the long term.

Methods
A retrospective, descriptive analysis of perioperative processing times was conducted exemplarily at the University Hospital Ulm using a pre-post design, examining the corresponding second quarters of 2019 to 2022. In total, n = 18,489 operations with n = 314,313 individual time intervals were analyzed. The statistical analyses included the Kruskal–Wallis test adjusted for multiple testing, and the significance level was set at p < 0.01.

Results
The results revealed not only a significant decrease in the case volume by 31% (2020) and 23% (2021) during the COVID-19 crisis years, but also significant time delays in various process steps; e.g. the median patient’s OR occupancy time (column time) rose from 65 min (2019) to 87 min (2020) and remained elevated (72 min in 2021 and 74 min in 2022, respectively). Even in 2022, beyond the pandemic, the net anaesthesia time was permanently enhanced by 9 min per case. Furthermore, both, the incision-to-closure time and surgeon attachment time were each significantly prolonged by 7 additional minutes, and the time from the end of anaesthesia to the release of the next patient was extended by 4 min. Selected standardized index operations showed only a trend towards these changes, even with a decrease in the incision-to-closure time over time.

Conclusion
Overall, long-term changes were found in essential perioperative process times even after retraction of the COVID-19 restrictions, indicating some processual “slow down” after the Covid-19-induced “shut down”. Further analyses are needed to determine the appropriate targeted control measures to improve processing times and increase the process quality.
Envirotyping within a multi-environment trial allowed identifying genetic determinants of winter oilseed rape yield stability
Authors: Corlouer Erwan , Sauvage Christopher , Leveugle Magalie , Nesi Nathalie , Laperche Anne 
Published: June 2024

Abstract
Key message
A comprehensive environmental characterization allowed identifying stable and interactive QTL for seed yield: QA09 and QC09a were detected across environments; whereas QA07a was specifically detected on the most stressed environments.

Abstract
A main challenge for rapeseed consists in maintaining seed yield while adapting to climate changes and contributing to environmental-friendly cropping systems. Breeding for cultivar adaptation is one of the keys to meet this challenge. Therefore, we propose to identify the genetic determinant of seed yield stability for winter oilseed rape using GWAS coupled with a multi-environmental trial and to interpret them in the light of environmental characteristics. Due to a comprehensive characterization of a multi-environmental trial using 79 indicators, four contrasting envirotypes were defined and used to identify interactive and stable seed yield QTL. A total of four QTLs were detected, among which, QA09 and QC09a, were stable (detected at the multi-environmental trial scale or for different envirotypes and environments); and one, QA07a, was specifically detected into the most stressed envirotype. The analysis of the molecular diversity at QA07a showed a lack of genetic diversity within modern lines compared to older cultivars bred before the selection for low glucosinolate content. The results were discussed in comparison with other studies and methods as well as in the context of breeding programs.
Association between PD-1 single nucleotide gene variants and the risk of metastatic melanoma
Authors: Boutros Andrea , Carosio Roberta , Campanella Dalila , Banelli Barbara , Morabito Anna , Pistillo Maria Pia , Croce Elena , Queirolo Paola , Tanda Enrica Teresa , Raposio Edoardo , Fontana Vincenzo , Spagnolo Francesco 
Published: June 2024

AbstractPrevious studies showed an association between single nucleotide gene variants (SNVs) of PD-1 and cancer susceptibility. We analyzed PD1.5 C > T and PD1.7 T > C SNVs to investigate their association with the risk of developing metastatic melanoma (MM). Utilizing a cohort of 125 MM patients treated with anti-PD-1 agents and 84 healthy controls, we examined genotype/allele frequencies through a modified Poisson regression model, adjusted for age and sex. Our findings indicate that the PD1.5 T allele is associated with a reduced risk of MM, showing a significantly lower risk in both codominant (RR = 0.56, 95%CL: 0.37–0.87) and dominant (RR = 0.73 95%CL: 0.59–0.90) models. Conversely, the PD1.7 C allele is linked to an increased risk of MM, with the C/C genotype exhibiting a higher risk in the codominant (RR = 1.65, 95%CL: 1.32–2.05) and allelic (RR = 1.23, 95%CL: 1.06–1.43) models. These results are consistent with previous meta-analyses on other cancer types, mainly highlighting the PD1.5 SNV’s potential role in promoting anti-tumor immunity through increased PD1-positive circulating effector T cell activity.
The influence of epidural analgesic techniques on obstetrical outcomes
Authors: Wiesmann Christian , Horky Alex , Hentrich Anna , Bahlmann Franz , Louwen Frank , Al Naimi Ammar 
Published: June 2024

Abstract
Purpose
The aim of this study is to compare and evaluate the obstetrical differences between three techniques, including the programmed intermittent epidural bolus (PIEB), the patient-controlled epidural analgesia (PCEA), and the continuous epidural analgesia (CEA).

Methods
This is a retrospective cohort study that investigates the obstetrical outcomes of 2240 patients who received EA during labor in a tertiary maternal unit over the course of 9 years (2011–2018). The only inclusion criterion was the use of epidural analgesia during childbirth and the only exclusion criteria were multiplets’ gestation. Multivariate logistic regression, Kruskal–Wallis test, and the log-rank test were utilized to compare the differences between the three EA techniques in terms of cesarean section rate, the incidence of perineal tears, the use of Oxytocin, the duration of labor, and the incidence of paresthesia.

Results
Out of the 2240 included deliveries; 1084 utilized PIEB, 1086 PCEA, and 70 CEA techniques. The incidence of Cesarean section was the highest in the CEA group (45.7%) compared to PIEB (24.8%) and PCEA (24.4%) P < 0.001. A significantly shorter duration of labor (vaginal delivery) was observed in the PCEA group (n: 821, 336.7 min) compared to the PIEB group (n: 814, 368.8 min) P < 0.001. There were no statistically significant differences in the incidence of perineal tears, the need of uterotonics, and the incidence of paresthesia.

Conclusion
The results of this study indicate that the PIEB and PCEA techniques are superior to the CEA technique when it comes to analgesia during childbirth. In this study, the PCEA technique seems to be the best-suited technique for childbirth, since it had a significantly shorter duration of labor than the PIEB technique.
Interventional radiology for prevention and management of postpartum haemorrhage: a single centre retrospective cohort study
Authors: Storms Jazz , Van Calsteren Kristel , Lewi Liesbeth , Maleux Geert , van der Merwe Johannes 
Published: June 2024

Abstract
Purpose
Postpartum haemorrhage (PPH) remains a leading cause of maternal death despite current medical management. Surgical interventions are still needed for refractory bleeding. Interventional radiology (IR) can be a successful intermediary that avoids the need for hysterectomy. Nevertheless, IR outcome data in a peripartum setting are limited. The objective of this study is to document the efficacy and safety of IR.

Methods
Retrospective study reviewed the records of consecutive patients who underwent peripartum IR from 01/01/2010 until 31/12/2020 in a tertiary academic centre. Patients were divided in a prophylactic and a therapeutic group. Information about interventions before and after IR, and IR specific complications was retrieved. Efficacy was defined by the number of transfusions and additional surgical interventions needed after IR, and safety was assessed by the incidence of IR related complications.

Results
Fifty-four patients, prophylactic group (n = 24) and therapeutic group (n = 30), were identified. In both groups, IR was successful with 1.5 ± 2.9 packed cells transfused post-IR (1.0 ± 2.1 prophylactic vs 1.9 ± 3.3 therapeutic; p = 0.261). Additional surgical interventions were required in n = 5 patients (9.2%), n = 1 (4.2%) in the prophylactic vs. n = 4 (13.3%) in the therapeutic group. Complications were reported in n = 12 patients (22.2%), n = 2 (8.3%) prophylactic vs. n = 10 (33.3%) in therapeutic group. Mostly minor complications, as puncture site hematoma or bleeding, were reported in n = 4 (7.4%). Severe complications as necrosis and metabolic complications were reported in n = 2 patients (3.9%).

Conclusion
IR for prevention and treatment of PPH was highly successful and associated with minor complications.
Identification and validation of the role of ZNF281 in 5-fluorouracil chemotherapy of gastric cancer
Authors: Li Yifan , Zhou Chengying , Wang Guoxu , Xin Huiru , Xiao Yafei , Qin Changjiang 
Published: June 2024

Abstract
Background
The early diagnosis of gastric cancer (GC) and overcoming chemotherapy resistance is challenging. The aberrant expression of zinc finger protein 281 (ZNF281) and the over-activation of the Wnt/β-catenin pathway are oncogenic factors and confer tumor chemoresistance. ZNF281 modulates the Wnt/β-catenin pathway to influence malignant tumor behavior. However, the role of ZNF281 in GC chemotherapy and the relationship with the Wnt/β-catenin pathway have not been elucidated by researchers.

Methods
We explored differences in ZNF281 expression in Pan-cancer and normal tissues, the effect of its expression on prognosis of patients treated with 5-fluorouracil (5-FU). Cox regression was utilized to determine whether ZNF281 is an independent prognostic factor. Enrichment analysis was performed to explore the mechanism underlying ZNF281’s role in 5-FU treatment. We assessed the relationship between ZNF281 and the tumour microenvironment (TME) and combined bulk-RNA and single-cell RNA data to analyse the relationship between ZNF281 and immune infiltration. In vitro experiments verified the effects of ZNF281 knockdown on proliferation, invasion, migration, apoptosis, DNA damage of GC cells with 5-FU treated and the Wnt/β-catenin pathway proteins.

Results
ZNF281 was highly expressed in seven cancers and correlates with the prognosis. It is an independent prognostic factor in 5-FU treatment. ZNF281 correlates with TME score, CD8T cell abundance. ZNF281 is primarily associated with DNA repair and the Wnt/β-catenin pathway. ZNF281 knockdown enhanced the effect of 5-FU on phenotypes of GC cells.

Conclusion
We identified and verified ZNF281 as one of the potential influencing factors of 5-FU treatment in GC and may be associated with the Wnt/β-catenin pathway. Low ZNF281 may contribute to improved 5-FU sensitivity in GC patients.
Intermittend pneumatic venous thrombembolism (VTE) prophylaxis during neurosurgical procedures
Authors: Oberle Linda , Tatagiba Marcos , Naros Georgios , Machetanz Kathrin 
Published: June 2024

Abstract

Background
The management of perioperative venous thrombembolism (VTE) prophylaxis is highly variable between neurosurgical departments and general guidelines are missing. The main issue in debate are the dose and initiation time of pharmacologic VTE prevention to balance the risk of VTE-based morbidity and potentially life-threatening bleeding. Mechanical VTE prophylaxis with intermittend pneumatic compression (IPC), however, is established in only a few neurosurgical hospitals, and its efficacy has not yet been demonstrated. The objective of the present study was to analyze the risk of VTE before and after the implementation of IPC devices during elective neurosurgical procedures.

Methods
All elective surgeries performed at our neurosurgical department between 01/2018–08/2022 were investigated regarding the occurrence of VTE. The VTE risk and associated mortality were compared between groups: (1) only chemoprophylaxis (CHEMO; surgeries 01/2018–04/2020) and (2) IPC and chemoprophylaxis (IPC; surgeries 04/2020–08/2022). Furthermore, general patient and disease characteristics as well as duration of hospitalization were evaluated and compared to the VTE risk.

Results
VTE occurred after 38 elective procedures among > 12.000 surgeries. The number of VTEs significantly differed between groups with an incidence of 31/6663 (0.47%) in the CHEMO group and 7/6688 (0.1%) events in the IPC group. In both groups, patients with malignant brain tumors represented the largest proportion of patients, while VTEs in benign tumors occurred only in the CHEMO group.

Conclusion
The use of combined mechanical and pharmacologic VTE prophylaxis can significantly reduce the risk of postoperative thromboembolism after neurosurgical procedures and, therefore, reduce mortality and morbidity.
Forest management plan pathways for non-industrial private forest owners in Norway: from acquisition to implementation
Authors: Bashir Altamash , Sjølie Hanne K. , Solberg Birger 
Published: June 2024

AbstractForest management plans (FMP) are key decision-support tools for forest managers and a central policy instrument in many countries. Despite its pivotal importance in forest management, there is a lack of studies that analyze the acquisition, familiarity and implementation of the FMP. These steps collectively contribute to making FMP a successful decision-support tool and forest policy instrument. We surveyed a sample representative of the population of Norwegian non-industrial private forest (NIPF) owners to quantify the importance of a broad set of factors, including ownership objectives, socio-demographic, property and information sources variables on the FMP pathway, i.e. acquisition of FMP, awareness of its content and implementation of the plans’ proposals. Applying principal component analysis on twelve ownership objectives, we found that most forest owners are multiobjective. We combined conditional classification trees and logistic regression analyses on the FMP pathway to unveil familiarity and use of FMP in forest owner subgroups as well as individual drivers. The results indicate that 37% of Norwegian NIPF owners have a FMP. Among the owners having FMP, 66% have good knowledge of its content and 40% implement its proposals. The strongest variables to predict FMP familiarity and use were previous harvests, productive area, advice about forestry from the public management, knowledge of public support schemes for forestry and perceived relevance of the FMP. We conclude that FMP suppliers, consultants, forestry bureaucracy and policy-makers should emphasize information dissemination and relevance of the FMP to increase its success as a decision-support tool and forest policy instrument.
Catalytic Nanomedicine: Coated bionanocatalysts for Catalytic Antineoplastic activity
Authors: López-Goerne Tessy , Ortiz-Islas Emma , Rodríguez-Reinoso Francisco , Monroy Hugo , Gómez-López Esteban , Padilla-Godínez Francisco J. 
Published: June 2024

AbstractGlioma tumors are the most common form of central nervous system tumors, and there is a pressing need for innovative methods that can precisely target cancer cells while leaving healthy tissues unharmed. In this study, progressing in the field of Catalytic Nanomedicine, we investigated the cytotoxic effects of a novel class of bionanocatalysts on glioma cancer cells. These bionanocatalysts were constructed from a catalytic matrix of oxides with evenly dispersed superficial copper-coating nanoparticles. This design optimizes both the inherent catalytic characteristics of the matrix and instills cytotoxic properties. The bionanocatalysts coated with copper demonstrated a significant reduction in cancer cell viability when compared to reference bionanocatalysts without the transition metal. We also observed structural damage to the cytoskeleton and alterations in mitochondrial activity. These findings suggest that these pathways are integral to the mechanisms through which these nanostructures execute their bionanocatalytic activities, particularly in breaking chemical bonds. Importantly, our physicochemical analyses verified that the coating with copper species, primarily CuO, did not disrupt the individual structure of the bionanocatalysts: instead, it enhanced their catalytic cytotoxic potential. This research aims to deepen our understanding of the mechanisms underlying this promising antineoplastic treatment and underscore the effectiveness of superficial copper-coating nanoparticles as agents for amplifying the inherent properties of bionanocatalysts through nanocatalysis.
Shea tree (Vitellaria paradoxa C.F. Gaertn.) agroforestry systems in Northern Ghana: population structure, management of trees and impact of below canopy microclimate
Authors: Jepsen Thea , Stopponi Gaia , Jørgensen Niels O. G. 
Published: June 2024

AbstractThe shea tree (Vitellaria paradoxa C.F. Gaertn.) is an important tree species in agroforestry systems in West Africa and shea nuts constitute a fundamental resource for rural livelihoods in this area. This study investigated the sustainability and interactions in agroforestry systems of shea trees around the village Nakpalli in Northern Ghana. The focus of the study was the population structures and densities of shea trees on different land types, below-canopy microclimate and co-cultivation of yams (Dioscorea rotundata (Poir.) J. Miége) under shea tree canopies, and water stress of the trees in the driest season. Shea tree populations are overall well-conserved in this area, but Weibull-distributions of the tree populations and quantification of seedlings showed a lower tree density in both cultivated and fallowed lands, as compared to undisturbed bushlands. Although farmers may deliberately manage the density of larger trees, the low densities of seedlings and saplings indicate that intensified management practices, including shortened fallow periods and intentional clearing of land by fire before sowing, might negatively affect the long-term regeneration of the shea trees. Co-cultivation of yams below shea tree canopies allowed production of 11.5 t/ha as compared to 20.8 t/ha at open field conditions. The lower yields may have been caused by an almost 74% reduction of photosynthetically active radiation below canopies, relative to outside the canopies. Shea trees in the fields, fallows and bushlands had close-to-zero predawn leaf water potentials, indicating low water stress, even in the middle of the dry season. Thus, shea trees are both well-adapted and highly valued in this area, which underlines the importance of conserving this indigenous tree species in the agroforestry systems of northern Ghana.
Intimate Partner Violence and HIV Outcomes Among Women Living with HIV in Durban, South Africa
Authors: Ojeaburu Sheila O. , Dorward Jienchi , Violette Lauren R. , Gibbs Andrew , Shozi Hlengiwe , Sookrajh Yukteshwar , Mhlongo Thobile , Ngobese Hope , Garrett Nigel , Drain Paul K. 
Published: June 2024

AbstractWe examined the impact of past-year intimate partner violence (IPV) on HIV outcomes among women living with HIV (WLHIV) in Durban, South Africa. We assessed past-year IPV using the WHO Violence Against Women Questionnaire. We conducted logistic regression to assess associations between demographic variables and IPV at baseline, and between IPV at baseline and longitudinal HIV outcomes. Among 235 WLHIV, 17% reported past-year emotional, physical, or sexual IPV. At baseline, HIV-disclosure to partner was associated with 4.35-fold odds of past-year IPV (95% CI 1.17–16.10) after controlling for children, education, and harmful alcohol use. In the prospective analysis, IPV was associated with not achieving the co-primary outcome of retention in care and viral suppression in univariate (OR = 2.32, 95% CI 1.04–5.18), but not in the multivariate model. In the context of rapid treatment scale-up, the high burden of IPV among WLHIV needs to be prioritized, with an emphasis on disclosure support.
Men’s Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi: A Community-Representative Survey
Authors: Thorp Marguerite , Balakasi Kelvin , Khan Shaukat , Stillson Christian , van Oosterhout Joep J. , Nichols Brooke E. , Cornell Morna , Dovel Kathryn 
Published: June 2024

AbstractAcross sub-Saharan Africa, men are less likely to know their HIV status than women, leading to later treatment initiation. Little is known about how experiences with general health services affect men’s use of HIV testing. We used data from a 2019 community-representative survey of men in Malawi to understand frequency and cause of men’s negative health service experiences (defined as men reporting they “would not recommend” a facility) and their association with future HIV testing. We conducted univariable and multivariable logistic regressions to determine which aspects of health facility visits were associated with would-not-recommend experiences and to determine if would-not-recommend experiences 12–24 months prior to the survey were associated with HIV testing in the 12 months prior to the survey. Among 1,098 men eligible for HIV testing in the 12 months prior to the survey, median age was 34 years; 9% of men reported at least one would-not-recommend experience, which did not differ by sociodemographics, gender norm beliefs, or HIV stigma beliefs. The factors most strongly associated with would-not-recommend experiences were cost (aOR 5.8, 95%CI 2.9–11.4), cleanliness (aOR 4.2, 95%CI 1.8–9.9), medicine availability (aOR 3.3, 95%CI 1.7–6.4), and wait times (aOR 2.7, 95%CI 1.5-5.0). Reporting a would-not-recommend experience 12–24 months ago was associated with a 59% decrease in likelihood of testing for HIV in the last 12 months (aOR 0.41; 95% CI:0.17–0.96). Dissatisfaction with general health services was strongly associated with reduced HIV testing. Coverage of high-priority screening services like HIV testing may benefit from improving overall health system quality.