bluuebunny/crossref_metadata_2025_split huggingface dataset:
A first report of Pseudosuccinea columella (Say, 1817), an alien intermediate host for liver fluke, in Malawi
Authors: Jones S. , Juhász A. , Makaula P. , Cunningham L. J. , Archer J. , Nkolokosa C. , Namacha G. , Kambewa E. , Lally D. , Kapira D. R. , Chammudzi P. , Kayuni S. A. , Musaya J. , Stothard J. Russell 
Published: April 2024

AbstractStarting in October 2021, quarterly malacological surveys have been undertaken in Malawi, with the sampling of 12 specified freshwater habitats throughout a calendar year. Each survey monitors the presence of aquatic intermediate snail hosts of medical and veterinary importance. In March 2023, the alien lymnaeid species Pseudosuccinea columella was encountered for the first time in the surveys, in Nsanje District. This species identity was later confirmed upon DNA analysis of mitochondrial ribosomal 16S sequences. In July 2023, P. columella was also noted at single sites within Mangochi and Chikwawa Districts, and again in Nsanje District, with an additional location observed. Of particular importance, our sampled location in Mangochi District was directly connected to Lake Malawi, which expands the species list of invasive molluscs in this lake. While P. columella is a well-known intermediate snail host for human and animal fascioliasis, screening collected snails for trematode cercariae, alongside molecular xenomonitoring, did not yield equivocal evidence of active fluke infection. However, the newly recognized presence of this alien intermediate snail host within Lake Malawi, and along the Shire River Valley, flags a new concern in altered local transmission potential for human and animal fascioliasis.
Graphical Abstract
Single cell lineage tracing reveals clonal dynamics of anti-EGFR therapy resistance in triple negative breast cancer
Authors: Pellecchia Simona , Franchini Melania , Viscido Gaetano , Arnese Riccardo , Gambardella Gennaro 
Published: April 2024

Abstract
Background
Most primary Triple Negative Breast Cancers (TNBCs) show amplification of the Epidermal Growth Factor Receptor (EGFR) gene, leading to increased protein expression. However, unlike other EGFR-driven cancers, targeting this receptor in TNBC yields inconsistent therapeutic responses.

Methods
To elucidate the underlying mechanisms of this variability, we employ cellular barcoding and single-cell transcriptomics to reconstruct the subclonal dynamics of EGFR-amplified TNBC cells in response to afatinib, a tyrosine kinase inhibitor (TKI) that irreversibly inhibits EGFR.

Results
Integrated lineage tracing analysis revealed a rare pre-existing subpopulation of cells with distinct biological signature, including elevated expression levels of Insulin-Like Growth Factor Binding Protein 2 (IGFBP2). We show that IGFBP2 overexpression is sufficient to render TNBC cells tolerant to afatinib treatment by activating the compensatory insulin-like growth factor I receptor (IGF1-R) signalling pathway. Finally, based on reconstructed mechanisms of resistance, we employ deep learning techniques to predict the afatinib sensitivity of TNBC cells.

Conclusions
Our strategy proved effective in reconstructing the complex signalling network driving EGFR-targeted therapy resistance, offering new insights for the development of individualized treatment strategies in TNBC.
The inhibitory effects of carvacrol, nystatin, and their combination on oral candidiasis isolates
Authors: Balef Seyed Saeed Hosseini , Hosseini Seyed Sedigheh , Asgari Negar , Sohrabi Ahmad , Mortazavi Nazanin 
Published: April 2024

Abstract
Background
Candida, a common oral microbiota, can cause opportunistic fungal infections. With rising Candida infections and limited effective antifungals, new treatments are needed. This study investigates carvacrol essential oil’s effect on oral candidiasis, alone and with nystatin, compared to nystatin alone.

Materials and methods
In this study, oral samples were collected from dental clinic patients, especially denture users. The presence of Candida was confirmed and cultured from these samples. Candidiasis was detected by observing Candida colonies. Drug sensitivity was tested on 100 positive samples. The minimum concentration of inhibition and lethality of each isolate was evaluated using nystatin and carvacrol. The results were compared using two-way analysis of variance. Finally, the minimum inhibitory concentration (MIC) of nystatin and carvacrol was calculated individually and in combination.

Results
The present study found that Candida albicans and non-albicans species were equally prevalent. Carvacrol showed significant biological activity against all Candida species, with an average MTT of 50.01%. The average MIC value of carvacrol was 24.96 µg/ml, indicating its potential to inhibit Candida growth. The mean Minimum Fungicidal Concentration (MFC) value of carvacrol was 23.48 µg/ml, suggesting its effectiveness in killing the fungi.

Conclusion
The study’s findings reveal that the MIC of carvacrol was significantly lower than that of nystatin and the combination of nystatin and carvacrol. This suggests that carvacrol holds potential as an effective herbal remedy for candidiasis.
Finite-time blowup for the 3-D viscous primitive equations of oceanic and atmospheric dynamics
Authors: Zheng Lin 
Published: April 2024

AbstractIn this paper, we prove that for certain class of initial data, the corresponding solutions to the 3-D viscous primitive equations blow up in finite time. Specifically, we find a special solution to simplify the 3-D systems, assuming that the pressure function $p(x,y,t)$
p
(
x
,
y
,
t
)
is a concave function. We also consider the equations on the line $x=0$
x
=
0
, $y=0$
y
=
0
.
Level of implementation of multimodal strategies for infection prevention and control interventions and prevalence of healthcare-associated infections in Northern Italy
Authors: Vicentini Costanza , Bussolino Roberta , Gastaldo Claudia , Castagnotto Marta , D’Ancona Fortunato “Paolo” , Zotti Carla Maria ,   on behalf of the Working group “Unità Prevenzione Rischio Infettivo (UPRI), Regione Piemonte”, Bert Fabrizio , Bolla Cesare , Broda Roberta , D’Aloia Francesco , De Gregorio Francesco , Di Nardo Francesco , Fenu Piero , Ferrauto Gerolamo , Franco Mauro , Gatti Scipione , Gremo Franca , Maiello Agostino , Morabito Domenica , Muca Aida , Palladino Roberta , Paudice Alessandro , Pellegrino Paolo , Plazzotta Claudio , Porretto Simone , Ripamonti Giorgio , Salvatico Maurizio , Silvaplana Paola , Silvestre Carlo , Tangolo Domenico , Venturino Valentina , Viroletti Maria Rita 
Published: April 2024

Abstract
Background
In November 2022, Italy participated in the third edition of the European Centre for disease prevention and control (ECDC) point prevalence survey (PPS) of healthcare-associated infections (HAIs) in acute-care hospitals. A questionnaire based on the WHO infection prevention and control assessment framework (IPCAF) was included, which aims to investigate multimodal strategies for the implementation of IPC interventions.

Methods
A PPS was conducted using the ECDC PPS protocol version 6.0. The Regional health authority of the region of Piedmont, in north-western Italy, chose to enlist all public acute-care hospitals. Data were collected within one day per each ward, within 3 weeks in each hospital, at hospital, ward and patient level. A score between 0–1 or 0–2 was assigned to each of the 9 items in the IPCAF questionnaire, with 14 points representing the best possible score. HAI prevalence was calculated at the hospital-level as the percentage of patients with at least one HAI over all included patients. Relations between HAI prevalence, IPCAF score, and other hospital-level variables were assessed using Spearman's Rho coefficient.

Results
In total, 42 acute-care hospitals of the region of Piedmont were involved, with a total of 6865 included patients. All participant hospitals reported they employed multimodal strategies to implement IPC interventions. The median IPCAF overall score was 11/14 (interquartile range, IQR: 9.25–12). The multimodal strategy with the highest level of adherence was education and training, followed by communication and reminders. Strategies with the lowest level of adherence were safety climate and culture of change, and system change. Overall HAI prevalence was 8.06%. A weak to moderate inverse relation was found between IPCAF score and HAI prevalence (Spearman’s Rho -0.340, p 0.034). No other significant correlation was found.

Conclusions
This study found a high self-reported overall level of implementation of multimodal strategies for IPC in the region. Results of this study suggest the relevance of the multimodal approach and the validity of the IPCAF score in measuring IPC programs, in terms of effectiveness of preventing HAI transmission.
Enhancing Structural Resilience: Microbial-Based Self-Healing in High-Strength Concrete
Authors: Mohammed Tesfaye Alemu , Kasie Yonathan Muche , Assefa Eleyas , Getu Yiglet Mebrat , Tufa Dereje Hailu 
Published: April 2024

AbstractConcrete’s weak tensile strength renders it susceptible to cracking under prolonged loads, leading to reduced load-bearing capacity and reinforcing bar corrosion. This study investigates the effectiveness of microbial-based self-healing in high-strength concrete, focusing on two bacterial strains: Sporosarcina koreensis and Bacillus. Results demonstrate significant enhancements in micro- and macro-physical properties of high-strength bacterial concrete with Bacillus flexus and S. koreensis, surpassing the control. Bacillus flexus-infused concrete exhibits a remarkable 21.8% increase in compressive strength at 7 days and 11.7% at 56 days. Similarly, S. koreensis-treated concrete shows 12.2% and 7.4% increases at 7 and 56 days, respectively. Enhanced crack healing occurs due to calcite precipitation, confirmed by X-ray diffraction and scanning electron microscopy. Both bacterial strains achieve crack closure within 42 days, with widths of 259.7 µm and 288.7 µm, respectively. Moreover, bacterial concrete from these strains excels in durability against water, acid, and salt exposure, surpassing control concrete. These findings emphasize microbial-based self-healing’s potential in high-strength concrete, providing a practical strategy to enhance structural resilience and extend concrete infrastructure lifespan.
Injury and fatality risks for child pedestrians and cyclists on public roads
Authors: Swedler David I. , Ali Bina , Hoffman Rebecca , Leonardo Jennifer , Romano Eduardo , Miller Ted R. 
Published: April 2024

Abstract
Background
Pedestrians and cyclists are often referred to as “vulnerable road users,” yet most research is focused on fatal crashes. We used fatal and nonfatal crash data to examine risk factors (i.e., relationship to an intersection, urbanicity, crash circumstances, and vehicle type) for police-reported pedestrian and cyclist injuries on public roads among children aged 0–9 and aged 10–19. We also compared risk factors among these two age groups with adults aged 20–29 and aged 30–39.

Methods
Crash data were obtained for 2016–2020 from the National Highway Traffic Safety Administration’s Fatality Analysis Reporting System for fatal crash injuries and Crash Report Sampling System for nonfatal crash injuries. We collected data on victim demographics, roadway, and vehicle- and driver-related factors. Descriptive analyses were conducted between and within pedestrian and cyclist victims.

Results
We analyzed 206,429 pedestrian injuries (36% in children aged 0–19) and 148,828 cyclist injuries (41% in children aged 0–19) from 2016 to 2020. Overall, child pedestrians had lower injury rates than adults, but children aged 10–19 had greater cycling crash rates than adults. Almost half of the pedestrian injuries in children aged 0–9 were “dart-out” injuries (43%). In the majority of the cyclist injuries, children in both age groups failed to yield to vehicles (aged 0–9 = 40% and aged 10–19 = 24%). For children and all ages included in the study, the fatality risk ratio was highest when pedestrians and cyclists were struck by larger vehicles, such as trucks and buses. Further exploration of roadway factors is presented across ages and transportation mode.

Conclusion
Our findings on child, driver, vehicle, and roadway factors related to fatal and nonfatal pedestrian and cyclist injuries may help to tailor prevention efforts for younger and older children.
A qualitative feasibility study of a prototype patient-centered video intervention to increase uptake of cancer genetic testing among Black Americans
Authors: Smith Katherine Clegg , Grob Rachel , McCullough Michelle , May Betty , Warne Emily , Matchette Amanda , Connor Avonne E. , Visvanathan Kala 
Published: April 2024

Abstract
Background
Health advances due to developments in genomic medicine are unequally experienced in the USA; racial differences in the uptake of genetic testing are one factor in this disparity. In collaboration with Black patients and diverse health care providers, we are developing a patient-centered video intervention to increase cancer genetic testing among eligible Black Americans. The objective of the pilot work is to explore the acceptability of and support for the intervention and key content components.

Methods
In order to create a patient-centered video intervention prototype, we conducted a targeted, secondary analysis of 47 coded transcripts from video-taped qualitative interviews with people with a known genetic or inherited cancer risk. The review focused on decision-making, testing experiences, and perceived value of genetic testing. We subsequently generated a 15-min video montage of content from 9 diverse (age, gender, race) participants. We used the prototype video as prompt material for semi-structured interviews with 10 Black patients who had undergone genetic testing in the last 2 years and 10 racially diverse providers (genetic counselors, a nurse, and medical oncologists) who provide management recommendations for high-risk patients. Interviews sought to understand the acceptability of a video intervention to enhance informed decision-making by Black patients and key elements for intervention efficacy.

Results
Study participants were generally positive about the prototype video and provided guidance for intervention development. Interviewed patients prioritized perceived authenticity and relatability of video participants. The presentation of patients’ perspectives on testing, their experiences of testing, and the benefits of having test results were all seen as useful. The benefits of testing for self and family were identified as important considerations. Privacy concerns and science skepticism were identified as germane issues, with guidance to present barriers to testing alongside possible solutions. The inclusion of clinicians was seen as potentially useful but with caution that clinicians are not universally trusted.

Conclusions
Study findings provided critical input for the creation of a professionally produced, tailored intervention video for a randomized clinical trial with Black Americans to evaluate the influence on uptake of genetic testing. The interviews suggest the acceptability and potential utility of an authentic, realistic, and tailored, patient-centered video intervention to increase consideration and uptake of genetic testing.
Evaluation of peripheral and autonomic nervous systems dysfunctions in patients with Parkinson’s disease
Authors: Ragab Osama A. , Mohamed Ehab S. , Nassar Mahmoud H. 
Published: April 2024

Abstract
Background
Peripheral neuropathy (PN) is increasingly recognized in Parkinson’s disease (PD). This study aimed to evaluate peripheral nerve and autonomic nervous system dysfunction in PD. Forty patients with PD (20 drug-naïve, 20 on treatment) and 20 controls underwent neurological examination, Toronto Clinical Neuropathy Score (TCNS), nerve conduction studies, autonomic function tests including (heart rate variability, Blood pressure changes with standing and sustained handgrip, and sudomotor pathways. The Ewing classification system scored each test to quantify autonomic failure severity). Laboratory tests (B12, homocysteine, methylmalonic acid).

Results
Treated patients with PD had higher MDS-UPDRS scores than drug-naïve (p = 0.001). TCNS indicated mild PN in some drug-naïve patients, and mild–moderate PN in treated patients. Nerve conduction studies showed significant sensory and motor neuropathy in treated versus drug-naïve PD and controls. Treated patients had lower B12, higher homocysteine/methylmalonic acid than other groups. Across autonomic tests, controls had the most normal results, followed by drug-naïve patients, with treated patients being most abnormal. Autonomic dysfunction correlated with disease duration, severity, L-dopa dose. Lower B12, higher homocysteine/methylmalonic acid levels were associated with greater neuropathy and disease severity.

Conclusion
Patients with PD show evidence of PN and autonomic dysfunction, which is milder in drug-naïve patients but worsens with disease progression and treatment. Peripheral nervous system assessments may help diagnose and monitor PD neuropathy and effects of interventions.
Removal method of a Supera interwoven stent invaginated during its implantation in endovascular procedure: a case report
Authors: Kozasa Tasuku , Fujihara Masahiko , Tsukizawa Tomofumi , Yazu Yuko , Abe Naoko , Doami Ryoki , Yokoi Yoshiaki 
Published: April 2024

Abstract
Background
Supera interwoven stents (IWS) have a unique interwoven structure; thus, precise stent placement can be challenging as they are prone to elongation, shortening, and invagination. Particularly, invagination limits long-term patency. This proposed method aims to remove invaginated IWS.

Case presentation
A 70-year-old man presented with intermittent claudication in his left lower limb. Endovascular therapy was conventionally performed, and a 5.5 × 40 mm IWS was placed after balloon dilatation; however, invagination occurred. The invaginated IWS was successfully removed by a threading 0.014" wire through the outside of the stent strut, and a snare catheter was used to hold it in place from the inside. Then, while still in place, the 0.014" wire and snare catheter were driven into the guiding sheath.

Conclusions
This practical and easy approach to remove invaginated IWS from the body relies on the particular structural characteristics.
Botanical extracts control the fungal pathogen Colletotrichum boninense in smallholder production of common bean
Authors: Kushaha Tamia M. , Mkindi Angela G. , Mbega Ernest R. , Stevenson Philip C. , Belmain Steven R. 
Published: April 2024

AbstractAnthracnose caused by Colletotrichum spp. remains an intractable problem in the most common bean (Phaseolus vulgaris) production areas worldwide and can cause total yield loss. Many smallholder farmers are familiar with using botanical extracts to control insect pests; however, there is less familiarity with their use to control fungal diseases due to a lack of evidence. Here, we demonstrate that anthracnose could be controlled effectively by pesticidal plant species that are used for insect control. In laboratory trials, water extracts from 11 plant species could inhibit fungal growth (100%) and spore germination (75–100%) equally well to two commercially available fungicides, the synthetic Mancolaxyl and biofungicide Bioderma. In screenhouse trials, anthracnose disease was reduced by the extracts of three plant species. Moreover, bean crop growth in these botanical treatments did not differ significantly from that observed in the commercial fungicide treated plants. Field trials in a smallholder community reporting severe problems with anthracnose showed an effect similar to the screenhouse results. Field trials resulted in bean seed yields approximately 350 kg/ha higher in bean plants treated with Azadirachta indica and Lippia javanica at 10% w/v compared to the negative control untreated plants. In all trials, botanical extracts were as effective as commercially available fungicides, suggesting that these botanical extracts could provide dual-purpose pest and disease management for anthracnose and crop pest insects. The outcomes of this research show that prospects for using locally available resources to control anthracnose on common bean are credible and can be combined with controlling insect pests.
Dosage effects of psychodynamic and schema therapy in people with comorbid depression and personality disorder: four-arm pragmatic randomised controlled trial
Authors: Kool Marit , Van Henricus , Arntz Arnoud , Bartak Anna , Peen Jaap , Dil Linda , de Boer Katinka , Dekker Jack 
Published: April 2024

BackgroundHigher intensity of psychotherapy might improve treatment outcome in depression, especially in those with comorbid personality disorder.AimsTo compare the effects of 25 individual sessions (weekly) of two forms of psychotherapy – short-term psychoanalytic supportive psychotherapy (SPSP) and schema therapy – with the same treatments given for 50 sessions (twice weekly) in people with depression and personality disorder. Trial registration: NTR5941.MethodWe conducted a pragmatic, double-randomised clinical trial and, over 37 months, recruited 246 adult out-patients with comorbid depression/dysthymia and personality disorder. A 2 × 2 factorial design randomised participants to 25 or 50 sessions of SPSP or schema therapy. The primary outcome was change in depression severity over 1 year on the Beck Depression Inventory II (BDI-II). Secondary outcomes were remission both of depression and personality disorder.ResultsCompared with 25 sessions, participants who received 50 sessions showed a significantly greater decrease in depressive symptoms over time (time × session dosage, P < 0.001), with a mean difference of 5.6 BDI points after 1 year (d = −0.53, 95% CI −0.18 to 0.882, P = 0.003). Remission from depression was also greater in the 50-session group (74% v. 58%, P = 0.025), as was remission of personality disorder (74% v. 56%, P = 0.010).ConclusionsGreater intensity of psychotherapy leads to better outcomes of both depression and personality status in people with comorbid depression and personality disorder.
PsiOvi Staging Model for Schizophrenia (PsiOvi SMS): A New Internet Tool for Staging Patients with Schizophrenia
Authors: Martínez-Cao Clara , Sánchez-Lasheras Fernando , García-Fernández Ainoa , González-Blanco Leticia , Zurrón-Madera Paula , Sáiz Pilar A. , Bobes Julio , García-Portilla María Paz 
Published: April 2024

AbstractBackgroundOne of the challenges of psychiatry is the staging of patients, especially those with severe mental disorders. Therefore, we aim to develop an empirical staging model for schizophrenia.MethodsData were obtained from 212 stable outpatients with schizophrenia: demographic, clinical, psychometric (PANSS, CAINS, CDSS, OSQ, CGI-S, PSP, MATRICS), inflammatory peripheral blood markers (C-reactive protein, interleukins-1RA and 6, and platelet/lymphocyte [PLR], neutrophil/lymphocyte [NLR], and monocyte/lymphocyte [MLR] ratios). We used machine learning techniques to develop the model (genetic algorithms, support vector machines) and applied a fitness function to measure the model’s accuracy (% agreement between patient classification of our model and the CGI-S).ResultsOur model includes 12 variables from 5 dimensions: 1) psychopathology: positive, negative, depressive, general psychopathology symptoms; 2) clinical features: number of hospitalizations; 3) cognition: processing speed, visual learning, social cognition; 4) biomarkers: PLR, NLR, MLR; and 5) functioning: PSP total score. Accuracy was 62% (SD = 5.3), and sensitivity values were appropriate for mild, moderate, and marked severity (from 0.62106 to 0.6728).DiscussionWe present a multidimensional, accessible, and easy-to-apply model that goes beyond simply categorizing patients according to CGI-S score. It provides clinicians with a multifaceted patient profile that facilitates the design of personalized intervention plans.