bluuebunny/crossref_metadata_2025_split huggingface dataset:
Examining the Effects of Gender Transfer in Virtual Reality on Implicit Gender Bias
Authors: Wu Linfeng , Chen Karen B. 
Published: December 2022

Objective To investigate the effect of gender transfer in virtual reality on implicit gender bias. Background Gender bias is a type of discrimination based on gender, which can lead to increased self-doubt and decreased self-esteem. Sexual harassment is a hostile form of gender bias that can cause anxiety, depression, and significant mental health issues. Virtual reality (VR) has been employed to help make people become aware of their biases and change their attitudes regarding gender, race, and age. Methods Forty participants were embodied in avatars of different genders and experienced sexual harassment scenarios in VR. A gender Implicit Association Test (IAT) was administered before and after the experience. Results There was a statistically significant main effect of participant gender ( F (1,36) = 10.67, p = .002, partial η2 = .23) on ΔIAT, where males and females reported a decrease (M = −.12, SD = .24) and an increase (M = .10, SD = .25) in IAT scores, respectively. A statistically significant two-way interaction between gender transfer and participant gender was revealed ( F (1,36) = 6.32, p = .02, partial η2 = .15). There was a significant simple effect of gender transfer for male participants ( F (1,36) = 8.70, p = .006, partial η2 = .19). Conclusions Implicit gender bias can be modified, at least temporarily, through embodiment in VR. Gender transfer through embodiment while encountering different sexual harassment scenarios helped reduce implicit gender bias. There was a tendency for individuals to increase bias for the gender of the avatar in which they embodied. Applications The current research provided promising evidence that a virtual environment system may be used as a potential training tool to improve implicit gender bias.
DNA methylation alterations in systemic lupus erythematosus: A systematic review of case-control studies
Authors: Ehtesham Naeim , Habibi Kavashkohie Mohammad Reza , Mazhari Seyed Amirhossein , Azhdari Sara , Ranjbar Hamta , Mosallaei Meysam , Hazrati Ebrahim , Behroozi Javad 
Published: December 2022

Background Traditionally, the diagnosis and monitoring of disease activity in systemic lupus erythematosus (SLE) are contingent upon clinical manifestations and serological markers. However, researchers are struggling to find biomarkers with higher sensitivity and specificity. DNA methylation has been the most studied epigenetic feature in SLE. So, in this study, we performed a systematic review of studies about DNA methylation alterations in SLE patients compared to healthy controls. Methods By searching PubMed, Scopus, and Google Scholar up to July 2022, all case-control studies in which DNA methylation of specific genes was assessed by a non-high-throughput technique and passed the quality of bias assessment were included. Results In total, 44 eligible studies underwent a data extraction process. In all, 3471 SLE patients and 1028 healthy individuals were included. Among the studies that reported the patients’ gender ( n = 2853), 89.41% were female and 10.59% were male. Forty studies have been conducted on adult patients. The number of works on fractionated and unfractionated blood cells was almost equal. In this regard, 22 studies were conducted on whole blood or peripheral blood mononuclear cells and two studies on unfractionated white blood cells. Sorted blood cells were biological sources in 20 studies. The most investigated gene was IFI44L. Sensitivity, specificity, and diagnostic power of methylation levels were only reported for IFI44L in five studies. The most employed methylation profiling method was bisulfite sequencing polymerase chain reaction. The correlation between methylation patterns and clinical parameters was explored in 22 studies, which of them 16 publications displayed a remarkable association between DNA methylation status and clinical indices. Conclusions The methylation status of some genes especially IFI44L, FOXP3, and MX1 has been suggested as promising SLE biomarkers. However, given the conflicting findings between studies because of potential confounders such as different sample types, methylation profiling methods, and ethnicity as well as shared DNA methylation patterns of SLE and other autoimmune diseases, DNA methylation biomarkers are currently not reliable diagnostic biomarkers and do not represent surrogate markers of SLE disease activity. Future investigations on a larger scale with the discarding of limitations of previous studies would probably lead to a consensus.
High resolution 7T MR imaging in characterizing culprit intracranial atherosclerotic plaques
Authors: Fakih Rami , Varon Miller Alberto , Raghuram Ashrita , Sanchez Sebastian , Miller Jacob M , Kandemirli Sedat , Zhu Chengcheng , Shaban Amir , Leira Enrique C , Samaniego Edgar A 
Published: December 2022

Background Current imaging modalities underestimate the severity of intracranial atherosclerotic disease (ICAD). High resolution vessel wall imaging (HR-VWI) MRI is a powerful tool in characterizing plaques. We aim to show that HR-VWI MRI is more accurate at detecting and characterizing intracranial plaques compared to digital subtraction angiography (DSA), time-of-flight (TOF) MRA, and computed tomography angiogram (CTA). Methods Patients with symptomatic ICAD prospectively underwent 7T HR-VWI. We calculated: degree of stenosis, plaque burden (PB), and remodeling index (RI). The sensitivity of detecting a culprit plaque for each modality as well as the correlations between different variables were analyzed. Interobserver agreement on the determination of a culprit plaque on every imaging modality was evaluated. Results A total of 44 patients underwent HR-VWI. Thirty-four patients had CTA, 18 TOF-MRA, and 18 DSA. The sensitivity of plaque detection was 88% for DSA, 78% for TOF-MRA, and 76% for CTA. There's significant positive correlation between PB and degree of stenosis on HR-VWI MRI (p < 0.001), but not between PB and degree of stenosis in DSA (p = 0.168), TOF-MRA (p = 0.144), and CTA (p = 0.253). RI had a significant negative correlation with degree of stenosis on HR-VWI MRI (p = 0.003), but not on DSA (p = 0.783), TOF-MRA (p = 0.405), or CTA (p = 0.751). The best inter-rater agreement for culprit plaque detection was with HR-VWI (p = 0.001). Conclusions The degree of stenosis measured by intra-luminal techniques does not fully reflect the true extent of ICAD. HR-VWI is a more accurate tool in characterizing atherosclerotic plaques and may be the default imaging modality in clinical practice.
Development of a health information system to promote emergency care pathways: A participatory design study
Authors: Østervang Christina , Lassen Annmarie , Schmidt Thomas , Coyne Elisabeth , Dieperink Karin Brochstedt , Jensen Charlotte Myhre 
Published: December 2022

Objective The successful development and implementation of sustainable healthcare technologies require an understanding of the clinical setting and its potential challenges from a user perspective. Previous studies have uncovered a gap between what emergency departments deliver and the needs and preferences of patients and family members. This study investigated whether a user-driven approach and participatory design could provide a technical solution to bridge the identified gap. Methods We conducted four workshops, and five one-to-one workshops with patients, family members, healthcare professionals, and information technology specialists to codesign a prototype. Revisions of the prototype were made until an acceptable solution was agreed upon and tested by the participants. The data were analyzed following iterative processes (plan → act → observe → reflect). Results The participants emphasized the importance of a person-centered approach focusing on improved information. An already implemented system for clinicians’ use only was redesigned into a unique patient module that provides a process line displaying continually updated informative features, including (1) person-centered activities, (2) general information videos, (3) a notepad, (4) estimated waiting time, and (5) the nurse and physician responsible for care and treatment. Conclusion Participatory design is a usable approach to designing an information system for use in the emergency department. The process yielded insight into the complexity of translating ideas into technologies that can actually be implemented in clinical practice, and the user perspectives revealed the key to identifying these complex aspects. The iterations with the participants enabled us to redesign an existing technology.
The use of artificial intelligence applications in medicine and the standard required for healthcare provider-patient briefings—an exploratory study
Authors: Iqbal Jeffrey David , Christen Markus 
Published: December 2022

Introduction Digital Health Technologies (DHTs) are currently being funneled through legacy regulatory processes that are not adapted to the unique particularities of this new technology class. In the absence of adequate regulation of DHTs, the briefing of a patient by their healthcare provider (HCP) as a component of informed consent can present the last line of defense before potentially harmful technologies are employed on a patient. Methods This exploratory study utilizes a case vignette of a machine learning-based technology for the diagnosis of ischemic heart disease that is presented to a group of medical students, physicians, and bioethicists. What constitutes the necessary standard and content of the HCP–patient briefings is explored using a survey ( N = 34). Whether participants actually provide a sufficient HCP–patient briefing is evaluated based on audio recordings. Results and Conclusions We find that participants deem artificial intelligence use in medical context should be declared to patients and argue that the explanation should currently follow the standard required of other experimental procedures. Further, since our study provides indications that implementation of HCP–patient briefings lacks behind the identified standard, opportunities for incorporation of training on the use of DHTs into medical curricula and continuous training schedules should be considered.
StackCirRNAPred: computational classification of long circRNA from other lncRNA based on stacking strategy
Authors: Wang Xin , Liu Yadong , Li Jie , Wang Guohua 
Published: December 2022

AbstractBackgroundCircRNAs are essential for the regulation of post-transcriptional gene expression, including as miRNA sponges, and play an important role in disease development. Some computational tools have been proposed recently to predict circRNA, since only one classifier is used, there is still much that can be done to improve the performance.ResultsStackCirRNAPred was proposed, the computational classification of long circRNA from other lncRNA based on stacking strategy. In order to cope with the potential problem that a single feature might not be able to distinguish circRNA well from other lncRNA, we first extracted features from different sources, including nucleic acid composition, sequence spatial features and physicochemical properties, Alu and tandem repeats. We innovatively apply the stacking strategy to integrate the more advantageous classifiers of RF, LightGBM, XGBoost. This allows the model to incorporate these features more flexibly. StackCirRNAPred was found to be significantly better than other tools, with precision, accuracy, F1, recall and MCC of 0.843, 0.833, 0.831, 0.819 and 0.666 respectively. We tested it directly on the mouse dataset. StackCirRNAPred was still significantly better than other methods, with precision, accuracy, F1, recall and MCC of 0.837, 0.839, 0.839, 0.841, 0.677.ConclusionsWe proposed StackCirRNAPred based on stacking strategy to distinguish long circRNAs from other lncRNAs. With the test results demonstrating the validity and robustness of StackCirRNAPred, we hope StackCirRNAPred will complement existing circRNA prediction methods and is helpful in down-stream research.
Laser speckle contrast imaging for blood flow monitoring in predicting outcomes after cerebral ischemia-reperfusion injury in mice
Authors: Yin Lu , Yu Tengfei , Cheng Linggang , Liu Xinyao , Zhang Wei , Zhang Hongxia , Du Lijuan , He Wen 
Published: December 2022

Abstract
Background
In the treatment of ischemic cerebral stroke (ICS), most conventional treatments, including carotid endarterectomy and carotid artery stenting, may cause cerebral ischemia-reperfusion injury (CIRI). For treated ICS patients, changes in cerebral blood flow are directly related to brain function. At present, computed tomography perfusion, dynamic susceptibility contrast-enhanced perfusion weighted imaging and magnetic resonance arterial spin labeling perfusion imaging are used to monitor cerebral blood flow, but they still have some limitations. Our study aimed to monitor the changes in cerebral cortical blood flow by laser speckle contrast imaging (LSCI) in CIRI model mice and to propose a new method for predicting outcomes after CIRI. C57BL/6 N mice were used to establish a mouse CIRI model based on a modified thread-occlusion method and divided into a good outcome group and a poor outcome group according to survival within 7 days. The cerebral cortical blood flow of the area supplied by the left middle cerebral artery was monitored by LSCI at baseline (before modeling), 1 h after ischemia, immediately after reperfusion and 24 h after reperfusion. Then, the brains of the mice were removed immediately and stained with hematoxylin and eosin to observe the pathological changes in brain neurons.

Results
The cerebral cortical blood flow in the poor outcome group was obviously reduced compared with that less in the good outcome group at 24 h after reperfusion (180.8 ± 20.9 vs. 113.9 ± 6.4, p = 0.001), and at 24 h after reperfusion, the cerebral cortical blood flow was negatively correlated with the severity of brain tissue injury (p = − 0.710, p = 0.010).

Conclusions
LSCI can monitor the changes in cerebral cortical blood flow during CIRI in mice and could be used as a feasible method for predicting outcomes after CIRI in mice.
Perception and practices of depth of anesthesia monitoring and intraoperative awareness event rate among Jordanian anesthesiologists: a cross-sectional study
Authors: Nawafleh Sager , Alrawashdeh Ahmad , Ababneh Omar , Bani-Hani Morad , Al Modanat Zaid , Hani Diab Bani , Bataineh Adel , Al-Salameh Faisal , Abuzaid Sajeda , Yasser Omer , Khairallah Khaled 
Published: December 2022

Abstract
Background
Intraoperative awareness is the second most common complication of surgeries, and it negatively affects patients and healthcare professionals. Based on the limited previous studies, there is a wide variation in the incidence of intraoperative awareness and in the practices and attitudes toward depth of anesthesia (DoA) monitoring among healthcare systems and anesthesiologists. This study aimed to evaluate the Jordanian anesthesiologists’ practice and attitudes toward DoA monitoring and estimate the event rate of intraoperative awareness among the participating anesthesiologists.

Methods
A descriptive cross-sectional survey of Jordanian anesthesiologists working in public, private, and university hospitals was utilized using a questionnaire developed based on previous studies. Practice and attitude in using DoA monitors were evaluated. Anesthesiologists were asked to best estimate the number of anesthesia procedures and frequency of intraoperative awareness events in the year before. Percentages and 95% Confidence Intervals (95%CI) were reported and compared between groups using chi-square tests.

Results
A total of 107 anesthesiologists responded and completed the survey. About one-third of the respondents (34.6%; 95% CI 26.1–44.2) had never used a DoA monitor and only 6.5% (95% CI 3.1–13.2) reported using it as a “daily practice”. The use of a DoA monitor was associated with experience and type of health sector. However, 81.3% (95% CI 66.5–83.5) believed that currently available DoA monitors are effective for DoA monitoring and only 4.7% (95%CI 1.9–10.8) reported it as being “invalid”. Most respondents reported that the main purpose of using a DoA monitor was to prevent awareness (86.0%; 95%CI 77.9–91.4), guide the delivery of anesthetics (63.6%; 95%CI 53.9–72.2), and reduce recovery time (57%; 95%CI 47.4–66.1). The event rate of intraoperative awareness was estimated at 0.4% among participating anesthesiologists. Most Jordanian hospitals lacked policy intending to prevent intraoperative awareness.

Conclusions
Most anesthesiologists believed in the role of DoA monitors in preventing intraoperative awareness, however, their attitudes and knowledge are inadequate, and few use DoA monitors in routine practices. In Jordan, large efforts are needed to regulate the use of DoA monitoring and reduce the incidence of intraoperative awareness.
High MICAL1 expression correlates with cancer progression and immune infiltration in renal clear cell carcinoma
Authors: Yang Yixing , Ye Fengwen , Xia Tianxiang , Wang Qianwen , Du Jun 
Published: December 2022

Abstract
Background
Molecule interacting with CasL 1 (MICAL1), a multidomain flavoprotein monooxygenase, is strongly involved in the biological processes related to cancer cell proliferation and metastasis. However, there were few reports on the clinical significance of MICAL1 in renal clear cell carcinoma.

Methods
The expression and prognostic value of MICAL1 in renal clear cell carcinoma were explored using immunohistochemical assays, public TCGA-KIRC databases and multiple analysis methods, including survival analysis, univariate and multivariate analyses, KEGG and GSEA. Wound healing and Transwell assays were performed to check the 786-O cell and Caki-1 cell migration abilities after knockdown of MICAL1. Western blotting was used to assess the regulatory effect of MICAL1 on the Rac1 activation. Additionally, the function of MICAL1 and the correlations between MICAL1 and immune infiltration levels in KIRC were investigated using TIMER and TISIDB.

Results
MICAL1 expression was significantly higher in carcinoma tissue compared with non-cancerous tissue. A survival analysis revealed that patients with high MICAL1 expression had shorter overall survival (OS) and disease-specific survival (DSS) compared with patients with low MICAL1 expression. ROC analysis also confirmed that MICAL1 has a high diagnostic value in KIRC. Importantly, the univariate and multivariate Cox analysis further confirmed that high MICAL1 expression was an independent risk factor for OS in patients with KIRC. In accordance with this, knockdown of MICAL1 expression decreased Rac1 activation and cell migration. KEGG and GSEA analysis revealed that the immune infiltration and Ras signaling pathways were significantly upregulated in the high MICAL1 expression group. In terms of immune infiltrating levels, MICAL1 expression was positively associated with CD8+/Treg cell infiltration levels. Specifically, bioinformatic analysis showed that MICAL1 expression had strong relationships with various T cell exhaustion markers.

Conclusions
MICAL1 expression may act as a prognostic biomarker for determining the prognosis in renal clear cell carcinoma and plays an important role in regulating tumor immune microenvironment and cell migratory capacity.
Pediatric psychiatric emergency rooms during COVID-19: a multi-center study
Authors: Erez Galit , Yakubovich Sol , Sadeh Hadar , Shoval Gal , Schoen Gila , Meiri Gal , Hertz-Palmor Nimrod , Bretler Tali , Barzilai Yael , Mosheva Mariela , Gothelf Doron , Bloch Yuval 
Published: December 2022

Abstract
Background
The COVID-19 (SARS-CoV-2) pandemic has been a major stressor for the mental health and well-being of children and adolescents. Surveys and reports from hotlines indicate a significant rise in mental health problems. As the psychiatric emergency room (ER) is a first-line free-of-charge facility for psychiatric emergencies, we expected to see a significant increase in visits, specifically of new patients suffering from anxiety, depression, or stress-related disorders.

Methods
Data from two psychiatric hospital ERs and one general hospital were included. All visits of children and adolescents from the computerized files between March and December of 2019 were analyzed anonymously and compared to the same months in 2020, using multilevel linear modeling.

Results
There was a significant decline in the total number of visits (p = .017), specifically among those diagnosed as suffering from stress-related, anxiety, and mood disorder groups (p = .017), and an incline in the proportion of visits of severe mental disorders (p = .029).

Discussion
The limited use of child and adolescent psychiatric emergency facilities during the pandemic highlights the importance of tele-psychiatry as part of emergency services. It also suggests the importance of the timeline of the emergence of clinically relevant new psychiatric diagnoses related to the pandemic. Future studies are needed to establish the long-term effects of the pandemic and the expeditious use of tele-psychiatry.
Epidemiology of dental caries in permanent dentition: evidence from a population-based survey in Egypt
Authors: Abdel Fattah Mona Ahmed , Barghouth Muhammad Helmi , Wassel Mariem Osama , Deraz Omar Hassan , Khalil Ahmed Essam , Sarsik Hazem Magdy , Mohsen Ahmed Mohamed Ali , Qenawy Amr Shaaban , Abou El Fadl Reham Khaled 
Published: December 2022

AbstractBackgroundIn recognition of the risk factors common between oral diseases and various chronic conditions and the intersection between oral health and some sustainable development goals, the current cross-sectional study was designed to quantify the burden of dental caries and identify factors associated with its occurrence in permanent teeth.MethodsUsing data from Egypt's population-based survey (2013–2014), two individual-level outcomes; past caries experience (DMFT > 0) and presence of untreated carious lesions (DT > 0) were assessed using the WHO basic methods for oral health surveys. Information on potential explanatory variables including sociodemographic characteristics, exposure to fluoridated water, dental attendance, and dental anxiety was gathered using a structured questionnaire. Stratified multistage cluster random sampling was used to recruit survey participants. Multivariable logistic regression was performed to identify significant potential risk factors for caries in the permanent dentition of Egyptians.FindingsA total of 9,457 participants were included of which 70.3% had at least one untreated carious lesion. After adjusting for all covariates, analphabetic Egyptians were found to have significantly higher odds of caries experience in permanent dentition DMFT > 0 (OR 1.54, 95% CI [1.20–1.98]), DT > 0 (OR 1.62, 95% CI [1.32–2.00]). Males, however, had significantly lower caries risk DMFT > 0 (OR 0.75, 95% CI [0.67–0.85]), DT > 0 (OR 0.81, 95% CI [0.73–0.89]) when compared to females. Regarding age, mean DMFT scores were significantly lower in age groups (6–15 years) (OR 0.03, 95% CI [0.014; 0.082]), (16– 20 years) (OR 0.09, 95% CI [0.037; 0.23]), and (21–35 years) (OR 0.22, 95% CI [0.09; 0.53]) than among people ≥ 60 years.ConclusionAddressing individual-level caries risk factors should be complemented by addressing upstream factors to reduce burden of untreated dental caries among Egyptians.