bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adverse events associated with Pegaspargase biosimilar in pediatric patients with acute lymphoblastic leukemia: A prospective single-center study
Authors: Panda Bijoy Kumar , Gaikwad Mahima , Bafna Vibha , Vaidya Neela , Aundhe Vishal , Mhatre Angha 
Published: July 2023

Background While Pegaspargase is an essential component of the treatment of acute lymphoid leukemia (ALL) in children, it causes adverse events (AEs) that sometimes make full use impossible. Objective The objective was to investigate the safety of Pegaspargase biosimilar in pediatric ALL patients undergoing treatment according to ICiCLe ALL-14 protocol. Method and Materials A prospective study was carried out in a university teaching hospital located in the state of Maharashtra, India. Data on clinical factors and adverse reaction characteristics were gathered from hospital medical records. Suspected AEs were classified according to causality and severity. Results During the study period, 72 children had 52 suspicions of AEs during treatment with biosimilar Pegaspargase. The odds ratio of 1.11 (95%CI, 0.41–2.98) suggested that males and females were both equally likely to experience adverse drug events, despite the fact that the frequency of suspected AEs was higher in boys (66%) than in girls (33%). None of the patients experienced allergic reactions. The high-risk category had the highest number of suspected AEs (56%), followed by intermediate risk (20%) and standard risk (20%). These patients showed a high frequency of suspected AEs during the induction phase (43%) followed by the consolidation phase (26%). Sixty percent of the reactions were classified as grade 1 or 2. ALL cell type ( p = 0.02), risk category ( p = 0.04) and length of hospitalization ( p = 0.003) were significantly correlated with suspected AEs. Conclusion Bio-similar Pegaspargase in combination with chemotherapy was safe and tolerable in the pediatric ALL patients treated according to ICiCLe ALL-14 protocol. Suspected AEs ranged from mild to moderate and hepatic failure and hyperglycemia being severe.
Risk factors and incidence of peripheral venous catheters-related phlebitis between 2017 and 2021: A multicentre study (Flebitis Zero Project)
Authors: Cernuda Martínez José Antonio , Suárez Mier María Belén , Martínez Ortega María del Carmen , Casas Rodríguez Raquel , Villafranca Renes Carmelo , Del Río Pisabarro Camino 
Published: July 2023

Background: The peripheral venous catheter is one of the most frequently used devices in inpatient units worldwide. The risk of complications arising from use of peripheral venous catheters is low, but phlebitis frequently develops. Methods: A multicentre, prospective cohort study was conducted in 65 Spanish hospitals on 10,247 inpatients who had had a total of 38,430 peripheral venous catheters inserted. Data were collected for 15 consecutive days in 2017, 2018, 2019, 2020 and 2021. Central tendency and dispersion were measured, cumulative incidence and incidence density were determined and odds ratios (OR) were also calculated using binary logistic regression. Results: The incidence density of phlebitis, during the period from 2017 to 2021, was 1.82 cases of phlebitis per 100 venous catheter-days. The difference between average cumulative incidence of phlebitis per year was statistically significant as determined by ANOVA test results ( F = 10.51; df = 4; p < 0.000). Unequivocal risk factors for phlebitis were revealed to be hospitals with more than 500 beds (OR = 1.507; p < 0.001), patients suffering from neoplastic disease (OR = 1.234; p < 0.001) and the first 3–4 days after insertion (OR = 1.159; p < 0.001). Conclusions: A correct knowledge of insertion technique and venous catheter maintenance is likely to reduce the incidence of phlebitis and other complications, and hence continuing education of nurses is essential.
“Give me the knowledge, and I can do what I want with it, it’s my right and my choice”: Triangulated perspectives on the disclosure of young onset dementia
Authors: Fox Siobhán , Foley Tony , Cahill Suzanne , Kilty Caroline 
Published: July 2023

Introduction Receiving a diagnosis of young onset dementia is particularly distressing; the person under 65 years is often in employment, with financial commitments, young children, and an active social life. Some of the stress experienced by younger people experiencing cognitive changes can be reduced by an early and accurate diagnosis, but this is contingent on the timing of disclosure and a process which is sensitive and appropriate to the person. The study aim was to explore experiences of giving and receiving a diagnosis of young onset dementia, by triangulating the perspectives of the key parties involved. Methods A qualitative design was employed, using semi-structured interviews. Participants ( N = 47) included people with young onset dementia ( n = 10), family members ( n = 12), and health and social care professionals ( n = 25). Thematic analysis and triangulation enabled identification of overall themes across different participant groups. Results All participant groups agreed on key aspects of good disclosure practice, with two overarching themes: The optimal conditions for disclosure, and how best to disclose a diagnosis. Positive experiences of disclosure were prefaced on having the appropriate space and time; having a support person present; clearly labelling the diagnosis; providing appropriate information at the right pace. Other findings include recommendations for longer appointment times, offering additional support for young families, and for carers of people with atypical presentations (e.g. frontotemporal dementia). Conclusion Many people with young onset dementia had unsatisfactory disclosure experiences. Health and social care professionals should provide a ‘pre-disclosure’ appointment, elicit the amount of information the person may want at the point of disclosure of the diagnosis, balance truth and hope, provide contact details for follow-up, and overall be mindful of the individual in front of them. While young onset dementia may be a life-altering diagnosis, a disclosure meeting which is sensitively undertaken can increase the person’s agency, coping ability, and ultimately empower them to live well with their diagnosis.
Impact of Undergoing Thoracolumbar Surgery on Patient Psychosocial Profiles
Authors: Rogers Samantha , Manson Neil , Bigney Erin , McPhee Rory , Vandewint Amanda , Richardson Eden , El-Mughayyar Dana , Abraham Edward 
Published: July 2023

Study Design Prospective cohort study. Objective Investigate the impact of thoracolumbar surgery on patients’ psychosocial profiles. Methods A prospective cohort study of thoracolumbar surgery patients (N = 177). Measures of interest collected at baseline and 24-months after surgery were: modified Oswestry Disability Index (mODI), Numerical Rating Scores for Back Pain (NRS-B), Leg Pain (NRS-L), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), Chronic Pain Acceptance Questionnaire-8 (CPAQ-8), Multidimensional Scale of Perceived Social Support (MSPSS), Mental Component Summary (MCS) and patient expectations for surgery impacts on mental well-being. Cohorts were separated based on attaining meaningful change defined as either 30% improvement or minimal scores in NRS-B, NRS-L and mODI. Mixed measures ANOVAs were run (α = .05). Results Patients who showed meaningful change had significant improvements in PCS, TSK and CPAQ-8 scores but not in MSPSS scores. Patients had improvement in MCS scores over 24-months follow-up, but this change was not significantly different based on attainment of meaningful change. Overall, 75.9% of patients reported their mental well-being expectations were met. Patients who did not achieve meaningful change showed no change on any psychosocial measures with only 55.9% reporting their mental well-being expectations met. Conclusion Thoracolumbar surgery results in significant improvement of psychosocial variables for patients who experienced meaningful change for pain and disability. Worsening of psychosocial health was not evident in patients who did not attain meaningful change.
Assessment of drug-related problems associated with narrow therapeutic index drugs: A prospective cohort study
Authors: Chhatrala Charmi Manoj , M Bhanu Kumar , Madhan Ramesh , Chalasani Sri Harsha , Syed Jehath , Pal Nikita 
Published: July 2023

Background A narrow therapeutic index drug (NTID) has a narrow window between its effective doses and doses that can cause adverse toxic effects, necessitating strict monitoring for drug safety. This study aimed to identify and classify the drug-related problems (DRPs) associated with the use of NTI drugs. Method A prospective cohort study was carried out in the in-patient departments of General Medicine, Paediatrics, Cardiology, and Neurology at a tertiary care hospital over a nine-month period. Patients of either gender receiving at least one NTID included after obtaining their consent. The patients were followed until their discharge for any DRP occurrence. The list of the NTIDs was compiled through a review of literature review and the hospital's formulary. Hepler & Strand's classification was adopted to classify the identified DRPs. The odds ratio with a 95% confidence interval was used to determine the predictors for DRP occurrence. Results A total of 241 DRPs associated with NTIDs were identified among 120 patients. Drug–drug interactions accounted for 61% of the DRPs, followed by subtherapeutic dosing (18.26%) and adverse drug reactions (9.96%). On average, each patient experienced 2.74 DRPs. The predictors for DRP occurrence included gender (odds ratio [OR] 2.65, p = .012), comorbid conditions (OR 2.947, p < .001), polypharmacy involving more than 11 drugs (OR 3.987, p < .033), and a hospital stay exceeding 7 days (OR 1.087, p = .022). Conclusion Despite providing the best therapeutic care, DRPs associated with NTIDs persist and can compromise patient safety. Therefore, involving clinical pharmacists in the early detection of DRPs can enhance overall patient safety.
Sedimentology of the Jura Molasse: Miocene tidal clastics and freshwater carbonates from the Tramelan-2 Borehole, NW Switzerland
Authors: Platt Nigel H. , Matter Albert 
Published: July 2023

AbstractThe Tramelan-2 borehole (Canton Bern, Switzerland) continuously cored a 275.60 m sequence of Palaeogene to Neogene sediments, providing a rare opportunity for sedimentological analysis of the Jura Molasse. Lithostratigraphy, sedimentary facies and heavy minerals allow correlation with the classical Swiss Molasse. Evidence for clastic input from Alpine and non-Alpine sources is consistent with deposition at the northern feather edge of the Molasse Basin. Grey sandstones at the base of the succession are tentatively interpreted as fluvial facies of the Lower Freshwater Molasse (USM). These are overlain by erosively-based conglomerates, interpreted as winnowed storm lags of locally-derived clasts and distantly-sourced Alpine material at the transgressive base of the Upper Marine Molasse (OMM). Above this, a range of plane-laminated and cross-bedded bioclastic sandstones are interpreted as the deposits of a meso- or macrotidal flat or estuarine complex. Facies evolution in the upper OMM records a series of stacked regressive cycles within an overall upward trend of reducing current energy, reflecting a transition from offshore to nearshore shallow marine environments. The unconformably overlying Upper Freshwater Molasse (OSM) passes upwards from micaceous siltstones and marls into a series of freshwater carbonates, dominated by lacustrine limestones which are arranged in repeated regressive cycles, each capped by organic-rich horizons. The middle part of the carbonate interval comprises palustrine limestones with pedogenetic fabrics recording periodic subaerial exposure. Stable isotope signatures from the palustrine facies reflect subaerial pedogenetic overprint, while the lacustrine carbonates record cyclical variations in δ13C which may reflect increases in organic material during progressive lake fill and/or an increased influence of aquifer waters during flooding events. The Jura Molasse onlapped a Mesozoic carbonate pediment hosting a regional karst system which remained active at least until the Burdigalian transgression on footwall highs bounding the Delémont Basin, and locally into the Langhian near Tramelan. This configuration controlled subsequent deposition of OSM carbonates which onlapped erosional and potentially early tectonic relief, and were deposited in groundwater-fed seasonal lacustrine/palustrine environments, where the karstic aquifer controls on seasonal hydrology appear to have been comparable to Caribbean freshwater carbonate wetland systems today.
The risk may not be limited to flooding: polluted flood sediments pose a human health threat to the unaware public
Authors: Weber Alexandra , Wolf Stefanie , Becker Nadine , Märker-Neuhaus Leonie , Bellanova Piero , Brüll Catrina , Hollert Henner , Klopries Elena-Maria , Schüttrumpf Holger , Lehmkuhl Frank 
Published: July 2023

Abstract
Background
Because of global climate change, extreme flood events are expected to increase in quantity and intensity in the upcoming decades. In catchments affected by ore mining, flooding leads to the deposition of fine sediments enriched in trace metal(loid)s. Depending on their concentration, trace metal(loid)s can be a health hazard. Therefore, exposure of the local population to flood sediments, either by ingestion (covering direct ingestion and consuming food grown on these sediments) or via inhalation of dried sediments contributing to atmospheric particulate matter, is of concern.

Results
The extreme flood of July 2021 deposited large amounts of sediment across the town of Eschweiler (western Germany), with the inundation area exceeding previously mapped extreme flood limits (HQextreme). These sediments are rich in fine material (with the < 63 µm fraction making up 32% to 96%), which either can stick to the skin and be ingested or inhaled. They are moderately to heavily enriched in Zn > Cu > Pb > Cd > Sn compared to local background concentrations. The concentrations of Zn, Pb, Cd, Cu, and As in flood sediments exceed international trigger action values. A simple assessment of inhalation and ingestion by humans reveals that the tolerable daily intake is exceeded for Pb. Despite the enrichment of other trace elements like Zn, Cu, Cd, and Sn, they presumably do not pose a risk to human well-being. However, exposure to high dust concentrations may be a health risk.

Conclusions
In conclusion, flood sediments, especially in catchments impacted by mining, may pose a risk to the affected public. Hence, we propose to (I) improve the flood mapping by incorporating potential pollution sources; (II) extend warning messages to incorporate specific guidance; (III) use appropriate clean-up strategies in the aftermath of such flooding events; (IV) provide medical support, and (V) clue the public and medical professionals in on this topic accordingly.

Graphical Abstract
Landscape of internal N7-methylguanosine of long non-coding RNA modifications in resistant acute myeloid leukemia
Authors: Han Jingyi , Liu Qinqin , Zhou Yao , Li Dong , Wang Ran 
Published: July 2023

Abstract
Background
Growing evidence indicates that RNA methylation plays a fundamental role in epigenetic regulation, which is associated with the tumorigenesis and drug resistance. Among them, acute myeloid leukemia (AML), as the top acute leukemia for adults, is a deadly disease threatening human health. Although N7-methylguanosine (m7G) has been identified as an important regulatory modification, its distribution has still remained elusive.

Methods
The present study aimed to explore the long non-coding RNA (lncRNA) functional profile of m7G in AML and drug-resistant AML cells. The transcriptome-wide m7G methylation of lncRNA was analyzed in AML and drug-resistant AML cells. RNA MeRIP-seq was performed to identify m7G peaks on lncRNA and differences in m7G distribution between AML and drug-resistant AML cells. The Gene Ontology (GO) and the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were conducted to predict the possible roles and m7G-associated pathway.

Results
Using m7G peak sequencing, it was found that a sequence motif was necessary for m7G methylation in drug-resistant AML lncRNA. Unsupervised hierarchical cluster analysis confirmed that lncRNA m7G methylation occurred more frequently in drug-resistant AML cells than in AML cells. RNA sequencing demonstrated that more genes were upregulated by methylation in drug-resistant AML cells, while methylation downregulated more genes in AML cells. The GO and KEGG pathway enrichment analyses revealed that genes having a significant correlation with m7G sites in lncRNA were involved in drug-resistant AML signaling pathways.

Conclusion
Significant differences in the levels and patterns of m7G methylation between drug-resistant AML cells and AML cells were revealed. Furthermore, the cellular functions potentially influenced by m7G in drug-resistant AML cells were predicted, providing evidence implicating m7G-mediated lncRNA epigenetic regulation in the progression of drug resistance in AML. These findings highlight the involvement of m7G in the development of drug resistance in AML.
Identification of crucial genes related to heart failure based on GEO database
Authors: Chen Yongliang , Xue Jing , Yan Xiaoli , Fang Da-guang , Li Fangliang , Tian Xuefei , Yan Peng , Feng Zengbin 
Published: July 2023

Abstract
Background
The molecular biological mechanisms underlying heart failure (HF) remain poorly understood. Therefore, it is imperative to use innovative approaches, such as high-throughput sequencing and artificial intelligence, to investigate the pathogenesis, diagnosis, and potential treatment of HF.

Methods
First, we initially screened Two data sets (GSE3586 and GSE5406) from the GEO database containing HF and control samples from the GEO database to establish the Train group, and selected another dataset (GSE57345) to construct the Test group for verification. Next, we identified the genes with significantly different expression levels in patients with or without HF and performed functional and pathway enrichment analyses. HF-specific genes were identified, and an artificial neural network was constructed by Random Forest. The ROC curve was used to evaluate the accuracy and reliability of the constructed model in the Train and Test groups. Finally, immune cell infiltration was analyzed to determine the role of the inflammatory response and the immunological microenvironment in the pathogenesis of HF.

Results
In the Train group, 153 significant differentially expressed genes (DEGs) associated with HF were found to be abnormal, including 81 down-regulated genes and 72 up-regulated genes. GO and KEGG enrichment analyses revealed that the down-regulated genes were primarily enriched in organic anion transport, neutrophil activation, and the PI3K-Akt signaling pathway. The upregulated genes were mainly enriched in neutrophil activation and the calcium signaling. DEGs were identified using Random Forest, and finally, 16 HF-specific genes were obtained. In the ROC validation and evaluation, the area under the curve (AUC) of the Train and Test groups were 0.996 and 0.863, respectively.

Conclusions
Our research revealed the potential functions and pathways implicated in the progression of HF, and designed an RNA diagnostic model for HF tissues using machine learning and artificial neural networks. Sensitivity, specificity, and stability were confirmed by ROC curves in the two different cohorts.
Gut microbiota analyses of inflammatory bowel diseases from a representative Saudi population
Authors: Alsulaiman Raed M. , Al-Quorain Abdulaziz A. , Al-Muhanna Fahad A. , Piotrowski Stanley , Kurdi Ezzeddin A. , Vatte Chittibabu , Alquorain Ahmed A. , Alfaraj Noorah H. , Alrezuk Abdulaziz M. , Robinson Fred , Dowdell Alexa K. , Alamri Turki A. , Hamilton Lauren , Lad Hetal , Gao Hui , Gandla Divya , Keating Brendan J. , Meng Ryan , Piening Brian , Al-Ali Amein K. 
Published: July 2023

Abstract
Background
Crohn’s diseases and ulcerative colitis, both of which are chronic immune-mediated disorders of the gastrointestinal tract are major contributors to the overarching Inflammatory bowel diseases. It has become increasingly evident that the pathological processes of IBDs results from interactions between genetic and environmental factors, which can skew immune responses against normal intestinal flora.

Methods
The aim of this study is to assess and analyze the taxa diversity and relative abundances in CD and UC in the Saudi population. We utilized a sequencing strategy that targets all variable regions in the 16 S rRNA gene using the Swift Amplicon 16 S rRNA Panel on Illumina NovaSeq 6000.

Results
The composition of stool 16 S rRNA was analyzed from 219 patients with inflammatory bowel disease and from 124 healthy controls. We quantified the abundance of microbial communities to examine any significant differences between subpopulations of samples. At the genus level, two genera in particular, Veillonella and Lachnoclostridium showed significant association with CD versus controls. There were significant differences between subjects with CD versus UC, with the top differential genera spanning Akkermansia, Harryflintia, Maegamonas and Phascolarctobacterium. Furthermore, statistically significant taxa diversity in microbiome composition was observed within the UC and CD groups.

Conclusions
In conclusion we have shown that there are significant differences in gut microbiota between UC, CD and controls in a Saudi Arabian inflammatory bowel disease cohort. This reinforces the need for further studies in large populations that are ethnically and geographically diverse. In addition, our results show the potential to develop classifiers that may have add additional richness of context to clinical diagnosis of UC and CD with larger inflammatory bowel disease cohorts.