bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving cascade outcomes for active TB: A global systematic review and meta-analysis of TB interventions
Authors: Marley Gifty , Zou Xia , Nie Juan , Cheng Weibin , Xie Yewei , Liao Huipeng , Wang Yehua , Tao Yusha , Tucker Joseph D. , Sylvia Sean , Chou Roger , Wu Dan , Ong Jason , Tang Weiming 
Published: January 2023

Background
To inform policy and implementation that can enhance prevention and improve tuberculosis (TB) care cascade outcomes, this review aimed to summarize the impact of various interventions on care cascade outcomes for active TB.

Methods and findings
In this systematic review and meta-analysis, we retrieved English articles with comparator arms (like randomized controlled trials (RCTs) and before and after intervention studies) that evaluated TB interventions published from January 1970 to September 30, 2022, from Embase, CINAHL, PubMed, and the Cochrane library. Commentaries, qualitative studies, conference abstracts, studies without standard of care comparator arms, and studies that did not report quantitative results for TB care cascade outcomes were excluded. Data from studies with similar comparator arms were pooled in a random effects model, and outcomes were reported as odds ratio (OR) with 95% confidence interval (CI) and number of studies (k). The quality of evidence was appraised using GRADE, and the study was registered on PROSPERO (CRD42018103331). Of 21,548 deduplicated studies, 144 eligible studies were included. Of 144 studies, 128 were from low/middle-income countries, 84 were RCTs, and 25 integrated TB and HIV care. Counselling and education was significantly associated with testing (OR = 8.82, 95% CI:1.71 to 45.43; I2 = 99.9%, k = 7), diagnosis (OR = 1.44, 95% CI:1.08 to 1.92; I2 = 97.6%, k = 9), linkage to care (OR = 3.10, 95% CI = 1.97 to 4.86; I2 = 0%, k = 1), cure (OR = 2.08, 95% CI:1.11 to 3.88; I2 = 76.7%, k = 4), treatment completion (OR = 1.48, 95% CI: 1.07 to 2.03; I2 = 73.1%, k = 8), and treatment success (OR = 3.24, 95% CI: 1.88 to 5.55; I2 = 75.9%, k = 5) outcomes compared to standard-of-care. Incentives, multisector collaborations, and community-based interventions were associated with at least three TB care cascade outcomes; digital interventions and mixed interventions were associated with an increased likelihood of two cascade outcomes each. These findings remained salient when studies were limited to RCTs only. Also, our study does not cover the entire care cascade as we did not measure gaps in pre-testing, pretreatment, and post-treatment outcomes (like loss to follow-up and TB recurrence).

Conclusions
Among TB interventions, education and counseling, incentives, community-based interventions, and mixed interventions were associated with multiple active TB care cascade outcomes. However, cost-effectiveness and local-setting contexts should be considered when choosing such strategies due to their high heterogeneity.
Effectiveness of a peer educator-coordinated preference-based differentiated service delivery model on viral suppression among young people living with HIV in Lesotho: The PEBRA cluster-randomized trial
Authors: Kopo Mathebe , Lejone Thabo Ishmael , Tschumi Nadine , Glass Tracy Renée , Kao Mpho , Brown Jennifer Anne , Seiler Olivia , Muhairwe Josephine , Moletsane Ntoli , Labhardt Niklaus Daniel , Amstutz Alain 
Published: January 2023

Background
Southern and Eastern Africa is home to more than 2.1 million young people aged 15 to 24 years living with HIV. As compared with other age groups, this population group has poorer outcomes along the HIV care cascade. Young people living with HIV and the research team co-created the PEBRA (Peer Educator-Based Refill of ART) care model. In PEBRA, a peer educator (PE) delivered services as per regularly assessed patient preferences for medication pick-up, short message service (SMS) notifications, and psychosocial support. The cluster-randomized trial compared PEBRA model versus standard clinic care (no PE and ART refill done by nurses) in 3 districts in Lesotho.

Methods and findings
Individuals taking antiretroviral therapy (ART) aged 15 to 24 years at 20 clinics (clusters) were eligible. In the 10 clinics randomized to the intervention arm, participants were offered the PEBRA model, coordinated by a trained PE and supported by an eHealth application (PEBRApp). In the 10 control clusters, participants received standard nurse-coordinated care without any service coordination by a PE. The primary endpoint was 12-month viral suppression below 20 copies/mL. Analyses were intention-to-treat and adjusted for sex.
From November 6, 2019 to February 4, 2020, we enrolled 307 individuals (150 intervention, 157 control; 218 [71%] female, median age 19 years [interquartile range, IQR, 17 to 22]). At 12 months, 99 of 150 (66%) participants in the intervention versus 95 of 157 (61%) participants in the control arm had viral suppression (adjusted odds ratio (OR) 1.27; 95% confidence interval [CI] [0.79 to 2.03]; p = 0.327); 4 of 150 (2.7%) versus 1 of 157 (0.6%) had died (adjusted OR 4.12; 95% CI [0.45 to 37.62]; p = 0.210); and 12 of 150 (8%) versus 23 of 157 (14.7%) had transferred out (adjusted OR 0.53; 95% CI [0.25 to 1.13]; p = 0.099). There were no significant differences between arms in other secondary outcomes. Twenty participants (11 in intervention and 9 in control) were lost to follow-up over the entire study period. The main limitation was that the data collectors in the control clusters were also young peers; however, they used a restricted version of the PEBRApp to collect data and thus were not able to provide the PEBRA model. The trial was prospectively registered on ClinicalTrials.gov (NCT03969030).

Conclusions
Preference-based peer-coordinated care for young people living with HIV, compared to nurse-based care only, did not lead to conclusive evidence for an effect on viral suppression.

Trial registration
clinicaltrials.gov, NCT03969030, https://clinicaltrials.gov/ct2/show/NCT03969030.
A mixed-methods approach to understand university students’ perceived impact of returning to class during COVID-19 on their mental and general health
Authors: Ding Qinglan , Ward Mark Daniel , Edwards Nancy , Wu Emily Anna , Kersey Susan , Funk Marjorie 
Published: January 2023

Purpose
This study investigated the prevalence and risk factors of mental and general health symptoms among university students attending in-person and online classes during COVID-19. We also explored their experiences returning to in-person classes and their views on the university’s COVID-19-related policies.

Methods
In this sequential explanatory mixed-methods study (2020–2021), U.S. university student respondents (N = 1030; 603 women [58.5%], 907 [88.1%] aged 18–24 years) completed a quantitative, cross-sectional survey assessing their mental and general health symptoms experienced while taking classes during the COVID-19 pandemic. The survey link was distributed through social media and email invitations. Three separate follow-up focus groups (n = 27), consisting of an average of nine focus group respondents who had completed the quantitative survey per group, were conducted using a semi-structured interview guide. Focus group respondents provided qualitative responses on their experiences returning to class during COVID-19 and adhering to COVID-19-related policies.

Results
The prevalence of mental health symptoms among survey respondents were 57.6% (n = 593) for depression, 41.5% (n = 427) for anxiety, and 40.8% (n = 420) for stress. Over 90% of respondents reported perceptions of good general health. Female respondents and respondents identified as non-binary gender had an increased risk for mental health symptoms compared to male respondents. Respondents with preexisting medical conditions had an increased risk for worse general health. Themes identified through qualitative analysis included (1) attending class during COVID-19 is associated with unhealthy behaviors, and poor health, (2) perceived challenges of online learning and increased feelings of isolation, (3) demand for COVID-19 policy reform and greater transparency of COVID-19 statistics; (4) difficulties in adhering to COVID-19 policies; and (5) concerns about acquiring and transmitting COVID-19.

Conclusions
Our findings indicate that university students attending classes during the pandemic are experiencing negative mental health impacts. Although students were aware of COVID-19-related policies, many found it challenging to comply. Broad acceptance of COVID-19 policies will require greater transparency and information sharing.
Comparison of the size of bilateral testis in children with unilateral non-communicating hydrocele and its correlation with age
Authors: Li Peiqiang , Liu Fuyun , Huang Yan 
Published: January 2023

Background
Opinions on the optimal age for surgical management of hydroceles in young boys are not uniform. Scrotal ultrasonography can be used to diagnose hydroceles and measure testicular size. A comparison of bilateral testicular size with hydrocele and the change in trend with age has not been reported. We therefore aimed to analyze the bilateral testicular size of children with unilateral non-communicating hydroceles and examine the correlation between age and testicular volume.

Methods
Non-communicating hydrocele cases in children were included. Ultrasound results, age, and diagnose time were retrospectively recorded. The bilateral testicular size was compared, and the correlation between age and testicular volume was analyzed.

Results
There were 138 cases of non-communicating hydrocele, ranging in age from 11 to 72 months. The diagnose time ranged from 3 days to 54 months. The volume of the testis on the side of the hydrocele was larger than that on the normal side (P < 0.001). Testicular length was not different bilaterally. Testicular width and height were greater on the hydrocele side than on the normal testicular side (P<0.001). Age was positively correlated with testicular volume on the normal side (P = 0.004) but not on the hydrocele side.

Conclusions
An important finding was that when the contralateral normal testicular volume increases with age, the testicular volume does not increase on the hydrocele side. This finding confirms the adverse effects of hydrocele on testicular growth and provides a basis for early treatment.
Una elección imposible: conocer y no conocer en el Aviario (Teeteto 196c7-d2)
Authors: González-Varela Edgar 
Published: January 2023

En este trabajo examino la “elección imposible” que Sócrates le plantea a Teeteto y que parece consistir en elegir entre: aceptar (a) que el juicio falso es imposible, o (b) que es posible conocer y no conocer el mismo objeto (Teeteto 196c7-d2). De acuerdo con la interpretación tradicional de esta elección, Sócrates afirma que es necesario aceptar una de las dos opciones: (b). En consecuencia, Sócrates desarrollaría el Aviario como un modelo de explicación del error en el que es posible conocer y no conocer lo mismo. Aquí argumento en contra de esta lectura. Según mi interpretación, lo que dice Sócrates es que se deben rechazar los dos términos de la “elección imposible”, (a) y (b), y, por ende, el Aviario presenta un modelo en el que el juicio falso es posible sin tener que aceptar que es posible conocer y no conocer lo mismo.
Indonesian pediatricians’ understanding and management of infant regurgitation based on Rome IV criteria
Authors: Jonathan Fransesco Bernado Hubert , Sridevi Agus T. , Wicaksono Brahmantyo A. , Friska Dewi , Hegar Badriul 
Published: January 2023

Background The diagnostic criteria of infant regurgitation have been well elucidated in the Rome IV criteria and pediatricians have been informed of them. However, as a functional disorder, infant regurgitation is susceptible to misdiagnosis and inappropriate management.
Objective To assess pediatricians’ diagnostic knowledge of and therapeutic approach to infant regurgitation.
Methods We conducted a cross-sectional, analytical study using a questionnaire based on Rome IV criteria for infant regurgitation diagnosis and standardized guidelines for management. The questionnaire was face-level validated by an expert and tested for both reliability and correlation using 30 test respondents. The questionnaire was then distributed electronically to 131 randomized pediatricians, who were members of the Indonesian Pediatric Society DKI Jakarta branch and graduated from pediatric residency within year 2005-2019.
Results Sixty-seven (51%) pediatricians reported applying the Rome IV criteria in daily clinical practice. Pediatricians who used Rome IV as their source of knowledge achieved mean and median diagnostic knowledge scores of 14.87 (SD 2.540) and 16 (range 8–20), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ diagnostic understanding (P=0.110), and mean and median therapeutic knowledge scores of 9.10 (SD 2.264) and 10 (range 4–12), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ therapeutic approach (P=0.486). Pediatricians’ diagnostic knowledge and therapeutic approach were not significantly different with regards to their practice experience, specialist institution, workplaces, and source of information.
Conclusion The majority of pediatricians surveyed have good diagnostic and therapeutic knowledge scores with regards to handling of Rome IV infant regurgitation.
Effect of vitamin D analogues calcitriol and paricalcitol in a rat model of puromycin aminonucleoside-induced nephrotic syndrome
Authors: Metin Hamdi , Ertan Pelin , KeskinoÄŸlu Ahmet , Türköz Uluer Elgin , Batir Muhammet Burak , KeskinoÄŸlu Pembe , Akogullari Damla , Çam Fethi Sirri 
Published: January 2023

Background Renoprotective effects of vitamin D analogues have been shown in several experimental and clinical studies, the exact mechanism of the therapeutic effectiveness of these analogues in Nephrotic syndrome remains unclear, and these are relatively few studies on potential treatment roles for vitamin D analogues in nephrotic-range proteinuria. ?ndicate similar efficacy of the vitamin D analogues calcitriol and paricalcitol in time-limited amelioration of proteinuria in nephrotic syndrome, yet suggest the likelihood of mechanisms other than direct upregulation of nephrin and podocin in podocytes underlie the renoprotective effects of vitamin D analogues.
Objective To investigate the effect of vitamin D (Vit D) analogues calcitriol and paricalcitol on urinary protein/creatinine ratio (UPCR) and renal podocin and nephrin expression in a rat model of puromycin aminonucleoside (PAN)-induced nephrotic syndrome (NS).
Methods A total of 28 male Wistar Albino rats were separated into 4 groups (n=7 for each) including CON [control; intraperitoneal (IP) saline injection], PAN (NS + IP saline injection), PAN-C (NS + IP 0.4 µg/kg/day calcitriol injection), and PAN-P (NS + IP 240 ng/kg/day paricalcitol injection). Nephrotic syndrome was induced via intravenous (IV) administration of 10mg/100gr PAN. The UPCR as well as histopathological, immuno-histochemical, and real time PCR analyses of kidney tissue specimens were recorded and analyzed among the 4 groups.
Results Median UPCR (Day 4) was significantly lower in both the PAN-C [1.45 (range 1.20-1.80)] and PAN-P [1.40 (range 1.10-1.80)] groups than in the PAN group [2.15 (range 2.00-2.40)] (P<0.01 for each). The PAN group had significantly higher mean UPCR than the CON group [1.75 (range 1.40-2.00); P<0.05]. No significant difference in UPCR was noted between groups on Day 7. Median podocin mRNA expression was significantly higher in the PAN-P group compared to the PAN group [22.55 (range 22.42-23.02) vs. 22.06 (range 21.81-22.06), respectively; (P<0.01)].
Conclusion Seven-day calcitriol and paricalcitol supplementation in a rat model of PAN-induced nephrotic syndrome had similar efficacy, in terms of temporary amelioration of proteinuria.
Comparison of lipid profile values in pediatric patients with cyanotic and acyanotic congenital heart disease
Authors: Ningsih Fifi Febria , Abdillah Hafaz Zakky , Nafianti Selvi 
Published: January 2023

Background Incidence of congenital heart disease (CHD) is about 0.8% of every child born. This heart defect is associated with dyslipidemia in children. Lipid profiles examination in patients with CHD can be used to determine risk factors for atherosclerosis.
Objective To examine differences in lipid profiles in children with cyanotic and acyanotic CHD.
Methods This was a cross-sectional study on 60 pediatric CHD patients at Haji Adam Malik Hospital, Medan, North Sumatera, from December 2020 to March 2021. Subjects were included by consecutive sampling. Data of patient’s age, gender, weight, height, complete blood count, blood glucose, and lipid profiles were recorded. Unpaired T-test analysis and Mann-Whitney test were then performed to analyze variables in cyanotic and acyanotic CHD patients.
Results Of a total of 60 CHD children, 26 subjects had a diagnosis of cyanotic CHD and 34 subjects had a diagnosis of acyanotic CHD. The most common cause of cyanotic CHD was tetralogy of Fallot (76.9%), while the most common cause of acyanotic CHD were ventricular septal defect and patent ductus arteriosus (32.4% each). Analysis of lipid profiles on both groups revealed that low density lipoprotein (LDL) was significantly lower in the cyanotic group than in the acyanotic group (P<0.05). However, other lipid profile values, were not significantly different between groups. In addition, there was no significant difference in incidence of dyslipidemia between cyanotic and acyanotic CHD.
Conclusion Low density lipoprotein is significantly lower in the cyanotic CHD group than in the acyanotic CHD group. But there are no significant differences in the other lipid profiles measurement and incidence of dyslipidemia between groups.
Inflammatory and coagulation marker profiles in severe pediatric COVID-19 patients: a systematic review
Authors: Fathan Tartila , Pudjiadi Antonius Hocky , Putri Nina Dwi , Permata Nindya , Nursakina Yosilia 
Published: January 2023

Background Children are susceptible to SARS-CoV-2 infection and often present mild manifestations. However, severe and critical cases have also been reported. The inflammation and coagulation marker profile pattern in these patients along with the white blood cell differential count in critical PICU cases with non-COVID-19 etiology is not entirely clear.
Objective To evaluate the inflammation and coagulation profiles in children presenting with severe/critical SARS-CoV-2 infection.
Methods A systematic search and review of scientific literature was conducted following the PRISMA guidelines using ProQuest, SCOPUS, EBSCOHost, ScienceDirect, Cochrane, EMBASE, and Pubmed databases. All relevant original studies until March 11, 2021, were included. The risk of bias was appraised using the Modified Newcastle Ottawa Scale and JBI Critical Appraisal Checklist tools.
Results We identified 14 studies across 6 countries, including a total sample of 159 severe and critically ill pediatric COVID-19 patients. Most of the subjects showed normal leukocytes, but increased CRP, procalcitonin, ferritin, and IL-6. Studies on coagulation profiles showed normal thrombocytes, PT, aPTT, and inconsistent D-dimer results.
Conclusion Inflammation and coagulation parameters in severe/critically ill children with COVID-19 are atypical. Several inflammatory markers were elevated, including CRP, ferritin, procalcitonin, and IL-6. However, the elevated marker values are still lower compared to non-COVID infection patients. Further investigation of the parameters need to be done in serial examination multicenter studies, which include control subjects.
Tata Laksana Terkini Talasemia ?: Terapi Target
Authors: Susanah Susi 
Published: January 2023

Talasemia ? adalah bentuk hemoglobinopati yang merupakan penyakit monogenik diturunkan terbanyak di dunia ditandai defek yang menyebabkan produksi globin ? berkurang atau tidak ada. Ketidakseimbangan rantai globin ?/? menyebabkan rangkaian proses eritropoesis inefektif dan peningkatan absorpsi besi yang pada akhirnya mengakibatkan anemia hemolitik kronis dan kelebihan besi. Secara konvensional tata laksana utama talasemia ? berat adalah transfusi darah dan obat kelasi besi yang masih memiliki banyak keterbatasan dan tantangan meskipun telah berdampak pada peningkatan kesintasan dan kualitas hidup penyandang talasemia ? mayor. Pemahaman mendalam terhadap molekular dan patofisiologi talasemia-? membuka jalan bagi strategi pendekatan terapi baru yang diklasifikasikan atas 3 kategori, yaitu koreksi ketidakseimbangan rantai globin melalui pengembangan transplantasi sumsum tulang dan terapi gen; mengintervensi eritropoesis inefektif sehingga transfusi darah dan kelasi besi berkurang; dan modulasi disregulasi besi untuk mengendalikan kadar besi. Dengan demikian, strategi pendekatan terapi baru menjanjikan penurunan kebutuhan transfusi darah dan kelasi besi yang lebih menyamankan pasien dan diharapkan juga menurunkan biaya tata laksana.
The Severity of Fusarium Wilt Disease in Correlation to the Abundance of Fusarium oxysporum and Phytonematodes: Case Study at Banana Plantation PTPN VIII Parakansalak
Authors: Tanjung Mei Rani , Munif Abdul , Effendi Yunus , Tondok Efi Toding 
Published: January 2023

The Severity of Fusarium Wilt Disease in Correlation to the Abundance of Fusarium oxysporum and Phytonematodes: Case Study at Banana Plantation PTPN VIII Parakansalak
Fusarium oxysporum f. sp. cubense is a soil-borne pathogen that infects banana plants and causes wilt. Several studies demonstrated that phytomatodes have a role in helping infection of the pathogens that cause wilt. This study aims to determine the relationship between phytonematodes and Fusarium oxysporum f. sp. cubense from soil and banana roots infected with fusarium wilt. Soil samples was obtained from infected banana plants and collected based on different scores of fusarium wilt disease severity. Samples were then composited based on the score, and the abundance of each pathogen is measured following samples extraction in the laboratory. The highest population of phytonematodes was 77 g-1 obtained from soil with a disease severity score of 4; and the lowest was 16 g-1 from samples with a score of 2. As for root samples, the highest population of phytonematodes (85 g-1) was obtained from plants with a score 0 and the lowest (33 g-1) was from plants with a score 3. Two species of phytonematodes were identified, i.e. Helicotylenchus sp. and Radopolus sp. Based on measurement using conventional methods showed that the abundance of Fusarium oxysporum f. sp. cubense was highest in plants with a score of 1, i.e. 8.1 × 103 cfu g-1 soil and lowest in plants with a score of 0 i.e. 1.0 × 103 cfu g-1 soil. The effect of Fusarium oxysporum f. sp. cubense to the severity of fusarium wilt shows a positive relationship of 8.3% and it may contribute to cause fusarium wilt disease by 0.6%. This pathogen can cause wilting of bananas without the help of the phytonematode species found in this study.