bluuebunny/crossref_metadata_2025_split huggingface dataset:
Physical Activity and Its Synergistic Interaction With Low Platelet–Lymphocyte Ratio Levels Increasing the Sleep Quality in Type 2 Diabetes Mellitus
Authors: Rias Yohanes Andy , Thato Ratsiri , Tsai Hsiu Ting 
Published: May 2023

Purpose: The purpose of the study was to explore the effect of synergistic interaction and the independence of physical activity and inflammatory markers, including platelet–lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR), on sleep quality in persons with type 2 diabetes mellitus (T2DM). Methods: This descriptive cross-sectional study included 294 persons with T2DM in East Java, Indonesia. Fasting blood was analyzed for inflammation markers, including NLR and PLR. Physical activity and sleep quality were assessed using Metabolic Equivalent of Task and Pittsburgh Sleep Quality Index, respectively. Multivariate logistic regression, chi-square test, and independent t test were performed. Results: There was an independently significant relationship between physical activity, NLR, and PLR with sleep quality. Persons with both active physical activity and low PLRs were 12.52 times more likely to have high sleep quality scores than those with low physical activity and high PLRs. A positive additive interaction of active physical activity and low PLRs for high sleep quality scores was identified. Conclusion: Physical activity, NLR, and PLR revealed an independently significant relationship with sleep quality. Persons with both active physical activity levels and low PLR were the most substantial synergistic effect of high sleep quality. Further studies are necessary to examine the problems and solutions for sleep quality in this population.
High-temperature behaviour of fedorite, Na2.5(Ca4.5Na2.5)[Si16O38]F2⋅2.8H2O, from the Murun Alkaline Complex, Russia
Authors: Lacalamita Maria , Mesto Ernesto , Kaneva Ekaterina , Shendrik Roman , Radomskaya Tatiana , Schingaro Emanuela 
Published: May 2023

AbstractThe thermal behaviour of fedorite from the Murun massif, Russia, has been investigated by means of electron probe microanalysis (EPMA), differential thermal analysis (DTA), thermogravimetry (TG), in situ high-temperature single-crystal X-ray diffraction (HT-SCXRD), ex situ high-temperature Fourier-transform infrared spectroscopy (HT-FTIR). The empirical chemical formula of the sample of fedorite studied is: (Na1.56K0.72Sr0.12)Σ2.40(Ca4.42Na2.54Mn0.02Fe0.01Mg0.01)Σ7.00(Si15.98Al0.02)Σ16.00(F1.92Cl0.09)Σ2.01(O37.93OH0.07)Σ38.00⋅2.8H2O. The TG curve provides a total mass decrease of ~5.5%, associated with dehydration and defluorination processes from 25 to 1050°C. Fedorite crystallises in space group P$\bar{1}$ and has: a = 9.6458(2), b = 9.6521(2), c = 12.6202(4) Å, α = 102.458(2), β = 96.2250(10), γ = 119.9020(10)° and cell volume, V = 961.69(5) Å3. The HT-SCXRD was carried out in air in the 25–600°C range. Overall, a continuous expansion of the unit-cell volume was observed although the c cell dimension slightly decreases in the explored temperature range. Structure refinements indicated that the mineral undergoes a dehydration process with the loss of most of the interlayer H2O from 25 to 300°C. The HT-FTIR spectra confirmed that fedorite progressively dehydrates until 700°C.
Holubite, Ag3Pb6(Sb8Bi3)Σ11S24, from Kutná Hora, Czech Republic, a new member of the andorite branch of the lillianite homologous series
Authors: Pažout Richard , Plášil Jakub , Dušek Michal , Sejkora Jiří , Dolníček Zdeněk 
Published: May 2023

AbstractA new mineral species, holubite, ideally Ag3Pb6(Sb8Bi3)Σ11S24, has been found at Kutná Hora ore district, Czech Republic. The mineral is associated with other lillianite homologues (gustavite, terrywallaceite, vikingite and treasurite) most frequently as grain aggregates and replacement rims of earlier Ag–Pb–Bi minerals, growing together in aggregates up to 200 × 50 μm. It typically occurs in a close association with Ag,Bi-bearing galena and terrywallaceite. Holubite is opaque, steel-grey in colour and has a metallic lustre, the calculated density is 5.899 g/cm3. In reflected light holubite is greyish white and bireflectance and pleochroism are weak with grey tints. Anisotropy is weak to medium with grey to bluish-grey rotation tints. Internal reflections were not observed. Electron microprobe analyses yielded an empirical formula, based on 44 atoms per formula unit (apfu) of (Ag3.03Cu0.03)Σ3.06(Pb6.19Fe0.02Cd0.01)Σ6.22(Sb7.71Bi2.90)Σ10.61S24.12. Its unit-cell parameters are: a = 19.374(4), b = 13.201(3), c = 8.651(2) Å, β = 90.112(18)°, V = 2212.5(9) Å3, space group P21/n and Z = 2. Holubite is a new member of the andorite branch of the lillianite homologous series with N = 4. The structure of holubite contains two Pb sites with a trigonal prismatic coordination, eight distinct octahedral sites, of which one is a mixed (Bi,Ag) site and one is a mixed (Sb,Pb) site, and twelve anion sites. Holubite is defined as a lillianite homologue with the three following requirements: N = 4, L% [Ag+ + (Bi3+,Sb3+) ↔ 2 Pb2+ substitution] ≈ 70% and approximately one quarter to one third at.% of antimony is replaced by bismuth [Bi/(Bi+Sb) ≈ 0.26–34]. The new mineral has been approved by the Commission on New Minerals, Nomenclature and Classification of the International Mineralogical Association (IMA2022-112) and named after Milan Holub, a key Czech geologist and specialist in the Kutná Hora ore district.
A neural network model to screen feature genes for pancreatic cancer
Authors: Huang Jing , Zhou Yuting , Zhang Haoran , Wu Yiming 
Published: May 2023

AbstractAll the time, pancreatic cancer is a problem worldwide because of its high degree of malignancy and increased mortality. Neural network model analysis is an efficient and accurate machine learning method that can quickly and accurately predict disease feature genes. The aim of our research was to build a neural network model that would help screen out feature genes for pancreatic cancer diagnosis and prediction of prognosis. Our study confirmed that the neural network model is a reliable way to predict feature genes of pancreatic cancer, and immune cells infiltrating play an essential role in the development of pancreatic cancer, especially neutrophils. ANO1, AHNAK2, and ADAM9 were eventually identified as feature genes of pancreatic cancer, helping to diagnose and predict prognosis. Neural network model analysis provides us with a new idea for finding new intervention targets for pancreatic cancer.
An acute increase in Left Atrial volume and left ventricular filling pressure during Adenosine administered myocardial hyperaemia: CMR First-Pass Perfusion Study
Authors: Garg Pankaj , Javed Wasim , Assadi Hosamadin , Alabed Samer , Grafton-Clarke Ciaran , Swift Andrew J , Williams Gareth , Al-Mohammad Abdallah , Sawh Chris , Vassiliou Vassilios S , Khanji Mohammed Y , Ricci Fabrizio , Greenwood John P , Plein Sven , Swoboda Peter 
Published: May 2023

Abstract
Objective
To investigate whether left atrial (LA) volume and left ventricular filling pressure (LVFP) assessed by cardiovascular magnetic resonance (CMR) change during adenosine delivered myocardial hyperaemia as part of a first-pass stress perfusion study.

Methods and results
We enrolled 33 patients who had stress CMR. These patients had a baseline four-chamber cine and stress four-chamber cine, which was done at peak myocardial hyperaemic state after administering adenosine. The left and right atria were segmented in the end ventricular diastolic and systolic phases. Short-axis cine stack was segmented for ventricular functional assessment. At peak hyperaemic state, left atrial end ventricular systolic volume just before mitral valve opening increased significantly from baseline in all (91 ± 35ml vs. 81 ± 33ml, P = 0.0002), in males only (99 ± 35ml vs. 88 ± 33ml, P = 0.002) and females only (70 ± 26ml vs. 62 ± 22ml, P = 0.02). The right atrial end ventricular systolic volume increased less significantly from baseline (68 ± 21ml vs. 63 ± 20ml, P = 0.0448). CMR-derived LVFP (equivalent to pulmonary capillary wedge pressure) increased significantly at the peak hyperaemic state in all (15.1 ± 2.9mmHg vs. 14.4 ± 2.8mmHg, P = 0.0002), females only (12.9 ± 2.1mmHg vs. 12.3 ± 1.9mmHg, P = 0.029) and males only (15.9 ± 2.8mmHg vs. 15.2 ± 2.7mmHg, P = 0.002) cohorts.

Conclusion
Left atrial volume assessment by CMR can measure acute and dynamic changes in preloading conditions on the left ventricle. During adenosine administered first-pass perfusion CMR, left atrial volume and LVFP rise significantly.
Knowledge, attitude, and practice pattern towards diabetic retinopathy screening among general practitioners in primary health centres in Jakarta, the capital of Indonesia
Authors: Lestari Yeni Dwi , Adriono Gitalisa Andayani , Ratmilia Rizka , Magdalena Christy , Sitompul Ratna 
Published: May 2023

AbstractBackgroundDiabetic retinopathy (DR) is an emerging cause of visual impairment and blindness and is often detected in the irreversible stage. General practitioners (GPs) play an essential role in the prevention of DR through diabetes control, early detection of retinal changes, and timely referral to ophthalmologists. This study aimed to determine the knowledge, attitude, and practice (KAP) towards DR screening among GPs in the district primary health centres (PHCs) in Jakarta, Indonesia.MethodsA cross-sectional study was conducted between April 2021 and February 2022 in 17 randomly selected district PHCs. A validated online questionnaire was then distributed. Good knowledge was defined when the correct response rate was > 75%, positive attitude was indicated when desired attitudes were found in more than half of the items (> 50%), and good practice was defined when more than half of the practice items (> 50%) were performed.ResultsA total of 92 GPs, with a response rate of 60.1%, completed the questionnaire. Seventy-nine respondents (85.9%) were female with a median (range) age of 32 (24–58) years. Among the respondents, 82 (89.1%) had good knowledge and all showed positive attitude on DR screening. However, only four (4.3%) demonstrated good practices. We found a weak positive correlation (rs= 0.298, p = 0.004) between attitude and practices.ConclusionGPs in Jakarta showed good knowledge and positive attitude on DR screening. However, they did not show good practice. There was a positive correlation between attitude and practice.
Women’s knowledge of and attitudes towards group B streptococcus (GBS) testing in pregnancy: a qualitative study
Authors: Constantinou Georgina , Ayers Susan , Mitchell Eleanor J , Walker Kate F , Daniels Jane , Moore Sarah , Jones Anne-Marie , Downe Soo 
Published: May 2023

Abstract
Background
20–25% pregnant women in the UK carry group B streptococcus (GBS) which, if left undetected, is transmitted from pregnant mothers to their babies during birth in 36% of cases. This transmission leads to early onset GBS infection (EOGBS) in 1% of babies which is a significant cause of mortality and morbidity in newborns. The literature available suggests women’s knowledge of GBS is low, with many women unaware of the GBS bacterium. In addition, attitudes towards GBS testing have not been widely examined, with research mostly focusing on attitudes towards potential GBS vaccination.

Aim
To examine women’s knowledge of GBS in pregnancy and their attitudes towards GBS testing.

Methods
Semi-structured interviews with 19 women (5 pregnant and 14 postpartum). Interviews were transcribed and analysed using systematic thematic analysis.

Results
Four main theme categories were identified. Participants had varying levels of awareness of GBS, with the information provided by health professionals not being clearly explained or the importance of GBS being downplayed. Participants wanted more information and to feel informed. Overall, the majority had positive attitudes towards being offered and taking up GBS testing, and this study identified some of the key factors influencing their decision. These included: seeing GBS testing as just another routine procedure during pregnancy; that it would lower the risk of their baby becoming unwell; provide reassurance; and allow them to prepare; and provide informed choices. Participants also expressed a few common concerns about GBS testing: questioning the invasiveness of the procedure; risks to themselves and the baby; and the risk of receiving antibiotics.

Conclusions
Women need clear, detailed information about GBS and GBS testing, and women’s concerns are important to address if routine GBS testing is implemented. The efficacy of implementing routine universal testing in the UK is currently being investigated in a large multi-centre clinical trial; the GBS3trial, further qualitative research is needed to look at the acceptability of different methods of GBS testing, as well as the acceptability of GBS testing to women in specific groups, such as those planning a home birth or those from different ethnic backgrounds.
Association between use of antihypertensive drugs and the risk of cancer: a population-based cohort study in Shanghai
Authors: Wang Suna , Xie Li , Zhuang Jianlin , Qian Ying , Zhang Guanglu , Quan Xiaowei , Li Lei , Yu Herbert , Zhang Weituo , Zhao Wensui , Qian Biyun 
Published: May 2023

Abstract
Background
Previously studies shown a potential risk of antihypertensive medicines in relation to cancer susceptibility, which creating significant debate in the scientific community and public concern. We sought to investigate the relationship between antihypertensive medicines and cancer risk, by drug type and class.

Methods
We conducted a population-based cohort study and enrolled patients diagnosed with hypertension from community healthcare centers in Changning District, Shanghai, China. Antihypertensive drug administration were classified as five common antihypertensive drugs. The main outcomes were incidence of total cancer and by major cancer type.

Results
Between January 2013 and December 2017, a total of 101,370 hypertensive patients were enrolled in this cohort. During a mean follow-up of 5.1 (SD 1.3) years, 4970 cancer cases were newly diagnosed in the cohort. CCBs were the most frequently used antihypertensives which were associated with a moderately increased risk of total cancer (hazard ratio, HR = 1.11, 95% CI: 1.05–1.18). The second commonly used drug ARBs were also associated with increased risk of total cancer (HR = 1.10, 95%CI: 1.03–1.17) as well as lung and thyroid cancers (HR = 1.21, 95%CI: 1.05–1.39; HR = 1.62 95%CI: 1.18–2.21, respectively). No significant association was found between cancer and other antihypertensives. Hypertensive patients who use more than one class of antihypertensives drugs had a higher risk of total cancer (HR: 1.22, 95%CI: 1.10–1.35 for two classes; HR: 1.22, 95%CI: 1.03–1.45 for three or more classes), and a possible dose–response relationship was suggested (P for trend < 0.001). The risk of thyroid cancer was higher in hypertensive patients prescribed with three or more antihypertensive classes.

Conclusions
Use of ARBs or CCBs may be associated with an increased risk of total cancer. Taking more than one class of antihypertensives drugs appeared to have a higher risk for total cancer.
A nonsense mutation in C8orf37 linked with retinitis pigmentosa, early macular degeneration, cataract, and myopia in an arRP family from North India
Authors: Goyal Shiwali , Singh Kabir , Uppal Aashna , Vanita Vanita 
Published: May 2023

Abstract
Objective
This study aimed at identifying the underlying genetic defect in a consanguineous autosomal recessive retinitis pigmentosa (arRP) (RP-1175) family having RP with early macular degeneration, cataract, and myopia.

Methods
Whole-exome sequencing (WES) was performed on the DNA of the proband, and variants observed were validated in the rest of the affected and unaffected family members by Sanger sequencing. Different bioinformatics tools were applied to access the pathogenicity of the observed variant.

Results
A nonsense mutation i.e., c.555G > A (p.Trp185Ter) in C8orf37 in homozygous form, has been identified that segregated with the disease in the affected members. c.555G > A was absent in unaffected family members and in 107 ethnically matched controls, therefore ruling out its possibility of being a polymorphism.

Conclusions
Present study identifies a nonsense mutation (c.555G > A) at codon 185 in C8orf37 linked with arRP, early macular degeneration, posterior subcapsular cataract, and myopia. The identical mutation has previously been reported in a Pakistani family with isolated RP and in a Chinese family with RP and macular degeneration. This variable expressivity of the identified mutation c.555G > A in C8orf37 in the analyzed Indian family may be attributed to the presence of the modifier alleles. Also, Trp185 might be a mutation hotspot in Asian arRP patients and in the future, p.Trp185Ter in C8orf37 may be tested during initial screening in arRP cases especially belonging to a similar population.
Glucocorticoid Receptor (GR) antagonism as disease-modifying treatment for MDD with childhood trauma: protocol of the RESET-medication randomized controlled trial
Authors: Linsen F. , Broeder C. , Sep M. S. C. , Verhoeven J. E. , Bet P. M. , Penninx B. W. J. H. , Meijer O. C. , Vinkers C. H. 
Published: May 2023

Abstract
Background
Major depressive disorder (MDD) is a heterogeneous psychiatric disorder. Childhood trauma (CT, emotional/physical/sexual abuse or neglect before the age of 18) is one of the largest and most consistent risk factors for development and poor course of MDD. Overactivity of the HPA-axis and the stress hormone cortisol is thought to play a role in the vulnerability for MDD following exposure to CT. Rodent experiments showed that antagonism of the glucocorticoid receptor (GR) at adult age reversed the effects of early life stress. Similarly, we aim to target MDD in individuals with CT exposure using the GR antagonist mifepristone.

Methods
The RESET-medication study is a placebo-controlled double-blind randomized controlled trial (RCT) which aims to include 158 adults with MDD and CT. Participants will be randomized (1:1) to a 7-day treatment arm of mifepristone (1200 mg/day) or a control arm (placebo). Participants are allowed to receive usual care for MDD including antidepressants. Measurements include three face-to-face meetings at baseline (T0), day 8 (T1), week 6 (T2), and two online follow-up meetings at 12 weeks (T3) and 6 months (T4). A subgroup of participants (N = 80) are included in a fMRI sub-study (T0, T2). The main study outcome will be depressive symptom severity as measured with the Inventory of Depressive Symptomatology—Self Rated (IDS-SR) at T2. Secondary outcomes include, among others, depressive symptom severity at other time points, disability, anxiety, sleep and subjective stress. To address underlying mechanisms mifepristone plasma levels, cortisol, inflammation, epigenetic regulation and fMRI measurements are obtained.

Discussion
The RESET-medication study will provide clinical evidence whether GR antagonism is a disease-modifying treatment for MDD in individuals exposed to CT. If effective, this hypothesis-driven approach may extend to other psychiatric disorders where CT plays an important role.

Trial registration
The trial protocol has been registered 01–02-2022 on ClinicalTrials.gov with ID “NCT05217758”.
The prevalence and associated factors of overweight/obesity and abdominal obesity in South-eastern of Iran: a cross-sectional study based on Rafsanjan cohort study
Authors: Sadeghi Tabandeh , Soltani Narjes , Jamali Zahra , Ayoobi Fatemeh , Khalili Parvin , Shamsizadeh Ali , Nasirzadeh Mostafa , Esmaeili‑Nadimi Ali , Vecchia Carlo La , Jalali Zahra 
Published: May 2023

Abstract
Background
Obesity has become a major health issue in both high and middle-income countries, increasing the risk of cardiovascular diseases and all-cause mortality. Risk of obesity is related to both unchangeable factors such as genetics and gender, and modifiable lifestyle factors. Most importantly, finding the major modifiable lifestyle factors which contribute to obesity may provide valuable benefits to every society. This study aimed to determine the association of demographic and lifestyle parameters with overweight/obesity and abdominal obesity in a population of Iranian adults.

Methods
In this cross-sectional study, adult participants of Rafsanjan Cohort Study (RCS) (as one of the district areas of the PERSIAN cohort (Prospective Epidemiological Research Studies in IrAN) included the study population. RCS is a population-based prospective cohort of men and women aged 35–70 years, launched in August 2015. Individuals were recruited from four urban and suburban areas of Rafsanjan, south-eastern of Iran. Trained experts interviewed each participant and completed the related questionnaires about his/her socioeconomic status, demography, anthropometric features, personal habits, physical activity and medical history. Multinomial logistic regression models were used to examine the relationships between overweight/obesity/abdominal obesity and associated factors.

Results
From 9980 participants, 1974 (42.42%) males and 2115 (39.70%) females were overweight, 784 (16.85%) males, 2223 (41.73%) females were obese and 1895 (40.73%) males and 989 (18.57%) females were normal weight. Also, 832 (17.9%) males and 4548 (85.4%) females had abdominal obesity and 3819 (82.1%) males and 778 (14.6%) females didn’t have abdominal obesity. Based on the adjusted multiple logistic regression, overweight/obesity (BMI > 25) was associated with age > 45, female gender, education ≥ 13 years, heavy physical activity, wealth status index (WSI), alcohol consumption, current cigarette smoking and opium consumption compared to reference group. Also, odds of abdominal obesity displayed a significant association with age > 45, female gender, education > 5 years, physical activity, WSI, current cigarette smoking, alcohol and opium consumption compared to reference group.

Conclusions
Our results recommend local public health strategies that promote training the society on the health benefits of avoiding alcohol, getting more physical exercise and gaining more personal education on the health-threatening lifestyle.
Genetic association of telomere length, obesity and tobacoo smoking with idiopathic pulmonary fibrosis risk
Authors: Wu Wenjuan , Li Chenghai , Zhu Xiaoming , Liu Xueya , Li Ping , Wan Ruijie , Wu Xinhui , Chen Song 
Published: May 2023

Abstract
Background
Due to the inadequacy of published evidence, association of telomere length (TL), obesity and tobacco smoking with idiopathic pulmonary fibrosis (IPF) remains unclear. The aim of the study was to explore whether these exposures genetically affected the risk of the disease.

Methods
Genetic variants from genome-wide association studies for TL, body mass index (BMI), body fat percentage (BFP) and tobacco smoking (including maternal smoking) were used as instrumental variables. Inverse-variance weighted were mainly adopted to determine the genetic association of these exposures with IPF. All analyses were conducted by R-software (version 3.6.1).

Results
Firstly, longer TL was associated with the decreased risk of IPF (OR = 0.475 per SD increase in TL, 95%CI = 0.336 ~ 0.670, P<0.001). Secondly, higher levels of BMI and BFP were related to the increased risk of the disease (OR = 1.425 per SD increase in BMI level, 95%CI = 1.114 ~ 1.823, P = 0.005; OR = 1.702 per SD increase in BFP level, 95%CI = 1.202 ~ 2.409, P = 0.003). Thirdly, maternal smoking was implicated in the increased risk of the disease (OR = 13.183 per SD increase in the prevalence of maternal smoking, 95%CI = 1.820 ~ 95.484, P = 0.011).

Conclusion
TL should be a genetic risk factor for IPF. Obesity and exposure to tobacco smoking as a fetus might also contribute to the development of this fibrotic diseases. These findings should be verified by future studies.