bluuebunny/crossref_metadata_2025_split huggingface dataset:
Balanced Nutrition Training for Adolescent Girls as Peer Educators on Improving Behavior among Senior High School Students for Stunting Prevention
Authors: Nurlaela Euis , Rasmaniar Rasmaniar 
Published: August 2023

Remaja Indonesia banyak yang tidak menyadari bahwa mereka memiliki tinggi badan yang pendek atau disebut stunting. Data Riskesdas tahun 2017, diketahui persentase remaja putri dengan kondisi pendek dan sangat pendek meningkat dari tahun sebelumnya, yaitu 7,9% sangat pendek dan 27,6% pendek. Salah satu pendekatan pendidikan kesehatan yang efektif pada remaja untuk mencegah stunting yaitu dengan metode Peer Education (pendidikan sebaya) tentang gizi seimbang. Tujuan penelitian ini adalah pengaruh Pelatihan Gizi Seimbang Bagi Remaja Putri Sebagai Peer Education Terhadap Peningkatkan Perilaku Pada Pencegahan Stunting Di Sekolah Menengah Atas Kec. SoropiaJenis penelitian ini survey analitik dengan rancangan kuasi eksperimen dengan model pre test post test control group desain yaitu kelompok perlakuan metode peer education sebanyak 40 siswi dan kelompok kontrol metode penyuluhan sebanyak 32 siswi diukur tingkat pengetahuan, sikap dan praktik tentang gizi seimbang melalui pre test dan post test. Untuk mengetahui ada perbedaan dilakukan uji Mann Whitney dengan taraf signifikan 0,05. Hasil uji statistik ada perbedaan bermakna antara tingkat pengetahuan, sikap dan praktik remaja putri kelompok perlakuan metode peer education dan kelompok kontrol metode penyuluhan yaitu p= 0,046 (p<0,05), p= 0,034 (p<0,05) dan p= 0,000 (p<0,05).
Perioperative selenium administration in cardiac surgery patients, a way out to reduce post surgical adversities? A meta analysis
Authors: Rehan Syeda Tayyaba , Hussain Hassan ul , Imran Laiba , Eqbal Farea , Asghar Muhammad Sohaib 
Published: August 2023

IntroductionThe oxidative damage suffered in cardiac surgery is associated with declining trace elements which lead to the development of multi organ dysfunction (MOD), acute kidney injury (AKI), or increased length of hospital stay (LOS). Recent evidence shows the cardioprotective role of the trace element selenium as it mitigates worsening outcomes post cardiac surgery. Hence, this meta analysis aims to investigate the role of selenium in lowering cardiac surgery related adverse outcomes.MethodsLiterature search of five electronic databases was performed from the inception of the paper till 29th July, 2023. Eligibility criteria included; (a) randomized clinical trials with Adult patients (≥18 years) undergoing cardiac surgery (b) intervention with selenium pre or/and postoperatively; (c) a control group of a placebo, normal saline, or no selenium. Outcomes of interest include postoperative mortality, LOS in the hospital and Intensive Care Unit (ICU), AKI, troponin I, and Creatinine Kinase-MB (CK-MB). The Cochrane bias assessment tool was used to evaluate the risk of bias. Outcomes were pooled with the Mantel-Haenszel Random-effects model using Review Manager.ResultsSeven RCTs with 2,521 patients and 65% of males were included in this paper. No noticable differences were observed between selenium and control groups in terms of postoperative AKI, mortality, LOS in hospital and ICU, troponin I, and CK-MB levels. All studies had a low risk of bias on quality assessment.DiscussionOur meta analysis demonstrated no discernible effects of selenium infusion on post operative complications among patients undergoing cardiac surgery. Further large scale multi centered studies comparing the protective role of selenium with combined therapy of other bioactive agents are needed to provide convincing explanations.Systematic Review RegistrationPROSPERO Identifier: 424920.
Effect of temperature on carbon accumulation in northern lake systems over the past 21,000 years
Authors: Pfalz Gregor , Diekmann Bernhard , Freytag Johann-Christoph , Biskaborn Boris K. 
Published: August 2023

Introduction: Rising industrial emissions of carbon dioxide and methane highlight the important role of carbon sinks and sources in fast-changing northern landscapes. Northern lake systems play a key role in regulating organic carbon input by accumulating carbon in their sediment. Here we look at the lake history of 28 lakes (between 50°N and 80°N) over the past 21,000 years to explore the relationship between carbon accumulation in lakes and temperature changes.Method: For this study, we calculated organic carbon accumulation rates (OCAR) using measured and newly generated organic carbon and dry bulk density data. To estimate new data, we used and evaluated seven different regression techniques in addition to a log-linear model as our base model. We also used combined age-depth modeling to derive sedimentation rates and the TraCE-21ka climate reanalysis dataset to understand temperature development since the Last Glacial Maximum. We determined correlation between temperature and OCAR by using four different correlation coefficients.Results: In our data collection, we found a slightly positive association between OCAR and temperature. OCAR values peaked during warm periods Bølling Allerød (38.07 g·m−2·yr−1) and the Early Holocene (40.68 g·m−2·yr−1), while lowest values occurred during the cold phases of Last Glacial Maximum (9.47 g·m−2·yr−1) and Last Deglaciation (10.53 g·m−2·yr−1). However, high temperatures did not directly lead to high OCAR values.Discussion: We assume that rapid warming events lead to high carbon accumulation in lakes, but as warming progresses, this effect appears to change as increased microbial activity triggers greater outgassing. Despite the complexity of environmental forcing mechanisms affecting individual lake systems, our study showed statistical significance between measured OCAR and modelled paleotemperature for 11 out of 28 lakes. We concluded that air temperature alone appears to drive the carbon accumulation in lakes. We expected that other factors (catchment vegetation, permafrost, and lake characteristics) would influence accumulation rates, but could not discover a conclusive factor that had a statistical significant impact. More data available on long-term records from northern lake systems could lead to more confidence and accuracy on the matter.
Trends in birth attendants in Sudan using three consecutive household surveys (from 2006 to 2014)
Authors: Altijani Noon , Khogali Mustafa , Hinton Lisa , Opondo Charles , Eljack Eman , Knight Marian , Nair Manisha 
Published: August 2023

IntroductionImproving maternal health and survival remains a public health priority for Sudan. Significant investments were made to expand access to maternal health services, such as through the training and deployment of providers with varying skills and competencies to work across the country. This study investigates trends in the coverage of different birth attendants and their relationship with the maternal mortality ratio (MMR).MethodsTrend analyses were conducted using data from the 2006, 2010, and 2014 Sudan Household surveys. Three categories of birth attendants were identified: (1) skilled birth attendants (SBA) such as doctors, nurse-midwives, and health visitors, (2) locally certified midwives, and (3) traditional birth attendants (TBA). Multivariable logistic regression models were used to examine trends in SBAs (vs. locally certified midwives and TBAs), locally certified midwives (vs SBAs and TBAs), and SBAs and locally certified midwives by place of birth (health facility and home). The analyses were adjusted for potential confounders. An ecological analysis was conducted to assess the relationship between birth attendants by place of birth and MMR at the state level.ResultsBirths by 15,848 women were analysed. Locally certified midwives attended most births in each survey year, with their contribution increasing from 36.3% in 2006 to 55.5% in 2014. The contributions of SBAs and TBAs decreased over the same period. In 2014 compared with 2006, births were more likely to be attended by a locally certified midwife (aOR: 2.19; 95%CI: 1.82–2.63) but less likely to be attended by a SBA (aOR: 0.46; 95%CI: 0.37–0.56). The decrease in SBA was more substantial for births taking place at home (aOR: 0.17; 95%CI: 0.12–0.23) than for health facility births (aOR: 0.45; 95%CI: 0.31–0.65). In the ecological analysis 2014–2016, the proportion of births attended by SBA in health facilities correlated negatively with MMR at state level (rho −0.55; p: 0.02).ConclusionThis analysis suggests that although an improved coverage of maternal health with locally certified midwives has been observed, it has not provided the skill level reached by SBA. SBAs working in facility settings were a key correlating factor to reduced maternal mortality. Urgent action is needed to improve access to SBAs in health facilities, thereby accelerating progress in reducing maternal mortality.
Heparins are potent inhibitors of ectonucleotide pyrophosphatase/phospho-diesterase-1 (NPP1) – a promising target for the immunotherapy of cancer
Authors: Lopez Vittoria , Schuh H. J. Maximilian , Mirza Salahuddin , Vaaßen Victoria J. , Schmidt Michael S. , Sylvester Katharina , Idris Riham M. , Renn Christian , Schäkel Laura , Pelletier Julie , Sévigny Jean , Naggi Annamaria , Scheffler Björn , Lee Sang-Yong , Bendas Gerd , Müller Christa E. 
Published: August 2023

IntroductionHeparins, naturally occurring glycosaminoglycans, are widely used for thrombosis prevention. Upon application as anticoagulants in cancer patients, heparins were found to possess additional antitumor activities. Ectonucleotidases have recently been proposed as novel targets for cancer immunotherapy.Methods and resultsIn the present study, we discovered that heparin and its derivatives act as potent, selective, allosteric inhibitors of the poorly investigated ectonucleotidase NPP1 (nucleotide pyrophosphatase/phosphodiesterase-1, CD203a). Structure-activity relationships indicated that NPP1 inhibition could be separated from the compounds’ antithrombotic effect. Moreover, unfractionated heparin (UFH) and different low molecular weight heparins (LMWHs) inhibited extracellular adenosine production by the NPP1-expressing glioma cell line U87 at therapeutically relevant concentrations. As a consequence, heparins inhibited the ability of U87 cell supernatants to induce CD4+ T cell differentiation into immunosuppressive Treg cells.DiscussionNPP1 inhibition likely contributes to the anti-cancer effects of heparins, and their specific optimization may lead to improved therapeutics for the immunotherapy of cancer.
Targeting neoantigens to APC-surface molecules improves the immunogenicity and anti-tumor efficacy of a DNA cancer vaccine
Authors: Barrio-Calvo Marina , Kofoed Søren Vester , Holste Sofie Cens , Sørensen Anders Bundgård , Viborg Nadia , Kringelum Jens Vindahl , Kleine-Kohlbrecher Daniela , Steenmans Christian Skjødt , Thygesen Christian Bahne , Rønø Birgitte , Friis Stine 
Published: August 2023

IntroductionTumor-specific mutations generate neoepitopes unique to the cancer that can be recognized by the immune system, making them appealing targets for therapeutic cancer vaccines. Since the vast majority of tumor mutations are patient-specific, it is crucial for cancer vaccine designs to be compatible with individualized treatment strategies. Plasmid DNA vaccines have substantiated the immunogenicity and tumor eradication capacity of cancer neoepitopes in preclinical models. Moreover, early clinical trials evaluating personalized neoepitope vaccines have indicated favorable safety profiles and demonstrated their ability to elicit specific immune responses toward the vaccine neoepitopes.MethodsBy fusing in silico predicted neoepitopes to molecules with affinity for receptors on the surface of APCs, such as chemokine (C-C motif) ligand 19 (CCL19), we designed an APC-targeting cancer vaccine and evaluated their ability to induce T-cell responses and anti-tumor efficacy in the BALB/c syngeneic preclinical tumor model.ResultsIn this study, we demonstrate how the addition of an antigen-presenting cell (APC) binding molecule to DNA-encoded cancer neoepitopes improves neoepitope-specific T-cell responses and the anti-tumor efficacy of plasmid DNA vaccines. Dose-response evaluation and longitudinal analysis of neoepitope-specific T-cell responses indicate that combining APC-binding molecules with the delivery of personalized tumor antigens holds the potential to improve the clinical efficacy of therapeutic DNA cancer vaccines.DiscussionOur findings indicate the potential of the APC-targeting strategy to enhance personalized DNA cancer vaccines while acknowledging the need for further research to investigate its molecular mechanism of action and to translate the preclinical results into effective treatments for cancer patients.
Inhaled therapies targeting prostacyclin pathway in pulmonary hypertension due to COPD: systematic review
Authors: Alqarni Abdullah A. , Aldhahir Abdulelah M. , Bintalib Heba M. , Alqahtani Jaber S. , Siraj Rayan A. , Majrshi Mansour , AlGarni Abdulkareem A. , Naser Abdallah Y. , Alghamdi Sara A. , Alwafi Hassan 
Published: August 2023

BackgroundPulmonary hypertension due to chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) is classified as group 3 pulmonary hypertension. Inhaled treprostinil, a prostaglandin I2 analogue also known as prostacyclin, has recently been approved as a first drug for patients with pulmonary hypertension secondary to ILD. However, due to a lack of evidence, no therapies are currently approved for those with COPD-associated pulmonary hypertension. Thus, this systematic review aims to summarise the current evidence to assess the impact of inhaled prostaglandin I2 analogue use on the pulmonary hemodynamics, exercise function, lung function, and gas exchange in patients with pulmonary hypertension due to COPD.MethodsWe systematically searched the electronic databases of Medline, Embase, Scopus and Cochrane from inception to 1 February 2023. Studies of adult patients with a confirmed diagnosis of COPD-associated pulmonary hypertension who received inhaled drugs targeting the prostacyclin pathway were included in the systematic review. Case reports, systematic reviews, conference abstracts with no full text, non-full-text articles, non-English manuscripts and book chapters were excluded from this systematic review. A risk-of-bias assessment was carried out for the studies included in this review, using two different Cochrane risk-of-bias tools for randomised and non-randomised clinical trials.ResultsA total of four studies met our inclusion criteria and were included in this systematic review. The results of one prospective clinical trial showed an improvement in the pulmonary hemodynamics (e.g., cardiac index, cardiac output and mean pulmonary artery pressure) in response to inhaled prostacyclin use in patients with pulmonary hypertension secondary to COPD. However, the severity of dyspnoea, lung function, exercise capacity and gas exchange were not affected when inhaled prostacyclin was used for patients with COPD-related pulmonary hypertension.ConclusionThis systematic review demonstrated that although inhaled prostacyclin does not seem to improve COPD-related outcomes (e.g., lung function and exercise capacity), short-term use of inhaled prostacyclin has the potential to reduce mean pulmonary artery pressure and pulmonary vascular resistance without impairing ventilation-perfusion mismatch. Further studies with larger sample sizes are warranted.Systematic review registrationCRD42022372803, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=372803.
Electrophysiological evidence for increased auditory crossmodal activity in adult ADHD
Authors: Schramm Mia , Goregliad Fjaellingsdal Tatiana , Aslan Behrem , Jung Paul , Lux Silke , Schulze Marcel , Philipsen Alexandra 
Published: August 2023

BackgroundAttention deficit and hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by core symptoms of inattention, and/or impulsivity and hyperactivity. In order to understand the basis for this multifaceted disorder, the investigation of sensory processing aberrancies recently reaches more interest. For example, during the processing of auditory stimuli comparable low sensory thresholds account for symptoms like higher distractibility and auditory hypersensitivity in patients with ADHD. It has further been shown that deficiencies not only exist on an intramodal, but also on a multimodal level. There is evidence that the visual cortex shows more activation during a focused auditory task in adults with ADHD than in healthy controls. This crossmodal activation is interpreted as the reallocation of more attentional resources to the visual domain as well as deficient sensory inhibition. In this study, we used, for the first time, electroencephalography to identify a potential abnormal regulated crossmodal activation in adult ADHD.Methods15 adult subjects with clinically diagnosed ADHD and 14 healthy controls comparable in age and gender were included. ERP components P50, P100, N100, P200 and N200 were measured during the performance of a unimodal auditory and visual discrimination task in a block design. Sensory profiles and ADHD symptoms were assessed with inattention as well as childhood ADHD scores. For evaluating intramodal and crossmodal activations, we chose four EEG channels for statistical analysis and group-wise comparison.ResultsAt the occipital channel O2 that reflects possible crossmodal activations, a significantly enhanced P200 amplitude was measured in the patient group. At the intramodal channels, a significantly enhanced N200 amplitude was observed in the control group. Statistical analysis of behavioral data showed poorer performance of subjects with ADHD as well as higher discrimination thresholds. Further, the correlation of the assessed sensory profiles with the EEG parameters revealed a negative correlation between the P200 component and sensation seeking behavior.ConclusionOur findings show increased auditory crossmodal activity that might reflect an altered stimulus processing resource allocation in ADHD. This might induce consequences for later, higher order attentional deployment. Further, the enhanced P200 amplitude might reflect more sensory registration and therefore deficient inhibition mechanisms in adults with ADHD.
Pan-cancer analysis of kinesin family members with potential implications in prognosis and immunological role in human cancer
Authors: Zhong Ming , Gong Lian , Li Na , Guan Hui , Gong Kai , Zhong Yong , Zhu Enyi , Wang Xiaohua , Jiang Shan , Li Jinhong , Lei Yan , Liu Yu , Chen Jiasi , Zheng Zhihua 
Published: August 2023

BackgroundKinesin is a molecular motor for transporting “goods” within cells and plays a key role in many types of tumors. The multi-angle study of kinesin at the pan-cancer level is conducive to understanding its role in tumorigenesis and development and clinical treatment potential.MethodsWe evaluated the expression of KIF genes, performed differential analysis by using the R package limma, and explored the pan-cancer prognosis of KIF genes by univariate Cox regression analysis. To evaluate the pan-cancer role of KIF genes as a whole, we defined the KIFscore with the help of gene set variation analysis (GSVA) and explored the KIFscores across normal tissues, tumor cell lines, and 33 tumor types in TCGA. Next, we used spearman correlation analysis to extensively study the correlation between the KIFscore and tumor prognosis and be-tween the KIFscore and clinical indicators. We also identified the relationship between the KIFscore and genomic variation and immune molecular signatures by multiplatform analysis. Finally, we identified the key genes in clear cell renal cell carcinoma (ccRCC) through machine learning algorithms and verified the candidate genes by CCK8, wound healing assay, Transwell assay, and flow cytometry.ResultsIn most cancers, KIFscores are high and they act as a risk factor for cancer. The KIFscore was significantly associated with copy number variation (CNV), tumor mutation burden (TMB), immune subtypes, DNA repair deficiency, and tumor stemness indexes. Moreover, in almost all cancer species, the KIFscore was positively correlated with T cell CD4+ TH2, the common lymphoid pro-genitor, and the T cell follicular helper. In addition, it was negatively correlated with CXCL16, CCL14, TNFSF13, and TNFRSF14 and positively correlated with ULBP1, MICB, and CD276. Machine learning helped us to identify four hub-genes in ccRCC. The suitable gene, KIF14, is highly expressed in ccRCC and promotes tumor cell proliferation, migration, and invasion.ConclusionOur study shows that the KIF genes play an important pan-cancer role and may become a potential new target for a variety of tumor treatments in the future. Furthermore, KIF14, a key molecule in the KIF genes, can provide a new idea for the ccRCC treatment.
Prognostic significance of STING expression in solid tumor: a systematic review and meta-analysis
Authors: Kim Younghoon , Cho Nam-Yun , Jin Lingyan , Jin Hye Yeong , Kang Gyeong Hoon 
Published: August 2023

ObjectiveStimulator of interferon genes (STING) is a key regulator in initiating innate immune response from sensing cytosolic DNA. Recent studies have revealed that the cGAS-STING signaling pathway has a crucial role in tumor development and progression across cancer types. Herein, we conducted a meta-analysis to explore the relationship between the immunoexpression of STING and the survival outcome of patients in various solid tumors. Studies relevant to the subject were searched from PubMed, Embase, and Web of Science.ResultsEleven studies including 2,345 patients were eligible for the analysis. STING expression in tumor cells was related to improved disease-free survival/recurrence-free survival (DFS/RFS) (HR = 0.656, 95% CI = 0.455–0.946, p = 0.024) but not with overall survival (OS) (HR = 0.779, 95% CI = 0.534–1.136, p = 0.194). STING expression in stromal cells, however, did not show significant correlation with DFS/RFS and OS (HR = 0.979, 95% CI = 0.565–1.697, p-value = 0.940 and HR = 1.295, 95% CI = 0.845–1.985, p = 0.235, respectively). In a subgroup analysis, STING expression in tumor cells was associated with better DFS (HR = 0.622, 95% CI = 0.428–0.903, p = 0.012). In tumor cells, favorable DFS/RFS were also related to studies from univariate analysis and the gastrointestinal system (HR = 0.667, 95% CI = 0.482–0.923, p = 0.015 and HR = 0.566, 95% CI = 0.330–0.971, p = 0.039).ConclusionsSTING expression in tumor cells is associated with favorable outcome in solid tumors.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, registration number: CRD42023427027