bluuebunny/crossref_metadata_2025_split huggingface dataset:
Protecting the public interest when regulating health professionals providing virtual care: a scoping review protocol
Authors: Leslie Kathleen , Myles Sophia , Adams Tracey L. , Schiller Catharine , Shelley Jacob , Nelson Sioban 
Published: March 2023

Abstract
Background
Virtual care is transforming the nature of healthcare, particularly with the accelerated shift to telehealth and virtual care during the COVID-19 pandemic. Health profession regulators face intense pressures to safely facilitate this type of healthcare while upholding their legislative mandate to protect the public. Challenges for health profession regulators have included providing practice guidance for virtual care, changing entry-to-practice requirements to include digital competencies, facilitating interjurisdictional virtual care through licensure and liability insurance requirements, and adapting disciplinary procedures. This scoping review will examine the literature on how the public interest is protected when regulating health professionals providing virtual care.

Methods
This review will follow the Joanna Briggs Institute (JBI) scoping review methodology. Academic and grey literature will be retrieved from health sciences, social sciences, and legal databases using a comprehensive search strategy underpinned by Population-Concept-Context (PCC) inclusion criteria. Articles published in English since January 2015 will be considered for inclusion. Two reviewers will independently screen titles and abstracts and full-text sources against specific inclusion and exclusion criteria. Discrepancies will be resolved through discussion or by a third reviewer. One research team member will extract relevant data from the selected documents and a second will validate the extractions.

Discussion
Results will be presented in a descriptive synthesis that highlights implications for regulatory policy and professional practice, as well as study limitations and knowledge gaps that warrant further research. Given the rapid expansion of virtual care provision by regulated health professionals in response to the COVID-19 pandemic, mapping the literature on how the public interest is protected in this rapidly evolving digital health sector may help inform future regulatory reform and innovation.

Systematic review registration
This protocol is registered with the Open Science Framework (https://doi.org/10.17605/OSF.IO/BD2ZX).
Nondegeneracy of the bubble solutions for critical equations involving the polyharmonic operator
Authors: Yang Dandan , Ma Pei , Wang Xiaohuan , Li Hongyi 
Published: March 2023

AbstractWe reprove a result by Bartsch, Weth, and Willem (Calc. Var. Partial Differ. Equ. 18(3):253–268, 2003) concerning the nondegeneracy of bubble solutions for a critical semilinear elliptic equation involving the polyharmonic operator. The merit of our proof is that it does not rely on the comparison theorem. The argument of our proof mainly uses the stereographic projection with the Funk–Hecke formula, which works for general critical semilinear elliptic equations.
Diurnal pattern of breaks in sedentary time and the physical function of older adults
Authors: Lai Ting-Fu , Liao Yung , Lin Chien-Yu , Hsueh Ming-Chun , Koohsari Mohammad Javad , Shibata Ai , Oka Koichiro , Chan Ding-Cheng 
Published: March 2023

Abstract
Background
The association of breaks in sedentary time with outcomes of physical function can vary according to the time of day. We examined the association of the diurnal pattern of breaks in sedentary time with physical function outcomes in older adults.

Methods
A cross-sectional analysis was conducted among 115 older adults (≥60 years). The overall and time-specific breaks (morning: 06:00–12:00; afternoon: 12:00–18:00; evening: 18:00–24:00) in sedentary time were assessed using a triaxial accelerometer (Actigraph GT3X+). A break in sedentary time was defined as at least 1 min where the accelerometer registered ≥100 cpm following a sedentary period. Five physical function outcomes were assessed: handgrip strength (dynamometer), balance ability (single leg stance), gait speed (11-m walking), basic functional mobility (time up and go), and lower-limb strength (five times sit-to-stand). Generalized linear models were used to examine the associations of the overall and time-specific breaks in sedentary time with the physical function outcomes.

Results
Participants showed an average of 69.4 breaks in sedentary time during the day. Less frequent breaks in the evening (19.3) were found than that in the morning (24.3) and the afternoon (25.3) (p < 0.05). Breaks in sedentary time during the day were associated with less time on gait speed in older adults (exp (β) = 0.92, 95% confidence interval [CI] 0.86–0.98; p < 0.01). Time-specific analysis showed that breaks in sedentary time were associated with less time on gait speed (exp (β) = 0.94, 95% CI 0.91–0.97; p < 0.01), basic functional mobility (exp (β) = 0.93, 95% CI 0.89–0.97; p < 0.01), and lower-limb strength (exp (β) = 0.92, 95% CI 0.87–0.97; p < 0.01) in the evening only.

Conclusion
A break in sedentary time, particularly during the evening, was associated with better lower extremity strength in older adults. Further strategies to interrupt sedentary time with frequent breaks, with an emphasis on evening hours, can be helpful to maintain and improve physical function in older adults.
Grayken lessons: between a rock and a hard place? A 37-year-old man with acute liver injury while enrolled in a managed alcohol program for severe alcohol use disorder
Authors: Brothers Thomas D. , Walley Alexander Y. , Rivers-Bowerman Helen , McLeod Magnus , Genge Leah 
Published: March 2023

AbstractManaged alcohol programs aim to reduce health and social harms associated with severe alcohol use disorder. Here, we describe a young man with severe alcohol use disorder enrolled in a managed alcohol program, who was admitted to hospital with acute liver injury. Fearing that alcohol was contributing, the inpatient care team discontinued the managed alcohol dose in hospital. He was ultimately diagnosed with cephalexin-induced liver injury. After consideration of risks, benefits, and alternative options, the patient and care team jointly decided to restart managed alcohol after hospital discharge. With this case, we describe managed alcohol programs and summarize the emerging evidence-base, including eligibility criteria and outcome measures; we explore clinical and ethical dilemmas in caring for patients with liver disease within managed alcohol programs; and we emphasize principles of harm reduction and patient-centered care when establishing treatment plans for patients with severe alcohol use disorder and unstable housing.
Exopolysaccharides of Lactobacillus rhamnosus GG ameliorate Salmonella typhimurium-induced intestinal inflammation via the TLR4/NF-κB/MAPK pathway
Authors: Li Jinze , Li Qiuke , Wu Qianhui , Gao Nan , Wang Zhihua , Yang Yang , Shan Anshan 
Published: March 2023

Abstract
Background
Salmonella typhimurium (S.T), as an important foodborne bacterial pathogen, can cause diarrhea and gastroenteritis in humans and animals. Numerous studies have confirmed that exopolysaccharides (EPSs) have various biological functions, but the mechanism through which EPSs improve the immunity of animals against the invasion of pathogenic bacteria is unclear. Here, we explored the protective effect of EPSs of Lactobacillus rhamnosus GG (LGG) on the S.T-infected intestine.

Methods
Mice received adequate food and drinking water for one week before the start of the experiment. After 7 d of prefeeding, 2×108 CFU/mL S.T solution and an equivalent volume of saline (control group) were given orally for 1 d. On the fourth day, the mice were treated with 0.5 mg/mL EPSs, 1.0 mg/mL EPSs, 2.0 mg/mL EPSs, or 2.0 mg/mL penicillin for 7 d. Finally, the body and relative organ weight, histological staining, and the levels of antioxidant enzyme activity and inflammatory cytokines were determined.

Results
The S.T-infected mice exhibited symptoms of decreased appetite, somnolence, diarrhea and flagging spirit. Treatment with EPSs and penicillin improved the weight loss of the mice, and the high dose of EPSs showed the best therapeutic effect. EPSs significantly ameliorated S.T-induced ileal injury in mice. High-dose EPSs were more effective than penicillin for alleviating ileal oxidative damage induced by S.T. The mRNA levels of inflammatory cytokines in the ileum of mice showed that the regulatory effects of EPSs on inflammatory cytokines were better than those of penicillin. EPSs could inhibit the expression and activation of key proteins of the TLR4/NF-κB/MAPK pathway and thereby suppress the level of S.T-induced ileal inflammation.

Conclusions
EPSs attenuate S.T-induced immune responses by inhibiting the expression of key proteins in the TLR4/NF-κB/MAPK signaling pathway. Moreover, EPSs could promote bacterial aggregation into clusters, which may be a potential strategy for reducing the bacterial invasion of intestinal epithelial cells.
Ubiquitin-specific protease 28: the decipherment of its dual roles in cancer development
Authors: Ren Xiaoya , Jiang Menglong , Ding Peng , Zhang Xiaoyan , Zhou Xin , Shen Jian , Liu Dong , Yan Xiaolong , Ma Zhiqiang 
Published: March 2023

AbstractAs significant posttranslational modifications, ubiquitination and deubiquitination, whose balance is modulated by ubiquitin-conjugating enzymes and deubiquitinating enzymes (DUBs), can regulate many biological processes, such as controlling cell cycle progression, signal transduction and transcriptional regulation. Belonging to DUBs, ubiquitin-specific protease 28 (USP28) plays an essential role in turning over ubiquitination and then contributing to the stabilization of quantities of substrates, including several cancer-related proteins. In previous studies, USP28 has been demonstrated to participate in the progression of various cancers. Nevertheless, several reports have recently shown that in addition to promoting cancers, USP28 can also play an oncostatic role in some cancers. In this review, we summarize the correlation between USP28 and tumor behaviors. We initially give a brief introduction of the structure and related biological functions of USP28, and we then introduce some concrete substrates of USP28 and the underlying molecular mechanisms. In addition, the regulation of the actions and expression of USP28 is also discussed. Moreover, we concentrate on the impacts of USP28 on diverse hallmarks of cancer and discuss whether USP28 can accelerate or inhibit tumor progression. Furthermore, clinical relevance, including impacting clinical prognosis, influencing therapy resistance and being the therapy target in some cancers, is depicted systematically. Thus, assistance may be given to future experimental designs by the information provided here, and the potential of targeting USP28 for cancer therapy is emphasized.
Controlling the confounding effect of metabolic gene expression to identify actual metabolite targets in microsatellite instability cancers
Authors: Li Chung-I. , Yeh Yu-Min , Tsai Yi-Shan , Huang Tzu-Hsuan , Shen Meng-Ru , Lin Peng-Chan 
Published: March 2023

Abstract
Background
The metabolome is the best representation of cancer phenotypes. Gene expression can be considered a confounding covariate affecting metabolite levels. Data integration across metabolomics and genomics to establish the biological relevance of cancer metabolism is challenging. This study aimed to eliminate the confounding effect of metabolic gene expression to reflect actual metabolite levels in microsatellite instability (MSI) cancers.

Methods
In this study, we propose a new strategy using covariate-adjusted tensor classification in high dimensions (CATCH) models to integrate metabolite and metabolic gene expression data to classify MSI and microsatellite stability (MSS) cancers. We used datasets from the Cancer Cell Line Encyclopedia (CCLE) phase II project and treated metabolomic data as tensor predictors and data on gene expression of metabolic enzymes as confounding covariates.

Results
The CATCH model performed well, with high accuracy (0.82), sensitivity (0.66), specificity (0.88), precision (0.65), and F1 score (0.65). Seven metabolite features adjusted for metabolic gene expression, namely, 3-phosphoglycerate, 6-phosphogluconate, cholesterol ester, lysophosphatidylethanolamine (LPE), phosphatidylcholine, reduced glutathione, and sarcosine, were found in MSI cancers. Only one metabolite, Hippurate, was present in MSS cancers. The gene expression of phosphofructokinase 1 (PFKP), which is involved in the glycolytic pathway, was related to 3-phosphoglycerate. ALDH4A1 and GPT2 were associated with sarcosine. LPE was associated with the expression of CHPT1, which is involved in lipid metabolism. The glycolysis, nucleotide, glutamate, and lipid metabolic pathways were enriched in MSI cancers.

Conclusions
We propose an effective CATCH model for predicting MSI cancer status. By controlling the confounding effect of metabolic gene expression, we identified cancer metabolic biomarkers and therapeutic targets. In addition, we provided the possible biology and genetics of MSI cancer metabolism.
The study protocol for the randomized controlled trial of the effects of a theory-based intervention on resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers
Authors: Akbari Maryam , Kaveh Mohammad Hossein , Cousins Rosanna , Mokarami Hamidreza , Rahimi Taghanaki Changiz , Jahangiri Mehdi 
Published: March 2023

Abstract
Background
The workplace has been identified as a key determinant of health status. There is evidence of innumerable health problems among employees, particularly healthcare workers. Against this background, a holistic-systemic approach together with a good theoretical framework is required to reflect on this issue, and to support the design of effective interventions to promote the health and wellbeing of the given population. The present study aims to evaluate the effectiveness of an educational intervention in improving resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers, utilizing the Social Cognitive Theory integrated into the PRECEDE-PROCEED model.

Methods
This randomized controlled trial will be performed on a large sample of the employees working in two healthcare centers in the city of Shiraz, Iran. The study will proceed with the healthcare workers of one city being given the educational intervention and the healthcare workers of the other city serving as a control group. Using a census method, all healthcare workers in the two cities will be informed of the trial and its purpose, and then invitations to join the study will be issued. The minimum sample size required has been calculated as 66 individuals in each healthcare centers. Recruitment to the trial will by systematic random sampling of eligible employees who submit an expression of interest in joining the trial, and subsequently give informed consent. Data will be collected through a self-administered survey instrument at three stages: at baseline, and both immediately and three months after the intervention. The experimental group members should participate in at least eight of the ten weekly educational sessions of the intervention and complete the surveys in the three stages. There is no educational intervention for the control group, and they simply experience some routine programs, and complete the surveys at the same three timepoints.

Discussion
The findings will provide evidence for the possible effectiveness of a theory-based educational intervention to improve resilience, social capital, psychological wellbeing, and health-promoting lifestyle among healthcare workers. If the educational intervention is found to be effective, then its protocol will be exploited in other organizations to boost resilience.
Trial registration IRCT20220509054790N1.
Comparison of the effects of different rapid maxillary expansion techniques on craniofacial structures: a finite element analysis study
Authors: Kaya Nihal , Seker Elif Dilara , Yücesoy Türker 
Published: March 2023

Abstract
Aim
To compare the effects of three different maxillary expansion appliances with five different types of expansion modalities on stress distribution and displacement on the maxilla and its adjacent craniofacial structures using the finite element method (FEM).

Materials and methods
Cone-beam computed tomography data of a patient with maxillary transverse deficiency were rendered into a three-dimensional model of craniomaxillary structures. The expansion appliances included tooth-borne, hybrid, and bone-borne expanders. Five different expansion modalities were applied to each expander [conventional Rapid Maxillary Expansion (RME) (type 1), midpalatal suture cortico-puncture-assisted RME (type 2), LeFort l cortico-puncture-assisted RME (type 3), surgically assisted RME (SARME) without pterygomaxillary junction (PMJ) separation (type 4), and SARME with bilateral PMJ separation (type 5)]. The numerical and visual data were analyzed.

Results
The highest amount of stress accumulation on teeth was found in the tooth-borne and hybrid groups. On the other hand, more stress concentration on the maxilla was observed in the bone-borne group. SARME cuts with PMJ separation increased total movement by reducing the stress on the midpalatal suture in all groups. While types 1, 2, and 3 were similar in terms of the amounts of displacement, types 4 and 5 increased the total amount of displacement in all groups. The total amounts of displacements from the highest value to the lowest value for the anterior and posterior maxilla were in the bone-borne, tooth-borne, and hybrid groups.

Conclusions
SARME cuts were effective in reducing stress on the teeth, but the cortico-puncture application affected neither the stress values on the teeth nor the transverse displacement in the tooth-borne expanders. Surgical procedures such as SARME and corticotomy should be used with bone-borne devices to improve the outcomes of maxillary expansion procedures.
An exploratory approach to data driven knowledge creation
Authors: Thanos Costantino , Meghini Carlo , Bartalesi Valentina , Coro Gianpaolo 
Published: March 2023

AbstractThis paper describes a new approach to knowledge creation that is instrumental for the emerging paradigm of data-intensive science. The proposed approach enables the acquisition of new insights from the data by exploiting existing relationships between diverse types of datasets acquired through various modalities. The value of data consistently improves when it can be linked to other data because linking multiple types of datasets allows creating novel data patterns within a scientific data space. These patterns enable the exploratory data analysis, an analysis strategy that emphasizes incremental and adaptive access to the datasets constituting a scientific data space while maintaining an open mind to alternative possibilities of data interconnectivity. A technology, the Linked Open data (LOD), was developed to enable the linking of datasets. We argue that the LOD technology presents several limitations that prevent the full exploitation of this technology to acquire new insights. In this paper, we outline a new approach that enables researchers to dynamically create data patterns in a research data space by exploiting explicit and implicit/hidden relationships between distributed research datasets. This dynamic creation of data patterns enables the exploratory data analysis strategy.
Evaluation of nano-silicon efficiency on compatible solutes and nutrient status of Damask rose affected by in vitro simulated drought stress
Authors: Seyed Hajizadeh Hanifeh , Azizi Sahar , Rasouli Farzad , Kaya Ozkan 
Published: March 2023

Abstract
Background
Drought stress is a critical environmental factor that disturbs plant performance. However, some non-essential elements such as silicon can improve water deficit tolerance by modulating photosynthesis assimilates and compatible solutes production. Therefore, the present work was conducted to modulate polyethylene glycol (PEG)-induced water deficiency under in vitro culture in Damask rose genotypes (Maragheh and Kashan) by nano-silicon (SiO2-NPs) treatment. A completely randomized factorial experiment was used as three concentrations of SiO2-NPs (0, 50, and 100 mg L−1) and five concentrations of PEG (0, 25, 50, 75, and 100 g L−1). Then, the comparative effects of water deficiency on vegetative traits, metabolites, and nutrients were studied.

Results
The drought promoted a significant decrease in chlorophyll, fresh/dry weight, biomass, and an increase in electrolyte leakage. The amount of micro- and macronutrients were affected by drought stress and decreased in both genotypes. In contrast, the activity of polyphenol oxidase (PPO) and total phenolic compounds (TPC) along with biochemical traits was increased. Treatment with SiO2-NPs improved the leaf area index (LAI), chlorophyll, and biomass under severe water deficiency. The concentration of compatible solutes such as carbohydrates, total flavonoid content (TFC), TPC, anthocyanin, and antioxidative capacity enhanced by the application of SiO2-NPs by about twofolded. As well as an increase in PEG concentration, the absorption of nutritional elements such as P, K, Mn, Fe, Zn, and Cu was decreased. However, SiO2-NPs application especially at 100 mg L−1 increased the amount of nutrient absorption.

Conclusions
In general, the drought tolerance in Damask rose was associated mainly with its suitable manipulation of antioxidant production and orderly enhancement of nutrient adsorption, so that the effect of SiO2-NPs in improving the qualitative and quantitative characteristics of ʻKashanʼ was more than that of ʻMaraghehʼ. These results briefly highlight that the SiO2-NPs may provide greater tolerance to drought stress in Damask rose.

Graphical Abstract