bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tuberculosis screening improves preventive therapy uptake (TB SCRIPT) trial among people living with HIV in Uganda: a study protocol of an individual randomized controlled trial
Authors: Semitala Fred C. , Chaisson Lelia H. , Dowdy David W. , Armstrong Derek T. , Opira Bishop , Aman Kyomugisha , Kamya Moses , Phillips Patrick P. J. , Yoon Christina 
Published: May 2022

Abstract
Background
People living with HIV (PLHIV) have an increased risk of developing active tuberculosis (TB). To reduce the burden of TB among PLHIV, the World Health Organization (WHO) recommends systematic TB screening followed by (1) confirmatory TB testing for all who screen positive and (2) TB preventive therapy (TPT) for all TPT-eligible PLHIV who screen negative. Symptom-based screening remains the standard of care in most high TB burden settings, including Uganda. Despite having high sensitivity for active TB among antiretroviral-naïve PLHIV, symptom screening has poor specificity; as such, many high-risk PLHIV without active TB are not referred for TPT. C-reactive protein (CRP) is a promising alternative strategy for TB screening that has comparable sensitivity and higher specificity than symptom screening, and was endorsed by WHO in 2021. However, the impact of CRP-based TB screening on TB burden for PLHIV remains unclear.

Methods
TB SCRIPT (TB Screening Improves Preventive Therapy Uptake) is a phase 3, multi-center, single-blinded, individual (1:1) randomized controlled trial evaluating the effectiveness of CRP-based TB screening on clinical outcomes of PLHIV. The trial aims to compare the effectiveness of a TB screening strategy based on CRP levels using a point-of-care (POC) assay on 2-year TB incidence and all-cause mortality (composite primary trial endpoint) and prevalent TB case detection and uptake of TPT (intermediate outcomes), relative to symptom-based TB screening (current practice).

Discussion
This study will be critical to improving selection of eligible PLHIV for TPT and helping guide the scale-up and integration of TB screening and TPT activities. This work will enable the field to improve TB screening by removing barriers to TPT initiation among eligible PLHIV, and provide randomized evidence to inform and strengthen WHO guidelines.

Trial registration
ClinicalTrials.gov NCT04557176. Registered on September 21, 2020.
Quantifying heterologous gene expression during ectopic MazF production in Escherichia coli
Authors: Nikolic Nela , Sauert Martina , Albanese Tanino G. , Moll Isabella 
Published: May 2022

Abstract
Objective
MazF is a sequence-specific endoribonuclease-toxin of the MazEF toxin–antitoxin system. MazF cleaves single-stranded ribonucleic acid (RNA) regions at adenine–cytosine–adenine (ACA) sequences in the bacterium Escherichia coli. The MazEF system has been used in various biotechnology and synthetic biology applications. In this study, we infer how ectopic mazF overexpression affects production of heterologous proteins. To this end, we quantified the levels of fluorescent proteins expressed in E. coli from reporters translated from the ACA-containing or ACA-less messenger RNAs (mRNAs). Additionally, we addressed the impact of the 5′-untranslated region of these reporter mRNAs under the same conditions by comparing expression from mRNAs that comprise (canonical mRNA) or lack this region (leaderless mRNA).

Results
Flow cytometry analysis indicates that during mazF overexpression, fluorescent proteins are translated from the canonical as well as leaderless mRNAs. Our analysis further indicates that longer mazF overexpression generally increases the concentration of fluorescent proteins translated from ACA-less mRNAs, however it also substantially increases bacterial population heterogeneity. Finally, our results suggest that the strength and duration of mazF overexpression should be optimized for each experimental setup, to maximize the heterologous protein production and minimize the amount of phenotypic heterogeneity in bacterial populations, which is unfavorable in biotechnological processes.
Visceral adiposity index and sex differences in relation to peripheral artery disease in normal-weight adults with hypertension
Authors: Shi Yumeng , Yu Chao , Hu Lihua , Li Minghui , Zhou Wei , Wang Tao , Zhu Lingjuan , Bao Huihui , Li Ping , Cheng Xiaoshu 
Published: May 2022

Abstract
Background
Previous studies on the relationship between the visceral adiposity index (VAI) and peripheral arterial disease (PAD) are limited. Therefore, this study explored the relationship between VAI and PAD in normal-weight patients with hypertension.

Methods
A total of 6615 normal-weight patients with hypertension were included in the current study. The VAI, a simple index calculated using blood lipid and waist circumference (WC), can be used as a simple biomarker of body fat distribution. The outcome was PAD, which was defined as present when each side’s ankle–brachial index (ABI) was ≤ 0.90.

Results
A significant positive association was observed between VAI and PAD prevalence. For per unit increment in LnVAI, the adjusted odds ratios (ORs) of PAD for the total participants and males were 1.55 (95% CI 1.15–2.10) and 2.12 (95% CI 1.46–3.07), respectively. However, the VAI was not associated with PAD in female patients with hypertension (OR 1.28; 95% confidence interval [CI] 0.85–1.95). There was no interaction between sex and VAI (P for interaction = 0.128). Accordingly, in total participants, when VAI was assessed in quartiles and compared with quartile 1 (< 0.84), the PAD prevalence was higher than that of quartiles 2 (0.84 to < 1.36: OR 1.49; 95% CI 0.92–2.44), 3 (1.36 to < 2.25: OR 1.95; 95% CI 1.14–3.32), and 4 (≥ 2.25: OR 1.93; 95% CI 1.04–3.57). There were no significant interactions with the other confounders.

Conclusion
This study showed a positive association between VAI and PAD in normal-weight adults with hypertension among men but not among women.
Semiclassical states for non-cooperative singularly perturbed fractional Schrödinger systems
Authors: Li Suhong , Wu Limeng , Yue Xiaoyun , Zhang Lingmin 
Published: May 2022

AbstractWe study the following non-cooperative type singularly perturbed systems involving the fractional Laplacian operator: $$ \textstyle\begin{cases} \varepsilon ^{2s}(-\Delta )^{s} u+a(x)u=g(v), & \text{in } \mathbb{R}^{N}, \\ \varepsilon ^{2s}(-\Delta )^{s} v+a(x)v=f(u), & \text{in } \mathbb{R}^{N}, \end{cases} $$

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Predicting the growth performance of growing-finishing pigs based on net energy and digestible lysine intake using multiple regression and artificial neural networks models
Authors: Wang Li , Hu Qile , Wang Lu , Shi Huangwei , Lai Changhua , Zhang Shuai 
Published: May 2022

Abstract
Backgrounds
Evaluating the growth performance of pigs in real-time is laborious and expensive, thus mathematical models based on easily accessible variables are developed. Multiple regression (MR) is the most widely used tool to build prediction models in swine nutrition, while the artificial neural networks (ANN) model is reported to be more accurate than MR model in prediction performance. Therefore, the potential of ANN models in predicting the growth performance of pigs was evaluated and compared with MR models in this study.

Results
Body weight (BW), net energy (NE) intake, standardized ileal digestible lysine (SID Lys) intake, and their quadratic terms were selected as input variables to predict ADG and F/G among 10 candidate variables. In the training phase, MR models showed high accuracy in both ADG and F/G prediction (R2ADG = 0.929, R2F/G = 0.886) while ANN models with 4, 6 neurons and radial basis activation function yielded the best performance in ADG and F/G prediction (R2ADG = 0.964, R2F/G = 0.932). In the testing phase, these ANN models showed better accuracy in ADG prediction (CCC: 0.976 vs. 0.861, R2: 0.951 vs. 0.584), and F/G prediction (CCC: 0.952 vs. 0.900, R2: 0.905 vs. 0.821) compared with the MR models. Meanwhile, the “over-fitting” occurred in MR models but not in ANN models. On validation data from the animal trial, ANN models exhibited superiority over MR models in both ADG and F/G prediction (P < 0.01). Moreover, the growth stages have a significant effect on the prediction accuracy of the models.

Conclusion
Body weight, NE intake and SID Lys intake can be used as input variables to predict the growth performance of growing-finishing pigs, with trained ANN models are more flexible and accurate than MR models. Therefore, it is promising to use ANN models in related swine nutrition studies in the future.
Lethal ventricular arrhythmia can be prevented by adjusting the dialysate potassium concentration and the use of anti-arrhythmic agents: a case report and literature review
Authors: Uchida Takayuki , Ookawara Susumu , Ito Kiyonori , Okada Hitomi , Hayasaka Hideyuki , Kofuji Masaya , Kimura Masahiko , Ueda Yuichiro , Hasebe Tadashi , Momose Naoki , Morishita Yoshiyuki 
Published: May 2022

Abstract
Background
Hypokalemia is common in patients with malnutrition undergoing hemodialysis and is often involved in the development of lethal arrhythmia. Moreover, hemodialysis therapy decreases the serum potassium concentration due to potassium removal to the dialysate. However, it is difficult to adjust the dialysate potassium concentration owing to the use of the central dialysate delivery system in Japan. Here, we have presented a case undergoing hemodialysis with dialysate potassium concentration adjustment to prevent ventricular arrhythmia.

Case presentation
A 56-year-old man with Emery-Dreifuss muscular dystrophy and chronic heart failure was admitted to our hospital and needed subsequent hemodialysis therapy due to renal dysfunction. During hemodialysis, the cardiac resynchronization therapy defibrillator was activated to the treatment of his lethal ventricular arrhythmia. Decreases in serum potassium concentration after hemodialysis and changes in serum potassium concentration during HD were considered the causes of lethal ventricular arrythmia. Therefore, along with using anti-arrhythmic agents, the dialysate potassium concentration was increased from 2.0 to 3.5 mEq/L to minimize changes in the serum potassium concentration during hemodialysis. Post-dialysis hypokalemia disappeared and these changes during hemodialysis were minimized, and no lethal ventricular arrhythmia occurred thereafter.

Conclusions
In this case, we prevented lethal arrhythmia by maintaining the serum potassium concentration by increasing the dialysate potassium concentration, in addition to the use of anti-arrhythmic agents. In the acute phase of patients with frequent lethal arrhythmia undergoing hemodialysis, an increase in dialysate potassium concentration may be an effective method for preventing arrhythmogenic complications.
Four-dimensional hierarchical structure of love constructs in a cross-cultural perspective
Authors: Karandashev Victor , Evans Nicholas D. , Neto Félix , Zarubko Elena , Artemeva Veronika , Fallah Sadeq , Cassepp-Borges Vicente , Oliveira Eliany Nazaré , Akyol Havvanur , Dincer Duygu 
Published: May 2022

AbstractThis article reports new methodology for cross-cultural exploration of psychometric properties of a four-dimensional hierarchical love scale. We collected data from 2831 participants from nine regional locations from six countries and assessed their responses to the love scale as well as several other love feelings. We applied a new methodological approach using recently advanced statistical methods to the comparison of forty love attitudes underscoring four distinct latent attitudes associated with love to another person in romantic relationships across these samples. The results demonstrate the importance of measurement invariance tests for cross-cultural comparison of scores on love scales. To properly assess measurement invariance, we suggest five statistical procedures, which we investigated in this study: (1) making corrections for acquiescence and extreme response biases; (2) taking into consideration cultural uniqueness in how participants respond to the measures, which may contribute to poor model fit; (3) accounting for such cultural uniqueness to make cross-cultural comparisons more valid; (4) removing items, which substantially contribute to poor model fit; and (5) shortening the subscales when scoring and analyzing the data. The results of the studies propose two shortened versions (33 and 30 items) of the love scale as two cross-culturally valid and invariant alternatives to the original 40-item scale.
Impact of donor-to-recipient weight ratio on the hospital outcomes of pediatric heart transplantation
Authors: Mahdavi Mohammad , Tahouri Tahmineh , Tabib Avisa , Bakhshandeh Hooman , Sadeghpour-Tabaei Ali , Shahzadi Hossein , Harooni Nader 
Published: May 2022

Abstract
Background
Identifying the factors that can influence the prognosis and final outcomes of pediatric heart transplantation is important and makes it possible to prevent complications and improve outcomes. Coordination of donor characteristics with the recipient in terms of sex, weight, body mass index (BMI), and body surface area (BSA) is an important factor that can influence the outcome of the transplantation. There is still no consensus regarding the role of discrepancy in anthropometrics between donors and recipients. The aim of this study was to investigate the relationship between donor and recipient weight mismatch on the early outcomes of pediatric heart transplantation. In this historical cohort study, 80 children who had underwent heart transplantation for the first time between 2014 and 2019 in Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, were enrolled and divided into three groups according to donor-to-recipient weight ratio (0.8 < D/RW ≤ 1.5, 1.5 < D/RW ≤ 2.5, and 2.5 < D/RW). The early outcomes of transplantation, during the first post-transplant month, including right heart failure, renal failure, graft rejection, inotrope dependency, duration of intubation, length of ICU stay, death and requiring extracorporeal membrane oxygenation, were recorded through reviewing patient records.

Results
Median donor-to-recipient BSA ratio was directly associated with higher vasoactive–inotropic score (P = 0.038), while no significant association was found between donor-to-recipient weight ratio and vasoactive–inotropic score (P = 0.07). No significant relationship was found between other outcomes and donor-to-recipient weight ratio or donor-to-recipient BSA ratio.

Conclusions
Patients who require heart transplantation may also benefit from mismatch donors, especially in those with significant cardiomegaly.
Contrast-enhanced spectral mammographic findings of phyllodes tumor of the breast
Authors: Orguc Sebnem , Mavili Seda , Açar Çağdaş Rıza , Aydede Hasan , Kandiloğlu Ali Rıza 
Published: May 2022

Abstract
Background
Phyllodes tumors of breast are rare fibroepithelial neoplasms. They have similar radiological findings with fibroadenomas. While fibroadenomas are benign lesions, phyllodes tumors may have malignant potential. Therefore, any imaging findings to differentiate fibroadenoma from phyllodes tumor are valuable.

Case presentation
A 51-year-old female patient was admitted to our clinic with the complaint of a palpable mass. Tru-Cut biopsy resulted as phyllodes tumor, and excision was recommended. However, the patient neglected herself during the COVID-19 pandemic, and 20 months later, she presented with a huge and complex mass. On CESM imaging, cystic areas and clefts were identified. The case was diagnosed as borderline phyllodes tumor.

Conclusions
Although MRI findings of phyllodes tumor are well known and reported many times, there is no information about CESM findings of this tumor in literature. Bubbly appearance on CESM is useful finding in the diagnosis of phyllodes tumor of breast.
Comparing two federal financing strategies on penetration and sustainment of the adolescent community reinforcement approach for substance use disorders: protocol for a mixed-method study
Authors: Dopp Alex R. , Hunter Sarah B. , Godley Mark D. , Pham Chau , Han Bing , Smart Rosanna , Cantor Jonathan , Kilmer Beau , Hindmarch Grace , González Isabelle , Passetti Lora L. , Wright Kelli L. , Aarons Gregory A. , Purtle Jonathan 
Published: May 2022

Abstract
Background
Sustained, widespread availability of evidence-based practices (EBPs) is essential to address the public health and societal impacts of adolescent substance use disorders (SUD). There remains a particularly significant need to identify effective financing strategies, which secure and direct financial resources to support the costs associated with EBP implementation and sustainment. This protocol describes a new project comparing two types of U.S. federal grant mechanisms (i.e., a type of financing strategy), which supported the implementation of the Adolescent Community Reinforcement Approach (A-CRA) EBP for SUD, through either organization-focused or state-focused granting of funds. The Exploration-Preparation-Implementation-Sustainment (EPIS) framework will guide our study aims, hypotheses, and selection of measures.

Method
We will employ a longitudinal, mixed-method (i.e., web surveys, semi-structured interviews, document review, focus groups, administrative data), quasi-experimental design to compare the grant types’ outcomes and examine theoretically informed mediators and moderators. Aim 1 will examine the proportion of eligible clinicians certified in A-CRA with adequate fidelity levels (i.e., penetration outcomes) at the end of grant funding. Aim 2 will examine the sustainment of A-CRA up to 5 years post-funding, using a 10-element composite measure of treatment delivery and supervision activities. We will integrate the new data collected from state-focused grant recipients (~85 organizations in 19 states) with previously collected data from organization-focused grant recipients (Hunter et al., Implement Sci 9:104, 2014) (82 organizations in 26 states) for analysis. We will also use sensitivity analyses to characterize the effects of observed and unobserved secular trends in our quasi-experimental design. Finally, aim 3 will use comparative case study methods (integrating diverse quantitative and qualitative measures) to identify and disseminate policy implications about the roles of state- and organization-focused federal grants in efforts to promote adolescent SUD EBP implementation and sustainment.

Discussion
The proposed research will have direct, practical implications for behavioral health administrators, policymakers, implementation experts, and the public. It will offer new knowledge that can directly inform financing strategies to support large-scale, sustained EBP delivery in behavioral health—while advancing implementation science through the use of novel methods to study financing strategies and sustainment.
The ameliorative effect of Apium graveolens & curcumin against Non-alcoholic fatty liver disease induced by high fructose-high fat diet in rats
Authors: Abd‐Elrazek Areeg M. , Ibrahim Shaimaa R. , El‐dash Heba A. 
Published: May 2022

Abstract
Background
Non-alcoholic fatty liver disease (NAFLD) is a condition resulting from fat aggregates in liver cells and is associated with metabolic syndrome, obesity, and oxidative stress. The present work was designed to investigate the role of celery and curcumin against high-fructose–high-fat (HFHF) diet-induced NAFLD in rats. Thirty male rats were classified into five groups: GP1: control group (rats were fed a normal control diet), GP2: HFHF group as a positive control (rats were fed a HFHF diet) for 20 weeks, GP3: HFHF + sily group, GP4: HFHF + celery group, and GP5: HFHF + cur group (rats in 3, 4, and 5 were treated as in the HFHF group for 16 weeks, then combined treatment daily by gavage for 4 weeks with either silymarin (as a reference drug, 50 mg/kg bw) or celery (300 mg/kg bw) or curcumin (200 mg/kg bw), respectively. The progression of NAFLD was evaluated by estimating tissue serum liver enzymes, glycemic profile, lipid profile, oxidative stress markers in liver tissue, and histopathological examination. Moreover, DNA fragmentation and the released lysosomal enzymes (acid phosphatase, β-galactosidase, and N-acetyl-B-glucosaminidase) were estimated.

Results
Our results showed that HFHF administration for 16 weeks caused liver enzymes elevation, hyperglycemia, and hyperlipidemia. Furthermore, increased hepatic MDA levels along with a decline in GSH levels were observed in the HFHF group as compared to the control group. The results were confirmed by a histopathological study, which showed pathological changes in the HFHF group. DNA fragmentation was also observed, and the lysosomal enzyme activities were increased. On the other hand, oral supplementation of celery and cur improved all these changes compared with positive control groups and HFHF + sily (as a reference drug). Moreover, celery, as well as curcumin co-treatment, reduced HFHF-enhanced DNA fragmentation and inhibited elevated lysosomal enzymes. The celery combined treatment showed the most pronounced ameliorative impact, even more than silymarin did.

Conclusion
Our findings suggest that celery and curcumin consumption may exhibit ameliorative impacts against NALFD progression, while celery showed more ameliorative effect in all parameters.