bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk Factor Analysis for Fat Infiltration in the Lumbar Paraspinal Muscles in Patients With Lumbar Degenerative Diseases
Authors: Suzuki Kenta , Hasebe Yuki , Yamamoto Mitsuru , Saita Kazuo , Ogihara Satoshi 
Published: January 2022

Introduction This study aimed to investigate factors related to fat infiltration in patients with lumbar degenerative diseases (lumbar disc herniation and/or spinal stenosis), examining a wide range of potential risk variables. Materials and methods We studied consecutive adult patients who underwent posterior lumbar spinal surgery for degenerative diseases at our hospital between July 2013 and June 2017. Preoperative magnetic resonance imaging was used to evaluate the presence or absence of fat infiltration at the level of the L4-5 lumbar paraspinal muscles using Kjaer’s evaluation method. Patients without fat infiltration (0%–10%) were rated as grade 0, grade 1 for moderate fat infiltration (10%–50%), and grade 2 for severe fat infiltration (>50%). Patients were then divided into two groups: Group A (without fat infiltration, grade 0) and Group B (with fat infiltration, grade 1 or 2). Detailed patient clinical data were collected and analyzed. Results A total of 205 consecutive patients were enrolled; 54 (26.3%) patients were assigned to Group A and 151 (73.7%) to Group B. Logistic regression analysis revealed two independent risk factors for fat infiltration of the lumbar paraspinal muscles: female sex and older age (P < .001). Discussion Fat infiltration of the lumbar paraspinal muscles is reported to be associated with the development of pain and dysfunction of the lumbar region and postoperative complications of spinal instrumented fusion surgery. To the best of our knowledge, no previous studies have identified female sex and older age as independent risk factors for fat infiltration in the lumbar paraspinal muscles using multivariate analysis. Conclusions Female sex and older age were independent risk factors for fat infiltration in the lumbar paraspinal muscles. The results of the current study may provide useful information for the study of preventive measures for fat infiltration.
Palaeoclimate, palaeosalinity and redox conditions control palygorskite claystone formation: an example from the Yangtaiwatan Basin, northwest China
Authors: Liu Lihui , Zhang Shuai , Liu Qinfu , Liu Linsong , Deng Youjun 
Published: January 2022

AbstractPalygorskite-bearing claystones and mudstones were deposited in a salt lake in the middle and lower parts of the Neogene Baiyanghe Formation in the Yangtaiwatan Basin, China. The petrological, mineralogical and geochemical characteristics of the sediments were investigated to determine the factors controlling palygorskite formation. The palygorskite claystones and mudstones have distinctly varying mineral compositions. The claystones are composed of detrital minerals, palygorskite and illite, whereas the mudstones consist mainly of mixed-layer illite/smectite and illite. The palygorskite crystals were intact with sharp edges and interwoven with other minerals, indicating an authigenic origin. The chemical characteristics indicate that the palygorskite claystones in the middle part of the Baiyanghe Formation were deposited in a salt lake environment in an arid and hot climate. As the salinity of the lake gradually increased, the detrital minerals such as quartz, feldspar, dolomite and detrital clay minerals dissolved in the alkaline medium, thus providing Si4+, Mg2+and Al3+for the crystallization of palygorskite. The palygorskite coexists with certain amounts of detrital quartz and feldspar with limited roundness and sorting, indicating that the shallow lake of the basin under an oxidation environment may represent a favourable environment for the crystallization of palygorskite.
Crystallographic parameterisation of distortions in the SOD framework in the sodalite and helvine groups: An analysis in condensed normal modes of an aristotype phase
Authors: Knight Kevin S. 
Published: January 2022

AbstractCrystallographic distortions in the alternating aluminium and silicon tetrahedral framework of sodalite (Na8Al6Si6O24Cl2), and beryllium and silicon in helvine (Mn8Be6Si6O24S2), (framework designated SOD) are described in terms of a set of condensed normal mode amplitudes and phases derived from an ideal tetrahedron of a theoretical aristotype phase. For a sodalite-structured hettotype phase in space group $P{\overline 4} 3n$, these normal modes transform as the irreducible representations A1, E(α) and T1(z) of point-group ${\overline 4} 3m$, where to a good approximation A1 acts as a pure breathing mode, E(α) as a polyhedral distortive mode and T1(z) as a rigid unit rotation about the unique ${\overline 4}$ axis of the T-site under consideration. Parameterisation of the mode amplitudes in terms of low-order polynomials as a function of thermodynamic variable permits the crystal structure of sodalite-structured phases to be accurately interpolated at intermediate values of the thermodynamic variable. Published data for the high-temperature behaviour of sodalite have been re-analysed in terms of mode amplitudes which accurately reproduce the temperature dependence of the bond lengths, bond angles and the Al–O–Si inter-polyhedral angle. Full expressions for these derived structural parameters in terms of mode amplitudes and the lattice parameter are tabulated and agree with experimental results to within one estimated standard deviation of the experimental parameter. The potential for mode decomposition in lower symmetry SOD framework crystal structures is illustrated by deriving an aristotype structure for tugtupite (Na8Al2Be2Si8O24Cl2) at room temperature in space group $I{\overline 4}$.
Positive health during the COVID-19 pandemic: a survey among community-dwelling older individuals in the Netherlands
Authors: Moens I. S. , van Gerven L. J. , Debeij S. M. , Bakker C. H. , Moester M. J. C. , Mooijaart S. P. , van der Pas S. , Vangeel M. , Gussekloo J. , Drewes Y. M. , Elzen W. P. J.den 
Published: January 2022

Abstract
Background
Coronavirus Disease 2019 (COVID-19) reached the Netherlands in February 2020. To minimize the spread of the virus, the Dutch government announced an “intelligent lockdown”. Older individuals were urged to socially isolate completely, because they are at risk of a severe disease course. Although isolation reduces the medical impact of the virus, the non-medical impact should also be considered.

Aim
To investigate the impact of COVID-19 pandemic and associated restrictive measures on the six dimensions of Positive Health in community-dwelling older individuals living in the Netherlands, and to identify differences within subgroups.

Methods
In May/June 2020, community-dwelling older individuals aged ≥ 65 years completed an online survey based on Huber’s model of Positive Health. Positive Health was measured regarding the appreciation of the six dimensions (categorized as poor/satisfactory/excellent) and a comparison with a year before (categorized as decreased/unchanged/increased) using frequencies (%) and a chi-square test.

Results
834 older individuals participated (51% women, 38% aged ≥ 76 years, 35% living alone, 16% self-rated poor health). Most respondents assessed their bodily functions, mental well-being and daily functioning as satisfactory, their meaningfulness and quality of life (QoL) as excellent, and their social participation as poor. 12% of the respondents reported a deterioration of 4–6 dimensions and 73% in 1–3 dimensions, compared to the past year. Deterioration was most frequently experienced in the dimension social participation (73%), the dimension mental well-being was most frequently improved (37%) and quality of life was in 71% rated as unchanged. Women more often observed a deterioration of 4–6 dimensions than men (15% vs. 8%, p = 0.001), and individuals with self-rated poor health more often than individuals with self-rated good health (22% vs. 10%, p < 0.001). Older individuals living alone experienced more frequently a decrease in meaningfulness compared to older individuals living together.

Conclusion
The COVID-19 pandemic and associated restrictive measures had a substantial impact on all six dimensions of Positive Health in community-dwelling older individuals, especially in women, respondents living alone and respondents with self-rated poor general health.
A clinical prediction tool for extended-spectrum β-lactamase-producing Enterobacteriaceae urinary tract infection
Authors: Liu Hui , Qiu Suishan , Chen Minghao , Lyu Jun , Yu Guangchao , Xue Lianfang 
Published: January 2022

Abstract
Background
Prevalence of extended-spectrum beta-lactamase-producing-Enterobacteriaceae (ESBL-E) has risen in patients with urinary tract infections. The objective of this study was to determine explore the risk factors of ESBL-E infection in hospitalized patients and establish a predictive model.

Methods
This retrospective study included all patients with an Enterobacteriaceae-positive urine sample at the first affiliated hospital of Jinan university from January 2018 to December 2019. Antimicrobial susceptibility patterns of ESBL-E were analyzed, and multivariate analysis of related factors was performed. From these, a nomogram was established to predict the possibility of ESBL-E infection. Simultaneously, susceptibility testing of a broad array of carbapenem antibiotics was performed on ESBL-E cultures to explore possible alternative treatment options.

Results
Of the total 874 patients with urinary tract infections (UTIs), 272 (31.1%) were ESBL-E positive. In the predictive analysis, five variables were identified as independent risk factors for ESBL-E infection: male gender (OR = 1.607, 95% CI 1.066–2.416), older age (OR = 4.100, 95% CI 1.678–12.343), a hospital stay in preceding 3 months (OR = 1.872, 95% CI 1.141–3.067), invasive urological procedure (OR = 1.810, 95% CI 1.197–2.729), and antibiotic use within the previous 3 months (OR = 1.833, 95% CI 1.055–3.188). In multivariate analysis, the data set was divided into a training set of 611 patients and a validation set of 263 patients The model developed to predict ESBL-E infection was effective, with the AuROC of 0.650 (95% CI 0.577–0.725). Among the antibiotics tested, several showed very high effectiveness against ESBL-E: amikacin (85.7%), carbapenems (83.8%), tigecycline (97.1%) and polymyxin (98.2%).

Conclusions
The nomogram is useful for estimating a UTI patient’s likelihood of infection with ESBL-E. It could improve clinical decision making and enable more efficient empirical treatment. Empirical treatment may be informed by the results of the antibiotic susceptibility testing.
PEG-J replacement for duodenal levodopa infusion in Parkinson’s disease patients: a retrospective study
Authors: Simoni Simone , Nigro Pasquale , Filidei Marta , Cappelletti Giulia , Paolini Paoletti Federico , Castellani Danilo , Gaggiotti Mirko , Parnetti Lucilla , Tambasco Nicola 
Published: January 2022

Abstract
Background
Reducing percutaneous endoscopic gastrostomies with jejunal extension tubes (PEG-J) related complications is vital to the long-term preservation of duodenal levodopa infusion (DLI) in advanced Parkinson’s disease (APD). Here, we provide data on the frequency of complications for both the standard “pull” and the non-endoscopic, radiologic assisted, “push” replacement PEG-J techniques in APD.

Methods
We retrospectively identified all patients treated with DLI from October 2009 to January 2020 at the Movement Disorders Center. Patients features and demographics, PEG-J procedures, causes for any discontinuation, reported complications and mortality were collected. In this cohort, PEG-J replacements were performed using the standard “pull” procedure or the radiologic assisted “push” method. Descriptive statistical analysis, t-test and paired t-test with False Discovery Rate correction was performed.

Results
This retrospective study included 30 APD patients [median age 72 ± 5.6 years; mean disease duration 17.2 + 5.7 years]. Mean treatment duration was 35.6 (30.6) months. Overall, 156 PEG-J procedures were performed, and Nineteen patients (63.3%) had a total of 185 reported complications, 85 of which were peristomal complications. 17 (56.6%) underwent 100 replacement procedures due to complications. The most commonly reported complication for replacement was J-tube dislocation (36%). One patient discontinued treatment after 6 months, due to peripheral neuropathy. Six patients died for causes not related to DLI. PEG-J replacements performed with the “push” method had a higher turnover (5.6 vs. 7.6 mo.), but fewer reported complications (67 vs. 75%).

Conclusion
The overall rate of complications was lower for “push” technique. This result might have been due to a higher replacement turnover that acted as a protective factor.
The non-fatal burden of cancer in Belgium, 2004–2019: a nationwide registry-based study
Authors: Gorasso Vanessa , Silversmit Geert , Arbyn Marc , Cornez Astrid , De Pauw Robby , De Smedt Delphine , Grant Ian , Wyper Grant M. A. , Devleesschauwer Brecht , Speybroeck Niko 
Published: January 2022

Abstract
Background
The importance of assessing and monitoring the health status of a population has grown in the last decades. Consistent and high quality data on the morbidity and mortality impact of a disease represent the key element for this assessment. Being increasingly used in global and national burden of diseases (BoD) studies, the Disability-Adjusted Life Year (DALY) is an indicator that combines healthy life years lost due to living with disease (Years Lived with Disability; YLD) and due to dying prematurely (Years of Life Lost; YLL). As a step towards a comprehensive national burden of disease study, this study aims to estimate the non-fatal burden of cancer in Belgium using national data.

Methods
We estimated the Belgian cancer burden from 2004 to 2019 in terms of YLD, using national population-based cancer registry data and international disease models. We developed a microsimulation model to translate incidence- into prevalence-based estimates, and used expert elicitation to integrate the long-term impact of increased disability due to surgical treatment.

Results
The age-standardized non-fatal burden of cancer increased from 2004 to 2019 by 6 and 3% respectively for incidence- and prevalence-based YLDs. In 2019, in Belgium, breast cancer had the highest morbidity impact among women, followed by colorectal and non-melanoma skin cancer. Among men, prostate cancer had the highest morbidity impact, followed by colorectal and non-melanoma skin cancer. Between 2004 and 2019, non-melanoma skin cancer significantly increased for both sexes in terms of age-standardized incidence-based YLD per 100,000, from 49 to 111 for men and from 15 to 44 for women. Important decreases were seen for colorectal cancer for both sexes in terms of age-standardized incidence-based YLD per 100,000, from 105 to 84 for men and from 66 to 58 for women.

Conclusions
Breast and prostate cancers represent the greatest proportion of cancer morbidity, while for both sexes the morbidity burden of skin cancer has shown an important increase from 2004 onwards. Integrating the current study in the Belgian national burden of disease study will allow monitoring of the burden of cancer over time, highlighting new trends and assessing the impact of public health policies.
Clinical significance of metabolism-related genes and FAK activity in ovarian high-grade serous carcinoma
Authors: Sato Masakazu , Sato Sho , Shintani Daisuke , Hanaoka Mieko , Ogasawara Aiko , Miwa Maiko , Yabuno Akira , Kurosaki Akira , Yoshida Hiroyuki , Fujiwara Keiichi , Hasegawa Kosei 
Published: January 2022

AbstractBackgroundAdministration of poly (ADP-ribose) polymerase (PARP) inhibitors after achieving a response to platinum-containing drugs significantly prolonged relapse-free survival compared to placebo administration. PARP inhibitors have been used in clinical practice. However, patients with platinum-resistant relapsed ovarian cancer still have a poor prognosis and there is an unmet need. The purpose of this study was to examine the clinical significance of metabolic genes and focal adhesion kinase (FAK) activity in advanced ovarian high-grade serous carcinoma (HGSC).MethodsThe RNA sequencing (RNA-seq) data and clinical data of HGSC patients were obtained from the Genomic Data Commons (GDC) Data Portal and analysed (https://portal.gdc.cancer.gov/). In addition, tumour tissue was sampled by laparotomy or screening laparoscopy prior to treatment initiation from patients diagnosed with stage IIIC ovarian cancer (International Federation of Gynecology and Obstetrics (FIGO) classification, 2014) at the Saitama Medical University International Medical Center, and among the patients diagnosed with HGSC, 16 cases of available cryopreserved specimens were included in this study. The present study was reviewed and approved by the Institutional Review Board of Saitama Medical University International Medical Center (Saitama, Japan). Among the 6307 variable genes detected in both The Cancer Genome Atlas-Ovarian (TCGA-OV) data and clinical specimen data, 35 genes related to metabolism and FAK activity were applied. RNA-seq data were analysed using the Subio Platform (Subio Inc, Japan). JMP 15 (SAS, USA) was used for statistical analysis and various types of machine learning. The Kaplan-Meier method was used for survival analysis, and the Wilcoxon test was used to analyse significant differences. P < 0.05 was considered significant.ResultsIn the TCGA-OV data, patients with stage IIIC with a residual tumour diameter of 1-10 mm were selected for K means clustering and classified into groups with significant prognostic correlations (p= 0.0444). These groups were significantly associated with platinum sensitivity/resistance in clinical cases (χ2test,p= 0.0408) and showed significant relationships with progression-free survival (p= 0.0307).ConclusionIn the TCGA-OV data, 2 groups classified by clustering focusing on metabolism-related genes and FAK activity were shown to be associated with platinum resistance and a poor prognosis.
Unintended socio-economic and health consequences of COVID-19 among slum dwellers in Kampala, Uganda
Authors: Nuwematsiko Rebecca , Nabiryo Maxencia , Bomboka John Bosco , Nalinya Sarah , Musoke David , Okello Daniel , Wanyenze Rhoda K. 
Published: January 2022

Abstract
Background
To reduce the spread of COVID-19, several countries in Africa instituted countrywide lockdowns and other public health measures. Whereas lockdowns contributed to the control of the pandemic, there were concerns about the unintended consequences of these measures especially in the most vulnerable populations. We assessed unintended socio-economic and health consequences due to the COVID-19 pandemic and the mitigation measures among slum dwellers in Kampala to inform the on-going and future pandemic response strategies.

Methods
This was a mixed methods cross-sectional study conducted in Bwaise I and Bwaise III slums of Kawempe division, Kampala Uganda from October to December 2020. We used systematic sampling to randomly select 425 household heads for the face-to-face quantitative interviews. We also conducted six focus group discussions (FGDs) with slum dwellers and used photovoice among eight Community Health Workers (CHWs) to document unintended socio-economic and health consequences. Quantitative data were imported into STATA version 14.0 for analysis, while qualitative data were analysed thematically using NVivo version 12. Modified Poisson regression analysis was conducted to establish factors associated with impact on access to food.

Results
Most respondents reported limited access to food (71.1%; 302/425); disruption in education (77.1%; 270/350); drop in daily income and wages (86.1%; 329/382) and loss of employment (63.1; 125/198). Twenty five percent of the respondents (25.4%; 86/338) reported domestic violence as one of the challenges. Seven themes emerged from the qualitative findings on the impact of COVID-19 including: limited access to food; negative impact on children’s rights (child labour and teenage pregnancies) and education; poor housing and lack of accommodation; negative social behaviours; negative impact on family and child care; reduced income and employment; and negative impact on health and access to health care services.

Conclusion
The slum dwellers of Bwaise I and Bwaise III experienced several negative socio-economic and health consequences of COVID-19 and its prevention measures that severely affected their wellbeing. Children experienced severe consequences such as child labour and teenage pregnancies among the girls. Response activities should be contextualised to different settings and protocols to protect the vulnerable groups in the community such as children and women should be developed and mainstreamed in response activities.
What’s important to you? Socioeconomic inequalities in the perceived importance of health compared to other life domains
Authors: Verra Sanne E. , Poelman Maartje P. , Mudd Andrea L. , de Vet Emely , van Rongen Sofie , de Wit John , Kamphuis Carlijn B.M. 
Published: January 2022

Abstract
Background
Pressing issues, like financial concerns, may outweigh the importance people attach to health. This study tested whether health, compared to other life domains, was considered more important by people in high versus low socioeconomic positions, with future focus and financial strain as potential explanatory factors.

Methods
A cross-sectional survey was conducted in 2019 among N=1,330 Dutch adults. Participants rated the importance of two health-related domains (not being ill, living a long life) and seven other life domains (e.g., work, family) on a five-point scale. A latent class analysis grouped participants in classes with similar patterns of importance ratings. Differences in class membership according to socioeconomic position (indicated by income and education) were examined using structural equation modelling, with future focus and financial strain as mediators.

Results
Three classes were identified, which were defined as: neutralists, who found all domains neutral or unimportant (3.5% of the sample); hedonists, who found most domains important except living a long life, work, and religion (36.2%); and maximalists, who found nearly all domains important, including both health domains (60.3%). Of the neutralists, 38% considered not being ill important, and 30% considered living a long life important. For hedonists, this was 92% and 39%, respectively, and for maximalists this was 99% and 87%, respectively. Compared to belonging to the maximalists class, a low income predicted belonging to the neutralists, and a higher educational level and unemployment predicted belonging to the hedonists. No mediation pathways via future focus or financial strain were found.

Conclusions
Lower income groups were less likely to consider not being ill important. Those without paid employment and those with a higher educational level were less likely to consider living a long life important. Neither future focus nor financial strain explained these inequalities. Future research should investigate socioeconomic differences in conceptualisations of health, and if inequalities in the perceived importance of health are associated with inequalities in health. To support individuals dealing with challenging circumstances in daily life, health-promoting interventions could align to the life domains perceived important to reach their target group and to prevent widening socioeconomic health inequalities.