bluuebunny/crossref_metadata_2025_split huggingface dataset:
Attachment relationship with parents and Taiwanese middle-aged adult children’s filial anxiety: The mediating role of dual filial piety beliefs
Authors: Wu Chih-Wen 
Published: January 2022

Given the aging of the global population, the experience of adult children preparing to care for their aging parents is increasingly valued. In this article, I not only examined the associations between Taiwanese adult children’s attachment relationships with parents and their experience of filial anxiety but also took a psychocultural perspective to explore the mediating role of filial piety, the most representative value in the Chinese family. I collected survey data from 1305 middle-aged Taiwanese adults over 40 years old whose father or mother was alive and over 65 years old. The results from the first model for both father–child and mother–child datasets showed that secure attachment relationships with parents had a significant positive association with adults’ parental-welfare-focused filial anxiety B (FAB) but a significant negative association with their caregiver-role-focused filial anxiety A (FAA). The results from the second analysis indicated that secure attachment relationships with parents, for both father–child and mother–child datasets, had a significant positive association with adults’ endorsement of reciprocal filial piety beliefs, which significantly related to higher levels of FAB but lower levels of FAA. For both the father–child and mother–child datasets, secure attachment relationships with parents also had a significant positive association with their endorsement of authoritarian filial piety beliefs. Subsequently, their endorsement of authoritarian filial piety belief significantly related to a higher level of FAB in only the mother–child dataset. In conclusion, these findings broaden the understanding of adult children’s experience of filial anxiety that could be related to their attachment relationship with parents and their endorsement of reciprocal and authoritarian filial piety.
Integrated modelling method of bonding strength and residual life prediction for selective repair structure of aluminium alloy
Authors: Liao Yashi , Zhang Xuhui , Wang Zhineng , He Miaolei 
Published: January 2022

To accurately describe and predict the overall strength and residual life of selective repair bonded structures, an integrated simulation model of crack propagation including bonding strength is established. Based on two methods, an integrated simulation model including a cohesive zone method model for predicting the residual life of a selective repair structure is established. By comparing the computational efficiency and accuracy of both the stress intensity factor and residual life of selective repair structures using different calculation methods, the modelling scheme is optimised. Based on this optimised scheme, the effect of adhesive thickness on the stress intensity factor and residual life of the repair structure is analysed. FM94 adhesive measuring 0.2–0.4 mm thickness is used to decrease the stress intensity factor and improve the remaining life such that material utilisation efficiency is guaranteed.
The Cleft Lip Education with Augmented Reality (CLEAR) VR Phase 2 Trial: A Pilot Randomized Crossover Trial of a Novel Patient Information Leaflet
Authors: Lo Steven John , Chapman Paul , Young David , Drake David , Devlin Mark , Russell Craig 
Published: January 2022

Background The Cleft Lip Education with Augmented Reality (CLEAR) project centers around the use of augmented reality (AR) in patient leaflets, as a visual means to overcome the “health literacy” gap. This trial followed Virtual Reality (VR CORE) guidelines for VR Phase 2 (Pilot) trials. Methods Participants included families of children treated for Cleft Lip and Palate at the Royal Hospital for Children, Glasgow. Interventions were AR leaflet or Traditional Leaflet. Objectives were to calculate sample sizes, assess outcome instruments, trial design, and acceptability to patients. Primary outcome measure was Mental Effort Rating Scale, and secondary outcomes were Patient Satisfaction (Visual Analogue Scale), Usefulness Scale for Patient Information Material (USE) scale, and Instructional Materials Motivation Survey (IMMS). Randomization was by block randomization. The trial was single blinded with assessors blinded to group assignment. Results 12 Participants were randomized, with crossover design permitting analysis of 12 per group. Primary outcome with Mental Effort Rating Scale indicated higher mental effort with Traditional compared to AR Leaflet (4.75 vs 2.00, P = .0003). Secondary outcomes for Satisfaction were Traditional 54.50 versus AR 93.50 ( P = .0001); USE scale 49.42 versus 74.08 ( P = .0011); and IMMS 112.50 versus 161.75 ( P = .0003). Subjective interviews noted overwhelmingly positive patient comments regarding the AR leaflet. Outcome instruments and trial design were acceptable to participants. No harms were recorded. Conclusions The CLEAR pilot trial provides early evidence of clinical efficacy of AR leaflets in patient education. It is hoped that this will provide a future paradigm shift in the way patient education is delivered.
The association of arterial stiffness index with cerebrovascular and cardiometabolic disease: A Mendelian randomization study
Authors: Liu Weishi , Zhang Luyang , Gao Yuan , Liu Kai , Li Yanan , Liu Chen , Yan Yingxue , Liu Hongbing , Li Shen , Fang Hui , Song Bo , Xia Zongping , Xu Yuming 
Published: January 2022

Background: Arterial stiffness index (ASI) is a potential risk factor for cerebrovascular and cardiometabolic diseases, but the causal links between them are inconclusive. The aim is to evaluate the causal effects of ASI on cerebrovascular and cardiometabolic diseases by Mendelian randomization (MR). Methods: Two-sample MR analysis was performed to infer causal links. Genetic variants significantly associated with ASI were extracted. The inverse variance weighted method was used for estimating the effects. Sensitivity analysis was performed to test heterogeneity or pleiotropy. Results: MR analysis indicated an effect of genetically predicted ASI on the risk of ischemic stroke (IS) of all causes (OR = 1.894, 95% CI 1.210–2.965, p = 0.005). No links were identified between genetically predicted ASI and other cerebrovascular or cardiometabolic diseases (all p > 0.05). Subgroup analysis of IS etiologies found a suggestive association between genetically predicted ASI and large artery atherosclerosis stroke (LAS) (OR = 3.726, 95% CI 1.230–11.286, p = 0.020). There were no effects of ASI on IS due to cardioembolism or small vessel occlusion. Conclusion: The current MR analysis suggested that genetically predicted ASI was associated with higher risk of IS of all causes. The results and the underlying pathways or mechanisms between ASI and IS needs further investigation.
Participatory health research under COVID-19 restrictions in Bauchi State, Nigeria: Feasibility of cellular teleconferencing for virtual discussions with community groups in a low-resource setting
Authors: Omer Khalid , Ansari Umaira , Aziz Amar , Hassan Khalid , Bgeidam Lami Aminati , Baba Muhd Chadi , Gidado Yagana , Andersson Neil , Cockcroft Anne 
Published: January 2022

Introduction During the COVID-19 pandemic, researchers have used Internet-based applications to conduct virtual group meetings, but this is not feasible in low-resource settings. In a community health research project in Bauchi State, Nigeria, COVID-19 restrictions precluded planned face-to-face meetings with community groups. We tested the feasibility of using cellular teleconferencing for these meetings. Methods In an initial exercise, we used cellular teleconferencing to conduct six male and six female community focus group discussions. Informed by this experience, we conducted cellular teleconferences with 10 male and 10 female groups of community leaders, in different communities, to discuss progress with previously formulated action plans. Ahead of each teleconference call, a call coordinator contacted individual participants to seek consent and confirm availability. The coordinator connected the facilitator, the reporter, and the participants on each conference call, and audio-recorded the call. Each call lasted less than 1 h. Field notes and debriefing meetings with field teams supported the assessment of feasibility of the teleconference meetings. Results Cellular teleconferencing was feasible and inexpensive. Using multiple handsets at the base allowed more participants in a call. Guidelines for facilitators and participants developed after the initial meetings were helpful, as were reminder calls ahead of the meeting. Connecting women participants was challenging. Facilitators needed extra practice to support group interactions without eye contact and body language signals. Conclusions With careful preparation and training, cellular teleconferencing can be a feasible and inexpensive method of conducting group discussions in a low-resource setting.
Sapozhnikovite, Na8(Al6Si6O24)(HS)2, a new sodalite-group mineral from the Lovozero alkaline massif, Kola Peninsula
Authors: Chukanov Nikita V. , Zubkova Natalia V. , Pekov Igor V. , Shendrik Roman Yu. , Varlamov Dmitry A. , Vigasina Marina F. , Belakovskiy Dmitry I. , Britvin Sergey N. , Yapaskurt Vasiliy O. , Pushcharovsky Dmitry Yu. 
Published: January 2022

AbstractThe new sodalite-group mineral sapozhnikovite, ideally Na8(Al6Si6O24)(HS)2, was discovered in a hydrothermally altered urtite-like rock at Karnasurt Mountain, Lovozero alkaline massif, Kola Peninsula, Russia. The associated minerals are nepheline, aegirine, potassic feldspar, albite, kyanoxalite, natrolite, fluorapatite, fluorcaphite, lomonosovite (partially or completely altered to murmanite) and loparite-(Ce). Sapozhnikovite forms isolated colourless to pale greyish anhedral equant grains up to 5 mm across. The streak is white and the lustre is vitreous. Strong orange fluorescence under longwave UV radiation (λ = 330 nm) and weak yellow-orange fluorescence under shortwave UV radiation (λ = 245 nm) is observed. Sapozhnikovite is brittle, with a Mohs hardness of 5½. Cleavage is imperfect on (110). Density measured by flotation in heavy liquids is equal to 2.25(1) g⋅cm–3. The calculated density is 2.255 g⋅cm–3. Sapozhnikovite is characterised by infrared, Raman, electron spin resonance, NIR-Vis-UV absorption, and photoluminescence spectroscopy. The chemical composition is (wt.%, electron microprobe, H2O determined by gas chromatography of ignition products): Na2O 25.05, Al2O3 32.44, SiO2 37.58, HS 4.33, Cl 2.22, H2O 0.30, –O≡(Cl,HS) –1.55, total 100.37. The empirical formula is Na7.73Al6.08Si5.97O24(HS)1.25Cl0.60⋅0.16H2O. The crystal structure was determined using single-crystal X-ray diffraction data and refined to R1 = 1.62%. Sapozhnikovite is cubic, P$\bar{4}$3n, with a = 8.9146(1) Å, V = 708.45(2) Å3 and Z = 1. The new mineral is isostructural with sodalite. The strongest lines of the powder X-ray diffraction pattern [d, Å (I, %) (hkl)] are: 6.30 (37) (110), 3.638 (100) (211), 2.821 (14) (310), 2.572 (18) (222), 2.382 (16) (321) and 2.101 (29) (411). The mineral is named in honour of the Russian mineralogist and crystallographer Dr. Anatoly Nikolaevich Sapozhnikov (b. 1946).
CUBN gene mutations may cause focal segmental glomerulosclerosis (FSGS) in children
Authors: Yang Jing , Xu Yongli , Deng Linxia , Zhou Luowen , Qiu Liru , Zhang Yu , Zhou Jianhua 
Published: January 2022

Abstract
Background
Imerslund-Gräsbeck Syndrome (IGS) is mainly caused by CUBN gene biallelic mutations. Proteinuria accompanies IGS specific symptoms in about half of the patients, isolated proteinuria is rarely reported. Here we present 3 patients with isolated proteinuria and focal segmental glomerulosclerosis (FSGS) caused by CUBN gene biallelic pathogenic variants.

Method
Whole exome sequencing was performed on three children with isolated proteinuria. CUBN gene biallelic pathogenic variants were found and then verified by sanger sequencing. Their clinical, pathological and molecular genetic characteristics were analyzed and correlated accordingly.

Results
All three children presented with isolated proteinuria, no megaloblastic anemia. Their urine levels of β2 microglobulin were normal or slightly higher. Renal biopsies showed focal segmental glomerulosclerosis with mild glomerular mesangial hypercellularity, partial effacement of foot processes and podocyte microvillation. Two of them were found to carry compound heterozygous mutations and one homozygous mutation of CUBN gene. Totally four CUBN gene biallelic pathogenic variants were identified, including c.9287 T > C (p.L3096P), c.122 + 1G > A, c.7906C > T (p.R2636*), c.10233G > A (p.W3411*). Except for intron splice-site mutation, all other variants are located in highly conserved sites of CUB domain for binding to albumin.

Conclusion
The results demonstrate that CUBN gene mutations may cause isolated proteinuria pathologically presented as FSGS. Our cases extend the spectrum of renal manifestation and genotype of CUBN gene mutations.
Trastuzumab and fulvestrant combination therapy for women with advanced breast cancer positive for hormone receptor and human epidermal growth factor receptor 2: a retrospective single-center study
Authors: Ozaki Yukinori , Aoyama Yosuke , Masuda Jun , Inagaki Lina , Kawai Saori , Shibayama Tomoko , Maeda Tetsuyo , Kurata Mami , Yoshida Kazuyo , Saeki Sumito , Hosonaga Mari , Fukada Ippei , Hara Fumikata , Kobayashi Takayuki , Kobayashi Kokoro , Miyake Satoshi , Takano Toshimi , Ueno Takayuki , Ohno Shinji 
Published: January 2022

Abstract
Background
Trastuzumab and fulvestrant combination therapy is one of the treatment options for patients with hormone receptor- and human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer; however, there are limited studies evaluating the efficacy of this combination therapy.

Methods
We retrospectively reviewed the data of women with hormone receptor- and HER2-positive metastatic breast cancer who received trastuzumab and fulvestrant combination therapy between August 1997 and August 2020 at the Cancer Institute Hospital. The primary endpoint of this study was progression-free survival, and the secondary endpoints were response rate, overall survival and safety.

Results
We reviewed the data of 1612 patients with recurrent or metastatic breast cancer, of which 118 patients were diagnosed with hormone receptor- and HER2-positive breast cancer. Of these, 28 patients who received trastuzumab and fulvestrant combination therapy were eligible for this study. The median treatment line for advanced breast cancer was 6 (range, 1–14), the median progression-free survival was 6.4 months (95% confidence interval [CI], 3.46–8.17), and the median overall survival was 35.3 months (95% CI, 20.0–46.7). Of the 28 patients, partial response was observed in 1 (4%), stable disease in 17 (61%), and progressive disease in 10 (36%) patients. The disease control rate was 64%. Adverse events of grade ≥ 3 were not observed.

Conclusions
Trastuzumab and fulvestrant combination therapy showed moderate clinical efficacy and no severe toxicity after standard anti-HER2 treatment, which is a reasonable treatment option for patients with hormone receptor- and HER2-positive metastatic breast cancer. These data contribute to understanding the efficacy of trastuzumab and fulvestrant combination therapy as control data for further development of anti-HER2 agents plus hormone therapy.
Effect of chocolate on older patients with cancer in palliative care: a randomised controlled study
Authors: Vettori Josiane C. , da-Silva Luanda G. , Pfrimer Karina , Jordão Alceu A. , Louzada-Junior Paulo , Moriguti Júlio C. , Ferriolli Eduardo , Lima Nereida K. C. 
Published: January 2022

Abstract
Background
Older advanced stage cancer patients, with changes in nutritional status, represent an important demand for palliative care. The aim was to determine the effects of 4 weeks of chocolate consumption on the nutritional status of older cancer patients in palliative care.

Methods
Older cancer patients in palliative care with ambulatory (n = 46) monitoring were randomized to control (CG, n = 15), intervention with 55% cocoa chocolate (IG1, n = 16) and intervention with white chocolate (IG2, n = 15) groups and evaluated before and after 4 weeks for nutritional status (primary outcome), evaluated by the Mini Nutritional Assessment tool (MNA). Food consumption, anthropometry, body composition, laboratory parameters and quality of life (QL) with the European Organization for the Research and Treatment of Cancer instrument were also evaluated.

Results
IG1 progressed with increased screening (estimated difference [95% CI]: − 1.3 [− 2.2;-0.4], p < 0.01), and nutritional (estimated difference [95% CI]: − 1.3 [− 2.5;-0.1], p = 0.04) scores on the MNA, with no change in anthropometry and body composition. Regarding antioxidant capacity, reduced glutathione levels increased (estimated difference [95% CI]: − 0.8 [− 1.6;-0.02], p = 0.04) and malondealdehyde levels decreased in IG2 (estimated difference [95% CI]:+ 4.9 [+ 0.7;+ 9.1], p = 0.02). Regarding QL, functionality improved in IG1, with higher score in the functional domain (estimated difference [95% CI]:-7.0 [− 13.3;-0.7], p = 0.03).

Conclusions
The consumption of chocolate with a greater cocoa content may contribute to the improvement of the nutritional status and functionality among older cancer patients in palliative care. The consumption of white chocolate was associated with improved oxidative stress.

Trial registration
A randomized clinical trial (ClinicalTrials.gov NCT04367493).
Multiple stakeholder perspectives of factors influencing differential outcomes for ethnic minority students on health and social care placements: a qualitative exploration
Authors: Nightingale Julie , Parkin Jackie , Nelson Pete , Masterson-Ng Shirley , Brewster Jacqui , Labinjo Temitope , Amoakoh Deborah , Lomas David , Salih Ifrah , Harrop Deborah 
Published: January 2022

Abstract
Background
Despite considerable efforts there continues to be a degree awarding gap within the United Kingdom (UK) between the proportion of White British students receiving higher classifications, compared to ethnic minority UK-domiciled students. Practice placement elements constitute approximately 50% of most health and social care programmes, yet surprisingly little research exists related to the factors which may contribute to ethnic minority student placement outcomes or experiences. This study bridges this evidence gap by exploring factors influencing differential placement outcomes of ethnic minority students from the perspectives of key stakeholders.

Methods
The study followed a descriptive qualitative research design and was multi-disciplinary, with participants drawn from across nursing, midwifery, social work and the allied health professions. Participants from four stakeholder categories (ethnic minority students, academic staff, placement educators and student union advisors) were invited to join separate focus groups. Focus groups were recorded and transcribed and analysed thematically.

Results
Ten separate focus groups [n = 66] yielded three primary themes: 1) recognition, which highlighted stakeholder perceptions of the issues [sub-themes: acknowledging concerns; cultural norms; challenging environments]; 2) the lived experience, which primarily captured ethnic minority student perspectives [sub-themes: problematising language and stereotyping, and being treated differently]; 3) surviving not thriving, which outlines the consequences of the lived experience [sub-themes: withdrawing mentally, feeling like an alien].

Conclusion
This study presents a rich exploration of the factors affecting differential outcomes of ethnic minority students on practice placements through the lens of four different stakeholder groups. To our knowledge this is the first study in which this comprehensive approach has been taken to enable multiple viewpoints to be accessed across a wide range of health and social care professions. The issues and challenges raised appear to be common to most if not all of these disciplines. This study highlights the urgent need to value and support our ethnic minority students to remove the barriers they face in their practice learning settings. This is a monumental challenge and requires both individuals and organisations to step up and take collective responsibility.
The recombinant pseudorabies virus expressing porcine deltacoronavirus spike protein is safe and effective for mice
Authors: Huang Yao , Xu Zhiwen , Gu Sirui , Nie Mincai , Wang Yuling , Zhao Jun , Li Fengqing , Deng Huidan , Huang Jianbo , Sun Xiangang , Zhu Ling 
Published: January 2022

Abstract
Background
Porcine deltacoronavirus (PDCoV) is a new pathogenic porcine intestinal coronavirus, which has appeared in many countries since 2012. PDCoV disease caused acute diarrhea, vomiting, dehydration and death in piglets, resulted in significant economic loss to the pig industry. However, there is no commercially available vaccine for PDCoV. In this study, we constructed recombinant pseudorabies virus (rPRVXJ-delgE/gI/TK-S) expressing PDCoV spike (S) protein and evaluated its safety and immunogenicity in mice.

Results
The recombinant strain rPRVXJ-delgE/gI/TK-S obtained by CRISPR/Cas gE gene editing technology and homologous recombination technology has genetic stability in baby hamster syrian kidney-21 (BHK-21) cells and is safe to mice. After immunizing mice with rPRVXJ-delgE/gI/TK-S, the expression levels of IFN-γ and IL-4 in peripheral blood of mice were up-regulated, the proliferation of spleen-specific T lymphocytes and the percentage of CD4+ and CD8+ lymphocytes in mice spleen was increased. rPRVXJ-delgE/gI/TK-S showed good immunogenicity for mice. On the seventh day after booster immunity, PRV gB and PDCoV S specific antibodies were detected in mice, and the antibody level continued to increase, and the neutralizing antibody level reached the maximum at 28 days post- immunization (dpi). The recombinant strain can protect mice with 100% from the challenge of virulent strain (PRV XJ) and accelerate the detoxification of PDCoV in mice.

Conclusion
The recombinant rPRVXJ-delgE/gI/TK-S strain is safe and effective with strong immunogenicity and is expected to be a candidate vaccine against PDCoV and PRV.
Paraneoplastic dermatomyositis revealing undifferentiated nasopharyngeal carcinoma at early stage: a case report
Authors: Panandtigri Souleymane , Siaˡ Nioka Pierre Xavier , Charkaouiˡ Meryeme , Benchakrounˡ Nadia , Bouchbikaˡ Zineb , Jouhadiˡ Hassan , Tawfiqˡ Nezha , Sahraouiˡ Souha , Beniderˡ Abdellatif 
Published: January 2022

Abstract
Context
Dermatomyositis is a rare autoimmune disease characterized by noninfectious inflammatory damage of skin and predominant muscles in the belts. It is believed to be associated with about 1 in 1000 cases of nasopharyngeal carcinoma. This association has been described for locally advanced stages II and III nasopharyngeal carcinoma. It has rarely been described in the early stages (stage I).

Case presentation
A 65-year-old Moroccan patient residing in Casablanca, with no particular history was referred to the Mohamed VI Center for the treatment of cancers of the University Hospital Center IBN ROCHD in Casablanca, for treatment of nasopharyngeal cancer. He was admitted in poor general condition, performance status 3, with erythema on the face, neck, and extremities. The diagnosis of paraneoplastic dermatomyositis was made owing to progressive muscle weakness and elevation of muscle enzymes associated with the typical rash of the face and hands. He received corticosteroid therapy and then radiotherapy to the nasopharynx with good clinical outcome, disappearance of skin lesions, and recovery of muscle strength.

Conclusions
We report this case of dermatomyositis in early-stage nasopharyngeal carcinoma, which is a rarely described entity. Rapid treatment of dermatomyositis improved the patient’s quality of life and enabled him to support specific cancer treatments. This can be used as an element of early diagnosis and monitoring after treatment.