bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bridging the polarization gap: Maximizing diffusion among dissimilar communities
Authors: Waniek Marcin , Hidalgo César A 
Published: December 2022

Polarized networks, composed of weakly connected and self-reinforcing groups, can limit the diffusion of ideas, behaviors, and innovations. Here, we use a complex contagion model, in which diffusion depends on both the connectivity and the similarity of individuals, to ask how to optimally build bridges and enhance diffusion in networks characterized by fragmentation and homophily. First, we show that the problem is NP-hard. Then, we explore the space of solutions using heuristics, finding that connecting high degree nodes, or hubs, is an ineffective strategy to accelerate diffusion in fragmented and homophilous networks. We show that in these networks, diffusion is more effectively accelerated by connecting similar but low degree nodes. These results tell us that, in the presence of homophily and polarization, connecting communities through their most central actors may impede rather than facilitate diffusion. Instead, strategies to accelerate the diffusion of innovation, behaviors, and ideas should focus on creating links among the most similar members of different communities. These findings shed light on the diffusion of ideas and innovations in polarized networks. CCS Concepts: • Mathematics of computing → Network optimization; • Information systems → Social networks
Rheological Behavior of SAE50 Oil–SnO2–CeO2 Hybrid Nanofluid: Experimental Investigation and Modeling Utilizing Response Surface Method and Machine Learning Techniques
Authors: Sepehrnia Mojtaba , Lotfalipour Mohammad , Malekiyan Mahdi , Karimi Mahsa , Farahani Somayeh Davoodabadi 
Published: December 2022

AbstractIn this study, for the first time, the effects of temperature and nanopowder volume fraction (NPSVF) on the viscosity and the rheological behavior of SAE50–SnO2–CeO2 hybrid nanofluid have been studied experimentally. Nanofluids in NPSVFs of 0.25% to 1.5% have been made by a two-step method. Experiments have been performed at temperatures of 25 to 67 °C and shear rates (SRs) of 1333 to 2932.6 s−1. The results revealed that for base fluid and nanofluid, shear stress increases with increasing SR and decreasing temperature. By increasing the temperature to about 42 °C at a NPSVF of 1.5%, about 89.36% reduction in viscosity is observed. The viscosity increases with increasing NPSVF about 37.18% at 25 °C. In all states, a non-Newtonian pseudo-plastic behavior has been observed for the base fluid and nanofluid. The highest relative viscosity occurs for NPSVF = 1.5%, temperature = 25 °C and SR = 2932.6 s−1, which increases the viscosity by 37.18% compared to the base fluid. The sensitivity analysis indicated that the highest sensitivity is related to temperature and the lowest sensitivity is related to SR. Response surface method, curve fitting method, adaptive neuro-fuzzy inference system and Gaussian process regression (GPR) have been used to predict the dynamic viscosity. Based on the results, all four models can predict the dynamic viscosity. However, the GPR model has better performance than the other models.
Effect of oral alpha-lipoic acid (ALA) on sperm parameters: a systematic review and meta-analysis
Authors: Dong Liang , Yang Fang , Li Junjun , Li Yulin , Yu Xujun , Zhang Xiaojin 
Published: December 2022

Abstract
Background
Male fertility has gradually become a worldwide problem with limitations in the treatment. Alpha-lipoic acid, has been applied to improve the quality of sperm in clinical practice. However, there was currently no high quality of systematic review to evaluate the effects of alpha-lipoic acid on sperm parameters.

Material and methods
The Cochrane Library, MEDLINE, EMBASE, Web of Science, Clinicaltrials.org, China National Knowledge Infrastructure Database, China Biology Medicine Database, etc., were retrieved. Related randomized controlled trials had be collected and selected up to March 10, 2022. English literature and Chinese literature were searched using terms including “male infertility”, “semen”, “sperm”, “alpha-lipoid acid”, “α-lipoid acid”, “alpha lipoid acid”, “thioctic acid”. All statistical analyses were conducted by RevMan 5.3.

Results
A total of 133 participants in three studies included. Compared with sham therapy, treated with alpha-lipoic acid has significant improvement in the following sperm parameters, including abnormal sperm forms (mean difference[MD] = -1.06, 95% confidence interval [CI] = -1.29–0.84, p < 0.00001), sperm concentration (MD = 3.98, 95%CI = 2.28–5.67, p < 0.00001), sperm total motility (grade a+b+c) (MD = 6.68, 95%CI = 4.88–8.48, p < 0.00001) and progressive motility(grade a+b) (MD = 6.90, 95%CI = 5.62–8.17, p < 0.00001) and semen volume(MD = -0.17, 95%CI = -0.31–0.02, p = 0.03).

Conclusions
In this meta-analysis of three randomized controlled trials, compared with other treatments, alpha-lipoic acid could improve normal sperm forms, sperm concentration, sperm total motility and progressive motility, but more stringent randomized controlled trials must be conducted.
Exosomal microRNAs in the DLK1-DIO3 imprinted region derived from cancer-associated fibroblasts promote progression of hepatocellular carcinoma by targeting hedgehog interacting protein
Authors: Jin An-Li , Ding Lin , Yang Wen-Jing , Liu Te , Chen Wei , Li Tong , Zhang Chun-Yan , Pan Bai-Shen , Qiu Shuang-Jian , Zhou Jian , Fan Jia , Guo Wei , Yang Xin-Rong , Wang Bei-Li 
Published: December 2022

Abstract
Background
Hepatocellular carcinoma (HCC) is the sixth most commonly diagnosed cancer and third leading cause of cancer-related death worldwide in 2020. Exosomes derived from cancer-associated fibroblasts (CAFs-exo) can promote tumor progression in various human cancers. However, the underlying regulatory mechanism controlling how CAFs-exo can promote HCC progression remains poorly understood.

Methods
CAFs and para-cancer fibroblasts (PAFs) were isolated from HCC tissues and corresponding para-cancer tissues, then were cultured in vitro. CAFs and PAFs were characterized by immunofluorescence and western blot (WB) assays. Exosomes were isolated by ultracentrifugation, and characterized by transmission electron microscopy, nanoflow cytometry, and WB assay. The internalization of exosomes by HCC cells was observed under a fluorescence microscope. Cell Counting Kit-8 (CCK-8) assay was used to evaluate cell proliferation. Wound healing and transwell assays were used for migration and invasion experiments. RT-PCR assay was used to examine differentially expressed microRNAs (miRNAs) in exosomes and HCC cells. The TargetScan database was used to predict miRNA target genes. Hedgehog interacting protein (HHIP) expression analysis, prognostic analysis, and enrichment analysis of HHIP-related co-expressed genes were performed using the TIMER, UALCAN, Kaplan–Meier plotter, and LinkedOmics databases.

Results
CAFs-exo were internalized by HCC cells. CAFs-exo contributed to the aggressive phenotype of HCC cells, while inhibiting exosome secretion reversed these effects. Mechanistically, miRNAs in the DLK1-DIO3 imprinted region (miR-329-3p, miR-380-3p, miR-410-5p, miR-431-5p) were increased in HCC cells co-cultured with CAFs-exo compared with PAFs-exo. Expression of HHIP, a possible miR-431-5p target gene, was significantly downregulated in HCC cells. Low HHIP expression level in tumor tissues could predict poor prognosis in HCC patients. HHIP-related co-expressed genes were mainly associated with cell adhesion molecules.

Conclusions
CAFs-exo can promote HCC progression by delivering miRNAs in the DLK1-DIO3 imprinted region to HCC cells, subsequently inhibiting HHIP expression. HHIP is a potential prognostic biomarker in HCC.
Perception of social inequities in the access to the kidney transplant waiting list by nephrology trainees: a national survey
Authors: Paris Lucile , Calvar Eve , Morello Rémy , Lecouf Angélique , Beaumier Mathilde , Lobbedez Thierry , Châtelet Valérie 
Published: December 2022

Abstract
Background
Social inequalities in health are responsible for disparities in access to the kidney transplant waiting list (KTWL). The perception of disparities by nephrologists has consequences for the registration on the KTWL. The purposes of our study were to assess the perception of the factors implicated in the disparities in access to the KTWL by nephrology trainees and to assess the quality of the questionnaire.

Methods
A questionnaire was developed to assess the perception of the determinants of the inequities in access to waitlisting. Continuous variables were described by median, 1st and 3rd quartiles. Categorical variables were described by frequencies and percentages. A principal component analysis and a hierarchical cluster analysis were performed to approach the correlation between the variables. A scree plot and a factor analysis were performed to determine the dimensions of the questionnaire. The internal consistency was estimated by Cronbach’s coefficient.

Results
The response rate was 98/110 (89%). The determinants of inequities in the access to KTWL not perceived by the nephrology trainees were “female sex”, “income level” and “the centre provision to adapt the information to all of the patients” (18,3%, 36,7, 47% respectively). “Age”, “being born abroad”, “place of living”, “education level”, “transplant centre”, “the health care provider” were determinants of disparities perceived by most of the trainees (85,7%, 75,5%, 82,6%, 78,6%, 73,5% et 78,5% respectively). Items related to the transplant centre were positively correlated, as well as “being born abroad”, “education level” and “income level”. The Cronbach’s coefficient was 0,60.

Conclusion
Social inequalities in health are partially perceived by nephrology trainees. A teaching session could raise nephrologists’ awareness of this issue and could help reduce the impact of these disparities on the course of ESKD (end-stage kidney disease) patients.
SARS-CoV-2 antibody seroprevalence in Togo: a national cross-sectional household survey, May–June, 2021
Authors: Konu Yao Rodion , Condé Siaka , Gbeasor-Komlanvi Fifonsi , Sadio Arnold Junior , Tchankoni Martin Kouame , Anani Joel , Bitty-Anderson Alexandra , Mirindi Bisimwa Ruhana , Diallo Fatoumata Binta Tidiane , MIjiyawa Moustapha , Dagnra Anoumou Claver , Ekouevi Didier Koumavi 
Published: December 2022

Abstract
Background
The extent of SARS-CoV-2 circulation in African countries is still unclear. Seroprevalence studies are a common approach to epidemiological surveillance, allowing estimation of the proportion of people who have had contact with the virus. We aimed at estimating the seroprevalence of anti-SARS-CoV-2 antibodies and associated factors in Togo at the national level in 2021 according to age groups, gender, and place of residence (rural or urban).

Methods
From 15 May to 31 June 2021, we conducted a nationally representative cross-sectional serological survey in 12 health districts (two districts per health region) in the > 5 years old population in Togo. The Wantai SARS-CoV-2 total antibody assay S protein receptor-binding domain-based ELISA (Wantai Biological Pharmacy Enterprise Co.; Beijing, China) was used to determine the presence of SARS-CoV-2 total antibodies in plasma. Crude and weighted seroprevalences (weighted by age, sex and place of residence) were calculated and then weighted seroprevalences were adjusted according to sensitivity and specificity of the ELISA test. Finally, logistic regression models were performed in order to describe factors associated.

Results
Of the 7593 participants, the overall weighted and adjusted seroprevalence of total anti-SARS-CoV-2 antibodies was 65.5% (95%CI: 64.3 -66.6). Urban dwellers, young adults (30–49 years) and vaccinated individuals were significantly more likely to be seropositive.

Conclusion
The high seroprevalence we observed is consistent with observations across West Africa. Quantification of the level of immunity in the population is needed to know how close we are to herd immunity. In the meantime, vaccination against the COVID-19 remains necessary.
Whole ureter replacement with Yang–Monti principle: successful treatment of challenging conditions
Authors: Lin Chyau-Wen , Chen Jen-Chieh , Huang William J. , Lin Tzu-Ping 
Published: December 2022

Abstract
Background
No clear consensus has been reached on the reconstruction of long-segment or total ureter discontinuation. Here we present our experience using the Yang–Monti technique in total ureter reconstruction.

Methods
This study was a single-center retrospective study of patients who underwent Yang–Monti ileal whole ureter reconstruction (from the ureteropelvic junction[UPJ] to the ureterovesical junction). Data were collected on patients’ baseline characteristics, stricture etiology, the time interval between insult and surgical repair, pre/postoperative serum creatinine, estimated glomerular filtration rate (eGFR), split renal function, complications during admission and follow-ups, and the indwelling durations of JJ tubes and nephrostomy tubes, if presented.

Results
Seven patients underwent Yang–Monti ileal ureter reconstruction in 2010–2020 at our hospital. One of the patients underwent single-session bilateral ureter repair. Radiation therapy-related fibrosis and degloving injury were the most common etiologies for ureter injury. The median interval between ureter insult and operation was 8 months. The median follow-up was 36.7 months. The average operation time was 11.4 h, and the average blood loss was 273 ml. Postoperatively, no significant differences were found in serum creatinine, eGFR, or split renal function. As for postoperative complications, two patients experienced ileus and were treated conservatively. One patient had UPJ stenosis, which resolved after re-anastomosis surgery 11 months later. Metabolic acidosis or electrolyte imbalance was not reported.

Conclusion
We found that ileal replacement of total ureteral loss using the Yang–Monti principle is effective and durable. This is the largest cohort study conducted with more than 2 years of follow-up.
Online learning for continuous professional development of healthcare workers: an exploratory study on perceptions of healthcare managers in Rwanda
Authors: Byungura Jean Claude , Nyiringango Gerard , Fors Uno , Forsberg Elenita , Tumusiime David K. 
Published: December 2022

AbstractBackgroundDue to outbreaks of new diseases, development of new treatment regimens and requirement of evidence-based practice, health professionals continuously need to acquire updated knowledge and skills. This type of learning is known as continuous professional development (CPD). The scarcity of skilled health care professionals in developing countries further increases the need of CPD. Traditionally, face-to-face approach has been preferred as the best mode of CPD. Currently, health professionals have started using online learning for continued professional growth in different parts of the world. Consequently, research studies from different settings are needed to investigate the significance of online learning for CPD. Therefore, the aim of this study was to investigate the importance and challenges attributed to online learning by the managers of health facilities in Rwanda. Moreover, the study aimed to identify the status of infrastructures that could support online CPD, and assess the perceived enhancement and barriers for implementing online CPD.MethodsThe study used a convergence mixed-method design to explore quantitative and qualitative data from 42 health care managers. A descriptive analysis was conducted on quantitative data while qualitative data were thematically analyzed to inform the study findings.ResultsIt was revealed that 90.5% of managers, who participated in this study, consider positively the use of online learning for CPD. All managers acknowledged that online learning could improve the knowledge and practice skills of health care professionals. Nevertheless, 52.4% of health institutions who participated in this study currently do not use online for CPD. Participants demonstrated challenges such as the lack of access to digital devices, poor or lack of internet access, poor online learning design, low digital skills of healthcare professionals, lack of time dedicated to online learning, and heavy workload of staff.ConclusionThese findings indicate then that the managers of health institutions value the importance of online learning for CPD of health professionals. However, online learning should be designed to fit for the purpose and with a high consideration on needs and preferences of healthcare professionals and thereby improve information communication technology infrastructure that support online learning for CPD. Traditional in-person CPD courses are still recommended in health institutions with shortage in resources and technology. Also, the barriers of online CPD delivery such as low internet connectivity and lack of access to digital devices by healthcare professionals need to be co-creatively addressed through the pyramidal structure of the Rwandan health system.
Classification of medicines and materials in hospital inventory management: a multi-criteria analysis
Authors: de Assis Amanda G. , dos Santos Ana Flávia A. , dos Santos Lucas A. , da Costa João F. , Cabral Marco Antonio L. , de Souza Ricardo P. 
Published: December 2022

Abstract
Background
In the hospital environment, to achieve an optimum level of operations and service, it is necessary to develop adequate inventory management system. Stocks can be managed, amongst other ways, through inputs classification, which is generally carried out based on a single criterion, such as monetary value, demand or criticality, which does not fully address the complexity of a hospital’s inventory management system. Thus, the present study proposes a multi-criteria decision support model to help classify the stock of medicines and materials, enabling a more effective inventory management system for hospitals.

Methods
Methodologically, the study followed 3 stages: (1) preliminary phase; (2) modelling and choice phase; and (3) finalization phase. Each stage had a set of specific steps that were followed. The first stage identified the actors of the process, objectives, criteria and alternatives, establishing 5 criteria and 48 alternatives; the second stage was the choice and execution of the multi-criteria decision method to solve the problem. It was decided to use the Flexible and Interactive Tradeoff method for the sorting problematic. Finally, in the third stage, the sensitivity analysis for the developed model and the validation of the results with decision makers were carried out. In the study, 48 medicines and materials were included to validate the proposed model; however, the model could be used for more items.

Results
From the total of 48 medicines and hospital medical materials selected for the study, the classification of 34 of these alternatives to a single class was obtained through modelling and the other 14 alternatives were destined to two possible classes; moreover, the sensitivity analysis performed showed robust results. The items classified in class W should receive special attention by the stock manager; therefore, they should be monitored weekly. Items classified in class B should be monitored biweekly and finally, items classified in class M, should be monitored monthly.

Conclusions
The classification of medicines and materials developed according to the inventory demands allowed more efficient purchasing decisions, optimizing the stock of materials and medicines at the hospital while optimizing the inventory manager’s activities, saving time. Consequently, the proposed model can support the development of other multicriteria models in different hospital scenarios.
The anterior gradient homologue 2 (AGR2) co-localises with the glucose-regulated protein 78 (GRP78) in cancer stem cells, and is critical for the survival and drug resistance of recurrent glioblastoma: in situ and in vitro analyses
Authors: Hussein Deema , Alsereihi Reem , Salwati Abdulla Ahmed A. , Algehani Rinad , Alhowity Alazouf , Al-Hejin Ahmed M. , Schulten Hans-Juergen , Baeesa Saleh , Bangash Mohammed , Alghamdi Fahad , Cross Richard , Al Zughaibi Torki , Saka Mohamad , Chaudhary Adeel , Abuzenadah Adel 
Published: December 2022

Abstract
Background
Glioblastomas (GBs) are characterised as one of the most aggressive primary central nervous system tumours (CNSTs). Single-cell sequencing analysis identified the presence of a highly heterogeneous population of cancer stem cells (CSCs). The proteins anterior gradient homologue 2 (AGR2) and glucose-regulated protein 78 (GRP78) are known to play critical roles in regulating unfolded protein response (UPR) machinery. The UPR machinery influences cell survival, migration, invasion and drug resistance. Hence, we investigated the role of AGR2 in drug-resistant recurrent glioblastoma cells.

Methods
Immunofluorescence, biological assessments and whole exome sequencing analyses were completed under in situ and in vitro conditions. Cells were treated with CNSTs clinical/preclinical drugs taxol, cisplatin, irinotecan, MCK8866, etoposide, and temozolomide, then resistant cells were analysed for the expression of AGR2. AGR2 was repressed using single and double siRNA transfections and combined with either temozolomide or irinotecan.

Results
Genomic and biological characterisations of the AGR2-expressed Jed66_GB and Jed41_GB recurrent glioblastoma tissues and cell lines showed features consistent with glioblastoma. Immunofluorescence data indicated that AGR2 co-localised with the UPR marker GRP78 in both the tissue and their corresponding primary cell lines. AGR2 and GRP78 were highly expressed in glioblastoma CSCs. Following treatment with the aforementioned drugs, all drug-surviving cells showed high expression of AGR2. Prolonged siRNA repression of a particular region in AGR2 exon 2 reduced AGR2 protein expression and led to lower cell densities in both cell lines. Co-treatments using AGR2 exon 2B siRNA in conjunction with temozolomide or irinotecan had partially synergistic effects. The slight reduction of AGR2 expression increased nuclear Caspase-3 activation in both cell lines and caused multinucleation in the Jed66_GB cell line.

Conclusions
AGR2 is highly expressed in UPR-active CSCs and drug-resistant GB cells, and its repression leads to apoptosis, via multiple pathways.