bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Association Between Gait Speed and Sleep Problems Among Chinese Adults Aged 50 and Greater
Authors: Wang Lili , Zou Benxu 
Published: April 2022

ObjectiveThe relationship between sleep problems and walking speed has been less explored. The present cross-sectional study was to investigate the association between sleep quality and sleep duration and gait speed in Chinese adults.MethodsA total of 13,367 participants were recruited in this cross-sectional study, retrieving the data from the Global Aging and Adult Health Survey (SAGE). Gait speed was measured using the 4-m walking test. Age, sex, education years, smoking status, alcohol consumption, physical activity, chronic disease, sleep problems were self-reported by participants. To explore the association between sleep problems and gait speed, multivariate linear regression models were employed.ResultsIn the adjusted model, poor sleep quality and longer sleep duration were significantly associated with slower normal walking speed in Chinese adults (p &lt; 0.001). Moreover, there were negatively significant associations between normal gait speed and sleep quality in male adults (p &lt; 0.01).ConclusionThe findings suggest that slower normal walking speed was associated with poor sleep quality and longer sleep duration (&gt;8 h) in Chinese male adults.
A Radiomics Nomogram for Distinguishing Benign From Malignant Round-Like Breast Tumors
Authors: Wang Lanyun , Ding Yi , Yang Wenjun , Wang Hao , Shen Jinjiang , Liu Weiyan , Xu Jingjing , Wei Ran , Hu Wenjuan , Ge Yaqiong , Zhang Bei , Song Bin 
Published: April 2022

ObjectiveThe objective of this study is to develop a radiomics nomogram for the presurgical distinction of benign and malignant round-like solid tumors.MethodsThis retrospective trial enrolled patients with round-like tumors who had received preoperative digital mammography (DM) no sooner than 20 days prior to surgery. Breast tumors were segmented manually on DM images in order to extract radiomic features. Four machine learning classification models were constructed, and their corresponding areas under the receiver operating characteristic (ROC) curves (AUCs) for differential tumor diagnosis were calculated. The optimal classifier was then selected for the validation set. After this, predictive machine learning models that employed radiomic features and/or patient features were applied for tumor assessment. The models’ AUC, accuracy, negative (NPV) and positive (PPV) predictive values, sensitivity, and specificity were then derived.ResultsIn total 129 cases with benign and malignant tumors confirmed by pathological analysis were enrolled in the study, including 91 and 38 in the training and test sets, respectively. The DM images yielded 1,370 features per patient. For the machine learning models, the Least Absolute Shrinkage and Selection Operator for Gradient Boosting Classifier turned out to be the optimal classifier (AUC=0.87, 95% CI 0.76-0.99), and ROC curves for the radiomics nomogram and the DM-only model were statistically different (P&lt;0.001). The radiomics nomogram achieved an AUC of 0.90 (95% CI 0.80-1.00) in the test cohort and was statistically higher than the DM-based model (AUC=0.67, 95% CI 0.51-0.84). The radiomics nomogram was highly efficient in detecting malignancy, with accuracy, sensitivity, specificity, PPV, and NPV in the validation set of 0.868, 0.950, 0.778, 0.826, and 0.933, respectively.ConclusionsThis radiomics nomogram that combines radiomics signatures and clinical characteristics represents a noninvasive, cost-efficient presurgical prediction technique.
A Phase I Trial to Determine the Safety and Tolerability of Autophagy Inhibition Using Chloroquine or Hydroxychloroquine in Combination With Carboplatin and Gemcitabine in Patients With Advanced Solid Tumors
Authors: Karim Nagla Abdel , Ullah Asad , Ahmad Imran , Bahassi Elmustapha , Olowokure Olugbenga , Khaled Ahmed , Davis Harold , Morris John C. 
Published: April 2022

BackgroundAutophagy is a catabolic process that is triggered in cells during periods of metabolic or hypoxic stress, which enables their survival during this challenge. Autophagy may also impart survival advantage to tumors cells undergoing attack from chemotherapy or radiation. Inhibition of early-stage autophagy can rescue cancer cells, while inhibition of late-stage autophagy enhances cell death due to accumulation of damaged organelles. The antiparasitic drugs chloroquine (CQ) and hydroxychloroquine (HCQ) inhibit late-phase autophagy. We assessed the safety, tolerability, and efficacy of combining CQ or HCQ with carboplatin and gemcitabine (CG) in patients with refractory advanced solid tumors.MethodsThis single institution phase 1 dose-escalation study was designed to evaluate the maximum tolerated dose (MTD) of CQ/HCQ, in combination with CG, in patients with advanced solid tumors. Secondary objectives were to determine overall response rate (ORR), progression-free survival (PFS), and overall survival (OS). A starting dose of CQ or HCQ 50 mg was used in conjunction with standard starting doses of CG and increased in increments of 50 mg in each patient dose cohort. Grade 3 or greater toxicity that is treatment related, and was not self-limited, or not controlled in &lt;7 days was considered dose-limiting toxicity (DLT).ResultsTwenty-two patients were enrolled. All patients had at least one prior treatment, and 11 of them had 3 prior regimens. CQ/HCQ 100 mg daily was found to be the MTD in combination with CG with thrombocytopenia and/or neutropenia dose limiting. The median overall (OS) was 11 months, and the 1- and 3-year OS were 30% and 7%, respectively. Median progression-free survival was 5 months, and the 6-, 12-, and 18-month progression-free survivals were 48%, 21%, and 14%, respectively.ConclusionThe MTD identified for CQ/HCQ was lower than previously reported with concomitant use of chemotherapeutic regimes likely due to the myelosuppressive nature of CG in previously treated patients.
Circadian Rhythm of Salivary Cortisol in Obese Adolescents With and Without Apnea: A Pilot Study
Authors: Berdina Olga , Madaeva Irina , Bolshakova Svetlana , Sholokhov Leonid , Rychkova Liubov 
Published: April 2022

Background and ObjectiveObstructive sleep apnea (OSA) and obesity are associated with stress system activation involving the hypothalamic-pituitary-adrenal (HPA) axis in adults, but these effects in childhood and adolescence remain unclear. We examined diurnal salivary cortisol as a measurement of the HPA axis function in obese adolescents with and without OSA and the relationships between cortisol levels, body weight, and parameters of polysomnography (PSG).MethodsAfter PSG, saliva samples were collected from obese participants (with and without OSA) and lean participants four times over a 24-h period, namely, at 7:00 h (m-sCort), 13:00 h (a-sCort), 19:00 h (e-sCort), and 23:00 h (n-sCort). An enzyme-linked immunosorbent assay (ELISA) was used to measure salivary cortisol levels. The mean values of cortisol levels and fixed-time point diurnal cortisol slope (DCS) were calculated and compared among the three study groups. Correlations between parameters were analyzed using Spearman's correlation coefficients.ResultsObese OSA participants had significantly higher e-sCort and n-sCort levels than both obese non-OSA participants and lean controls. However, m-sCort and a-sCort in these patients had a pronounced upward trend. M-sCort was significantly correlated with both the lowest oxygen saturation (SpO2) and time with SpO2&lt;90%. Moreover, in the obese OSA group, DCS was significantly flatter than in the other two groups. The a-sCort in obese non-OSA participants was significantly higher than that in the lean control group and, surprisingly, was positively correlated with the apnea/hypopnea index. Additionally, m-sCort was related to body weight.ConclusionThis study provided further evidence for alterations in diurnal cortisol production in obese adolescents, which may indicate a chronically stressed HPA axis. However, there were significant differences in salivary cortisol parameters between participants with and without OSA. Furthermore, patients with OSA had more associations between time-point cortisol levels and OSA-related indices. Nonetheless, this research is a pilot study, and further investigations are necessary.
Caloric Vestibular Stimulation Induced Enhancement of Behavior and Neurotrophic Factors in Chronic Mild Stress Induced Rats
Authors: George Sherly Deborah , Archana Rajagopalan , Parasuraman Subramani 
Published: April 2022

Background: Caloric Vestibular Stimulation (CVS) is a non-invasive technique for stimulating the vestibular system. The vestibular system maintains equilibrium and acts as a moderator of mood, emotional control, and stress levels. Stress is a disruption of psychological, behavioral, and physiological homeostasis that affects people of all ages in today’s world. Thus, modest therapeutic procedures like vestibular stimulation can be practiced to effectively reduce stress. Hence, the purpose of the study was to determine the effect of vestibular stimulation on improving behavioral alterations and neurotrophic factors in rats exposed to Chronic Mild Stress (CMS).Methodology: The study employed 24 healthy male Sprague Dawley rats divided into four groups (n = 6). CMS was induced for 28 days with a variety of stimuli. Bilateral CVS with hot water (temperature ≈40°C) was started on Day 14 of CMS and continued for 15 days. On days 1, 15, and 28, locomotor activity (LA), wire grip strength (WGS), fall off time (FT), and immobilization time (IT) were measured, and the data were analyzed statistically. Additionally, neurotrophic factors such as Brain Derived Neurotrophic Factor (BDNF) and Glial cell line-Derived Neurotrophic Factor (GDNF) were observed in rats’ hippocampus.Results: On days 15 and 28, the CMS-induced group showed a significant reduction in LA, WGS, FT and IT in comparison to the control group. On day 28, the CVS-induced group demonstrated a significant increase in WGS, FT and IT when compared to the CMS group. Immunohistochemical analysis revealed that animals subjected to CMS had decreased BDNF and GDNF expression compared to the control group, indicating neuronal dysfunction in the hippocampus in response to stress. However, therapy with CVS increased BDNF and GDNF expression, thereby regenerating damaged hippocampus nerve terminals.Conclusion: The findings of the current study revealed that CVS is a safe and simple neuroprotective treatment against stress and a promising non-invasive technique for overcoming the motor symptoms associated with it. The findings may pave the way for future research and therapeutic applications of CVS for stress management.
Micropore Structural Characteristics and Influence Factors of Triassic Shale Gas Adsorption in the Ordos Basin
Authors: Yang Fu , Ma Dongmin , Duan Zhonghui , Ren Dazhong , Tian Tao , Fu Deliang 
Published: April 2022

Continental shale is investigated for potential shale gas reservoirs in the Tongchuan area, southern Ordos Basin. The kerogen macerals of Upper Triassic Chang 7 Shale are vitrinite 28–43%, exinite 4–7%, and inertinite 52–69%, and Ro is 0.85–0.88%, and the kerogen type is II. The total organic carbon (TOC) content is 9.75–29.92%, free hydrocarbon (S1) is 3.21–12.14%, pyrolysis hydrocarbon (S2) is 41.86–165.39%, and maximum pyrolysis temperature (Tmax) is 439–445°C. The mineral composition is mainly dominated by quartz 3.94–43.27%, followed by feldspar 9.65–30.07% and clay minerals 13.46–59%. Illonite/smectite (I/S) is the main clay mineral, accounting for 47–69%. The liquid nitrogen adsorption curve showed that the pore types were tubular and plate-like. The pores are mainly microporous (&lt;2 nm) and mesoporous (2–50 nm) in size. Isothermal adsorption results show that Langmuir volume (VL) is 2.06–5.57 cm3 g−1, Langmuir pressure (PL) is 2.16–3.28 MPa, and shale adsorption capacity is small and easy to desorb. A quartz content less than 25% is negatively correlated with the specific surface area (SSA); otherwise, it is positively correlated. A clay mineral content less than 45% is negatively correlated with SSA; otherwise, it is positively correlated. The relationship between the carbonate content and pore structure is not obvious. Pyrite content less than 2% is positively correlated with SSA; otherwise, it is negatively correlated. The SSA is positively correlated with TOC, inertinite, and exinite and negatively correlated with vitrinite. The adsorbed gas content is positively correlated with the TOC content, SSA, inertinite content, and exinite content and negatively correlated with vitrinite.
Technostress Creators and Outcomes Among Egyptian Medical Staff and Students: A Multicenter Cross-Sectional Study of Remote Working Environment During COVID-19 Pandemic
Authors: Kasemy Zeinab A. , Sharif Asmaa F. , Barakat Ayah M. , Abdelmohsen Shaimaa R. , Hassan Nancy H. , Hegazy Nagwa N. , Sharfeldin Asmaa Y. , El-Ma'doul Angham S. , Alsawy Kholoud Adel , Abo Shereda Hanaa M. , Abdelwanees Sally 
Published: April 2022

ObjectivesThis study aimed to investigate the technostress creators and outcomes among University medical and nursing faculties and students as direct effects of the remote working environment during the COVID-19 pandemic.BackgroundDue to the current COVID-19 pandemic, shifting to virtual learning that implies utilizing the information and communication technologies (ICTs) is urgent. Technostress is a problem commonly arising in the virtual working environments and it occurs due to misfitting and maladaptation between the individual and the changeable requirements of ICTs.MethodsA multicenter cross-sectional study was conducted in medicine and nursing colleges of 5 Egyptian universities and included both staff members and students. The data were collected through personal interviews, from January to May 2021. All the participants took a four-part questionnaire that asked about personal and demographic data, technostress creators, job or study, and technical characteristics and technostress outcomes (burnout, strain, and work engagement). Furthermore, participants' blood cortisol and co-enzyme Q10 (CoQ10) levels were tested in a random sample of the students and medical staff.ResultsA total of 3,582 respondents participated in the study, 1,056 staff members and 2,526 students where 33.3% of the staff members and 7.6% of students reported high technostress. Among staff members, total technostress score significantly predicted Cortisol level (β = 2.98, CI 95%: 0.13-5.83), CoQ10(β = −6.54, CI 95%: [(−8.52)–(−4.56), strain (β = 1.20, CI 95%: 0.93–1.47), burnout (β = 0.73, CI 95%: 0.48–0.97) and engagement (β = −0.44, CI 95%: [(−0.77)–(−0.11)]) whereas among students, total technostress score significantly predicted cortisol level (β = 6.64, CI 95%: 2.78–10.49), strain (β = 1.25, CI 95%: 0.72–1.77), and burnout (β = 0.70, CI 95%: 0.37–1.04). Among staff members and students, technology characteristics were significantly positive predictors to technostress while job characteristics were significantly negative predictors to technostress.ConclusionThe Egyptian medical staff members and students reported moderate-to-high technostress which was associated with high burnout, strain, and cortisol level; moreover, high technostress was associated with low-work engagement and low CoQ10 enzyme. This study highlighted the need to establish psychological support programs for staff members and students during the COVID-19 pandemic.
Epidemiology, Management, Quality of Testing and Cost of Syphilis in Germany: A Retrospective Model Analysis
Authors: Šmit Renata , Wojtalewicz Nathalie , Vierbaum Laura , Nourbakhsh Farzin , Schellenberg Ingo , Hunfeld Klaus-Peter , Lohr Benedikt 
Published: April 2022

BackgroundA multi-dimensional model can be a useful tool for estimating the general impact of disease on the different sectors of the healthcare system. We chose the sexually transmitted disease syphilis for our model due to the good quality of reported data in Germany.MethodsThe model included gender- and age-stratified incident cases of syphilis (in- and outpatients) provided by a German statutory health insurance company, as well as seroprevalence data on syphilis in first-time blood donors. Age standardized rates were calculated based on the standard German population. The test quality was assessed by extrapolating the number of false-positive and false-negative results based on data from Europe-wide external quality assessment (EQA) schemes. The model analysis was validated with the reported cases and diagnosis-related group (DRG)-statistics from 2010 to 2012. The annual direct and indirect economic burden was estimated based on the outcomes of our model.ResultsThe standardized results were slightly higher than the results reported between 2010 and 2012. This could be due to an underassessment of cases in Germany or due to limitations of the dataset. The number of estimated inpatients was predicted with an accuracy of 89.8 %. Results from EQA schemes indicated an average sensitivity of 92.8 % and an average specificity of 99.9 % for the recommended sequential testing for syphilis. Based on our model, we estimated a total average minimal annual burden of €20,292,110 for syphilis on the German healthcare system between 2010 and 2012.ConclusionsThe linking of claims data, results from EQA schemes, and blood donor surveillance can be a useful tool for assessing the burden of disease on the healthcare system. It can help raise awareness in populations potentially at risk for infectious diseases, demonstrate the need to educate potential risk groups, and may help with predictive cost calculations and planning.
Epidemiology of Campus Football Injuries in Ningxia, China: Occurrence, Causes, and Management
Authors: Liu Hengyuan , Huang Sen , Bu Te , Jiang Wei , Fu Tao , Zhao Liliang 
Published: April 2022

ObjectiveBy 2022, the Chinese government intends to have more than 30 million primary-, middle- and high-school children and adolescents regularly participate in campus football. In contrast, epidemiology of campus football injuries is completely missing. The goal of this descriptive epidemiological study was to determine the current state of campus football injuries and then to recommend appropriate prevention and management strategies.MethodsThis retrospective epidemiological study conducted a survey of students, physical education and football teachers in primary, middle and high schools in the Ningxia Autonomous Region to determine the campus football injuries that occurred throughout the preceding 12-month period. The survey comprised questions on demographic characteristics, the occurrence, causes, and management of campus football injuries.ResultsA total of 1,285 students and 200 teachers returned eligible surveys. 25.7% of students had encountered injury accidents while participating in campus football activities. 31.3% of high school students, 23.8% of middle school students, and 19.2% of primary school students have sustained injuries. Football competition, accounting for 45.4% of all injuries, is the leading cause of injury. Football class teaching, which accounted for 3.0% of all injuries, had the lowest injury rate of any campus football activity. Students and teachers reported that a lack of safety awareness and injury prevention education were the primary causes of injuries. Only 18.7% and 11.4% of students are familiar with first aid basics and cardiopulmonary resuscitation, respectively. 10.6% and 7.5% of students lack any first aid basics and skills, respectively. 43.9% of students lack insurance coverage for athletic injuries. 62.5% and 38.5% of teachers reported that schools lack first aid training and an emergency plan for injuries, respectively.ConclusionStudents in Ningxia's campus football programs have a high injury risk. Injury prevention and management strategies lag significantly behind the mainstream nationwide promotion of campus football in China.
Investigating the Association Between rs2439302 Polymorphism and Thyroid Cancer: A Systematic Review and Meta-Analysis
Authors: Guo Yawen , Zhang Wanchen , He Ru , Zheng Chuanming , Liu Xuefeng , Ge Minghua , Xu Jiajie 
Published: April 2022

Background and AimsThe extent of surgical treatment for most patients with thyroid cancer (TC) remains controversial and varies widely. As an emerging technology, genetic testing facilitates tumor typing and disease progression monitoring and is expected to influence the choice of surgical approach for patients with TC. Recent genome-wide association studies (GWASs) have identified that rs2439302 (8p12) variants near NRG1 are associated with TC risk; however, the results remain inconclusive. Therefore, we aimed to perform a meta-analysis to clarify the association between rs2439302 variants and the risk of TC.MethodsWe search eligible studies using Pubmed, Scopus, Embase, Web of Science, and Cochrane library by July 2021. We analyzed the pooled OR and the corresponding 95% confidence interval (95% CI) of the included studies and then conducted subgroup analysis according to the ethnicity. We also performed a sensitivity analysis to validate the findings.ResultsThis meta-analysis finally included 7 studies involving 6,090 cases and 14,461 controls. Results showed that the G allele of the rs2439302 polymorphism was a significant risk factor of TC in Allele (G/C), Dominant (GG+GC/CC), Recessive (GG/GC+CC), Homozygote (GG/CC), Heterozygote (GC/CC) models, with pooled ORs of 1.38 (95%CI, 1.31–1.45), 1.51 (95%CI, 1.41–1.62), 1.52 (95%CI, 1.40–1.66), 1.90 (95%CI, 1.71–2.10), and 1.40 (95%CI, 1.30–1.51), respectively. The subgroup analysis showed that rs2439302 polymorphism was associated with higher TC risk in different ethnicities with OR &gt; 1. The sensitivity analysis exhibited that the results were stable by omitting any included studies.ConclusionsThe study revealed that rs2439302 variants were associated with higher TC risk and may have a major influence on the choice of operative approach for patients with TC.
Understanding High-Energy (UV and X-ray) Emission from AGB Stars—Episodic Accretion in Binary Systems
Authors: Sahai Raghvendra , Sanz-Forcada Jorge , Guerrero Martin , Ortiz Roberto , Contreras Carmen Sanchez 
Published: April 2022

X-ray surveys of UV-emitting AGB stars show that ∼40% of objects with FUV emission and GALEX FUV/NUV flux ratio Rfuv/nuv ∼> 0.2 (fuvAGB stars) have variable X-ray emission characterized by very high temperatures (Tx∼35–160 MK) and luminosities (Lx∼0.002–0.2 L⊙), indicating the presence of accretion associated with a close binary companion. However, the UV-emitting AGB star population is dominated by objects with Rfuv/nuv ≲ 0.06 (nuvAGB stars), and we do not know whether the UV emission from these is intrinsic to the AGB star or extrinsic (i.e., due to binarity). In order to help distinguish between intrinsic and extrinsic models of the puzzling high-energy emission of cool AGB stars, we report results from two studies—(i) XMM-Newton X-observations of two nuvAGB stars, and (ii) simple chromosphere modeling. In study (i), we detect the one which has the lower FUV/NUV ratio, with a total Lx = 0.00027 L⊙, and a spectrum best fitted with a dominant component at Tx∼10 MK, most likely coronal emission from a main-sequence companion. Therefore, a significant fraction of nuvAGB stars may also be binaries with active, but weak accretion. Study (ii) shows that chromospheres with temperatures of ∼10,000 K can produce Rfuv/nuv≲0.06; higher ratios require hotter gas, implying active accretion.