bluuebunny/crossref_metadata_2025_split huggingface dataset:
Description of day case costs and tariffs of cataract surgery from a sample of nine European countries
Authors: Olry de Labry Lima Antonio , Špacírová Zuzana , Espín Jaime 
Published: March 2022

Abstract
Background
The lack of transparency in the methodology of unit cost estimation and the usage of confidential or undisclosed information prevents cost comparisons and makes the transferability of the results across countries difficult. The objective of this article is to compare the methodologies used in the estimation of the cost of a day case cataract extirpation that are described in the official and publicly available sources and to study how these translate into different unit cost estimates.

Methods
A literature review was conducted to identify the main sources of unit costs of cataract extirpation. A semi-structured questionnaire to obtain information on national costing methodologies was developed and sent to consortium partners in nine European countries. Additionally, publicly available sources of unit cost of cataract surgery in those countries included in the European Healthcare and Social Cost Database (EU HCSCD) were analysed.

Results
The findings showed a considerable diversity across countries on unit costs varying from 432.5€ in Poland (minor degree of severity) to 3411.96€ in Portugal (major degree of severity). In addition, differences were found in the year of cost publication and on the level of detail of different types of cataract surgery. The unit of activity were Diagnosis-Related Groups in all countries except Slovenia. All unit costs include direct costs and variable overheads (except Germany where nursing costs are financed separately). Differences were identified in the type of fixed overheads included in unit costs. Methodological documents explaining the identification, measurement and evaluation of resources included in the unit costs, as well as use of appropriate cost drivers are publicly available only in England, Portugal and Sweden.

Conclusions
We can conclude that while unit costs of cataract extirpation are publicly available, the information on methodological aspects is scarce. This appears to pose a significant problem for cross-country comparisons of costs and transferability of results from one country to another.
A comparison of assisted human reproduction (AHR) regulation in Ireland with other developed countries
Authors: McDermott Olivia , Ronan Lauraine , Butler Mary 
Published: March 2022

Abstract
Background
Assisted human reproduction (AHR) treatment is not regulated in Ireland although it has been practiced since 1987. Thus, Ireland is one of the only European countries without any form of AHR specific regulation. This literature review research aimed to provide a comprehensive and comparative overview of AHR regulation and any associated literature to compare Ireland and other developed countries.

Methods
Systematic searches were conducted in several databases (Google Scholar, Web of Science, MEDLINE, SCOPUS and official government websites) utilising search strings in relation to AHR legislation for each country under review. A final review of 155 research articles were eligible after screening related to legislation in each country for inclusion. The findings were synthesised and summarised by legislation in each country.

Results
Different countries offer different levels of ART and IVF provision and services in terms of the type of services allowed, financial support, age, sex and eligibility of recipients. The UK’s oversight legislation combined with the Netherlands financial legislation section provides as being most effective hybrid model of best practice for adoption in Ireland.

Conclusions
This research concluded that there is no AHR legislation in any country that can be described as all-encompassing in terms of the services allowed, financial support and age of recipients. It was concluded that significant changes need to be made to the Irish draft legislation which is in limbo with the government for the last 3 years in order to meet Irish patient needs.
Effects of host state and body condition on parasite infestation of bent-wing bats
Authors: Tai Yik Ling , Lee Ya-Fu , Kuo Yen-Min , Kuo Yu-Jen 
Published: March 2022

Abstract
Background
Ectoparasites inhabit the body surface or outgrowths of hosts and are usually detrimental to host health and wellbeing. Hosts, however, vary in quality and may lead ectoparasites to aggregate on preferred hosts, resulting in a heterogeneous distribution of parasite load among hosts.

Results
We set out to examine the effects of host individual state and body condition on the parasite load of multiple nycteribiid and streblid bat flies and Spinturnix wing mites on eastern bent-wing bats Miniopterus fuliginosus in a tropical forest in southern Taiwan. We detected a high parasite prevalence of 98.9% among the sampled bats, with nearly 75% of the bats harboring three or more species of parasites. The parasite abundance was higher in the wet season from mid spring to early fall, coinciding with the breeding period of female bats, than in the dry winter season. In both seasonal periods, the overall parasite abundance of adult females was higher than that of adult males. Among the bats, reproductive females, particularly lactating females, exhibited a higher body condition and were generally most infested. The Penicillidia jenynsii and Nycteribia parvula bat flies showed a consistent female-biased infection pattern. The N. allotopa and Ascodipteron speiserianum flies, however, showed a tendency towards bats of a moderate to higher body condition, particularly reproductive females and adult males.

Conclusions
We found an overall positive correlation between parasite abundance and reproductive state and body condition of the host and female-biased parasitism for M. fuliginosus bats. However, the effects of body condition and female-biased infestation appear to be parasite species specific, and suggest that the mobility, life history, and potential inter-species interactions of the parasites may all play important roles.
Disseminated cryptococcosis with varicella-zoster virus coinfection of idiopathic CD4 + T lymphocytopenia: a case report and literature review
Authors: Fang Li , Zhang Junli , Lv Fangfang 
Published: March 2022

Abstract
Background
Idiopathic CD4 + T lymphocytopenia (ICL) is a rare immunodeficiency syndrome, unaccompanied by various opportunistic infections. Cryptococcus and varicella-zoster viruse are the most common opportunistic infections.

Method
We described a case of disseminated cryptococcosis with varicella-zoster virus coinfection in a patient with ICL and reviewed all published reports. A total of 26 cases with cryptococcal meningitis in ICL were enrolled.

Discussion
ICL remains poorly understood to clinicians. Patients with cryptococcal meningitis in ICL mostly suffered with headache and fever in a subacute or chronic period, while some patients might have atypical manifestations which makes a difficulty for early diagnosis. Some characteristics of cerebrospinal fluid can help to predict the prognosis of the disease. Cryptococcosis with varicella-zoster virus coinfection is rare but serious.

Conclusion
We recommed CD4 + T cells should be assessed in patients with unusual or recurrent infections. As the underlying pathophysiology is poorly understood, there is no standard therapy for ICL. Increased awareness of the disease and early prevention for CD4 reduction are needed.
Association between MRI-based visceral adipose tissues and metabolic abnormality in a Chinese population: a cross-sectional study
Authors: Zhang Xuhui , Chen Qiannan , Sun Xiaohui , Wu Qiong , Cheng Zongxue , Lv Qingguo , Zhou Jiaqiang , Zhu Yimin 
Published: March 2022

AbstractBackgroundPrevious studies have indicated that the deposition of abdominal adipose tissue was associated with the abnormalities of cardiometabolic components. The aim of this study was to examine the relationship of visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT) and metabolic status and the different effects between males and females.MethodsThe 1388 eligible subjects were recruited in a baseline survey of metabolic syndrome in China, from two communities in Hangzhou and Chengdu. Areas of abdominal VAT and SAT were measured by magnetic resonance imaging (MRI). Serum total triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) were measured by an automated biochemical analyzer. Metabolic abnormality (MA) was defined more than one abnormal metabolic components, which was based on the definition of metabolic syndrome (IDF 2005). Multiple logistic regression was used to calculate the odds ratios (ORs) and 95% confidence intervals (95%CI). Predictive value was assessed by area under the curve (AUC), net reclassification improvement (NRI), and integrated discrimination improvement (IDI), respectively.ResultsTheir mean age was 53.8 years (SD: 7.1 years), the mean body mass index (BMI) was 23.7 kg/m2, and 44.8% of the subjects were male. Both male and female with MA had higher VAT levels compared to subjects with normal metabolism (MN), and male had higher SAT levels than female (P < 0.05). Higher VAT was significantly associated with MA with ORs in the fourth quartile (Q4) of 6.537 (95% CI = 3.394–12.591) for male and 3.364 (95% CI = 1.898–5.962) for female (Pfor trend < 0.05). In female, VAT could increase the risk of metabolic abnormalities, but SAT could increase the risk of MA in the second and fourth quartiles (Q2 and Q4) only at BMI > 24 kg/m2. In male, VAT improved the predictive value of MA compared to BMI and waist circumference (WC), the AUC was 0.727 (95% CI = 0.687–0.767), the NRI was 0.139 (95% CI = 0.070–0.208) and 0.106 (95% CI = 0.038–0.173), and the IDI was 0.074 (95% CI = 0.053–0.095) and 0.046 (95% CI = 0.026–0.066). Similar results were found in female.ConclusionsIn male, VAT and SAT could increase the risk of metabolic abnormalities both at BMI < 24 kg/m2and at BMI ≥ 24 kg/m2. In female, VAT could increase the risk of metabolic abnormalities but SAT could increase the risk of MA in the second and fourth quartiles (Q2 and Q4) only at BMI > 24 kg/m2. Deposition of abdominal adipose tissue was associated with metabolic abnormalities. VAT improved the predictive power of MA.
Sustained glymphatic transport and impaired drainage to the nasal cavity observed in multiciliated cell ciliopathies with hydrocephalus
Authors: Xue Yuechuan , Gursky Zachary , Monte Brittany , Koundal Sunil , Liu Xiaodan , Lee Hedok , Michurina Tatyana V. , Mellanson Kennelia A. , Zhao Lucy , Nemajerova Alice , Kahle Kristopher T. , Takemaru Ken-Ichi , Enikolopov Grigori , Peunova Natalia I. , Benveniste Helene 
Published: March 2022

Abstract
Background
Hydrocephalus (increased ventricular size due to CSF accumulation) is a common finding in human ciliopathies and in mouse models with genetic depletion of the multiciliated cell (MCC) cilia machinery. However, the contribution of MCC to CSF dynamics and, the mechanism by which impaired MCC function leads to hydrocephalus remains poorly understood. The aim of our study was to examine if defects in MCC ciliogenesis and cilia-generated CSF flow impact central nervous system (CNS) fluid homeostasis including glymphatic transport and solute waste drainage.

Methods
We used two distinct mouse models of MCC ciliopathy: MCC-specific CEP164 conditional knockout mice (FOXJ1-Cre;CEP164fl/fl (N = 10), 3-month-old) and p73 knock-out (p73−/− (N = 8), 5-month-old) mice. Age-matched, wild-type littermates for each of the mutants served as controls. Glymphatic transport and solute drainage was quantified using in vivo T1 mapping by magnetic resonance imaging (MRI) after CSF infusion of gadoteric acid. Brain morphometry and aquaporin 4 expression (AQP4) was also assessed. Intracranial pressure (ICP) was measured in separate cohorts.

Results
In both of the two models of MCC ciliopathy we found the ventriculomegaly to be associated with normal ICP. We showed that FOXJ1-Cre;CEP164fl/fl mice with hydrocephalus still demonstrated sustained glymphatic transport and normal AQP4 expression along capillaries. In p73−/− mice glymphatic transport was even increased, and this was paralleled by an increase in AQP4 polarization around capillaries. Further, solute drainage via the cribriform plate to the nasal cavity was severely impaired in both ciliopathy models and associated with chronic rhinitis and olfactory bulb hypoplasia.

Conclusions
The combination of sustained glymphatic transport, impaired solute drainage via the cribriform plate to the nasal cavity and hydrocephalus has not previously been reported in models of MCC ciliopathy. Our data enhance our understanding of how different types of ciliopathies contribute to disruption of CNS fluid homeostasis, manifested in pathologies such as hydrocephalus.
A case study of local ecological knowledge of shellfishers about edible cockle (Cerastoderma edule) in the Ria de Aveiro lagoon, Western Iberia
Authors: Braga Heitor O. , Azeiteiro Ulisses M. , Magalhães Luísa 
Published: March 2022

Abstract
Background
The cockle is available to numerous fishing villages in Europe, especially Portugal. In the Ria de Aveiro, there is a lack of a fisheries management program and the need for new ecological studies on cockle biology, ecology, and conservation. We shared local ecological knowledge (LEK) highlights about the cockle—Cerastoderma edule (Linnaeus 1758) in the Ria de Aveiro in favor of adaptive management of this bioresource.

Methods
Semi-structured interviews with sixty shellfishers in this coastal lagoon were carried out during April and May 2021. LEK data on the biology and ecology of the cockle were analyzed using an ethical-emic approach and the model of integration of different individual skills. These informal data were compared with previously published data for the species, the Fish Base, and GBIF databases.

Results and discussion
The average minimum size of the cockle for capture was 23.4 mm, and the average capture per tide was 137.12 kg. The areas with the highest productivity and the most shellfish were RIAV1 and RIAV2. Cockles inhabit areas of sand and mud at an average depth of 2.71 cm. Feeds are mainly small particles, plankton, mud, and algae. The main predators were crabs, European plaice, and bird species. Cockles spawn primarily in late spring and summer. As of 2010, there was a slight decrease in cockle stocks in the Ria de Aveiro due to overfishing, increased rainfall, and changes in the sediment. Considering and analyzing this knowledge is essential for a better understanding of the environmental context the cockles thrive in the view of users of the natural resource.

Conclusion
Informal data shared by shellfishers in the Ria de Aveiro were typical of filter-feeding bivalves. LEK may assist in planning future management plans for cockles, and unrefuted data may serve as untestable hypotheses. Ethnobiological studies in the Ria de Aveiro lagoon with other species may improve the management of this system since multiple fisheries are carried out in this coastal area.
Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age
Authors: Tello Betzabé , Rivadeneira María F. , Moncayo Ana L. , Buitrón Janett , Astudillo Fabricio , Estrella Andrea , Torres Ana L. 
Published: March 2022

Abstract
Background
The indigenous child population in Ecuador has a high prevalence of stunting. There is limited evidence of the association between breastfeeding, feeding practices, and stunting in indigenous children. This study aimed to analyze the prevalence of breastfeeding and complementary feeding practices and explore their association with stunting in Ecuadorian indigenous children under two years of age.

Methods
Cross-sectional study of secondary data analysis using the 2012 Ecuador National Health and Nutrition Study, in 625 children aged 0–23 months (48,069 expanded sample), representative for the indigenous population. Breastfeeding and complementary feeding indicators were analyzed by age groups. Timely initiation of breastfeeding (within one hour after birth), exclusive breastfeeding (infants under six months who received only breast milk for the previous day), and other indicators were measured. Chi-square test or Fisher's exact test and logistic regression for complex samples were used to explore association with demographic and socioeconomic factors and stunting.

Results
Twenty-six-point eight percent of the children were stunted. Stunting occurred mainly in children with rural residence, on poor households, and where there were four or more children. Most of the children had a timely initiation of breastfeeding (69.5% for 0–12 months and 75.5% for 13–23 months) and exclusive breastfeeding up to six months (78.2%). Among children between 6–12 months of age, 99.3% continued to be breastfed. In children from ages 6 to 12 months, 32.5% received food with adequate dietary diversity. Lower percentages of complementary feeding occurred in the poorest, adolescent mothers or those with less education. Children who did not receive the minimum frequency of meals for their age had higher odds of stunting (OR 3.28; 95% CI 1.3, 8.27). Children from age 19 to 23 months who consumed foods rich in iron showed lower probabilities of stunting (OR 0.04; 95% CI 0.00, 0.51).

Conclusions
Breastfeeding practices reached a prevalence of 70% or more, without being associated with stunting. Complementary feeding practices showed differences by socioeconomic condition. Not reaching the minimum meal frequency between 6 and 12 months of age was associated with stunting. Plans and strategies are necessary to promote adequate feeding and breastfeeding practices in the indigenous population.
Dosimetric effect of respiratory motion on planned dose in whole-breast volumetric modulated arc therapy using moderate and ultra-hypofractionation
Authors: Mankinen Mikko , Virén Tuomas , Seppälä Jan , Hakkarainen Heikki , Koivumäki Tuomas 
Published: March 2022

Abstract
Background and purpose
The interplay effect of respiratory motion on the planned dose in free-breathing right-sided whole-breast irradiation (WBI) were studied by simulating hypofractionated VMAT treatment courses.

Materials and methods
Ten patients with phase-triggered 4D-CT images were included in the study. VMAT plans targeting the right breast were created retrospectively with moderately hypofractionated (40.05 Gy in 15 fractions of 2.67 Gy) and ultra-hypofractionated (26 Gy 5 fractions of 5.2 Gy) schemes. 3D-CRT plans were generated as a reference. All plans were divided into respiratory phase-specific plans and calculated in the corresponding phase images. Fraction-specific dose was formed by deforming and summing the phase-specific doses in the planning image for each fraction. The fraction-specific dose distributions were deformed and superimposed onto the planning image, forming the course-specific respiratory motion perturbed dose distribution. Planned and respiratory motion perturbed doses were compared and changes due to respiratory motion and choice of fractionation were evaluated.

Results
The respiratory motion perturbed PTV coverage (V95%) decreased by 1.7% and the homogeneity index increased by 0.02 for VMAT techniques, compared to the planned values. Highest decrease in CTV coverage was 0.7%. The largest dose differences were located in the areas of steep dose gradients parallel to respiratory motion. The largest difference in DVH parameters between fractionation schemes was 0.4% of the prescribed dose. Clinically relevant changes to the doses of organs at risk were not observed. One patient was excluded from the analysis due to large respiratory amplitude.

Conclusion
Respiratory motion of less than 5 mm in magnitude did not result in clinically significant changes in the planned free-breathing WBI dose. The 5 mm margins were sufficient to account for the respiratory motion in terms of CTV dose homogeneity and coverage for VMAT techniques. Steep dose gradients near the PTV edges might decrease the CTV coverage. No clinical significance was found due to the choice of fractionation.
Dosimetric parameters and absolute monocyte count can predict the prognosis of acute hematologic toxicity in cervical cancer patients undergoing concurrent chemotherapy and volumetric-modulated arc therapy
Authors: Xiang Xiaoyong , Ding Zhen , Zeng Qi , Feng Lingling , Qiu Chunyan , Chen Dongjie , Lu Jiawei , Li Ning 
Published: March 2022

Abstract
Purpose
To explore clinical and dosimetric predictors of acute hematologic toxicity (HT) in cervical cancer patients treated with concurrent chemotherapy and volumetric-modulated arc therapy (VMAT).

Methods and materials
We retrospectively reviewed the clinical data of 184 cervical cancer patients who had concurrent chemotherapy and VMAT. Hematological parameters were collected during the treatment period. The total pelvic bone (TPB) was delineated retrospectively for dose-volume calculations. To compare the differences between two groups, the normality test findings were used to run a paired-samples t-test or Wilcoxon signed-rank test. Pearson's correlation analysis or Spearman's correlation was used to testing the correlation between the two variables. Binary logistic regression analysis was used to analyze associations between HT and possible risk factors. The receiver operating characteristic curve(ROC) was used to evaluate the best cut-off point for dosimetric planning constraints.

Results
The nadir of absolute monocyte count (AMC) was found to be positively correlated with the nadir of absolute white blood cells (WBC) count (r = 0.5378, 95% CI 0.4227–0.6357, P < 0.0001) and the nadir of absolute neutrophil count(ANC) (r = 0.5000, 95% CI 0.3794–0.6039, P < 0.0001). The AMC decreased and increased before the ANC and WBC. In multivariate logistic regression analysis, the chemotherapy regimens and the TPB_V20 were independent risk factors for developing grade ≥ 3 HT. The optimal TPB_V20 cut-off value identified by ROC curves and the Youden test was 71% (AUC = 0.788; 95% CI 0.722–0.845; P value < 0.001).

Conclusions
The changing trend of AMC can be used as an effective predictor for the timing and severity of the ANC/WBC nadirs and prophylactic G-CSF administration. Maintain TPB_V20 < 71% and selecting single-agent cisplatin or carboplatin could significantly reduce grade ≥ 3 HT in cervical cancer patients undergoing concurrent chemoradiotherapy.
MiR-146a expression profiles in osteoarthritis in different tissue sources: a meta-analysis of observational studies
Authors: Liu Jia-Neng , Lu Song , Fu Chang-Ma 
Published: March 2022

AbstractBackgroundMiR-146a has been widely studied in the pathogenesis of osteoarthritis (OA); however, the results are still controversial.ObjectiveThis meta-analysis analyzes the expression profile of miR-146a in various tissues of OA patients.MethodsPublic databases were searched for appropriate studies published up to September 1, 2021. A case–control study comparing the OA population and a non-OA healthy population was included.Results26 articles were included in analysis. The results showed that the expression level of miR-146a in peripheral blood mononuclear cells (PBMCs) was significantly higher in OA patients than in controls (SMD: 1.23; 95% CI 0.08–2.37;p = 0.035) but not in plasma (SMD: 1.09; 95% CI − 0.06, 2.24;p = 0.064). The expression level of miR-146a in cartilage was also significantly higher in OA patients than in controls (SMD: 6.39; 95% CI 0.36, 12.4;p = 0.038) but not in chondrocytes (SMD: − 0.71; 95% CI − 4.15, 2.73;p = 0.687). The miR-146a level was significantly lower in synoviocytes in the OA population than in control patients (SMD: − 0.97; 95% CI − 1.68, − 0.26;p = 0.008). In synovial tissue, synovial fluid, and regulatory T cells, there was no significant difference.ConclusionThe expression level of miR-146a in cartilage tissue and PBMCs was significantly higher in OA patients than in non-OA healthy controls. Due to the limitations of this study, more research is needed to confirm these results in the future.Trial registration: retrospectively registered.