bluuebunny/crossref_metadata_2025 huggingface dataset:
Conservation Biological Control of Codling Moth (Cydia pomonella): Effects of Two Aromatic Plants, Basil (Ocimum basilicum) and French Marigolds (Tagetes patula)
Authors: Laffon Ludivine , Bischoff Armin , Gautier Hélène , Gilles Florent , Gomez Laurent , Lescourret Françoise , Franck Pierre
Published: October 2022

The addition of flowering companion plants within or around crop fields is a promising strategy to strengthen pest regulation by their natural enemies. Aromatic plants are frequently used as companion plants, but their effects on natural enemies remain unclear under field conditions. Here, we evaluated the effects of two aromatic plant species on the parasitism of the codling moth (Cydia pomonella) and the recruitment of predatory arthropods (spiders, earwigs) in a factorial field experiment. Apple trees were intercropped with basil (Ocimum basilicum), French marigolds (Tagetes patula), or ryegrass (Lolium perenne). The association between apple trees and O. basilicum increases codling moth parasitism, but does not affect arthropod predator abundances. Furthermore, we find a general negative effect of T. patula on arthropod diversities and abundances, including the pest and its natural enemies. Finally, changes in the parasitism rate and arthropod community structure due to the aromatic plants do not reduce codling moth density or associated apple damage. Further experiments are needed to determine the mechanisms involved in aromatic plant effects on pest repellence and on natural enemy recruitment (volatile organic compound composition, floral resource supply, or pest density dependence).
The Effect of Ice-Nucleation-Active Bacteria on Metabolic Regulation in Evergestis extimalis (Scopoli) (Lepidoptera: Pyralidae) Overwintering Larvae on the Qinghai-Tibet Plateau
Authors: Shao Hainan , Liu Yunxiang , Liu Yujiao , Lai Youpeng
Published: October 2022

Evergestis extimalis (Scopoli) is a significant pest of spring oilseed rape in the Qinghai-Tibet Plateau. It has developed resistance to many commonly used insecticides. Therefore, biopesticides should be used to replace the chemical pesticides in pest control. In this study, the effects of ice-nucleation-active (INA) microbes (Pseudomonas syringae 1.7277, P. syringae 1.3200, and Erwinia pyrifoliae 1.3333) on E. extimalis were evaluated. The supercooling points (SCP) were markedly increased due to the INA bacteria application when they were compared to those of the untreated samples. Specifically, the SCP of E. extimalis after its exposure to a high concentration of INA bacteria in February were −10.72 °C, −13.73 °C, and −14.04 °C. Our findings have demonstrated that the trehalase (Tre) genes were up-regulated by the application of the INA bacteria, thereby resulting in an increased trehalase activity. Overall, the INA bacteria could act as effective heterogeneous ice nuclei which could lower the hardiness of E. extimalis to the cold and then freeze them to death in an extremely cold winter. Therefore, the control of insect pests with INA bacteria goes without doubt, in theory.
Development and Reproductive Capacity of the Miyake Spider Mite Eotetranychus kankitus (Acari: Tetranychidae) at Different Temperatures
Authors: Ullah Mohammad Shaef , Kobayashi Yurina , Gotoh Tetsuo
Published: October 2022

Eotetranychus kankitus (Acari: Tetranychidae) is an important pest of citrus. Assessing life history parameters is crucial to developing an ecologically sound pest management program. Of the many factors that affect life history parameters of herbivorous insects and mites, temperature has the greatest influence on development rate and reproductive potential. We investigated the effects of temperatures from 15 to 40 °C on the demographic parameters of E. kankitus under a long-day (16:8 (L:D) h) photoperiod. The egg-to-adult development time of E. kankitus decreased as the temperature increased from 15 to 32.5 °C. At 35 °C, the female laid eggs that died at the larval stage. The estimated lower thermal thresholds (t0) were 11.01 and 10.48 °C, and the thermal constants (K) were 190.67 and 188.63 degree-days for egg-to-adult females and egg-to-adult males, respectively. The intrinsic optimal temperatures (TØ) for development were 21.79 and 21.74 °C, respectively. The bootstrap-match technique was used in the construction of the life table paramaters. The net reproductive rate (R0) decreased as temperature increased from 20 to 30 °C, but the lowest rate was observed at 15 °C. The intrinsic rate of natural increase (r) increased from 0.0299 day−1 at 15 °C to 0.1822 day−1 at 30 °C. These findings provide a critical theoretical basis for predicting the occurrence of E. kankitus populations under climate warming and for developing appropriate control strategies.
Lens on Tropical Sericulture Development in Indonesia: Recent Status and Future Directions for Industry and Social Forestry
Authors: Andadari Lincah , Yuniati Dhany , Supriyanto Bambang , Murniati Murniati , Suharti Sri , Widarti Asmanah , Steven Eden , Sadapotto Andi , Winarno Bondan , Minarningsih Minarningsih , Agustarini Retno , Muin Nurhaedah , Isnan Wahyudi , Heryati Yetti , Adalina Yelin , Yeny Irma , Dewi Rosita , Nurlia Ari , Riendriasari Septiantina Dyah , Maharani Kun Estri , Nugraha Luthfan Meilana , Narendra Budi Hadi
Published: October 2022

The domestic silkworm or mulberry silk moth, B. mori L., provides more than 99% of the world’s silk. Silk, as a sericulture product, was first introduced in Indonesia through a trade mechanism and began to develop in 1953. Several factors (economic, ecological, market, and cultural) support sericulture and make it become one of the non-timber forest product priorities. However, the competitive advantages alone have not encouraged the development of prospective sericulture industry in Indonesia yet. This paper is a review of tropical sericulture development in Indonesia. The literature on the development of sericulture in Indonesia between 1989 and 2022 is used to describe conditions related to mulberry cultivation (moriculture), and silkworm rearing (sericulture), as well as the state of socio-economic development, culture, and institutions. Moriculture and sericulture techniques, socio-economic aspects, institutional arrangements, and community motivations are intertwined, creating a challenging atmosphere for sericulture development. There are potential resources, such as exploring quality mulberry production and quality silkworm production through research and development, valuable cultural aspects, and potential stakeholders to build network engagement. Commitment, cooperation, and action from all stakeholders are needed to enhance the development of sericulture in Indonesia. In this context, the central government can play an important role in facilitating multi-stakeholder partnerships in the development of integrated sericulture in Indonesia.
Optimization of the Composition of Toluene-Based Liquid Scintillator
Authors: Beznosko Dmitriy , Holloway Elijah , Iakovlev Alexander
Published: October 2022

Scintillators in general and organic liquid scintillator specifically are widely used as a medium for the detection of charged particles for numerous applications in science, medicine, engineering, and other areas. The composition of the scintillator affects not only its direct performance characteristics, but also the overall cost. Optimization of this composition provides the ability to design particle detectors with an optimized light yield and emission spectra of the detection medium while optimizing the expenses at the same time. This article describes work on toluene-based liquid scintillator component optimization, where PPO is used as a fluor and POPOP as a shifter. The light yield vs. concentration and the changes in the output spectra will be presented. The empirical fit of the output spectrum using the measured contributions of the components is discussed. Further plans include the light attenuation measurements for different compositions.
Hadron-Induced Radiation Damage in Fast Heavy Inorganic Scintillators
Authors: Hu Chen , Yang Fan , Zhang Liyuan , Zhu Ren-Yuan , Kapustinsky Jon , Li Xuan , Mocko Michael , Nelson Ron , Wender Steve , Wang Zhehui
Published: October 2022

Fast and heavy inorganic scintillators with suitable radiation tolerance are required to face the challenges presented at future hadron colliders of high energy and intensity. Up to 5 GGy and 5 × 1018 neq/cm2 of one-MeV-equivalent neutron fluence is expected by the forward calorimeter at the Future Hadron Circular Collider. This paper reports the results of an investigation of proton- and neutron-induced radiation damage in various fast and heavy inorganic scintillators, such as LYSO:Ce crystals, LuAG:Ce ceramics, and BaF2 crystals. The experiments were carried out at the Blue Room with 800 MeV proton fluence up to 3.0 × 1015 p/cm2 and at the East Port with one MeV equivalent neutron fluence up to 9.2 × 1015 neq/cm2, respectively, at the Los Alamos Neutron Science Center. Experiments were also carried out at the CERN PS-IRRAD proton facility with 24 GeV proton fluence up to 8.2 × 1015 p/cm2. Research and development will continue to develop LuAG:Ce ceramics and BaF2:Y crystals with improved optical quality, F/T ratio, and radiation hardness.
SiPMs for Dual-Readout Calorimetry
Authors: Santoro Romualdo
Published: October 2022

A new fibre-sampling dual-readout calorimeter prototype has been qualified on beam at two facilities (DESY and CERN) using electrons from 1 to 100 GeV. The prototype was designed to almost fully contain electromagnetic showers and a central module (highly granular readout) was equipped with 320 Silicon Photomultipliers (SiPMs) spaced by 2 mm and individually read out. The test beams performed in 2021, allowed to qualify the readout boards used to operate the SiPMs, to define the calibration procedure and to measure the light yield for scintillating and Cherenkov signals produced by the shower development. This paper reports the first results obtained with the highly granular readout and discusses the ongoing R&D to address some open questions concerning the mechanical integration and the scalable readout scheme that will allow to build and operate the next prototype designed for hadronic showers containment.
Comparison of Suture-Based and Collagen-Based Vascular Closure Devices for Large Bore Arteriotomies—A Meta-Analysis of Bleeding and Vascular Outcomes
Authors: Sohal Sumit , Mathai Sheetal Vasundara , Nagraj Sanjana , Kurpad Krishna , Suthar Kandarp , Mehta Harsh , Kaur Komaldeep , Wasty Najam , Waxman Sergio , Cohen Marc , Visveswaran Gautam K. , Tayal Rajiv
Published: October 2022

Background: Large bore access procedures rely on vascular closure devices to minimize access site complications. Suture-based vascular closure devices (S-VCD) such as ProGlide and ProStar XL have been readily used, but recently, newer generation collagen-based vascular closure devices (C-VCD) such as MANTA have been introduced. Data on comparisons of these devices are limited. Methods: PubMed, Scopus and Cochrane were searched for articles on vascular closure devices using keywords, (“Vascular closure devices” OR “MANTA” OR “ProStar XL” OR “ProGlide”) AND (“outcomes”) that resulted in a total of 875 studies. Studies were included if bleeding or vascular complications as defined by Valve Academic Research Consortium-2 were compared between the two types of VCDs. The event level data were pooled across trials to calculate the Odds Ratio (OR) with 95% CI, and analysis was done with Review Manager 5.4 using random effects model. Results: Pooled analyses from these nine studies resulted in a total of 3410 patients, out of which 2855 were available for analysis. A total of 1229 received C-VCD and 1626 received S- VCD. Among the patients who received C-VCD, the bleeding complications (major and minor) were similar to patients who received S-VCD ((OR: 0.70 (0.35–1.39), p = 0.31, I2 = 55%), OR: 0.92 (0.53–1.61), p = 0.77, I2 = 65%)). The vascular complications (major and minor) in patients who received C-VCD were also similar to patients who received S-VCD ((OR: 1.01 (0.48–2.12), p = 0.98, I2 = 52%), (OR: 0.90 (0.62–1.30), p = 0.56, I2 = 35%)). Conclusions: Bleeding and vascular complications after large bore arteriotomy closure with collagen-based vascular closure devices are similar to suture-based vascular closure devices.
Prognostic Relevance of Cardiopulmonary Exercise Testing for Patients with Chronic Thromboembolic Pulmonary Hypertension
Authors: Ewert Ralf , Ittermann Till , Schmitt Delia , Pfeuffer-Jovic Elena , Stucke Johannes , Tausche Kristin , Halank Michael , Winkler Jörg , Hoheisel Andreas , Stubbe Beate , Heine Alexander , Seyfarth Hans-Jürgen , Opitz Christian , Habedank Dirk , Wensel Roland , Held Matthias
Published: October 2022

Background: Following acute pulmonary embolism (PE), a relevant number of patients experience decreased exercise capacity which can be associated with disturbed pulmonary perfusion. Cardiopulmonary exercise testing (CPET) shows several patterns typical for disturbed pulmonary perfusion. Research question: We aimed to examine whether CPET can also provide prognostic information in chronic thromboembolic pulmonary hypertension (CTEPH). Study Design and Methods: We performed a multicenter retrospective chart review in Germany between 2002 and 2020. Patients with CTEPH were included if they had ≥6 months of follow-up and complete CPET and hemodynamic data. Symptom-limited CPET was performed using a cycle ergometer (ramp or Jones protocol). The association of anthropometric data, comorbidities, symptoms, lung function, and echocardiographic, hemodynamic, and CPET parameters with survival was examined. Mortality prediction models were calculated by Cox regression with backward selection. Results: 345 patients (1532 person-years) were included; 138 underwent surgical treatment (pulmonary endarterectomy or balloon pulmonary angioplasty) and 207 received only non-surgical treatment. During follow-up (median 3.5 years), 78 patients died. The death rate per 1000 person-years was 24.9 and 74.2 in the surgical and non-surgical groups, respectively (p < 0.001). In age- and sex-adjusted Cox regression analyses, CPET parameters including peak oxygen uptake (VO2peak, reflecting cardiopulmonary exercise capacity) were prognostic in the non-surgical group but not in the surgical group. In mortality prediction models, age, sex, VO2peak (% predicted), and carbon monoxide transfer coefficient (% predicted) showed significant prognostic relevance in both the overall cohort and the non-surgical group. In the non-surgical group, Kaplan–Meier analysis showed that patients with VO2peak below 53.4% predicted (threshold identified by receiver operating characteristic analysis) had increased mortality (p = 0.007). Interpretation: The additional measurement of cardiopulmonary exercise capacity by CPET allows a more precise prognostic evaluation in patients with CTEPH. CPET might therefore be helpful for risk-adapted treatment of CTEPH.
Plasma Levels of Intact Parathyroid Hormone and Congestion Burden in Heart Failure: Clinical Correlations and Prognostic Role
Authors: Scicchitano Pietro , Iacoviello Massimo , Passantino Andrea , Gesualdo Michele , Trotta Francesco , Basile Marco , De Palo Micaela , Guida Piero , Paolillo Claudio , Riccioni Graziano , Ciccone Marco Matteo , Caldarola Pasquale , Massari Francesco
Published: October 2022

Circulating parathyroid hormone (PTH) concentrations increase in heart failure (HF) and are related to disease severity. The relationship between PTH and congestion is still a matter of debate. The objective of this analysis was to evaluate the role of PTH as a marker of congestion and prognosis in HF. We enrolled 228 patients with HF. Intact PTH concentrations and HYDRA score (constituted by: B-type natriuretic peptide, blood urea nitrogen–creatinine ratio, estimated plasma volume status, and hydration status) were evaluated. The study endpoint was all-cause mortality. PTH levels were higher in acute compared with chronic HF and in patients with clinical signs of congestion (i.e., peripheral oedema and orthopnea). PTH concentrations significantly correlated with NYHA class and HYDRA score. At multivariate analysis of HYDRA score, estimated glomerular filtration rate (eGFR), and corrected serum calcium were independently determinants of PTH variability. Fifty patients (22%) died after a median follow-up of 408 days (interquartile range: 283–573). Using univariate Cox regression analysis, PTH concentrations were associated with mortality (hazard ratio [HR]: 1.003, optimal cut-off: >249 pg/mL—area under-the-curve = 0.64). Using multivariate Cox regression analysis, PTH was no longer associated with death, whereas HYDRA score, left ventricular ejection fraction, and eGFR acted as independent predictors for mortality (HR: 1.96, 0.97, and 0.98, respectively). Our study demonstrated that intact PTH was related to clinical and subclinical markers of congestion. However, intact PTH did not act as an independent determinant of all-cause death in HF patients.
Long-Term Outcomes Stratified by Age in Patients with a Mechanical versus Biological Mitral Valve Replacement
Authors: Veres Gábor , Benke Kálmán , Stengl Roland , Weber Petra , Marina Ereva , Szabó Gábor , Karck Matthias
Published: October 2022

Objectives: Balancing anticoagulation and reoperation risks determines prostheses choice (mechanical/biological) for mitral valve replacement. We aimed to re-evaluate the outcomes after biological versus mechanical mitral valve replacement. Methods: We compared long-term benefits and risks of mechanical and biological prostheses in 2056 patients (52% men, 48% women; 65.4 ± 12.1 years) who underwent mitral valve replacements between 1993–2017, in a retrospective single-centre study. Data sources included prospective institutional database, social registry, general practitioner data and follow-up questionnaire. Patients were stratified by age: < = 39 y (n = 82), 40–49 y (n = 164), 50–59 y (n = 335), 60–69 y (n = 593), 70–79 y (n = 743) and > = 80 y (n = 139). Long-term outcomes (mortality, reoperations, bleeding) were analysed. Results: Altogether, 1308 mechanical (53% men, 47% women; 61.5 ± 11.7 years) and 748 biological (50% men, 50% women; 72.3 ± 9.6 years) valves were implanted. The reason for valve replacement was stenosis in 162, insufficiency in 823 and combined in 323 cases for mechanical, while it was 46, 567 and 135 for biological valves, respectively. Overall cumulative survival was higher with mechanical prosthesis (mean: 139 ± 4 vs. 102 ± 5 months, 10 y: 55% vs. 33%, p < 0.0001). Subgroup analysis revealed higher survival among patients receiving mechanical prosthesis up to 60 years (< = 39 y p = 0.047, 40–49 y p < 0.0001, 50–59 y p = 0.001). In patients 60–69 years, overall survival did not differ; however, in survivors beyond 8 years, mechanical prosthesis showed improved survival (p = 0.014). While between 70–79 years survival was nearly identical, for above 80 years, patients had a higher survival with biological prosthesis (p = 0.014). Conclusion: The present data demonstrated a higher survival of mechanical prosthesis in a wide range of patients after mitral valve replacement.
Comparison of Six Different Percutaneous Coronary Intervention Guidance Modalities
Authors: Hu Mengjin , Tan Jiangshan , Yang Yuejin
Published: October 2022

Background: New randomized trials and modalities in guiding percutaneous coronary intervention (PCI) have become available. Objective: We aimed to compare the clinical outcomes of coronary angiography (CAG), intravascular ultrasound (IVUS), optical coherence tomography (OCT), fractional flow reserve (FFR), instantaneous wave-free ratio (iFR), and optical frequency domain imaging (OFDI)-guided PCI. Methods: A network meta-analysis was performed to compare different PCI guidance modalities. The clinical outcomes included major adverse cardiovascular events (MACE), all-cause death, myocardial infarction (MI), and target vessel/lesion revascularization (TVR/TLR). Odds ratio (OR) and corresponding 95% credible interval (CrI) were calculated. Results: Thirty-six randomized trials, including 19,042 patients, were included. In comparison with CAG, IVUS significantly reduced MACE (OR: 0.71; 95% CrI: 0.57 to 0.86) and TVR/TLR (OR: 0.53; 95% CrI: 0.43 to 0.66). MACE (OR: 1.44; 95% CrI: 1.02 to 2.08) and TVR/TLR (OR: 1.87; 95% CrI: 1.04 to 3.71) were significantly increased in the FFR group, compared with IVUS group. There were no significant differences in MACE or TVR/TLR among the left guidance modality comparisons. Differences in all-cause death or MI were not observed in any comparisons. Conclusions: IVUS could reduce MACE and TVR/TLR, compared with CAG or FFR. Therefore, IVUS may be the optimal modality in guiding PCI.
Anakinra for the Treatment of Hemophagocytic Lymphohistiocytosis: 21 Cases
Authors: Baverez Clara , Grall Maximilien , Gerfaud-Valentin Mathieu , De Gail Sarah , Belot Alexandre , Perpoint Thomas , Weber Emmanuelle , Reynaud Quitterie , Sève Pascal , Jamilloux Yvan
Published: October 2022

Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening cytokine storm syndrome. There are no definitive guidelines for the management of secondary HLH (sHLH). A recent report by a National Health Service (NHS) clinical panel has recommended anakinra as a treatment option. We aimed to analyse the efficacy and safety of anakinra for the treatment of all-cause sHLH. We conducted a multicentric retrospective study in two French University hospitals and included all patients who had a diagnosis of sHLH and who received anakinra. Among 21 patients (median age, 45 years), 13 were men. Anakinra was used as first-line therapy in 10 patients, and as monotherapy in 5 patients. We found that anakinra was effective in 19/21 patients (90.5%), with fever resolution in 19 patients (90.5%) within a median of 1.0 day (1, 2). At the Day 7 assessment, the mean CRP concentration decreased significantly (p < 0.001), as did the mean ferritin (p = 0.011). Anakinra was generally safe and well tolerated and was discontinued for side effects in only three patients (14.3%). Anakinra is an efficient and safe treatment to control sHLH of various causes. These data, together with the recent report of the NHS panel, call for the rapid conduct of prospective randomized clinical trials.
Associations of Atrial Fibrillation with Mild Cognitive Impairment and Dementia: An Investigation Using SPRINT Research Materials
Authors: Alam Aniqa B. , Kulshreshtha Ambar , Li Linzi , Subramanya Vinita , Alonso Alvaro
Published: October 2022

Background: Atrial fibrillation (AF) is linked to increased risk of dementia and cognitive decline, but whether AF and its ascertainment methods affect cognition in patients with hypertension has received less attention. Methods: We studied 8469 participants with elevated systolic blood pressure who were free of stroke and diabetes at baseline enrolled in the Systolic Blood Pressure Intervention Trial. AF was ascertained using three approaches: self-report of AF, AF from a safety event, and study electrocardiogram-determined (ECG) AF. Mild cognitive impairment (MCI) and probable dementia (PD) were ascertained from in-person assessments or telephone interviews from the participant or an informant. We used Cox proportional hazard models to estimate hazard ratios for the association of AF (all three sources) with outcomes of MCI, PD, and a composite MCI/PD outcome. Results: During a mean follow-up of 4.6 years, 974 (12%) participants had AF (prevalent or incident), 634 were diagnosed with MCI, and 316 with PD. When comparing those with AF (from any source) to those without, no differences were detected in the risk of MCI or PD. Comparison between AF sources found ECG-AF to be associated with an elevated risk of MCI/PD (hazard ratio (HR) 1.59, 95% confidence interval (95%CI) 1.06, 2.38). Neither AF ascertained through safety events nor self-reported AF were associated with MCI or PD. Conclusion: The association of AF with incidence of MCI/PD differed by method of AF ascertainment. Case definition of AF and quantification of AF burden are important factors in studies evaluating the link between AF and cognitive dysfunction.
Current Approaches to Osteoid Osteoma and Minimally Invasive Surgery—A Minireview and a Case Report
Authors: Cerny Jan , Soukup Jan , Cerna Sarka , Novotny Tomas
Published: October 2022

Osteoid osteoma is a benign bone tumor typically affecting the long bones of the lower limbs in young male patients. The lesion can be asymptomatic but, in most cases, patients present with characteristic nocturnal pain that is very responsive to the administration of non-steroidal anti-inflammatory drugs. Although osteoid osteomas can regress spontaneously over time, surgical therapy is often indicated in cases of long-lasting resistant pain. Apart from a traditional open resection, the modalities of minimally invasive surgery, such as radiofrequency ablation or cryoablation, have gradually become the option of choice in most cases. The first part of this manuscript is a minireview of the contemporary literature on the pathogenesis, diagnosis, and current trends in the treatment of osteoid osteoma. The second part is a case report of our own experience with a conventional C-arm-guided radiofrequency ablation of an osteoid osteoma located in the femoral neck in an adolescent patient. The aim was to prove that, even when more sophisticated guiding devices (CT, O-arm, etc.) are not available, the safe and reliable ablation of the lesion using a C-arm is still possible even in hard-to-reach areas. The case was a success, with no perioperative or postoperative complications.
An Evaluation of Phase Analysis to Interpret Atrial Activation Patterns during Persistent Atrial Fibrillation for Targeted Ablation
Authors: Lee Seungyup , Khrestian Celeen M. , Sahadevan Jayakumar , Waldo Albert L.
Published: October 2022

Background: Phase analysis has been used to identify and localize atrial fibrillation (AF) sources for targeted ablation. We previously demonstrated that repetitive wannabe reentry (incomplete reentry) often generated an apparent stable rotor using phase analysis. The misinterpretation caused by phase analysis using atrial electrograms (AEGs) may result from detecting inaccurate time points at phase inversion (π to −π) in the instantaneous phase waveform converted from AEG. The purpose of this study was to evaluate the accuracy of phase analysis to detect atrial activations recorded from the high-density mapping of AF in patients with persistent and long-standing persistent (LSP) AF. Methods and Results: During open heart surgery, we recorded activation from both atria simultaneously using 512 electrodes in 7 patients with persistent and LSP AF. The phase analysis was compared to manual measurements during 4 s of data. For the accuracy of activation sequence maps, a successful recording site was defined as having ≤4 mismatched activation times during the 4 s. In all AF episodes, the accuracy of the phase analysis was only 82% of the total number of activation times due to either activation time differences (14.7%), under-sensing (2.7%), or over-sensing (0.6%). Only 67.9% of the total recording sites met the requirement of a successful recording site by phase analysis. In unsuccessful recording sites, AEG characteristics were relatively irregular cycle length (CL), complex AEG, and double potential AEG. Conclusion: The phase analysis was less accurate in recording sites with a relatively irregular CL, complex AEG, or double potential AEG. As a result, phase analysis may lead to the misinterpretation of atrial activation patterns during AF. A visual review of the original AEG is needed to confirm the detected AF sources of phase analysis before performing targeted ablation.
Influence of MAD Application on Episodes of Obstructive Apnea and Bruxism during Sleep—A Prospective Study
Authors: Wojda Monika , Kostrzewa-Janicka Jolanta
Published: October 2022

The condition of sleep bruxism (SB) is defined by many authors as the body’s response to obstructive sleep apnea (OSA). In the conservative treatment of OSA, mandibular advancement devices (MADs) have found their application. The aim of the study iso assess the impact of MADs on the occurrence of episodes and the intensity of OSA and SB. The study sample consisted of eight patients with OSA and SB diagnosed with these conditions on the basis of clinical examinations and polysomnography (PSG). The prospective study was designed to assess the use of MADs for OSA and SB. MADs were prepared for the patients who subsequently underwent control examinations after one week of wear, and another PSG (PSG II) with an MAD was performed in conditions resembling the first qualification examination (PSG I). The same parameters were assessed in both PSG examinations. Following treatment with the MAD, a favorable lowering of the mean values of the examined parameters was observed. The statistically significant differences were demonstrated only for the apnea–hypopnea index (AHI), the oxygen desaturation index (ODI), and the number of apneas and hypopneas, obstructive apneas, apneas in OSA, and phasic episodes of bruxism. The application of MADs in patients with OSA has a beneficial effect on the same manifestations of OSA and SB, even though only the number of phasic episodes of bruxism was statistically significant.
Pathophysiology of Drug-Induced Hyponatremia
Authors: Kim Gheun-Ho
Published: October 2022

Drug-induced hyponatremia caused by renal water retention is mainly due to syndrome of inappropriate antidiuresis (SIAD). SIAD can be grouped into syndrome of inappropriate antidiuretic hormone secretion (SIADH) and nephrogenic syndrome of inappropriate antidiuresis (NSIAD). The former is characterized by uncontrolled hypersecretion of arginine vasopressin (AVP), and the latter is produced by intrarenal activation for water reabsorption and characterized by suppressed plasma AVP levels. Desmopressin is useful for the treatment of diabetes insipidus because of its selective binding to vasopressin V2 receptor (V2R), but it can induce hyponatremia when prescribed for nocturnal polyuria in older patients. Oxytocin also acts as a V2R agonist and can produce hyponatremia when used to induce labor or abortion. In current clinical practice, psychotropic agents, anticancer chemotherapeutic agents, and thiazide diuretics are the major causes of drug-induced hyponatremia. Among these, vincristine and ifosfamide were associated with sustained plasma AVP levels and are thought to cause SIADH. However, others including antipsychotics, antidepressants, anticonvulsants, cyclophosphamide, and thiazide diuretics may induce hyponatremia by intrarenal mechanisms for aquaporin-2 (AQP2) upregulation, compatible with NSIAD. In these cases, plasma AVP levels are suppressed by negative feedback. In rat inner medullary collecting duct cells, haloperidol, sertraline, carbamazepine, and cyclophosphamide upregulated V2R mRNA and increased cAMP production in the absence of vasopressin. The resultant AQP2 upregulation was blocked by a V2R antagonist tolvaptan or protein kinase A (PKA) inhibitors, suggestive of the activation of V2R-cAMP-PKA signaling. Hydrochlorothiazide can also upregulate AQP2 in the collecting duct without vasopressin, either directly or via the prostaglandin E2 pathway. In brief, nephrogenic antidiuresis, or NSIAD, is the major mechanism for drug-induced hyponatremia. The associations between pharmacogenetic variants and drug-induced hyponatremia is an area of ongoing research.
Effectiveness of Topical Ganciclovir 2% Monotherapy Versus Combined Steroid Therapy in Cytomegalovirus Endotheliitis
Authors: Kuo Yu-Wei , Chang En-Che , Lee Chia-Yi , Lee Shwu-Huey , Liang I-Chia , Chen Yi-Chun , Hou Yu-Chih
Published: October 2022

We aimed to report the clinical manifestations of cytomegalovirus (CMV) corneal endotheliitis and the results of long-term treatment with topical ganciclovir 2% with and without steroids. This retrospective, interventional study included 15 eyes of 13 patients diagnosed with CMV corneal endotheliitis by positive CMV DNA and treated with long-term topical ganciclovir 2% eye drops at a tertiary referral center and the median follow-up period was 17 months. Ocular manifestations included keratic precipitates (KPs) (100%), elevated IOP (93.3%), iritis (60%), corneal edema (60%), and moth-eaten iris atrophy (60%). After long-term treatment, corneal edema, iritis, and KPs significantly decreased (effect size: 72%, 76% and 70%, respectively; p = 0.024, p = 0.006 and p < 0.001, respectively). Both the logMAR acuity and IOP significantly improved (median logMAR was 0.52 before treatment and 0.22 after treatment; median IOP was 42 mmHg before treatment and 12 mmHg after treatment; p = 0.001 and p < 0.001, respectively). The ECD was maintained (effect size: 80%), and the percentage of hexagonal cell ratio of endothelial cells significantly improved after treatment (effect size: 82%; p = 0.035). Fewer anti-glaucoma medications were used in the non-steroid group (effect size: 79%; p = 0.034). Long-term maintenance treatment with topical ganciclovir 2% monotherapy not only provides effective therapy and reduces recurrence, but also decreases the high IOP related to the combination of steroids used.
Analysis of the Validity of Perioperative Antibiotic Prophylaxis in Maxillofacial Surgery
Authors: Niedzielska Iwona , Kotowski Marcin , Mertas Anna , Bąk Michał , Barnaś Szczepan , Niedzielski Damian
Published: October 2022

Perioperative antibiotic prophylaxis is the standard in surgical departments. The type of operation, the duration of the procedure, the degree of microbiological purity of the operating field and the current clinical condition of the patient determine its administration. The aim of this study was to validate the antibiotic prophylaxis used in a Maxillofacial Surgery Department for a group of trauma and non-trauma patients. To that end, an observational prospective cohort study was carried out. The study was conducted on a group of 83 patients of the Department of Cranio-Maxillo-Facial Surgery who were divided into a group of trauma patients (n = 43) and one of non-trauma patients (n = 40). In both groups, the classic microbiological tests were carried out, and the results were analyzed in relation to: the study group, age, sex, duration of surgery, type of surgical access. Most bacterial strains were isolated at the initial stage of the operation. Gram (+) cocci were isolated more often in the trauma group and Gram (−) rods in the non-trauma group. Significantly more often, strains of fungi were noted in the initial stage of the procedure in the trauma group. We conclude that the use of perioperative antibiotic prophylaxis in the Maxillofacial Surgery Departments is justified.
Outcomes and Reliability of Perforator Flaps in the Reconstruction of Hidradenitis Suppurativa Defects: A Systemic Review and Meta-Analysis
Authors: Vaillant Camille , Berkane Yanis , Lupon Elise , Atlan Michael , Rousseau Pascal , Lellouch Alexandre , Duisit Jérôme , Bertheuil Nicolas
Published: October 2022

Introduction: Hidradenitis suppurativa (HS) is a common and debilitating disease, in which the only effective treatment involves a wide excision of the affected skin. Secondary wound healing and skin grafting are two well-known options for managing these defects, but perforator flaps provide a new therapeutic alternative by ensuring reconstructions of large defects, reducing donor site morbidity, and enhancing functional recovery. The aim of this study was to achieve a systematic review of perforator flaps use in HS. Patients and Methods: PubMed and Cochrane databases were searched from 1989 to 2021. The PRISMA statement was used in the study selection process and the review was registered on PROSPERO. Furthermore, patient characteristics, operative technique, complications, and recurrences were searched. Results: Thirty-six articles were selected including 286 patients and 387 flaps. Axillary localization was mostly represented (83.2%). Direct donor site closure was achieved in 99.1% of cases. In total, 15.1% of the flaps presented at least one of the following complications: wound dehiscence (5.5%), partial necrosis (2.9%), hematoma or seroma (2.1%), infection (2.1%), venous congestion (1.8%), and nerve injury (0.3%). Two cases of total necrosis were recorded. Recurrence of the disease was observed in 2.7% of the defects. Conclusions: Pedicled perforator flaps are a reliable and reproducible technique in the reconstruction of HS defects. They are associated with a low recurrence rate while ensuring an effective reconstruction with reduced morbidity and faster recovery compared to the techniques classically used in this indication.
A Novel Preoperative Prediction Model Based on Deep Learning to Predict Neoplasm T Staging and Grading in Patients with Upper Tract Urothelial Carcinoma
Authors: He Yuhui , Gao Wenzhi , Ying Wenwei , Feng Ninghan , Wang Yang , Jiang Peng , Gong Yanqing , Li Xuesong
Published: October 2022

Objectives: To create a novel preoperative prediction model based on a deep learning algorithm to predict neoplasm T staging and grading in patients with upper tract urothelial carcinoma (UTUC). Methods: We performed a retrospective cohort study of patients diagnosed with UTUC between 2001 and 2012 at our institution. Five deep learning algorithms (CGRU, BiGRU, CNN-BiGRU, CBiLSTM, and CNN-BiLSTM) were used to develop a preoperative prediction model for neoplasm T staging and grading. The Matthews correlation coefficient (MMC) and the receiver-operating characteristic curve with the area under the curve (AUC) were used to evaluate the performance of each prediction model. Results: The clinical data of a total of 884 patients with pathologically confirmed UTUC were collected. The T-staging prediction model based on CNN-BiGRU achieved the best performance, and the MMC and AUC were 0.598 (0.592–0.604) and 0.760 (0.755–0.765), respectively. The grading prediction model [1973 World Health Organization (WHO) grading system] based on CNN-BiGRU achieved the best performance, and the MMC and AUC were 0.612 (0.609–0.615) and 0.804 (0.801–0.807), respectively. The grading prediction model [2004 WHO grading system] based on BiGRU achieved the best performance, and the MMC and AUC were 0.621 (0.616–0.626) and 0.824 (0.819–0.829), respectively. Conclusions: We developed an accurate UTUC preoperative prediction model to predict neoplasm T staging and grading based on deep learning algorithms, which will help urologists to make appropriate treatment decisions in the early stage.
Correction: Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885
Authors: Chaparro María , Garre Ana , Núñez Ortiz Andrea , Diz-Lois Palomares María Teresa , Rodríguez Cristina , Riestra Sabino , Vela Milagros , Benítez José Manuel , Fernández Salgado Estela , Sánchez Rodríguez Eugenia , Hernández Vicent , Ferreiro-Iglesias Rocío , Ponferrada Díaz Ángel , Barrio Jesús , Huguet José María , Sicilia Beatriz , Martín-Arranz María Dolores , Calvet Xavier , Ginard Daniel , Alonso-Abreu Inmaculada , Fernández-Salazar Luis , Varela Trastoy Pilar , Rivero Montserrat , Vera-Mendoza Isabel , Vega Pablo , Navarro Pablo , Sierra Mónica , Cabriada José Luis , Aguas Mariam , Vicente Raquel , Navarro-Llavat Mercè , Echarri Ana , Gomollón Fernando , Guerra del Río Elena , Piñero Concepción , Casanova María José , Spicakova Katerina , Ortiz de Zarate Jone , Torrella Cortés Emilio , Gutiérrez Ana , Alonso-Galán Horacio , Hernández-Martínez Álvaro , Marrero José Miguel , Lorente Poyatos Rufo , Calafat Margalida , Martí Romero Lidia , Robledo Pilar , Bosch Orencio , Jiménez Nuria , Esteve Comas María , Duque José María , Fuentes Coronel Ana María , Josefa Sampedro Manuela , Sesé Abizanda Eva , Herreros Martínez Belén , Pozzati Liliana , Fernández Rosáenz Hipólito , Crespo Suarez Belén , López Serrano Pilar , Lucendo Alfredo J. , Muñoz Vicente Margarita , Bermejo Fernando , Ramírez Palanca José Joaquín , Menacho Margarita , Carmona Amalia , Camargo Raquel , Torra Alsina Sandra , Maroto Nuria , Nerín de la Puerta Juan , Castro Elena , Marín-Jiménez Ignacio , Botella Belén , Sapiña Amparo , Cruz Noelia , Forcelledo José Luis F. , Bouhmidi Abdel , Castaño-Milla Carlos , Opio Verónica , Nicolás Isabel , Kutz Marcos , Abraldes Bechiarelli Alfredo , Gordillo Jordi , Ber Yolanda , Torres Domínguez Yolanda , Novella Durán María Teresa , Rodríguez Mondéjar Silvia , Martínez-Cerezo Francisco J. , Kolle Lilyan , Sabat Miriam , Ledezma Cesar , Iyo Eduardo , Roncero Óscar , Irisarri Rebeca , Lluis Laia , Blázquez Gómez Isabel , Zapata Eva María , José Alcalá María , Martínez Pascual Cristina , Montealegre María , Mata Laura , Monrobel Ana , Hernández Camba Alejandro , Hernández Luis , Tejada María , Mir Alberto , Galve María Luisa , Soler Marta , Hervías Daniel , Gómez-Valero José Antonio , Barreiro-de Acosta Manuel , Rodríguez-Artalejo Fernando , García-Esquinas Esther , Gisbert Javier P. ,   on behalf of the EpidemIBD Study Group of GETECCU
Published: October 2022

The authors wish to make the following corrections to this paper [...]
Optical Coherence Tomography Findings in Rhegmatogenous Retinal Detachment: A Systematic Review
Authors: Danese Carla , Lanzetta Paolo
Published: October 2022

Rhegmatogenous retinal detachment is a sight-threatening condition that may lead to blindness if left untreated. Surgical treatments may vary and are tailored to a single patient. Anatomical and functional results may vary, due to factors that are currently under study. Optical coherence tomography (OCT) allows a detailed visualization of the retinal structure. Some studies have been performed using OCT on eyes with retinal detachment. We performed a review on the subject. Several data have been obtained using different OCT applications. Some alterations may represent potential biomarkers since they are associated with visual and anatomical prognoses. Increased knowledge on the subject may be helpful to choose among different surgical strategies and endotamponades. More research on the topic is needed.
Speech Discrimination in Infancy Predicts Language Outcomes at 30 Months for Both Children with Normal Hearing and Those with Hearing Differences
Authors: Uhler Kristin M. , Anderson Sean R. , Yoshinaga-Itano Christine , Walker Kerry A. , Hunter Sharon
Published: October 2022

Background: Speech discrimination assessments are used to validate amplification fittings of older children who are hard of hearing (CHH). Unfortunately, speech discrimination is not assessed clinically ≤24 months and in turn no studies have investigated the relationship between speech discrimination during infancy and later language development among CHH. Objective: To examine the relationship between an individual infant’s speech discrimination measured at 9 months and their expressive/receptive spoken language at 30 months for children with normal hearing (CNH) and CHH. Methods: Behavioral speech discrimination was assessed at 9 months and language assessments were conducted at 16, 24, and 30 months using a parent questionnaire, and at 30 months using the Mullen Scales of Early Learning among 90 infants (49 CNH; 41 CHH). Results: Conditioned Head Turn (CHT) performance for /a-i/ significantly predicted expressive and receptive language at 30 months across both groups. Parental questionnaires were also predictive of later language ability. No significant differences in speech discrimination or language outcomes between CNH and CHH were found. Conclusions: This is the first study to document a positive relationship between infant speech discrimination and later language abilities in both early-identified CHH and CNH.
The Role of Visceral Therapy in the Sexual Health of Women with Endometriosis during the COVID-19 Pandemic: A Literature Review
Authors: Gozdziewicz Tomasz , Jarzabek-Bielecka Grazyna , Luwanski Dawid , Wojcik Malgorzata , Plagens-Rotman Katarzyna , Mizgier Malgorzata , Pisarska-Krawczyk Magdalena , Kedzia Witold
Published: October 2022

Patients with endometriosis had limited possibilities for contemporary diagnosis and treatment during the SARS-CoV-2 (COVID-19) pandemic. Surgeries that may have eliminated pain or restored fertility were postponed. Endometriosis may affect the vagina, peritoneum, bladder, or other organs outside the pelvis and impact women’s sexual health, especially during pandemics. Holistic care of patients is crucial to improving their lives and sexual health. A scoping review was conducted to analyze the relevant literature in light of our experience in gynecology and physiotherapy during the COVID-19 pandemic.
Review and Updates on the Diagnosis of Tuberculosis
Authors: Huang Yi , Ai Lin , Wang Xiaochen , Sun Ziyong , Wang Feng
Published: October 2022

Diagnosis of tuberculosis, and especially the diagnosis of extrapulmonary tuberculosis, still faces challenges in clinical practice. There are several reasons for this. Methods based on the detection of Mycobacterium tuberculosis (Mtb) are insufficiently sensitive, methods based on the detection of Mtb-specific immune responses cannot always differentiate active disease from latent infection, and some of the serological markers of infection with Mtb are insufficiently specific to differentiate tuberculosis from other inflammatory diseases. New tools based on technologies such as flow cytometry, mass spectrometry, high-throughput sequencing, and artificial intelligence have the potential to solve this dilemma. The aim of this review was to provide an updated overview of current efforts to optimize classical diagnostic methods, as well as new molecular and other methodologies, for accurate diagnosis of patients with Mtb infection.
Risk–Benefit Balance of Renin–Angiotensin–Aldosterone Inhibitor Cessation in Heart Failure Patients with Hyperkalemia
Authors: Kohsaka Shun , Okami Suguru , Morita Naru , Yajima Toshitaka
Published: October 2022

Background: Whether to continue renin–angiotensin–aldosterone system inhibitor (RAASi) therapy in patients with hyperkalemia remains a clinical challenge, particularly in patients with heart failure (HF), where RAASis remain the cornerstone of treatment. We investigated the incidence of dose reduction or the cessation of RAASis and evaluated the threshold of serum potassium at which cessation alters the risk–benefit balance. Methods: This retrospective analysis of a Japanese nationwide claims database investigated treatment patterns of RAASis over 12 months after the initial hyperkalemic episode. The incidences of the clinical outcomes of patients with RAASi (all ACEi/ARB/MRA) or MRA-only cessation (vs. non-cessation) were compared via propensity score-matched patients. A cubic spline regression analysis assessed the hazard of death resulting from treatment cessation vs. no cessation at each potassium level. Results: A total of 5059 hyperkalemic HF patients were identified; most received low to moderate doses of ACEis and ARBs (86.9% and 71.5%, respectively) and low doses of MRAs (76.2%). The RAASi and MRA cessation rates were 34.7% and 52.8% at 1 year post-diagnosis, while the dose reduction rates were 8.4% and 6.5%, respectively. During the mean follow-up of 2.8 years, patients who ceased RAASi or MRA therapies were at higher risk for adverse outcomes; cubic spline analysis found that serum potassium levels of <5.9 and <5.7 mmol/L conferred an increased mortality risk for RAASi and MRA cessation, respectively. Conclusions: Treatment cessation/dose reduction of RAASis are common among HF patients. The risks of RAASi/MRA cessation may outweigh the benefits in patients with mild to moderate hyperkalemia.