bluuebunny/crossref_metadata_2025 huggingface dataset:
Patient delay impact on breast cancer survival at Khartoum Referral Hospital: a retrospective study
Authors: Elgoraish Amanda , Alnory Ahmed
Published: August 2021

Background: Breast cancer can be invasive and advanced at diagnosis causing enormous suffering and premature death. Delay to stage diagnosis and treatment is related to survival evaluation and several factors determine delay. The aim of the study was to examine predictor covariates associated with breast cancer delay and its impact on patient prognosis and survival.

Methods: This retrospective cross-sectional hospital-based study was carried out at Khartoum Oncology Hospital. Participants were 411 breast cancer patients diagnosed and treated during the period 2016. Patients’ pathological and socio-demographic data were extracted from their medical files and delay data from telephone questionnaire survey and survival times calculated from follow-up. Fisher exact test, Cox and Logistic regression models were used to examine relationships between demographic, clinical and delay variables and survival outcome.

Results: The mean age of the study subjects was 50.07 years old and the majority were ≥45 years. Cancer delay analysis showed that there were different reasons for different types of delay but the majority of participants (86.2%) claimed fear of the disease and treatment and lack of information were real drivers of delay. The study confirmed the majority of participants expressed  long delay estimated at 28.3 weeks and patient delay had a significant association with the advanced stage (P-value<0.05). The hazard ratio was four times for risk of dying from cancer for long delay compared to the short one.

Conclusion: The results of the study suggest delays at diagnosis and treatment are more common steps leading to advanced stage at diagnosis and poor survival. Early detection of the disease provides tremendous opportunities for early diagnosis, effective treatment and high chances of survival.
Elastic Performance Test Method of Web Server in Cloud Computing Environment
Authors: Su Xin , Li Xiaohui
Published: August 2021

In the process of traditional web server elastic performance test, the performance of tracking data is poor, which leads to excessive server jitter and poor accuracy of elastic test results. Therefore, this paper studies the network server elastic performance test method in cloud computing environment. In this method, cloud monitoring technology is used to track the operation data of Web server. According to the multi platform call mode of Web server, a statistical regression model is established to determine the elasticity measurement index. The load balancing algorithm is used to test the server load balancing to obtain the elasticity value of Web server. Experimental results: in the whole running period of Web server, the jitter times of the proposed method are 15.6066 times, 16.5600 times and 16.5733 times lower than those of the three traditional methods, respectively. It can be seen that the new test method can accurately track the response ability of the server and obtain more accurate elasticity value.
Fourier-Transform Infrared Spectroscopy Analysis of the Changes in Chemical Composition of Wooden Components: Part II—The Ancient Building of Danxia Temple
Authors: Yang Yan , Sun He , Yang Shuang , Sun Wenye , Zhao Ying , Li Bin , Wang Wei , Zhang Xiaoqian , Jiang Shilong , Xu Qian
Published: August 2021

To investigate the decay extent of wooden components in the ancient buildings of Danxia Temple, the absorption peak intensities, changes in chemical components, and cellulose crystallinity of red oak (Quercus sp.), birch (Betula sp.), and maple (Pterocarya sp.) wooden components were determined and analyzed using Fourier-transform infrared spectroscopy. The results are as follows: (1) The absorption peak intensities representing cellulose and hemicellulose decreased or disappeared obviously in the decayed red oak wood (DROW); on the contrary, those representing lignin increased. The indexes of the content of cellulose, hemicellulose, and cellulose crystallinity also decreased; on the contrary, those of the content of lignin increased. Those results indicated that cellulose and hemicellulose in DROW were largely degraded by brown-rot fungi. (2) The absorption peak intensities representing cellulose and hemicellulose decreased both in the decayed birch wood (DBW) and the decayed maple wood (DMW), whereas those representing lignin increased. The indexes of the content of cellulose, hemicellulose, and cellulose crystallinity also decreased, whereas those of lignin increased. Those results showed that cellulose and hemicellulose in DBW and DMW were seriously harmed not only by insects but also by brown-rot fungi. By comparison, the extent of fungal damage was lower in DMW than in DBW.
Retrosternal goitre assumed to be asthma causing asphyxia in pregnancy: case report and literature review
Authors: Efthymiou CA
Published: August 2021

The prevalence of asthma is high, but ‘all that wheezes is not asthma’. We present the case of a 38-year-old pregnant woman who had acute severe ventilatory failure initially thought to be an exacerbation of asthma. This delayed the actual diagnosis of haemorrhagic enlargement of a goitre complicated by pre-eclampsia. We also perform a literature review of previous publications. This case highlights the goitrogenic effects of pregnancy and the associated risks of respiratory compromise.
Head and neck sarcoma: three-year data from a tertiary referral centre
Authors: Kotecha S , Williams MA , White H Branford , Graystone J , Gibbons M , Cosker T
Published: August 2021

Introduction

Sarcomas of the head and neck are neoplasms arising from the embryonic mesenchyme. They are rare and heterogeneous in nature and are associated with significant morbidity and mortality. This study evaluates patients referred to the Oxford Sarcoma Service, a tertiary referral centre.

Methods

Patients discussed over a three-year period were included. Medical records were analysed using the electronic patient record database. Data were acquired on a range of domains, including: demographics, histopathology, treatment modality, recurrence, mortality, survival, etc.

Results

Thirty-two eligible patients, 21 male and 11 female, were identified with a mean age of 58 years; 26 out of 32 patients had high-grade sarcomas. The commonest histological subtype was chondrosarcoma (8/32). Twenty-two underwent planned multidisciplinary team surgical resection after biopsy and staging: negative margins were noted in 9, with close and involved margins in 5 and 8, respectively. Local recurrence was noted in 13 and 6 had metastatic disease out of the 32 eligible patients. Mortality was noted in 10 out of 32 patients. Mean survival was 69.5 months. Five-year overall survival was 64%. Surgery demonstrated statistically significant improvement in survival (p=0.0095). There were no significant differences in survival, recurrence or marginal status between methods of adjuvant or neoadjuvant therapy.

Conclusion

Outcomes of head and neck sarcomas are inferior compared with other types of sarcoma. The nature of the complex surrounding anatomy presents unique challenges in surgical management. This in turn affects rates of local recurrence and prognosis. Therefore, it is critical that they are managed in tertiary, specialist centres with a multidisciplinary approach.
The lived experiences of Turkish men’s engagement in domestic violence interventions in England
Authors: Turhan Zeynep , Bernard Claudia
Published: August 2021

This article illustrates the first in-depth study on major conditions of engagement among Turkish men in interventions that work with perpetrators of domestic violence in England. It investigates how key circumstances related to Turkish men’s cultural backgrounds, migration status, racialisation and different interactions with facilitators shape their engagement in interventions. The data was collected from semi-structured interviews with Turkish perpetrators who participated in domestic violence interventions and professionals who worked with Turkish men in these interventions. Participants’ social and cultural background, class, gendered power relations and racialisation affected their active engagement in interventions. The insufficiency of trained interpreters and culturally-competent professionals, mistrust of the services and the social stressors about living in a society with different cultural values to their home country were identified as factors of inadequate engagement. We found that adopting culturally-sensitive strategies including professionals’ understanding of men’s social, cultural and religious backgrounds, and being aware of racism, discrimination and migration-related stressors were key in improving engagement during interventions.
Denoising of pre-beamformed photoacoustic data using generative adversarial networks
Authors: Refaee Amir , Kelly Corey J. , Moradi Hamid , Salcudean Septimiu E.
Published: August 2021

We have trained generative adversarial networks (GANs) to mimic both the effect of temporal averaging and of singular value decomposition (SVD) denoising. This effectively removes noise and acquisition artifacts and improves signal-to-noise ratio (SNR) in both the radio-frequency (RF) data and in the corresponding photoacoustic reconstructions. The method allows a single frame acquisition instead of averaging multiple frames, reducing scan time and total laser dose significantly. We have tested this method on experimental data, and quantified the improvement over using either SVD denoising or frame averaging individually for both the RF data and the reconstructed images. We achieve a mean squared error (MSE) of 0.05%, structural similarity index measure (SSIM) of 0.78, and a feature similarity index measure (FSIM) of 0.85 compared to our ground-truth RF results. In the subsequent reconstructions using the denoised data we achieve a MSE of 0.05%, SSIM of 0.80, and a FSIM of 0.80 compared to our ground-truth reconstructions.
High-capacity bi-directional full-duplex transmission based on fiber-eigenmode multiplexing over a FMF with 2×2 MIMO
Authors: Zhang Jianbo , Wu Xiong , Fan Qirui , Yi Xingwen , Tan Zhongwei , Li Jianping , Li Zhaohui , Lu Chao
Published: August 2021

We propose and experimentally demonstrate symmetrical (homo-modal) and asymmetrical (hetero-modal) full-duplex bi-directional architectures based on dual-vector eigenmodes multiplexing over a 3 km few mode fiber (FMF). Firstly, 4 vector modes (VMs) of 2 mode groups (MGs), l = 0 (HE11o and HE11e modes) and l = +2 (EH11o and EH11e modes), each carrying a 14 GBaud quadrature phase-shift keying (QPSK) signal, are utilized in the up and down links and a 224 Gb/s same-mode bi-directional transmission is successfully realized. The crosstalk between the VMs in l = 0 and l = +2 of this full-duplex system is less than −13.8 dB. To strengthen the immunity to performance degradation induced by connector reflection and back scattering, we propose an effective approach to mitigate impairments by using hetero-modes on two terminals of the bi-directional system. Then, 2 VMs of l = 0 and 2 VMs of l = +2 are respectively employed in the up and down streams. The channel isolation between the VMs in l = 0 and l = +2 of such full-duplex link is larger than 19 dB, which supports a 448 Gb/s bi-directional transmission with 28 GBaud 16-ary quadrature amplitude modulation (QAM) modulation over a 3 km FMF by using 2 × 2 MIMO. Moreover, mode-wavelength division multiplexing including 2 modes and 4 wavelengths in both up and down streams is implemented in the transmission system. A total capacity of the 1.792 Tb/s link with 28 GBaud 16-QAM signal over each channel is successfully realized over the 3 km FMF. The measured bit-error-ratios (BERs) of all channels are below the 7% hard decision forward error correction (FEC) threshold at 3.8 × 10−3. The experimental results adequately indicate that such a scheme has a great potential in high-speed bi-directional point-to-point (P2P) optical interconnects.
Spatiotemporal coherent modulation imaging for dynamic quantitative phase and amplitude microscopy
Authors: Zhang Junhao , Yang Dongyu , Tao Ye , Zhu Yupeng , Lv Wenjin , Miao Dong , Ke Changjun , Wang Huaying , Shi Yishi
Published: August 2021

The single-shot capability of coherent modulation imaging (CMI) makes it have great potential in the investigation of dynamic processes. Its main disadvantage is the relatively low signal-to-noise ratio (SNR) which affects the spatial resolution and reconstruction accuracy. Here, we propose the improvement of a general spatiotemporal CMI method for imaging of dynamic processes. By making use of the redundant information in time-series reconstructions, the spatiotemporal CMI can achieve robust and fast reconstruction with higher SNR and spatial resolution. The method is validated by numerical simulations and optical experiments. We combine the CMI module with an optical microscope to achieve quantitative phase and amplitude reconstruction of dynamic biological processes. With the reconstructed complex field, we also demonstrate the 3D digital refocusing ability of the CMI microscope. With further development, we expect the spatiotemporal CMI method can be applied to study a range of dynamic phenomena.
Multiple interference theoretical model for graphene metamaterial-based tunable broadband terahertz linear polarization converter design and optimization
Authors: Lin Rong , Lu Fake , He Xiaoliang , Jiang Zhilong , Liu Cheng , Wang Shouyu , Kong Yan
Published: August 2021

Terahertz (THz) polarization converters often working as modulators and switches have many applications in THz sensing, imaging and communication, but many of them still suffer from low polarization conversion efficiency, fixed and narrow polarization conversion band, and low output polarization purity, which are mainly due to the lack of theoretical model for THz polarization converter design and optimization. In order to solve the problem, we adopt multiple interference theory to successfully design and optimize a graphene metamaterial-based tunable broadband THz linear polarization converter: it achieves polarization conversion ratio (PCR) over 0.97, polarization azimuth angle of almost ±90° and rather low ellipticity within a broad polarization conversion band of 1.25 THz; and additionally, its polarization conversion band can be actively tuned by adjusting the graphene chemical potential and almost insensitive to the incident THz radiation angle below 50°. Considering the high performance of the optimal graphene metamaterial-based tunable broadband THz linear polarization converter, this work provides an optimal design offering a way in high-quality manipulation of THz radiation polarization; but more importantly, delivers a theoretical model for tunable THz polarization converter design and optimization.
Electro-optical properties of doped polymers with high transparency in the visible wavelength range
Authors: Villringer Claus , Steglich Patrick , Pulwer Silvio , Schrader Sigurd , Laufer Jan
Published: August 2021

The electro-optical (EO) properties of poly(methyl methacrylate) and the photopolymer poly(vinyl cinnamate) doped with varying concentrations of the EO chromophore 2-Methyl-4-nitroaniline were measured. The EO polymers were embedded in Fabry-Pérot etalons for the simultaneous determination of the Pockels and Kerr coefficients from measurements of the fringe shift induced by an external electric field. It was found that the host polymer has a significant impact on the EO performance and that the undoped host polymers exhibit a significant Pockels effect. Moreover, the Kerr effect provides a substantial contribution of 27% to the total change of the refractive index at relatively high electric field strengths of E = 91.2 MV m−1.
Interspike interval correlations in neuron models with adaptation and correlated noise
Authors: Ramlow Lukas , Lindner Benjamin
Published: August 2021

The generation of neural action potentials (spikes) is random but nevertheless may result in a rich statistical structure of the spike sequence. In particular, contrary to the popular renewal assumption of theoreticians, the intervals between adjacent spikes are often correlated. Experimentally, different patterns of interspike-interval correlations have been observed and computational studies have identified spike-frequency adaptation and correlated noise as the two main mechanisms that can lead to such correlations. Analytical studies have focused on the single cases of either correlated (colored) noise or adaptation currents in combination with uncorrelated (white) noise. For low-pass filtered noise or adaptation, the serial correlation coefficient can be approximated as a single geometric sequence of the lag between the intervals, providing an explanation for some of the experimentally observed patterns. Here we address the problem of interval correlations for a widely used class of models, multidimensional integrate-and-fire neurons subject to a combination of colored and white noise sources and a spike-triggered adaptation current. Assuming weak noise, we derive a simple formula for the serial correlation coefficient, a sum of two geometric sequences, which accounts for a large class of correlation patterns. The theory is confirmed by means of numerical simulations in a number of special cases including the leaky, quadratic, and generalized integrate-and-fire models with colored noise and spike-frequency adaptation. Furthermore we study the case in which the adaptation current and the colored noise share the same time scale, corresponding to a slow stochastic population of adaptation channels; we demonstrate that our theory can account for a nonmonotonic dependence of the correlation coefficient on the channel’s time scale. Another application of the theory is a neuron driven by network-noise-like fluctuations (green noise). We also discuss the range of validity of our weak-noise theory and show that by changing the relative strength of white and colored noise sources, we can change the sign of the correlation coefficient. Finally, we apply our theory to a conductance-based model which demonstrates its broad applicability.
AIM: A network model of attention in auditory cortex
Authors: Chou Kenny F. , Sen Kamal
Published: August 2021

Attentional modulation of cortical networks is critical for the cognitive flexibility required to process complex scenes. Current theoretical frameworks for attention are based almost exclusively on studies in visual cortex, where attentional effects are typically modest and excitatory. In contrast, attentional effects in auditory cortex can be large and suppressive. A theoretical framework for explaining attentional effects in auditory cortex is lacking, preventing a broader understanding of cortical mechanisms underlying attention. Here, we present a cortical network model of attention in primary auditory cortex (A1). A key mechanism in our network is attentional inhibitory modulation (AIM) of cortical inhibitory neurons. In this mechanism, top-down inhibitory neurons disinhibit bottom-up cortical circuits, a prominent circuit motif observed in sensory cortex. Our results reveal that the same underlying mechanisms in the AIM network can explain diverse attentional effects on both spatial and frequency tuning in A1. We find that a dominant effect of disinhibition on cortical tuning is suppressive, consistent with experimental observations. Functionally, the AIM network may play a key role in solving the cocktail party problem. We demonstrate how attention can guide the AIM network to monitor an acoustic scene, select a specific target, or switch to a different target, providing flexible outputs for solving the cocktail party problem.
Perineuronal nets in HVC and plasticity in male canary song
Authors: Cornez Gilles , Valle Shelley , dos Santos Ednei Barros , Chiver Ioana , Müller Wendt , Ball Gregory F. , Cornil Charlotte A. , Balthazart Jacques
Published: August 2021

Songbirds learn their vocalizations during developmental sensitive periods of song memorization and sensorimotor learning. Some seasonal songbirds, called open-ended learners, recapitulate transitions from sensorimotor learning and song crystallization on a seasonal basis during adulthood. In adult male canaries, sensorimotor learning occurs each year in autumn and leads to modifications of the syllable repertoire during successive breeding seasons. We previously showed that perineuronal nets (PNN) expression in song control nuclei decreases during this sensorimotor learning period. Here we explored the causal link between PNN expression in adult canaries and song modification by enzymatically degrading PNN in HVC, a key song control system nucleus. Three independent experiments identified limited effects of the PNN degradation in HVC on the song structure of male canaries. They clearly establish that presence of PNN in HVC is not required to maintain general features of crystallized song. Some suggestion was collected that PNN are implicated in the stability of song repertoires but this evidence is too preliminary to draw firm conclusions and additional investigations should consider producing PNN degradations at specified time points of the seasonal cycle. It also remains possible that once song has been crystallized at the beginning of the first breeding season, PNN no longer play a key role in determining song structure; this could be tested by treatments with chondroitinase ABC at key steps in ontogeny. It would in this context be important to develop multiple stereotaxic procedures allowing the simultaneous bilateral degradation of PNN in several song control nuclei for extended periods.
Dynamic evaluation method for planning sustainable landfills using GIS and multi-criteria in areas of urban sprawl with land-use conflicts
Authors: Langa Chelsea , Hara Junko , Wang Jiajie , Nakamura Kengo , Watanabe Noriaki , Komai Takeshi
Published: August 2021

Landfill site selection is problematic in many countries, especially developing nations where there is rapid population growth, which leads to high levels of inadequate waste disposal. To find sustainable landfill sites in sprawling cities, this study presents an approach that combines geographic information system (GIS) with multi-criteria (social, environmental and, technical criteria) and the population growth projection. The greater Maputo area in Mozambique was selected as a representative city for the study, which is undergoing rapid urbanization. Six criteria, i.e., land use, transport networks, hydrology, conservation reserve, geology and slope, were considered and overlaid in the GIS using an analytic hierarchy process (AHP). The arithmetic projection of the population trend suggests that the greater Maputo area is experiencing a rapid and uncontrolled population growth, especially in Matola city. These pronounced changes in population then significantly change the landfill placement decision making. Dynamic and static scenarios were created, based on the analysis of multi-criteria and the areas likely to undergo future increased population growth. A comparative evaluation in a scenario of dynamic behavior considering future population showed that suitable areas for landfill sites have been drastically modified due to social and environmental factors affected by population distribution in some regions. The results indicate that some suitable areas can generate land use conflicts due to population growth with unplanned land use expansion. Finally, the western part of Matola city is recognized as the most recommendable landfill site, which can serve both Maputo and Matola city with affordable costs. This study provides an effective landfill placement decision making approach, which is possible to be applied anywhere, especially in developing countries to improve sustainable municipal solid waste management systems.
Identification of loci associated with susceptibility to Mycobacterium avium subsp. paratuberculosis infection in Holstein cattle using combinations of diagnostic tests and imputed whole-genome sequence data
Authors: Canive Maria , González-Recio Oscar , Fernández Almudena , Vázquez Patricia , Badia-Bringué Gerard , Lavín José Luis , Garrido Joseba M. , Juste Ramón A. , Alonso-Hearn Marta
Published: August 2021

Bovine paratuberculosis (PTB) is a chronic inflammatory disease caused by Mycobacterium avium susbp. paratuberculosis (MAP). Genome-wide association studies (GWAS) have identified single nucleotide polymorphisms (SNPs) significantly associated with susceptibility to bovine PTB. The main objective of this study was to identify quantitative trait loci (QTLs) associated with MAP infection in Spanish Holstein cows (N = 983) using combinations of diagnostic tests and imputed whole-genome sequence (WGS) data. The infection status of these animals was defined by three diagnostic methods including ELISA for MAP-antibodies detection, and tissue culture and PCR for MAP detection. The 983 cows included in this study were genotyped with the Bovine MD SNP50 Bead Chip, and the corresponding genotypes were imputed to WGS using the 1,000 Bull genomes reference population. In total, 33.77 million SNP variants per animal were identified across the genome. Linear mixed models were used to calculate the heritability (h2) estimates for each diagnostic test and test combinations. Next, we performed a case-control GWAS using the imputed WGS datasets and the phenotypes and combinations of phenotypes with h2 estimates > 0.080. After performing the GWAS, the test combinations that showed SNPs with a significant association (PFDR ≤ 0.05), were the ELISA-tissue PCR-tissue culture, ELISA-tissue culture, and ELISA-tissue PCR. A total of twelve quantitative trait loci (QTLs) highly associated with MAP infection status were identified on the Bos taurus autosomes (BTA) 4, BTA5, BTA11, BTA12, BTA14, BTA23, BTA24, and BTA28, and some of these QTLs were linked to immune-modulating genes. The identified QTLs on BTA23 spanning from 18.81 to 22.95 Mb of the Bos taurus genome overlapped with several QTLs previously found to be associated with PTB susceptibility, bovine tuberculosis susceptibility, and clinical mastitis. The results from this study provide more clues regarding the molecular mechanisms underlying susceptibility to PTB infection in cattle and might be used to develop national genetic evaluations for PTB in Spain.
Plastid phylogenomics of Pleurothallidinae (Orchidaceae): Conservative plastomes, new variable markers, and comparative analyses of plastid, nuclear, and mitochondrial data
Authors: Silvério R. Mauad Anna Victoria , Vieira Leila do Nascimento , Antônio de Baura Valter , Balsanelli Eduardo , Maltempi de Souza Emanuel , Chase Mark W. , de Camargo Smidt Eric
Published: August 2021

We present the first comparative plastome study of Pleurothallidinae with analyses of structural and molecular characteristics and identification of the ten most-variable regions to be incorporated in future phylogenetic studies. We sequenced complete plastomes of eight species in the subtribe and compared phylogenetic results of these to parallel analyses of their nuclear ribosomal DNA operon (26S, 18S, and 5.8S plus associated spacers) and partial mitochondrial genome sequences (29–38 genes and partial introns). These plastomes have the typical quadripartite structure for which gene content is similar to those of other orchids, with variation only in the composition of thendhgenes. The independent loss ofndhgenes had an impact on which genes border the inverted repeats and thus the size of the small single-copy region, leading to variation in overall plastome length. Analyses of 68 coding sequences indicated the same pattern of codon usage as in other orchids, and 13 protein-coding genes under positive selection were detected. Also, we identified 62 polymorphic microsatellite loci and ten highly variable regions, for which we designed primers. Phylogenomic analyses showed that the top ten mutational hotspots represent well the phylogenetic relationships found with whole plastome sequences. However, strongly supported incongruence was observed among plastid, nuclear ribosomal DNA operon, and mitochondrial DNA trees, indicating possible occurrence of incomplete lineage sorting and/or introgressive hybridization. Despite the incongruence, the mtDNA tree retrieved some clades found in other analyses. These results, together with performance in recent studies, support a future role for mitochondrial markers in Pleurothallidinae phylogenetics.
Effects of captopril against radiation injuries in the Göttingen minipig model of hematopoietic-acute radiation syndrome
Authors: Rittase W. Bradley , McCart Elizabeth A. , Muir Jeannie M. , Bouten Roxane M. , Slaven John E. , Mungunsukh Ognoon , Bylicky Michelle A. , Wilkins W. Louis , Lee Sang-Ho , Gudmundsson Kristbjorn O. , Di Pucchio Tiziana , Olsen Cara H. , Du Yang , Day Regina M.
Published: August 2021

Our laboratory has demonstrated that captopril, an angiotensin converting enzyme inhibitor, mitigates hematopoietic injury following total body irradiation in mice. Improved survival in mice is correlated with improved recovery of mature blood cells and bone marrow, reduction of radiation-induced inflammation, and suppression of radiation coagulopathy. Here we investigated the effects of captopril treatment against radiation injuries in the Göttingen mini pig model of Hematopoietic-Acute Radiation Syndrome (H-ARS). Minipigs were given captopril orally (0.96 mg/kg) twice daily for 12 days following total body irradiation (60Co 1.79 Gy, 0.42–0.48 Gy/min). Blood was drawn over a time course following irradiation, and tissue samples were collected at euthanasia (32–35 days post-irradiation). We observed improved survival with captopril treatment, with survival rates of 62.5% in vehicle treated and 87.5% in captopril treated group. Additionally, captopril significantly improved recovery of peripheral blood mononuclear cells, and a trend toward improvement in recovery of red blood cells and platelets. Captopril significantly reduced radiation-induced expression of cytokines erythropoietin and granulocyte-macrophage colony-stimulating factor and suppressed radiation-induced acute-phase inflammatory response cytokine serum amyloid protein A. Using quantitative-RT-PCR to monitor bone marrow recovery, we observed significant suppression of radiation-induced expression of redox stress genes and improved hematopoietic cytokine expression. Our findings suggest that captopril activities in the Göttingen minipig model of hematopoietic-acute radiation syndrome reflect findings in the murine model.
STEM undergraduates’ perspectives of instructor and university responses to the COVID-19 pandemic in Spring 2020
Authors: Pagoto Sherry , Lewis Kathrine A. , Groshon Laurie , Palmer Lindsay , Waring Molly E. , Workman Deja , De Luna Nina , Brown Nathanial P.
Published: August 2021

Objectives

We examined undergraduate STEM students’ experiences during Spring 2020 when universities switched to remote instruction due to the COVID-19 pandemic. Specifically, we sought to understand actions by universities and instructors that students found effective or ineffective, as well as instructor behaviors that conveyed a sense of caring or not caring about their students’ success.

Methods

In July 2020 we conducted 16 focus groups with STEM undergraduate students enrolled in US colleges and universities (N = 59). Focus groups were stratified by gender, race/ethnicity, and socioeconomic status. Content analyses were performed using a data-driven inductive approach.

Results

Participants (N = 59; 51% female) were racially/ethnically diverse (76% race/ethnicity other than non-Hispanic white) and from 32 colleges and universities. The most common effective instructor strategies mentioned included hybrid instruction (35%) and use of multiple tools for learning and student engagement (27%). The most common ineffective strategies mentioned were increasing the course workload or difficulty level (18%) and use of pre-recorded lectures (15%). The most common behaviors cited as making students feel the instructor cared about their success were exhibiting leniency and/or flexibility regarding course policies or assessments (29%) and being responsive and accessible to students (25%). The most common behaviors cited as conveying the instructors did not care included poor communication skills (28%) and increasing the difficulty of the course (15%). University actions students found helpful included flexible policies (41%) and moving key services online (e.g., tutoring, counseling; 24%). Students felt universities should have created policies for faculty and departments to increase consistency (26%) and ensured communication strategies were honest, prompt, and transparent (23%).

Conclusions

To be prepared for future emergencies, universities should devise evidence-based policies for remote operations and all instructors should be trained in best practices for remote instruction. Research is needed to identify and ameliorate negative impacts of the pandemic on STEM education.
The blood transcriptome prior to ovarian cancer diagnosis: A case-control study in the NOWAC postgenome cohort
Authors: Jareid Mie , Snapkov Igor , Holden Marit , Busund Lill-Tove Rasmussen , Lund Eiliv , Nøst Therese Haugdahl
Published: August 2021

Epithelial ovarian cancer (EOC) has a 5-year relative survival of 50%, partly because markers of early-stage disease are not available in current clinical diagnostics. The aim of the present study was to investigate whether EOC is associated with transcriptional profiles in blood collected up to 7 years before diagnosis. For this, we used RNA-stabilized whole blood, which contains circulating immune cells, from a sample of EOC cases from the population-based Norwegian Women and Cancer (NOWAC) postgenome cohort. We explored case-control differences in gene expression in all EOC (66 case-control pairs), as well as associations between gene expression and metastatic EOC (56 pairs), serous EOC (45 pairs, 44 of which were metastatic), and interval from blood sample collection to diagnosis (≤3 or >3 years; 34 and 31 pairs, respectively). Lastly, we assessed differential expression of genes associated with EOC in published functional genomics studies that used blood samples collected from newly diagnosed women. After adjustment for multiple testing, this nested case-control study revealed no significant case-control differences in gene expression in all EOC (false discovery rate q>0.96). With the exception of a few probes, the log2 fold change values obtained in gene-wise linear models were below ±0.2. P-values were lowest in analyses of metastatic EOC (80% of which were serous EOC). No common transcriptional profile was indicated by interval to diagnosis; when comparing the 100 genes with the lowest p-values in gene-wise tests in samples collected ≤3 and >3 years before EOC diagnosis, no overlap in these genes was observed. Among 86 genes linked to ovarian cancer in previous publications, our data contained expression values for 42, and of these, tests of LIME1, GPR162, STAB1, and SKAP1, resulted in unadjusted p<0.05. Although limited by sample size, our findings indicated less variation in blood gene expression between women with similar tumor characteristics.
Linking a European cohort of children born with congenital anomalies to vital statistics and mortality records: A EUROlinkCAT study
Authors: Loane M. , Given J. E. , Tan J. , Reid A. , Akhmedzhanova D. , Astolfi G. , Barišić I. , Bertille N. , Bonet L. B. , Carbonell C. C. , Carollo O. Mokoroa , Coi A. , Densem J. , Draper E. , Garne E. , Gatt M. , Glinianaia S. V. , Heino A. , Hond E. Den , Jordan S. , Khoshnood B. , Kiuru-Kuhlefelt S. , Klungsøyr K. , Lelong N. , Lutke L. R. , Neville A. J. , Ostapchuk L. , Puccini A. , Rissmann A. , Santoro M. , Scanlon I. , Thys G. , Tucker D. , Urhoj S. K. , de Walle H. E. K. , Wellesley D. , Zurriaga O. , Morris J. K.
Published: August 2021

EUROCAT is a European network of population-based congenital anomaly (CA) registries. Twenty-one registries agreed to participate in the EUROlinkCAT study to determine if reliable information on the survival of children born with a major CA between 1995 and 2014 can be obtained through linkage to national vital statistics or mortality records. Live birth children with a CA could be linked using personal identifiers to either their national vital statistics (including birth records, death records, hospital records) or to mortality records only, depending on the data available within each region. In total, 18 of 21 registries with data on 192,862 children born with congenital anomalies participated in the study. One registry was unable to get ethical approval to participate and linkage was not possible for two registries due to local reasons. Eleven registries linked to vital statistics and seven registries linked to mortality records only; one of the latter only had identification numbers for 78% of cases, hence it was excluded from further analysis. For registries linking to vital statistics: six linked over 95% of their cases for all years and five were unable to link at least 85% of all live born CA children in the earlier years of the study. No estimate of linkage success could be calculated for registries linking to mortality records. Irrespective of linkage method, deaths that occurred during the first week of life were over three times less likely to be linked compared to deaths occurring after the first week of life. Linkage to vital statistics can provide accurate estimates of survival of children with CAs in some European countries. Bias arises when linkage is not successful, as early neonatal deaths were less likely to be linked. Linkage to mortality records only cannot be recommended, as linkage quality, and hence bias, cannot be assessed.
One-year outcomes of microshunt implantation in pseudoexfoliation glaucoma
Authors: Nobl Matthias , Freissinger Sigrid , Kassumeh Stefan , Priglinger Siegfried , Mackert Marc J.
Published: August 2021

Purpose

To compare the safety and efficacy of microshunt implantation augmented with Mitomycin C in patients with pseudoexfoliation glaucoma (PEXG) and primary open-angle glaucoma (POAG).

Methods

In this retrospective, single centre, interventional study, 46 eyes of 41 patients with PEXG (20 eyes) and POAG (26 eyes) underwent microshunt implantation. Definition of failure was an intraocular pressure (IOP) lower than 5 or higher than 17mmHg on two consecutive visits, an IOP reduction lower than 20% on two consecutive visits, the need of surgical revisions or reoperations or loss of light perception. Outcome was rated as complete success if achieved without medication, otherwise as qualified success. Furthermore, postoperative complications and interventions were compared between the two groups.

Results

Patient demographics were similar, except for older age in the PEXG group (70.9±8.6 versus 77.6±8; p = 0.02). Mean IOP dropped from 21.5±5.8mmHg (PEXG) and 18.2±4.5mmHg (POAG) at baseline to 12.8±3.0mmHg (p<0.0001) and 12.9±4.2mmHg (p<0.0001), respectively, at one year. Mean number of medications were reduced from 2.8±1.3 to 0.3±0.8 for PEXG patients (p<0.0001) and from 2.7±1.3 to 0.3±0.8 for POAG patients (p<0.0001). At one year of follow-up 75.0% of PEXG patients achieved complete success and 80.0% qualified success. In the POAG group rates were 73.1% and 76.9%, respectively. Postoperative complications were comparable between both groups, except for higher rates of hypotony (p = 0.04) and choroidal detachment (p = 0.03) in the PEXG group.

Conclusion

Microshunt implantation demonstrated similar efficacy results in PEXG and POAG eyes at a follow-up of 12 months. Higher rates of transient hypotony and choroidal detachment were observed in PEXG eyes.
Automated home-cage monitoring as a potential measure of sickness behaviors and pain-like behaviors in LPS-treated mice
Authors: Hasriadi  , Dasuni Wasana Peththa Wadu , Vajragupta Opa , Rojsitthisak Pornchai , Towiwat Pasarapa
Published: August 2021

The use of endotoxin, such as lipopolysaccharide (LPS) as a model of sickness behavior, has attracted recent attention. To objectively investigate sickness behavior along with its pain-like behaviors in LPS-treated mice, the behavioral measurement requires accurate methods, which reflects clinical relevance. While reflexive pain response tests have been used for decades for pain assessment, its accuracy and clinical relevance remain problematic. Hence, we used automated home-cage monitoring LABORAS to evaluate spontaneous locomotive behaviors in LPS-induced mice. LPS-treated mice displayed sickness behaviors including pain-like behaviors in automated home-cage monitoring characterized by decreased mobile behaviors (climbing, locomotion, rearing) and increased immobility compared to that of the control group in both short- and long-term locomotive assessments. Here, in short-term measurement, both in the open-field test and automated home-cage monitoring, mice demonstrated impaired locomotive behaviors. We also assessed 24 h long-term locomotor activity in the home-cage system, which profiled the diurnal behaviors of LPS-stimulated mice. The results demonstrated significant behavioral impairment in LPS-stimulated mice compared to the control mice in both light and dark phases. However, the difference is more evident in the dark phase compared to the light phase owing to the nocturnal activity of mice. In addition, the administration of indomethacin as a pharmacological intervention improved sickness behaviors in the open-field test as well as automated home-cage monitoring, confirming that automated home-cage monitoring could be potentially useful in pharmacological screening. Together, our results demonstrate that automated home-cage monitoring could be a feasible alternative to conventional methods, such as the open-field test and combining several behavioral assessments may provide a better understanding of sickness behavior and pain-like behaviors in LPS-treated mice.
Comparison of profile and treatment outcomes between elderly and non-elderly tuberculosis patients in Puducherry and Tamil Nadu, South India
Authors: Murali Sharan , Krishnamoorthy Yuvaraj , Knudsen Selby , Roy Gautam , Ellner Jerrold , Horsburgh Charles Robert , Hochberg Natasha , Salgame Padmini , Prakash Babu Senbagavalli , Sarkar Sonali
Published: August 2021

The rising geriatric population and the increased susceptibility of this age group to tuberculosis (TB), the deadliest single infectious agent, is bothersome for India. This study tried to explore the demographic and treatment outcome differences between the elderly (aged 60 years and above) and non-elderly TB (<60 years) patients from South India. This study was part of a large ongoing cohort study under the RePORT India consortium. Newly diagnosed TB patients recruited into the cohort between 2014 and 2018 were included in this study. Pretested and standardized questionnaire and tools were used to collect data and were stored securely for the entire cohort. Required demographic, anthropometric and treatment related variables were extracted from this database and analyzed using Stata version 14.0. Prevalence of elderly TB was summarized as percentage with 95% confidence interval (CI). Generalized linear modelling was attempted to find the factors associated with elderly TB. A total of 1,259 eligible TB patients were included into this present study. Mean (SD) of the participants in the elderly and non-elderly group was 65.8 (6.2) and 40.2 (12.0) respectively. Prevalence of elderly TB was 15.6% (95%CI: 13.6%-17.6%) with nearly 71% belonging to 60–69 age category. Male sex, OBC caste, poor education, unemployment, marriage, alcohol consumption and unable to work as per Karnofsky score were found to be significantly associated with an increased prevalence of elderly TB. Unfavorable outcomes (12% vs 6.5%, p value: 0.018), including death (9.3% vs 3.4%, p value: 0.001) were significantly higher among the elderly group when compared to their non-elderly counterparts. The current TB programme should have strategies to maintain follow up with due attention to adverse effects, social support and outcomes. Additional research should focus on predictors for unfavorable outcomes among the elderly TB group and explore ways to handle the same. Rendering adequate social support from the health system side and family side would be a good start.
Comparisons of historical Dutch commons inform about the long-term dynamics of social-ecological systems
Authors: Forsman Anders , De Moor Tine , van Weeren René , Farjam Mike , Dehkordi Molood Ale Ebrahim , Ghorbani Amineh , Bravo Giangiacomo
Published: August 2021

Human societies and natural ecosystems are under threat by growing populations, overexploitation of natural resources and climate change. This calls for more sustainable utilization of resources based on past experiences and insights from many different disciplines. Interdisciplinary approaches to studies of historical commons have potential to identify drivers of change and keys to success in the past, and offer advice about the management and use of shared resources in contemporary and future systems. We address these issues by applying an ecological perspective to historical data on social-ecological systems. We perform comparisons and time series analyses for nine successful Dutch commons for which high-resolution data on the regulatory activities and use of shared resources is available for on average 380 years (range 236 to 568) during the period 1300 to 1972. Within commons, institutional developments were oscillating, with periods of intense regulatory activity being separated by periods of low activity, and with the dynamics of regulations being largely independent across commons. Ecological theory posits that species that occupy similar niches should show correlated responses to environmental challenges; however, commons using more similar resources did not have more parallel or similar institutional developments. One notable exception was that sanctioning was more frequent in commons that directed more regulatory activities towards non-renewable subsoil resources, whereas there was no association between sanctioning and the use of renewable resources. This might indicate that commoners were aware of potential resource depletion and attempted to influence freeriding by actively trying to solve the underlying social dilemmas. Sanctioning regulations were more frequent during the first than during the second part of a common’s life, indicating that while sanctioning might have been important for the establishment of commons it was not key to the long-term persistence of historical commons.