bluuebunny/crossref_metadata_2025 huggingface dataset:
Circulating Osteopontin Levels and Outcomes in Patients Hospitalized for COVID-19
Authors: Hayek Salim S. , Roderburg Christoph , Blakely Pennelope , Launius Christopher , Eugen-Olsen Jesper , Tacke Frank , Ktena Sofia , Keitel Verena , Luedde Mark , Giamarellos-Bourboulis Evangelos J. , Luedde Tom , Loosen Sven H.
Published: August 2021

Background: Severe coronavirus disease 2019 (COVID-19) is the result of a hyper-inflammatory reaction to the severe acute respiratory syndrome coronavirus 2. The biomarkers of inflammation have been used to risk-stratify patients with COVID-19. Osteopontin (OPN) is an integrin-binding glyco-phosphoprotein involved in the modulation of leukocyte activation; its levels are associated with worse outcomes in patients with sepsis. Whether OPN levels predict outcomes in COVID-19 is unknown. Methods: We measured OPN levels in serum of 341 hospitalized COVID-19 patients collected within 48 h from admission. We characterized the determinants of OPN levels and examined their association with in-hospital outcomes; notably death, need for mechanical ventilation, and need for renal replacement therapy (RRT) and as a composite outcome. The risk discrimination ability of OPN was compared with other inflammatory biomarkers. Results: Patients with COVID-19 (mean age 60, 61.9% male, 27.0% blacks) had significantly higher levels of serum OPN compared to healthy volunteers (96.63 vs. 16.56 ng/mL, p < 0.001). Overall, 104 patients required mechanical ventilation, 35 needed dialysis, and 53 died during their hospitalization. In multivariable analyses, OPN levels ≥140.66 ng/mL (third tertile) were associated with a 3.5 × (95%CI 1.44–8.27) increase in the odds of death, and 4.9 × (95%CI 2.48–9.80) increase in the odds of requiring mechanical ventilation. There was no association between OPN and need for RRT. Finally, OPN levels in the upper tertile turned out as an independent prognostic factor of event-free survival with respect to the composite endpoint. Conclusion: Higher OPN levels are associated with increased odds of death and mechanical ventilation in patients with COVID-19, however, their utility in triage is questionable.
Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review
Authors: Özgen Heval , Spijkerman Renske , Noack Moritz , Holtmann Martin , Schellekens Arnt , Dalsgaard Søren , van den Brink Wim , Hendriks Vincent
Published: August 2021

Childhood attention-deficit/hyperactivity disorder (ADHD) is a risk factor for the development of substance abuse and substance use disorders (SUD) in adolescence and (early) adulthood. ADHD and SUD also frequently co-occur in treatment-seeking adolescents, which complicates diagnosis and treatment, and is associated with poor treatment outcomes. In this study, we provide a systematic review of controlled studies on the effectiveness of pharmacological, psychosocial, and complementary treatments of ADHD in adolescents with and without comorbid SUD. In addition, we review the longitudinal association between pharmacotherapy for childhood ADHD and the development of SUD in adolescence and early adulthood. We conducted a systematic review of the research literature published since 2000 using Medline, PsycINFO, and the Cochrane Database of Systematic Reviews databases to select randomized clinical trials, observational studies, and meta-analyses. The quality of the evidence from each study was rated using the SIGN grading system. Based on the limited evidence available, strong clinical recommendations are not justified, but provisionally, we conclude that stimulant treatment in children with ADHD may prevent the development of SUD in adolescence or young adulthood, that high-dose stimulant treatment could be an effective treatment for adolescents with ADHD and SUD comorbidity, that cognitive behavior therapy might have a small beneficial effect in these patients, and that alternative treatments are probably not effective. More studies are needed to draw definitive conclusions that will allow for strong clinical recommendations.
The ISJ 3D Brace, a Providence Brace Evolution, as a Surgery Prevention Method in Idiopathic Scoliosis
Authors: Vicente Luis González , Barrios María Jiménez , González-Santos Josefa , Santamaría-Peláez Mirian , Soto-Cámara Raúl , Mielgo-Ayuso Juan , Fernández-Lázaro Diego , González-Bernal Jerónimo J.
Published: August 2021

Background: The high incidence of idiopathic scoliosis worldwide as well as the serious health problems it can cause in adulthood, make it necessary to seek effective treatments to prevent the progression of the disease to more aggressive treatments such as surgery and improve patients’ quality of life. The use of night braces, besides a less severe influence on the patient’s quality of life, is effective in stopping the progression of the curve in idiopathic scoliosis. Methods: A longitudinal study was performed with an experimental population of 108 participants who attended orthotic treatment at the University Hospital of Barcelona, with ages between 4 and 15 years old, with a main curvature greater than 25 degrees and a Risser between 0 and 3. The participants received treatment with Providence ISJ-3D night braces until their pubertal change (mean duration of 2.78 years for males and 1.97 years for females). Results: The implementation of night-time orthotic treatment in children with idiopathic scoliosis is effective in slowing the progression of the curve and in the prevention of more aggressive treatments such as surgery, maintaining the patient’s quality of life. Conclusions: The use of night braces is efficacious in the treatment of idiopathic scoliosis, although new studies including more sociodemographic data as well as curves from 20 degrees of progression are necessary.
Impact of Reduced-Dose Nonvitamin K Antagonist Oral Anticoagulants on Outcomes Compared to Warfarin in Korean Patients with Atrial Fibrillation: A Nationwide Population-Based Study
Authors: Han Sola , Kim Young-Hoon , Lee Myung-Yong , Bang Oh Young , Jang Sung-Won , Han Seongwook , Park Yoo-Jung , Kang Seongsik , On Young Keun , Suh Hae Sun
Published: August 2021

Reduced-dose nonvitamin K antagonist oral anticoagulants (NOACs) are commonly prescribed to Asian patients with nonvalvular atrial fibrillation (NVAF). We aimed to compare the risk of stroke/systemic embolism (S/SE) and major bleeding (MB) between patients treated with reduced-dose NOACs and those treated with warfarin, using the claims database in Korea. Patients with NVAF newly initiated on oral anticoagulants (OACs; apixaban, dabigatran, rivaroxaban, and warfarin) between 1 July 2015 and 30 November 2016 were included. Among all patients with NVAF treated with OACs, 5249, 6033, 7602, and 8648 patients were treated with reduced-dose apixaban, dabigatran, rivaroxaban, and warfarin, respectively. Patients treated with reduced-dose NOACs were older and had higher CHA2DS2-VASc and HAS-BLED scores than those treated with warfarin. Compared to warfarin, all reduced-dose NOACs showed significantly lower risk of S/SE (hazard ratios (95% confidence interval), 0.63 (0.52–0.75) for apixaban; 0.51 (0.42–0.61) for dabigatran; and 0.67 (0.57–0.79) for rivaroxaban) and MB (0.54 (0.45–0.65) for apixaban; 0.58 (0.49–0.69) for dabigatran; 0.73 (0.63–0.85) for rivaroxaban). In the real-world practice among Asians with NVAF, all reduced-dose NOACs were associated with a significantly lower risk of S/SE and MB compared to those of warfarin.
Treatment Delay and Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic
Authors: Tokarek Tomasz , Dziewierz Artur , Malinowski Krzysztof Piotr , Rakowski Tomasz , Bartuś Stanisław , Dudek Dariusz , Siudak Zbigniew
Published: August 2021

Pandemic-specific protocols require additional time to prepare medical staff and catheterization laboratories. Thus, we sought to investigate treatment delay and clinical outcomes in COVID-19 positive and negative patients with ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI) during on- and off-hours. All consecutive patients with STEMI treated with PCI between 1 March and 31 December 2020 were enrolled in the analysis. A propensity score match was used to compare COVID-19 positive and negative patients for on- and off-hours. The study group was comprised of 877 paired patients treated during regular hours (every day 7:00 a.m. to 16:59 p.m.) and 418 matched pairs with PCI performed during off-hours (every day 17:00 p.m. to 06:59 a.m.) (ORPKI Polish National Registry). No difference in periprocedural mortality was observed between the two groups (on-hours: COVID-19 negative vs. COVID-19 positive: 17 (1.9%) vs. 11 (1.3%); p = 0.3; off-hours: COVID-19 negative vs. COVID-19 positive: 4 (1.0%) vs. 7 (1.7%); p = 0.5). Additionally, a similar rate of periprocedural complications was reported. Patients diagnosed with COVID-19 were exposed to longer time from first medical contact to angiography (on-hours: 133.8 (±137.1) vs. 117.1 (±135.8) (min); p = 0.001) (off-hours: 148.1 (±201.6) vs. 112.2 (±138.7) (min); p = 0.003). However, there was no influence of COVID-19 diagnosis on mortality and the prevalence of other periprocedural complications irrespective of time of intervention.
Comparison of Positive End-Expiratory Pressure versus Tidal Volume-Induced Ventilator-Driven Alveolar Recruitment Maneuver in Robotic Prostatectomy: A Randomized Controlled Study
Authors: Jung Kangha , Kim Sojin , Kim Byung Jun , Park MiHye
Published: August 2021

Background: We evaluated the pulmonary effects of two ventilator-driven alveolar recruitment maneuver (ARM) methods during laparoscopic surgery. Methods: Sixty-four patients undergoing robotic prostatectomy were randomized into two groups: incrementally increasing positive end-expiratory pressure in a stepwise manner (PEEP group) versus tidal volume (VT group). We performed each ARM after induction of anesthesia in the supine position (T1), after pneumoperitoneum in the Trendelenburg position (T2), and after peritoneum desufflation in the supine position (T3). The primary outcome was change in end-expiratory lung impedance (EELI) before and 5 min after ARM at T3, measured by electrical impedance tomography. Results: The PEEP group showed significantly higher increasing EELI 5 min after ARM than the VT group at T1 and T3 (median [IQR] 460 [180,800] vs. 200 [80,315], p = 0.002 and 280 [170,420] vs. 95 [55,175], p = 0.004, respectively; PEEP group vs. VT group). The PEEP group showed significantly higher lung compliance and lower driving pressure at T1 and T3. However, there was no significant difference in EELI change, lung compliance, or driving pressure after ARM at T2. Conclusions: The ventilator-driven ARM by the increasing PEEP method led to greater improvements in lung compliance at the end of laparoscopic surgery than the increasing VT method.
Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging
Authors: Bosman Arjan J. , Christensen Jeppe Høy , Rosenbom Tove , Patou François , Janssen Arno , Hol Myrthe K. S.
Published: August 2021

Purpose: To compare listening ability (speech reception thresholds) and real-life listening experience in users with a percutaneous bone conduction device (BCD) with two listening programs differing only in high-frequency gain. In situ real-life experiences were recorded with ecological momentary assessment (EMA) techniques combined with real-time acoustical data logging and standard retrospective questionnaires. Methods: Nineteen experienced BCD users participated in this study. They all used a Ponto 4 BCD from Oticon Medical during a 4-week trial period. Environmental data and device parameters (i.e., device usage and volume control) were logged in real-time on an iPhone via a custom iOS research app. At the end of the trial period, subjects filled in APHAB, SSQ, and preference questionnaires. Listening abilities with the two programs were evaluated with speech reception threshold tests. Results: The APHAB and SSQ questionnaires did not reveal any differences between the two listening programs. The EMAs revealed group-level effects, indicating that in speech and noisy listening environments, subjects preferred the default listening program, and found the program with additional high-frequency gain too loud. This finding was corroborated by the volume log—subjects avoided the higher volume control setting and reacted more to changes in environmental sound pressure levels when using the high-frequency gain program. Finally, day-to-day changes in EMAs revealed acclimatization effects in the listening experience for ratings of “sound quality” and “program suitability” of the BCD, but not for ratings of “loudness perception” and “speech understanding”. The acclimatization effect did not differ among the listening programs. Conclusion: Adding custom high-frequency amplification to the BCD target-gain prescription improves speech reception in laboratory tests under quiet conditions, but results in poorer real-life listening experiences due to loudness.
First-Line Administration of Fibrinogen Concentrate in the Bleeding Trauma Patient: Searching for Effective Dosages and Optimal Post-Treatment Levels Limiting Massive Transfusion—Further Results of the RETIC Study
Authors: Innerhofer Nicole , Treichl Benjamin , Rugg Christopher , Fries Dietmar , Mittermayr Markus , Hell Tobias , Oswald Elgar , Innerhofer Petra ,   on behalf of the RETIC Study Group
Published: August 2021

Fibrinogen supplementation is recommended for treatment of severe trauma hemorrhage. However, required dosages and aimed for post-treatment fibrinogen levels remain a matter of discussion. Within the published RETIC study, adult patients suffering trauma-induced coagulopathy were randomly assigned to receive fibrinogen concentrate (FC) as first-line (n = 50) or crossover rescue (n = 20) therapy. Depending on bodyweight, a single dose of 3, 4, 5, or 6 g FC was administered and repeated if necessary (FibA10 < 9 mm). The dose-dependent response (changes in plasma fibrinogen and FibA10) was analyzed. Receiver operating characteristics (ROC) analysis regarding the need for massive transfusion and correlation analyses regarding fibrinogen concentrations and polymerization were performed. Median FC single doses amounted to 62.5 (57 to 66.66) mg.kg−1. One FC single-dose sufficiently corrected fibrinogen and FibA10 (median fibrinogen 213 mg.dL−1, median FibA10 11 mm) only in patients with baseline fibrinogen above 100 mg.dL−1 and FibA10 above 5 mm, repeated dosing was required in patients with lower baseline fibrinogen/FibA10. Fibrinogen increased by 83 or 107 mg.dL−1 and FibA10 by 4 or 4.5 mm after single or double dose of FC, respectively. ROC curve analysis revealed post-treatment fibrinogen levels under 204.5 mg.dL−1 to predict the need for massive transfusion (AUC 0.652; specificity: 0.667; sensitivity: 0.688). Baseline fibrinogen/FibA10 levels should be considered for FC dosing as only sufficiently corrected post-treatment levels limit transfusion requirements.
Comparative Long-Term Renal Allograft Outcomes of Recurrent Immunoglobulin A with Severe Activity in Kidney Transplant Recipients with and without Rituximab: An Observational Cohort Study
Authors: Chancharoenthana Wiwat , Leelahavanichkul Asada , Ariyanon Wassawon , Vadcharavivad Somratai , Phumratanaprapin Weerapong
Published: August 2021

Recurrent IgA nephropathy (IgAN) remains an important cause of allograft loss in renal transplantation. Due to the limited efficacy of corticosteroid in the treatment of recurrent glomerulonephritis, rituximab was used in kidney transplant (KT) recipients with severe recurrent IgAN. A retrospective cohort study was conducted between January 2015 and December 2020. Accordingly, there were 64 KT recipients with biopsy-proven recurrent IgAN with similar baseline characteristics that were treated with the conventional standard therapy alone (controls, n = 43) or together with rituximab (cases, n = 21). All of the recipients had glomerular endocapillary hypercellularity and proteinuria (>1 g/d) with creatinine clearance (CrCl) > 30 mL/min/1.73 m2 and well-controlled blood pressure using renin–angiotensin–aldosterone blockers. The treatment outcomes were renal allograft survival rate, proteinuria, and post-treatment allograft pathology. During 3.8 years of follow-up, the rituximab-based regimen rapidly decreased proteinuria within 12 months after rituximab administration and maintained renal allograft function—the primary endpoint—for approximately 3 years. There were eight recipients in the case group (38%), and none in the control group reached a complete remission (proteinuria < 250 mg/d) at 12 months after treatment. Notably, renal allograft histopathology from patients with rituximab-based regimen showed the less severe endocapillary hypercellularity despite the remaining strong IgA deposition. In conclusion, adjunctive treatment with rituximab potentially demonstrated favorable outcomes for treatment of recurrent severe IgAN post-KT as demonstrated by proteinuria reduction and renal allograft function in our cohort. Further in-depth mechanistic studies with the longer follow-up periods are recommended.
Shorter Axial Length Is a Risk Factor for Proliferative Vitreoretinopathy Grade C in Eyes Unmodified by Surgical Invasion
Authors: Minami Sakiko , Uchida Atsuro , Nagai Norihiro , Shinoda Hajime , Kurihara Toshihide , Ban Norimitsu , Terasaki Hiroto , Takagi Hitoshi , Tsubota Kazuo , Sakamoto Taiji , Ozawa Yoko
Published: August 2021

Purpose: To investigate the risk factors for the development of proliferative vitreoretinopathy grade C (PVR-C), independent of prior surgical invasion. Methods: Patients who underwent surgery for rhegmatogenous retinal detachment were prospectively registered with the Japan-Retinal Detachment Registry, organized by the Japanese Retina and Vitreous Society, between February 2016 and March 2017. Data obtained from general ophthalmic examinations performed before and at 1, 3, and 6 months after surgery were analyzed. Results: We included 2013 eyes of 2013 patients (men, 1326 (65.9%); mean age, 55.2 ± 15.2 years) from amongst 3446 registered patients. Preoperative PVR-C was observed in 3.6% of patients. Propensity score matching revealed that a shorter axial length (AL) was a risk factor for preoperative PVR-C (OR (Odds Ratio), 0.81; 95% CI (Confidence Interval), 0.69 to 0.96; p = 0.015), which was a risk factor for surgical failure (OR, 4.22; 95% CI, 1.12 to 15.93; p = 0.034); the association was particularly significant for eyes with an AL < 25.0 mm (p = 0.016), while it was insignificant for eyes with an AL ≥ 25.0 mm. Conclusions: A shorter AL was related to the development of PVR-C before surgical invasion. Our results will help elucidate the fundamental pathogenesis of PVR and caution clinicians to meticulously examine eyes with a shorter AL to detect retinal detachment before PVR development.
Female Urethroplasty: Outcomes of Different Techniques in a Single Center
Authors: Waterloos Marjan , Verla Wesley , Wirtz Michel , Waterschoot Mieke , Claeys Wietse , Francois Philippe , Lumen Nicolaas
Published: August 2021

Introduction: Female urethral strictures and injuries are relatively uncommon compared to males. A wide range of possible causes and treatment modalities have been described. Lately female urethral reconstruction is gaining attention and is fortunately no longer a neglected topic within the reconstructive urology. As such, we aimed to describe our surgical techniques and outcomes for female urethroplasty from a tertiary center. Materials and Methods: Records of female patients who underwent a urethroplasty between July 2018 and May 2021 in our tertiary referral center were reviewed. Patients were subdivided in two groups: patients who suffered from a urethral injury and received an early repair urethroplasty, and patients with a true urethral stricture who received a delayed urethroplasty. Preprocedural, surgical and postoperative data were collected and analyzed with descriptive statistics. Results: A total of five patients in group 1 and nine patients in group 2 were included. Etiology of the urethral injury in group 1 was iatrogenic in 80% and transitional cell carcinoma of the urethra in 20% of cases. A patency rate of 100% at a follow-up of 30 months was achieved with the different techniques. In group 2 etiology was idiopathic (44%), iatrogenic (44%) and due to external trauma in 12% of cases. Urethroplasty technique consisted of primary repair or dorsal onlay of a buccal mucosal graft. Patency rate was 100% at a median follow-up of 13 months. Three patients suffered from postoperative urinary incontinence, one in group 1 and two in group 2. Conclusion: Female urethroplasty is a relatively rare entity within reconstructive urethral surgery. This case series of 14 patients demonstrates that with appropriate surgical techniques, a high patency rate with a low complication rate can be achieved. Further prospective studies with standardized diagnostic workup and follow-up should be performed in order to optimize management strategy.
Numerical Simulation of the Ice Breaking Process for Hovercraft
Authors: Jin Jiangjie , Zhou Li , Ding Shifeng , Gu Yingjie
Published: August 2021

A hovercraft can adapt to an ice area, open water, land and other environments, owing to its unique hull structure. It also plays an important role in transporting supplies, rescuing people, breaking ice and conducting other tasks. Ice load prediction is very important for structural safety and navigation of a polar ship, especially in design of air cushion icebreakers or ice breaking platforms. In this paper, based on a simplified circumferential icebreaking pattern, the icebreaking force of the hovercraft operating on the ice sheet at low speed is simulated in a numerical way. Numerical analysis of the icebreaking process with different ice thicknesses and bending strengths are performed. The numerical results are compared with model test data in a time domain for three operating cases. By analyzing the average ice force, the errors between numerical simulation results and model test measurements are less than 30%. The present study is significant for the preliminary design of new icebreaking hovercraft and it assists the operation possibility for existing hovercraft.
Bonamia exitiosa in European Flat Oyster (Ostrea edulis) on the Croatian Adriatic Coast from 2016 to 2020
Authors: Oraić Dražen , Beck Relja , Pavlinec Željko , Zupičić Ivana Giovanna , Maltar Ljupka , Miškić Tihana , Acinger-Rogić Žaklin , Zrnčić Snježana
Published: August 2021

The annual production of European flat oysters (Ostrea edulis) in Croatia is about 50 to 65 tons, and it has a long tradition. All Croatian oyster farms are subjected to the national surveillance program aiming to detect the presence of Bonamia ostreae and Marteilia refringens according to the Council Directive 2006/88/EC. Within the surveillance program, the first findings of the parasite Bonamia spp. occurred in 2016 in two production areas in the north and south of the Eastern Adriatic coast. The repeated findings of the parasite were noted up to 2020 but also on two additional sites in the north. The parasite was detected by cytological analysis of stained heart smears, histological examination, and PCR. PCR positive samples were sequenced for SSU rDNA gene, and BLAST analysis confirmed infection with Bonamia exitiosa. Attempts to prove the Pacific oyster as a putative vector of the parasite failed. The infection prevalence from 2016 until 2020 ranged from 3.3 to 20% in different sites. No mortalities were reported from the infected sites, and it seemed that infection of flat oysters with B. exitiosa did not affect their health. The study has not shown the source and way of infection spread, which imposes the need for more comprehensive molecular and epidemiological studies.
A Comparative Study on the Hydrodynamic-Energy Loss Characteristics between a Ducted Turbine and a Shaftless Ducted Turbine
Authors: Song Ke , Yang Bangcheng
Published: August 2021

The shaftless ducted turbine (abbreviated as SDT), as an extraordinary innovation in tidal current power generation applications, has many advantages, and a wide application prospect. The structure of an SDT resembles a ducted turbine (abbreviated as DT), as both contain blades and a duct. However, there are some structural differences between a DT and a SDT, which can cause significant discrepancy in the hydrodynamic characteristics and flow features. The present work compares the detailed hydrodynamic-energy loss characteristics of a DT and a SDT by means of computational fluid dynamics (CFD), performed by solving the 3D steady incompressible Reynolds-averaged Navier-Stokes (RANS) equations in combination with the Menter’s Shear Stress Transport (SST k−ω) turbulence model and entropy production model. The results show the SDT features a higher power level at low tip speed ratio (TSR) and a potential reduction in potential flow resistance and disturbance with respect to the DT. Moreover, a detail entropy production analysis shows the energy loss is closely related to the flow separation and the reverse flow, and other negative flow factors. The entropy production of the SDT is lessened than that of the DT at different TSR. Unlike the DT, the SDT allows a large mass flow of water to leak through the open-center structure, which plays an important role in improving the wake structure and avoiding the negative flow along the central axis.
A Novel Cargo Ship Detection and Directional Discrimination Method for Remote Sensing Image Based on Lightweight Network
Authors: Wang Pan , Liu Jianzhong , Zhang Yinbao , Zhi Zhiyang , Cai Zhijian , Song Nannan
Published: August 2021

Recently, cargo ship detection in remote sensing images based on deep learning is of great significance for cargo ship monitoring. However, the existing detection network is not only unable to realize autonomous operation on spaceborne platforms due to the limitation of computing and storage, but the detection result also lacks the directional information of the cargo ship. In order to address the above problems, we propose a novel cargo ship detection and directional discrimination method for remote sensing images based on a lightweight network. Specifically, we design an efficient and lightweight feature extraction network called the one-shot aggregation and depthwise separable network (OSADSNet), which is inspired by one-shot feature aggregation modules and depthwise separable convolutions. Additionally, we combine the RPN with the K-Mean++ algorithm to obtain the K-RPN, which can produce a more suitable region proposal for cargo ship detection. Furthermore, without introducing extra parameters, the directional discrimination of the cargo ship is transformed into a classification task, and the directional discrimination is completed when the detection task is completed. Experiments on a self-built remote sensing image cargo ship dataset indicate that our model can provide relatively accurate and fast detection for cargo ships (mAP of 91.96% and prediction time of 46 ms per image) and discriminate the directions (north, east, south, and west) of cargo ships, with fewer parameters (model size of 110 MB), which is more suitable for autonomous operation on spaceborne platforms. Therefore, the proposed method can meet the needs of cargo ship detection and directional discrimination in remote sensing images on spaceborne platforms.
Improving the Performance of Mode-Based Sound Propagation Models by Using Perturbation Formulae for Eigenvalues and Eigenfunctions
Authors: Zakharenko Alena , Trofimov Mikhail , Petrov Pavel
Published: August 2021

Numerous sound propagation models in underwater acoustics are based on the representation of a sound field in the form of a decomposition over normal modes. In the framework of such models, the calculation of the field in a range-dependent waveguide (as well as in the case of 3D problems) requires the computation of normal modes for every point within the area of interest (that is, for each pair of horizontal coordinates x,y). This procedure is often responsible for the lion’s share of total computational cost of the field simulation. In this study, we present formulae for perturbation of eigenvalues and eigenfunctions of normal modes under the water depth variations in a shallow-water waveguide. These formulae can reduce the total number of mode computation instances required for a field calculation by a factor of 5–10. We also discuss how these formulae can be used in a combination with a wide-angle mode parabolic equation. The accuracy of such combined model is validated in a series of numerical examples.
Broadband Characteristics of Zooplankton Sound Scattering Layer in the Kuroshio–Oyashio Confluence Region of the Northwest Pacific Ocean in Summer of 2019
Authors: Xue Minghua , Tong Jianfeng , Tian Siquan , Wang Xuefang
Published: August 2021

Acoustic technology, as an important investigation method for fishery resources, has been widely used in zooplankton surveys. Since the Kuroshio–Oyashio confluence region has an extensive distribution of zooplankton, describing and analyzing the characteristic of the zooplankton sound scattering layer (SSL) in this area is essential for marine ecology research. To understand its spatial–temporal distribution, acoustic data of the Kuroshio–Oyashio confluence region at the Northwest Pacific Ocean, obtained by a Simrad EK80 broadband scientific echosounder in 2019, were used on board the research vessel (RV) Songhang. After noise removal, the volume backscattering strength (SV) was measured to plot the broadband scattering spectrogram of each water layer and to exhibit zooplankton distribution. The results show that the main sound scattering within 0–200 m originate from the zooplankton, and the SV of each layer increases with the rise of the transducer frequency. The magnitude of SV was closely synchronized with the solar altitude angle, which gets smaller when the angle is positive, then larger when the angle is negative. It means that the SSL has a diel vertical migration (DVM) behavior with the variation of solar height. Meanwhile, scattering strength was positively correlated with temperature in the vertical direction and showed a maximum of −54.31 dB at 20–40 m under the influence of the thermocline. The Kuroshio and Oyashio currents had an obvious influence on the scattering strengths in this study, indicating a low value when next to the Oyashio side and a high value on the Kuroshio side. The scattering strength near the warm vortex center was higher than that at the vortex edge. The results of this study could provide references for a long-term study on ecological environment variation and its impacts on zooplankton distribution.
Magnetically Recoverable and Reusable Titanium Dioxide Nanocomposite for Water Disinfection
Authors: Keeley Monica , Kisslinger Kim , Adamson Carman , Furlan Ping Y.
Published: August 2021

A bifunctional magnetic Fe3O4@SiO2@TiO2 or MS-TiO2 antimicrobial nanocomposite was prepared based on simple sol-gel methods with common equipment and chemicals. Reaction pH was found to influence the TiO2 upload in the nanocomposite. The alkaline condition produced the greatest TiO2 upload, while the acidic condition the least. Annealing at 300 °C turned the as-synthesized amorphous TiO2 into one with high content of anatase, the most photoactive form of TiO2. Irradiated by 365 nm UV light, a sample of 30 mg/mL of annealed nanocomposite containing 12.6 wt.% Ti was shown to be able to completely eradicate 104 CFU/mL of the laboratory-grown E. coli within 25 min, 25 min faster than the control when the 365 nm UV light was employed alone. The nanocomposite demonstrated consistent antimicrobial performance over repeated uses and was easily recoverable magnetically due to its high magnetization value (33 emu/g). Additionally, it was shown to reduce the bacterial count in a real surface water sample containing 500–5000 CFU/mL of different microbes by 62 ± 3% within 30 min. The irradiating 365 nm UV light alone was found to have generated little biocidal effect on this surface water sample. The nanocomposite is promising to serve as an effective, safe, and eco-friendly antimicrobial agent, especially for surface water disinfection.
Predictors of Early and Late Mortality for Patients with Hematologic Malignancy and Invasive Mold Disease
Authors: Yashphe Eva L. , Ram Ron , Avivi Irit , Ben-Ami Ronen
Published: August 2021

Background: Invasive mold infections (IMI) are leading infectious causes of mortality among patients with hematological malignancies. Objectives: To determine the relative contribution of host, disease, and treatment-related factors to patient survival. Methods: An observational, retrospective cohort study reviewing the medical records of patients with hematological malignancy and IMI (2006–2016). Causes of death were classified up to 90 days after diagnosis. Kaplan–Meier and Cox regression analyses were used to determine risk factors for early, late, and overall mortality. Results: Eighty-six patients with IMI were included; 29 (34%) and 41 (47%) died within 6 and 12 weeks of diagnosis, respectively. Death was attributed to IMI in 22 (53.6%) patients, all of whom died within 45 days of diagnosis. Risk factors for early mortality were elevated serum galactomannan, treatment with amphotericin B, IMI progression 3 weeks after diagnosis, and lymphoma undergoing HCT. Late mortality was associated with relapsed/refractory malignancy and elevated serum galactomannan. Conclusions: In this single-center study of patients with IMI, infections were the most frequent causes of death, and time-dependent risk factors for death were identified. These results may help direct risk-assessment and monitoring of patients undergoing treatment of IMI.
Retention of Matured Trees to Conserve Fungal Diversity and Edible Sporocarps from Short-Rotation Pinus radiata Plantations in Ethiopia
Authors: Dejene Tatek , Worku Emanda , Martín-Pinto Pablo
Published: August 2021

This study is conducted in the short-rotation plantations from the Afromontane Region of Ethiopia. Sporocarps were sampled weekly in a set of permanent plots (100 m2) in young, medium-aged, and mature Pinus radiata (Don) plantations. Fungal richness, diversity, and sporocarp yields were estimated. Composite soil samples were also collected from each plot to determine explanatory edaphic variables for taxa composition. We collected 92 fungal taxa, of which 8% were ectomycorrhizal (ECM). Taxa richness, the Shannon diversity index, and ECM species richness were higher in mature stands. Interestingly, 26% of taxa were classified as edible. Sporocarp yield showed increasing trends towards matured stands. OM and C/N ratio significantly affected fungal composition and sporocarp production. The deliberate retention of mature trees in a patch form rather than clear felling of the plantations could be useful to conserve and promote fungal diversity and production, including valuable taxa such as Morchella, Suillus, and Tylopilus in older stands. This approach has important implications for forest floor microhabitats, which are important for macrofungal occurrence and production. Thus, this strategy could improve the economic outputs of these plantations in the Afromontane Region, while the mature trees could serve as a bridge for providing fungal inocula to the new plantations.
Molecular Characterization of Laboratory Mutants of Fusarium oxysporum f. sp. niveum Resistant to Prothioconazole, a Demethylation Inhibitor (DMI) Fungicide
Authors: Hudson Owen , Waliullah Sumyya , Ji Pingsheng , Ali Md Emran
Published: August 2021

Fusarium oxysporum f. sp. niveum (FON) is the causal agent of Fusarium wilt in watermelon, an international growth-limiting pathogen of watermelon cultivation. A single demethylation inhibitor (DMI) fungicide, prothioconazole, is registered to control this pathogen, so the risk of resistance arising in the field is high. To determine and predict the mechanism by which FON could develop resistance to prothioconazole, FON isolates were mutagenized using UV irradiation and subsequent fungicide exposure to create artificially resistant mutants. Isolates were then put into three groups based on the EC50 values: sensitive, intermediately resistant, and highly resistant. The mean EC50 values were 4.98 µg/mL for the sensitive, 31.77 µg/mL for the intermediately resistant, and 108.33 µg/mL for the highly resistant isolates. Isolates were then sequenced and analyzed for differences in both the coding and promoter regions. Two mutations were found that conferred amino acid changes in the target gene, CYP51A, in both intermediately and highly resistant mutants. An expression analysis for the gene CYP51A also showed a significant increase in the expression of the highly resistant mutants compared to the sensitive controls. In this study, we were able to identify two potential mechanisms of resistance to the DMI fungicide prothioconazole in FON isolates: gene overexpression and multiple point mutations. This research should expedite growers’ and researchers’ ability to detect and manage fungicide-resistant phytopathogens.
Do Kombucha Symbiotic Cultures of Bacteria and Yeast Affect Bacterial Cellulose Yield in Molasses?
Authors: Devanthi Putu Virgina Partha , Kho Katherine , Nurdiansyah Rizky , Briot Arnaud , Taherzadeh Mohammad J. , Aslanzadeh Solmaz
Published: August 2021

Bacterial cellulose (BC) is a valuable biopolymer typically observed in Kombucha with many potential food applications. Many studies highlight yeast’s roles in providing reducing sugars, used by the bacteria to grow and produce BC. However, whether yeast could enhance the BC yields remains unclear. This study investigates the effect of yeast Dekkera bruxellensis on bacteria Komagataeibacter intermedius growth and BC production in molasses medium. The results showed that the co-culture stimulated K. intermedius by ~2 log CFU/mL, which could be attributed to enhanced reducing sugar utilization. However, BC yields decreased by ~24%, suggesting a negative impact of D. bruxellensis on BC production. In contrast to other studies, regardless of D. bruxellensis, K. intermedius increased the pH to ~9.0, favoring the BC production. Furthermore, pH increase was slower in co-culture as compared to single culture cultivation, which could be the reason for lower BC yields. This study indicates that co-culture could promote synergistic growth but results in the BC yield reduction. This knowledge can help design a more controlled fermentation process for optimum bacterial growth and, ultimately, BC production.
Crop Cycle and Tillage Role in the Outbreak of Late Wilt Disease of Maize Caused by Magnaporthiopsis maydis
Authors: Degani Ofir , Gordani Asaf , Becher Paz , Dor Shlomit
Published: August 2021

The destructive maize late wilt disease (LWD) has heavy economic implications in highly infected areas such as Israel, Egypt, and Spain. The disease outbreaks occur near the harvest, leading to total yield loss in severe cases. Crop rotation has long been known as an effective means to reduce plant diseases. Indeed, agricultural soil conservation practices that can promote beneficial soil and root fungi have become increasingly important. Such methods may have a bioprotective effect against Magnaporthiopsis maydis, the LWD causal agent. In this two-year study, we tested the role of crop rotation of maize with either wheat or clover and the influence of minimum tillage in restricting LWD. In the first experiment, wheat and clover were grown in pots with LWD infected soil in a greenhouse over a full winter growth period. These cultivations were harvested in the spring, and each pot’s group was split into two subgroups that underwent different land processing practices. The pots were sown with LWD-sensitive maize cultivar and tested over a whole growth period against control soils without crop rotation or soil with commercial mycorrhizal preparation. The maize crop rotation with wheat without tillage achieved prominent higher growth indices than the control and the clover crop cycle. Statistically significant improvement was measured in the non-tillage wheat soil pots in sprout height 22 days after sowing, in the healthy plants at the season’s end (day 77), and in shoot and cob wet weight (compared to the control). This growth promotion was accompanied by a 5.8-fold decrease in pathogen DNA in the plant stems. The tillage in the wheat-maize growth sequence resulted in similar results with improved shoot wet-weight throughout the season. In contrast, when maize was grown after clover, the tillage reduced this parameter. The addition of commercial mycorrhizal preparation to the soil resulted in higher growth measures than the control but was less efficient than the wheat crop cycle. These results were supported by a subsequent similar experiment that relied on soil taken from commercial wheat or clover fields. Here too, the wheat-maize growth cycle (without permanent effect for the tillage) achieved the best results and improved the plants’ growth parameters and immunity against LWD and lowered pathogen levels. In conclusion, the results of this study suggest that wheat and perhaps other crops yet to be inspected, together with the adjusted tillage system, may provide plants with better defense against the LWD pathogen.
Genetic Analyses of Saprolegnia Strains Isolated from Salmonid Fish of Different Geographic Origin Document the Connection between Pathogenicity and Molecular Diversity
Authors: Elameen Abdelhameed , Stueland Svein , Kristensen Ralf , Fristad Rosa F. , Vrålstad Trude , Skaar Ida
Published: August 2021

Saprolegnia parasitica is recognized as one of the most important oomycetes pests of salmon and trout species. The amplified fragment length polymorphism (AFLP) and method sequence data of the internal transcribed spacer (ITS) were used to study the genetic diversity and relationships of Saprolegnia spp. collected from Canada, Chile, Japan, Norway and Scotland. AFLP analysis of 37 Saprolegnia spp. isolates using six primer combinations gave a total of 163 clear polymorphic bands. Bayesian cluster analysis using genetic similarity divided the isolates into three main groups, suggesting that there are genetic relationships among the isolates. The unweighted pair group method with arithmetic mean (UPGMA) and principal coordinate analysis (PCO) confirmed the pattern of the cluster analyses. ITS analyses of 48 Saprolegnia sequences resulted in five well-defined clades. Analysis of molecular variance (AMOVA) revealed greater variation within countries (91.01%) than among countries (8.99%). We were able to distinguish the Saprolegnia isolates according to their species, ability to produce oogonia with and without long spines on the cysts and their ability to or not to cause mortality in salmonids. AFLP markers and ITS sequencing data obtained in the study, were found to be an efficient tool to characterize the genetic diversity and relationships of Saprolegnia spp. The comparison of AFLP analysis and ITS sequence data using the Mantel test showed a very high and significant correlation (r2 = 0.8317).
Nosema Disease of European Honey Bees
Authors: Galajda Richard , Valenčáková Alexandra , Sučik Monika , Kandráčová Petra
Published: August 2021

Nosematosis is currently a frequently discussed honey bee disease caused by two types of Microsporidia: Nosema apis and Nosema ceranae. Nosematosis as an intestinal disease caused by these species is one of the main factors associated with the weakening and loss of hives, with none of the stressors acting in isolation and all having an important synergistic or additive effect on the occurrence of parasitic infection. The most important factors are exposure to pesticides and nutritional stress, both worsening the immune response. Honey bees Apis mellifera become more susceptible to parasites and subsequently the disease manifests itself. Choosing the right laboratory diagnostics is important to determine the prevalence of both species. Our review summarizes the most commonly used methodologies, especially polymerase chain reaction (PCR), which is a reliable method for detecting nosematosis, as well as for distinguishing between the two species causing the disease.
Making Radiomics More Reproducible across Scanner and Imaging Protocol Variations: A Review of Harmonization Methods
Authors: Mali Shruti Atul , Ibrahim Abdalla , Woodruff Henry C. , Andrearczyk Vincent , Müller Henning , Primakov Sergey , Salahuddin Zohaib , Chatterjee Avishek , Lambin Philippe
Published: August 2021

Radiomics converts medical images into mineable data via a high-throughput extraction of quantitative features used for clinical decision support. However, these radiomic features are susceptible to variation across scanners, acquisition protocols, and reconstruction settings. Various investigations have assessed the reproducibility and validation of radiomic features across these discrepancies. In this narrative review, we combine systematic keyword searches with prior domain knowledge to discuss various harmonization solutions to make the radiomic features more reproducible across various scanners and protocol settings. Different harmonization solutions are discussed and divided into two main categories: image domain and feature domain. The image domain category comprises methods such as the standardization of image acquisition, post-processing of raw sensor-level image data, data augmentation techniques, and style transfer. The feature domain category consists of methods such as the identification of reproducible features and normalization techniques such as statistical normalization, intensity harmonization, ComBat and its derivatives, and normalization using deep learning. We also reflect upon the importance of deep learning solutions for addressing variability across multi-centric radiomic studies especially using generative adversarial networks (GANs), neural style transfer (NST) techniques, or a combination of both. We cover a broader range of methods especially GANs and NST methods in more detail than previous reviews.
Indocyanine Green Angiography for Parathyroid Gland Evaluation during Transoral Endoscopic Thyroidectomy
Authors: Liang Tsung-Jung , Wang Kuo-Chiang , Wang Nai-Yu , Chen I-Shu , Liu Shiuh-Inn
Published: August 2021

Indocyanine green (ICG) angiography, a real-time intraoperative imaging technique, is associated with better parathyroid identification and functional evaluation during open thyroidectomy. However, the benefits of ICG fluorescence imaging application in transoral endoscopic thyroidectomy are not well-documented. Consecutive patients who underwent transoral endoscopic thyroidectomy were retrospectively reviewed. Parathyroid glands were assessed with visual inspection followed by ICG angiography. The fluorescence intensity of all parathyroid glands was recorded. In total, 158 parathyroid glands from 60 patients (41 underwent lobectomy and 19 underwent total thyroidectomy) were eligible for evaluation. A total of 135 parathyroid glands (85.4%) were identified, including nine glands (5.7%) that were solely localized because of ICG angiography. Incidental parathyroidectomy occurred in 12 patients with predominant inferior gland (83.3%) and associated with central neck dissection (66.7%). Among patients receiving total thyroidectomy, patients who retained at least one well-perfused parathyroid gland had higher parathyroid hormone (PTH) level and were less likely to develop hypoparathyroidism on postoperative day one than those without any well-perfused ICG-enhanced parathyroid gland (p = 0.038). In addition, the duration of calcium supplementation to maintain normocalcemia was also shorter. ICG angiography is a feasible adjunct procedure for parathyroid identification and postoperative functional prediction in transoral endoscopic thyroidectomy.