bluuebunny/crossref_metadata_2025 huggingface dataset:
The moderate size 2019 September Mw 5.8 Silivri earthquake unveils the complexity of the Main Marmara Fault shear zone
Authors: Karabulut Hayrullah , Güvercin Sezim Ezgi , Eskiköy Figen , Konca Ali Özgun , Ergintav Semih
Published: September 2020

The unbroken section of the North Anatolian Fault beneath the Sea of Marmara is a major source of seismic hazard for the city of İstanbul. The northern and currently the most active branch, the Main Marmara Fault (MMF), is segmented within a shear zone and exhibits both partially creeping and locked behaviour along its 150 km length. In 2019 September, a seismic activity initiated near MMF, off-coast the town of Silivri, generating 14 earthquakes ≥ Mw 3.5 in a week. The Mw 5.8 Silivri earthquake, is the largest in the Marmara Sea since the 1963 Mw 6.3 Çınarcık earthquake. Our analyses reveal that the activity started in a narrow zone (∼100 m) and spread to ∼7 km following an Mw 4.7 foreshock within ∼2 d. The distribution of relocated aftershocks and the focal mechanisms computed from regional waveforms reveal that the Mw 5.8 earthquake did not occur on the MMF, but it ruptured ∼60° north-dipping oblique strike-slip fault with significant thrust component located on the north of the MMF. Finite-fault slip model of the main shock shows 8 km long rupture with directivity toward east, where the ruptured fault merges to the MMF. The narrow depth range of the slip distribution (10–13 km) and the aftershock zone imply that the causative fault is below the deep sedimentary cover of the Marmara Basin. The distribution of aftershocks of the Mw 5.8 event is consistent with Coulomb stress increase. The stress changes along MMF include zones of both stress decrease due to clamping and right-lateral slip, and stress increase due to loading.
Identifying dimensions of empowerment in patients with inflammatory bowel disease: a qualitative study
Authors: Zare Fatemeh , Ghafari Mohtasham , Ramezankhani Ali , Kamran Bagheri Lankarani , Kavoosi Amir
Published: September 2020

The role of patients’ empowerment in enhancing the quality of life of chronic patients is undeniable and its importance in health policy making and health care is increasing day by day. However, no guidelines have been defined to empower people with inflammatory bowel disease (IBD). The purpose of this study was to identify the dimensions of IBD patients’ empowerment. Semi-structured interviews were conducted with 26 participants who were purposefully selected from 2 IBD clinics in Tehran and Shiraz cities to gain diversity in the clinical and demographic characteristics. The data were analyzed based on the Granheim and Landman’s content analysis method. According to the result of this study, the empowerment of IBD patients is composed of five dimensions including self-care, psychological coping with disease, social interaction skills, disease-specific health literacy and self-evaluation. The participants’ most emphasis was on self-care and psychological coping dimensions. These findings can be used as a basis for educational interventions toward IBD patients’ empowerment. More researches are needed to explore factors affecting the empowerment processes of IBD patients.
Epidemiology and Clinical Outcomes of Patients With Inflammatory Bowel Disease Presenting With Acute Coronary Syndrome
Authors: Pemmasani Gayatri , Elgendy Islam , Mamas Mamas A , Leighton Jonathan A , Aronow Wilbert S , Tremaine William J
Published: September 2020

Background

Inflammatory bowel disease (IBD) is associated with an increased acute coronary syndrome (ACS) risk. Data are limited regarding the epidemiology and outcomes of ACS in patients with IBD.

Methods

A retrospective cohort analysis of patients with IBD admitted for ACS in the U.S. Healthcare Cost and Utilization Project National Inpatient Sample for 2005 to 2015 was conducted. We analyzed trends in IBD-ACS admissions and mortality, differences in risk profiles, management strategies, and in-hospital mortality between IBD-ACS and non-IBD ACS and between ulcerative colitis (UC) and Crohn disease (CD).

Results

We studied 6,872,415 non-IBD ACS and 24,220 IBD-ACS hospitalizations (53% with CD). During the study period, the number of hospitalizations for IBD-ACS increased, particularly those related to CD. Compared with non-IBD ACS, patients with IBD-ACS had a lower prevalence of cardiovascular risk factors and similar rates of coronary angiography and revascularization. The in-hospital mortality rate was lower with IBD-ACS (3.9%) compared with non-IBD ACS (5.3%; odds ratio, 0.81; 95% confidence interval, 0.69-0.96; P = 0.011) and was stable between 2005 and 2015. Risk factors, ACS management strategies, and mortality were similar between CD and UC. Coagulopathy, weight loss, and gastrointestinal bleeding were more frequent in IBD-ACS and were strong independent predictors of mortality.

Conclusions

Hospitalizations for ACS in patients with IBD increased in recent years but death rates were stable. The ACS-related risk profiles and mortality were modestly favorable with IBD-ACS than with non-IBD ACS and were similar between CD and UC. Complications more frequently associated with IBD were strongly associated with mortality. These findings indicate that aggressive management of IBD and ACS comorbidities is required to improve outcomes.
Adipokine Resistin Levels at Time of Pediatric Crohn Disease Diagnosis Predict Escalation to Biologic Therapy
Authors: Kurowski Jacob A , Achkar Jean-Paul , Gupta Rishi , Barbur Iulia , Bonfield Tracey L , Worley Sarah , Remer Erick M , Fiocchi Claudio , Viswanath Satish E , Kay Marsha H
Published: September 2020

Background

Hypertrophy of visceral adipose tissue (VAT) is a hallmark of Crohn disease (CD). The VAT produces a wide range of adipokines, biologically active factors that contribute to metabolic disorders in addition to CD pathogenesis. The study aim was to concomitantly evaluate serum adipokine profiles and VAT volumes as predictors of disease outcomes and treatment course in newly diagnosed pediatric patients with CD.

Methods

Pediatric patients ages 6 to 20 years were enrolled, and their clinical data and anthropometric measurements were obtained. Adipokine levels were measured at 0, 6, and 12 months after CD diagnosis and baseline in control patients (CP). The VAT volumes were measured by magnetic resonance imaging or computed tomography imaging within 3 months of diagnosis.

Results

One hundred four patients undergoing colonoscopy were prospectively enrolled: 36 diagnosed with CD and 68 CP. The serum adipokine resistin and plasminogen activator inhibitor (PAI)-1 levels were significantly higher in patients with CD at diagnosis than in CP. The VAT volume was similar between CD and CP. Baseline resistin levels at the time of diagnosis in patients with CD who were escalated to biologics was significantly higher than in those not treated using biologic therapy by 12 months (29.8 ng/mL vs 13.8 ng/mL; P = 0.004). A resistin level of ≥29.8 ng/mL at the time of diagnosis predicted escalation to biologic therapy in the first year after diagnosis with a specificity of 95% (sensitivity = 53%; area under the curve = 0.82; P = 0.015 for model with log-scale). There was a significantly greater reduction in resistin (P = 0.002) and PAI-1 (P = 0.010) at the 12-month follow-up in patients on biologics compared with patients who were not treated using biologics.

Conclusions

Serum resistin levels at diagnosis of pediatric CD predict the escalation to biologic therapy at 12 months, independent of VAT volumes. Resistin and PAI-1 levels significantly improved in patients with CD after treatment using biologics compared with those not on biologics. These results suggest the utility of resistin as a predictive biomarker in pediatric CD.
Albiflorin Attenuates Mood Disorders Under Neuropathic Pain State by Suppressing the Hippocampal NLRP3 Inflammasome Activation During Chronic Constriction Injury
Authors: Liu Pei , Chen Jianjun , Ma Shuai , Zhang Jianjun , Zhou Jianyu
Published: September 2020

Background

Neuropathic pain is a multifaceted and ubiquitous disease across the globe. Mood disorders, such as anxiety and depression, are frequently observed in patients suffering from neuropathic pain. Both neuropathic pain and comorbid mood disorders seriously impact quality of life. Accumulated evidence shows that activation of the NOD-like receptor protein 3 (NLRP3) inflammasome is involved in the neuroinflammatory pathogenesis of neuropathic pain, anxiety, and depression. However, the role of the NLRP3 inflammasome in the pathological process of anxiety and depression under the neuropathic pain state has not been fully described. Albiflorin, a monoterpene glycoside, may be a potential regulator of the NLRP3 inflammasome, but it is not clear whether albiflorin relates to NLRP3 inflammasome activation.

Methods

We used a systematic pharmacological method to confirm whether the activation of the NLRP3 inflammasome in the hippocampus was involved in the development of neuropathic pain associated with mood disorders and whether albiflorin could be an effective treatment for these symptoms.

Results

The NLRP3 inflammasome contributed to the neuropathic pain and comorbid anxiety and depression-like behaviors induced by chronic constriction injury of the sciatic nerve, and albiflorin may relieve these symptoms via inhibition of the NLRP3 inflammasome activity. Moreover, albiflorin enhanced the translocation of the nuclear factor erythroid 2-related factor 2 into the nucleus and suppressed nuclear factor-kappa B activity in the hippocampus.

Conclusions

Albiflorin, as a potential therapeutic agent, might greatly improve the overall symptoms of neuropathic pain.
The SciPop Scale for Measuring Science-Related Populist Attitudes in Surveys: Development, Test, and Validation
Authors: Mede Niels G. , Schäfer Mike S. , Füchslin Tobias
Published: September 2020

Populism typically pits political elites against “the virtuous people.” A distinct variant of populism (“science-related populism”) extends beyond politics, targeting academic elites and suggesting they ignore people’s common sense and will. Individual endorsement of such a worldview (“science-related populist attitudes”) has been conceptualized but not yet measured. Hence, we developed the SciPop Scale, a survey instrument to measure science-related populist attitudes. We tested 17 survey items in a first representative survey and developed an 8-item scale. We then tested German, French, and Italian versions of this scale in a second representative survey, employing confirmatory factor analysis, Item Response Theory, and external validity tests. Findings show that the SciPop Scale is a robust and reliable measure of populist demands toward science.
Identification of Biomarkers for Diagnosis and Prognosis of Congenital and Acute Toxoplasmosis
Authors: Storchilo Heloisa Ribeiro , Teixeira Giulianne Monteiro , Moreira André Luís Elias , Gomes Taynara Cristina , Borges Clayton Luiz , de Castro Ana Maria
Published: September 2020

Background

The diagnosis of congenital toxoplasmosis can be inconclusive in many cases. Despite the several serological tests developed, the literature on biomarkers that can assist in the diagnosis of congenital an acute toxoplasmosis is limited. The objective of this study was to analyze the immunoreactive profile of Toxoplasma gondii protein bands with the potential to be biomarkers for diagnosis and prognosis of congenital and acute toxoplasmosis.

Methods

Peripheral blood samples from women of childbearing age and/or pregnant women diagnosed with acquired toxoplasmosis as well as from congenitally infected children were selected and submitted to immunoblotting for analysis of the immunoreactive bands profile by immunoglobulin G (IgG) antibodies.

Results

When comparing the immunoreactive bands profile for antibodies present in samples from different groups and subgroups, the 150, 18.5, and 16.96-kDa bands were more immunoreactive with the antibodies present in serum samples from the acquired infection group. The 343, 189, 150, 75, and 42-kDa bands showed more chance to be detected by the symptomatic congenital infection subgroup samples, while the 61, 50, and 16.96-kDa bands were significantly immunoreactive with the acute infection subgroup samples.

Conclusions

The identification of these potential biomarkers can assist in early diagnosis and treatment of congenital toxoplasmosis.
Feasibility of a community pharmacy antimicrobial stewardship intervention (PAMSI): an innovative approach to improve patients’ understanding of their antibiotics
Authors: Allison Rosalie , Chapman Sarah , Howard Philip , Thornley Tracey , Ashiru-Oredope Diane , Walker Sue , Jones Leah F , McNulty Cliodna A M
Published: September 2020

Background

Community pharmacy staff have an opportunity to play a pivotal role in antimicrobial stewardship (AMS) due to their expertise in medicines and accessibility to patients.

Objectives

To develop and test the feasibility of a pharmacy AMS intervention (PAMSI) to increase community pharmacy staff’s capability, opportunity and motivation to check antibiotic appropriateness and provide self-care and adherence advice when dispensing antibiotics.

Methods

The PAMSI was centred around an Antibiotic Checklist, completed by patients and pharmacy staff, to facilitate personalized advice to the patient, based on their reported knowledge. An educational webinar for staff and patient-facing materials were also developed. Staff and patients completing Antibiotic Checklists were invited to provide feedback via questionnaires.

Results

In February 2019, 12 community pharmacies in England trialled the intervention. Forty-three pharmacy staff evaluated the educational webinar and reported increases in their understanding, confidence, commitment and intention to use the tools provided to give adherence and self-care advice. Over 4 weeks, 931 Antibiotic Checklists were completed. Staff reported being more focused on giving advice and able to address patients’ knowledge gaps (mainly: likely symptom duration; alcohol and food consumption advice; possible side effects from antibiotics; returning unused antibiotics to the pharmacy), resulting in increased self-reported effective and meaningful conversations.

Conclusions

Implementation of a PAMSI is feasible and effectively promotes AMS. Pharmacy staff and commissioners should consider this within their AMS plans. An optional digital format of the Antibiotic Checklist should be explored, for patients who are not collecting their antibiotic prescriptions themselves, and to save printing costs.
Health Disparities among Australia’s Remote-Dwelling Aboriginal People: A Report from 2020
Authors: Davey Richard X
Published: September 2020

Background

Australia has 2 distinct indigenous groups, Torres Strait Islanders and Aborigines. The Aborigines, described in this report, first colonized the continent 65 millennia ago. Those still living in the Northern Territory (NT) retain much ancestrally derived genetic complement but also are the most health-challenged by environment and lifestyle in 21st century. Reports providing overviews of these disparities are, as yet, rare.

Content

This review defines the studied population and then describes and attempts to explain contemporary clinical findings among Australia’s remote-dwelling Aborigines, principally in the NT. The report is structured by life stage and then by organ system. Finally, a brief synthesis is advanced concerning the disparities that Australia’s Aboriginals face.

In 2015–2017, NT aboriginal life expectancy for people then born was 66.6 years for men and 69.9 years for women compared with 78.1 and 82.7 years, respectively, among nonindigenous Territorians. Principal causes of the reduced longevity, with nonindigenous comparisons, include adolescent pregnancy, with maternal use of alcohol and tobacco (each 7-fold greater); fetal alcohol spectrum disorder and attention deficit hyperactivity disorder; skin infections, both scabies and impetigo (50-fold greater); rheumatic heart disease (260-fold greater); premature acute myocardial infarction (9-fold greater); bronchiectasis (40-fold greater); lung cancer (2-fold greater); diabetes mellitus (10-fold greater); renal failure (30-fold greater); and suicide (2-fold greater). Some disease has genetic roots, secondary to prolonged genetic drift. Much arises from avoidable stressors and from contemporary environmental disparities in housing. The Europid diet is also not helpful.
Relationships between feed efficiency and puberty in Bos taurus and Bos indicus-influenced replacement beef heifers
Authors: Canal Luara B , Fontes Pedro L P , Sanford Carla D , Mercadante Vitor R G , DiLorenzo Nicolas , Lamb G Cliff , Oosthuizen Nicola
Published: September 2020

The objective of this experiment was to investigate the relationship between residual feed intake (RFI) and parameters associated with reproductive efficiency in growing beef heifers. One hundred and seventy-nine replacement beef heifers (Bos taurus and Bos indicus-influenced) were enrolled in a retrospective cohort design. Heifers were assigned to a 70-d feed efficiency test, and results were utilized to retrospectively classify heifers into low (n = 51), medium (n = 66), or high (n = 62) RFI groups based on their individual RFI values. Blood samples were collected weekly throughout the feed efficiency test and breeding season, which were analyzed for plasma concentration of progesterone to determine age at puberty (PUB). By design, residual feed intake differed among RFI groups where high (1.21 ± 0.08 kg/d) had greater (P < 0.01) RFI than medium (0.00 ± 0.08 kg/d) and low RFI groups (–1.49 ± 0.09 kg/d), and medium had greater (P < 0.01) RFI than low RFI heifers. Yet, no differences were observed between breed types for RFI (P = 0.53). Average daily gain (ADG) differed between breed types where Bos taurus heifers had greater ADG (P = 0.02) than B. indicus-influenced heifers. Furthermore, ADG tended (P = 0.08) to differ among RFI groups, where medium RFI heifers tended to have reduced ADG compared with low and high RFI heifers. No differences were determined between breed types for gain-to-feed ratio (G:F; P = 0.20; however, G:F differed among RFI groups and was greater (P < 0.01) in low vs. high, and low vs. medium RFI heifers. The percentage of cycling heifers by the start of the breeding season differed (P = 0.03) by RFI group, where a greater percentage of low RFI heifers were cycling compared with high RFI heifers. A difference was determined on PUB between breed types (P = 0.03), where Bos taurus (393.40 ± 4.64 d) heifers had a reduced PUB compared with B. indicus-influenced (406.90 ± 5.07 d) heifers. In addition, PUB differed by RFI group where low (385.96 ± 6.20 d; P < 0.01) and medium (398.47 ± 5.47 d; P = 0.02) RFI heifers had a reduced PUB compared with High RFI heifers (416.03 ± 5.58 d). In conclusion, more feed efficient heifers attained PUB earlier than less feed efficient heifers. Therefore, selection of heifers for feed efficiency may positively impact reproductive performance of replacement beef heifers.
Identification of quasi-stable water molecules near the Thr73–Lys13 catalytic diad of Bacillus sp. TB-90 urate oxidase by X-ray crystallography with controlled humidity
Authors: Hibi Takao , Itoh Takafumi
Published: September 2020

Urate oxidases (UOs) catalyze the cofactor-independent oxidation of uric acid, and an extensive water network in the active site has been suggested to play an essential role in the catalysis. For our present analysis of the structure and function of the water network, the crystal qualities of Bacillus sp. TB-90 urate oxidase were improved by controlled dehydration using the humid air and glue-coating method. After the dehydration, the P21212 crystals were transformed into the I222 space group, leading to an extension of the maximum resolution to 1.42 Å. The dehydration of the crystals revealed a significant change in the five-water-molecules’ binding mode in the vicinity of the catalytic diad, indicating that these molecules are quasi-stable. The pH profile analysis of log(kcat) gave two pKa values: pKa1 at 6.07 ± 0.07 and pKa2 at 7.98 ± 0.13. The site-directed mutagenesis of K13, T73 and N276 involved in the formation of the active-site water network revealed that the activities of these mutant variants were significantly reduced. These structural and kinetic data suggest that the five quasi-stable water molecules play an essential role in the catalysis of the cofactor-independent urate oxidation by reducing the energy penalty for the substrate-binding or an on–off switching for the proton-relay rectification.
A Review of the Biology, Ecology, and Management of Plum Curculio (Coleoptera: Curculionidae)
Authors: Lampasona Timothy P , Rodriguez-Saona Cesar , Leskey Tracy C , Nielsen Anne L
Published: September 2020

The plum curculio, Conotrachelus nenuphar Herbst (Coleoptera: Curculionidae), is an insect native to the Americas that is a serious pest of stone and pome fruits in the United States and Canada. Failure to effectively manage this insect may result in up to 85% damaged fruit at harvest, as well as early season fruit abortion. Conotrachelus nenuphar is oligophagous, feeding and ovipositing on many Rosaceous plants, including apple, peach, plum, cherry, quince, and pear. Additionally, C. nenuphar in limited geographic ranges utilizes alternate hosts such as highbush blueberry (Ericaceae) and Muscadine grape (Vitaceae). Despite its long history as a pest, integrated pest management (IPM) lags behind similarly damaging native fruit pests. Although significant progress has been made on the identification of attractive lures for monitoring C. nenuphar adults, development of behaviorally based management strategies, and biological control with entomopathogenic nematodes, growers continue to rely heavily on top-down chemical inputs to manage this pest. Most of the research to date comes from studies done in apples where alternative management practices for C. nenuphar have, to some extent, been adopted; however, less IPM-based information is available for other susceptible crops. In this review, we summarize the history, biology, ecology, behavior, and control of C. nenuphar and future directions for IPM research.
Primary tumour ulceration in cutaneous melanoma: its role on TNM stages.
Authors: Tas Faruk , Erturk Kayhan
Published: September 2020

Background

Tumour ulceration has unfavourable prognostic factor in stage I–II melanoma. The aim of this study was to question whether tumour ulceration might predict relapse and survival in melanomas of all stages.

Methods

A total of 911 melanoma patients were analysed.

Results

The 5-year relapse-free survival rates were 50.0% for ulcerated melanomas and 75.8% for all non-ulcerated melanomas (P = 0.0001). Ulcerated melanomas had lower relapse-free survival rates than non-ulcerated melanomas in all T-stages (P = 0.0001). The relapse-free survival rates were statistically significant for T1 (P = 0.02), T3 (P = 0.01) and T4 (P = 0.004); however, T2 (P = 0.07). There were significant differences between ulcerated melanomas and non-ulcerated melanomas regarding relapse-free survival rates for both N0 (P = 0.0001) and N1 (P = 0.01) patients; poor relapse-free survival rates were found to be in association with ulcerated melanomas (P = 0.06 for N1, P = 0.04 for N2 and P = 0.8 for N3 disease). The 5- year overall survival rates were 55.3 and 81.5% for ulcerated melanomas and non-ulcerated melanomas, respectively (P = 0.0001). Ulcerated melanomas had lower overall survival rates than non-ulcerated melanomas in all T-stages; they were statistically significant for T1 (P = 0.01), T2 (P = 0.03) and T4 (P = 0.006), but not for T3 (P = 0.3). Ulceration predicted poor survival in N0 patients; however, it was not found significant although its overall survival rate was lower in node-positive patients (P = 0.09), and ulceration was a significantly poor prognostic factor only for N3 patients (P = 0.03), but not for N1 (P = 0.9) and N2 patients (P = 0.2). Furthermore, non-metastatic patients with ulcerated melanomas survived significantly less (P = 0.0001), but there were no differences in survivals between ulcerated melanoma and non-ulcerated melanoma metastatic melanoma patients (P = 0.1).

Conclusion

Primary tumour ulceration has been considered as a poor prognostic factor in local melanomas, but it might also have a potential for predicting survival in loco-regional and advanced melanomas.
Treatment results of radiotherapy to both the prostate and metastatic sites in patients with bone metastatic prostate cancer
Authors: Inaba Koji , Tsuchida Keisuke , Kashihara Tairo , Umezawa Rei , Takahashi Kana , Okuma Kae , Murakami Naoya , Ito Yoshinori , Igaki Hiroshi , Sumi Minako , Nakayama Yuko , Shinoda Yasuo , Hara Tomohiko , Matsui Yoshiyuki , Komiyama Motokiyo , Fujimoto Hiroyuki , Itami Jun
Published: September 2020

Although systemic therapy is the standard treatment for metastatic prostate cancer, a randomized controlled trial showed radiotherapy to the prostate improved overall survival of metastatic prostate cancer patients with the low metastatic burden. Additionally, a randomized phase II trial showed that metastasis-directed therapy for oligo-recurrent prostate cancer improved androgen-deprivation therapy (ADT)-free survival. Therefore, administering radiotherapy to both prostate and metastatic regions might result in better outcomes. Thus, we report the treatment results of radiotherapy to both prostate and metastatic regions. Our institutional database was searched for patients who received radiotherapy to the prostate and metastatic regions. We summarized patient characteristics and treatment efficacy and performed statistical analysis to find possible prognostic factors. A total of 35 patients were included in this study. The median age was 66 years, and the median initial prostate-specific antigen (PSA) level was 32 ng/ml. The Gleason score was 7 in 10 patients, 8 in 13 patients, and 9 in 12 patients. The median radiotherapy dose was 72 Gy to the prostate and 50 Gy to the metastatic bone region. The 8-year overall survival, cause-specific survival, progression-free survival, and freedom from biochemical failure rate were 81, 85, 53, and 57%. Among the 35 patients, 12 were disease-free even after ADT was discontinued. In selected patients with metastatic prostate cancer, ADT and radiotherapy to the prostate and metastatic sites were effective. Patients with good response to ADT may benefit from radiotherapy to both prostate and metastatic regions.
A review of extantTudivasumRosenberg & Petit, 1987 (Neogastropoda: Turbinellidae) and description of three new species from Western Australia
Authors: Morrison Hugh M , Kirkendale Lisa A , Wilson Nerida G
Published: September 2020

Tudivasum Rosenberg & Petit, 1987 is a morphologically distinct gastropod genus of low diversity. All but one species are known from Australia and they occur from the intertidal zone down to hundreds of metres on the continental shelf. These carnivorous gastropods are thought to have intracapsular development. The six currently recognized extant species are reviewed here and their geographical ranges clarified. Two new species, Tudivasum chaneyi n. sp. and T. ashmorense n. sp., are described from Ashmore Reef, Western Australia, and are characterized by differences in protoconch colour and shell sculpture. The third new species, T. westrale n. sp., is described from the mid-west coast of Western Australia, where it has long been misidentified as T. spinosum (H. Adams & A. Adams, 1864). We generated a molecular phylogeny based on mitochondrial DNA sequence data to test morphological species concepts and reconstruct relationships among four of the described species. High levels of divergence within one of the new species could indicate an additional cryptic species.
RASP: an atlas of transcriptome-wide RNA secondary structure probing data
Authors: Li Pan , Zhou Xiaolin , Xu Kui , Zhang Qiangfeng Cliff
Published: September 2020

RNA molecules fold into complex structures that are important across many biological processes. Recent technological developments have enabled transcriptome-wide probing of RNA secondary structure using nucleases and chemical modifiers. These approaches have been widely applied to capture RNA secondary structure in many studies, but gathering and presenting such data from very different technologies in a comprehensive and accessible way has been challenging. Existing RNA structure probing databases usually focus on low-throughput or very specific datasets. Here, we present a comprehensive RNA structure probing database called RASP (RNA Atlas of Structure Probing) by collecting 161 deduplicated transcriptome-wide RNA secondary structure probing datasets from 38 papers. RASP covers 18 species across animals, plants, bacteria, fungi, and also viruses, and categorizes 18 experimental methods including DMS-seq, SHAPE-Seq, SHAPE-MaP, and icSHAPE, etc. Specially, RASP curates the up-to-date datasets of several RNA secondary structure probing studies for the RNA genome of SARS-CoV-2, the RNA virus that caused the on-going COVID-19 pandemic. RASP also provides a user-friendly interface to query, browse, and visualize RNA structure profiles, offering a shortcut to accessing RNA secondary structures grounded in experimental data. The database is freely available at http://rasp.zhanglab.net.
Higher Baseline Cortical Score Predicts Good Outcome in Patients With Low Alberta Stroke Program Early Computed Tomography Score Treated with Endovascular Treatment
Authors: Xing Peng-fei , Zhang Yong-wei , Zhang Lei , Li Zi-fu , Shen Hong-jian , Zhang Yong-xin , Li He , Hua Wei-long , Liu Pei , Liu Peng , Yang Peng-fei , Hong Bo , Deng Ben-qiang , Liu Jian-min
Published: September 2020

BACKGROUND

Patients with large vessel occlusion and noncontrast computed tomography (CT) Alberta Stroke Program Early CT Score (ASPECTS) <6 may benefit from endovascular treatment (EVT). There is uncertainty about who will benefit from it.

OBJECTIVE

To explore the predicting factors for good outcome in patients with ASPECTS <6 treated with EVT.

METHODS

We retrospectively reviewed 60 patients with ASPECTS <6 treated with EVT in our center between March 2018 and June 2019. Patients were divided into 2 groups because of the modified Rankin Score (mRS) at 90 d: good outcome group (mRS 0-2) and poor outcome group (mRS ≥3). Baseline and procedural characteristics were collected for unilateral variate and multivariate regression analyses to explore the influent variates for good outcome.

RESULTS

Good outcome (mRS 0-2) was achieved in 24 (40%) patients after EVT and mortality was 20% for 90 d. Compared with the poor outcome group, higher baseline cortical ASPECTS (c-ASPECTS), lower intracranial hemorrhage, and malignant brain edema after thrombectomy were noted in the good outcome group (all P < .01). Multivariate logistic regression showed that only baseline c-ASPECTS (≥3) was positive factor for good outcome (odds ratio = 4.29; 95% CI, 1.21-15.20; P = .024). The receiver operating characteristics curve indicated a moderate value of c-ASPECTS for predicting good outcome, with the area under receiver operating characteristics curve 0.70 (95% CI, 0.56-0.83; P = .011).

CONCLUSION

Higher baseline c-ASPECTS was a predictor for good clinical outcome in patients with ASPECTS <6 treated with EVT, which could be helpful to treatment decision.
Dietary Interventions Are Beneficial for Patients with Chronic Pain: A Systematic Review with Meta-Analysis
Authors: Field Rowena , Pourkazemi Fereshteh , Turton Jessica , Rooney Kieron
Published: September 2020

Background

The standard Western diet is high in processed hyperpalatable foods that displace nutrient-dense whole foods, leading to inflammation and oxidative stress. There is limited research on how these adverse metabolic drivers may be associated with maladaptive neuroplasticity seen in chronic pain and whether this could be attenuated by a targeted nutritional approach. The aim of this study was to review the evidence for whole-food dietary interventions in chronic pain management.

Method

A structured search of eight databases was performed up to December 2019. Two independent reviewers screened studies and evaluated risk of bias by using the National Institutes of Health assessment tool for controlled or pre–post studies and the Joanna Briggs checklist for case reports. A meta-analysis was performed in Review Manager.

Results

Forty-three studies reporting on 48 chronic pain groups receiving a whole-food dietary intervention were identified. These included elimination protocols (n = 11), vegetarian/vegan diets (n = 11), single-food changes (n = 11), calorie/macronutrient restriction (n = 8), an omega-3 focus (n = 5), and Mediterranean diets (n = 2). A visual analog scale was the most commonly reported pain outcome measure, with 17 groups reporting a clinically objective improvement (a two-point or 33% reduction on the visual analog scale). Twenty-seven studies reported significant improvement on secondary metabolic measures. Twenty-five groups were included in a meta-analysis that showed a significant finding for the effect of diet on pain reduction when grouped by diet type or chronic pain type.

Conclusion

There is an overall positive effect of whole-food diets on pain, with no single diet standing out in effectiveness. This suggests that commonalities among approaches (e.g., diet quality, nutrient density, weight loss) may all be involved in modulating pain physiology. Further research linking how diet can modulate physiology related to pain (such as inflammation, oxidative stress, and nervous system excitability) is required.
Magnetic resonance imaging abnormalities as a marker of multiple system atrophy in isolated rapid eye movement sleep behavior disorder
Authors: Muñoz-Lopetegi Amaia , Berenguer Joan , Iranzo Alex , Serradell Monica , Pujol Teresa , Gaig Carles , Muñoz Esteban , Tolosa Eduard , Santamaría Joan
Published: September 2020

Study Objectives

Patients with isolated rapid eye movement (REM) sleep behavior disorder (IRBD) develop Parkinson disease (PD), dementia with Lewy bodies (DLB), or multiple system atrophy (MSA). Magnetic resonance imaging (MRI) is abnormal in MSA showing abnormalities in the putamen, cerebellum, and brainstem. Our objective was to evaluate the usefulness of MRI to detect MRI abnormalities in IRBD and predict development of MSA and not PD and DLB.

Methods

In IRBD patients that eventually developed PD, DLB, and MSA, we looked for the specific structural MRI abnormalities described in manifest MSA (e.g. hot cross-bun sign, putaminal rim, and cerebellar atrophy). We compared the frequency of these MRI changes among groups of converters (PD, DLB, and MSA) and analyzed their ability to predict development of MSA. The clinical and radiological features of the IRBD patients that eventually converted to MSA are described in detail.

Results

A total of 61 IRBD patients who underwent MRI phenoconverted to PD (n = 30), DLB (n = 26), and MSA (n = 5) after a median follow-up of 2.4 years from neuroimaging. MRI changes typical of MSA were found in four of the five (80%) patients who converted to MSA and in three of the 56 (5.4%) patients who developed PD or DLB. MRI changes of MSA had sensitivity of 80.0%, specificity of 94.6%, positive likelihood ratio of 14.9 (95% CI 4.6–48.8), and negative likelihood ratio of 0.2 (95% CI 0.04–1.2) to predict MSA.

Conclusions

In IRBD, conventional brain MRI is helpful to predict conversion to MSA. The specific MRI abnormalities of manifest MSA may be detected in its premotor stage.
Identifying neuroanatomical signatures in insomnia and migraine comorbidity
Authors: Chou Kun-Hsien , Lee Pei-Lin , Liang Chih-Sung , Lee Jiunn-Tay , Kao Hung-Wen , Tsai Chia-Lin , Lin Guan-Yu , Lin Yu-Kai , Lin Ching-Po , Yang Fu-Chi
Published: September 2020

Study Objectives

While insomnia and migraine are often comorbid, the shared and distinct neuroanatomical substrates underlying these disorders and the brain structures associated with the comorbidity are unknown. We aimed to identify patterns of neuroanatomical substrate alterations associated with migraine and insomnia comorbidity.

Methods

High-resolution T1-weighted images were acquired from subjects with insomnia, migraine, and comorbid migraine and insomnia, respectively, and healthy controls (HC). Direct group comparisons with HC followed by conjunction analyses identified shared regional gray matter volume (GMV) alterations between the disorders. To further examine large-scale anatomical network changes, a seed-based structural covariance network (SCN) analysis was applied. Conjunction analyses also identified common SCN alterations in two disease groups, and we further evaluated these shared regional and global neuroanatomical signatures in the comorbid group.

Results

Compared with controls, patients with migraine and insomnia showed GMV changes in the cerebellum and the lingual, precentral, and postcentral gyri (PCG). The bilateral PCG were common GMV alteration sites in both groups, with decreased structural covariance integrity observed in the cerebellum. In patients with comorbid migraine and insomnia, shared regional GMV and global SCN changes were consistently observed. The GMV of the right PCG also correlated with sleep quality in these patients.

Conclusion

These findings highlight the specific role of the PCG in the shared pathophysiology of insomnia and migraine from a regional and global brain network perspective. These multilevel neuroanatomical changes could be used as potential image markers to decipher the comorbidity of the two disorders.
Serum Levels of Markers of Endothelial Activation Are Not Associated with a Positive Blood Culture in Surinamese Children with Suspected Severe Infection
Authors: Juliana Amadu , Jongman Rianne , van Meurs Matijs , Plötz Frans B , Zonneveld Rens
Published: September 2020

Background

Systemic serum levels of markers of endothelial activation are associated with infection. We hypothesize that levels of markers of endothelial activation are associated with the presence of a positive blood culture as a manifestation of a systemic infection in children with a suspected severe infection in Suriname.

Methods

In this prospective observational cohort study, children between 1 month and 18 years of age suspected of severe infection as assessed by the threating physician, and in whom laboratory testing and blood culturing was performed before start of intravenous antibiotic treatment, were recruited at the emergency department of the Academic Hospital Paramaribo, Suriname. Serum was collected at blood culturing and after 48–72 h of admission. Serum was stored for measurement of levels of Angiopoietin (Ang)-1, Ang-2, soluble (s)P-selectin, sE-selectin, vascular cell adhesion molecule-1, intercellular adhesion molecule-1 and platelet and endothelial cell adhesion molecule-1.

Results

Fifty-one children were included of whom 10 had a positive blood culture. Baseline characteristics were similar between children with and without a positive blood culture. No significant differences in serum levels of the Angiopoietins or soluble cellular adhesion molecules between groups were observed at start of antibiotic treatment nor after 48–72 h.

Conclusions

The data from this study indicate that in children with severe infection, serum levels of markers of endothelial cell activation are not associated with a positive blood culture. Thus, having a positive bacterial blood culture may not be the only factor driving endothelial activation in this patient population.
Treatment of coronavirus disease 2019
Authors: Hung Ivan F.N.
Published: September 2020

Purpose of review

Coronavirus disease 2019 (COVID-19) is a highly contagious and potentially lethal pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). No specific antiviral treatment is currently available. The purpose of this review is to highlight the main repurposed drug treatments with in-vitro or in-vivo efficacy against the SARS-CoV-2.

Recent findings

Recent clinical trials suggested remdesivir, IFN-β-1b and favipiravir have potential clinical and/or virological benefits on patients with COVID-19. Short course of stress dose of corticosteroids might be used as adjunctive treatment to patients who are late presenters with cytokine storm. Convalescent plasma from recovered COVID-19 patients with high neutralizing antibody might also be beneficial in the treatment of severe disease.

Early effective antiviral therapy in COVID-19 patients will suppress the SARS-CoV-2 viral load. Adjunctive therapy with corticosteroid and convalescent plasma might further ameliorate the cytokine response. Further randomized clinical trials of combination therapy are needed.
Drug-induced maculopathy
Authors: Khan Mahmood J. , Papakostas Thanos , Kovacs Kyle , Gupta Mrinali P.
Published: September 2020

Purpose of review

The purpose of this article is to provide an overview of drug-induced maculopathies including their clinical presentations, diagnostic findings, and treatment options. With the increasing pace of development and arrival of drugs to the market, this review aims to inform retina specialists of relevant side effects that may be encountered in a clinical practice setting.

Recent findings

The major themes visited in this article focus on relevant findings of drugs that cause pigmentary and crystalline maculopathy, photoreceptor dysfunction, cystoid macular edema, central serous choroidopathy, uveitis, and vascular damage.

The current review reports updated findings and discusses the pathophysiologic mechanisms, presentations, and treatments of drug-induced maculopathies.
Multivariate phenotypic divergence along an urbanization gradient
Authors: Santangelo James S. , Rivkin L. Ruth , Advenard Carole , Thompson Ken A.
Published: September 2020

Evidence suggests that natural populations can evolve to better tolerate the novel environmental conditions associated with urban areas. Studies of adaptive divergence in urban areas often examine one or a few traits at a time from populations residing only at the most extreme urban and nonurban habitats. Thus, whether urbanization drives divergence in many traits simultaneously in a manner that varies with the degree of urbanization remains unclear. To address this gap, we generated seed families of white clover (
Trifolium repens
) collected from 27 populations along an urbanization gradient in Toronto, Canada, grew them in a common garden, and measured 14 phenotypic traits. Families from urban sites had evolved later phenology and germination, larger flowers, thinner stolons, reduced cyanogenesis, greater biomass and greater seed set. Pollinator observations revealed near-complete turnover of pollinator morphological groups along the urbanization gradient, which may explain some of the observed divergences in floral traits and phenology. Our results suggest that adaptation to urban environments involves multiple traits.
Reinfection with SARS-CoV-2 and Failure of Humoral Immunity: a case report
Authors: Goldman Jason D. , Wang Kai , Röltgen Katharina , Nielsen Sandra C. A. , Roach Jared C. , Naccache Samia N. , Yang Fan , Wirz Oliver F. , Yost Kathryn E. , Lee Ji-Yeun , Chun Kelly , Wrin Terri , Petropoulos Christos J. , Lee Inyoul , Fallen Shannon , Manner Paula M. , Wallick Julie A. , Algren Heather A. , Murray Kim M. , Su Yapeng , Hadlock Jennifer , Jeharajah Joshua , Berrington William R. , Pappas George P. , Nyatsatsang Sonam T. , Greninger Alexander L. , Satpathy Ansuman T. , Pauk John S. , Boyd Scott D. , Heath James R.
Published: September 2020

Recovery from COVID-19 is associated with production of anti-SARS-CoV-2 antibodies, but it is uncertain whether these confer immunity. We describe viral RNA shedding duration in hospitalized patients and identify patients with recurrent shedding. We sequenced viruses from two distinct episodes of symptomatic COVID-19 separated by 140 days in a single patient, to conclusively describe reinfection with a new strain harboring the spike variant D614G. With antibody and B cell analytics, we show correlates of adaptive immunity, including a differential response to D614G. Finally, we discuss implications for vaccine programs and begin to define benchmarks for protection against reinfection from SARS-CoV-2.
Human cerebral cortex networks use expanding and contracting state dynamic to shape cortical functions
Authors: Willumsen Alex , Midtgaard Jens , Jespersen Bo , Hansen Christoffer K.K. , Lam Salina N. , Hansen Sabine , Kupers Ron , Fabricius Martin E. , Litman Minna , Pinborg Lars , Tascón-Vidarte José D. , Sabers Anne , Roland Per E.
Published: September 2020

We lack viable explanations of how brain functions emerge from collective activities of neurons in networks. We recorded field potentials from many local networks in the human cerebral cortex during a wide variety of brain functions. The network dynamics showed that each local cortical network produced fluctuating attractor states. The state trajectories continuously stretched and contracted during all brain functions, leaving no stable patterns. Different local networks all produced this dynamic, despite different architectures. Single trial stimuli and tasks modified the stretching and contractions. These modified fluctuations cross-correlated among particular networks during specific brain functions. Spontaneous states, rest, sensory, motor and cognitive states all emerged from this dynamic. Its mathematical structure provides a general explanation of cortical dynamics that can be tested experimentally. This universal dynamic is a simple functional organizing principle for brain functions at the mm3 scale that is distinct from existing frameworks.
Single circuit in V1 capable of switching contexts during movement using VIP population as a switch
Authors: Voina Doris , Recanatesi Stefano , Hu Brian , Shea-Brown Eric , Mihalas Stefan
Published: September 2020

As animals adapt to their environments, their brains are tasked with processing stimuli in different sensory contexts. Whether these computations are context dependent or independent, they are all implemented in the same neural tissue. A crucial question is what neural architectures can respond flexibly to a range of stimulus conditions and switch between them. This is a particular case of flexible architecture that permits multiple related computations within a single circuit.

Here, we address this question in the specific case of the visual system circuitry, focusing on context integration, defined as the integration of feedforward and surround information across visual space. We show that a biologically inspired microcircuit with multiple inhibitory cell types can switch between visual processing of the static context and the moving context. In our model, the VIP population acts as the switch and modulates the visual circuit through a disinhibitory motif. Moreover, the VIP population is efficient, requiring only a relatively small number of neurons to switch contexts. This circuit eliminates noise in videos by using appropriate lateral connections for contextual spatio-temporal surround modulation, having superior denoising performance compared to circuits where only one context is learned. Our findings shed light on a minimally complex architecture that is capable of switching between two naturalistic contexts using few switching units.

Author Summary

The brain processes information at all times and much of that information is context-dependent. The visual system presents an important example: processing is ongoing, but the context changes dramatically when an animal is still vs. running. How is context-dependent information processing achieved? We take inspiration from recent neurophysiology studies on the role of distinct cell types in primary visual cortex (V1).We find that relatively few “switching units” — akin to the VIP neuron type in V1 in that they turn on and off in the running vs. still context and have connections to and from the main population — is sufficient to drive context dependent image processing. We demonstrate this in a model of feature integration, and in a test of image denoising. The underlying circuit architecture illustrates a concrete computational role for the multiple cell types under increasing study across the brain, and may inspire more flexible neurally inspired computing architectures.