bluuebunny/crossref_metadata_2025 huggingface dataset:
Clozapine intoxication with severe adverse effects induced by an inflammatory and infectious process: a case report
Authors: Bebawi Emmanuel , Wakim Leila , Doré Maxime
Published: February 2021

Background

Clozapine intoxication can be life-threatening. Outside of the common drug–drug interactions, tobacco smoking, and caffeine consumption, infectious and inflammatory processes are important contributors to clozapine intoxication. Although this relationship has been reported previously, the literature is scant of proper research articles describing the presentation and management of this unpredictable interaction. Therefore, clinicians need to rely heavily on case reports describing clozapine intoxication caused by inflammation and/or infection.

Case presentation

A 64-year-old Caucasian woman known for schizophrenia was brought to the emergency department (ED) with severe signs and symptoms of clozapine intoxication (general deterioration, drowsiness, neutropenia, and ileus). She was on clozapine 700 mg daily amongst other medications. The clozapine dose was stable for over 3 years, and there were no recent changes in her medications. The initial culprit was determined to be an infectious/inflammatory process of gastrointestinal origin with contribution from dehydration and constipation. Clozapine and norclozapine serum concentrations confirmed the intoxication: 1315 ng/mL and 653 ng/mL, respectively. She drastically improved with clozapine dose reduction and antibiotic therapy. She remained stable for years with clozapine 600 mg daily with stable clozapine serum levels.

Conclusion

This case report illustrates the possibility of severe toxicity associated with an acute infectious and/or inflammatory process in patients on clozapine therapy. Clinicians must maintain a high level of suspicion in patients taking clozapine who develop and an infectious and/or inflammatory process. Constipation secondary to clozapine intoxication can exacerbate the initial intoxication process.
Encapsulating peritoneal sclerosis caused by cell-free and concentrated ascites reinfusion therapy: a case report
Authors: Itagaki Hideya , Katuhiko Suzuki
Published: February 2021

Background

Encapsulating peritoneal sclerosis (EPS) is a rare condition in which the small intestine is covered by an inflammatory fibrocollagenous membrane; the exact etiology of EPS is unclear. Herein, we report the case of our patient who underwent hemodialysis and cell-free and concentrated ascites reinfusion therapy (CART) and was diagnosed with EPS.

Case presentation

A 64-year-old Japanese man visited our emergency department with a chief complaint of abdominal pain. He had a medical history of cirrhosis due to hepatitis C for 25 years. He had undergone partial resection of the small intestine 2 years earlier for an incarcerated hernia. One year earlier, he experienced renal failure due to hepatorenal syndrome and started hemodialysis three times a week and CART twice a month. Physical examination of the abdominal wall revealed a lack of peristalsis of the intestinal tract and strong tenderness on palpation.

Because hernia of the small intestine was found on computed tomography, we suspected strangulation ileus, requiring emergency operation. When the abdomen was opened, the entire small intestine was found to be wrapped in a fibrous membrane and constricted by it. The patient was diagnosed with EPS; hence, during surgery, the fibrous membrane was excised, resulting in decompression of the intestinal tract and subsequent recovery.

Conclusions

EPS is thought to be related to various elements, but no case of EPS induced by CART has been reported to date. EPS should be considered in the differential diagnosis of small bowel obstruction in patients undergoing CART for refractory ascites.
Soil fertilization affects the abundance and distribution of carbon and nitrogen cycling genes in the maize rhizosphere
Authors: Enebe Matthew Chekwube , Babalola Olubukola Oluranti
Published: February 2021

Soil microbes perform important functions in nitrogen and carbon cycling in the biosphere. Microbial communities in the rhizosphere enhance plants’ health and promote nutrient turnover and cycling in the soil. In this study, we evaluated the effects of soil fertilization with organic and inorganic fertilizers on the abundances and distribution of carbon and nitrogen cycling genes within the rhizosphere of maize plants. Our result showed that maize plants through rhizosphere effects selected and enriched the same functional genes glnA, gltB, gudB involved in nitrogen cycle as do high compost and low inorganic fertilizer treatments. This observation was significantly different from those of high doses of inorganic fertilizer and low compost manure treated soil. Only alpha amylase encoding genes were selectively enriched by low compost and high inorganic fertilized soil. The other treatments only selected xynB (in Cp8), lacZ (Cp4), bglA, pldB, trpA (N2), uidA (N1) and glgC, vanA (Cn0) carbon cycling genes in the rhizosphere of maize. Also Actinomycetales are selected by high compost, low inorganic fertilizer and control. The control was without any fertilization and the soil was planted with maize. Bacillales are also promoted by low compost and high inorganic fertilizer. This indicated that only microbes capable of tolerating the stress of high dose of inorganic fertilizer will thrive under such condition. Therefore, soil fertilization lowers nitrogen gas emission as seen with the high abundance of nitrogen assimilation genes or microbial anabolic genes, but increases carbon dioxide evolution in the agricultural soil by promoting the abundance of catabolic genes involve in carbon cycling.
Nutritional quality improvement of soybean meal by Bacillus velezensis and Lactobacillus plantarum during two-stage solid- state fermentation
Authors: Chen Long , Zhao Zijian , Yu Wei , Zheng Lin , Li Lijia , Gu Wei , Xu Haiyan , Wei Bingdong , Yan Xiaogang
Published: February 2021

Bacillus velezensis is widely used for agricultural biocontrol, due to its ability to enhance plant growth while suppressing the growth of microbial pathogens. However, there are few reports on its application in fermented feed. Here, a two-stage solid-state fermentation process using Bacillus velezensis followed by Lactobacillus plantarum was developed to degrade antinutritional factors (ANFs) and improve soybean meal (SBM) nutrition for animal feed. The process was evaluated for performance in degrading SBM antinutritional factors, dynamic changes in physicochemical characteristics, microorganisms and metabolites. After two-stage fermentation, degradation rates of glycinin and β-conglycinin contents reached 78.60% and 72.89%, respectively. The pH of fermented SBM (FSBM) decreased to 4.78 ± 0.04 and lactic acid content reached 183.38 ± 4.86 mmol/kg. NSP-degrading enzymes (Non-starch polysaccharide, NSPases) and protease were detected from the fermented product, which caused the changed microstructure of SBM. Compared to uninoculated SBM, FSBM exhibited increased proportions of crude protein (51.97 ± 0.44% vs. 47.28 ± 0.34%), Ca, total phosphorus (P), and trichloroacetic acid-soluble protein (11.79 ± 0.13% vs. 5.07 ± 0.06%). Additionally, cellulose and hemicellulose proportions declined by 22.10% and 39.15%, respectively. Total amino acid content increased by 5.05%, while the difference of AA content between the 24 h, 48 h and 72 h of fermentation was not significant (P > 0.05). Furthermore, FSBM also showed antibacterial activity against Staphylococcus aureus and Escherichia coli. These results demonstrated that two-stage SBM fermentation process based on Bacillus velezensis 157 and Lactobacillus plantarum BLCC2-0015 is an effective approach to reduce ANFs content and improve the quality of SBM feed.
Integrin αIIbβ3 outside-in signaling activates human platelets through serine 24 phosphorylation of Disabled-2
Authors: Tsai Hui-Ju , Cheng Ju-Chien , Kao Man-Leng , Chiu Hung-Pin , Chiang Yi-Hsuan , Chen Ding-Ping , Rau Kun-Ming , Liao Hsiang-Ruei , Tseng Ching-Ping
Published: February 2021

Background

Bidirectional integrin αIIbβ3 signaling is essential for platelet activation. The platelet adaptor protein Disabled-2 (Dab2) is a key regulator of integrin signaling and is phosphorylated at serine 24 in eukaryotic cells. However, the mechanistic insight and function of Dab2-serine 24 phosphorylation (Dab2-pSer24) in platelet biology are barely understood. This study aimed to define whether and how Dab2 is phosphorylated at Ser24 during platelet activation and to investigate the effect of Dab2-pSer24 on platelet function.

Results

An antibody with confirmed specificity for Dab2-pSer24 was generated. By using this antibody as a tool, we showed that protein kinase C (PKC)-mediated Dab2-pSer24 was a conservative signaling event when human platelets were activated by the platelet agonists such as thrombin, collagen, ADP, 12-O-tetradecanoylphorbol-13-acetate, and the thromboxane A2 activator U46619. The agonists-stimulated Dab2-pSer24 was attenuated by pretreatment of platelets with the RGDS peptide which inhibits integrin outside-in signaling by competitive binding of integrin αIIb with fibrinogen. Direct activation of platelet integrin outside-in signaling by combined treatment of platelets with manganese dichloride and fibrinogen or by spreading of platelets on fibrinogen also resulted in Dab2-pSer24. These findings implicate that Dab2-pSer24 was associated with the outside-in signaling of integrin. Further analysis revealed that Dab2-pSer24 was downstream of Src-PKC-axis and phospholipase D1 underlying the integrin αIIbβ3 outside-in signaling. A membrane penetrating peptide R11-Ser24 which contained 11 repeats of arginine linked to the Dab2-Ser24 phosphorylation site and its flanking sequences (RRRRRRRRRRR19APKAPSKKEKK29) and the R11-S24A peptide with Ser24Ala mutation were designed to elucidate the functions of Dab2-pSer24. R11-Ser24 but not R11-S24A inhibited agonists-stimulated Dab2-pSer24 and consequently suppressed platelet spreading on fibrinogen, with no effect on platelet aggregation and fibrinogen binding. Notably, Ser24 and the previously reported Ser723 phosphorylation (Dab2-pSer723) occurred exclusively in a single Dab2 molecule and resulted in distinctive subcellular distribution and function of Dab2. Dab2-pSer723 was mainly distributed in the cytosol of activated platelets and associated with integrin inside-out signaling, while Dab2-pSer24 was mainly distributed in the membrane fraction of activated platelets and associated with integrin outside-in signaling.

Conclusions

These findings demonstrate for the first time that Dab2-pSer24 is conservative in integrin αIIbβ3 outside-in signaling during platelet activation and plays a novel role in the control of cytoskeleton reorganization and platelet spreading on fibrinogen.
Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine
Authors: Nothman Simon , Kaffman Michael , Nave Rachel , Flugelman Moshe Y.
Published: February 2021

Background

Teaching medical students is a central part of being a doctor, and is essential for the training of the next generation of physicians and for maintaining the quality of medicine. Our research reviews the training that physicians in Israel receive as teachers of clinical clerkships, and their thoughts regarding teaching students. The importance of faculty development cannot be overstated, for securing quality medicine and physician empowerment.

Methods

This study was based on a survey conducted among physicians teaching at Israeli medical schools. The survey was conducted using an online questionnaire sent to clinical teachers according to lists received from the teaching units of the faculties, department heads, and other clinical teachers. Participation in the study was anonymous.

Findings

Of 433 invited physicians, 245 (56%) from three departments (internal medicine, paediatrics, obstetrics and gynaecology) of four faculties of medicine in Israel, out of five total, completed the questionnaire. Only 35% of the physicians reported having received training for their role as teachers, most of these participated in a short course of up to 2 days. There were significant differences between the Technion and the other schools. Technion teachers without academic appointment had higher rates of pedagogic training. The same was true in regard to Technion teachers, either residents or young specialist. Significant gaps were reported between the content covered in the training and the topics the doctors felt they would want to learn. The clinicians who participated in the survey expressed that clinical teaching was less valued and more poorly remunerated than research, and that improved compensation and perceived appreciation would likely improve the quality of clinical teaching.

Conclusions

Of the one-third of the physicians surveyed who had received some training in clinical teaching, the training was perceived as inadequate and not aligned with their needs. There was a significant difference in rates of pedagogic training between the Technion and other medical schools. In addition, most clinical teachers surveyed felt that teaching students is inadequately valued. Due to its focus on just three disciplines, and higher relative number participants from the Technion faculty of medicine, our survey may not fully represent the activities of the faculties of medicine in Israel. Nevertheless, given the importance of clinical teaching of medical students, our findings argue for increasing faculty development and educational training of physicians in clinical settings, for recognizing the importance of teaching in academic and professional promotion processes.
Non-invasive method to detect high respiratory effort and transpulmonary driving pressures in COVID-19 patients during mechanical ventilation
Authors: Roesthuis Lisanne , van den Berg Maarten , van der Hoeven Hans
Published: February 2021

Background

High respiratory drive in mechanically ventilated patients with spontaneous breathing effort may cause excessive lung stress and strain and muscle loading. Therefore, it is important to have a reliable estimate of respiratory effort to guarantee lung and diaphragm protective mechanical ventilation. Recently, a novel non-invasive method was found to detect excessive dynamic transpulmonary driving pressure (∆PL) and respiratory muscle pressure (Pmus) with reasonable accuracy. During the Coronavirus disease 2019 (COVID-19) pandemic, it was impossible to obtain the gold standard for respiratory effort, esophageal manometry, in every patient. Therefore, we investigated whether this novel non-invasive method could also be applied in COVID-19 patients.

Methods

∆PL and Pmus were derived from esophageal manometry in COVID-19 patients. In addition, ∆PL and Pmus were computed from the occlusion pressure (∆Pocc) obtained during an expiratory occlusion maneuver. Measured and computed ∆PL and Pmus were compared and discriminative performance for excessive ∆PL and Pmus was assessed. The relation between occlusion pressure and respiratory effort was also assessed.

Results

Thirteen patients were included. Patients had a low dynamic lung compliance [24 (20–31) mL/cmH2O], high ∆PL (25 ± 6 cmH2O) and high Pmus (16 ± 7 cmH2O). Low agreement was found between measured and computed ∆PL and Pmus. Excessive ∆PL > 20 cmH2O and Pmus > 15 cmH2O were accurately detected (area under the receiver operating curve (AUROC) 1.00 [95% confidence interval (CI), 1.00–1.00], sensitivity 100% (95% CI, 72–100%) and specificity 100% (95% CI, 16–100%) and AUROC 0.98 (95% CI, 0.90–1.00), sensitivity 100% (95% CI, 54–100%) and specificity 86% (95% CI, 42–100%), respectively). Respiratory effort calculated per minute was highly correlated with ∆Pocc (for esophageal pressure time product per minute (PTPes/min) r2 = 0.73; P = 0.0002 and work of breathing (WOB) r2 = 0.85; P < 0.0001).

Conclusions

∆PL and Pmus can be computed from an expiratory occlusion maneuver and can predict excessive ∆PL and Pmus in patients with COVID-19 with high accuracy.
Spatial and temporal dynamics of growth of woody plant species (birch and willows) on the foreland of a retreating glacier in southern Iceland
Authors: Synan Haley E. , Melfi Mikael A. , Tanner Lawrence H.
Published: February 2021

Background

The forelands of retreating glaciers are invaluable natural laboratories in which to explore the processes of primary succession. Numerous studies have been conducted on foreland chronosequences to identify temporal and spatial trends of the successional communities. This study focused on the spatio-temporal distribution of three woody plant species on the foreland of a retreating glacier in southern Iceland where historical observations provide precise age control of the moraines. To evaluate colonization and successional trends, we examined which species increase in abundance with time and tested the role of proximity to a seed source in colonization. Additionally, we quantified the rate at which biomass carbon is added to the landscape.

Results

The density of stems ofBetula pubescensincreases with moraine age across the foreland chronosequence while the density of stems of bothSalix lanataandSalix phylicifoliadecreases. We found low statistical significance to the relationship between the density ofB. pubescensand distance from a forested ridge nor did we find a relationship between the lengths of the stems and the moraine ages. Woody biomass increased fastest during early successional stages and reached a maximum of 28.5 g C m− 2on the oldest moraine.

Conclusions

Early colonization of moraines was controlled by environmental filters which favored bothSalixspecies. Colonization byB. pubescensfollowed as environmental factors, e.g., favorable soil properties, improved. We found no conclusive evidence that proximity to a potential source ofB. pubescenspropagules was a significant factor in controlling colonization. The assumption that the abundance of individuals increased with time through later successional stages proved valid forB. pubescens, but not for either species ofSalix. These findings are consistent with the classical spatial successional model of community homogenization. Thus, general successional processes at the landscape scale control the temporal dynamics of individual species.
GIS-based multi‐criteria analysis for sustainable urban green spaces planning in emerging towns of Ethiopia: the case of Sululta town
Authors: Gelan Eshetu
Published: February 2021

Background

Urban green spaces are important components, contributing in different ways to the quality of human well-being. In the planning and management of urban centres, attention to the appropriate site selection of urban green spaces with regard to the importance that these spaces have from the perspectives of ecology, socioeconomic, mentality, etc., is an inevitable requirement. In present decades, land suitability mapping methods and GIS have been used to support urban green space planners in developed countries; however, its application and practices are limited in developing countries, like Ethiopia. Therefore, the aim of this study has to select potential sites for green spaces in Sululta town that assist an effective planning process of green areas in a sustainable way.

Methods

In this study, GIS-based Multi-criteria analysis (MCA) has been adopted to select suitable sites for urban green spaces. Existing land use, proximity to settlement, road and water body, population density, land ownership, topography, and scenic attractiveness were recognized as the key factor affecting urban green land suitability.

Results

The results showed that 13.6%, 34%, 28%, and 18.9% of the study area are highly suitable, suitable, moderately suitable, and poorly suitable, respectively, for urban green spaces development. Furthermore, out of the total area of the study town 5.5% of the landmass is not suitable for urban green spaces development.

Conclusions

Therefore, the application of GIS-based MCA has provided an effective methodology to solve a complex decisional problem in urban green spaces site selection in the study town and urban planning all over the country.
Importance of monitoring arsenic methylation metabolism in acute promyelocytic leukemia patients receiving the treatment of arsenic trioxide
Authors: Zheng Yu , Mao Yuan-Fei , Zhao Hui-Jin , Chen Li , Wang Li-Ning , Zhang Yun-Xiang , Hu Jiong , Li Jun-Min , Li Xiao-Yang , Zhu Hong-Ming
Published: February 2021

Background

Arsenic trioxide [ATO, inorganic arsenite (iAsIII) in solution] plays an important role in the treatment of acute promyelocytic leukemia (APL). However, the long-term adverse effects (AEs) and the retention of arsenic among APL patients are rarely reported. In this study, we focused on arsenic methylation metabolism and its relationship with chronic hepatic toxicity, as we previously reported, among APL patients who had finished the treatment of ATO.

Methods

A total of 112 de novo APL patients who had completed the ATO-containing treatment were enrolled in the study. Arsenic species [iAsIII, inorganic arsenate (iAsV), and their organic metabolites, monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA)] in patients’ plasma, urine, hair and nails were detected by high-performance liquid chromatography combined with inductively coupled plasma mass spectrometry (HPLC-ICP-MS). Eighteen single nucleotide polymorphisms (SNPs) of the arsenic (+ 3 oxidative state) methylation transferase (AS3MT) gene, which was known as the main catalyzer for arsenic methylation, were tested with the polymerase chain reaction method.

Results

The study showed the metabolic pattern of arsenic in APL patients undergoing and after the treatment of ATO, in terms of total arsenic (TAs) and four species of arsenic. TAs decreased to normal after 6 months since cessation of ATO. But the arsenic speciation demonstrated significantly higher portion of iAsIII in patient’s urine (40.08% vs. 1.94%, P < 0.001), hair (29.25% vs. 13.29%, P = 0.002) and nails (30.21% vs. 13.64%, P = 0.003) than the healthy controls’, indicating a decreased capacity of arsenic methylation metabolism after the treatment of ATO. Urine primary methylation index (PMI) was significantly lower in patients with both chronic liver dysfunction (0.14 vs. 0.28, P = 0.047) and hepatic steatosis (0.19 vs. 0.3, P = 0.027), suggesting that insufficient methylation of arsenic might be related to chronic liver disorders. Two SNPs (A9749G and A27215G) of the AS3MT gene were associated with impaired urine secondary methylation index (SMI).

Conclusions

The long-term follow-up of arsenic speciation indicated a decreased arsenic methylation metabolism and a probable relationship with chronic hepatic disorders among APL patients after the cessation of ATO. Urine PMI could be a monitoring index for chronic AEs of ATO, and the SNPs of AS3MT gene should be considered when determining the dosage of ATO.
HMD-ARG: hierarchical multi-task deep learning for annotating antibiotic resistance genes
Authors: Li Yu , Xu Zeling , Han Wenkai , Cao Huiluo , Umarov Ramzan , Yan Aixin , Fan Ming , Chen Huan , Duarte Carlos M. , Li Lihua , Ho Pak-Leung , Gao Xin
Published: February 2021

Background

The spread of antibiotic resistance has become one of the most urgent threats to global health, which is estimated to cause 700,000 deaths each year globally. Its surrogates, antibiotic resistance genes (ARGs), are highly transmittable between food, water, animal, and human to mitigate the efficacy of antibiotics. Accurately identifying ARGs is thus an indispensable step to understanding the ecology, and transmission of ARGs between environmental and human-associated reservoirs. Unfortunately, the previous computational methods for identifying ARGs are mostly based on sequence alignment, which cannot identify novel ARGs, and their applications are limited by currently incomplete knowledge about ARGs.

Results

Here, we propose an end-to-end Hierarchical Multi-task Deep learning framework for ARG annotation (HMD-ARG). Taking raw sequence encoding as input, HMD-ARG can identify, without querying against existing sequence databases, multiple ARG properties simultaneously, including if the input protein sequence is an ARG, and if so, what antibiotic family it is resistant to, what resistant mechanism the ARG takes, and if the ARG is an intrinsic one or acquired one. In addition, if the predicted antibiotic family is beta-lactamase, HMD-ARG further predicts the subclass of beta-lactamase that the ARG is resistant to. Comprehensive experiments, including cross-fold validation, third-party dataset validation in human gut microbiota, wet-experimental functional validation, and structural investigation of predicted conserved sites, demonstrate not only the superior performance of our method over the state-of-art methods, but also the effectiveness and robustness of the proposed method.

Conclusions

We propose a hierarchical multi-task method, HMD-ARG, which is based on deep learning and can provide detailed annotations of ARGs from three important aspects: resistant antibiotic class, resistant mechanism, and gene mobility. We believe that HMD-ARG can serve as a powerful tool to identify antibiotic resistance genes and, therefore mitigate their global threat. Our method and the constructed database are available at http://www.cbrc.kaust.edu.sa/HMDARG/.
Cultural adaptation and validation of the Attribution Questionnaire for stigma towards disability pension applicants for use among psychiatrists and general practitioners in Sweden
Authors: McAllister Ashley , Burström Bo , Corrigan Patrick
Published: February 2021

Background

This study aimed to culturally translate the Attribution Questionnaire (AQ) to the Swedish language and examine the reliability and validity of the new Swedish version to measure stigma towards disability pension applicants in the Swedish context among psychiatrists and general practitioners.

Methods

The AQ was translated from the original English version into Swedish using the recommended guidelines for cultural translation of questionnaires. Steps included forward/back-translation, use of expert committee and pretesting. Cronbach’s alpha was used to determine internal consistency and structural equation modelling (SEM) was used to test the responsibility model of stigma compared to the original English version.

Results

1,414 physicians completed the questionnaire (23.6%). Cultural translation resulted in many modifications to the original questionnaire to increase the external validity. Internal reliability of the AQ Swedish version (AQ-S) was 0.733 and is considered acceptable. Pity and Segregation-coercion sub-scales showed limited consistency. SEM findings show that the responsibility model of stigma is an acceptable fit for the Swedish setting.

Conclusion

Findings show that the AQ-S is comparable to the other versions of the AQ and is a reliable measure to assess and monitor stigma among physicians in the Swedish setting. Our study shows that cultural translation does not significantly impact the validity of the questionnaire.
When twice is better than once: increased liking of repeated items influences memory in younger and older adults
Authors: Palumbo Rocco , Di Domenico Alberto , Fairfield Beth , Mammarella Nicola
Published: February 2021

Background

Numerous studies have reported that the repeated presentation of a stimulus leads to an increase in positive affect towards the stimulus itself (the so-called mere exposure effect). Here, we evaluate whether changes in liking due to repetition may have a differential impact on subsequent memories in younger and older adults.

Method

In two experiments, younger and older adults were asked to rate a series of nonwords (Experiment 1) or unfamiliar neutral faces (Experiment 2) in terms of how much they like them and then presented with a surprise yes–no recognition memory task. At study, items were repeated either consecutively (massed presentation) or with a lag of 6 intervening items (spaced presentation).

Results

In both experiments, participants rated spaced repeated items more positively than massed items, i.e. they liked them most. Moreover, older adults remembered spaced stimuli that they liked most better than younger adults.

Conclusions

The findings are discussed in accordance with the mechanisms underlying positivity effects in memory and the effect of repetition on memory encoding.
Simple empirical method for estimating lava-effusion rate using nighttime Himawari-8 1.6-µm infrared images
Authors: Kaneko Takayuki , Yasuda Atsushi , Fujii Toshitsugu
Published: February 2021

The effusion rate of lava is one of the most important eruption parameters, as it is closely related to the migration process of magma underground and on the surface, such as changes in lava flow direction or formation of new effusing vents. Establishment of a continuous and rapid estimation method has been an issue in volcano research as well as disaster prevention planning. For effusive eruptions of low-viscosity lava, we examined the relationship between the nighttime spectral radiance in the 1.6-µm band of the Himawari-8 satellite (R1.6Mx: the pixel value showing the maximum radiance in the heat source area) and the effusion rate using data from the 2017 Nishinoshima activity. Our analysis confirmed that there was a high positive correlation between these two parameters. Based on the linear-regression equation obtained here (Y = 0.47X, where Y is an effusion rate of 106 m3 day−1 and X is an R1.6Mx of 106 W m−2 sr−1 m−1), we can estimate the lava-effusion rate from the observation data of Himawari-8 via a simple calculation. Data from the 2015 Raung activity—an effusive eruption of low-viscosity lava—were arranged along the extension of this regression line, which suggests that the relationship is applicable up to a level of ~ 2 × 106 m3 day−1. We applied this method to the December 2019 Nishinoshima activity and obtained an effusion rate of 0.50 × 106 m3 day−1 for the initial stage. We also calculated the effusion rate for the same period based on a topographic method, and verified that the obtained value, 0.48 × 106 m3 day−1, agreed with the estimation using the Himawari-8 data. Further, for Nishinoshima, we simulated the extent of hazard areas from the initial lava flow and compared cases using the effusion rate obtained here and the value corresponding to the average effusion rate for the 2013–2015 eruptions. The former distribution was close to the actual distribution, while the latter was much smaller. By combining this effusion-rate estimation method with real-time observations by Himawari-8 and lava-flow simulation software, we can build a rapid and precise prediction system for volcano hazard areas.
Habitat use and space preferences of Eurasian Bullfinches (Pyrrhula pyrrhula) in northwestern Iberia throughout the year
Authors: Hernández Ángel
Published: February 2021

Background

For all vertebrates in general, a concerted effort to move beyond single season research is vital to improve our understanding of species ecology. Knowledge of habitat use and selection by Eurasian Bullfinches (Pyrrhula pyrrhula) is limited with regard to the non-breeding season. To date, research on the habitat of the Iberian subspeciesiberiaeconsists of very general descriptions. In relation to space use, only broad features are available for the entire distribution range of Eurasian Bullfinches, including Iberia.

Methods

In this study, seasonal preferences regarding habitat and space in a population of Eurasian Bullfinches are examined for the first time in the Iberian Peninsula, through direct observation during a six-year period. The essential habitat components, substrate selection and perch height were assessed.

Results

Hedgerows were the key essential habitat component for bullfinches during all seasons. Nevertheless, small poplar plantations became increasingly important from winter to summer-autumn. Bullfinches perched mostly in shrubs/trees throughout the year, but there were significant seasonal changes in substrate use, ground and herbs being of considerable importance during spring-summer. Throughout the year, over half of the records corresponded to feeding, reaching almost 90% in winter. Generally, bullfinches perched noticeably lower while feeding. Male bullfinches perched markedly higher than females, notably singing males in spring-summer. Juveniles perched at a height not much lower than that of males. In all seasons, males tended to feed at greater heights than females. Bullfinches of different ages and sexes were seen bathing in all seasons except winter.

Conclusions

Hedgerow habitat in general appeared to be valuable for bullfinches throughout the year. In summer and autumn, they selected sites with an abundance of food and shade, as well as shelter, a much-needed requirement for fledglings and moulting individuals. There was usually a close link between the most used and most consumed plant species in each season. Males appeared to assume a more important role in vigilance, and often they accompanied dependent young in June and July. Bullfinch conservation strategies should consider seasonal demand for habitat and space.
Spatio-temporal patterns of the Red-footed Falcon’s hunting behavior during the nestling period suggest ad hoc conservation policies
Authors: Gustin Marco , Ferrarini Alessandro
Published: February 2021

The Red-footed Falcon (Falco vespertinus) is a species of high international conservation interest. We analyzed its hunting behavior at the two largest colonies in Italy during the nestling period. Using accurate data-loggers, we tracked three adult Red-footed Falcons in June and July, 2019 and collected 4703 GPS points. We detected clear patterns of hovering and perching activity (HPA) in both time and space. HPA occupied one-third of the Red-footed Falcons’ day, and showed two peaks just after sunrise (between 35 and 40% of the monitoring time) and just before sunset (50‒60%) in both June and July, and minimum (20‒30%) at night and during the hottest time interval (10:00 a.m.‒4:00 p.m.). Almost 40% of HPA occurred within 50 m from nests. Our findings, although preliminary, have important implications for the conservation of these two colonies that are located within two Natura 2000 sites. The detected spatio-temporal patterns of Red-footed Falcons’ hunting behavior suggests the creation of two nested protection belts: the inner one is a narrow belt (up to 50 m from the two rows of trees that host the two colonies) with integral conservation, and hopefully increase the alfalfa crops and fallow land, and the outer belt (50 m‒2 km) with optimized agricultural activities.
Proteome profiling of different rat brain regions reveals the modulatory effect of prolonged maternal separation on proteins involved in cell death-related processes
Authors: Drastichova Zdenka , Rudajev Vladimir , Pallag Gergely , Novotny Jiri
Published: February 2021

Background

Early-life stress in the form of maternal separation can be associated with alterations in offspring neurodevelopment and brain functioning. Here, we aimed to investigate the potential impact of prolonged maternal separation on proteomic profiling of prefrontal cortex, hippocampus and cerebellum of juvenile and young adult rats. A special attention was devoted to proteins involved in the process of cell death and redox state maintenance.

Methods

Long-Evans pups were separated from their mothers for 3 h daily over the first 3 weeks of life (during days 2–21 of age). Brain tissue samples collected from juvenile (22-day-old) and young adult (90-day-old) rats were used for label-free quantitative (LFQ) proteomic analysis. In parallel, selected oxidative stress markers and apoptosis-related proteins were assessed biochemically and by Western blot, respectively.

Results

In total, 5526 proteins were detected in our proteomic analysis of rat brain tissue. Approximately one tenth of them (586 proteins) represented those involved in cell death processes or regulation of oxidative stress balance. Prolonged maternal separation caused changes in less than half of these proteins (271). The observed alterations in protein expression levels were age-, sex- and brain region-dependent. Interestingly, the proteins detected by mass spectrometry that are known to be involved in the maintenance of redox state were not markedly altered. Accordingly, we did not observe any significant differences between selected oxidative stress markers, such as the levels of hydrogen peroxide, reduced glutathione, protein carbonylation and lipid peroxidation in brain samples from rats that underwent maternal separation and from the corresponding controls. On the other hand, a number of changes were found in cell death-associated proteins, mainly in those involved in the apoptotic and autophagic pathways. However, there were no detectable alterations in the levels of cleaved products of caspases or Bcl-2 family members. Taken together, these data indicate that the apoptotic and autophagic cell death pathways were not activated by maternal separation either in adolescent or young adult rats.

Conclusion

Prolonged maternal separation can distinctly modulate expression profiles of proteins associated with cell death pathways in prefrontal cortex, hippocampus and cerebellum of juvenile rats and the consequences of early-life stress may last into adulthood and likely participate in variations in stress reactivity.
Laparoscopic hepatectomy for hepatic angiomyolipoma with preoperative diagnosis of other malignancy: a report of 2 cases
Authors: Asahi Yoh , Kamiyama Toshiya , Orimo Tatsuya , Shimada Shingo , Nagatsu Akihisa , Sakamoto Yuzuru , Ishizuka Chihiro , Hamada Kazuya , Kamachi Hirofumi , Takakuwa Emi , Mitsuhashi Tomoko , Taketomi Akinobu
Published: February 2021

Background

Hepatic angiomyolipoma (HAML) is a rare liver tumor, and hepatectomy is the only effective treatment. Due to the difficulty of correct diagnosis of HAML before surgery by image studies, more than 36.6% of reported HAMLs are misdiagnosed as other malignant liver tumors before surgery. As there are only few reported cases in which HAMLs were removed using laparoscopic hepatectomy, the effectiveness of laparoscopic hepatectomy for such HAMLs in which are diagnosed as other malignant liver tumor before surgery has not been reported.

Case presentation

Case 1: a 58-year-old female with a history of treatment for autoimmune hepatitis was preoperatively diagnosed with hepatocellular carcinoma (size: 20 mm) in segment 7 (S7) of the liver. The tumor was removed by laparoscopic partial resection and was diagnosed as a HAML through a pathological examination. The patient’s postoperative course was good, and she was recurrence-free at 37 months after the hepatectomy. Case 2: a 29-year-old female with a history of surgery for a right mature cystic teratoma was referred to our department to receive treatment for a growing 20-mm liver tumor with some calcification, which arose in S3 of the liver. A metastatic liver tumor derived from the mature cystic teratoma was suspected, and laparoscopic left lateral sectionectomy was performed. The liver tumor was diagnosed as a HAML after a pathological examination. The patient’s postoperative course was unremarkable, and more than 54 months have passed since the hepatectomy without any recurrence.

Conclusions

Two cases in which HAMLs were preoperatively diagnosed as other malignant liver tumor were successfully removed by laparoscopic hepatectomy with a correct postoperative diagnosis. Laparoscopic hepatectomy for the present 2 cases of HAML seemed to be effective for providing a correct diagnosis after the curative removement of liver tumor with a smaller invasion compared to open hepatectomy, and for denying risk of dissemination of the malignant tumor by needle biopsy that had to be considered before ruling out malignant tumor.
The effect of animated consent material on participants’ willingness to enrol in a placebo-controlled surgical trial: a protocol for a randomised feasibility study
Authors: Nelson Elizabeth , Shadbolt Cade , Bunzli Samantha , Cochrane Angela , Choong Peter , Dowsey Michelle
Published: February 2021

Background

Placebo-controlled surgical trials are recognised as the gold standard way to test the efficacy of a surgical procedure. Despite a rise in arthroscopic subacromial decompression (ASD) surgeries for the treatment of shoulder pain, only two placebo-controlled surgical trials have been conducted. These trials encountered significant recruitment challenges, threatening the external validity of findings. Difficulties with recruitment are common in clinical trials and likely to be amplified in placebo-controlled surgical trials. This mixed method feasibility trial aims to address the following questions: (i) Feasibility: What proportion of patients who have consented to undergo ASD report that they would be willing to enrol in a placebo-controlled trial for this procedure? (ii) Optimisation: Can patients’ willingness to enrol in, or understanding of, such a trial be improved by supplementing written consent materials with a brief visual animation that outlines the details of the trial? And (iii) exploration: What factors influence patients stated willingness to enrol in such a trial, and how do they believe the recruitment process could be improved?

Methods

This study aims to recruit 80 patients on the waiting list for ASD. Participants will be randomised (1:1) to either view a brief video animation explaining the hypothetical placebo-controlled trial in addition to written information or to written information only. Participants in both groups will be required to state if they would be willing to opt-in to the hypothetical ASD trial after immediately being presented with the consent material and again 1 week after completion of the consent process. Patients in both groups will also be required to complete a measure of trial literacy. Twenty participants will be purposively sampled to take part in an embedded qualitative study exploring understanding of trial concepts and factors contributing to willingness to opt-in.

Discussion

This feasibility study will provide evidence for optimising participant recruitment into a placebo-controlled trial of ASD by consenting patients using animated trial information in addition to written information. This pilot and feasibility data may also be relevant to placebo-controlled surgical trials more broadly, which are characterised by recruitment challenges.

Trial registration

ANZCTR, ACTRN12620001132932, date October 30, 2020
A telephone assessment and advice service within an ED physiotherapy clinic: a single-site quality improvement cohort study
Authors: Kelly Marie , Higgins Anna , Murphy Adrian , McCreesh Karen
Published: February 2021

Background

In response to issues with timely access and high non-attendance rates for Emergency Department (ED) physiotherapy, a telephone assessment and advice service was evaluated as part of a quality improvement project. This telehealth option requires minimal resources, with the added benefit of allowing the healthcare professional streamline care. A primary aim was to investigate whether this service model can reduce wait times and non-attendance rates, compared to usual care. A secondary aim was to evaluate service user acceptability.

Methods

This was a single-site quality improvement cohort study that compares data on wait time to first physiotherapy contact, non-attendance rates and participant satisfaction between patients that opted for a service based on initial telephone assessment and advice, versus routine face-to-face appointments. 116 patients were referred for ED physiotherapy over the 3-month pilot at the ED and out-patient physiotherapy department, XMercy University Hospital, Cork, Ireland. 91 patients (78%) opted for the telephone assessment and advice service, with 40% (n=36) contacting the service. 25 patients (22%) opted for the face-to-face service. Data on wait time and non-attendance rates was gathered using the hospital data reporting system. Satisfaction data was collected on discharge using a satisfaction survey adapted from the General Practice Assessment Questionnaire. Independent-samples t-test or Mann Whitney U Test was utilised depending on the distribution of the data. For categorical data, Chi-Square tests were performed. A level of significance of p ≤ 0.05 was set for this study.

Results

Those that contacted the telephone assessment and advice service had a significantly reduced wait time (median 6 days; 3–8 days) compared to those that opted for usual care (median 35 days; 19–39 days) (p ≤ 0.05). There was no significant between-group differences for non-attendance rates or satisfaction.

Conclusion

A telephone assessment and advice service may be useful in minimising delays for advice for those referred to ED Physiotherapy for musculoskeleltal problems. This telehealth option appears to be broadly acceptable and since it can be introduced rapidly, it may be helpful in triaging referrals and minimising face-to-face consultations, in line with COVID-19 recommendations. However, a large scale randomised controlled trial is warranted to confirm these findings.
Automated doubt identification from informal reflections through hybrid sentic patterns and machine learning approach
Authors: Lo Siaw Ling , Tan Kar Way , Ouh Eng Lieh
Published: February 2021

Do my students understand? The question that lingers in every instructor’s mind after each lesson. With the focus on learner-centered pedagogy, is it feasible to provide timely and relevant guidance to individual learners according to their levels of understanding? One of the options available is to collect reflections from learners after each lesson to extract relevant feedback so that doubts or questions can be addressed in a timely manner. In this paper, we derived a hybrid approach that leverages a novel Doubt Sentic Pattern Detection (SPD) algorithm and a machine learning model to automate the identification of doubts from students’ informal reflections. The encouraging results clearly show that the hybrid approach has the potential to be adopted in the real-world doubt detection. Using reflections as a feedback mechanism and automated doubt detection can pave the way to a promising approach for learner-centered teaching and personalized learning.
Correction to: Urgent need hybrid production - what COVID-19 can teach us about dislocated production through 3d-printing and the maker scene
Authors: Hartig Sascha , Duda Sven , Hildebrandt Lennart
Published: February 2021

An amendment to this paper has been published and can be accessed via the original article.