bluuebunny/crossref_metadata_2025_split huggingface dataset:
Demyelination with autoimmune features: a distinct clinical entity? Results from a longitudinal cohort
Authors: Nikolopoulos Dionysis , Kitsos Dimitris , Papathanasiou Matilda , Chondrogianni Maria , Theodorou Aikaterini , Garantziotis Panagiotis , Pieta Antigone , Doskas Triantafyllos , Bertsias George , Voumvourakis Konstantinos , Boumpas Dimitrios T , Fanouriakis Antonis 
Published: December 2020

Abstract

Objective
CNS demyelinating syndromes occurring in the context of SLE may represent a manifestation of neuropsychiatric lupus, or an overlap of SLE and multiple sclerosis (MS). We evaluated prospectively patients presenting with demyelinating syndrome for clinical and serological evidence of SLE and characterized the evolution of their clinical syndrome to a defined disease.

Methods
Patients with CNS demyelinating syndromes not fulfilling the criteria for MS were evaluated in a rheumatology unit for features of SLE and followed longitudinally (enrolment period 2016–20). Clinical, laboratory and neuroimaging data were recorded at every visit, following multidisciplinary evaluation. At end of follow-up, patients were assessed for their final neurological and rheumatological diagnosis, and classified accordingly.

Results
A total of 79 patients were included in the study [91.1% female, mean (s.d.) age at first demyelinating episode 38.4 (10.3) years, median (interquartile range) observation period 39 (57) months]. At last follow-up, 38 patients (48.1%) had evolved into MS. Of the remaining patients, 7 (17.1%) had SLE, while 34 (82.9%) had features of systemic autoimmunity without fulfilling classification criteria for SLE. The most common rheumatological features of these patients were inflammatory arthritis (73.5%), acute cutaneous lupus (47.1%) and positive ANA (72.1%). Importantly, these patients were less likely to have elevated IgG index (odds ratio 0.11, 95% CI 0.04, 0.32) and positive oligoclonal bands (odds ratio 0.21, 95% CI 0.08, 0.55).

Conclusion
A significant number of patients with demyelination do not fulfill criteria for either MS or SLE at follow-up. These patients exhibit lupus-like autoimmune features and may represent a distinct entity, ‘demyelination with autoimmune features’.
RELATIVE HCP THERMOLUMINESCENCE AND OPTICAL ABSORPTION EFFICIENCIES: THE DEMISE OF TRACK STRUCTURE THEORY
Authors: Eliyahu I , Oster L 
Published: December 2020

Abstract
The thermoluminescence relative efficiency, ηTST, of LiF:Mg,Ti and LiF:Mg,Cu,P following heavy charged particle irradiation is calculated using track structure theory and compared with experimental measurements. The calculations use both 60Co generated values of secondary electron dose response and values of the dose response at lower photon energies. In both materials there is poor agreement with experiment. Optical absorption relative efficiencies are also in disagreement. For the F band, ηexpt’l/ηTST = 2.0 and 2.6 for He ions and protons, respectively. The values of ηexpt’l/ηTST for the 4.0-eV band, resulted in 0.18 (protons) and &lt;0.12 (He ions). An indication that the 4.0-eV trapping structure is either destroyed or de-populated during the heavy charged particle (HCP) slowing down. The large deviations of ηexpt’l/ηHCP from unity demonstrate that TST, which predicts HCP induced radiation effects from the exclusive action of the released secondary electrons, is woefully inadequate.
Effect of high-phytase supplementation in lactation diets on sow and litter performance
Authors: Batson Kelsey L , Calderón Hilda I , Goodband Robert D , Woodworth Jason C , Tokach Mike D , Dritz Steve S , DeRouchey Joel M 
Published: December 2020

Abstract
A total of 109 sows (Line 241; DNA, Columbus, NE) were used to evaluate the effect of increasing dietary phytase in lactation diets, already adequate in P, on sow and litter performance. On d 107 of gestation, sows were blocked by body weight and parity and allotted to 1 of 3 dietary treatments of increasing phytase concentration (0, 1,000, or 3,000 FYT/kg; Ronozyme HiPhos GT 2700, DSM Nutritional Products, Inc., Parsippany, NJ). The control diet contained no phytase and was formulated to contain 0.50% standardized total tract digestible phosphorus (STTD P; 0.45% available P) and 0.62% STTD calcium (0.90% total Ca). The phytase diets that contained 1,000 or 3,000 FYT/kg were also formulated to 0.50% STTD P and 0.62% STTD Ca including the release of 0.132% STTD P and 0.096% STTD Ca. Diets were balanced for net energy and fed from d 107 of gestation until weaning (d 18 ± 3). All farrowings were monitored, with farrowing duration starting at the time the first pig was born until the first dispersal of placental tissues with no subsequent pigs born. Litters were cross-fostered within treatment until 48 h postfarrowing to equalize litter size. There were no differences among treatments in sow body weight at d 107 of gestation, 24 h after farrowing, or at weaning. Sow average daily feed intake from farrowing to weaning tended to increase (linear, P = 0.093) as phytase increased. There was no evidence for difference in the number of total born pigs, as well as the percentage of stillborns, mummies, and born alive pigs at the completion of farrowing. Similarly, phytase supplementation did not influence (P &gt; 0.05) wean-to-estrus interval or litter size after cross-fostering among dietary treatments. Although not significant (linear, P = 0.226), farrowing duration decreased as added phytase increased with a decrease of 47 min (12%) for 3,000 FYT compared with the control. There were no differences in pig weight at weaning, but as a result of increased survivability (linear, P = 0.002), litter weaning weight and overall litter weight gain increased (quadratic, P &lt; 0.05) up to 1,000 FYT of added phytase with no further benefit observed in sows fed 3,000 FYT. In conclusion, sow feed intake tended to increase linearly with increasing added phytase. Feeding 1,000 FYT/kg maximized overall litter gain and weaning weight; however, a larger-scale study with more sows is needed to determine the addition of phytase in lactation diets to reduce farrowing duration.
Effect of feeding dry-rolled corn or whole shelled corn during the finishing phase on growth performance and carcass characteristics
Authors: Freitas Tiago B , Felix Tara L , Clark Chris , Fluharty Francis L , Relling Alejandro E 
Published: December 2020

Abstract:
The objectives of this trial were to evaluate the effect of corn processing during the finishing phase on feedlot cattle performance and carcass characteristics. We hypothesized that steers fed dry-rolled corn would have better feed efficiency (less feed necessary to the same amount of gain) than steers fed whole shelled corn. Ninety-five backgrounded Angus-cross cattle (initial body weight [BW] = 263 ± 9.8 kg) were used in a randomized complete block design in a feedlot setting. Cattle were divided in to 3 blocks: heifers (n = 31, 4 pens; initial BW = 267 ± 1.3 kg), light steers (n = 32, 4 pens; initial BW = 253 ± 1.3 kg), and heavy steers (n = 32, 4 pens; initial BW = 279 ± 1.4 kg). Diets contained 70% corn (experimental treatment), 15% dried distiller’s grains with solubles, 7% grass hay, and 8% supplement, on a dry matter basis. Cattle were fed for 217, 224, and 231 ± 8 d for the heifer, heavy steer, and light steer blocks, respectively. Two pens within each block were randomly assigned to one of the following treatments: (1) dry-rolled corn (DRC) or (2) whole-shelled corn (WSC). Animal growth performance and carcass characteristics were analyzed using the MIXED procedure of SAS, including the fixed effect of treatment. Pen and block were included as random effects. Carcass characteristics USDA Yield Grade and Quality Grade distributions were compared using the GLIMMIX procedure of using the same model than the growth performance data. Data are presented as LSMeans. Cattle fed DRC had greater average daily gain (ADG; P = 0.02) and final BW (P &lt; 0.01) when compared with cattle fed WSC. Even though ADG was greater for the DRC treatment, feed efficiency was similar (P = 0.45) because dry matter intake was also greater (P = 0.04) for DRC when compared with the WSC treatment. Cattle fed DRC also had greater hot carcass weight (P &lt; 0.01), dressing percentage (P &lt; 0.01), and Longissimus dorsi muscle area (P &lt; 0.01) than cattle fed WSC. No differences (P ≥ 0.18) were observed for marbling score, USDA Yield Grade or USDA Quality Grade. In conclusion, feeding DRC to feedlot cattle improved ADG, hot carcass weight, and Longissimus dorsi muscle area, without affecting feed efficiency or meat quality.
A Pilot Study of Automated Pupillometry in the Treatment of Opioid Use Disorder
Authors: Peeler Crandall E. , Gorgy Merit , Sadlak Natalie , Sathe Shaleen , Tamashunas Nina , Fiorello Marissa G. , Cabral Howard , Paasche-Orlow Michael K. , Weinstein Zoe M. 
Published: December 2020

Introduction/Background:
A rough, visual estimate of pupil size is used in grading the severity of opioid withdrawal. Few studies have examined the clinical utility of more precise automated pupillometry measurements.

Methods:
This prospective cohort study enrolled 27 patients receiving opioid agonist therapy (OAT) to treat cravings or withdrawal during an acute hospitalization. Six sets of automated pupillometry measurements were obtained at regular intervals before and after administration of OAT. Clinical Opiate Withdrawal Scale measurements were performed pre and post OAT. Primary outcomes included pupil size in dark and bright illumination (mm). Latency of the pupillary light response (s), constriction and dilation velocity (mm/s), and percent constriction (%) were secondary outcomes.

Results:
The mean predosing pupil size in dark and bright illumination was 4.33 ± 1.40 mm and 2.96 ± 0.79 mm, respectively. A significantly decreased mean pupil size was first detected at 15 minutes postdosing (4.01 ± 1.34 mm, P = 0.0115 for dark illumination; 2.71 ± 0.72 mm, P = 0.0003 for bright illumination) and this reduction in pupil size persisted at later postdosing timepoints. Those with Clinical Opiate Withdrawal Scale <5 after dosing had a greater decrease in dark pupil size (10.6% ± 13.2 vs 3.2% ± 3.2, P = 0.043). There was no significant change in the remaining pupil reactivity parameters.

Conclusions:
Automated pupillometry demonstrated a small but significant change in mean pupil size that occurred within 15 minutes of OAT dosing and was associated with low withdrawal scores. This pilot may inform future work to incorporate pupillometry measurement into OAT dosing assessments.
Decreasing Radiation Exposure in Pediatric Clavicle and Metatarsal Fractures: A QI Initiative
Authors: Brown Zoe , Perry Michael , Wozniak Amy W. , Cappello Teresa 
Published: December 2020

Background:
Protecting the pediatric population from unnecessary medical radiation is an important public health initiative. Efforts have been made to reduce radiation exposure in the treatment of pediatric fractures without compromising quality of care. Using a standardized protocol for imaging of pediatric clavicle and metatarsal fractures is a reliable method for reducing pediatric radiation exposure in the management of these fractures.

Methods:
In the year 2015, the senior author altered follow-up imaging practices for 2 common pediatric fractures: metatarsal and clavicular. Initial radiographic evaluation included the standard 3 views for metatarsal fractures and 2 views for clavicle fractures. This standard diagnostic procedure remained constant throughout the study. Follow-up x-rays from 2009 to 2014 routinely included 3 views of the foot and 2 views of the clavicle. The protocol was changed and from 2016 to 2019, follow-up x-rays for fractures routinely included 2 views of the foot and 1 view of the clavicle, thereby decreasing the number of x-rays utilized to manage these fractures.

Results:
There was a significant reduction in the number of clavicle x-rays (P<0.001) and metatarsal x-rays (P=0.004) taken in follow-up between the time-periods. Median values for metatarsal views decreased by 1, matching the adjustment in protocol. In addition, the vast majority of clavicle fractures (90.80%) were managed with 1 follow-up view in 2016 to 2019 compared with 2 views (72.48%) from 2009 to 2014.

Conclusions:
This study achieved a reduction in radiation exposure in pediatric patients with nonoperatively managed clavicle and metatarsal fractures. Improving the quality of care of patients through decreasing the number of x-rays taken protects individuals from adverse side effects, as well as offers various public health benefits in terms of reduction in expenditures.

Level of Evidence:
Level III—retrospective comparative study.
Estimating the Unknown
Authors: Labgold Katie , Hamid Sarah , Shah Sarita , Gandhi Neel R. , Chamberlain Allison , Khan Fazle , Khan Shamimul , Smith Sasha , Williams Steve , Lash Timothy L. , Collin Lindsay J. 
Published: December 2020

Background:
Black, Hispanic, and Indigenous persons in the United States have an increased risk of SARS-CoV-2 infection and death from COVID-19, due to persistent social inequities. However, the magnitude of the disparity is unclear because race/ethnicity information is often missing in surveillance data.

Methods:
We quantified the burden of SARS-CoV-2 notification, hospitalization, and case fatality rates in an urban county by racial/ethnic group using combined race/ethnicity imputation and quantitative bias analysis for misclassification.

Results:
The ratio of the absolute racial/ethnic disparity in notification rates after bias adjustment, compared with the complete case analysis, increased 1.3-fold for persons classified Black and 1.6-fold for those classified Hispanic, in reference to classified White persons.

Conclusions:
These results highlight that complete case analyses may underestimate absolute disparities in notification rates. Complete reporting of race/ethnicity information is necessary for health equity. When data are missing, quantitative bias analysis methods may improve estimates of racial/ethnic disparities in the COVID-19 burden.
SYSTEMIC MEDICATION USE AND THE INCIDENCE AND GROWTH OF GEOGRAPHIC ATROPHY IN THE COMPARISON OF AGE-RELATED MACULAR DEGENERATION TREATMENTS TRIALS
Authors: Song Delu , Hua Peiying , VanderBeek Brian L. , Dunaief Joshua L. , Grunwald Juan E. , Daniel Ebenezer , Maguire Maureen G. , Martin Daniel F. , Ying Gui-Shuang ,   the CATT Research Group
Published: December 2020

Purpose:
To determine associations of systemic medications with the incidence and growth of geographic atrophy (GA) in participants of the comparison of age-related macular degeneration treatments trials.

Methods:
Participants of comparison of age-related macular degeneration treatments trials with new untreated choroidal neovascularization in the study eye (one study eye per participant) were randomized to receive treatment with bevacizumab or ranibizumab. Participants were released from clinical trial treatment at 2 years and examined at approximately 5 years. Color fundus photographs and fluorescein angiograms taken at baseline, Years 1, 2, and 5 were assessed for the presence and size of GA by two masked graders. Participants were interviewed about systemic medication use at baseline. Systemic medications previously reported to be associated with age-related macular degeneration were evaluated for associations with GA incidence in study eye using univariable and multivariable Cox models and for association with the GA growth using linear mixed effects models.

Results:
In multivariable analysis of 1,011 study eyes without baseline GA, systemic medications, including cholinesterase inhibitors, angiotensin-converting enzyme inhibitors, calcium channel blockers, beta-blockers, diuretics, aspirin, steroids, statins, hormone replacement therapy, antacids, and drugs targeting G protein-coupled receptors, were not associated with GA incidence in the study eye (all adjusted hazard ratios ≤1.86, P ≥ 0.18). In multivariable analysis of 214 study eyes with longitudinal GA size measurements, calcium channel blockers were associated with a higher GA growth rate (0.40 vs. 0.30 mm/year, P = 0.02).

Conclusion:
None of the systemic medications analyzed were associated with GA incidence. However, calcium channel blockers were associated with a higher growth rate of GA in the study eye.
Remodeling of Cornea With Isotretinoin Treatment
Authors: Ozyol Pelin , Ozyol Erhan , Yildirim Fatma Elif 
Published: December 2020

Objectives:
To evaluate the change of corneal epithelial thickness (ET) in subjects using isotretinoin with spectral-domain optical coherence tomography and further to explore reflection of changes on corneal topography.

Methods:
Forty eyes of 40 subjects with acne vulgaris scheduled for oral isotretinoin were included in this prospective study. Subjects were examined with RTVue-XR and Pentacam at baseline, 1th, 3rd, and 6th months of treatment, and 3rd month of isotretinoin cessation.

Results:
A statistically significant increase was detected in each sector of ET map except inferonasal 7 to 9 mm between baseline and following visits (P<0.05, for all visits). The increase in superior (2–7 mm), inferior (2–7 mm), and maximum values in epithelium statistics and the decrease in superior (2–7 mm), inferior (2–7 mm), minimum, and maximum values in stroma statistics at follow-up visits were significant (P<0.05, for all visits). Central corneal thickness, maximum Ambrosio-relational thickness, average pachymetric-progression index at 1th, 3rd, and 6th months, and thinnest pachymetry, index of surface variance (ISV) at 3rd, and 6th months differed significantly (P<0.05, for specified visits). The regression in parameters was observed at 3rd month of isotretinoin cessation.

Conclusions:
Isotretinoin treatment induces epithelial thickening and stromal thinning. Remodeling of corneal layers causes statistical differences in ISV and pachymetry-related parameters of Pentacam. The pachymetry changes in cornea return to baseline at the 3rd month of discontinuation of treatment.
Continuous insulin therapy versus apheresis in patients with hypertriglyceridemia-associated pancreatitis
Authors: Araz Filiz , Bakiner Okan Sefa , Bagir Gulay Simsek , Soydas Baris , Ozer Birol , Kozanoglu Ilknur 
Published: December 2020

Background
The optimal treatment modality for lowering the triglyceride level in patients with hypertriglyceridemia (HTG)-associated acute pancreatitis is unknown. We evaluated the efficacy of continuous insulin infusion and apheresis procedures as triglyceride-lowering therapy.

Materials and methods
Clinical, demographic, and laboratory data were retrospectively evaluated for patients with HTG-associated pancreatitis who received continuous insulin infusion or apheresis in a single tertiary center. The endpoints were modality effectiveness and clinical outcomes.

Results
The study included 48 patients (mean age, 40.4 ± 9.9 years). Apheresis and insulin infusion were performed in 19 and 29 patients, respectively, in the first 24 h of hospital admission. Apheresis procedures included therapeutic plasma exchange in 10 patients and double filtration plasmapheresis in nine patients. Baseline mean triglyceride level was higher in the apheresis group. The two groups were similar in terms of other baseline clinical and demographic characteristics. Seventeen patients (58.6%) in the insulin group and nine patients (47.4%) in the apheresis group exhibited Balthazar grades D–E. There was a rapid reduction (78.5%) in triglyceride level after the first session of apheresis. Insulin infusion resulted in a 44.4% reduction in mean triglyceride level in the first 24 h. The durations of fasting and hospital stay, and the rates of respiratory failure and hypotension, were similar between groups. More patients in the apheresis group experienced acute renal failure or altered mental status. Prognosis did not significantly differ between groups.

Conclusion
Although apheresis treatments are safe and effective, they provided no clear benefit over insulin infusion for HTG-associated pancreatitis.
Controlled Drinking Behaviors Among Korean American and Korean Male Workers
Authors: Kim Younkyoung , Lowe John , Hong OiSaeng 
Published: December 2020

Background
A permissive drinking culture is one reason for the high level of alcohol consumption among Korean men. Despite shared experiences of the Korean drinking culture that often encourages social drinking, Korean American and Korean male workers may differ in their drinking behavior. This study examines the predictors of controlled drinking behavior and between these two groups.

Objectives
The purpose of this study was to examine and compare the predictors of controlled drinking behavior between Korean American and Korean male workers.

Methods
Two hundred eighty-two male participants (141 Korean Americans and 141 Koreans) who engaged in social drinking were surveyed. Ajzen's theory of planned behavior was used to examine the predictors of controlled drinking behavior. Structural equation modeling was employed to test the theoretical model for each group, followed by multiple-group analyses.

Results
Most participants were college-educated and white-collar workers. Korean American workers had fewer heavy episodic drinking days in the past month than Korean workers. Model testing for each group revealed that subjective norms and perceived behavioral control predicted intentions of controlled drinking, but only perceived behavioral control was a significant predictor of controlled drinking behavior. Multiple-group analyses indicated no difference between the two groups regarding the predictors of controlled drinking behaviors.

Discussion
Programs to promote controlled drinking for Korean American and Korean male workers should incorporate strategies to increase perceived behavioral control, such as training on how to decline drinking. In addition, early education for healthy drinking culture with a strict drinking environment needs to be considered to improve controlled drinking behaviors.