bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diversity of East China Summer Rainfall Change in Post-El Niño Summers
Authors: Zhang Wen , Zhou Xiaoye , Hsu Pang-Chi , Liu Fei 
Published: December 2020

East China has experienced positive precipitation anomalies in post-El Niño summers, mainly in the Yangtze-Huaihe River Valley. This kind of monsoonal rainfall change induced by El Niño, however, is not always the same due to El Niño diversity and mean state change. Here, we use cluster analysis on the post-El Niño (PE) East China summer precipitation anomalies to identify the diversity of this El Niño-induced monsoon change. The result shows that PE East China summer rainfall anomalies mainly display three different modes for all selected 20 El Niño events from 1957 to 2016. Cluster 1 shows the middle and lower reaches of the Yangtze River demonstrate strong wet anomalies, while South and North China are dominated by dry anomalies, similar to a sandwich mode. Cluster 2 is distinguished by dry anomalies over South China and wet anomalies over North China, exhibiting a dipole mode. Compared with Cluster 1, the change caused by Cluster 3 is different, showing negative anomalies over the Yangtze-Huaihe River Valley. The three clusters are correlated with successive events of El Niño, a quick transfer to a strong La Niña and a quick transfer to a weak La Niña respectively. The associated anomalous anticyclone (AAC) focuses on (120°E, 20°N) in Cluster 1, which expands southward for Cluster 2 and moves eastward for Cluster 3. The feedback of AAC-sea surface temperature (SST) mainly works for supporting the AAC in Cluster 1, but it is weak for Cluster 2; the strong easterly anomalies related to La Niña contribute to the AAC location change for Cluster 2. Both AAC-SST feedback and easterly anomalies support the AAC of Cluster 3. The CMIP5 output can capture these diverse responses in circulation except that their simulated AAC for Cluster 1 is significant to the east of the observed.
Rotary Adsorption: Selective Recycling of CO2 in Combined Cycle Gas Turbine Power Plants
Authors: Herraiz Laura , Palfi Erika , Sánchez Fernández Eva , Lucquiaud Mathieu 
Published: December 2020

A conceptual design assessment shows that the use of structured adsorbents in a regenerative adsorption wheel is technically feasible for the application of selective exhaust gas recirculation (SEGR) in combined cycle gas turbine (CCGT) power plants. As the adsorber rotates, CO2 is selectively transferred from a flue gas stream to an ambient air stream fed to the gas turbine compressor, increasing the CO2 concentration and reducing the flow rate of the fraction of the flue gases treated in a post-combustion CO2 capture system. It imposes an estimated pressure drop of 0.25 kPa, unlike a pressure drop of 10 kPa reported for selective CO2 membrane systems, preventing a significant derating of the gas turbine. An equilibrium model of a rotary adsorber with commercially available activated carbon evaluates the inventory of the adsorbent and sizes the wheel rotor. Two rotary wheels of 24 m diameter and 2 m length are required per gas turbine—heat recovery steam generator train to achieve an overall CO2 capture level of 90% in a CCGT power plant (ca. 820 MWe) with SEGR “in parallel” to the capture plant. Two to five rotary wheels are required for a configuration with SEGR “in series” to the capture plant. A reduction of 50% in the mass of the adsorbent would be possible with Zeolite 13X instead of activated carbon, yet the hydrophilicity of zeolites are detrimental to the capacity and upstream dehydration of the flue gases is required. A parametric analysis of the equilibrium properties provides guidelines for adsorbent development. It suggests the importance of balancing the affinity for CO2 to allow the regeneration of the adsorbent with air at near ambient pressure and temperature, to minimise the inventory of the adsorbent within practical limits. An adsorbent with a saturation capacity of 8 mol/kg, a heat of adsorption from 24 to 28 kJ/mol CO2 and a pre-exponential factor of the equilibrium constant from 2 × 10–6 to 9 × 10–6 kPa−1 would result in an inventory below 200 kg, i.e., approximately the limit for the use of a single rotary wheel system.
Could Arachidonic Acid-Derived Pro-Resolving Mediators Be a New Therapeutic Strategy for Asthma Therapy?
Authors: Insuela Daniella Bianchi Reis , Ferrero Maximiliano Ruben , Coutinho Diego de Sá , Martins Marco Aurélio , Carvalho Vinicius Frias 
Published: December 2020

Asthma represents one of the leading chronic diseases worldwide and causes a high global burden of death and disability. In asthmatic patients, the exacerbation and chronification of the inflammatory response are often related to a failure in the resolution phase of inflammation. We reviewed the role of the main arachidonic acid (AA) specialized pro-resolving mediators (SPMs) in the resolution of chronic lung inflammation of asthmatics. AA is metabolized by two classes of enzymes, cyclooxygenases (COX), which produce prostaglandins (PGs) and thromboxanes, and lypoxygenases (LOX), which form leukotrienes and lipoxins (LXs). In asthma, two primary pro-resolving derived mediators from COXs are PGE2and the cyclopentenone prostaglandin15-Deoxy-Delta-12,14-PGJ2(15d-PGJ2) while from LOXs are the LXA4and LXB4. In different models of asthma, PGE2, 15d-PGJ2, and LXs reduced lung inflammation and remodeling. Furthermore, these SPMs inhibited chemotaxis and function of several inflammatory cells involved in asthma pathogenesis, such as eosinophils, and presented an antiremodeling effect in airway epithelial, smooth muscle cells and fibroblastsin vitro. In addition, PGE2, 15d-PGJ2, and LXs are all able to induce macrophage reprogramming to an alternative M2 pro-resolving phenotypein vitroandin vivo. Although PGE2and LXA4showed some beneficial effects in asthmatic patients, there are limitations to their clinical use, since PGE2caused side effects, while LXA4presented low stability. Therefore, despite the strong evidence that these AA-derived SPMs induce resolution of both inflammatory response and tissue remodeling in asthma, safer and more stable analogs must be developed for further clinical investigation of their application in asthma treatment.
The Relevance of Complementary and Integrative Medicine in the COVID-19 Pandemic: A Qualitative Review of the Literature
Authors: Seifert Georg , Jeitler Michael , Stange Rainer , Michalsen Andreas , Cramer Holger , Brinkhaus Benno , Esch Tobias , Kerckhoff Annette , Paul Anna , Teut Michael , Ghadjar Pirus , Langhorst Jost , Häupl Thomas , Murthy Vijay , Kessler Christian S. 
Published: December 2020

Background:During the COVID-19 pandemic people are facing risks of adverse health effects due to the restrictions implemented such as quarantine measures, reduced social contact, and self-isolation. In this qualitative review, we collected data on potential preventive and therapeutic health benefits of Complementary and Integrative Medicine (CIM) that might be useful during the COVID-19 pandemic. We have reviewed the scientific literature to summarize CIM practices that could be beneficial for improving physical and mental health and well-being of the population under the current pandemic circumstances. It must be noted that this review is not SARS-CoV-2 specific and we explicitly do not intend to make any SARS-CoV-2 specific health claims in this article.Methods and Findings:A qualitative, non-systematic literature review was conducted in Medline to identify literature describing preventive and therapeutic CIM approaches for strengthening mental and physical health. For a variety of CIM approaches clinical evidence was identified, indicating beneficial effects. CIM approaches include specific dietary measures and selected micronutrients, physical activity, techniques from Mind-Body Medicine, single botanicals or botanical compounds, and spending time in nature among others. The effects of CIM measures on conditions like obesity and hypertension are of special relevance here, as these conditions are considered as risk factors for a severe course of COVID-19. Moreover, a possibly direct effect of CIM approaches on immune functions and clinical parameters in respiratory tract infections, such as influenza, were identified. The findings of this review could be helpful for clinicians, patients, and the general population during the current pandemic when discussing and/or considering CIM options.Conclusions:CIM offers a variety of preventive and therapeutic options for strengthening physical and mental resilience, which could also be useful in the current COVID-19 pandemic. The evidence of CIM approaches with a potential benefit in the COVID-19 pandemic in different areas is worth to be analyzed. While this qualitative review has several obvious limitations, it might serve as useful starting point for further research on this topic.
Evaluating ELISA, Immunofluorescence, and Lateral Flow Assay for SARS-CoV-2 Serologic Assays
Authors: Michel Moïse , Bouam Amar , Edouard Sophie , Fenollar Florence , Di Pinto Fabrizio , Mège Jean-Louis , Drancourt Michel , Vitte Joana 
Published: December 2020

BackgroundThe SARS-CoV-2 outbreak has emerged at the end of 2019. Aside from the detection of viral genome with specific RT-PCR, there is a growing need for reliable determination of the serological status. We aimed at evaluating five SARS-CoV-2 serology assays.MethodsAn in-house immunofluorescence assay (IFA), two ELISA kits (EUROIMMUN® ELISA SARS-CoV-2 IgG and NovaLisa® SARS-CoV-2 IgG and IgM) and two lateral flow assays (T-Tek® SARS-CoV-2 IgG/IgM Antibody Test Kit and Sure Bio-tech® SARS-CoV-2 IgM/IgG Antibody Rapid Test) were compared on 40 serums from RT-PCR-confirmed SARS-CoV-2 infected patients and 10 SARS-CoV-2 RT-PCR negative subjects as controls.ResultsControl subjects tested negative for SARS-CoV-2 antibodies with all five systems. Estimated sensitivities varied from 35.5 to 71.0% for IgG detection and from 19.4 to 64.5% for IgM detection. For IgG, in-house IFA, EuroImmun, T-Tek and NovaLisa displayed 50–72.5% agreement with other systems except IFA vs EuroImmun and T-Tek vs NovaLisa. Intermethod agreement for IgM determination was between 30 and 72.5%.DiscussionThe overall intermethod agreement was moderate. This inconsistency could be explained by the diversity of assay methods, antigens used and immunoglobulin isotype tested. Estimated sensitivities were low, highlighting the limited value of antibody detection in CoVID-19.ConclusionComparison of five systems for SARS-CoV-2 IgG and IgM antibodies showed limited sensitivity and overall concordance. The place and indications of serological status assessment with currently available tools in the CoVID-19 pandemic need further evaluations.
Usefulness of 3D T1-SPACE in Combination With 3D-TOF MRA for Follow-Up Evaluation of Intracranial Aneurysms Treated With Pipeline Embolization Devices
Authors: Shao Qiuji , Wu Qiaowei , Li Qiang , Li Tianxiao , Li Li , Chang Kaitao , Wang Meiyun 
Published: December 2020

Object: Follow-up evaluation of intracranial aneurysms treated by flow-diverting stents using MRI is challenging due to the presence of imaging artifacts. This study evaluated 3D T1-SPACE in combination with 3D-TOF sequence for follow-up evaluation of intracranial aneurysms treated with Pipeline embolization devices.Methods: Forty patients with 53 intracranial aneurysms who were treated with Pipeline Embolization Devices from October 2018 to July 2019 were enrolled in this study. All patients were evaluated for aneurysm occlusion and stent patency 4 to 7 months post-treatment using 3D T1-SPACE sequence, 3D-TOF MRA, and DSA examinations.Results: With regards to aneurysm occlusion, the intermodality (DSA and 3D-TOF MRA) agreement was good (κ = 0.755). The specificity of 3D-TOF MRA was 94.4% (34/36), the sensitivity was 76.5% (13/17), the total coincidence rate was 88.7% (47/53). With regards to the patency of the stented arteries after PED treatment, 3D T1-SPACE sequence was more accurate compared to 3D-TOF MRA (Z = −6.283, P &lt; 0.001), with a no-artifact rate of 95.7% (44/46).Conclusions: 3D T1-SPACE sequence provides better image quality and higher accuracy for evaluating stented parent arteries compared to TOF-MRA. 3D-TOF MRA may be valuable in the evaluation of aneurysm occlusion. The combination of these two modalities may be used for long-term follow-up of intracranial aneurysms treated with Pipeline Embolization Devices.
Association of Polymorphisms in Inflammatory Cytokines Encoding Genes With Anti-N-methyl-D-Aspartate Receptor Encephalitis in the Southern Han Chinese
Authors: Li Xing , Zhu Jiajia , Peng Yu , Guan Hongbing , Chen Jinyu , Wang Zhanhang , Zheng Dong , Cheng Nan , Wang Honghao 
Published: December 2020

Background: Single nucleotide polymorphisms (SNPs) that occur within genes encoding inflammatory cytokines can result in quantitative or qualitative changes in their expression or functionality, potentially leading to the development of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. This study sought to evaluate the relationship between SNPs in inflammatory cytokines genes and the incidence of anti-NMDAR encephalitis in the Southern Han Chinese.Methods: In total, we enrolled 107 patients with anti-NMDAR encephalitis as well as 202 inpatient controls who had no first-degree relative with autoimmune diseases. Genotyping determination of all 309 patients was conducted for the IL-1β rs16944, IL-4 rs2243250, IL-4 rs2070874, IL-6 rs1800796, IL-10 rs1800872, and IL-17 rs2275913 gene SNPs.Results: We observed statistically significant differences in the frequencies of G allele in IL-1β rs16944 between anti-NMDAR encephalitis and controls (p = 0.017). Also, IL-1β, IL-4, IL-6, IL-10, and IL-17 SNPs were not associated with the disease (p &gt; 0.05).Conclusions: We found that patients with anti-NMDAR encephalitis exhibit a distinct immunological profile, and we found that the decreased frequency of G allele in IL-1β rs16944 showed a protective role for anti-NMDAR encephalitis in the Southern Han Chinese.
Transcranial Direct Current Stimulation and Mirror Therapy for Neuropathic Pain After Brachial Plexus Avulsion: A Randomized, Double-Blind, Controlled Pilot Study
Authors: Ferreira Clarice Martins , de Carvalho Carolina Dias , Gomes Ruth , Bonifácio de Assis Erickson Duarte , Andrade Suellen Marinho 
Published: December 2020

Introduction: Although transcranial direct current stimulation (tDCS) and mirror therapy (MT) have benefits in combating chronic pain, there is still no evidence of the effects of the simultaneous application of these techniques in patients with neuropathic pain. This study aims to assess the efficacy of tDCS paired with MT in neuropathic pain after brachial plexus injury.Methods: In a sham controlled, double-blind, parallel-group design, 16 patients were randomized to receive active or sham tDCS administered during mirror therapy. Each patient received 12 treatment sessions, 30 min each, during a period of 4 weeks over M1 contralateral to the side of the injury. Outcome variables were evaluated at baseline and post-treatment using the McGill questionnaire, Brief Pain Inventory, and Medical Outcomes Study 36–Item Short-Form Health Survey. Long-term effects of treatment were evaluated at a 3-month follow-up.Results: An improvement in pain relief and quality of life were observed in both groups (p ≤ 0.05). However, active tDCS and mirror therapy resulted in greater improvements after the endpoint (p ≤ 0.02). No statistically significant differences in the outcome measures were identified among the groups at follow-up (p ≥ 0.12). A significant relationship was found between baseline pain intensity and outcome measures (p ≤ 0.04). Moreover, the results showed that state anxiety is closely linked to post-treatment pain relief (p ≤ 0.05).Conclusion: Active tDCS combined with mirror therapy has a short-term effect of pain relief, however, levels of pain and anxiety at the baseline should be considered.Clinical Trial Registration:www.ClinicalTrials.gov, identifier NCT04385030.
Evaluation of Surgical Clipping and Endovascular Coiling on Oculomotor Nerve Palsy Caused by Internal Carotid Artery Aneurysm
Authors: Sun Zhenqing , Yan Xueqiang , Li Xiaolong , Wu Jie 
Published: December 2020

Objectives: Internal carotid artery (ICA) aneurysm often leads to oculomotor nerve palsy (ONP) that impairs eye movement. Currently, microsurgical clipping and endovascular coiling are the two major options to treat ONP. The purpose of the current study is to compare the clinical outcomes of the two methods in patients with ONP caused by ICA aneurysm.Patients and Methods: In the present study, we assessed the prognostic factors and recovery outcomes of a total of 90 ICA aneurysm-induced ONP patients, where 50 of them were treated with microsurgical clipping and 40 of them were treated with endovascular coiling. Within the endovascular coiling group, 20 of the patients were treated with balloon-assisted coiling and the other 20 were treated with stent-assisted coiling.Results: Overall, we achieved a 59% (53 out of 90) full recovery rate. Both surgical clipping and endovascular coiling treatment methods achieved similar recovery outcomes in the tested patients. However, within the endovascular coiling group, balloon-assisted coiling treatment demonstrated a significantly higher full recovery rate (17 out of 20) compared to stent-assisted coiling treatment (eight out of 20).Conclusion: In general, no significant difference was identified between the surgical and coiling treatments, and both procedures were considered as beneficial for ICA aneurysm-induced ONP.
Cognitive Outcomes for Essential Tremor Patients Selected for Thalamic Deep Brain Stimulation Surgery Through Interdisciplinary Evaluations
Authors: Jones Jacob D. , Orozco Tatiana , Bowers Dawn , Hu Wei , Jabarkheel Zakia , Chiu Shannon , Ramirez-Zamora Adolfo , Foote Kelly , Okun Michael S. , Wagle Shukla Aparna 
Published: December 2020

Objective: Deep brain stimulation (DBS) targeted to the ventral intermediate (VIM) nucleus of the thalamus is effective for motor symptoms in essential tremor (ET), but there is limited data on cognitive outcomes. We examined cognitive outcomes in a large cohort of ET DBS patients (pre-DBS and 1+ year after DBS).Methods: In a retrospective analysis, we used repeated-measures ANOVA testing to examine whether the age of tremor onset, age at DBS surgery, hemisphere side implanted with lead, unilateral vs. bilateral implantations, and presence of surgical complications influenced the cognitive outcomes. Neuropsychological outcomes of interest were verbal memory, executive functioning, working memory, language functioning, visuospatial functioning, and general cognitive function.Results: We identified 50 ET DBS patients; 29 (58%) males; the mean age of tremor onset was 35.84 (±21.50) years with a median age of 38 years. The mean age at DBS was 68.18 (±10.07) years. There were 37 unilateral 30 left, seven right, and 13 bilateral brain implantations. In the subgroup analysis, there was a significant interaction between assessment (pre vs. post) and age of tremor onset (&lt;38 vs. &gt;38 years); F(1,30) = 4.47; p = 0.043 for working memory. The post hoc testing found improvements for younger onset ET. Similarly, there was a significant interaction between assessment (pre vs. post) and complications vs. no complications subgroups; F(1,45) = 4.34; p = 0.043 for verbal memory with worsening scores seen for ET patients with complications. The remaining tests were not significant.Conclusion: In this large cohort of ET patients with (&gt;30% improvements), DBS was not accompanied by a significant decline in many cognitive domains. These outcomes were possibly related to the selection of patients with normal cognitive functioning before surgery, unilateral DBS implantations for the majority, and selection of patients with optimal response to DBS.
A Nomogram Model Identifies Eosinophilic Frequencies to Powerfully Discriminate Kawasaki Disease From Febrile Infections
Authors: Liu Xiao-Ping , Huang Yi-Shuang , Xia Han-Bing , Sun Yi , Lang Xin-Ling , Li Qiang-Zi , Liu Chun-Yi , Kuo Ho-Chang , Huang Wei-Dong , Liu Xi 
Published: December 2020

Background: Kawasaki disease (KD) is a form of systemic vasculitis that occurs primarily in children under the age of 5 years old. No single laboratory data can currently distinguish KD from other febrile infection diseases. The purpose of this study was to establish a laboratory data model that can differentiate between KD and other febrile diseases caused by an infection in order to prevent coronary artery complications in KD.Methods: This study consisted of a total of 800 children (249 KD and 551 age- and gender-matched non-KD febrile infection illness) as a case-control study. Laboratory findings were analyzed using univariable, multivariable logistic regression, and nomogram models.Results: We selected 562 children at random as the model group and 238 as the validation group. The predictive nomogram included high eosinophil percentage (100 points), high C-reactive protein (93 points), high alanine transaminase (84 points), low albumin (79 points), and high white blood cell (64 points), which generated an area under the curve of 0.873 for the model group and 0.905 for the validation group. Eosinophilia showed the highest OR: 5.015 (95% CI:−3.068–8.197) during multiple logistic regression. The sensitivity and specificity in the validation group were 84.1 and 86%, respectively. The calibration curves of the validation group for the probability of KD showed near an agreement to the actual probability.Conclusion: Eosinophilia is a major factor in this nomogram model and had high precision for predicting KD. This report is the first among the existing literature to demonstrate the important role of eosinophil in KD by nomogram.
Trends in Physical Fitness Among School-Aged Children and Adolescents: A Systematic Review
Authors: Masanovic Bojan , Gardasevic Jovan , Marques Adilson , Peralta Miguel , Demetriou Yolanda , Sturm David Joseph , Popovic Stevo 
Published: December 2020

Introduction and Objective: This systematic review aimed to analyse the international evolution of fitness with its distributional changes in the performance on tests of physical fitness among school-aged children and adolescents.Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the search was undertaken in four international databases (ERIC, PubMed, Scopus, and Web of Science) to identify the studies reporting temporal trends in the physical fitness among school-aged children and adolescents.Results: A total of 485 potential articles were identified, of which 19 articles were relevant for the qualitative synthesis; 1,746,023 children and adolescents from 14 countries (China, Finland, Sweden, Belgium, New Zealand, Denmark, Spain, Norway, Mozambique, Poland, USA, Lithuania, Portugal, Canada), for the period between 1969 and 2017 were included. The subjects were tested using 45 motor tests from eight battery tests. The quality of the study in eight articles was rated as strong, while in 11 articles it was rated as moderate.Discussion: The vast majority of studies show a constant decline in strength and endurance. Three Chinese studies show an increase in strength from 1985 to 1995 and then a decline until 2014. For endurance, similar patterns were found in the two most comprehensive Chinese studies. The decline in flexibility is also evident in European countries. For agility, speed, balance, and coordination, the trend differs among populations.