bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of MRI in the Detection and Monitoring of Lower Limb Osteonecrosis after Chemotherapy in Pediatric Patients with Acute Lymphoblastic Leukaemia
Authors: Maarek Aliaa M. , Dawoud Mohammed M. , Rafat Tarek A. , Elshafey Khaled I. 
Published: September 2020

Background: Magnetic resonance imaging (MRI) is the technique that demonstrated the highest sensitivity and specificity in the early diagnosis of osteonecrosis. It allows detecting initial typical signal intensity alterations of the bone marrow when other examinations showed nonspecific findings or even no alterations at all. The aim of this study is to assess the role of magnetic resonance imaging in detection and monitoring osteonecrotic lesions in pediatric patient with acute lymphoblastic leukemia after chemotherapy.
Materials and Methods: This prospective study was performed on 30 pediatric patients ranged from 4 to 18 years with acute lymphoblastic leukemia on chemotherapy or after 3months from ending chemotherapy with symptoms suspicious for osteonecrosis (i.e., articular pain). All patients were explained about the procedure to be done. MRI study of whole lower limbs was done for all patients.
Results: In the present study all patients were symptomatic. 24\30 patients (80%) had hip pain, 25\30 patients (83.3%) had knee pain and 8\30 patients (26.7%) had limping. We reported that knee pain was the most common complaint representing 83.3% of patients. 11\30 patients (36.7%) had no MRI findings. 19\30 patients (63.3%) had different positive findings; 4 patients (13.3%) had non -articular osteonecrosis (ON) only with no joint involvement (bone infarction), 2 patients (6.7%) had avascular necrosis of femoral head epiphysis without bone infarction and 13 patients (43.3%) had combined bone infarction and avascular necrosis with Joint involvement. Follow up by MRI was done for all patients (30 patients), 27 patients showed no change in MRI findings, one patient progressed from avascular necrosis of the femoral head epiphysis without deformity to avascular necrosis of the femoral head epiphysis with deformity. The other two patient showed regressive course.
Conclusion: We concluded that MRI study is mandatory for early detection and monitoring of lower limb osteonecrosis in pediatric patients with acute lymphoblastic leukemia under or after chemotherapy. The radiologist and clinician must do MRI lower limbs routinely and follow up MRI after 4-6 months to first MRI due to some patients had regressive or progressive findings.
Continuous Blood Glucose Monitoring to Determine the Glycemic Variability in Patients Having SARS CoV-2 Infection with ARDS and Its Bearing on the Severity of the Disease
Authors: Lakhani Jitendra D. , Pandya Hetal , Jain Archit , Ghadiya Sachin 
Published: September 2020

Aims and Objectives: A study to determine the effect of glycemic variability measured by continuous blood glucose monitoring as assessed by standard deviation of each SARS CoV -2 patient's mean glucose level and to correlate with the severity of the disease.
Study Design: Cross-sectional observational study of 13 patients with SARS CoV-2 infection with Acute Respiratory Distress Syndrome (ARDS) with and without diabetes.
Place and Duration of Study: Department of Medicine, Dhiraj Hospital, Smt. Bhikhiben Kanjibhai Shah Medical College and Research Institute; between June 2020 to July 2020.
Results: 13 patients of SARS CoV-2 with ARDS were enrolled in the study. The median age of the enrolled patients was 55±12 years. Out of the 13 patients, 5 patients belonged to mild and severe category of ARDS each respectively and 3 patients belonged to the moderate category of ARDS. There was a gradual rise in inflammatory markers such as serum LDH, Ferritin, CRP from mild to severe ARDS and D-dimer level was more than double in severe category as compared to the mild ARDS. Normal glycemic variability in adults is 0-3 SD, and we found that there was a significant co-relation of glycemic variability with severity of the disease evidenced by the mean standard deviation of severe ARDS patients as 27.44 SD; whereas 19.26 SD and 9.7 SD for moderate and mild ARDS patients respectively. Hypoglycemia was documented in 10 patients. The maximum stay in the hospital was that of the patients with high glycemic variability that is 22 ± 2 days
Conclusion: This preliminary study relates glycemic variability with severity of ARDS in patients of severe SARS CoV-2. Frequent episode of hypoglycemia is not uncommon and should be monitored.
Impact of age‐related T‐cell dynamics on the identification of biomarkers predictive of immunotherapy discontinuation: A prospective cohort study
Authors: Galloway Jason E. , Holderbaum Andrea M. , Arya Namrata , Zhang Suohui , Bodnar Michael S. , Norman Ruthann , Carson William E. , Yu Lianbo , Kendra Kari L. , Burd Christin E. 
Published: September 2020

AbstractBackgroundThe impact of biologic aging on immune checkpoint inhibitor (ICI) toxicity and efficacy is underexplored in metastatic melanoma (MM). In peripheral blood T lymphocytes (PBTLs), biologic aging is characterized by changes in T‐cell composition and cellular senescence. Whether indicators of PBTL biologic aging vary in MM patients or can be used to predict premature ICI discontinuation (pID) is unknown.MethodsWe prospectively collected PBTLs from 117 cancer‐free controls and 46 MM patients scheduled to begin pembrolizumab or nivolumab monotherapy. Seventy‐four mRNAs indicative of T‐cell subset, activation, costimulation/inhibition, and cellular senescence were measured by Nanostring. Relationships between each mRNA and chronologic age were assessed in patients and controls. Candidate biomarkers were identified by calculating the hazard ratio (HR) for pID in patients divided into low and high groups based on log‐transformed mRNA levels or the magnitude by which each mRNA measurement deviated from the control trend (Δage). Area under the curve (AUC) analyses explored the ability of each biomarker to discriminate between patients with and without pID at 6 months and 1 year.ResultsFifteen mRNAs correlated with chronologic age in controls, including markers of T‐cell subset, differentiation, cytokine production, and costimulation/inhibition. None of these mRNAs remained correlated with age in patients. Median follow‐up was 94.8 (1.6‐195.7) weeks and 35 of 46 patients discontinued therapy (23 progression, seven toxicity, and five comorbidity/patient preference). Elevated pretherapy CD8A (HR = 2.2 [1.1‐4.9]), CD45RB (HR = 2.9 [1.4‐5.8]), and TNFRSF14 (HR = 2.2 [1.1‐4.5]) levels predicted pID independent of Δage‐correction. CD3ε, CD27, and FOXO1 predicted pID only after Δage‐correction (HR = 2.5 [1.3‐5.1]; 3.7 [1.8‐7.8]; 2.1 [1.1‐4.3]). AUC analysis identified Δage‐CD3ε and Δage‐CD27 as candidate predictors of pID (AUC = .73 and .75).ConclusionsCorrelations between transcriptional markers of PBTL composition and chronologic age are disrupted in MM. Correcting for normal, age‐related trends in biomarker expression unveils new biomarker candidates predictive of ICI outcomes.
The most efficient sequence of study depends on the type of test
Authors: Carvalho Paulo F. , Goldstone Robert L. 
Published: September 2020

SummaryAcross three experiments featuring naturalistic concepts (psychology concepts) and naïve learners, we extend previous research showing an effect of the sequence of study on learning outcomes, by demonstrating that the sequence of examples during study changes the representation the learner creates of the study materials. We compared participants' performance in test tasks requiring different representations and evaluated which sequence yields better learning in which type of tests. We found that interleaved study, in which examples from different concepts are mixed, leads to the creation of relatively interrelated concepts that are represented by contrast to each other and based on discriminating properties. Conversely, blocked study, in which several examples of the same concept are presented together, leads to the creation of relatively isolated concepts that are represented in terms of their central and characteristic properties. These results argue for the integrated investigation of the benefits of different sequences of study as depending on the characteristics of the study and testing situation.
Patient‐reported Disease Activity in an Axial Spondyloarthritis Cohort during the COVID‐19 Pandemic
Authors: Liew Jean W. , Castillo Maria , Zaccagnino Ethan , Katz Patricia , Haroon Nigil , Gensler Lianne S. 
Published: September 2020

ObjectiveResponse to the coronavirus disease 2019 (COVID‐19) pandemic has resulted in shelter‐in‐place orders and major changes to individuals’ daily lives. The impact of such stressors on disease activity in individuals with axial spondyloarthritis (axSpA) is unclear. The aim of this study is to examine whether stress, anxiety, and depression are associated with patient‐reported disease activity, after accounting for important factors.MethodsWe administered a survey to an axSpA cohort from a single center with well‐defined demographic and disease characteristics. We included questions about job status changes, exercise, medication use, disease activity (by the Bath Ankylosing Spondylitis Disease Activity Index [BASDAI]), and psychological factors (stress, depressive symptoms, and anxiety). Separate multivariable linear models examined the associations between perceived stress, anxiety, and depression with the BASDAI.ResultsAfter adjustment for potential confounders, those with higher levels of stress had a statistically significant 0.54‐point higher BASDAI, on average, compared with those with lower levels of stress (95% confidence interval [CI]: 0.11, 0.97). Those with higher levels of anxiety also had a statistically significant higher BASDAI, on average, compared with those with lower levels of anxiety (β: 0.95, 95% CI: 0.18, 0.99). The association between depression and BASDAI was not statistically significant. We did not find differences in these associations among subgroups of age, job status, or county of residence.ConclusionIndividuals with axSpA with higher levels of stress and anxiety had significantly higher disease activity levels, although with a difference below clinical importance. Further planned studies will evaluate the trajectory of disease activity.
Full Confinement of High‐Lying Triplet States to Achieve High‐Level Reverse Intersystem Crossing in Rubrene: A Strategy for Obtaining the Record‐High EQE of 16.1% with Low Efficiency Roll‐Off
Authors: Tang Xiantong , Pan Ruiheng , Zhao Xi , Jia Weiyao , Wang Ying , Ma Caihong , Tu Linyao , Xiong Zuhong 
Published: September 2020

AbstractA high‐level reverse intersystem crossing (HL‐RISC, T2 → S1 → S0 + hν) process has recently been discovered as a promising route for achieving highly efficient organic light‐emitting diodes (OLEDs), but the prerequisites for the occurrence of HL‐RISC in rubrene is still vague and the reported external quantum efficiencies (EQEs) of rubrene‐doped OLEDs are typically limited to several percent. Herein, using the fingerprint magneto‐electroluminescence tools, it is found that the energy confinement of high‐lying triplet states (T2, rub) is of great importance for the achievement of the HL‐RISC process. Namely, when the triplet energies of hosts satisfy the criterion of E(T1, host) ≥ E(T2, rub), the high‐level Dexter energy transfer channel (T1, host → T2, rub) can facilitate the occurrence of HL‐RISC (T2, rub → S1, rub) in rubrene. Most importantly, through selecting an exciplex with a high triplet energy as the co‐host for rubrene dopant so as to simultaneously utilize the HL‐RISC of the dopant and the RISC of the host, a record high EQE up to 16.1% is achieved and no obvious efficiency roll‐off is observed at high luminance due to the absence of triplet‐charge annihilation. Accordingly, this work not only deepens the physical understanding of this amazing HL‐RISC channel, but also provides a new direction for designing a series of highly efficient OLEDs.
Importance of Optimal Crystallinity and Hole Mobility of BDT‐Based Polymer Donor for Simultaneous Enhancements of Voc, Jsc, and FF in Efficient Nonfullerene Organic Solar Cells
Authors: Park Jin Su , Kim Geon‐U , Lee Dongchan , Lee Seungjin , Ma Biwu , Cho Shinuk , Kim Bumjoon J. 
Published: September 2020

AbstractIn this work, a new series of polymer donors consisting of thienothiophene π‐bridged N‐octylthieno[3,4‐c]pyrrole‐4,6‐dione (8ttTPD) and benzo[1,2‐b:4,5‐b']dithiophene (BDT) units for producing highly efficient organic solar cells (OSCs) paired with a Y6 acceptor is developed. The incorporation of the highly planar 8ttTPD unit enhances crystalline properties as well as hole mobilities of the BDT‐based polymers that typically have amorphous features. Further, the 2D side chains with halogen atoms (fluorine and chlorine) are designed as another handle to control the crystallinity and energy levels of the BDT‐based polymer donors: PBDT‐X (X = H, F, or Cl). Synergistic effects of incorporated 8ttTPD unit and the halogenated 2D side chain generate significantly enhanced charge transport and recombination properties of the OSCs, which is mainly attributed to optimized crystallinity and hole mobility of the polymer donors. Therefore, the PBDT‐Cl:Y6‐based OSCs exhibit the highest power conversion efficiency (PCE) of 15.63% with simultaneous improvements of open‐circuit voltage, short‐circuit current density, and fill factor, which outperforms the PCEs of PBDT‐H:Y6 (11.84%) and PBDT‐F:Y6 (14.86%).
On the Piezo‐Phototronic Effect in Si/ZnO Heterojunction Photodiode: The Effect of the Fermi‐Level Difference
Authors: Pan Zijian , Peng Wenbo , Li Fangpei , Cai Yahui , He Yongning 
Published: September 2020

AbstractThe piezo‐phototronic effect has been extensively investigated to improve the performance of optoelectronic devices. However, the modulations in different energy band structures are quite distinctive, and adverse effects may be produced. Therefore, it is essential to investigate the modulation law in the optoelectronic devices with different energy band structures. Here, five kinds of Si/ZnO heterojunction photodiodes (PDs) with different energy band structures are fabricated and the piezo‐phototronic effect is systematically investigated on their photoresponse performance. For the p‐Si/n‐ZnO PDs, significant performance improvement is achieved by the piezo‐phototronic effect, with the magnitude of improvement increasing with doping concentration of p‐Si. For the n‐Si/n‐ZnO PDs, performance improvement is only achieved when the n‐Si is lightly doped, with a lower magnitude compared to that of the p‐Si/n‐ZnO PDs. The in‐depth working mechanism regarding to the different energy band structures is revealed. It is concluded that when the Fermi‐level of Si moves from the bottom of conduction band to the top of the valence band, the magnitude of performance improvement in Si/ZnO heterojunction PD increases. This study not only presents an in‐depth understanding regarding the piezo‐phototronic effect in Si/ZnO heterojunction PDs, but also provides guidance to optimize the piezo‐phototronic effect in optoelectronic devices.
Crystalline Porous Organic Salts: From Micropore to Hierarchical Pores
Authors: Yu Shen , Xing Guo‐Long , Chen Li‐Hua , Ben Teng , Su Bao‐Lian 
Published: September 2020

AbstractCrystalline porous organic salts (CPOSs), as an emerging class of porous organic materials, combining the uniform microporous system and distinct polarized channels, have become a highly evolving field of important current interest. The unique ionic bond of a CPOS endows the confined channels with high polarity, making CPOSs distinct from other organic frameworks. CPOSs show many fascinating properties, such as proton conductivity and fast transport of polar molecules, which involve the interaction between highly polarized guest molecules and host frameworks. Substantial progress has been made in the synthesis and applications of CPOSs. Herein, an overview is provided to impart a comprehensive understanding of the link between the synthetic approaches and the resultant microporous structure, the structure–function correlation and the state‐of‐the‐art applications of CPOSs. The enhanced mass‐transport performance of hierarchically porous structure in combination with the intrinsic polarized channels of CPOSs is very promising to create new applications and contribute to a new research upsurge. The perspective to construct porous hierarchy within the crystalline porous organic salts is assessed and will open a new research avenue. In the conclusion, the current challenges on the synthesis, structural regulation, and applications of CPOSs and the future of hierarchically porous crystalline organic salts are discussed.
Multimodal Luminescent Yb3+/Er3+/Bi3+‐Doped Perovskite Single Crystals for X‐ray Detection and Anti‐Counterfeiting
Authors: Zeng Zhichao , Huang Bolong , Wang Xia , Lu Lu , Lu Qiuyang , Sun Mingzi , Wu Tong , Ma Tengfei , Xu Jun , Xu Yueshan , Wang Shuao , Du Yaping , Yan Chun‐Hua 
Published: September 2020

AbstractAnti‐counterfeiting techniques have become a global topic since they is correlated to the information and data safety, in which multimodal luminescence is one of the most desirable candidates for practical applications. However, it is a long‐standing challenge to actualize robust multimodal luminescence with high thermal stability and humid resistance. Conventionally, the multimodal luminescence is usually achieved by the combination of upconversion and downshifting luminescence, which only responds to the electromagnetic waves in a limited range. Herein, the Yb3+/Er3+/Bi3+ co‐doped Cs2Ag0.6Na0.4InCl6 perovskite material is reported as an efficient multimodal luminescence material. Beyond the excitation of ultraviolet light and near‐infrared laser (980 nm), this work extends multimodal luminescence to the excitation of X‐ray. Besides the flexible excitation sources, this material also shows the exceptional luminescence performance, in which the X‐ray detection limit reaches the level of nGy s−1, indicating a great potential for further application as a colorless pigment in the anti‐counterfeiting field. More importantly, the obtained double perovskite features high stability against both humidity and temperature up to 400 °C. This integrated multifunctional luminescent material provides a new directional solution for the development of multifunctional optical materials and devices.
Colorectal Tumor Microenvironment‐Activated Bio‐Decomposable and Metabolizable Cu2O@CaCO3 Nanocomposites for Synergistic Oncotherapy
Authors: Chang Mengyu , Hou Zhiyao , Jin Dayong , Zhou Jiajia , Wang Man , Wang Meifang , Shu Mengmeng , Ding Binbin , Li Chunxia , Lin Jun 
Published: September 2020

AbstractRational design of tumor microenvironment (TME)‐activated nanocomposites provides an innovative strategy to construct responsive oncotherapy. In colorectal cancer (CRC), the specific physiological features are the overexpressed endogenous H2S and slightly acidic microenvironment. Here, a core–shell Cu2O@CaCO3 nanostructure for CRC “turn‐on” therapy is reported. With CaCO3 responsive to pH decomposition and Cu2O responsive to H2S sulfuration, Cu2O@CaCO3 can be triggered “on” into the therapeutic mode by the colorectal TME. When the CaCO3 shell decomposes and releases calcium in acidic colorectal TME, the loss of protection from the CaCO3 shell exposes the Cu2O core to be sulfuretted by H2S to form metabolizable Cu31S16 nanocrystals that gain remarkably strong near‐infrared absorption. After modifying hyaluronic acid, Cu2O@CaCO3 can achieve synergistic CRC‐targeted and TME‐triggered photothermal/photodynamic/chemodynamic/calcium‐overload‐mediated therapy. Moreover, it is found that the generation of hyperthermia and oxidative stress from Cu2O@CaCO3 nanocomposites can efficiently reprogram the macrophages from the M2 phenotype to the M1 phenotype and initiate a vaccine‐like immune effect after primary tumor removal, which further induces an immune‐favorable TME and intense immune responses for anti‐CD47 antibody to simultaneously inhibit CRC distant metastasis and recurrence by immunotherapy.
The impact of cytogenetic risk on the outcomes of allogeneic hematopoietic cell transplantation in patients with relapsed/refractory acute myeloid leukemia: On behalf of the acute leukemia working party (ALWP) of the European group for blood and marrow transplantation (EBMT)
Authors: Poiani Monica , Labopin Myriam , Battipaglia Giorgia , Beelen Dietrich W. , Tischer Johanna , Finke Jürgen , Brecht Arne , Forcade Edouard , Ganser Arnold , Passweg Jakob R. , Labussiere‐Wallet Helene , Yakoub‐Agha Ibrahim , Schäfer‐Eckart Kerstin , Kroeger Nicolaus , Guffroy Blandine , Ruggeri Annalisa , Esteve Jordi , Nagler Arnon , Mohty Mohamad 
Published: September 2020

AbstractKaryotypic analysis at time of diagnosis has an important value in determining initial response to treatment, remission duration and overall survival (OS) in acute myeloid leukemia (AML). Less is known about its value before allogeneic hematopoietic cell transplantation (allo‐HCT) in patients transplanted with active disease, either relapsed or primary refractory (Rel‐Ref) AML. We explored the impact of cytogenetic risk (stratification according to MRC‐UK) in 2089 patients with either Ref (n = 972) or Rel AML (n = 1117) transplanted during the period 2000‐2017. Overall, 154 patients had a favorable risk, 1283 had an intermediate risk and 652 had an adverse cytogenetic risk. Median follow‐up was 49 months. Compared to the favorable risk group, intermediate and adverse risk patients were associated with worse leukemia‐free survival and OS and also with a higher incidence of relapse. In a subgroup analysis of patients in the intermediate risk group harboring Fms‐like tyrosine kinase 3‐internal tandem duplication (FLT3‐ITD), this remained an important prognostic factor, being associated with worse outcomes. When analyzing patients according to the intensity of the conditioning regimen, no differences were observed for the main transplant outcomes. In conclusion, in patients diagnosed with AML and transplanted with active disease, karyotype remains an important prognostic factor, allowing splitting patients into different risk groups according to their cytogenetics. Similarly, FLT3‐ITD mutation also remains a negative prognostic factor in this population.