bluuebunny/crossref_metadata_2025_split huggingface dataset:
Phytochemical and pharmacological activities of methanol extract of Artemisia vulgaris L. leaves
Authors: Thangjam Nurpen Meitei , Taijong Jasmina , Kumar Awadhesh 
Published: November 2020

Abstract

Background
Artemisia vulgaris commonly known as “mugwort” is a very important medicinal plant which is used widely for the treatment of various ailments traditionally. The present studies aimed to conduct preliminary phytochemical screening and evaluate antioxidants and analgesic activities of leaves extract.

Results
Phytochemical screening showed the presence of saponins, glycosides, flavanoids, protein, triterpenoids in leaves extract. In DPPH, percentage inhibition of the scavenging activity (68.06%) by the extract in comparison with ascorbic acid (93.53%) at 60 μg/ml while in reducing power assay, the result shown the reducing power increases with the increase of concentration as (0.13 ± 0.02), (0.27 ± 0.03), (0.42 ± 0.03), (0.62 ± 0.05), (0.79 ± 0.02), (0.95 ± 0.05) at concentration of 5, 10, 15, 30, 60 and 100 μg/ml respectively. The evaluation of analgesic activities revealed that at the dose of 200 and 400 mg/kg of the extract showed significantly inhibited the writhing response induced by acetic acid by 8.60% and 32.03% comparatively with indomethacin at a dose of 10 mg/kg b. wt. exhibited 56.87% inhibition. Whereas, in the tail immersion methods, at the dose of 400 mg/kg b. wt. was showed higher deflexion value as 3.40 ± 0.300, while 200 mg/kg b. wt. was resulted at 2.90 ± 0.200 value in dose dependent manner at the maximum time of the studies (60 min). Comparatively, the reference drug indomethacin at dose 10 mg/kg b. wt. has shown the highest deflexion value (5.134 ± 0.351).

Conclusion
This finding concludes that the methanolic leaves extract has a potent antioxidants and analgesic activities and it could be attributed to the presence of flavonoids, triterpenoids, saponin, glycosides and proteins. A further study is required to find out the novel bioactive compound of Artemisia vulgaris L. which can lead more effective in various biological activities.
Can chest CT improve sensitivity of COVID-19 diagnosis in comparison to PCR? A meta-analysis study
Authors: Mahmoud Heba , Taha Mohamed Shehata , Askoura Anas , Aleem Mohammed , Omran Azza , Aboelela Soha 
Published: November 2020

Abstract

Background
In December 2019, SARS-CoV-2 was identified as the causative agent of pneumonia cases in China. This virus is spread by coughing or sneezing and can infect other persons by on contacting mucous membranes. SARS-Cov-2 most frequent serious manifestation is pneumonia. Chest computed tomography in COVID-19 patients usually shows ground-glass opacities that may be accompanied by consolidation lesions. Early diagnosis of the disease and rapid isolation of the patient is of great importance. So far, confirmation of COVID-19 infection is made by RT-PCR of nasopharyngeal or respiratory specimens. Recent research reported that the sensitivity of computed tomography in diagnosing COVID-19 is 98% while RT-PCR sensitivity is 71%. Herein, we compare the sensitivity of both chest CT and RT-PCR in diagnosing COVID-19 at initial patient presentation through a meta-analysis study.

Main body
Using MEDLINE database a systematic literature search was conducted to identify relevant published studies within from November 2019 to April 2020. Only articles with full text were examined to determine eligibility and extract data by two reviewers. It was decided to include studies mentioning sensitivity of chest CT scan and sensitivity of RT-PCR and both done at the same time.

Results
Potentially relevant 15,300 studies were identified in our search in MEDLINE whose titles were quickly reviewed. Potentially eligible studies missing any of the forementioned inclusion criteria were excluded. This process left 7 eligible articles that fulfilled the inclusion criteria and were thus included in the meta-analysis and used for further analyses.

Conclusion
The meta-analysis study showed that chest CT may be beneficial in early detection of cases of COVID-19. Imaging, in adjunct to clinical and laboratory findings, should be used for monitoring of disease course, until further evidence is available.
Diabetes, Brain Infarcts, Cognition, and Small Vessels in the Canadian Alliance for Healthy Hearts and Minds Study
Authors: Gerstein Hertzel C , Smith Eric E , Ramasundarahettige Chinthanie , Desai Dipika , Awadalla Philip , Broet Philippe , Black Sandra , Dummer Trevor J B , Hicks Jason , Moody Alan , Tardif Jean-Claude , Teo Koon K , Vena Jennifer , Yusuf Salim , Lee Douglas S , Friedrich Matthias G , Anand Sonia S 
Published: November 2020

Abstract

Background
Diabetes is a risk factor for cerebrovascular disease and cognitive impairment. The anatomical basis for this is uncertain.

Methods
The Canadian Alliance for Healthy Hearts and Minds collected brain and carotid magnetic resonance imaging (MRI) and 2 cognitive tests (the Digit Symbol Substitution Test and the Montreal Cognitive Assessment test) in a cross-sectional sample of men and women. Brain MRIs identified brain infarcts (BI), lacunar BI, high white matter hyperintensity (WMH), vascular brain injury (VBI; BI or high WMH), and small vessel VBI (lacunar BI or high WMH). Carotid MRIs estimated carotid wall volume, a measure of subclinical atherosclerosis. Cognitive scores were standardized to each site’s mean score, and cognitive impairment was identified by 1 or both test scores ≤1 standard deviation below the site’s mean score on that test.

Results
The 7733 participants included 495 participants (6.4%) with diabetes, of whom 388 were taking diabetes drugs. After age and sex adjustment, diabetes was independently associated with BI (odds ratio [OR] 1.53, 95% confidence interval [CI] 1.05, 2.24), VBI (OR 1.64, 95% CI 1.26, 2.13), small vessel VBI (OR 1.67, 95% CI 1.28, 2.19), and cognitive impairment (OR 1.47, 95% CI 1.20, 1.80). The association between diabetes and small vessel VBI persisted after adjustment for cerebrovascular disease risk factors and nonlacunar infarcts (OR 1.52, 95% CI 1.15, 2.01), and the association with cognitive impairment persisted after adjustment for small vessel VBI (OR 1.27, 95% CI 1.03, 1.56).

Conclusion
Small vessel disease characterizes much of the relationship between diabetes and VBI. However, additional factors are required to disentangle the relationship between diabetes and cognitive impairment.
Unfavorable Triglyceride-rich Particle Profile in Subclinical Thyroid Disease: A Cross-sectional Analysis of ELSA-Brasil
Authors: Janovsky Carolina Castro Porto Silva , Bittencourt Marcio Sommer , Goulart Alessandra C , Santos Raul D , Blaha Michael J , Jones Steven , Toth Peter P , Lotufo Paulo A , Benseñor Isabela M 
Published: November 2020

Abstract
Subclinical thyroid disorders have been associated with atherosclerosis and increased cardiovascular risk. As triglyceride-rich lipoprotein particles (TRLPs) have recently emerged as a casual factor for atherogenesis, the aim of this study was to evaluate the relationship between subclinical hypo- and hyperthyroidism and TRLP subfractions.
We selected 5066 participants from the ELSA-Brasil cohort with available data of thyroid function and lipid profile measured by nuclear magnetic resonance (NMR) spectroscopy. Individuals were divided into 3 groups by baseline thyroid function (subclinical hypothyroidism, euthyroidism, and subclinical hyperthyroidism). Triglyceride-rich lipoprotein particle subfractions were analyzed through NMR spectroscopy. To examine the association between TRLP subfractions and thyroid function, we conducted univariate and multivariate linear regression models adjusted for demographic characteristics, body mass index, diabetes, smoking status, and alcohol use.
Of 3304 individuals, 54% were women, with a mean age of 50.6 ± 8.7 years, 51% white, and 53% with at least a college education. Of these individuals, 92% were euthyroid, whereas 6.8% had subclinical hypothyroidism and 1.2% had subclinical hyperthyroidism. The univariate linear regression showed that very small TRLPs (P = 0.026) and very large TRLPs (P = 0.008) were statistically increased in subclinical hypothyroidism when compared with euthyroidism. In subclinical hyperthyroidism, there was a reduction in total TRLPs (P = 0.003), seemingly driven by reduced very small TRLPs (P = 0.067).
The findings were confirmed when adjusted for demographic characteristics, as well as comorbidities. This study suggests that subclinical hypothyroidism is associated with very small and very large TRLPs, which are related to an unfavorable atherogenic profile. Subclinical hyperthyroidism is associated to lower very small TRLPs.
Neuronal circuits and the magnetic sense: central questions
Authors: Malkemper E. Pascal , Nimpf Simon , Nordmann Gregory C. , Keays David A. 
Published: November 2020

ABSTRACT
Magnetoreception is the ability to sense the Earth's magnetic field, which is used for orientation and navigation. Behavioural experiments have shown that it is employed by many species across all vertebrate classes; however, our understanding of how magnetic information is processed and integrated within the central nervous system is limited. In this Commentary, we review the progress in birds and rodents, highlighting the role of the vestibular and trigeminal systems as well as that of the hippocampus. We reflect on the strengths and weaknesses of the methodologies currently at our disposal, the utility of emerging technologies and identify questions that we feel are critical for the advancement of the field. We expect that magnetic circuits are likely to share anatomical motifs with other senses, which culminates in the formation of spatial maps in telencephalic areas of the brain. Specifically, we predict the existence of spatial cells that encode defined components of the Earth's magnetic field.
Minimally Invasive Approaches in Locally Advanced Cervical Cancer Patients Undergoing Radical Surgery After Chemoradiotherapy: A Propensity Score Analysis
Authors: Ferrandina G. , Gallotta V. , Federico A. , Fanfani F. , Ercoli A. , Chiantera V. , Cosentino F. , Turco L. C. , Legge F. , Anchora L. Pedone , Bizzarri N. , Moroni R. , Macchia G. , Valentini V. , Scambia G. 
Published: November 2020

Abstract
Purpose
Chemoradiation (CT/RT) followed by radical surgery (RS) may play a role in locally advanced cervical cancer (LACC) patients with suboptimal response to CT/RT or in low-income countries with limited access to radiotherapy. Our aim is to evaluate oncological and surgical outcomes of minimally invasive radical surgery (MI-RS) compared with open radical surgery (O-RS).

Patients and Methods
Data for stage IB2–IVA cervical cancer patients managed by CT/RT and RS were retrospectively analyzed.

Results
Beginning with 686 patients, propensity score matching resulted in 462 cases (231 per group), balanced for FIGO stage, lymph node status, histotype, tumor grade, and clinical response to CT/RT. The 5-year disease-free survival (DFS) was 73.7% in the O-RS patients and 73.0% in the MI-RS patients (HR 1.034, 95% CI 0.708–1.512, p = 0.861). The 5-year locoregional recurrence rate was 12.5% (O-RS) versus 15.2% (MI-RS) (HR 1.174, 95% CI 0.656–2.104, p = 0.588). The 5-year disease-specific survival (DSS) was 80.4% in O-RS patients and 85.3% in the MI-RS group (HR 0.731, 95% CI 0.438–1.220, p = 0.228). Estimated blood loss was lower in the MI-RS group (p < 0.001), as was length of hospital stay (p < 0.001). Early postoperative complications occurred in 77 patients (33.3%) in the O-RS group versus 88 patients (38.1%) in the MI-RS group (p = 0.331). Fifty-six (24.2%) patients experienced late postoperative complications in the O-RS group, versus 61 patients (26.4%) in the MI-RS group (p = 0.668).

Conclusion
MI-RS and O-RS are associated with similar rates of recurrence and death in LACC patients managed by surgery after CT/RT. No difference in early or late complications was reported.
Denitrifying Woodchip Bioreactor Leachate Tannic Acid and True Color: Lab and Field Studies
Authors: Wickramarathne Niranga M. , Cooke Richard A. , Book Ruth , Christianson Laura E. 
Published: November 2020

HighlightsOak leached more tannic acid, true color, and chemical oxygen demand (COD) than ash and mixed hardwood chips.The factors became similar (tannic acid, COD) or below stream levels (true color) after flushing.Eleven site-years of field bioreactor data showed decreasing tannic acid and true color over time.Post-startup tannic acid was lower in bioreactor outflow than in area streams.True color did not appear to be a reliable indicator of leachate tannic acid at low concentrations.Abstract. Woodchips have been a preferred denitrifying bioreactor medium to date, but concerns about potential harmful effects of tannins in the leachate have precluded the use of oak chips in many installations. A study was conducted to compare the suitability of oak (genus Quercus) woodchips as a denitrifying bioreactor medium relative to other types of woodchips, both in lab leachate tests and in the context of observed bioreactor leaching in the field. Assessment measures included the content of tannic acid and other compounds in the leachate, as well as leachate color, which can often be high during startup. An 84-day leaching test using rectangular bioreactor cells filled with either oak (Quercus rubra), ash (Fraxinus spp. L.), or a generic hardwood blend showed that oak initially leached higher concentrations of tannic acid, true color, and chemical oxygen demand (COD) than the other two media. The significant differences in leached concentrations among the three wood types were eliminated after a finite leaching period. Tannic acid and true color in 11 site-years of field bioreactor outflow data generally decreased over time, except following a dry period when one of the bioreactors received no drainage inflow for more than two months. The lab and field results indicated the capability of woodchip bioreactors to flush at least these two analytes to ambient stream levels. True color did not appear to be the best parameter for estimating the tannin content of woodchip leachate due to discrepancies at low concentrations. Mass normalized tannic acid leaching ranged from 0.03 to approximately 40 mg tannic acid g-1 woodchip across the lab and field assessments. Oak initially leached more tannic acid, color, and COD than the other wood types, but the eventual similarity among the wood types after flushing with a sufficient number of pore volumes meant that any potentially negative environmental impacts would likely be limited to the startup period or possibly after dry periods. Oak initially eluted higher mean total nitrogen (TN) concentrations than the other wood types, but the treatments were not significantly different by day 3, indicating that biological N removal was not significantly inhibited, even with high concentrations of tannic acid. Keywords: Chemical oxygen demand, Oak, Tannin, Water quality, Wood leachate.
Deficit Irrigation Strategies for the Western U.S.
Authors: Trout Thomas J. , Howell Terry A. , English Marshall J. , Martin Derrel L. 
Published: November 2020

HighlightsDeficit irrigation may maximize net income when irrigation water supplies are limited or expensive.Water production functions are used with economic parameters to maximize net income with deficit irrigation.Net income may be insensitive to the amount of deficit irrigation if production costs are appropriate for anticipated yield.Deficit irrigation increases risk.Abstract. Competition for, regulation of, and depletion of water supplies in the western U.S. has resulted in reduced water available for irrigating crops. When the water supply is expensive or inadequate to meet full crop water requirements, deficit irrigation (DI) may maximize net income (NI) by reducing use of expensive water or irrigating more land with limited irrigation supplies. Managed DI entails rational planning and strategic water allocation to maximize NI when water supplies are constrained. Biophysical and economic relationships were used to develop NI models for DI and determine water allocation strategies that maximize NI under three types of water supply constraints. The analyses determined that potential benefits of DI are greatest when water is expensive, irrigation efficiency is low, the water supply is flexible, and rainfed production is not economically viable. When production costs are appropriate for anticipated yields, NI is less sensitive to DI planning decisions. Deficit irrigation will become more important as irrigation water supplies continue to decline in the future. Net income analysis can assist growers in making rational DI decisions. Keywords: Deficit irrigation, Economic analysis, Irrigation management, Net income, Optimization, Water productivity.
Patterns of prescription of antipsychotics in Qatar
Authors: Ouanes Sami , Becetti Imen , Ghuloum Suhaila , Hammoudeh Samer , Shehata Mena , Ghabrash Hany , Yehya Areej , Al-Lawati Hawra , Al-Fakhri Nora , Iram Huma , Ajmal Nighat , Eltorki Yassin , Al-Amin Hassen 
Published: November 2020

Objective
Even though all guidelines recommend generally against antipsychotic polypharmacy, antipsychotic polypharmacy appears to be a very common practice across the globe. This study aimed to examine the prescription patterns of antipsychotics in Qatar, in comparison with the international guidelines, and to scrutinize the sociodemographic and clinical features associated with antipsychotic polypharmacy.

Methods
All the medical records of all the inpatients and outpatients treated by antipsychotics at the Department of Psychiatry–Hamad Medical Corporation (HMC) in Doha, Qatar (between October 2012 and April 2014) were retrospectively analyzed. We retrieved the available sociodemographic data, psychiatric features, and details on the medication history.

Results
Our sample consisted of 537 individuals on antipsychotics (2/3 were male; mean age 33.8±10.2 years), prescribed for a psychotic disorder in 57%, a mood disorder in 9.3%, and various other diagnoses in 33.7%. About 55.9% received one antipsychotic, 29.6% received two antipsychotics, and 14.5% received more than two antipsychotics. Polypharmacy was associated with younger age (p = 0.025), being single (p<0.001), the diagnosis of a psychotic disorder (p<0.001), and previous admissions to psychiatry (p<0.001).

Conclusions
Antipsychotic polypharmacy appears to be quite common in Qatar, as it is the case in many other countries, in contrast with most international recommendations. Studies are needed to explore the reasons behind this disparity.
Association of small, dense LDL-cholesterol concentration and lipoprotein particle characteristics with coronary heart disease: A systematic review and meta-analysis
Authors: Liou Lathan , Kaptoge Stephen 
Published: November 2020

ObjectivesThe aim of this study was to systematically collate and appraise the available evidence regarding the associations between small, dense low-density lipoprotein (sdLDL) and incident coronary heart disease (CHD), focusing on cholesterol concentration (sdLDL-C) and sdLDL particle characteristics (presence, density, and size).BackgroundCoronary heart disease (CHD) is the leading cause of death worldwide. Small, dense low-density lipoprotein (sdLDL) has been hypothesized to induce atherosclerosis and subsequent coronary heart disease (CHD). However, the etiological relevance of lipoprotein particle size (sdLDL) versus cholesterol content (sdLDL-C) remains unclear.MethodsPubMed, MEDLINE, Web of Science, and EMBASE were systematically searched for studies published before February 2020. CHD associations were based on quartile comparisons in eight studies of sdLDL-C and were based on binary categorization in fourteen studies of sdLDL particle size. Reported hazards ratios (HR) and odds ratios (OR) with 95% confidence interval (CI) were standardized and pooled using a random-effects meta-analysis model.ResultsData were collated from 21 studies with a total of 30,628 subjects and 5,693 incident CHD events. The average age was 67 years, and 53% were men. Higher sdLDL and sdLDL-C levels were both significantly associated with higher risk of CHD. The pooled estimate for the high vs. low categorization of sdLDL was 1.36 (95% CI: 1.21, 1.52) and 1.07 (95% CI: 1.01, 1.12) for comparing the top quartiles versus the bottom of sdLDL-C. Several studies suggested a dose response relationship.ConclusionsThe findings show a positive association between sdLDL or sdLDL-C levels and CHD, which is supported by an increasing body of genetic evidence in favor of its causality as an etiological risk factor. Thus, the results support sdLDL and sdLDL-C as a risk marker, but further research is required to establish sdLDL or sdLDL-C as a potential therapeutic marker for incident CHD risk reduction.
Converging Evidence for Differential Specialization and Plasticity of Language Systems
Authors: Gurunandan Kshipra , Arnaez-Telleria Jaione , Carreiras Manuel , Paz-Alonso Pedro M. 
Published: November 2020

Functional specialization and plasticity are fundamental organizing principles of the brain. Since the mid-1800s, certain cognitive functions have been known to be lateralized, but the provenance and flexibility of hemispheric specialization remain open questions. Language is a uniquely human phenomenon that requires a delicate balance between neural specialization and plasticity, and language learning offers the perfect window to study these principles in the human brain. In the current study, we conducted two separate functional MRI experiments with language learners (male and female), one cross-sectional and one longitudinal, involving distinct populations and languages, and examined hemispheric lateralization and learning-dependent plasticity of the following three language systems: reading, speech comprehension, and verbal production. A multipronged analytic approach revealed a highly consistent pattern of results across the two experiments, showing (1) that in both native and non-native languages, while language production was left lateralized, lateralization for language comprehension was highly variable across individuals; and (2) that with increasing non-native language proficiency, reading and speech comprehension displayed substantial changes in hemispheric dominance, with languages tending to lateralize to opposite hemispheres, while production showed negligible change and remained left lateralized. These convergent results shed light on the long-standing debate of neural organization of language by establishing robust principles of lateralization and plasticity of the main language systems. Findings further suggest involvement of the sensorimotor systems in language lateralization and its plasticity.SIGNIFICANCE STATEMENTThe human brain exhibits a remarkable ability to support a vast variety of languages that may be acquired at different points in the life span. Language is a complex construct involving linguistic as well as visual, auditory, and motor processes. Using functional MRI, we examined hemispheric specialization and learning-dependent plasticity of three language systems—reading, speech comprehension, and verbal production—in cross-sectional and longitudinal experiments in language learners. A multipronged analytic approach revealed converging evidence for striking differences in hemispheric specialization and plasticity among the language systems. The results have major theoretical and practical implications for our understanding of fundamental principles of neural organization of language, language testing and recovery in patients, and language learning in healthy populations.