bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case-Control Study of Paresthesia Among World Trade Center-Exposed Community Members
Authors: Marmor Michael , Thawani Sujata , Cotrina Maria Luisa , Shao Yongzhao , Wong Ericka S. , Stecker Mark M. , Wang Bin , Allen Alexander , Wilkenfeld Marc , Vinik Etta J. , Vinik Aaron I. , Reibman Joan 
Published: February 2020

Objective:
To investigate whether paresthesia of the lower extremities following exposure to the World Trade Center (WTC) disaster was associated with signs of neuropathy, metabolic abnormalities, or neurotoxin exposures.

Methods:
Case-control study comparing WTC-exposed paresthesia cases with “clinic controls” (WTC-exposed subjects without paresthesias), and “community controls” (WTC-unexposed persons).

Results:
Neurological histories and examination findings were significantly worse in cases than controls. Intraepidermal nerve fiber densities were below normal in 47% of cases and sural to radial sensory nerve amplitude ratios were less than 0.4 in 29.4%. Neurologic abnormalities were uncommon among WTC-unexposed community controls. Metabolic conditions and neurotoxin exposures did not differ among groups.

Conclusions:
Paresthesias among WTC-exposed individuals were associated with signs of neuropathy, small and large fiber disease. The data support WTC-related exposures as risk factors for neuropathy, and do not support non-WTC etiologies.
Successful conservative management of a spontaneous intraperitoneal rupture of bladder diverticulum in a critical patient
Authors: Oh Seong Beom , Ahn Jung Hwan 
Published: February 2020

Abstract

Rationale:
A spontaneous rupture of the bladder diverticulum in an adult patient is extremely rare. The recommended treatment is surgery. However, some cases can be successfully treated with urinary catheterization, antibiotics, and/or percutaneous peritoneal drainage. In this case report, a spontaneous rupture of the bladder diverticulum was successfully treated non-surgically because it was deemed too risky for surgical intervention, such as non-ST segment elevation myocardial infarction (NSTEMI).

Patient concerns:
A 76-year-old man presented with abdominal pain, distention, diarrhea, and oliguria for 3 days and hypotension for 1 day with no history of trauma. The patient showed direct and rebound tenderness in the lower abdomen. Computed tomography revealed an intraperitoneal bladder rupture associated with the bladder diverticula. Electrocardiography, echocardiography, and elevated cardiac enzyme suggested NSTEMI.

Diagnoses:
A spontaneous rupture of the bladder diverticulum, NSTEMI, and suspected sepsis due to gastroenteritis or urinary infection.

Interventions:
The patient was treated conservatively with urinary catheterization and antibiotics for a bladder rupture and an infection. Percutaneous transluminal coronary angioplasty was performed for NSTEMI.

Outcomes:
The patient fully recovered without complications on hospitalization day 13.

Lessons:
Conservative management might be an alternative for a spontaneous intraperitoneal bladder rupture in some cases. However, close observation is required, and surgical intervention is the first option for a spontaneous intraperitoneal rupture of the bladder diverticulum.
Complement Component C4d Deposition in the Placenta of Preeclampsia Patients and Renal Glomeruli in 1 Postpartum Renal Biopsy
Authors: Choi Song-Yi , Kim Kyung-Hee , Lee Mina , Yeo Min-Kyung , Kim Jae , Suh Kwang-Sun 
Published: February 2020

Background:The classic disorder of placental malperfusion is preeclampsia (PE), in which the kidney is also a target organ, leading to renal dysfunction. Although the precise pathogenesis of PE is unknown, increasing evidence suggests that PE is associated with complement dysregulation. The maternal immune response to an allogenic fetus and excessive activation of the complement system may both be involved in the pathogenesis of PE. C4d deposition is considered to be evidence of antibody-mediated rejection in an allograft. This study investigated a correlation between C4d expression in the placenta and clinicopathologic features of PE patients.Materials and Methods:Immunohistochemical staining for C4d was performed on placental tissue of PE patients (n=70) and normal pregnancy patients (n=30). Clinicopathologic features, such as maternal age and parity, placental weight, proteinuria, and histologic features of the placenta were evaluated. One PE patient who suffered from proteinuria after delivery received a renal biopsy.Results:C4d expression was demonstrated in syncytiotrophoblast of chorionic villi. The expression of C4d was significantly more frequent in the placenta with PE (50%) than in the placenta lacking complications (14.3%) (P=0.001). C4d expression was significantly accompanied by increased syncytial knots in PE (P=0.045). Among PE patients, C4d expression was significantly correlated with low placental weight (P=0.001) and high proteinuria (P=0.018, Mann-WhitneyUtest). Renal biopsy of a PE patient after delivery also showed deposition of C4d along the glomerular capillary walls.Conclusions:C4d may play an important role in placental tissue injury and in renal complications in PE.
Clinic-Based Pediatric Disclosure Intervention Trial Improves Pediatric HIV Status Disclosure in Ghana
Authors: Paintsil Elijah , Kyriakides Tassos C. , Antwi Sampson , Renner Lorna , Nichols Justin S. , Amissah Kofi , Kusah Jonas T. , Alhassan Amina , Ofori Irene P. , Catlin Ann C. , Gan Geliang , Lartey Margaret , Reynolds Nancy R. ,   on behalf of the Sankofa Study Team
Published: February 2020

Background:
Disclosing HIV status to HIV-positive children is a major challenge facing families and health care providers. Despite recommendations for disclosure, rates remain low. We tested whether a pediatric HIV disclosure intervention delivered as an integral component of routine HIV health care in Ghana would improve disclosure to children.

Methods:
Dyads of HIV-infected children aged 7–18 years and their caregivers were enrolled from 2 HIV clinics in Accra and Kumasi, Ghana. The sites were randomly assigned to one of the 2 intervention arms to avoid treatment contamination between intervention and control participants. Trained interventionist used theory-guided therapeutic communication and personalized interaction to promote disclosure. Disclosure outcomes were measured at 12-week intervals. All analyses were completed using a modified intention-to-treat approach.

Results:
We enrolled 446 child–caregiver dyads (N = 240 intervention group; N = 206 control group); 52% of the children were boys, mean age 9.78 (±2.27) years. For disclosure at 1 year, a better overall treatment effect was observed (P < 0.001). Children in the treatment group had greater disclosure at each time point (P < 0.001) and a higher proportion of them had been disclosed to by 1 year (51.4% vs. 16.2%; P < 0.001; un-adjusted hazard ratio = 3.98: 95% confidence interval: 2.63 to 6.03) and 3 years (71.3% vs. 34.0%; unadjusted hazard ratio = 4.21: 95% confidence interval: 3.09 to 5.72). In the multivariate Cox model, factors associated with disclosure were treatment group (P < 0.001), children <11 years of age (P < 0.001), HIV-infected caregivers (P = 0.015), and caregiver's with greater education (P = 0.022).

Conclusions:
This practical clinic-based disclosure intervention shows excellent promise as a means of improving HIV pediatric disclosure outcomes.
The Monobloc Distraction With Facial Bipartition
Authors: Goel Pedram , Munabi Naikhoba C.O. , Nagengast Eric S. , Williams Madeleine S. , Fahradyan Artur , Urata Mark M. 
Published: February 2020

Background
Although combined monobloc facial bipartition with distraction (MFBD) may simultaneously correct multiple facial dimensions in patients with syndromic craniosynostoses, complication risks limit its use. This study reassesses MFBD complications and outcomes to compare safety and efficacy to monobloc distraction (MD) and facial bipartition (FB) alone.

Methods
A retrospective review of MFBD, MD, and FB cases for 10 years at a tertiary children's hospital was performed. Patient demographics and surgical variables were compared between cohorts. Distraction distance was compared between MFBD and MD. Correction of interdacryon distance in MFBD compared with FB was measured on preoperative and postoperative computed tomographic scans. SPSS 17 was used for data analysis.

Results
Twenty-two total patients, 11 MFBD, 4 MD, and 7 FB, met the inclusion criteria. Three MFBD (27.3%) patients experienced complications, including 1 osteomyelitis and 2 hardware displacements. One MD patient (25%) experienced a postoperative complication consisting of a wound infection. Three FB patients (42.9%) experienced either cerebrospinal fluid leak, seroma, mucocele, hardware exposure, and/or orbital dystopia (n = 1 each). Patients with MFBD had significantly longer intensive care unit stay (P ≤ 0.05), but no difference in hospital stay (P = 0.421). Mean distraction length was similar between MFBD and MD (P = 0.612). There was no significant difference in final (P = 0.243) or change (P = 0.189) in interdacryon distance between MFBD and FB patients.

Conclusions
In our experience, MFBD has similar complication rates compared with MD and FB alone. Given equivalent safety and postoperative correction of facial dimensions, MFBD could be more widely considered for select patients.
Late-Onset Infection of Resorbable Plates After Multiple Facial Fractures
Authors: Ueki Shoya , Rikimaru Hideaki , Rikimaru-Nishi Yukiko , Midorikawa Mari , Kiyokawa Kensuke 
Published: February 2020

Abstract
In recent years, a variety of resorbable plates have been used for craniofacial fractures. The authors report a case of plate infection that occurred more than 1 year after surgery and was difficult to distinguish from a foreign body reaction. A 19-year-old male suffered fractures of the right zygomatic bone, orbital floor, and left maxilla in a motorcycle accident. Reduction was performed using resorbable plates at 7 days after injury. The postoperative course was good. However, the patient presented 396 days after surgery with redness/swelling of the right upper eyelid and right cheek pain. There were no systemic signs of infection such as fever. A foreign body reaction to the plate was suspected. After 1 week, swelling of the patient's upper eyelid was worse, and the remaining resorbable plate was removed via a skin incision. Swelling subsequently extended to the right cheek and upper gingiva, and all plates were removed under general anesthesia on the 418th day after the first operation. The swelling subsided after removal of the plates. Pathological examination revealed neutrophil infiltration and Staphylococcus hominis was detected by bacterial culture, leading to a diagnosis of late-onset plate infection. This coagulase-negative staphylococcus usually causes infection in neonates and immunocompromised individuals. Postoperative complications of resorbable plates include foreign body reaction and infection, which are difficult to differentiate clinically. Removing the foreign body is the principal technique for obvious wound infection. A foreign body reaction with subcutaneous fluid retention is slow to heal. Therefore, early plate removal is also recommended.
Sequential Changes of NLRP3 Inflammasome Activation in Sepsis and its Relationship With Death
Authors: Garnacho-Montero José , Palacios-García Inmaculada , Díaz-Martín Ana , Gutiérrez-Pizarraya Antonio , López-Sánchez José M. , Gómez Elísabet Alcocer , Cordero Mario D. 
Published: February 2020

ABSTRACT

Introduction:
Inflammasomes are recognized as key components of the innate immune response in sepsis. We aimed to describe the transcriptional expression of nucleotide-binding domain, leucine-rich repeat–containing receptor, pyrin domain–containing-3 (NLRP3), and serum interleukin-1β (IL-1 β) in critically ill patients, their changes over the first week and their prognostic value in septic patients.

Methods:
Prospective study including patients with sepsis based on Sepsis-3 definitions and a control group of critically ill patients without sepsis. We measured the circulating levels of IL-1β as well as the transcriptional expression of NLRP3 at admission and on days 3 and 7. Caspase-1 and caspase-3 activation was analyzed in a matched cohort of patients with septic shock (four dead and four survivors).

Results:
Fifty-five septic patients and 11 non-septic patients were studied. Levels on day 0 and 3 of IL-1 β and NLRP3 inflammasome expression were significantly higher in patients with sepsis than in controls. NLRP3 was significantly higher in septic patients who survived at day 7 without significant difference between survivors and non-survivors at baseline and on day 3. In survivors, an increased caspase-1 protein expression with reduced expression caspase-3 was observed with the opposite pattern in those who died.

Conclusions:
NLRP3 is activated in critically ill patients but this up-regulation is more intense in patients with sepsis. In sepsis, a sustained NLRP3 activation during the first week is protective and sepsis. An increased caspase-1 protein expression with reduced expression caspase-3 is the pattern observed in septic shock patients who survive.
High-activity Classical and Alternative Complement Pathway Genotypes—Association With Donor-specific Antibody-triggered Injury and Renal Allograft Survival
Authors: Mező Blanka , Reindl-Schwaighofer Roman , Eskandary Farsad , Heinzel Andreas , Wahrmann Markus , Doberer Konstantin , Heilos Andreas , Bond Gregor , Kläger Johannes , Kozakowski Nicolas , Haslacher Helmuth , Oberbauer Rainer , Viklický Ondřej , Hrubá Petra , Halloran Philip F. , Rusai Krisztina , Prohászka Zoltán , Böhmig Georg A. 
Published: February 2020

Background.
Complement may contribute to donor-specific antibody (DSA)-triggered transplant injury. Here, we investigated whether the intrinsic strength of classical pathway and alternative pathway (AP) relates to the pathogenicity of DSA.

Methods.
Classical pathway and AP high-activity genotypes were defined according to C4 gene copy number and the presence of functional polymorphisms in C3 (C3102G), factor B (fB32R), and factor H (fH62V) genes. Associations of these genotypes with blood complement profiles and morphologic/molecular rejection features were evaluated in a cohort of 83 DSA-positive patients (antibody-mediated rejection [AMR], n = 47) identified upon cross-sectional screening of 741 kidney allograft recipients ≥180 days posttransplantation. Associations with long-term graft survival were evaluated in a larger kidney transplant cohort (n = 660) not enriched for a specific type of rejection.

Results.
In the cohort of DSA-positive subjects, the number of C4 gene copies was related to C4 protein levels in serum and capillary C4d staining, but not AMR activity. Patients with a high-activity AP complotype, which was associated with complement consumption in serum, showed enhanced microcirculation inflammation (median glomerulitis plus peritubular capillaritis score, 2 [interquartile range, 0–4 versus 1 0–2]; P = 0.037). In the larger transplant cohort, this complotype was associated with a slightly increased risk of graft loss (hazard ratio, 1.52; 95% confidence interval, 1.02-2.25; P = 0.038 and multivariable Cox model, 1.55; 1.04-2.32; P = 0.031).

Conclusions.
Our study suggests a contribution of complement genetics to the phenotypic presentation of AMR. Future studies will have to clarify whether a possible association of AP strength with graft survival relates to enhanced antibody-triggered injury.
Weak predation strength promotes stable coexistence of predators and prey in the same chain and across chains
Authors: Wang Lin , Liu Yan-Ping , Wang Rui-Wu 
Published: February 2020

AbstractThe mechanisms of species coexistence make ecologists fascinated, although theoretical work show that omnivory can promote coexistence of species and food web stability, it is still a lack of the general mechanisms for species coexistence in the real food webs, and is unknown how omnivory affects the interactions between competitor and predator. In this work, we first establish an omnivorous food web model with a competitor based on two natural ecosystems (the plankton community and fig-fig wasp system). We analyze the changes of both food web structure and stability under the different resource levels and predation preference of the generalist/top predator. The results of model analyses show that weak predation strength can promote stable coexistence of predators and prey. Moreover, evolutionary trend of food web structure changes with the relative predation strength is more diversity than the relative competition strength, and an integration of both omnivory, increased competition, top-down control and bottom-up control can promote species diversity and food web stability. Our theoretical predictions are consistent with empirical data in the plankton community: the lower concentration of nutrient results in a more stable population dynamics. Our theoretical work could enrich the general omnivorous theory on species coexistence and system stability in the real food webs.
IntracellularStaphylococcus aureusemploys the cysteine protease staphopain A to induce host cell death in epithelial cells
Authors: Stelzner Kathrin , Hertlein Tobias , Sroka Aneta , Moldovan Adriana , Paprotka Kerstin , Kessie David , Mehling Helene , Potempa Jan , Ohlsen Knut , Fraunholz Martin J. , Rudel Thomas 
Published: February 2020

AbstractStaphylococcus aureusis a major human pathogen, which can invade and survive in non-professional and professional phagocytes. Intracellularity is thought to contribute to pathogenicity and persistence of the bacterium. Upon internalization by epithelial cells, cytotoxicS. aureusstrains can escape from the phagosome, replicate in the cytosol and induce host cell death. Here, we identified a staphylococcal cysteine protease to induce cell death by intracellularS. aureusafter translocation into the host cell cytoplasm. We demonstrated that loss of staphopain A function leads to delayed onset of host cell death and prolonged intracellular replication ofS. aureusin epithelial cells. Overexpression of staphopain A in a non-cytotoxic strain facilitated intracellular killing of the host cell even in the absence of detectable intracellular replication. Moreover, staphopain A contributed to efficient colonization of the lung in a mouse pneumonia model. Our study suggests that staphopain A is utilized byS. aureusto mediate escape from the host cell and thus contributes to tissue destruction and dissemination of infection.Author SummaryStaphylococcus aureusis a well-known antibiotic-resistant pathogen that emerges in hospital and community settings and can cause a variety of diseases ranging from skin abscesses to lung inflammation and blood poisoning. The bacterium asymptomatically colonizes the upper respiratory tract and skin of about one third of the human population and takes advantage of opportune conditions, like immunodeficiency or breached barriers, to cause infection. AlthoughS. aureusis not regarded as a professional intracellular bacterium, it can be internalized by human cells and subsequently exit the host cells by induction of cell death, which is considered to cause tissue destruction and spread of infection. The bacterial virulence factors and underlying molecular mechanisms involved in the intracellular lifestyle ofS. aureusremain largely unknown. We identified a bacterial cysteine protease to contribute to host cell death mediated by intracellularS. aureus. Staphopain A induced killing of the host cell after translocation of the pathogen into the cell cytosol, while bacterial proliferation was not required. Further, the protease enhanced survival of the pathogen during lung infection. These findings reveal a novel, intracellular role for the bacterial protease staphopain A.
Revisiting reptile home ranges: moving beyond traditional estimators with dynamic Brownian Bridge Movement Models
Authors: Silva Inês , Crane Matt , Marshall Benjamin Michael , Strine Colin Thomas 
Published: February 2020

AbstractAnimal movement, expressed through home ranges, can offer insights into spatial and habitat requirements. However, home range estimation methods vary, directly impacting conclusions. Recent technological advances in animal tracking (GPS and satellite tags), have enabled new methods for home range estimation, but so far have primarily targeted mammal and avian movement patterns. Most reptile home range studies only make use of two older estimation methods: Minimum Convex Polygons (MCP) and Kernel Density Estimators (KDE), particularly with the Least Squares Cross Validation (LSCV) and reference (href) bandwidth selection algorithms. The unique characteristics of reptile movement patterns (e.g.low movement frequency, long stop-over periods), prompt an investigation into whether newer movement-based methods –such as dynamic Brownian Bridge Movement Models (dBBMMs)– are applicable to Very High Frequency (VHF) radio-telemetry tracking data. To assess home range estimation methods for reptile telemetry data, we simulated animal movement data for three archetypical reptile species: a highly mobile active hunter, an ambush predator with long-distance moves and long-term sheltering periods, and an ambush predator with short-distance moves and short-term sheltering periods. We compared traditionally used home range estimators, MCP and KDE, with dBBMMs, across eight feasible VHF field sampling regimes for reptiles, varying from one data point every four daylight hours, to once per month. Although originally designed for GPS tracking studies, we found that dBBMMs outperformed MCPs and KDEhrefacross all tracking regimes, with only KDE LSCV performing comparably at some higher-frequency sampling regimes. The performance of the LSCV algorithm significantly declined with lower-tracking-frequency regimes, whereas dBBMMs error rates remained more stable. We recommend dBBMMs as a viable alternative to MCP and KDE methods for reptile VHF telemetry data: it works under contemporary tracking protocols and provides more stable estimates, improving comparisons across regimes, individuals and species.
Polynomial Phylogenetic Analysis of Tree Shapes
Authors: Liu Pengyu , Biller Priscila , Gould Matthew , Colijn Caroline 
Published: February 2020

AbstractPhylogenetic trees are a central tool in evolutionary biology. They demonstrate evolutionary patterns among species, genes, and with modern sequencing technologies, patterns of ancestry among sets of individuals. Phylogenetic trees usually consist of tree shapes, branch lengths and partial labels. Comparing tree shapes is a challenging aspect of comparing phylogenetic trees as there are few tools to describe tree shapes in a quantitative, accurate, comprehensive and easy-to-interpret way. Current methods to compare tree shapes are often based on scalar indices reflecting tree imbalance, and on frequencies of small subtrees. In this paper, we present tree comparisons and applications based on a polynomial that fully characterizes trees. Polynomials are important tools to describe discrete structures and have been used to study various objects including graphs and knots. There are also polynomials that describe rooted trees. We use tree-defining polynomials to compare tree shapes randomly generated by simulations and tree shapes reconstructed from data. Moreover, we show that the comparisons can be used to estimate parameters and to select the best-fit model that generates specific tree shapes.