bluuebunny/crossref_metadata_2025_split huggingface dataset:
Morphological risk factors associated with dislocation after bipolar hemiarthroplasty of the hip in patients with femoral neck fractures—a nested case-control study
Authors: Zhang Yueqi , Yao Zhenjun , Shi Peng , Wang Chenzhong , Liu Jinyu , Yang Yi , Zhang Chi 
Published: November 2019

Abstract
Background
The relationship between preoperative hip measurements and dislocation after bipolar hemiarthroplasty is presently unclear. In the current study, we investigated the morphological risk factors associated with dislocation after bipolar hemiarthroplasty of the hip in patients with femoral neck fractures.

Methods
Between January 2011 and June 2017, a nested case-control design study was used to analyze the risk factors for dislocation in 348 patients who had undergone bipolar hemiarthroplasty because of femoral neck fractures. Twelve patients underwent at least one dislocation postoperatively. Sixty patients without dislocation were selected as controls matched in terms of time of surgery, age, and sex, at a ratio of 1:5. Patient acetabular measurements were compared between the dislocation group and the control group, including the center-edge angle, abduction angle, acetabular width and depth, depth-to-width ratio, femoral neck offset, leg length discrepancy, and femoral head coverage ratio. A multivariate logistic regression model was used to evaluate the morphological risk factors of dislocation.

Results
Postoperatively, the incidence of dislocation was 3.4%. A smaller center-edge angle was found to be a risk factor associated with dislocation after bipolar hemiarthroplasty of the hip. Patients with small acetabular depth and a small acetabular depth–width ratio were prone to dislocation. Patients with a center-edge angle of ≤ 45.4° or an acetabular depth of ≤ 19.12 mm were more likely to suffer dislocation.

Conclusions
Careful preoperative measurements before bipolar hemiarthroplasty of the hip are important. Surgical intervention for femoral neck fracture patients with a shallow acetabulum should be carefully planned and total hip arthroplasty should be considered when necessary.
Delivery strategies of cancer immunotherapy: recent advances and future perspectives
Authors: Zhao Zhongwei , Zheng Liyun , Chen Weiqian , Weng Wei , Song Jingjing , Ji Jiansong 
Published: November 2019

AbstractImmunotherapy has become an emerging strategy for the treatment of cancer. Immunotherapeutic drugs have been increasing for clinical treatment. Despite significant advances in immunotherapy, the clinical application of immunotherapy for cancer patients has some challenges associated with safety and efficacy, including autoimmune reactions, cytokine release syndrome, and vascular leak syndrome. Novel strategies, particularly improved delivery strategies, including nanoparticles, scaffolds, and hydrogels, are able to effectively target tumors and/or immune cells of interest, increase the accumulation of immunotherapies within the lesion, and reduce off-target effects. Here, we briefly describe five major types of cancer immunotherapy, including their clinical status, strengths, and weaknesses. Then, we introduce novel delivery strategies, such as nanoparticle-based delivery of immunotherapy, implantable scaffolds, injectable biomaterials for immunotherapy, and matrix-binding molecular conjugates, which can improve the efficacy and safety of immunotherapies. Also, the limitations of novel delivery strategies and challenges of clinical translation are discussed.
Determinants of neonatal sepsis among neonates in the northwest part of Ethiopia: case-control study
Authors: Alemu Mulunesh , Ayana Mulatu , Abiy Hailemariam , Minuye Biniam , Alebachew Wubet , Endalamaw Aklilu 
Published: November 2019

AbstractBackgroundNeonatal sepsis is one of the leading causes of neonatal morbidity and mortality. Despite implementing of different preventive interventions, the burden of neonatal sepsis is reporting in different areas of Ethiopia. For further interventions, identifying its determinants is found to be crucial.ObjectiveThis study aimed to identify determinants of neonatal sepsis in the Northwest part of Ethiopia.MethodsUnmatched case-control study was conducted among 246 neonates admitted in neonatal intensive care unit, Northwest Ethiopia. Study participants were selected from February 1st to March 30th 2018. Data was collected through face to face interview and review of neonates’ medical records using pretested structured questionnaire. Data was entered into Epi Data version 4.2.0.0 and further transferred to SPSS statistical software version 25 for analysis. All independent variables withp-value < 0.25 in Bivariable analysis were entered into multivariable logistic regression analysis. Finally, variables with p-value < 0.05 were considered as determinants of neonatal sepsis.ResultsA total of 82 cases and 164 controls were included in this study. Neonates with gestational age < 37 weeks [AOR = 6.90; 95% CI (2.76, 17.28)], premature rupture of membrane [AOR = 2.81; 95% CI (1.01, 7.79)], not crying immediately at birth and have received resuscitation at birth [AOR = 2.85; 95% CI (1.09, 7.47)] were found to be predictors of neonatal sepsis.Conclusions and recommendationsPremature rupture of membrane was found to be obstetric-related determinant of neonatal sepsis. Gestational age < 37 weeks, not crying immediately at birth, and have received resuscitation at birth were found to be neonatal-related risk factors of neonatal sepsis. Infection prevention strategies need to be strengthening and/or implementing by providing especial attention for the specified determinants.
First records of tick-borne pathogens in populations of the taiga tick Ixodes persulcatus in Sweden
Authors: Jaenson Thomas G. T. , Wilhelmsson Peter 
Published: November 2019

AbstractBackgroundThe common tickIxodes ricinusand the taiga tickI. persulcatusare the main tick vectors ofBorreliaspirochaetes, TBE virus (TBEV) and of several other zoonotic pathogens in the western and eastern areas, respectively of the Palaearctic region. Recently, populations of the taiga tick were, for the first time, detected in northern Sweden. This prompted us to investigate if they harbour human pathogens.MethodsA total of 276I. persulcatusticks (136 males, 126 females and 14 nymphs) and oneI. ricinusnymph was collected by the cloth-dragging method in northern Sweden in July–August 2015 and May–July 2016. In addition, 8 males and 10 females ofI. persulcatuswere collected from two dogs (16 and 2 ticks, respectively) in two of the localities. All ticks were microscopically and molecularly identified to developmental stage and species and screened forB. burgdorferi(sensu lato),B. miyamotoi,Anaplasma phagocytophilum,Rickettsiaspp., Neoehrlichia mikurensis,Babesiaspp. and TBEV using real-time PCR followed by species identification by sequencing the PCR-products of conventional PCR assays.ResultsOf the ticks collected by the cloth-dragging method, 55% (152/277) were positive forBorrelia. There was no significant difference between the proportions ofBorrelia-infected nymphs (33%, 5/15) andBorrelia-infected adult ticks (56%, 147/262), and no significant difference between the proportions ofBorrelia-infected males (54%, 74/136) andBorrelia-infected females (58%, 73/126). Three differentBorreliaspecies were identified.Borrelia afzeliiwas the predominant species and detected in 46% of allBorrelia-infected ticks followed byB. garinii, 35%,B. valaisiana, 1%, and mixed infections of differentBorreliaspecies, 1%; 17% of allBorrelia-infections were untypeable. OneI. persulcatusfemale containedRickettsia helvetica, and one nymph containedRickettsiasp. Of the 277 ticks analysed, all were negative forA. phagocytophilum,Babesiaspp.,Borrelia miyamotoi,N. mikurensisand TBEV. The ticks collected from the two dogs were negative for all pathogens examined except forBorreliaspp., that was detected in 5 out of 16 ticks removed from one of the dogs.ConclusionsTo our knowledge, this is the first time thatI. persulcatusfrom Sweden has been analysed for the presence of tick-borne pathogens. The examined tick populations had a low diversity of tick-borne pathogens but a high prevalence ofB. burgdorferi(s.l.).
Combined genetic mutations and DNA-methylated genes as biomarkers for endometrial cancer detection from cervical scrapings
Authors: Liew Phui-Ly , Huang Rui-Lan , Wu Tzu-I , Liao Chi-Chun , Chen Chien-Wen , Su Po-Hsuan , Wang Hui-Chen , Weng Yu-Chun , Lai Hung-Cheng 
Published: November 2019

Abstract
Background
Endometrial cancer is a common gynecologic cancer. Noninvasive molecular biomarkers for triage of high-risk patients for invasive procedures are needed. Based on the success of cytological Pap smear screening, cervical scrapings are a good source of DNA for molecular testing. In addition to genetic lesions, DNA methylation is a promising biomarker. We assessed the usefulness of combining genetic and epigenetic biomarkers from cervical scrapings to detect endometrial carcinomas.

Methods
We performed a retrospective case–control study of 96 consecutive cervical scrapings from patients with abnormal uterine bleeding who underwent surgery for diagnostic evaluation. Thirty and 16 cases were diagnosed with type I and type II endometrial cancers, respectively. The remaining non-cancer cases included normal endometrium (n = 12), benign uterine lesions (n = 20), and endometrial hyperplasia (n = 18). Quantitative methylation-specific PCR and mass spectrometry were used for DNA methylation and genetic mutation analysis. Logistic regression was used to evaluate the clinical performance of these candidate biomarkers.

Results
We tested the effectiveness of the methylation status of four genes (BHLHE22, CDO1, TBX5, and HAND2) in endometrial cancer detection. The area under the receiver operating characteristic curves ranged from 0.703 to 0.878, and panels of hypermethylated BHLHE22/CDO1/HAND2 (87.0% sensitivity and 86.0% specificity) and BHLHE22/CDO1/TBX5 (89.1% sensitivity and 80.0% specificity) showed significant differences and could distinguish benign from malignant endometrial lesions. The sensitivity and specificity in endometrial cancer detection for BHLHE22/CDO1 were 84.8% and 88.0%, respectively. Both type I and II endometrial carcinomas could be detected using a BHLHE22/CDO1-based methylation profile, suggesting that they may have common epigenomes. Moreover, PTEN and TP53 mutations were found in 63.3% of type I and 93.6% of type II endometrial cancers. Unexpectedly, PTEN and TP53 mutations were commonly found in cervical scrapings of the normal endometrium (25% and 33.3%, respectively) and in cases with benign uterine lesions (10% and 50%, respectively). Finally, combinations of any one mutation of PTEN and TP53 mutations had a sensitivity of 91.3%, but a specificity of only 42.0%.

Conclusions
Adding PTEN/TP53 mutation testing to BHLHE22/CDO1-based methylation testing did not improve the detection of endometrial cancer.
Validation of an epigenetic field of susceptibility to detect significant prostate cancer from non-tumor biopsies
Authors: Yang Bing , Etheridge Tyler , McCormick Johnathon , Schultz Adam , Khemees Tariq A. , Damaschke Nathan , Leverson Glen , Woo Kaitlin , Sonn Geoffrey A. , Klein Eric A. , Fumo Mike , Huang Wei , Jarrard David F. 
Published: November 2019

Abstract
Background
An epigenetic field of cancer susceptibility exists for prostate cancer (PC) that gives rise to multifocal disease in the peripheral prostate. In previous work, genome-wide DNA methylation profiling identified altered regions in the normal prostate tissue of men with PC. In the current multicenter study, we examined the predictive strength of a panel of loci to detect cancer presence and grade in patients with negative biopsy tissue.

Results
Four centers contributed benign prostate biopsy tissues blocks from 129 subjects that were either tumor associated (TA, Grade Group [GG] ≥ 2, n = 77) or non-tumor associated (NTA, n = 52). Biopsies were analyzed using pyrosequencing for DNA methylation encompassing CpG loci near CAV1, EVX1, FGF1, NCR2, PLA2G16, and SPAG4 and methylation differences were detected within all gene regions (p < 0.05). A multiplex regression model for biomarker performance incorporating a gene combination discriminated TA from NTA tissues (area under the curve [AUC] 0.747, p = 0.004). A multiplex model incorporating all the above genes and clinical information (PSA, age) identified patients with GG ≥ 2 PC (AUC 0.815, p < 0.0001). In patients with cancer, increased variation in gene methylation levels occurs between biopsies across the prostate.

Conclusions
A widespread epigenetic field defect is utilized to detect GG ≥ 2 PC in patients with histologically negative biopsies. These alterations in non-tumor cells display increased heterogeneity of methylation extent and are spatially distant from tumor foci. These findings have the potential to decrease the need for repeated prostate biopsy.
Plasma levels of soluble TREM2 and neurofilament light chain in TREM2 rare variant carriers
Authors: Ashton Nicholas J. , Suárez-Calvet Marc , Heslegrave Amanda , Hye Abdul , Razquin Cristina , Pastor Pau , Sanchez-Valle Raquel , Molinuevo José L. , Visser Pieter Jelle , Blennow Kaj , Hodges Angela K. , Zetterberg Henrik 
Published: November 2019

Abstract
Background
Results from recent clinical studies suggest that cerebrospinal fluid (CSF) biomarkers that are indicative of Alzheimer’s disease (AD) can be replicated in blood, e.g. amyloid-beta peptides (Aβ42 and Aβ40) and neurofilament light chain (NFL). Such data proposes that blood is a rich source of potential biomarkers reflecting central nervous system pathophysiology and should be fully explored for biomarkers that show promise in CSF. Recently, soluble fragments of the triggering receptor expressed on myeloid cells 2 (sTREM2) protein in CSF have been reported to be increased in prodromal AD and also in individuals with TREM2 rare genetic variants that increase the likelihood of developing dementia.

Methods
In this study, we measured the levels of plasma sTREM2 and plasma NFL using the MesoScale Discovery and single molecule array platforms, respectively, in 48 confirmed TREM2 rare variant carriers and 49 non-carriers.

Results
Our results indicate that there are no changes in plasma sTREM2 and NFL concentrations between TREM2 rare variant carriers and non-carriers. Furthermore, plasma sTREM2 is not different between healthy controls, mild cognitive impairment (MCI) or AD.

Conclusion
Concentrations of plasma sTREM2 do not mimic the recent changes found in CSF sTREM2.
Osteogenic commitment of Wharton’s jelly mesenchymal stromal cells: mechanisms and implications for bioprocess development and clinical application
Authors: Cabrera-Pérez Raquel , Monguió-Tortajada Marta , Gámez-Valero Ana , Rojas-Márquez Raquel , Borràs Francesc Enric , Roura Santiago , Vives Joaquim 
Published: November 2019

AbstractBackgroundOrthopaedic diseases are one of the major targets for regenerative medicine. In this context, Wharton’s jelly (WJ) is an alternative source to bone marrow (BM) for allogeneic transplantation since its isolation does not require an invasive procedure for cell collection and does not raise major ethical concerns. However, the osteogenic capacity of human WJ-derived multipotent mesenchymal stromal cells (MSC) remains unclear.MethodsHere, we compared the baseline osteogenic potential of MSC from WJ and BM cell sources by cytological staining, quantitative real-time PCR and proteomic analysis, and assessed chemical and biological strategies for priming undifferentiated WJ-MSC. Concretely, different inhibitors/activators of the TGFβ1-BMP2 signalling pathway as well as the secretome of differentiating BM-MSC were tested.ResultsCytochemical staining as well as gene expression and proteomic analysis revealed that osteogenic commitment was poor in WJ-MSC. However, stimulation of the BMP2 pathway with BMP2 plus tanshinone IIA and the addition of extracellular vesicles or protein-enriched preparations from differentiating BM-MSC enhanced WJ-MSC osteogenesis. Furthermore, greater outcome was obtained with the use of conditioned media from differentiating BM-MSC.ConclusionsAltogether, our results point to the use of master banks of WJ-MSC as a valuable alternative to BM-MSC for orthopaedic conditions.
Arsenic metabolism in technical biogas plants: possible consequences for resident microbiota and downstream units
Authors: Weithmann Nicolas , Mlinar Stanislava , Hilbrig Frank , Bachmaf Samer , Arndt Julia , Planer-Friedrich Britta , Weig Alfons R. , Freitag Ruth 
Published: November 2019

AbstractThe metal(loid) and in particular the Arsenic (As) burden of thirteen agricultural biogas plants and two sewage sludge digesters were investigated together with the corresponding microbial consortia. The latter were characterized by ARISA (automated ribosomal intergenetic spacer analysis) and next generation sequencing. The consortia were found to cluster according to digester type rather than substrate or metal(loid) composition. For selected plants, individual As species in the liquid and gaseous phases were quantified, showing that the microorganisms actively metabolize and thereby remove the As from their environment via the formation of (methylated) volatile species. The As metabolites showed some dependency on the microbial consortia, while there was no statistical correlation with the substrate mix. Finally, slurry from one agricultural biogas plant and one sewage sludge digester was transferred into laboratory scale reactors (“satellite reactors”) and the response to a defined addition of As (30 and 60 µM sodium arsenite) was studied. The results corroborate the hypothesis of a rapid conversion of dissolved As species into volatile ones. Methanogenesis was reduced during that time, while there was no discernable toxic effect on the microbial population. However, the utilization of the produced biogas as replacement for natural gas, e.g. as fuel, may be problematic, as catalysts and machinery are known to suffer from prolonged exposure even to low As concentrations.
Ochratoxin A induces liver inflammation: involvement of intestinal microbiota
Authors: Wang Wence , Zhai Shuangshuang , Xia Yaoyao , Wang Hao , Ruan Dong , Zhou Ting , Zhu Yongwen , Zhang Hongfu , Zhang Minhong , Ye Hui , Ren Wenkai , Yang Lin 
Published: November 2019

Abstract
Background
Ochratoxin A (OTA) is a widespread mycotoxin and induces liver inflammation to human and various species of animals. The intestinal microbiota has critical importance in liver inflammation; however, it remains to know whether intestinal microbiota mediates the liver inflammation induced by OTA. Here, we treated ducklings with oral gavage of OTA (235 μg/kg body weight) for 2 weeks. Then, the microbiota in the cecum and liver were analyzed with 16S rRNA sequencing, and the inflammation in the liver was analyzed. To explore the role of intestinal microbiota in OTA-induced liver inflammation, intestinal microbiota was cleared with antibiotics and fecal microbiota transplantation was conducted.

Results
Here, we find that OTA treatment in ducks altered the intestinal microbiota composition and structure [e.g., increasing the relative abundance of lipopolysaccharides (LPS)-producing Bacteroides], and induced the accumulation of LPS and inflammation in the liver. Intriguingly, in antibiotic-treated ducks, OTA failed to induce these alterations in the liver. Notably, with the fecal microbiota transplantation (FMT) program, in which ducks were colonized with intestinal microbiota from control or OTA-treated ducks, we elucidated the involvement of intestinal microbiota, especially Bacteroides, in liver inflammation induced by OTA.

Conclusions
These results highlight the role of gut microbiota in OTA-induced liver inflammation and open a new window for novel preventative or therapeutic intervention for mycotoxicosis.
The influence of a single species on the space use of mixed-species flocks in Amazonian Peru
Authors: Williams Sean M. , Lindell Catherine A. 
Published: November 2019

AbstractBackgroundThe drivers of space use patterns of multi-species groups have been poorly studied, although mixed-species avian flocks are common throughout the world. In a mixed-species flock, multiple species move together and maintain proximity. The different species may or may not have conflicting preferences of space use. We hypothesized that the space use patterns of the flock are driven by a single species.MethodsWe investigated the behavioral drivers of space use patterns of mixed-species flocks in Amazonian Peru by mapping 95% fixed-kernel home ranges of three flocks, which then we divided into high-use (inner 55% kernel utilization distribution) and low-use areas (lying outside the high-use area). We quantified the foraging and anti-predator behavior of individual birds in the flocks. We tested whether foraging and anti-predator behavior of different species were different in high use and low use areas of the flock.ResultsWe collected 455 spatial points and 329 foraging and anti-predator behavior observations on three flocks. The single best model for explaining the space use patterns of the flocks contained only vegetation density that surrounded Dusky-throated Antshrikes.ConclusionThe results are consistent with the hypothesis that a single species in mixed-species flocks has a disproportionately large influence on space use patterns. The surrounding vegetation density of the Dusky-throated Antshrike was the only driver of space use patterns of flocks supported by our data. The results may apply to flocks pantropically, many of which are led by species that behave similarly to the Dusky-throated Antshrike, e.g. Asian flocks led by drongos (Dicrurus spp.).
Development and validation of a liquid chromatography-tandem mass spectrometric method for the determination of lenalidomide in human plasma and its application on bioequivalence studies
Authors: Gopinath R. , Narenderan S. T. , Kumar M. , Babu B. 
Published: November 2019

AbstractA simple, sensitive, and specific liquid chromatography-tandem mass spectrophotometry (LC-MS/MS) method was developed and validated for the quantification of lenalidomide in human plasma. The separation was carried out on a symmetry, C18, 5-μm (50 × 4.6 mm) column as stationary phase and with an isocratic mobile phase of 0.1% formic acid in water-methanol in the ratio of (15:85, v/v) at a flow rate of 0.5 mL/min. Protonated ions formed by electrospray ionization in the positive mode were used to detect analyte and fluconazole (internal standard). The mass detection was made by monitoring the fragmentation of m/z 260.1/148.8 for lenalidomide and m/z 307.1/238.0 for internal standard on a triple quadrupole mass spectrometer. The developed method was validated over the concentration range of 10–1000 ng/mL for lenalidomide in human plasma with a correlation coefficient (r2) was 0.9930. The accuracy and precision values obtained from six different sets of quality control samples analyzed on separate occasions ranged from 99.41 to 106.97% and 2.88 to 4.22%, respectively. Mean extraction recoveries were 98.06% and 88.78% for the analyte and IS, respectively. The developed method was successfully applied for analyzing lenalidomide in human plasma samples.