bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of Role of Hyperbilirubinemia as a New Diagnostic Marker of Complicated Appendicitis.
Authors: Bakshi Sabyasachi , Mandal Nilay 
Published: October 2020

Abstract
BACKGROUND:In appendicitis, elevated intra-luminal pressure and ischemic necrosis of mucosa causes tissue gangrene or perforation. This leads to cytotoxin facilitated progressive bacterial invasion or translocation into the hepatic parenchyma through portal system. This phenomenon interferes with the bilirubin excretion into the bile canaliculi.In the present study, establishment of a possible role of hyperbilirubinemia as a marker of gangrenous/perforated appendicitis has been studied.METHODS:After matching the inclusion and exclusion criteria, all cases of clinically diagnosed acute appendicitis were taken for this prospective, single center, observational study. Per-operative diagnosis was confirmed by histopathological examination.RESULTS:Out of 110 subjects of acute appendicitis 41 subjects (37.27%) had hyperbilirubinemia. Out of 35 subjects diagnosed as complicated appendicitis 32 subjects (91.42%) had raised total bilirubin levels, while the remaining 03(8.58%) had normal levels .Among 75 subjects diagnosed as acute simple appendicitis 09 subjects (12%) had raised total bilirubin level, while the remaining 66 subjects (88%) had normal levels .It was Mixed Type Of Hyperbilirubinemia in gangrenous/perforated appendicitis.The sensitivity of Total serum bilirubin in predicting complicated appendicitis was found 91.43% (76.942% to 98.196%), where as the specificity of this test was 88.00% (78.439% to 94.363%). positive predictive value and negative predictive value were 78.03% and 95.65% respectively.Positive likelihood ratio and negative likelihood ratio were found to be 7.619 and 0.097 respectively taking prevalence of Complicated appendicitis be 31.80%.ROC (Receiver Operating Characteristic) curve was obtained which shows optimal criterion at Total Bilirubin Level 1.06 mg/dl where sensitivity was 91.43% and specificity was 97.33% at 95% confidence interval with 31.8% disease prevalence.CONCLUSIONS:This is to conclude that Serum bilirubin level estimation, which is a simple, cheap and easily available laboratory test, can be added to the routine investigations in clinically suspected cases of acute appendicitis for early diagnosis of complications. Trial Registration: Registered with Clinical Trials Registry-India (ICMR-NIMS) with Registration number CTRI/2019/05/018879 Dated 01/05/2019. Trial URL: http://ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=33113&EncHid=99780.32960&modid=1&compid=19%27,%2733113det%27
Age and pain score before gastrointestinal endoscopies in children are predictors for post procedure pain.
Authors: Galai Tut , Yerushalmy-Feler Anat , Heller Nathan P. , Ben-Tov Amir , Weintraub Yael , Amir Achiya , Moran-Lev Hadar , Zac Lilach , Cohen Shlomi 
Published: October 2020

Abstract
Background: Gastrointestinal endoscopy may be associated with pain and anxiety. Predictors for high pain scores after endoscopies in children are not known. The aim of our study was to identify risk factors for prolonged recovery and higher pain scores after gastrointestinal endoscopy in children. Methods: All the children that were electively admitted for gastrointestinal endoscopies were included. We retrospectively collected demographic, clinical and endoscopic data as well as information on the recovery process. A numerical rating scale and the Faces, Legs, Activity, Cry, and Consolability Scale were used for pain scoring. Results: During the study period (01/2016-10/2016), 284 children (median age 10.7 years, interquartile range 6.7-14.8) were recruited. In a univariate analysis, older age, higher pre-procedure pain scores, longer procedure durations, higher number of biopsies and longer recovery duration were associated with higher post-procedure pain scores. In a multivariate analysis higher pain scores before the procedure (OR 12.42, 95% CI 3.67-42, P < 0.001) and older age (OR 1.016, 95% CI 1.007-1.025, P < 0.001) were associated with higher pain scores after the procedure. Children with a higher pain score before the procedure also had a longer recovery period (OR 5.28, 95% CI (1.93‐14.49), P = 0.001).Conclusion: Older age and higher pain score before the procedure were identified as predictors for higher pain score after pediatric gastrointestinal endoscopies. Children with these risk factors should be identified before the procedure in order to personalize their post-procedure management.
Solar Cycle Related Variation in Solar Differential Rotation and Meridional Flow in Cycle 24
Authors: Imada Shinsuke , Matoba Kengo , Fujiyama Masashi , Iijima Haruhisa 
Published: October 2020

Abstract
We studied temporal variation of the differential rotation and poleward meridional circulation during solar cycle 24 using the magnetic element feature tracking technique. We used line-of-sight magnetograms obtained using the Helioseismic and Magnetic Imager aboard the Solar Dynamics Observatory from May 01, 2010 to March 26, 2020 (for almost the entire period of solar cycle 24, Carrington Rotation from 2096 to 2229) and tracked the magnetic element features every 1 hour. We also estimated the differential rotation and poleward meridional flow velocity profiles. The observed profiles are consistent with those of previous studies on different cycles. Typical properties resulting from torsional oscillations can also be observed from solar cycle 24. The amplitude of the variation was approximately $\pm$10 m s$^{-1}$. Interestingly, we found that the average meridional flow observed in solar cycle 24 is faster than that observed in solar cycle 23. In particular, during the declining phase of the cycle, the meridional flow of the middle latitude is accelerated from 10 to 17 m s$^{-1}$, which is almost half of the meridional flow itself. The faster meridional flow in solar cycle 24 might be the result of the weakest cycle during the last 100 years.
Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.
Authors: Haesebaert Julie , Laude C. , Termoz A. , Bravant E. , Perreton N. , Bony T. , Trehard H. , Porthault S. , Derex L. , Nighoghossian N. , Schott AM. 
Published: October 2020

Abstract
Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke. Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months. Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16). Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.
Relationship between social support status and mortality in a community-based population: a prospective observational study (Yamagata study)
Authors: Uzuki Tsutomu , Konta Tsuneo , Saito Ritsuko , Sho Ri , Osaki Tsukasa , Souri Masayoshi , Watanabe Masafumi , Ishizawa Kenichi , Yamashita Hidetoshi , Ueno Yoshiyuki , Kayama Takamasa 
Published: October 2020

Abstract
Background: Social support, defined as the exchange of support in social relationships, plays a vital role in maintaining healthy behavior and mitigating the effects of stressors. This study investigated whether functional aspect of social support is related to 5-year mortality in health checkup participants. Methods: This study recruited 16,651 subjects (6,797 males, 9,854 females). Social support was evaluated using five-component questions: Do you have someone 1) whom you can consult when you are in trouble? 2) whom you can consult when your physical condition is not good? 3) who can help you with daily homework? 4) who can take you to hospital when you don’t feel well? and 5) who can take care of you when you are ill in bed? The association between the component of social support and all-cause and cardiovascular mortality was examined using Cox proportional hazard analysis. Results: The percentage of subjects without social support components was 7.7%-15.0%. They were more likely to be male, non-elderly, and living alone. During the follow-up period, there were 166 all-cause and 38 cardiovascular deaths. Cox proportional analysis adjusted for confounders showed that only the lack of support for transportation to hospital was significantly associated with all-cause (hazard ratio [HR] 2.01, 95% confidence interval [CI] 1.26-3.05) and cardiovascular mortality (HR 3.30, 95% CI 1.41-6.87). These associations were stronger in males than females. Conclusion: This study showed that the lack of social support for transportation to the hospital was independently associated with all-cause and cardiovascular mortality in a community-based population.
Five Novel Deleterious Variants in&nbsp;FANCA,&nbsp;FANCF&nbsp;and&nbsp;FANCG&nbsp;Identified in Pakistani Fanconi Anemia Families Using Exome Sequencing
Authors: Thompson Ashley S. , Saba Nusrat , McReynolds Lisa J. , Munir Saeeda , Ahmed Parvez , Sajjad Sumaira , Jones Kristine , Yeager Meredith , Donovan Frank X. , Chandrasekharappa Settara C. , Alter Blanche P. , Savage Sharon A. , Rehman Sadia 
Published: October 2020

Abstract
Background Fanconi anemia (FA), a cancer-prone inherited bone marrow failure syndrome associated with characteristic dysmorphology is primarily caused by autosomal recessive inheritance of pathogenic germline variants in any of 22 different DNA repair genes. Pathogenic variants in FANCA are the most frequent cause, followed by FANCC and FANCG. There are limited data on the specific molecular causes of FA in different ethnic groups. Methods We evaluated 19 patients with FA undergoing hematopoietic cell transplantation evaluation, from 17 families in Pakistan with exome sequencing and copy number variant analysis. To accompany these efforts, we reviewed the literature and curated a list of variants reported in patients with FA from South Asia and the Middle East.Results The genetic causes for disease were identified in 14 families: 7 FANCA, 2 FANCC, 1 FANCF, 2 FANCG, and 2 FANCL. Homozygous and compound heterozygous variants were present in 12 and 2 families, respectively. Nine families carried variants previously reported as pathogenic, including two families with the South Asian FANCL founder variant. We also identified five novel likely deleterious variants in FANCA, FANCF, and FANCG in affected patients. Conclusions Our study supports the importance of determining the genomic landscape of FA in diverse populations, in order to improve understanding of FA etiology and assist in the counseling of families.
f-Electron and Magnetic Ordering Effects in Nickelates LaNiO2 and NdNiO2: Remarkable Role of The Cuprate-Like 3dx2-y2 Band
Authors: Sun Jianwei , Zhang Ruiqi , Lane Christopher , Singh Bahadur , Nokelainen Johannes , Barbiellini Bernardo , Markiewicz Robert , Bansil Arun 
Published: October 2020

Abstract
Recent discovery of superconductivity in the doped infinite-layer nickelates has renewed interest in understanding the nature of high-temperature superconductivity more generally. The low-energy electronic structure of the parent compound NdNiO2, the role of electronic correlations in driving superconductivity, and the possible relationship betweeen the cuprates and the nickelates are still open questions. Here, by comparing LaNiO2 and NdNiO2 systematically within a parameter free density functional framework, all-electron first-principles framework, we reveal the role Nd 4f-electrons in shaping the ground state of pristine NdNiO2. Strong similarities are found between the electronic structures of LaNiO2 and NdNiO2, except for the effects of the 4f-electrons. Hybridization between the Nd 4f and Ni 3d orbitals is shown to significantly modify the Fermi surfaces of various magnetic states. In contrast, the competition between the magnetically ordered phases depends mainly on the gaps in the Ni dx2-y2 band, so that the ground state in LaNiO2 and NdNiO2 turns out to be striking similarity to that of the cuprates. The d - p band-splitting is found to be much larger while the intralayer 3d ion-exchange coupling is smaller in the nickelates compared to the cuprates. Our estimated value of the on-site Hubbard U is similar to that in the cuprates, but the value of the Hund's coupling JH is found to be sensitive to the Nd magnetic moment. The exchange coupling J in NdNiO2 is only half as large as in the curpates, which may explain why Tc in the nickelates is half as large as the cuprates.
Genome-wide Survey of Tandem Repeats by Nanopore Sequencing Shows that Disease-associated Repeats are More Polymorphic in the&nbsp;General Population
Authors: Mitsuhashi Satomi , Frith Martin C , Matsumoto Naomichi 
Published: October 2020

Abstract
Background: Tandem repeats are highly mutable and contribute to the development of human disease by a variety of mechanisms. It is difficult to predict which tandem repeats may cause a disease. One hypothesis is that changeable tandem repeats are the source of genetic diseases, because disease-causing repeats are polymorphic in healthy individuals. However, it is not clear whether disease-causing repeats are more polymorphic than other repeats. Methods: We performed a genome-wide survey of the millions of human tandem repeats using publicly available long read genome sequencing data from 21 humans. We measured tandem repeat copy number changes using tandem-genotypes. Length variation of known disease-associated repeats was compared to other repeat loci. Results: We found that known Mendelian disease-causing or disease-associated repeats, especially CAG and 5'UTR GGC repeats, are relatively long and polymorphic in the general population. We also show that repeat lengths of two disease-causing tandem repeats, in ATXN3 and GLS, are correlated with near-by GWAS SNP genotypes. Conclusions: We provide a catalog of polymorphic tandem repeats across a variety of repeat unit lengths and sequences, from long read sequencing data. This method especially if used in genome wide association study (GWAS), may indicate possible new candidates of pathogenic or biologically important tandem repeats in human genomes.
Headache and Sleep-Related Breathing Disorders Among Patients With Sclerosteosis and Disease Carriers: The First Family in Italy
Authors: Rapisarda Laura , Gagliardi Monica , Bombardieri Caterina , Procopio Radha , Demonte Giulio , Tosto Federico , Gambardella Antonio , Annesi Grazia , Bono Francesco 
Published: October 2020

Abstract
BackgroundHeadache and sleep-related breathing disorders among patients with sclerosteosis and disease carriers has been little studied. We investigated the neurological and neuroimaging features of patients and gene carriers of a large Italian family with sclerosteosis.Main bodyIn this Italian family with sclerosteosis, genetic tests detected the homozygous mutation p.Gln24X (c.70C>T) of the SOST gene in the proband, and a heterozygous mutation between 9 siblings. Severe hyperostosis of the skull caused chronic headache secondary to intracranial hypertension due to venous hypertension and obstructive sleep apnea syndrome in adult homozygotes. There was transosseous intracranial-extracranial occipital venous drainage which indicated a compensatory mechanism for intracranial venous hypertension, one of the causative factors of increased CSF pressure in sclerosteosis. While mild hyperostosis of the skull was associated with headache and snoring in heterozygotes. ConclusionsHeadache and sleep-related breathing disorders are the most common clinical manifestations among patients with sclerosteosis and disease carriers. Cerebral venous hypertension leading to intracranial hypertension and facial deformities are the causative factors of headache and sleep-related breathing disorders. These data suggest that venous stenting to accommodate cerebral venous drainage could be useful in the treatment of intracranial hypertension, and correction of facial deformities to relieve obstructive sleep apnea may play a role in the treatment of patients with sclerosteosis. The data highlight that it is reasonable to extend neurological evaluation and radiological study to gene carriers.
Predicting Survival Outcome of Patients With Colorectal Cancer and Only Lung Metastasis: A Population-Based Real-World Study
Authors: Tang Hui , Zhou Jian-Feng , Bai Chun-Mei 
Published: October 2020

Abstract
Background: Patients with metastatic colorectal cancer (mCRC) have a poor prognosis, but lung metastasis (LM) generally has a relatively desirable survival outcome. However, clinicians have had few tools for estimating the probability of survival in patients with colorectal cancer (CRC) and only LM (OLM). The present study aimed to develop nomograms estimating survival probability for patients with CRC and OLM.Methods: Data from the Surveillance, Epidemiology, and End Results (SEER) database of patients with CRC between 2010 and 2014 were retrieved for retrospective analysis. Patients with OLM diagnosed between 2010 and 2014, except for 2012 (n = 1,118) were used to conduct multivariate Cox analysis to identify independent prognostic factors. Nomograms estimating 1- and 3-year overall survival (OS) and cancer-specific survival (CSS) were developed. The nomograms were internally validated for concordance index (C-index), calibration plots, receiver operating characteristic (ROC) curves, and were also externally validated with independent patients diagnosed in 2012 (n = 261).Results: Age, marital status, tumor location, tumor size, T and N stage, CEA, tumor deposit, histological grade, primary or metastatic tumor surgery, chemotherapy, radiotherapy, and income were found to be independently associated with OS and/or CSS. The nomograms were constructed based on these prognostic factors. The C-index were high in internal validation (0.736 for OS and 0.741 for CSS) and external validation (0.656 for OS and 0.663 for CSS). Internal and external calibration plots and ROC curves demonstrated a good agreement between actual observation and nomogram prediction.Conclusions: The nomograms individually predict OS and CSS of patients with CRC and OLM and could aid in the personalized prognostic evaluation and clinical decision-making.
Phytohormone cross-talk and antioxidant gadgets tussles osmotic stress in indigenous rice landraces during seed germination
Authors: Anupriya R. , Thankappan Sugitha , Senthil A. , Rajakumar D. , S Geetha , Binodh Asish Kanakaraj 
Published: October 2020

Abstract
Seed germination plays a critical role in determining rice productivity under drought stress. We evaluated 100 traditional rice landraces originated from different agro-ecological zones of Tamil Nadu along with drought- susceptible (IR 64) and drought- tolerant (IR 64 DRT) checks. Moisture stress was induced using PEG 6000 and screening done over a range of osmotic potentials (-) 10 bars, (-) 12.5 bars and (-)15 bars for a period of 5 d. Physio-morphological traits such as germination rate, survival per cent, root and shoot length, vigor index, RS ratio and relative water content (RWC) were assessed during early drought stress. We observed significant changes in the seed macromolecules, phytohormone levels (GA and IAA), osmolytes and antioxidant responses (catalase and superoxide dismutase) between drought stress and control treatments. Kuliyadichan registered significantly higher IAA and GA (44% and 35% respectively over drought tolerant check IR 64 DRT) at drought stress, whereas all the landraces showed an elevated catalase activity. In PC analysis, first three PCs captured 88.93% of the total variation; significant differences were detected among genotypes with respect to the studied parameters. Six traditional landraces such as Kuliyadichan, Rajalakshmi, Sabhagidhan, Nootripathu, Chandaikar and Mallikar were selected and their inherent drought tolerance was associated with metabolic responses viz., triggered hydrolytic enzyme activities, hormonal cross-talk, ROS signaling and catalase under drought stress compared to drought sensitive IR64. Hence, these genotypes can be used as potential donor candidates towards genetic improvement of drought tolerance in rice.
Serum Resolvin E1 Levels and Its Relationship with Thyroid Autoimmunity in Hashimoto's Thyroiditis
Authors: Song Jing , Sun Rongxin , Zhang Yuanyuan , Ke Jing , Zhao Dong 
Published: October 2020

Abstract
Objective: Omega-3 polyunsaturated fatty acids (PUFAs) can produce lipid mediators with both anti-inflammatory and pro-resolution properties, including resolvins. Resolvins have been associated with autoimmune disorders. This study aimed to measure the level of resolvin E1 (RVE1) in the serum of Hashimoto's thyroiditis (HT) patients and healthy controls (HCs) and to further analyze its correlation with thyroid autoantibodies and other clinical indicators.Design, patients and measurements: Fifty-seven participants were recruited—30 untreated HT patients and 27 sex‐ and age‐matched HCs. Levels of serum RVE1 were measured by ELISA according to the manufacturer’s protocol. Serum total T3 (TT3), TT4, free T3 (FT3), FT4, thyroglobulin antibody (TgAb), thyroid peroxidase antibody (TPOAb) and thyroid-stimulating hormone (TSH) levels were measured using an electrochemiluminescence immunoassay. Routine biochemical and hemogram tests were performed on each sample.Results: Serum RVE1 levels in HT patients (24.09, 15.76-34.38 pg/mL) were significantly lower than those in HCs (28.51, 20.76-51.23 pg/mL) (P=0.027). As the TgAb level increased, the RVE1 content showed a decreasing trend (P for trend=0.001). Multivariable ordinal logistic regression analysis showed that RVE1 was negatively correlated with increasing TgAb in both the unadjusted (OR=0.9446, 95% CI=0.9111-0.9782, P=0.002) and adjusted models (OR=0.9380, 95% CI=0.8967-0.9811, P=0.005).Conclusions: Decreased RVE1 levels indicate impaired resolution of inflammation in HT patients. RVE1 may be a protective factor for elevated TgAb levels.