bluuebunny/crossref_metadata_2025_split huggingface dataset:
A retrospective case series of Fournier’s gangrene: necrotizing fasciitis in perineum and perianal region
Authors: Zhang Nan , Yu Xin , Zhang Kai , Liu Tongjun 
Published: October 2020

Abstract
BackgroundTo describe the clinical characteristics and management for Fournier’s gangrene. Experience summary and literature references are provided for future treatment improvement.MethodsWe retrospectively reviewed the cases diagnosed with Fournier’s gangrene in our department from June 2016 to June 2019. Clinical data, including manifestation, diagnosis, treatment and outcomes for Fournier’s gangrene were presented.ResultsThere were 12 patients enrolled in this paper, with the average age of 60 years old. It showed a male predominance with male-to-female ratio of 6:1. The average of laboratory risk indicator for necrotizing fasciitis (LRINEC) score was 10.1. Diabetes mellitus was the main predisposing disease. 11 patients received emergency debridement and 1 patient died of sepsis on the 2nd day after admission. The mortality rate was 8.3%. 6 cases developed complications, including sepsis, pneumonia, renal and heart failure. Negative pressure wound therapy (NPWT) was applied in 10 cases, while the rest 1 received normal daily dressing changes because of fecal contamination. Flaps were utilized in 2 patients to cover the defect, including one with advancement flap and one with pudendal-thigh flap, while others received secondary suture, secondary healing, skin graft or combined management. No relapse was observed during the follow-up visits.ConclusionsFournier’s gangrene is a life-threatening infection that requires early diagnosis and surgery intervention. The predisposing disease, clinical manifestation and LRINEC score should be taken into comprehensive consideration, which is helpful for timely diagnosis. Moreover, further successful treatment depends on the aggressive debridement, broad-spectrum antibiotics therapy, wound management and closure choice.
Seasonal variation in climate and landcover niches of a migratory bird
Authors: Illan Javier Gutierrez , Wang Guiming , Cunningham Fred L , King D Tommy 
Published: October 2020

Abstract
Background: Resource utilization strategies of avian migrants are a major concern for conservation and management. Consequently, the ability to predict potential shifts in migratory species spatial use and migratory behaviour is a pressing challenge for predictive ecology under global changes. There are two main strategies of resource use adopted by migratory birds: niche tracking for similar environmental conditions and niche switching between different environmental conditions between seasons. Our objective was to examine whether the niche tracking/niche switching hypothesis would better explain seasonal variations in the ecological niche overlap of the American White Pelicans (AWPE, Pelecanus erythrorhynchos). We also tested whether recent changes in the non-breeding ground land-use have altered habitat selection and space use by AWPE. Methods: We used Dirichlet-multinomial models to detect differences in habitat selection between regions and over times with the GPS locations of 36 tracked AWPEs. We estimated climatic and land-cover niche overlap between the breeding and non-breeding grounds to test for niche switches between seasons using ordination methods. Results: Our habitat selection models did not detect shifts in habitat selection by AWPE after 2005. American white pelican strongly selected open water and wetland at the non-breeding and breeding grounds. American white pelicans showed little climatic niche overlap but substantial landscape niche overlap between breeding and non-breeding grounds.Conclusions: Declines in aquacultural acreage did not change AWPE habitat selection in the Northern Gulf of Mexico. Our results did not support the hypothesis that AWPE would be a climatic niche tracker. However, AWPE tracked its foraging habitats, exhibiting strong selection for open water and wetland at both the breeding and non-breeding grounds. Climatic niche switching suggests that AWPE may adapt to future climate changes.
Multivariate analysis of factors for failed continuous bladder irrigation in hemorrhagic cystitis patients after hematopoietic stem cell transplantation
Authors: Yang Wenbo , Du Yiqing , Qu Zhan , Bai Wenjun , Yu Luping , Zhang Xiaopeng , Wang Qi , Zhang Xiaowei , Li Qing , Xu Tao 
Published: October 2020

Abstract
Background: Continuous bladder irrigation (CBI) and proper adjustment of saline irrigation speed are important to avoid CBI failure in hemorrhagic cystitis (HC) patients after allogeneic hematopoietic stem cell transplantation (HSCT). Nevertheless, too fast irrigation speed could take away the patient's much heat, contribute to blood coagulopathy, and increase the nursing workload. Evaluation of risk for CBI failure remains an unmet clinical need.Methods: The general information, clinical characteristics, and consultation records of HC patients in 1380 patients with hematopoietic stem cell transplantation in our center from 2017 to 2019 were analyzed retrospectively. The receiver operating characteristic (ROC) curve was used to calculate the cutoff point of the continuous variable, and multivariate logistic regression was used to analyze the risk factors affecting CBI failure in HC patients.Results: The incidence of HC after HSCT was 23%. A total of 227 patients with HC above grade 2 were included. Univariate analysis showed that CRP, age, platelet counts, onset time after transplantation, albumin, and hemoglobin were associated with CBI failure in the short-term (P < 0.05). ROC curve and multivariate logistic regression analysis showed that CRP > 8.89 ng/ml (RR = 7.828, 95% CI 2.885-21.244), age < 14.5 years (RR = 9.940, 95% CI 3.219-30.697), and onset time of HC＞37d after transplantation (RR = 7.021, 95% CI 2.204-22.364), were independent risk factors for failure of CBI (P < 0.05).Conclusions: The study identified CRP > 8.89 ng/ml, age < 14.5 years, and onset time of HC after HSCT > 37d are independent factors for failure of CBI, which could be combined to allow stratification of HC after HSCT patients into low-, intermediate- and high-risk subgroups of CBI failure.
Resection of a retroperitoneal cancer of unknown primary site after chemoradiation therapy: a case report
Authors: Suetsugu Tomonari , Matsuhashi Nobuhisa , Tsuchiya Hiroshi , Takahashi Takao , Fukada Masahiro , Tanaka Hideharu , Iwata Yoshinori , Yasufuku Itaru , Sato Yuta , Imai Takeharu , Imai Hisashi , Tanaka Yoshihiro , Okumura Naoki , Yamaguchi Kazuya , Yoshida Kazuhiro 
Published: October 2020

Abstract
Background: Complete recovery from retroperitoneal squamous cell carcinoma of unknown primary site treated by multidisciplinary therapy is extremely rare.Case presentation: A 78-year-old man was referred to our hospital due to a mass measuring 8 cm in size in the left pelvic retroperitoneal area, which was diagnosed as a cancer of unknown primary site. The pathological type was squamous cell carcinoma. The left iliac artery/vein and ureter were involved in the tumor, and the tumor caused severe left leg pain. Although inflammation and symptoms were severe, radiotherapy was considered. After that, biweekly combined therapy with docetaxel, cisplatin, and fluorouracil was planned. After 5 courses of chemotherapy, the tumor diameter reduced from 11.6 cm to 4 cm in size. In addition, the border between the iliac vessels, urinary tract and tumor became apparent. The patient underwent radical resection of the tumor 8 months after the treatment started. The left ureter and the external/internal iliac artery were preserved, but the external iliac vein was sacrificed because of the possibility of tumor invasion. The postoperative course was free of complications, and the patient was discharged 10 days after the operation. The histopathological findings showed no residual viable tumor cells or foreign body-type giant cells with necrosis. The pathological effect of chemotherapy was defined as Grade 3 (pathological complete response). The patient has experienced no recurrence or distant metastasis for 4 years.Conclusions: Multidisciplinary therapy succeeded in treating a retroperitoneal squamous cell carcinoma of unknown primary site with preservation of organ function.
Reduced Metagenome Sequencing for strain-resolution taxonomic proles
Authors: Snipen Lars , Angell Inga-Leena , Rognes Torbjørn , Rudi Knut 
Published: October 2020

Abstract
Background: Studies of shifts in microbial community composition has many applications. For studies at species or subspecies levels, the 16S amplicon sequencing lacks resolution, and is often replaced by full shotgun sequencing. Due to higher costs, this restricts the number of samples sequenced. As an alternative to a full shotgun sequencing we have investigated the use of Reduced Metagenome Sequencing (RMS) to estimate the composition of a microbial community. This involves the use of double-digested restriction associated DNA sequencing, which means only a smaller fraction of the genomes are sequenced. The read sets obtained by this approach have properties different from both amplicon and shotgun data, and analysis pipelines for both can either not be used at all or do not explore the full potential of RMS data. Results: We suggest a procedure for analyzing such data, based on fragment clustering and the use of a constrained ordinary least square de-convolution for estimating the relative abundance of all community members. Mock-community data sets shows the potential to clearly separate between strains even when the 16S is 100% identical and genome-wide dierences is < 0:02, indicating RMS has a very high resolution. From a simulation study we compare RMS to shotgun sequencing and show that we get improved abundance estimates when the community has many very closely related genomes. From a real data set of infants guts we show that RMS is capable of detecting a strain-diversity gradient for Escherichia coli across time. Conclusion: We find that RMS is a good alternative to either metabarcoding or shotgun sequencing when it comes to resolving microbial communities at the strain-level. Like shotgun metagenomics, it requires a good database of reference genomes, and is well suited for studies of the human gut or other communities where many reference genomes exist. A data analysis pipeline is offered, as an R package at https://github.com/larssnip/microRMS. Keywords: metagenome; strains; ddRADseq
Identification of co-existence of Alport syndrome and C3 glomerulonephritis in a proband with family history&nbsp;
Authors: ding yin , tang xuanli , du yuanyuan , chen hongyu , yu dongrong , zhu bin , yuan bohan 
Published: October 2020

Abstract
BackgroundAlport syndrome and C3 glomerulonephritis (C3GN) are rare kidney diseases, frequently responsible for familial haematuria, proteinuria, and renal impairment. With the rapid development of molecular genetic testing, Alport syndrome causes have been restricted mostly to variants in the COL4A5 or COL4A3/COL4A4 genes. Moreover, a broad range of genetic contributors in the complement and complement-regulating proteins are definitely implicated in the pathogenesis of C3GN.MethodsWe sought a family with persistent microscopic haematuria associated with renal failure. Clinicopathologic and follow-up data were obtained, and molecular genetic testing was used to screen for pathogenic variants. ResultsWe describe a three-generation family with Alport syndrome showing a dominant maternal inheritance. Notably, renal biopsy showed the concurrent histological evidence of C3GN in the proband harbouring an uncommon heterozygous variation in CFHR5, c.508G>A. The alteration leads to replacement of a highly conserved residue at position 170 of the β-strand subunit of CFHR5 (p.Val170Met). In silico analysis showed that the variation was predicted to deregulate complement activation by altering the structural properties and enhancing C3b binding capacity to compete with Complement Factor H (CFH), which was in line with experimental data previously published.ConclusionsThe comorbidity findings between Alport syndrome and C3GN indicate an underlying overlap and require further study.
Exogenous melatonin enhances salt secretion from salt glands by upregulating the expression of ion transporter and vesicle transport genes in Limonium bicolor
Authors: Li Junpeng , Yuan Fang , Liu Yanlu , Zhang Mingjing , Liu Yun , Zhao Yang , Wang Baoshan , Chen Min 
Published: October 2020

Abstract
Background: Salt stress inhibits plant growth and reduces yields. Melatonin is a pleiotropic molecule and can regulate plant growth and alleviate environmental stress in plants. Previous research has focused on the use of melatonin to improve the relatively low salt tolerance of glycophytes by promoting growth and enhancing antioxidant ability. It is unclear whether exogenous melatonin can increase the salt tolerance of halophytes, particularly recretohalophytes, by enhancing salt secretion from the salt glands. Results: We explored the effects of exogenous applications of melatonin on the secretion of salt from the salt glands of Limonium bicolor (a kind of recretohalophyte) seedlings and on the expression of associated genes. 5 μM exogenous melatonin significantly improved the growth of L. bicolor seedlings under 300 mM NaCl. Furthermore, exogenous melatonin significantly increased the dry weight and endogenous melatonin content of L. bicolor . In addition, this treatment reduced the content of Na + and Cl – in leaves, but increased the K + content. Both the salt secretion rate of the salt glands and the expression level of genes encoding ion transporters and vesicular transport proteins were significantly increased by exogenous melatonin treatment. These results indicate that melatonin improves the salt tolerance of the recretohalophyte L. bicolor via the upregulation of salt secretion by the salt glands. Conclusions: Our results showed that melatonin can upregulate the expression of genes encoding ion transporters and vesicle transport proteins to enhance salt secretion from the salt glands. Combining the results of the current study with previous research, we formulated a novel mechanism by which melatonin increases salt secretion in L. bicolor . Ions in mesophyll cells are transported to the salt glands through ion transporters located at the plasma membrane. After the ions enter the salt glands, they are transported to the collecting chamber adjacent to the secretory pore through vesicle transport and ions transporter and then are secreted from the secretory pore of salt glands, which maintain ionic homeostasis in the cells and alleviate NaCl-induced growth inhibition.
OKlahoma Nitrone-007: Novel Treatment for Diffuse Intrinsic Pontine Glioma
Authors: Thomas Lincy , Smith Nataliya , Saunders Debra , Zalles Michelle , Gulej Rafal , Lerner Megan , Fung Kar-Ming , Carcaboso Angel M. , Towner Rheal A. 
Published: October 2020

Abstract
Background: Diffuse intrinsic pontine glioma (DIPG) is the most common brainstem cancer in childhood. This rapidly progressing brainstem glioma holds a very dismal prognosis with median survival of less than 1 year. Despite extensive research, no significant therapeutic advancements have been made to improve overall survival in DIPG patients. Methods: Here, we used an orthotopic xenograft pediatric DIPG (HSJD-DIPG-007) mouse model to monitor the effects of anti-cancer agent, OKlahoma Nitrone-007 (OKN-007), as an inhibitor of tumor growth after 28 days of treatment. Using magnetic resonance imaging (MRI), we confirmed the previously described efficacy of LDN-193189, a known activin A receptor, type I (ACVR1) inhibitor, in decreasing tumor burden and found that OKN-007 was equally efficacious.Results: After 28 days of treatment, the tumor volumes were significantly decreased in OKN-007 treated mice (p<0.01). The apparent diffusion coefficient (ADC), as a measure of tissue structural alterations, was significantly decreased in OKN-007 treated tumor-bearing mice (p<0.0001). Histological analysis also showed a significant decrease in CD34 expression, essential for angiogenesis, of OKN-007 treated mice (p<0.05) compared to LDN-193189 treated mice. OKN-007-treated mice also significantly decreased protein expression of the human nuclear antigen (HNA) (p<0.001), ACVR1 (p<0.0001), and c-MET (p<0.05), as well as significantly increased expression of cleaved caspase 3 (p<0.001) and histone H3 K27-trimethylation (p<0.01), compared to untreated mouse tumors.Conclusions: With the dismal prognosis and limited effective chemotherapy available for DIPG, there is significant room for continued research studies, and OKN-007 merits further exploration as a therapeutic agent.
Berberine exhibits neuroprotective effects through inhibited autophagy and promoted microglial M1 transferred to M2 polarization
Authors: Lei Qiang , Hu Zhiping , Yang Binbin , Jiang Zheng , Zhou Fangfang 
Published: October 2020

Abstract
Background: Intracerebral haemorrhage (ICH) induces autophagy excessive activation and microglia mainly switched into proinflammatory M1 type, which can cause severe secondary injury. Current evidence has implied that berberine has a protective effect against ischaemic stroke through mediated autophagy and microglial polarization. However, the neuroprotective effect of berberine in intracerebral hemorrhage (ICH) remains unclear.Method: In this study the effect of berberine on rats model of intracerebral hemorrhage were investigated through Immunofluorescence, qPCR, ELISA, and western blot.Result: Berberine administration significantly reduces neurological deficits and the brain water content via inhibited autophagy, promoted M1 type microglia to M2 type, and subsequently exerts anti-inflammation effects in a rat model of ICH.Conclusion: These results suggest that berberine reduced secondary injury and improved neurological outcomes in ICH model.
Combined effects of intrinsic host gene (TRAPPC9) and extrinsic nutrient (folate) on resistance against S. aureus induced bovine mastitis
Authors: Mi Siyuan , Song Minyan , Dong Yichun , Zhang Zhichao , Fan Lijun , Shi Liangyu , Wang Xin , Shi Kerong , Yu Ying 
Published: October 2020

Abstract
Background: Drug-resistance and immunological escape of Staphylococcus aureus and its “superbug”, methicillin-resistant S. aureus (MRSA), have become one of main causes of bacterial infection in both human and animals. In dairy cattle, elimination of bovine mastitis induced by S. aureus is of importance because S. aureus-infected cows normally are culled passively. Methods: Here, we investigated the beneficial effects of bovine trafficking protein particle complex 9 (TRAPPC9) gene and folic acid supplementation in the control of mastitis induced by S. aureus or MRSA by a series of in vivo and in vitro experiments. Results: The data showed that the genetic mutations and DNA methylation of TRAPPC9 were highly linked with the mastitis resistance of dairy cows. Additionally, knockdown of bovine TRAPPC9 was significantly involved in the mRNA expression levels of interleukin’s genes (increased IL-1β and IL-6), and down-regulated the protein level of NF-κB-P65 in the mastitis cell model induced by MRSA. Meanwhile, dose-dependent folic acid addition can inhibit the invasion of MRSA into Mac-T cells and improve TRAPPC9 expression in dairy cows. Conclusions: Altogether, our data suggest that an appropriate dose of folic acid can significantly reduce the inflammation caused by MRSA partially through TRAPPC9 mediated NF-κB pathway. These findings provide new insights to control the drug-resistant pathogens and to restrict the overuse of antibiotics through combined effects of the intrinsic host gene and extrinsic nutrient.
Quasi-Equivalence of Width and Depth of Neural Networks
Authors: Fan Fenglei , Lai Rongjie , Wang Ge 
Published: October 2020

Abstract
While classic studies proved that wide networks allow universal approximation, recent research and successes
of deep learning demonstrate the power of the network depth. Based on a symmetric consideration,
we investigate if the design of artificial neural networks should have a directional preference, and what the
mechanism of interaction is between the width and depth of a network. We address this fundamental question
by establishing a quasi-equivalence between the width and depth of ReLU networks. Specifically, we formulate a
transformation from an arbitrary ReLU network to a wide network and a deep network for either regression
or classification so that an essentially same capability of the original network can be implemented. That is, a
deep regression/classification ReLU network has a wide equivalent, and vice versa, subject to an arbitrarily small
error. Interestingly, the quasi-equivalence between wide and deep classification ReLU networks is a data-driven
version of the DeMorgan law.
Source Identification and Variation in the Chemical Composition of Rainwater in Southern-Eastern Region of Bangladesh
Authors: Hossen Md. Arif , Hoque Asiful , Salauddin Md , Pal Sudip K. , Muktadir Mohammad G. , Jahan Hasin 
Published: October 2020

Abstract
The present study portrayed a better understanding of the chemical characteristics of rainwater in South-Eastern region of Bangladesh (e.g. Chattogram) as well as to identify the potential sources of different precipitation constituents in the study region that were often unexplored and not well understood. Rainwater pH, major ions, and trace metals were measured in samples collected from five different locations with different land use patterns of Chattogram Metropolitan area (CMA) during the two rainy seasons. The samples were tested following standard protocols. The results of this study exhibit variability in rainwater quality across the sites signifying site-specific influences. The mean concentration of all measured physicochemical parameters, ions and trace metals in rainwater samples were found significantly lower compared to the drinking water quality standard of Bangladesh. In context of ionic constituents, the higher concentrations of nitrate (NO3-) and sulphate (SO42-) were generally in commercial area. The correlation matrix and principal component analysis (PCA) indicated that NO3- and SO42- were from anthropogenic sources, e.g. automobile exhaust, incomplete fuel combustions, and industrial emissions. The average concentration of trace metals in rainwater was followed a decreasing order: Zn ˃ Cu ˃ Fe ˃ Cr ˃ Mn ˃ Pb ˃ Cd. Trace metals concentration, especially copper (Cu) and zinc (Zn) were found maximum in the industrial catchment area. The resulting outcomes of this study could be useful to investigate the influences of industrial, urban, and agricultural emissions that elaborate the physical processes regulating the chemical characteristic of the atmosphere in the investigated area.