bluuebunny/crossref_metadata_2025_split huggingface dataset:
Robotic “Double Loop” Roux-en-Y gastric bypass reduces the risk of postoperative internal hernias: a prospective observational study
Authors: Rebecchi Fabrizio , Ugliono Elettra , Palagi Silvia , Genzone Alessandro , Toppino Mauro , Morino Mario 
Published: August 2020

Abstract
Background
Internal herniation (IH) is a potentially serious complication after laparoscopic Roux-en-Y gastric bypass (RYGB). The aim of the study is to evaluate the incidence of IH after robot-assisted RYGB (RA-RYGB) performed with the “Double Loop” technique at our Institution.

Methods
Prospective cohort study of patients submitted to RA-RYGB with the “Double Loop” technique, with a minimum follow-up of 2 years. Patients with complaints of abdominal pain at clinical visits or entering the emergency department were evaluated. Primary outcome was the incidence of IH, defined as the presence of herniated bowel through a mesenteric defect, diagnosed at imaging or at surgical exploration.

Results
A total of 129 patients were included: 65 (50.4%) were primary procedures, while 64 (49.6%) were revisional operations after primary restrictive bariatric surgery. Mean age was 47.9 ± 10.2 years, mean weight, and body mass index were, respectively, 105.3 ± 22.6 kg and 39.7 ± 9.6 kg/m2. Postoperative morbidity rate was 7.0%. Mean follow-up was 53.2 ± 22.6 (range 24–94) months. During the follow-up period, a total of 14 (10.8%) patients entered the emergency department: 1 patient had melena, 4 renal colic, 1 acute cholecystitis, 2 gynecologic pathologies, 2 anastomotic ulcers, 1 perforated gastric ulcer, 1 diverticulitis and 2 gastroenteritis. There were no diagnoses of IH. During the follow-up period, no patient experienced recurrence of symptoms.

Conclusions
In the present study, the robotic approach confirms the low complication rate and absence of IH after “Double Loop” RA-RYGB in a large case-series at a medium-term follow-up.
Transperitoneal vs retroperitoneal minimally invasive partial nephrectomy: comparison of perioperative outcomes and functional follow-up in a large multi-institutional cohort (The RECORD 2 Project)
Authors: Porpiglia Francesco , Mari Andrea , Amparore Daniele , Fiori Cristian , Antonelli Alessandro , Artibani Walter , Bove Pierluigi , Brunocilla Eugenio , Capitanio Umberto , Da Pozzo Luigi , Di Maida Fabrizio , Gontero Paolo , Longo Nicola , Marra Giancarlo , Rocco Bernardo , Schiavina Riccardo , Simeone Claudio , Siracusano Salvatore , Tellini Riccardo , Terrone Carlo , Villari Donata , Ficarra Vincenzo , Carini Marco , Minervini Andrea ,   The RECORD 2 Project, Altieri Vincenzo , Berardinelli Francesco , Celia Antonio , Costantini Elisabetta , Diminutto Alberto , Falsaperla Mario , Ferro Matteo , Furlan Maria , Grosso Gaetano , Larcher Alessandro , Li Marzi Vincenzo , Montorsi Francesco , Polara Andrea , Porreca Angelo , Rizzetto Riccardo , Roscigno Marco , Schips Luigi , Selli Cesare , Serni Sergio , Simonato Alchiede , Trombetta Carlo , Vespasiani Giuseppe , Volpe Alessandro 
Published: August 2020

Abstract
Background
Aim of this study was to evaluate and compare perioperative outcomes of transperitoneal (TP) and retroperitoneal (TR) approaches in a multi-institutional cohort of minimally invasive partial nephrectomy (MI-PN).

Material and methods
All consecutive patients undergone MI-PN for clinical T1 renal tumors at 26 Italian centers (RECORd2 project) between 01/2013 and 12/2016 were evaluated, collecting the pre-, intra-, and postoperative data. The patients were then stratified according to the surgical approach, TP or RP. A 1:1 propensity score (PS) matching was performed to obtain homogeneous cohorts, considering the age, gender, baseline eGFR, surgical indication, clinical diameter, and PADUA score.

Results
1669 patients treated with MI-PN were included in the study, 1256 and 413 undergoing TP and RP, respectively. After 1:1 PS matching according to the surgical access, 413 patients were selected from TP group to be compared with the 413 RP patients. Concerning intraoperative variables, no differences were found between the two groups in terms of surgical approach (lap/robot), extirpative technique (enucleation vs standard PN), hilar clamping, and ischemia time. Conversely, the TP group recorded a shorter median operative time in comparison with the RP group (115 vs 150 min), with a higher occurrence of intraoperative overall, 21 (5.0%) vs 9 (2.1%); p = 0.03, and surgical complications, 18 (4.3%) vs 7 (1.7%); p = 0.04. Concerning postoperative variables, the two groups resulted comparable in terms of complications, positive surgical margins and renal function, even if the RP group recorded a shorter median drainage duration and hospital length of stay (3 vs 2 for both variables), p < 0.0001.

Conclusions
The results of this study suggest that both TP and RP are feasible approaches when performing MI-PN, irrespectively from tumor location or surgical complexity. Notwithstanding longer operative times, RP seems to have a slighter intraoperative complication rate with earlier postoperative recovery when compared with TP.
Learning game for improving forklift drivers’ safety awareness
Authors: Lehtonen Esko , Perttula Pia , Maasalo Ida , Reuna Kaisa , Kannisto Henriikka , Puro Vuokko , Hirvonen Maria 
Published: August 2020

AbstractForklift drivers in in-house logistics are at a high risk of occupational injuries. This study piloted a video-based learning game for forklift drivers, designed to increase their safety awareness in their highly dynamic operating environment. The game consisted of video clips filmed from the driver’s perspective. Each video clip was stopped and masked at a point where a safety-relevant item or hazard appeared. Two locations were marked on the screen, one with the hazard and the other with no hazard. The players had to choose the location with the hazard while the screen was masked and received feedback on their choice. Eighty-one professional forklift drivers played the game at their workplaces during the 3–4 month intervention. In addition, forklift registered hard shocks were recorded and compared to the game performance of 20 participants. Higher accuracy in the game correlated with a lower shock rate, suggesting that real-world forklift driving skills transferred to the game. However, accuracy improvement in the game did not decrease the vehicle registered hard shocks. During the intervention, 40% of the participants reported that they began to pay more attention to the hazards of their work environment. Overall, the results suggest that a gamified approach could be useful for demonstrating safety-relevant features at the workplace and supporting drivers’ safety-related self-reflection.
A longitudinal study of the effects of trees, geese and avian predators on breeding wader meadow birds: the case of the Demmerik polder, the Netherlands
Authors: Tamis Wil L.M. , Heemskerk Piet 
Published: August 2020

AbstractIn the Netherlands, breeding populations of wader meadow birds are in sharp decline. One possible cause is that breeding areas are becoming less open because of tall trees and other factors. The effects of tree lines are generally studied by means of transversal studies spanning a short period of time. We report on a longitudinal field study from 1993 to 2010 into the breeding densities of Eurasian Oystercatcher (Haematopus ostralegus), Northern Lapwing (Vanellus vanellus), Black-tailed Godwit (Limosa limosa) and Common Redshank (Tringa totanus) in the Demmerik polder, the Netherlands. One part of this polder, a nature reserve, has an older tree line, while two agricultural parts are divided by a newly developing tree line. As the tree line in the agricultural parts was developing, foraging families of Greylag Goose (Anser anser) showed a strong increase in only one of these parts during the breeding season. During the same period, the density of avian predators also increased in the whole polder. Analysis shows waders avoid trees in both situations: with an existing tree line (a static situation) and with a growing tree line (a dynamic situation). We investigated the possible role of geese and avian predators in explaining the decline in density of breeding wader meadow birds, by systematic comparison of several different models. In these models, the effect of the growing tree line has the greatest impact on breeding meadow birds. Models with geese describe the trends of breeding wader meadow birds better than those including avian predators, but since these two variables, geese and avian predators, are confounded, no definitive conclusion can yet be drawn. Potential explanations of and functional mechanisms behind the strong decline in breeding meadow bird populations in this area are discussed.
Semi-empirical relationships to assess the seismic performance of slopes from an updated version of the Italian seismic database
Authors: Gaudio D. , Rauseo R. , Masini L. , Rampello S. 
Published: August 2020

AbstractSeismic performance of slopes can be assessed through displacement-based procedures where earthquake-induced displacements are usually computed following Newmark-type calculations. These can be adopted to perform a parametric integration of earthquake records to evaluate permanent displacements for different slope characteristics and seismic input properties. Several semi-empirical relationships can be obtained for different purposes: obtaining site-specific displacement hazard curves following a fully-probabilistic approach, to assess the seismic risk associated with the slope; providing semi-empirical models within a deterministic framework, where the seismic-induced permanent displacement is compared with threshold values related to different levels of seismic performance; calibrating the seismic coefficient to be used in pseudo-static calculations, where a safety factor against limit conditions is computed. In this paper, semi-empirical relationships are obtained as a result of a parametric integration of an updated version of the Italian strong-motion database, that, in turn, is described and compared to older versions of the database and to well-known ground motion prediction equations. Permanent displacement is expressed as a function of either ground motion parameters, for a given yield seismic coefficient of the slope, or of both ground motion parameters and the seismic coefficient. The first are meant to be used as a tool to develop site-specific displacement hazard curves, while the last can be used to evaluate earthquake-induced slope displacements, as well as to calibrate the seismic coefficient to be used in a pseudo-static analysis. Influence of the vertical component of seismic motion on these semi-empirical relationships is also assessed.
Computing Macro-Effects and Welfare Costs of Temperature Volatility: A Structural Approach
Authors: Donadelli Michael , Jüppner Marcus , Paradiso Antonio , Schlag Christian 
Published: August 2020

AbstractWe produce novel empirical evidence on the relevance of temperature volatility shocks for the dynamics of productivity, macroeconomic aggregates and asset prices. Using two centuries of UK temperature data, we document that the relationship between temperature volatility and the macroeconomy varies over time. First, the sign of the causality from temperature volatility to TFP growth is negative in the post-war period (i.e., 1950–2015) and positive before (i.e., 1800–1950). Second, over the pre-1950 (post-1950) period temperature volatility shocks positively (negatively) affect TFP growth. In the post-1950 period, temperature volatility shocks are also found to undermine equity valuations and other main macroeconomic aggregates. More importantly, temperature volatility shocks are priced in the cross section of returns and command a positive premium. We rationalize these findings within a production economy featuring long-run productivity and temperature volatility risk. In the model temperature volatility shocks generate non-negligible welfare costs. Such costs decrease (increase) when coupled with immediate technology adaptation (capital depreciation).
Application of temperature modulation to FTIR spectroscopy: an analysis of equilibrium and non-equilibrium conformational transitions of poly(ethylene terephthalate) in glassy and liquid states
Authors: Di Lisio Valerio , Sturabotti Elisa , Francolini Iolanda , Piozzi Antonella , Martinelli Andrea 
Published: August 2020

AbstractIn this paper, the application of a temperature modulation to the temperature-resolved FTIR analysis is reported. The advantage offered by the spectroscopic investigation, able to follow the micro-structural and conformational sample modification involved in sample thermal transformation, was merged to that of temperature modulation, related to the possibility to separate the reversing (in-equilibrium within the experimental condition) to the non-reversing (non-equilibrium) processes. The potentiality of the technique (modulated temperature FTIR, MTFTIR) is highlighted through the study of the thermal transitions of amorphous poly(ethylene terephthalate) from 50 °C to the cold-crystallization. After the presentation of the theoretical framework and the experimental conditions, a step-by-step description of acquired data elaboration is given. The total variation of a selected band intensity as function of mean temperature as well as its reversing and non-reversing components are obtained. The evolution of the bands at 1340 and 971 cm−1, assigned to the trans conformation of the ethylenic unit and to the all-trans conformation of the repeating unit, respectively, are investigated. As expected, the glass transition is observed in the reversing components meanwhile the recovery of the glass relaxation and cold crystallization in non-reversing ones. Particularly interesting resulted the behaviour of the sample in the supercooled liquid state, between the glass transition and the cold-crystallization onset, in which the results show that the ethylenic conformers are in-equilibrium while the all-trans sequences are not. MTFTIR is confirmed to be a technique particularly suitable for the characterization of non-equilibrium conformational states of polymers.
Solubility enhancement of berberine–baicalin complex by the constituents of Gardenia Fruit
Authors: Okoshi Kazuki , Uekusa Yoshinori , Narukawa Yuji , Kiuchi Fumiyuki 
Published: August 2020

AbstractA Kampo prescription usually consists of several crude drugs and contains many kinds of compounds. Physicochemical interactions between the compounds may occur in the process of decoction, by which Kampo prescriptions are usually prepared for ingestion, and the interactions may change the extraction yields of the constituents. Berberine and baicalin have been reported to form precipitates. Orengedokuto, which consist of Coptis Rhizome, Gardenia Fruit, Phellodendron Bark and Scutellaria Root, has been a representative Kampo prescription used to treat inflammatory diseases. In our previous papers, we revealed that the precipitates formed in the decoction of orengedokuto without Gardenia Fruit mainly consists of berberine–baicalin complex and that Gardenia Fruit reduced the amount of the precipitates in orengedokuto decoction. In this report, through solubility-enhancement assay based on HPLC, we identified crocins as the constituents of Gardenia Fruits, which enhanced the solubility of berberine–baicalin complex. All-trans crocin-1 (1) and 13-cis crocin-1 (5) showed high activities among the isolated crocins, and the number of glucosyl groups in the molecule seemed correlated with the activity. As berberine and baicalin were reported as the anti-inflammatory constituents of Coptis Rhizome and Phellodendron Bark, and Scutellaria Root, respectively, Gardenia Fruit contributes anti-inflammatory activity of orengedokuto by increasing solubilities of anti-inflammatory constituents of the other component crude drugs in the prescription. Our result will add a scientific basis to the understanding of the effectiveness of orengedokuto as a whole.
Fibroblast Growth Factor 23 and Adverse Clinical Outcomes in Type 2 Diabetes: a Bitter-Sweet Symphony
Authors: Yeung Stanley M. H. , Bakker Stephan J. L. , Laverman Gozewijn D. , De Borst Martin H. 
Published: August 2020

Abstract
Purpose of Review
Fibroblast growth factor 23 (FGF23) is a key phosphate-regulating hormone that has been associated with adverse outcomes in patients with chronic kidney disease (CKD). Emerging data suggest that FGF23 plays a specific role in type 2 diabetes, partly independent of kidney function. We aimed to summarize current literature on the associations between FGF23 and outcomes in patients with type 2 diabetes with or without CKD.

Recent Findings
Several cohort studies have shown strong associations between plasma FGF23 and cardiovascular outcomes in diabetic CKD. Moreover, recent data suggest that FGF23 are elevated and may also be a risk factor for cardiovascular disease and mortality in type 2 diabetes patients without CKD, although the magnitude of the association is smaller than in CKD patients.

Summary
Diabetes-related factors may influence plasma FGF23 levels, and a higher FGF23 levels seem to contribute to a higher cardiovascular and mortality risk in patients with type 2 diabetes. Although this risk may be relevant in diabetic individuals with preserved kidney function, it is strongly accentuated in diabetic nephropathy. Future studies should clarify if FGF23 is merely a disease severity marker or a contributor to adverse outcomes in type 2 diabetes and establish if antidiabetic medication can modify FGF23 levels.
Exploring Relative Preferences for HIV Service Features Using Discrete Choice Experiments: a Synthetic Review
Authors: Eshun-Wilson I , Kim H-Y , Schwartz S , Conte M , Glidden D V , Geng E H 
Published: August 2020

Abstract
Purpose of Review
Aligning HIV treatment services with patient preferences can promote long-term engagement. A rising number of studies solicit such preferences using discrete choice experiments, but have not been systematically reviewed to seek generalizable insights. Using a systematic search, we identified eleven choice experiments evaluating preferences for HIV treatment services published between 2004 and 2020.

Recent Findings
Across settings, the strongest preference was for nice, patient-centered providers, for which participants were willing to trade considerable amounts of time, money, and travel distance. In low- and middle-income countries, participants also preferred collecting antiretroviral therapy (ART) less frequently than 1 monthly, but showed no strong preference for 3-compared with 6-month refill frequency. Facility waiting times and travel distances were also important but were frequently outranked by stronger preferences. Health facility–based services were preferred to community- or home-based services, but this preference varied by setting. In high-income countries, the availability of unscheduled appointments was highly valued. Stigma was rarely explored and costs were a ubiquitous driver of preferences.

Summary
While present improvement efforts have focused on designs to enhance access (reduced waiting time, travel distance, and ART refill frequency), few initiatives focus on the patient-provider interaction, which represents a promising critical area for inquiry and investment. If HIV programs hope to truly deliver patient-centered care, they will need to incorporate patient preferences into service delivery strategies. Discrete choice experiments can not only inform such strategies but also contribute to prioritization efforts for policy-making decisions.
Resistance to cyclin-dependent kinase (CDK) 4/6 inhibitors confers cross-resistance to other CDK inhibitors but not to chemotherapeutic agents in breast cancer cells
Authors: Ogata Ryohei , Kishino Emi , Saitoh Wataru , Koike Yoshikazu , Kurebayashi Junichi 
Published: August 2020

Abstract
Background
Combined endocrine therapy with a cyclin-dependent kinase (CDK) 4/6 inhibitor has been indicated to improve not only progression-free survival, but also overall survival in patients with hormone receptor (HR)-positive, HER2-negative advanced breast cancer. However, resistance to this combination therapy inevitably develops. How to manage this resistant breast cancer is one of the most important clinical issues. To investigate the mechanisms of action responsible for resistance, we developed breast cancer cells resistant to CDK4/6 inhibitors, and analyzed their biological characteristics and sensitivity to different anticancer agents.

Methods
HR-positive, HER2-negative MCF-7 and KPL-1 breast cancer cells were cultivated in palbociclib (PAL) or abemaciclib (ABE)-added culture medium for over 5 months, and we successfully developed PAL- or ABE-resistant cells. The effects of PAL or ABE on the cell growth, basal RB expression, RB phosphorylation, cell cycle and cell senescence were compared between resistant and parental cells. Effects of the other CDK4/6 inhibitor, different chemotherapeutic agents and estrogen on the cell growth were also examined. The expression levels of cyclin D1, CDK2, CDK4, CDK6, cyclin E1 and estrogen receptor (ER)-ɑ were measured using RT-PCR.

Results
Long-term exposure to up to 200 nM PAL or ABE resulted in the development of PAL- or ABE-resistant MCF-7 or KPL-1 breast cancer cells. Basal expression levels of RB in both resistant cells were down-regulated. Inhibitory effects of either PAL or ABE on RB phosphorylation were reduced in both resistant cells. Accordingly, G1-S cell cycle retardation and cell senescence induced by either inhibitor were also attenuated in both resistant cells. Both resistant cells were cross-resistant to the other CDK4/6 inhibitor but almost as equally sensitive to different chemotherapeutic agents (5-fluorouracil, gemcitabine, paclitaxel, docetaxel, doxorubicin and eribulin) as the parental cells. The mRNA expression level of CDK6 significantly increased in the resistant MCF-7 cells and that of Rb1 significantly decreased in the resistant KPL-1 cells. Although both resistant cells were less sensitive to estrogen than the parental cells, the expression levels of ER-ɑ did not significantly change in either.

Conclusions
Our study suggests that acquired resistance to PAL or ABE confers cross-resistance to the other CDK4/6 inhibitor but not to chemotherapeutic agents in HR-positive, HER2-negative breast cancer cells. Down-regulation of basal RB expression and normalized RB phosphorylation reduced by CDK4/6 inhibitors may be responsible for the attenuated anti-cell growth effects of the inhibitors.
Conductive and tribological properties of TiN-Ag composite coatings under grease lubrication
Authors: Lin Feihu , Xia Yanqiu , Feng Xin 
Published: August 2020

AbstractTiN-Ag composite coatings were prepared by pulsed bias arc ion plating. X-ray diffraction (XRD) and energy dispersive X-ray spectroscopy (EDS) were applied to analyze the compositions of the coatings. Tribological properties of the coatings were studied using an MFT-R4000 ball-on-disk friction tester in the presence of lubricating greases containing multilayer graphene. Scanning electron microscopy (SEM), Raman spectroscopy, and X-ray photoelectron spectroscopy (XPS) were used to analyze the worn surface compositions of the lubricating films. The results show that with the decrease in Ag in the film, hardness increased but electrical conductivity decreased. The coating with 10 at% Ag content shows the best friction-reducing and anti-wear properties, which can be attributed to the moderate content of Ag embedded in the TiN crystal gap that enhanced the grain bonding force to improve the anti-wear and self-lubricating ability. Graphene can be adsorbed on the coating as a solid lubricant.