bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integrated Analytical Quality by Design (AQbD) Approach for the Development and Validation of Bioanalytical Liquid Chromatography Method for Estimation of Valsartan
Authors: Bandopadhyay Shantanu , Beg Sarwar , Katare O P , Sharma Teenu , Singh Bhupinder 
Published: June 2020

Abstract
The present studies describe the systematic development and validation of a simple, rapid, sensitive and cost-effective reversed-phase high-performance liquid chromatographic bioanalytical method for the estimation of valsartan in rat plasma employing analytical quality by design (AQbD) principles quality risk management was applied for identifying the critical method parameters (CMPs) and subsequently method optimization was performed employing Box–Behnken design by selecting mobile phase pH, flow rate and % organic modifier as the CMPs and evaluated for critical analytical attributes (CAAs) such as peak area, retention time, peak tailing and number of theoretical plates. The developed method was then transferred to bioanalysis, where liquid–liquid extraction process was used for separating the drug from rat plasma. The optimization of extraction process was performed with the help of face-centered cubic design by selecting centrifugation speed and centrifugation time as the CMPs for maximizing % recovery, signal-to-noise ratio and purity threshold of the drug peak after extraction as the CAAs. Optimum chromatographic solution was chosen by mathematical and graphical search techniques, and design space was demarcated. Validation studies performed for the developed method indicated linearity ranging between 5 and 100 ng.mL−1, whereas accuracy and precision study showed good percent recovery (99–102%) along with % relative standard deviation within ±2%. Sensitivity evaluation revealed limit of detection and limit of quantification were found to be 0.76 ng.mL−1 and 2.29 ng.mL−1, respectively. In a nutshell, the present work demonstrates significant merits of AQbD approach for holistic process understanding and analytical method development and validation with enhanced robustness and performance.
Pregnancy Outcomes of Women Conceiving on Antiretroviral Therapy (ART) Compared to Those Commenced on ART During Pregnancy
Authors: Theron Gerhard , Brummel Sean , Fairlie Lee , Pinilla Mauricio , McCarthy Katie , Owor Maxensia , Chinula Lameck , Makanani Bonus , Violari Avy , Moodley Dhayendre , Chakhtoura Nahida , Browning Renee , Hoffman Risa , Fowler Mary Glenn 
Published: June 2020

Abstract

Background
Globally, the number of infected women of childbearing age living with human immunodeficiency virus (HIV) and conceiving on antiretroviral therapy (ART) is increasing. Evidence of ART safety at conception and during pregnancy and adverse pregnancy outcomes remains conflicting. The Promoting Maternal and Infant Survival Everywhere (PROMISE) 1077 breastfeeding (BF) and formula feeding (FF) international multisite trials provide an opportunity to examine the impact of ART at conception on pregnancy outcomes with subsequent pregnancies.

Methods
The PROMISE 1077BF/1077FF trials were designed to address key questions in the management of HIV-infected women who did not meet clinical guidelines for ART treatment during the time of the trials. After the period of risk of mother-to-child transmission was over, women were randomized to either continue or discontinue ART. We compared subsequent pregnancy outcomes of nonbreastfeeding women randomized to continue ART following delivery, or breastfeeding women randomized to continue ART following breastfeeding cessation who conceived while on ART to women randomized to discontinue ART, who restarted ART after pregnancy was diagnosed.

Results
Pregnancy outcomes of 939 subsequent pregnancies of 826 mothers were recorded. The intention-to-treat analyses showed increased incidence of low birth weight (&lt;2500 g) for women who conceived while on ART (relative risk, 2.65 [95% confidence interval {CI}, 1.20–5.81]), and also a higher risk of spontaneous abortion, stillbirth, or neonatal death (hazard ratio, 1.40 [95% CI, .99–1.98]) compared to women who restarted ART after they were found to be pregnant during trial follow-up.

Conclusions
We found an increased risk for adverse pregnancy outcomes in women conceiving on ART, emphasizing the need for improved obstetric and neonatal care for this group.

Clinical Trials Registration
NCT01061151.
Tree Swallow selection for wetlands in agricultural landscapes predicted by central-place foraging theory
Authors: Elgin Andrew S , Clark Robert G , Morrissey Christy A 
Published: June 2020

Abstract
Millions of wetland basins, embedded in croplands and grasslands, are biodiversity hotspots in North America’s Prairie Pothole Region, but prairie wetlands continue to be degraded and drained, primarily for agricultural activities. Aerial insectivorous swallows are known to forage over water, but it is unclear whether swallows exhibit greater selection for wetlands relative to other habitats in croplands and grasslands. Central-place foraging theory suggests that habitat selectivity should increase with traveling distance from a central place, such that foragers compensate for traveling costs by selecting more profitable foraging habitat. Using global positioning system (GPS) tags, we evaluated habitat selection by female Tree Swallows (Tachycineta bicolor) at 4 sites containing wetlands and where terrestrial land cover was dominated by grasslands (grass, herbaceous cover) and/or cultivated cropland. We also used sweep-net transects to assess the abundance and biomass of flying insects in different habitats available to swallows (wetland pond margins, grassy field margins, and representative uplands). As expected for a central-place forager, GPS-tagged swallows selected more for wetland ponds (disproportionate to availability), and appeared to increasingly select for wetlands with increasing distance from their nests. On cropland-dominated sites, insect abundance and biomass tended to be higher in pond margins or grassy field margins compared to cropped uplands, while abundance and biomass were more uniform among sampled habitats at sites dominated by grass and herbaceous cover. Swallow habitat selection was not clearly explained by the distribution of sampled insects among habitats; however, traditional terrestrial sampling methods may not adequately reflect prey distribution and availability to aerially foraging swallows. Overall, our results underscore the importance of protecting and enhancing prairie wetlands and other non-crop habitats in agricultural landscapes, given their disproportionate use and capacity to support breeding swallow and insect populations.
Patient loneliness in an urban, underserved family medicine residency clinic: prevalence and relationship to health care utilization
Authors: Hooker Stephanie A , Stadem Paul , Sherman Michelle D , Ricco Jason 
Published: June 2020

Abstract

Background
Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health care utilization.

Methods
Adult patients (N = 330; M age = 42.1 years, SD = 14.9; 63% female; 58% African American) completed the 3-item UCLA Loneliness screener at their primary care visits between November 2018 and January 2019. A retrospective case–control study design was used to compare health care utilization [hospitalizations, emergency department (ED) visits, primary care visits, no-shows and referrals] in the prior 2 years between patients who identified as lonely versus those who did not. Covariates included demographics and clinical characteristics.

Results
Nearly half (44%) of patients exceeded the cut-off for loneliness. Patients who were lonely were more likely to identify as African American, have depression and have a substance use disorder. Patients in the lonely group had significantly longer hospital stays and more primary care visits, no-shows and referrals than patients in the non-lonely group; there were no differences in number of hospitalizations or ED visits.

Conclusions
The prevalence of loneliness in an urban, underserved primary care clinic was much higher than prior prevalence estimates in primary care. Patients who are lonely may use more health care resources than patients who are not lonely. Primary care may be an ideal setting in which to identify patients who are lonely to further understand the impact of loneliness on health care outcomes.
Cascading effects in freshwater microbial food webs by predatory Cercozoa, Katablepharidacea and ciliates feeding on aplastidic bacterivorous cryptophytes
Authors: Šimek Karel , Grujčić Vesna , Mukherjee Indranil , Kasalický Vojtěch , Nedoma Jiří , Posch Thomas , Mehrshad Maliheh , Salcher Michaela M 
Published: June 2020

ABSTRACTHeterotrophic nanoflagellates (HNF) are considered as major planktonic bacterivores, however, larger HNF taxa can also be important predators of eukaryotes. To examine this trophic cascading, natural protistan communities from a freshwater reservoir were released from grazing pressure by zooplankton via filtration through 10- and 5-µm filters, yielding microbial food webs of different complexity. Protistan growth was stimulated by amendments of five Limnohabitans strains, thus yielding five prey-specific treatments distinctly modulating protistan communities in 10- versus 5-µm fractions. HNF dynamics was tracked by applying five eukaryotic fluorescence in situ hybridization probes covering 55–90% of total flagellates. During the first experimental part, mainly small bacterivorous Cryptophyceae prevailed, with significantly higher abundances in 5-µm treatments. Larger predatory flagellates affiliating with Katablepharidacea and one Cercozoan lineage (increasing to up to 28% of total HNF) proliferated towards the experimental endpoint, having obviously small phagocytized HNF in their food vacuoles. These predatory flagellates reached higher abundances in 10-µm treatments, where small ciliate predators and flagellate hunters also (Urotricha spp., Balanion planctonicum) dominated the ciliate assemblage. Overall, our study reports pronounced cascading effects from bacteria to bacterivorous HNF, predatory HNF and ciliates in highly treatment-specific fashions, defined by both prey-food characteristics and feeding modes of predominating protists.
Profiling of Human Circulating Dendritic Cells and Monocyte Subsets Discriminates Between Type and Mucosal Status in Patients With Inflammatory Bowel Disease
Authors: Ortega Moreno Lorena , Fernández-Tomé Samuel , Chaparro María , Marin Alicia C , Mora-Gutiérrez Irene , Santander Cecilio , Baldan-Martin Montserrat , Gisbert Javier P , Bernardo David 
Published: June 2020

AbstractBackgroundIntestinal dendritic cells (DC) and macrophages drive disease progression in patients with inflammatory bowel disease (IBD). We aimed to characterize the activation and homing profile of human circulating DC and monocyte subsets in healthy control patients (CP) and IBD patients.MethodsEighteen CP and 64 patients with IBD were categorized by diagnoses of Crohn disease (CD) and ulcerative colitis (UC), either endoscopically active (inflamed) or quiescent. Circulating type 1 conventional DC, type 2 conventional DC, plasmacytoid DC, classical monocytes, nonclassical monocytes, and intermediate monocytes were identified by flow cytometry in each individual and characterized for the expression of 18 markers. Association between DC/monocytes and IBD risk was tested by logistic regression. Discriminant canonical analyses were performed to classify the patients in their own endoscopy category considering all markers on each subset.ResultsCCRL1, CCR3, and CCR5 expression on circulating type 1 DC; CCRL1 expression on nonclassical monocytes; and CCR9 and β7 expression on classical monocytes allowed us to discriminate among the different study groups. Indeed, the same markers (excluding β7) were also associated with IBD when all DC and monocyte subsets were considered at the same time.ConclusionsMonitoring the phenotype of human circulating DC and monocyte subsets may provide novel tools as biomarkers for disease diagnosis (CD/UC) or mucosal status (inflamed/noninflamed) in the absence of an invasive colonoscopy.
Convergent Evolution of Cichlid Fish Pharyngeal Jaw Dentitions in Mollusk-Crushing Predators: Comparative X-Ray Computed Tomography of Tooth Sizes, Numbers, and Replacement
Authors: Hulsey C Darrin , Meyer Axel , Streelman J Todd 
Published: June 2020

Abstract
Dental convergence is a hallmark of cichlid fish adaptive radiations. This type of repeated evolution characterizes both the oral jaws of these fishes as well as their pharyngeal jaws that are modified gill arches used to functionally process prey like hard-shelled mollusks. To test several hypotheses regarding the evolution of cichlid crushing pharyngeal dentitions, we used X-ray computed tomography scans to comparatively examine dental evolution in the pharyngeal jaw of a diversity of New World Heroine cichlid lineages. The substantial variation in erupted tooth sizes and numbers as well as replacement teeth found in these fishes showed several general patterns. Larger toothed species tended to have fewer teeth suggesting a potential role of spatial constraints in cichlid dental divergence. Species with larger numbers of erupted pharyngeal teeth also had larger numbers of replacement teeth. Replacement tooth size is almost exactly predicted (r = 0.99) from the size of erupted teeth across all of the species. Mollusk crushing was, therefore, highly associated with not only larger pharyngeal teeth, but also larger replacement teeth. Whether dental divergence arises as a result of environmental induced plasticity or originates via trophic polymorphism as found in the species Herichthys minckleyi, there appear to be general rules that structure interspecific divergence in cichlid pharyngeal erupted and replacement dentitions.
The Radiologist’s Role in a Breast Multidisciplinary Tumor Board
Authors: Rockoff Steven J , Flanagan Meghan R , Kim Janice N , Banda Kalyan , Calhoun Kristine E , Lam Diana L 
Published: June 2020

AbstractBreast multidisciplinary tumor boards (MTBs) play an important role in determining treatment. This article serves as a guide for the radiologist participating in a breast MTB, as the information presented at MTB can significantly influence treatment plans and dictate future steps for further patient work-up. Multidisciplinary tumor board preparation involves a careful review of the patient’s history while gathering all relevant imaging studies, and reinterpreting them when appropriate. Presented images should be carefully selected, annotated, and displayed clearly before providing final recommendations for localization and incompletely assessed findings. Anatomic staging factors from the AJCC Breast Cancer Staging System, such as tumor size and degree of suspected skin involvement, should be described. In addition, there are many other types of information that the treatment specialists want to know. The surgeon is interested in anatomic information that will help them decide whether breast conservation therapy is feasible or if local structures, such as the nipple, can be spared. The radiation oncologist may need to know whether accelerated partial breast irradiation is feasible or if postmastectomy radiation therapy is indicated. The medical oncologist is looking for factors that may provide an indication for neoadjuvant therapy and ensuring there is a reliable follow-up method for evaluating the response to treatment, such as comparative MRI. Additionally, all specialists need to know the extent of suspected nodal involvement. By clearly and comprehensively presenting this information to the rest of the MTB team, the radiologist provides a vital contribution that guides treatment and ensures adherence to clinical guidelines.
Molecular Response of the Mediterranean Fruit Fly (Diptera: Tephritidae) to Heat
Authors: Anantanawat Kay , Papanicolaou Alexie , Hill Kelly , Xu Wei 
Published: June 2020

AbstractTephritid fruit flies are highly successful invaders and some—such as the Mediterranean fruit fly, Ceratitis capitata (Wiedemann)—are able to adapt to a large range of crops. Biosecurity controls require that shipments of produce are ensured to be pest-free, which is increasingly difficult due to the ban of key pesticides. Instead, stress-based strategies including controlled atmosphere, temperature, and irradiation can be used to eradicate flies inside products. However, unlike pesticide science, we do not yet have a robust scientific approach to measure cost-effectively whether a sufficiently lethal stress has been delivered and understand what this stress does to the biology of the pest. The latter is crucial as it would enable a combination of stresses targeting multiple molecular pathways and thus allow for lower doses of each to achieve higher lethality and reduce the development of resistance. Using heat as an example, this is the first study investigating the molecular stress response to heat in Tephritidae. Using a novel setup delivering measured doses of heat on C. capitata larvae and a high-density 11 timepoint gene expression experiment, we identified key components of lethal heat-stress response. While unraveling the complete molecular mechanism of fruit fly response to lethal stress would be a long-term project, this work curates and develops 31 potential biomarkers to assess whether sufficient lethal stress has been delivered. Further, as these protocols are straightforward and less expensive than other—omic approaches, our studies and approach will assist other researchers working on stress response.
Unveiling the Feeding Behavior of Tibraca limbativentris (Hemiptera: Pentatomidae) on Rice Using an Electropenetrography Waveform Library
Authors: Almeida André Cirilo de S , de Jesus Flávio Gonçalves , Barrigossi José Alexandre F 
Published: June 2020

AbstractThe rice stalk stink bug, Tibraca limbativentris Stål, damages plant stalks while feeding, making it one of the most important rice pests in South America. Because the feeding behavior of T. limbativentris has not yet been studied in rice, we investigated T. limbativentris stylet penetration (probing) in rice stalks. A waveform library was created using the new AC-DC EPG monitor with different levels of input resistance (Ri). Six different waveforms were recorded and correlated via histological studies and grouped into three phases: non-probing waveforms (Z and Np), pathway waveforms (Tl1), and ingestion waveforms (Tl2 and Tl3). The Z waveform was observed when the stink bug was standing still on the plant surface, Np when the stink bug was walking on plant surface, Tl1 was associated with stylet insertion and deep penetration into the plant tissue, and Tl2 when the stink bug was feeding on xylem vessels. The Tl3 waveform was associated with the rupture of stalk cells and was divided into two subtypes (Tl3a and Tl3b). The Tl3a waveform probably represents cell laceration with combined enzymatic maceration of stalk tissues, while Tl3b represents a short ingestion period of macerated tissues. Tibraca limbativentris uses two strategies to feed on rice stalks: a salivary sheath for feeding on xylem vessels and cell rupture (laceration and maceration) for feeding on parenchyma cells. Our study provides crucial benchmark definitions of waveforms. Future studies can now compare effects of treatments on stink bug feeding, to ultimately improve management of this pest in rice.
Multiple Primary Melanoma Incidence Trends Over Five Decades: A Nationwide Population-Based Study
Authors: Helgadottir Hildur , Isaksson Karolin , Fritz Ildiko , Ingvar Christian , Lapins Jan , Höiom Veronica , Newton-Bishop Julia , Olsson Håkan 
Published: June 2020

Abstract

Background
Over the past decades, many regions have experienced a steady increase in the incidence of cutaneous melanoma. Here, we report on incidence trends for subsequent primary melanoma.

Methods
In this nationwide population-based study, patients diagnosed with a first primary cutaneous melanoma reported to the Swedish Cancer Registry were followed for up to 10 years for a diagnosis of subsequent primary melanoma. Patients were grouped with patients diagnosed with first melanoma in the same decade (1960s, 1970s, 1980s, 1990s, and 2000s, respectively). Frequencies, incidence rates (IRs), standardized incidence ratios (SIRs), and 95% confidence intervals (CIs) for second melanomas were calculated. All tests of statistical significance were 2-sided.

Results
Of patients with melanoma, 54 884 were included and 2469 were diagnosed, within 10 years, with subsequent melanomas. Over the 5 decades, there was a statistically significant steady increase in the frequency, IR, and SIR for second primary melanoma. For example, in the 1960s cohort, less than 1% (IR = 1.0, 95% CI = 0.5 to 1.7, and IR = 1.1, 95% CI = 0.5 to 1.9 per 1000 person-years in women and men, respectively) had second primary melanoma, and this rose to 6.4% (IR = 7.5, 95% CI = 6.8 to 8.3, per 1000 person-years) in the women and 7.9% (IR = 10.3, 95% CI = 9.3 to 11.2, per 1000 person-years) in the men in the 2000s cohort. This rise was seen independent of age, sex, invasiveness, or site of the melanoma. Further, in patients diagnosed with a second melanoma, the frequency of those having more than 2 melanomas increased statistically significantly and was 0.0% in the 1960s and rose to 18.0% in the 2000s (P &lt; .001).

Conclusions
This is the first study to evaluate and report on a rising trend for subsequent primary melanoma. Additional primary melanomas worsen the patients’ survival, and precautions are needed to turn this steep upgoing trend.
Measuring the matter density of the Galactic disc using stellar streams
Authors: Widmark Axel , Malhan Khyati , de Salas Pablo F , Sivertsson Sofia 
Published: June 2020

ABSTRACT
We present a novel method for determining the total matter surface density of the Galactic disc by analysing the kinematics of a dynamically cold stellar stream that passes through or close to the Galactic plane. The method relies on the fact that the vertical component of energy for such stream stars is approximately constant, such that their vertical positions and vertical velocities are interrelated via the matter density of the Galactic disc. By testing our method on mock data stellar streams, with realistic phase-space dispersions and Gaia uncertainties, we demonstrate that it is applicable to small streams out to a distance of a few kilo-parsec, and that the surface density of the disc can be determined to a precision of $6{{\ \rm per\ cent}}$. This method is complementary to other mass measurements. In particular, it does not rely on any equilibrium assumption for stars in the Galactic disc, and also makes it possible to measure the surface density to good precision at large distances from the Sun. Such measurements would inform us of the matter composition of the Galactic disc and its spatial variation, place stronger constraints on dark disc substructure, and even diagnose possible non-equilibrium effects that bias other types of dynamical mass measurements.