bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy and safety of ginkgo preparation in patients with vascular dementia
Authors: Wang Miyuan , Peng Hongye , Peng Zexu , Huang Kailin , Li Tingting , Li Lei , Wu Xin , Shi Heyuan 
Published: September 2020

Abstract

Background:
Vascular dementia has become the second most common type of dementia after Alzheimer disease. At present, there is no uniform standard for VaD treatment guidelines among countries. The efficacy of ginkgo biloba in the treatment of vascular dementia is still controversial. The purpose of this study is to evaluate the effectiveness and safety of ginkgo biloba in the treatment of vascular dementia through meta-analysis.

Methods:
Six English databases (PubMed, Web of science, Medline, EBASE, Springer Cochrane Library, and WHO International Clinical Trials Registry Platform) and 4 Chinese databases (Wan fang Database, Chinese Scientific Journal Database, China National Knowledge Infrastructure Database(CNKI) and Chinese Biomedical Literature Database) will be searched normatively according to the rule of each database from the inception to August 1, 2020. Two reviewers will independently conduct article selection, data collection, and risk of bias evaluation. Any disagreement will be resolved by discussion with the third reviewer. Either the fixed-effects or random-effects model will be used for data synthesis based on the heterogeneity test. The change in the scores on mini-mental state examination, activity of daily living scale and Montreal cognitive assement will be used as the main outcome measure, Hamilton depression scale, Hastgawa dementia scale, blessed dementia scale, clinical dmentia rating scale as the secondary outcome. Treatment emergent symptom scale, general physical examination (temperature, pulse, respiration, blood pressure), Routine examination of blood, urine and stool, electrocardiogram, liver and kidney function examination as the security indexs. RevMan5.3.5 will be used for meta-analysis.

Results:
This study will provide high-quality evidence to assess the effectiveness and safety of ginkgo preparation for vascular dementia.

Conclusion:
This systematic review will explore whether ginkgo preparation is an effective and safe intervention for vascular dementia.

Ethics and dissemination:
Ethical approval are not required for this study. The systematic review will be published in a peer-reviewed journal, presented at conferences, and will be shared on social media platforms. This review will be disseminated in a peer-reviewed journal or conference presentation.

PROSPERO registration number:
PROSPERO CRD42020167851.
Management of Pediatric Postendoscopy Fever
Authors: Boster Julia M. , Iwanowski Melissa , Kramer Robert E. 
Published: September 2020

ABSTRACTObjectives:The aim of the study was to validate rates of fever after pediatric gastrointestinal endoscopy, to describe clinical outcomes of postendoscopy fever (PEF) cases, and to assess the effect of a PEF clinical care guideline (CCG) on hospital use.Patients and Methods:Episodes of PEF were reviewed from a large prospective database of all adverse events following pediatric gastrointestinal endoscopy at an academic children's hospital. A CCG was implemented to standardize care of children with reported fever after endoscopy and reduce unnecessary resource use. Chi‐squared analysis was performed to compare rates of hospital use for evaluation of PEF before and after implementation of the CCG.Results:PEF occurred in 0.55% of the 27,100 endoscopies performed during the present study period. In the 150 cases of reported fever, the rate of identified endoscopy‐related infection was low (4.0%). The rate of PEF was significantly higher in patients who underwent interventional procedures (0.81%) than those who underwent diagnostic endoscopy (0.51%, P = 0.02). In patients who experienced PEF, the CCG significantly reduced hospital use, decreasing emergency department visits and hospital admissions by 52.1% (P < 0.0001) without leading to negative patient outcomes.Conclusion:PEF in children rarely represents clinically significant infection and may be due in part to inflammation from tissue damage and/or physiologic stress. The present study shows that implementation of a PEF CCG may reduce unnecessary care while maintaining patient safety. Furthermore, multicenter studies are required to confirm the overall safety of similar clinical algorithms.
Unintended Consequences of Health Care Reform
Authors: Bartholomew Alex J. , Zeymo Alexander , Chan Kitty S. , Aminpour Nathan , Mishra Ankit , DeLeire Thomas , Shara Nawar , Al-Refaie Waddah B. 
Published: September 2020

Objective:
To evaluate the impact of the Affordable Care Act's Medicaid expansion on patient safety metrics at the hospital level by expansion status, across varying levels of safety-net burden, and over time.

Summary Background Data:
Medicaid expansion has raised concerns over the influx of additional medically and socially complex populations on hospital systems. Whether increases in Medicaid and uninsured payor mix impact hospital performance metrics remains largely unknown. We sought to evaluate the effects of expansion on Centers for Medicare and Medicaid Services-endorsed Patient Safety Indicators (PSI-90).

Methods:
Three hundred fifty-eight hospitals were identified using State Inpatient Databases (2012–2015) from 3 expansions (KY, MD, NJ) and 2 nonexpansion (FL, NC) states. PSI-90 scores were calculated using Agency for Healthcare Research and Quality modules. Hospital Medicaid and uninsured patients were categorized into safety-net burden (SNB) quartiles. Hospital-level, multivariate linear regression was performed to measure the effects of expansion and change in SNB on PSI-90.

Results:
PSI-90 decreased (safety improved) over time across all hospitals (−5.2%), with comparable reductions in expansion versus nonexpansion states (−5.9% vs −4.7%, respectively; P = 0.441) and across high SNB hospitals within expansion versus nonexpansion states (−3.9% vs −5.2%, P = 0.639). Pre-ACA SNB quartile did not predict changes in PSI-90 post-ACA. However, when hospitals increased their SNB by 5%, they incurred significantly more safety events in expansion relative to nonexpansion states (+1.87% vs −14.0%, P = 0.013).

Conclusions:
Despite overall improvement in patient safety, increased SNB was associated with increased safety events in expansion states. Accordingly, Centers for Medicare and Medicaid Services measures may unintentionally penalize hospitals with increased SNB following Medicaid expansion.
Demographic inference provides insights into the extirpation and ecological dominance of eusocial snapping shrimps
Authors: Chak Solomon T. C. , Harris Stephen E. , Hultgren Kristin M. , Duffy J. Emmett , Rubenstein Dustin R. 
Published: September 2020

AbstractEusocial animals often achieve ecological dominance in the ecosystems where they occur, a process that may be linked to their demography. That is, reproductive division of labor and high reproductive skew in eusocial species is predicted to result in more stable effective population sizes that may make groups more competitive, but also lower effective population sizes that may make groups more susceptible to inbreeding and extinction. We examined the relationship between demography and social organization in one of the few animal lineages where eusociality has evolved recently and repeatedly among close relatives, theSynalpheussnapping shrimps. Although eusocial species often dominate the reefs where they occur by outcompeting their non-eusocial relatives for access to sponge hosts, many eusocial species have recently become extirpated across the Caribbean. Coalescent-based historical demographic inference in 12 species found that across nearly 100,000 generations, eusocial species tended to have lower but more stable effective population sizes through time. Our results are consistent with the idea that stable population sizes may enable eusocial shrimps to be more competitively dominant, but they also suggest that recent population declines are likely caused by eusocial shrimps’ heightened sensitivity to anthropogenically-driven environmental changes as a result of their low effective population sizes and localized dispersal, rather than to natural cycles of inbreeding and extinction. Thus, although the unique life histories and demography of eusocial shrimps has likely contributed to their persistence and ecological dominance over evolutionary timescales, these social traits may also make them vulnerable to contemporary environmental change.
A P300 brain-computer interface with a reduced visual field
Authors: Kirasirova Luiza , Bulanov Vladimir , Ossadtchi Alexei , Kolsanov Alexander , Pyatin Vasily , Lebedev Mikhail 
Published: September 2020

AbstractA P300 brain-computer interface (BCI) is a paradigm, where text characters are decoded from visual evoked potentials (VEPs). In a popular implementation, called P300 speller, a subject looks at a display where characters are flashing and selects one character by attending to it. The selection is recognized by the strongest VEP. The speller performs well when cortical responses to target and non-target stimuli are sufficiently different. Although many strategies have been proposed for improving the spelling, a relatively simple one received insufficient attention in the literature: reduction of the visual field to diminish the contribution from non-target stimuli. Previously, this idea was implemented in a single-stimulus switch that issued an urgent command. To tackle this approach further, we ran a pilot experiment where ten subjects first operated a traditional P300 speller and then wore a binocular aperture that confined their sight to the central visual field. Visual field restriction resulted in a reduction of non-target responses in all subjects. Moreover, in four subjects, target-related VEPs became more distinct. We suggest that this approach could speed up BCI operations and reduce user fatigue. Additionally, instead of wearing an aperture, non-targets could be removed algorithmically or with a hybrid interface that utilizes an eye tracker. We further discuss how a P300 speller could be improved by taking advantage of the different physiological properties of the central and peripheral vision. Finally, we suggest that the proposed experimental approach could be used in basic research on the mechanisms of visual processing.
Time-dependent changes to sepsis-specific networks in the plasma proteome are mechanistic readouts of sepsis progression
Authors: Pimienta G. 
Published: September 2020

ABSTRACTSepsis accounts for 1 in 5 deaths globally and is the most common cause of deaths in U.S. hospitals. Despite this public health burden, no diagnostic biomarker, nor therapeutic agent for sepsis has proven useful or effective. The principal obstacle is the lack of a mechanistic understanding of this syndrome, particularly during its onset and progression. Using an experimental model of murine sepsis, we report here a time-dependent assessment of changes to the plasma proteome upon infection withSalmonella entericaserovar Typhimurium. Changes to the plasma proteome signature of sepsis (PPSS) revealed a transition from early inflammation and coagulation to a later stage of chronic inflammation, coagulopathy and bacteremia. This study represents an advance in our understanding of sepsis progression that may guide innovative therapeutic attitudes and help clinicians track sepsis progression.
Dopaminergic mechanisms underlying the expression of antipsychotic-induced dopamine supersensitivity in rats
Authors: Servonnet Alice , Allain Florence , Gravel-Chouinard Alice , Hernandez Giovanni , Caporuscio Casey Bourdeau , Legrix Mathilde , Lévesque Daniel , Rompré Pierre-Paul , Samaha Anne-Noël 
Published: September 2020

ABSTRACTAntipsychotic treatment can produce a dopamine-supersensitive state, potentiating the response to dopamine receptor stimulation. In both schizophrenia patients and rats, this is linked to tolerance to ongoing antipsychotic treatment. In rodents, dopamine supersensitivity is often confirmed by an exaggerated psychomotor response to d-amphetamine after discontinuation of antipsychotic exposure. Here we examined in rats the dopaminergic mechanisms mediating this enhanced behavioural response, as this could uncover pathophysiological processes underlying the expression of antipsychotic-evoked dopamine supersensitivity. Rats received 0.5 mg/kg/day haloperidol via osmotic minipump for 2 weeks, before treatment was discontinued. After cessation of antipsychotic treatment, rats showed a supersensitive psychomotor response to the D2 agonist quinpirole, but not to the D1 partial agonist SKF38393 or the dopamine reuptake blocker GBR12783. Furthermore, acute D1 receptor blockade (using SCH39166) decreased the exaggerated psychomotor response to d-amphetamine in haloperidol-pretreated rats, whereas acute D2 receptor blockade (using sulpiride) enhanced it. Thus, after discontinuation of antipsychotic treatment, D1- and D2-mediated transmission differentially modulate the expression of a supersensitive response to d-amphetamine. This supersensitive behavioural response was accompanied by enhanced GSK3β activity and suppressed ERK1/2 activity in the nucleus accumbens (but not caudate-putamen), suggesting increased mesolimbic D2 transmission. Finally, after discontinuing haloperidol treatment, neither increasing ventral midbrain dopamine impulse flow nor infusing d-amphetamine into the cerebral ventricles triggered the expression of already established antipsychotic-evoked dopamine supersensitivity, suggesting that peripheral effects are required. Thus, while dopamine receptor-mediated signalling regulates the expression of antipsychotic-evoked dopamine supersensitivity, a simple increase in central dopamine neurotransmission is insufficient to trigger this supersensitivity.HIGHLIGHTSAntipsychotic exposure can lead to a state of dopamine (DA) supersensitivityIn rats, this DA supersensitivity potentiates d-amphetamine-induced locomotionWe report that D2 transmission promotes DA supersensitivity and D1 transmission tempers itD-amphetamine’s central effects are also insufficient to reveal DA supersensitivity
Controlling the flow of interruption in working memory
Authors: Hakim Nicole , Feldmann-Wüstefeld Tobias , Awh Edward , Vogel Edward K 
Published: September 2020

AbstractVisual working memory (WM) must maintain relevant information, despite the constant influx of both relevant and irrelevant information. Attentional control mechanisms help determine which of this new information gets access to our capacity-limited WM system. Previous work has treated attentional control as a monolithic process–either distractors capture attention or they are suppressed. Here, we provide evidence that attentional capture may instead be broken down into at least two distinct sub-component processes: 1) spatial capture, which refers to when spatial attention shifts towards the location of irrelevant stimuli, and 2) item-based capture, which refers to when item-based WM representations of irrelevant stimuli are formed. To dissociate these two sub-component processes of attentional capture, we utilized a series of EEG components that track WM maintenance (contralateral delay activity), suppression (distractor positivity), item individuation (N2pc), and spatial attention (lateralized alpha power). We show that relevant interrupters trigger both spatial and item-based capture, which means that they undermine WM maintenance more. Irrelevant interrupters, however, only trigger spatial capture from which ongoing WM representations can recover more easily. This fractionation of attentional capture into distinct sub-component processes provides a framework by which the fate of ongoing WM processes after interruption can be explained.
On the effects of selection and mutation on species tree inference
Authors: Wascher Matthew , Kubatko Laura S. 
Published: September 2020

AbstractA common question that arises when inferring species-level phylogenies from genome-scale data is whether selection acting on certain parts of the genome could create a bias in the inferred phylogeny. While most methods for species tree inference currently assume the multispecies coalescent (MSC), all methods that we are aware of utilize only the neutral coalescent process. If selection is in fact present, failure to adequately model it could introduce substantial bias. We work toward rigorously addressing this question using mathematical theory by deriving a version of the coalescent including selection and mutation as a limiting approximation of the Wright-Fisher model with selection and mutation, and showing that it can be used to closely approximate the distribution of coalescent times in the presence of selection and mutation. We confirm the adequacy of the approximation with a simulation study, and discuss its implications for species tree inference. Our results show that in a general class containing many cases of interest, selection has only a small impact on the coalescent process, and ignoring selection when it is present does not have a substantial negative impact on inference of the species tree topology.
Characterization of SOX2, OCT4 and NANOG in ovarian cancer tumor-initiating cells
Authors: Robinson Mikella , Gilbert Samuel F , Waters Jennifer A , Lujano-Olazaba Omar , Lara Jacqueline , Alexander Logan J , Green Samuel E , Burkeen Gregory , Patrus Omid , Holmberg Ryne , Wang Christine , House Carrie D 
Published: September 2020

AbstractIdentification of tumor initiating cells (TICs) has traditionally relied on expression of surface markers such as CD133, CD44, and CD117 and enzymes such as aldehyde dehydrogenase (ALDH). Unfortunately, these markers are often cell type specific and not reproducible across patient samples. A more reliable indication of TICs may include elevated expression of stem cell transcription factors such as SOX2, OCT4, and NANOG that function to support long-term self-renewal, multipotency, and quiescence. RNA-sequencing studies presented here highlight a potential role for SOX2 in cell cycle progression in cells grown as 3-D spheroids, which are more tumorigenic and contain higher numbers of TICs than their 2-D monolayer cultured counterparts. SOX2, OCT4, and NANOG have not been comprehensively evaluated in ovarian cancer cell lines, although their expression is often associated with tumorigenic cells. We hypothesize that SOX2, OCT4, and NANOG will be enriched in ovarian TICs and will correlate with chemotherapy resistance, tumor initiation, and expression of traditional TIC markers. To investigate this hypothesis, we evaluated SOX2, OCT4, and NANOG in a panel of eight ovarian cancer cell lines grown as a monolayer in standard 2-D culture or as spheroids in TIC-enriching 3-D culture. Our data show that the high-grade serous ovarian cancer (HGSOC) lines CAOV3, CAOV4, OVCAR4, and OVCAR8 had longer doubling-times, greater resistance to chemotherapies, and significantly increased expression of SOX2, OCT4, and NANOG in TIC-enriching 3-D culture conditions. We also found that in vitro chemotherapy treatment enriches for cells with significantly higher expression of SOX2. We further show that the traditional TIC marker, CD117 identifies ovarian cancer cells with enhanced SOX2, OCT4, and NANOG expression. Tumor-initiation studies and analysis of The Cancer Genome Atlas (TCGA) suggest a stronger role for SOX2 in ovarian cancer relapse compared with OCT4 or NANOG. Overall, our study clarifies the expression of SOX2, OCT4, and NANOG in TICs from a variety of ovarian cancer cell lines. Our findings suggest that SOX2 expression is a stronger indicator of ovarian TICs with enhanced tumor-initiation capacity and potential for relapse. Improved identification of ovarian TICs will advance our understanding of TIC biology and facilitate the design of better therapies to eliminate TICs and overcome chemotherapy resistance and disease relapse.
Exploring Patterns and Trends in COVID-19 Exports from China, Italy, and Iran
Authors: McHenry M.L. , Soliman A. , Dailey B. , Chen T. , Letterio J.J. , Luo G. 
Published: September 2020

SummaryThis paper investigates COVID-19 exported cases by country and the time it takes between entry until case confirmation for the exported cases using publicly available data. We report that the average days from entry to confirmation is 7.7, 5.0 and 4.7 days for travelers from China, Italy, and Iran respectively. Approximately, one-third of all exported cases were confirmed within 3 days of entry suggesting these travelers were mildly symptomatic or symptomatic in arrival. We also found that earlier exported cases from each country had a longer time between entry to confirmation by an average of 3 days compared to later exports. Based upon our data, reported exported cases from South Korea were far fewer in comparison to those from China, Italy and Iran. Therefore, we suggest that careful monitoring of likely symptomatic travelers and better public awareness may lead to faster confirmation as well as reduced transmission of COVID-19 pandemic.
Protocols for rational design of protein solubility and aggregation properties using Aggrescan3D standalone
Authors: Kuriata Aleksander , Badaczewska-Dawid Aleksandra E. , Pujols Jordi , Ventura Salvador , Kmiecik Sebastian 
Published: September 2020

SummaryProtein aggregation is a major hurdle in the development and manufacturing of protein-based therapeutics. Development of aggregation-resistant and stable protein variants can be guided by rational redesign using computational tools. Here, we describe the architecture and functionalities of the Aggrescan3D (A3D) standalone package for the rational design of protein solubility and aggregation properties based on three-dimensional protein structures. We present the case studies of the three therapeutic proteins, including antibodies, exploring the practical use of the A3D standalone tool. The case studies demonstrate that protein solubility can be easily improved by the A3D prediction of non-destabilizing amino acid mutations at the protein surfaces.
Mobile ear-EEG to study auditory attention in everyday life
Authors: Hölle Daniel , Meekes Joost , Bleichner Martin G. 
Published: September 2020

AbstractMost research investigating auditory perception is conducted in controlled laboratory settings, potentially restricting its generalizability to the complex acoustic environment outside the lab. The present study, in contrast, investigated auditory attention with long-term recordings (>6 h) beyond the lab using a fully mobile, smartphone-based ear-centered electroencephalography (EEG) setup with minimal restrictions for participants. Twelve participants completed iterations of two variants of an oddball task where they had to react to target tones and to ignore standard tones. A rapid variant of the task (tones every 2 seconds, 5 minutes total time) was performed seated and with full focus in the morning, around noon and in the afternoon under controlled conditions. A sporadic variant (tones every minute, 160 minutes total time) was performed once in the morning and once in the afternoon while participants followed their normal office day routine. EEG data, behavioural data, and movement data (with a gyroscope) were recorded and analyzed. The expected increased amplitude of the P3 component in response to the target tone was observed for both the rapid and the sporadic oddball. Miss rates were lower and reaction times were faster in the rapid oddball compared to the sporadic one. The movement data indicated that participants spent most of their office day at relative rest. Overall, this study demonstrated that it is feasible to study auditory perception in everyday life with long-term ear-EEG.