bluuebunny/crossref_metadata_2025_split huggingface dataset:
One‐step polymerization of hydrophilic ionic liquid imprinted polymer in water for selective separation and detection of levofloxacin from environmental matrices
Authors: Zhu Guifen , Li Wanwan , Wang Peiyun , Cheng Guohao , Chen Letian , Zhang Kaige , Li Xiang 
Published: November 2019

AbstractA novel green hydrophilic levofloxacin imprinted polymer was presented via one‐step polymerization in water using ionic liquid 1,6‐hexa‐3,3′‐bis‐1‐vinylimidazolium bromine with multiple hydrophilic groups and 2‐hydroxyethyl methacrylate as a co‐functional monomer. Adsorption experiment revealed that the ionic liquid significantly improved the water compatible of imprinted polymer, and the excellent recognition of molecularly imprinted polymer for levofloxacin in water corresponds to the synergetic effect of H‐bonding and the electrostatic and π–π interactions between the levofloxacin and co‐functional monomer. Furthermore, the adsorption process of the imprinted material towards levofloxacin fitted the Langmuir model, and the maximum binding amount of levofloxacin onto the imprinted and corresponding non‐imprinted polymer were 16.45 and 6.82 mg/g at 25°C, respectively. After optimizing the parameters affecting solid phase extraction performance, an enrichment and determination system was achieved to separate and detect levofloxacin from water and sediment samples with recoveries that ranged from 83.67 to 101.33% and relative standard deviation of less than 5.59%.
Does Fetal Pulmonary Venous Flow Impedance Increase in Pregnancies With Placental Insufficiency–Related Oligohydramnios in the Third Trimester?
Authors: Cho Hyunjin 
Published: November 2019

ObjectivesIn placental insufficiency, alteration of left heart compliance occurs, with consequent increased placental vascular impedance. Pulmonary vein flow patterns could reflect altered left atrial pressure. Although the fetal pulmonary venous pulsatility index (PVPI) has been reported as an early marker to evaluate fetal cardiac dysfunction, no studies have been focused on its correlation with oligohydramnios. The aim of this study was to determine whether fetal pulmonary venous flow impedance was greater in women with placental insufficiency–related oligohydramnios than in women with adequate amounts of amniotic fluid during the third trimester.MethodsThe fetal PVPI and the umbilical arterial systolic‐to‐diastolic (S/D) ratio were measured by Doppler echocardiography in 130 pregnant women between 28 and 39 gestational weeks. Pregnant women were divided into 2 groups according to the amount of amniotic fluid. The PVPI and umbilical arterial S/D ratio were compared between 19 pregnancies with oligohydramnios and 111 with adequate amniotic fluid.ResultsThe mean gestational age and estimated fetal weight were not significantly different between the groups. The maternal age was higher in the oligohydramnios group than in the control group (mean ± SD, 36.89 ± 5.88 versus 34.06 ± 4.79 years; P = .023). The mean PVPI was significantly higher in the oligohydramnios group than in the control group (1.13 ± 0.22 versus 0.89 ± 0.31; P < .001). There was no significant difference in umbilical arterial S/D ratio between the groups (P = .142).ConclusionsThe PVPI could be used as an early diagnostic marker of fetal deterioration in placental insufficiency–related oligohydramnios.
Sudden unexpected death in asymptomatic infants due to PPA2 variants
Authors: Phoon Colin K. L. , Halvorsen Matthew , Goldstein David B. , Rabin Rachel , Cecchin Frank , Crandall Laura , Devinsky Orrin 
Published: November 2019

AbstractBackgroundSudden death in children is a tragic event that often remains unexplained after comprehensive investigation. We report two asymptomatic siblings who died unexpectedly at approximately 1 year of age found to have biallelic (compound heterozygous) variants in PPA2.MethodsThe index case, parents, and sister were enrolled in the Sudden Unexplained Death in Childhood Registry and Research Collaborative, which included next‐generation genetic screening. Prior published cases of PPA2 variants, along with the known biology of PPA2, were also summarized.ResultsWhole exome sequencing in both siblings revealed biallelic rare missense variants in PPA2: c.182C > T (p.Ser61Phe) and c.380G > T (p.Arg127Leu). PPA2 encodes a mitochondrially located inorganic pyrophosphatase implicated in progressive and lethal cardiomyopathies. As a regulator and supplier of inorganic phosphate, PPA2 is central to phosphate metabolism. Biological roles include the following: mtDNA maintenance; oxidative phosphorylation and generation of ATP; reactive oxygen species homeostasis; mitochondrial membrane potential regulation; and possibly, retrograde signaling between mitochondria and nucleus.ConclusionsTwo healthy and asymptomatic sisters died unexpectedly at ages 12 and 10 months, and were diagnosed by molecular autopsy to carry biallelic variants in PPA2. Our cases add additional details to those reported thus far, and broaden the spectrum of clinical and molecular features of PPA2 variants.
Medial femoral condyle free flap in combination with paramedian forehead flap for total/subtotal nasal reconstruction: Level of evidence: IV (therapeutic studies)
Authors: Cherubino Mario , Stocco Chiara , Tamborini Federico , Maggiulli Francesca , Sallam Davide , Corno Martina , Bignami Maurizio , Battaglia Paolo , Valdatta Luigi 
Published: November 2019

AbstractBackgroundThe nose is a functionally complex organ with also a critical role in aesthetics. For reconstruction of full thickness nasal defects, multiple stages are needed and there is risk for resorption resulting in residual deformity. The aim of this report was to develop and evaluate a new method for full thickness total/subtotal nose reconstruction using the medial femoral condyle free flap (MFCFF) in combination with a paramedian forehead flap.MethodsBetween November 2015 and January 2018, eight patients (four males, four females) mean age 52 years (range 40–73 years) undergoing a total/subtotal nasal excision and subsequential reconstruction with MFCFF plus paramedian forehead flap were enrolled. Six cases were squamous cell carcinomas while two were basal cell carcinomas. The MFCFF was stabilized, with the periosteum as inner layer, with plates and a paramedian forehead flap was used as external skin coverage. All patients were evaluated for with postoperative nasal endoscopy and CT scan. A postoperative questionnaire was given 6 months after surgery.ResultsThe mean MFCFF size was 2–3.8 cm × 2.25–2.5 cm with a mean pedicle length of 6.3 cm (range 4.1–9.4 cm). The postoperative period was uneventful. The mean follow‐up was 16 months, no bone displacement or resorption was observed at the CT scan, no evidence of nasal stenosis occurred. All patients had a satisfying aesthetic evaluation and a good subjective nasal function.ConclusionsIn this series, the MFCFF in combination with the paramedian forehead flap appeared to provide a valid subtotal nose reconstruction, allowing for the recreation of all the three nasal layers and maintaining the nose projection and airway patency in the long term.
A novel design of proton computed tomography detected by multiple‐layer ionization chamber with strip chambers: A feasibility study with Monte Carlo simulation
Authors: Chen Xinyuan , Liu Ruirui , Zhou Shuang , Sun Baozhou , Reynoso Francisco J. , Mutic Sasa , Zhang Tiezhi , Zhao Tianyu 
Published: November 2019

PurposeUncertainty in proton range can be reduced by proton computed tomography (CT). A novel design of proton CT using a multiple‐layer ionization chamber with two strip ionization chambers on the surface is proposed to simplify the imaging acquisition and reconstruction.MethodsTwo strip ionization chambers facing the proton source were coupled into a multiple‐layer ionization chamber (MLIC). The strip chambers measured locations and lateral profiles of incident proton beamlets after exiting the imaging object, while the integral of depth dose measured in the MLIC was translated into the residual energy of the beamlet. The simulation was performed at five levels of imaging dose to demonstrate the feasibility and performance expectations of our design. The energy of the proton beamlet was set to 150 ± 0.6 MeV. A collimator with a round slit of 1 cm in diameter was placed in the central beam axis upstream from steering magnets. Proton stopping power ratio (SPR) was reconstructed through inverse radon transform on sinograms generated with proton beamlets scanning through an imaging phantom from a half‐circle gantry rotation. The imaging phantom was 10 cm in diameter. The base was made of water‐equivalent material holding 13‐tissue equivalent inserts constructed according to ICRP 1975 (Task Group on Reference Man. “Report of the Task Group on Reference Man: A Report”, Pergamon Press 23, 1975). All inserts were 1 cm in diameter with materials ranging from lung to cortical bone. Percentage discrepancies were reported by comparing to the ground truths. The imaging dose and quality were also evaluated.ResultsThe maximum deviation in reconstructed proton SPR from the ground truths was reported to be 1.02% in one of the 13 inserts when the number of protons per beamlet passing through the slit dropped to 103. Imaging dose was correlated linearly to incident protons and was determined to be 0.54 cGy if 5 × 102 protons per beamlet were used. Imaging quality was acceptable for planning purpose and held consistently through all levels of imaging dose. Spatial resolution was measured as five line pairs per cm consistently in all simulations varying in imaging dose.ConclusionsProton CT using a multiple‐layer ionization chamber with two strip ionization chambers on the surface simplifies data acquisition while achieving excellent accuracy in proton SPR and acceptable spatial resolution. The imaging dose is lower compared to kV CBCT, making it potentially a great tool for localization and plan adaption in proton therapy.
Spatial correlation of linear energy transfer and relative biological effectiveness with suspected treatment‐related toxicities following proton therapy for intracranial tumors
Authors: Ödén Jakob , Toma‐Dasu Iuliana , Witt Nyström Petra , Traneus Erik , Dasu Alexandru 
Published: November 2019

PurposeThe enhanced relative biological effectiveness (RBE) at the end of the proton range might increase the risk of radiation‐induced toxicities. This is of special concern for intracranial treatments where several critical organs at risk (OARs) surround the tumor. In the light of this, a retrospective analysis of dose‐averaged linear energy transfer (LETd) and RBE‐weighted dose (DRBE) distributions was conducted for three clinical cases with suspected treatment‐related toxicities following intracranial proton therapy. Alternative treatment strategies aiming to reduce toxicity risks are also presented.MethodsThe clinical single‐field optimized (SFO) plans were recalculated for 81 error scenarios with a Monte Carlo dose engine. The fractionation DRBE was 1.8 Gy (RBE) in 28 or 30 fractions assuming a constant RBE of 1.1. Two LETd‐ and α/β‐dependent variable RBE models were used for evaluation, including a sensitivity analysis of the α/β parameter. Resulting distributions of DRBE and LETd were analyzed together with normal tissue complication probabilities (NTCPs). Subsequently, four multi‐field optimized (MFO) plans, with an additional beam and/or objectives penalizing protons stopping in OARs, were created to investigate the potential reduction of LETd, DRBE, and NTCP.ResultsThe two variable RBE models agreed well and predicted average RBE values around 1.3 in the toxicity volumes, resulting in an increased near‐maximum DRBE of 7–11 Gy (RBE) compared to RBE = 1.1 in the nominal scenario. The corresponding NTCP estimates increased from 0.8%, 0.0%, and 3.7% (RBE = 1.1) to 15.5%, 1.8%, and 45.7% (Wedenberg RBE model) for the three patients, respectively. The MFO plans generally allowed for LETd, DRBE, and NTCP reductions in OARs, without compromising the target dose. Compared to the clinical SFO plans, the maximum reduction in the near‐maximum LETd was 56%, 63%, and 72% in the OAR exhibiting the toxicity for the three patients, respectively.ConclusionsAlthough a direct causality between RBE and toxicity cannot be established here, high LETd and DRBE correlated spatially with the observed toxicities, whereas setup and range uncertainties had a minor impact. Individual factors, which might affect the patient‐specific radiosensitivity, were however not included in these calculations. The MFO plans using both an additional beam and proton track‐end objectives allowed the largest reductions in LETd, DRBE, and NTCP, and might be future tools for similar cases.
Data sustained misalignment correction in microscopic cone beam CT via optimization under the Grangeat Epipolar consistency condition
Authors: Luo Shouhua , Zheng Liang , Luo Shuang , Gu Ning , Tang Xiangyang 
Published: November 2019

PurposeThe misalignment correction in cone beam computed tomography (CBCT), which is usually carried out in an offline manner, is a difficult and tedious process. It becomes even more challenging in microscopic CBCT due to the much higher requirements on spatial resolution. In practice, however, an offline approach for misalignment correction may not be readily implementable, especially in the situations where either time is of the essence or the process needs to be carried out repetitively. Thus, an online self‐calibration (i.e., data sustained misalignment correction without the involvement of specific alignment phantom) would be more practical. In this work, we investigate the data sustained misalignment correction in microscopic CBCT via optimization under the Grangeat Epipolar Consistence Condition and evaluate its performance via phantom and specimen studies.MethodsWith the cost function defined according to the Grangeat Epipolar Consistency Condition (G‐ECC) and by minimizing the cost function using the simplex‐simulated annealing algorithm (SIMPSA), we evaluate and verify the G‐ECC optimization‐based online self‐calibration method's performance. Performance is measured in sensitivity, robustness, and accuracy using the projection data of phantoms generated by computer simulation and botanical specimens acquired by a prototype microscopic CBCT.ResultsThe online data sustained misalignment correction in microscopic CBCT via G‐ECC optimization works very well in sensitivity and robustness, in addition to its accuracy of 0.27%, 0.48%, and 0.34% relative errors, respectively, in obtaining the three geometric parameters that are the most critical to image reconstruction in CBCT. Quantitatively, the performance in meeting the requirements on spatial resolution is comparable to, if not better than, that of the offline misalignment correction method, in which a specific alignment phantom has to be used.ConclusionsThe G‐ECC optimization‐based online self‐calibration approach provides a practical solution (as long as no latitudinal (lateral) data truncation occurs) for misalignment correction in microscopic CBCT, an application that demands high accuracy in geometric alignment for biological (cellular) imaging at super high spatial resolutions in the order of micrometers (2.1 µm).
Estimations of relative biological effectiveness of secondary fragments in carbon ion irradiation of water using CR‐39 plastic detector and microdosimetric kinetic model
Authors: Hirano Yoshiyuki , Kodaira Satoshi , Souda Hikaru , Osaki Kohei , Torikoshi Masami 
Published: November 2019

PurposeTo estimate relative biological effectiveness (RBE) ascribed to secondary fragments in a lateral distribution of carbon ion irradiation. The RBE was estimated with the microdosimetric kinetic (MK) model and measured linear energy transfer (LET) obtained with CR‐39 plastic detectors.MethodsA water phantom was irradiated by a 12C pencil beam with energy of 380 MeV/u at the Gunma University Heavy Ion Medical Center (GHMC), and CR‐39 detectors were exposed to secondary fragments. Because CR‐39 was insensitive to low LET, we conducted Monte Carlo simulations with Geant4 to calculate low LET particles. The spectra of low LET particles were combined with experimental spectra to calculate RBE. To estimate accuracy of RBE, we calculated RBE by changing yield of low LET particles by ± 10% and ± 40%.ResultsAt a small angle, maximum RBE by secondary fragments was 1.3 for 10% survival fractions. RBE values of fragments gradually decreased as the angle became larger. The shape of the LET spectra in the simulation reproduced the experimental spectra, but there was a discrepancy between the simulation and experiment for the relative yield of fragments. When the yield of low LET particles was changed by ± 40%, the change in RBE was smaller than 10%.ConclusionsAn RBE of 1.3 was expected for secondary fragments emitted at a small angle. Although, we observed a discrepancy in the relative yield of secondary fragments between simulation and experiment, precision of RBE was not so sensitive to the yield of low LET particles.
Sparse deconvolution of proton radiography data to estimate water equivalent thickness maps
Authors: Deffet Sylvain , Farace Paolo , Macq Benoît 
Published: November 2019

PurposeIn proton therapy, the conversion of the planning computed tomography (CT) into proton stopping powers is tainted by uncertainties which may jeopardize dose conformity. Proton radiography provides a direct information on the energy reduction of protons in the patient. However, it is currently limited by the degradation (“blurring”) of the one‐dimensional depth‐dose deposition profiles which constitute the pixels.MethodsAn iterative algorithm is implemented to extract high‐resolution water equivalent thickness (WET) maps from the measurements of depth‐dose profiles acquired with a multilayer ionization chamber. The method relies on the assumption that those curves are a function of the WET, which can benefit from a sparse representation.ResultsWhen used without relying on any prior knowledge derived from the planning CT, the method already outperforms the published one in terms of accuracy. We also propose a variant which integrates the planning CT in a robust fashion to further improve the deconvolution result and reach an accuracy of 1.5 mm on the estimated WET. The methods are applied to both synthetic data and actual proton radiography acquisitions on phantoms.ConclusionsBesides the increase in accuracy achieved in the estimation of WET maps from proton radiography data, we demonstrate that the proposed deconvolution algorithm is also more robust with respect to confounding factors such as residual setup errors or changes in the anatomy. Therefore, proton radiography using a range probe provides both the required accuracy to assess and reduce range uncertainty in proton therapy and the simplicity of integrated‐mode proton radiography.
How do elevated levels of testosterone affect the function of the human fallopian tube and fertility?—New insights
Authors: Dulohery Kate , Trottmann Matthias , Bour Susanne , Liedl Bernhard , Alba‐Alejandre Irene , Reese Sven , Hughes Barbara , Stief Christian G. , Kölle Sabine 
Published: November 2019

AbstractExcess testosterone levels affect up to 20% of the female population worldwide and are a key component in the pathogenesis of polycystic ovary syndrome. However, little is known about how excess testosterone affects the function of the human fallopian tube—the site of gamete transport, fertilization, and early embryogenesis. Therefore, this study aimed to characterize alterations caused by long‐term exposure to male testosterone levels. For this purpose, the Fallopian tubes of nine female‐to‐male transsexuals, who had been undergoing testosterone treatment for 1–3 years, were compared with the tubes of 19 cycling patients. In the ampulla, testosterone treatment resulted in extensive luminal accumulations of secretions and cell debris which caused ciliary clumping and luminal blockage. Additionally, the percentage of ciliated cells in the ampulla was significantly increased. Transsexual patients, who had had sexual intercourse before surgery, showed spermatozoa trapped in mucus. Finally, in the isthmus complete luminal collapse occurred. Our results imply that fertility in women with elevated levels of testosterone is altered by tubal luminal obstruction resulting in impaired gamete transport and survival.
Otolith-Based Age Estimates of Alligator Gar Assessed Using Bomb Radiocarbon Dating to Greater than 60 Years
Authors: Daugherty Daniel J. , Andrews Allen H. , Smith Nathan G. 
Published: November 2019

Abstract
Considerable efforts have been undertaken to characterize population dynamics of the Alligator Gar Atractosteus spatula. Accomplishing this task required identification of suitable structures to estimate age. Buckmeier et al. (2012) validated sagittal otoliths to 31 years—the oldest fish in their study. However, they noted that interpreting annuli became increasingly difficult with age and cautioned that difficulties may result in underestimates of age for older fish. In recent years, sampling efforts have resulted in the collection of otoliths from a number of large (&gt;1,800 mm TL) individuals. Age estimates of these fish ranged to 68 years; however, the accuracy of these ages was unknown. Therefore, we used bomb radiocarbon dating to assess accuracy. The technique measures the time-specific increase in the radioactive carbon isotope (14C) in calcified aging structures resulting from the testing of thermonuclear devices in the 1950s and 1960s. An abrupt, worldwide increase in environmental radiocarbon occurred in approximately 1958 and acts as a time stamp, providing a reliable means of corroborating the age estimates of long-lived fishes. Core material (i.e., hatch year), along with a subsample from early growth years, was extracted from the otoliths of 24 Alligator Gar (1,805 to 2,540 mm TL) and analyzed for Δ14C. Estimated age from growth zone counting ranged from 26 to 68 years, corresponding to hatch years spanning from 1946 to 1989. Otolith Δ14C was then plotted against the corresponding hatch years and compared to reference curves for environmental 14C levels across time. Despite evidence of regionally specific trends attributed to differences in groundwater and surface inflows, Δ14C levels in the otoliths were highly correlated with reference data, indicating that age estimates were accurate to within a few years. Thus, our results extend the utility of methods developed by Buckmeier et al. (2012) for Alligator Gar in excess of 60 years and provide greater insight on longevity.
Making sense of giant cell lesions of the jaws (GCLJ): lessons learned from next‐generation sequencing
Authors: Gomes Carolina C , Diniz Marina G , Bastos Victor C , Bernardes Vanessa F , Gomez Ricardo S 
Published: November 2019

AbstractNext‐generation sequencing has revealed mutations in several bone‐related lesions and was recently used to uncover the genetic basis of giant cell lesions of the jaws (GCLJ). Consistent with their benign nature, GCLJ show a low tumor mutation burden. They also harbor somatic, heterozygous, mutually exclusive mutations in TRPV4, KRAS, or FGFR1. These signature mutations occur only in a subset of lesional cells, suggesting the existence of a ‘landscaping effect’, with mutant cells inducing abnormal accumulation of non‐mutant cells that form the tumor mass. Osteoclast‐rich lesions with histological similarities to GCLJ can occur in the jaws sporadically or in association with genetically inherited syndromes. Based on recent results, the pathogenesis of a subgroup of sporadic GCLJ seems closely related to non‐ossifying fibroma of long bones, with both lesions sharing MAPK pathway‐activating mutations. In this review, we extrapolate from these recent findings to contextualize GCLJ genetics and we highlight the therapeutic implications of this new information. © 2019 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.