bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy and safety of elobixibat in hemodialysis patients with chronic constipation: a retrospective study
Authors: Shono Takefumi , Hyakutake Hiroyuki 
Published: April 2020

AbstractBackgroundHemodialysis patients are likely to develop constipation as a complication due to food and fluid restrictions. Elobixibat is a new laxative that inhibits the ileal bile acid transporter expressed in the terminal ileum, suppresses bile acid reabsorption, increases the amount of bile acid flowing into the colon lumen, and promotes water secretion in the colon and colon motility. In this study, we examined the efficacy and safety of elobixibat in maintenance hemodialysis patients with chronic constipation.MethodsIn a study conducted on maintenance hemodialysis patients with chronic constipation, comparisons were conducted retrospectively based on constipation symptoms such as the frequency of spontaneous bowel movements before elobixibat treatment and 12 weeks after the administration of elobixibat, as well as based on blood electrolyte levels.ResultsThe study was conducted on 23 patients, 19 of whom were subjected to treatment efficacy analysis. The frequency of spontaneous bowel movements was 2.0 ± 0.7 times/week before administration of elobixibat and reached 4.9 ± 2.3 times/week after 12 weeks of administration. The increase started after 1 week of treatment. Elobixibat treatment improved the constipation score (baseline, 10.4 ± 3.2; after 12 weeks, 5.7 ± 3.2), the Bristol Stool Form Scale (baseline, 2.2 ± 1.0; after 12 weeks, 4.2 ± 0.7), and patient satisfaction regarding defecation (baseline, 2.9 ± 0.9; after 12 weeks, 1.7 ± 1.1). The interdialytic weight gain (IDWG) was 5.68 ± 0.82% before initiation of treatment and decreased to 4.54 ± 1.34% after 12 weeks. The serum inorganic phosphorus (IP) levels were 5.68 ± 1.25 mg/dL and decreased to 4.93 ± 1.10 mg/dL after 12 weeks.ConclusionsElobixibat was effective in improving constipation symptoms in maintenance hemodialysis patients with chronic constipation. Elobixibat also improved dialysis-related laboratory test results, such as a decrease in serum IP levels and IDWG.Trial registrationUMIN Clinical Trials Registry,UMIN000037285, retrospectively registered
Ohio physician attitudes toward medical Cannabis and Ohio’s medical marijuana program
Authors: Lombardi Emilia , Gunter Joshua , Tanner Erin 
Published: April 2020

AbstractBackgroundOhio’s medical cannabis program is one of three states that require physicians to become certified to recommend medical cannabis to their patients. The current study examines the attitudes of Ohio physicians toward medical cannabis and Ohio’s program to ascertain how likely physicians are to participate in Ohio’s program.MethodsPhysicians were invited to complete an internet survey that asked them about their concerns regarding medical marijuana, Ohio’s program, their likelihood of recommending medical cannabis, and becoming certified within the state. Ordinal and logistic regressions were used to understand the physicians’ likelihood of recommending cannabis, of becoming certified to recommend cannabis, and their attitude toward Ohio’s program.ResultsIn total, 11,665 physicians licensed to practice in Ohio were contacted by email, and 344 responses were received for a response rate of 2.9%. Only 42 physicians reported being certified or had plans to become certified to recommend marijuana, and 62% were unlikely to recommend marijuana to their patients. Overall, the belief that medical cannabis should be legal had the greatest association with the likelihood of recommending cannabis (OR = .37, 95% CI = .24–.54), of becoming certified (OR = .21, 95% CI = .10–.38), and believing that Ohio’s program is too strict (OR = .39, 95% CI = .30–.51). However, the study sample precludes generalizing the results beyond this study. The 2.9% response rate could indicate a bias toward physicians who have strong opinions about the legality of medical cannabis.ConclusionThe results show that many physicians have concerns about medical cannabis and Ohio’s program, and many physicians may not participate in the program. This could be a problem for patients who would like to use cannabis for medical reasons; therefore, these patients, may need to utilize one physician for cannabis and another for regular care. Physicians will likely be caring for patients who are using cannabis regardless of their own beliefs about it. The lack of training regarding cannabis in healthcare, along with requiring “certified recommenders” to have training could result in a fractured healthcare system.
Breast Cancer in Young Women Presents With More Aggressive Pathologic Characteristics: Retrospective Analysis From an Argentine National Database
Authors: Fabiano Verónica , Mandó Pablo , Rizzo Manglio , Ponce Carolina , Coló Federico , Loza Martín , Loza Jose , Amat Mora , Mysler Daniel , Costanzo María Victoria , Nervo Adrián , Nadal Jorge , Perazzo Florencia , Chacón Reinaldo ,   on behalf of RCM Database Contributors
Published: April 2020

PURPOSEMultiple studies have reported that breast cancer in young patients is associated with aggressive characteristics, and it is suggested that prognosis is worse independently of pathologic variables.PATIENTS AND METHODSWe performed a retrospective analysis of the Breast Cancer Registry of the Argentinian Society of Mastology, including public and private centers. Patients ≤ 40 years of age at diagnosis were classified as “young,” and patients ≤ 35 years of age at diagnosis were classified as “very young.” Univariate and multivariate analyses were performed to detect differences between groups.RESULTSPatients ≤ 40 years of age comprised 10.40% (739/7,105) of the participants, with an average age of 35.61 ± 4.04 years. Multivariate analysis showed that human epidermal growth factor receptor 2 (HER2)-positive tumor phenotype (odds ratio [OR], 1.82), nodal involvement (OR, 1.69), histologic grade (grade 3 OR, 1.41), and tumor size (T2 OR, 1.37; T3-T4, 1.47) were independently associated with younger age at diagnosis. Patients ≤ 35 years of age (n = 286), compared with patients 36 to 40 years of age, had a higher proportion of HER2 tumors (24.58% v 16.94%; P = .021), absence of progesterone receptor expression (29.85% v 22.95%; P = .043), and stage 3 cancer (29.34% v 18.52%; P < .001). Fewer breast-conserving surgeries (75.37% v 62.89%; P < .001) and more adjuvant chemotherapy (59.04% v 36.66%; P < 0.001) were reported in patients ≤ 40 years of age.CONCLUSIONIn the population studied, breast cancer in young women was associated with aggressive pathologic features and locally advanced disease at the time of diagnosis. Moreover, tumor characteristics in very young patients with breast cancer nested in the population ≤ 40 years of age showed differences in important prognostic factors. More high-quality evidence is needed to improve treatment strategies in these patients.
A Case Series of Patients with Isolated IgG4-related Hypophysitis Treated with Rituximab
Authors: Boharoon Hessa , Tomlinson James , Limback-Stanic Clara , Gontsorova Anastasia , Martin Niamh , Hatfield Emma , Meeran Karim , Nair Ramesh , Mendoza Nigel , Levy Jeremy , McAdoo Steve , Pusey Charles , Wernig Florian 
Published: April 2020

Abstract

Context
The acute presentation of immunoglobulin G4 (IgG4)-related hypophysitis can be indistinguishable from other forms of acute hypophysitis, and histology remains the diagnostic gold standard. The high recurrence rate necessitates long-term immunosuppressive therapy. Rituximab (RTX) has been shown to be effective in systemic IgG4-related disease (IgG4-RD), but experience with isolated pituitary involvement remains limited.

Case Description
We report 3 female patients with MRI findings suggestive of hypophysitis. All patients underwent transsphenoidal biopsy and fulfilled diagnostic criteria for IgG4-related hypophysitis. Treatment with glucocorticoids (GCs) resulted in good therapeutic response in Patients 1 and 2, but the disease recurred on tapering doses of GCs. GC treatment led to emotional lability in Patient 3, necessitating a dose reduction. All 3 patients received RTX and Patients 2 and 3 received further courses of treatment when symptoms returned and B-cells repopulated. Patient 3 did not receive RTX until 12 months from the onset of symptoms. Patient 1 was not able to have further RTX treatments due to an allergic reaction when receiving the second dose. Rituximab treatment resulted in sustained remission and full recovery of anterior pituitary function in Patients 1 and 2, with complete resolution of pituitary enlargement. By contrast, Patient 3 only showed a symptomatic response following RTX treatment, but pituitary enlargement and hypofunction persisted.

Conclusion
Rituximab treatment for IgG4-related hypophysitis resulted in sustained remission in 2 patients treated early in the disease process but only achieved partial response in a patient with chronic disease, suggesting that early therapeutic intervention may be crucial in order to avoid irreversible changes.
Translesion synthesis polymerases contribute to meiotic chromosome segregation and cohesin dynamics in S
chizosaccharomyces pombe
Authors: Mastro Tara L. , Tripathi Vishnu P. , Forsburg Susan L. 
Published: April 2020

ABSTRACT
Translesion synthesis polymerases (TLSPs) are non-essential error-prone enzymes that ensure cell survival by facilitating DNA replication in the presence of DNA damage. In addition to their role in bypassing lesions, TLSPs have been implicated in meiotic double-strand break repair in several systems. Here, we examine the joint contribution of four TLSPs to meiotic progression in the fission yeast Schizosaccharomyces pombe. We observed a dramatic loss of spore viability in fission yeast lacking all four TLSPs, which is accompanied by disruptions in chromosome segregation during meiosis I and II. Rec8 cohesin dynamics are altered in the absence of the TLSPs. These data suggest that the TLSPs contribute to multiple aspects of meiotic chromosome dynamics.
The PRR14 heterochromatin tether encodes modular domains that mediate and regulate nuclear lamina targeting
Authors: Dunlevy Kelly L. , Medvedeva Valentina , Wilson Jade E. , Hoque Mohammed , Pellegrin Trinity , Maynard Adam , Kremp Madison M. , Wasserman Jason S. , Poleshko Andrey , Katz Richard A. 
Published: April 2020

ABSTRACT
A large fraction of epigenetically silent heterochromatin is anchored to the nuclear periphery via ‘tethering proteins’ that function to bridge heterochromatin and the nuclear membrane or nuclear lamina. We previously identified a human tethering protein, PRR14, that binds heterochromatin through an N-terminal domain, but the mechanism and regulation of nuclear lamina association remained to be investigated. Here we identify an evolutionarily conserved PRR14 nuclear lamina binding domain (LBD) that is both necessary and sufficient for positioning of PRR14 at the nuclear lamina. We show that PRR14 associates dynamically with the nuclear lamina, and provide evidence that such dynamics are regulated through phosphorylation and dephosphorylation of the LBD. Furthermore, we identify a PP2A phosphatase recognition motif within the evolutionarily conserved C-terminal Tantalus domain of PRR14. Disruption of this motif affects PRR14 localization to the nuclear lamina. The overall findings demonstrate a heterochromatin anchoring mechanism whereby the PRR14 tether simultaneously binds heterochromatin and the nuclear lamina through two separable modular domains. Our findings also describe an optimal PRR14 LBD fragment that could be used for efficient targeting of fusion proteins to the nuclear lamina.
Compartmentalization of adenosine metabolism in cancer cells and its modulation during acute hypoxia
Authors: Losenkova Karolina , Zuccarini Mariachiara , Karikoski Marika , Laurila Juha , Boison Detlev , Jalkanen Sirpa , Yegutkin Gennady G. 
Published: April 2020

ABSTRACT
Extracellular adenosine mediates diverse anti-inflammatory, angiogenic and vasoactive effects, and has become an important therapeutic target for cancer, which has been translated into clinical trials. This study was designed to comprehensively assess adenosine metabolism in prostate and breast cancer cells. We identified cellular adenosine turnover as a complex cascade, comprising (1) the ectoenzymatic breakdown of ATP via sequential ecto-nucleotide pyrophosphatase/phosphodiesterase-1 (NPP1, officially known as ENPP1), ecto-5′-nucleotidase (CD73, also known as NT5E), and adenosine deaminase reactions, and ATP re-synthesis through a counteracting adenylate kinase and members of the nucleoside diphosphate kinase (NDPK, also known as NME/NM23) family; (2) the uptake of nucleotide-derived adenosine via equilibrative nucleoside transporters; and (3) the intracellular adenosine phosphorylation into ATP by adenosine kinase and other nucleotide kinases. The exposure of cancer cells to 1% O2 for 24 h triggered an ∼2-fold upregulation of CD73, without affecting nucleoside transporters, adenosine kinase activity and cellular ATP content. The ability of adenosine to inhibit the tumor-initiating potential of breast cancer cells via a receptor-independent mechanism was confirmed in vivo using a xenograft mouse model. The existence of redundant pathways controlling extracellular and intracellular adenosine provides a sufficient justification for reexamination of the current concepts of cellular purine homeostasis and signaling in cancer.
This article has an associated First Person interview with the first author of the paper.
A comparative study of post-operative endophthalmitis between immediate versus delayed management of eventful cataract extraction
Authors: Loya Hina , Ghoghari Hunain Razzak , Rizvi Syed Fawad 
Published: April 2020

Objective: To compare the incidence of postoperative endophthalmitis after eventful cataract surgery i.e. posterior capsular rupture, in patients managed with anterior vitrectomy and intra ocular lens implantation intraoperatively to patients managed with anterior vitrectomy and intraocular lens implantation two weeks after the posterior capsule rupture.
Methods: This comparative study was conducted at Layton Rahamatullah Benevolent Trust, Free Base Eye Hospital Korangi, Karachi from February 2017 to December 2018. The study included two groups, group A had patients with intra ocular lens implanted after posterior capsule rupture intraoperatively, while Group B had patients with intra ocular lens implanted after two weeks of initial surgery. Incidence rate of post-operative endophthalmitis was compared between two groups, which happened within six weeks after intra ocular lens implantation surgery.
Results: Total number of cataract surgeries that were performed during the study was 37,969. Incidence of postoperative endophthalmitis was 0.0019%. The study enrolled patients with complicated cataract surgeries that were 3508 (0.09%). Out of which incidence of post-operative endophthalmitis that occurred in group A was 0.007% and group B was 0.002%. (p value <0.05). The study also found that complicated extracapsular cataract extraction with intraocular lens implantation had more cases of endophthalmitis compared to phacoemulsification with intraocular lens.
Conclusion: This study showed that management of posterior capsular rupture through anterior vitrectomy and secondary intraocular lens implantation after two weeks has less chances of postoperative endophthalmitis.
doi: https://doi.org/10.12669/pjms.36.4.1911
How to cite this:Loya H, Ghoghari HR, Rizvi SF. A comparative study of post-operative endophthalmitis between immediate versus delayed management of eventful cataract extraction. Pak J Med Sci. 2020;36(4):689-692. doi: https://doi.org/10.12669/pjms.36.4.1911
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Analysis of CDKN1C in fetal growth restriction and pregnancy loss
Authors: Suntharalingham Jenifer P. , Ishida Miho , Buonocore Federica , del Valle Ignacio , Solanky Nita , Demetriou Charalambos , Regan Lesley , Moore Gudrun E. , Achermann John C. 
Published: April 2020

Background: Cyclin-dependent kinase inhibitor 1C (CDKN1C) is a key negative regulator of cell growth encoded by a paternally imprinted/maternally expressed gene in humans. Loss-of-function variants in CDKN1C are associated with an overgrowth condition (Beckwith-Wiedemann Syndrome) whereas “gain-of-function” variants in CDKN1C that increase protein stability cause growth restriction as part of IMAGe syndrome ( Intrauterine growth restriction, Metaphyseal dysplasia, Adrenal hypoplasia and Genital anomalies). As three families have been reported with CDKN1C mutations who have fetal growth restriction (FGR)/Silver-Russell syndrome (SRS) without adrenal insufficiency, we investigated whether pathogenic variants in CDKN1C could be associated with isolated growth restriction or recurrent loss of pregnancy. Methods: Analysis of published literature was undertaken to review the localisation of variants in CDKN1C associated with IMAGe syndrome or fetal growth restriction. CDKN1C expression in different tissues was analysed in available RNA-Seq data (Human Protein Atlas). Targeted sequencing was used to investigate the critical region of CDKN1C for potential pathogenic variants in SRS (n=66), FGR (n=37), DNA from spontaneous loss of pregnancy (n= 22) and women with recurrent miscarriages (n=78) (total n=203). Results: All published single nucleotide variants associated with IMAGe syndrome are located in a highly-conserved “hot-spot” within the PCNA-binding domain of CDKN1C between codons 272-279. Variants associated with familial growth restriction but normal adrenal function currently affect codons 279 and 281. CDKN1C is highly expressed in the placenta compared to adult tissues, which may contribute to the FGR phenotype and supports a role in pregnancy maintenance. In the patient cohorts studied no pathogenic variants were identified in the PCNA-binding domain of CDKN1C. Conclusion: CDKN1C is a key negative regulator of growth. Variants in a very localised “hot-spot” cause growth restriction, with or without adrenal insufficiency. However, pathogenic variants in this region are not a common cause of isolated fetal growth restriction phenotypes or loss-of-pregnancy/recurrent miscarriages.
Staphylococcus aureus nasal carriage and microbiome composition among medical students from Colombia: a cross-sectional study
Authors: Reyes Niradiz , Montes Oscar , Figueroa Stephanie , Tiwari Raj , Sollecito Christopher C. , Emmerich Rebecca , Usyk Mykhaylo , Geliebter Jan , Burk Robert D. 
Published: April 2020

Background: The anterior nares are the main ecological niche for Staphylococcus aureus, an important commensal and opportunistic pathogen. Medical students are frequently colonized by a variety of pathogens. Microbial interactions in the human nose can prevent or favor colonization by pathogens, and individuals colonized by pathogens have increased risk of infection and are the source of transmission to other community members or susceptible individuals. According to recent studies, the microbiome from several anatomic areas of healthy individuals varies across different ethnicities. Although previous studies analyzed the nasal microbiome in association with S. aureus carriage, those studies did not provide information regarding ethnicity of participants. Our aim was to assess S. aureus nasal carriage patterns and prevalence among medical students from Colombia, a country of Hispanic origin, and to investigate possible associations of colonization and nasal microbiome composition (bacterial and fungal) in a subgroup of students with known S. aureus carriage patterns. Methods: Nasal swabs from second-year medical students were used to determine prevalence and patterns of S. aureus nasal carriage. Based on microbiological results, we assigned participants into one of three patterns of S. aureus colonization: persistent, intermittent, and non-carrier. Then, we evaluated the composition of nasal microbial communities (bacterial and fungal) in 5 individuals from each carriage category using 16S rRNA and Internal-Transcribed-Spacer sequencing. Results: Prevalence of S. aureus nasal carriage among medical students was 28%. Carriage of methicillin-resistant strains was 8.4% and of methicillin-sensitive strains was 19.6%. We identified 19.6% persistent carriers, 17.5% intermittent carriers, and 62.9% non-carriers. Conclusions: Analysis of nasal microbiome found that bacterial and fungal diversity was higher in individuals colonized by S. aureus than in non-carriers; however, the difference among the three groups was non-significant. We confirmed that fungi were present within the healthy anterior nares at substantial biomass and richness.
Silent myelin-weighted magnetic resonance imaging
Authors: Wood Tobias C. , Damestani Nikou L. , Lawrence Andrew J. , Ljungberg Emil , Barker Gareth J. , Solana Ana Beatriz , Wiesinger Florian , Williams Steven C.R. 
Published: April 2020

Background: Inhomogeneous Magnetization Transfer (ihMT) is an emerging, uniquely myelin-specific magnetic resonance imaging (MRI) contrast. Current ihMT acquisitions utilise fast Gradient Echo sequences which are among the most acoustically noisy MRI sequences, reducing patient comfort during acquisition. We sought to address this by modifying a near silent MRI sequence to include ihMT contrast. Methods: A Magnetization Transfer preparation module was incorporated into a radial Zero Echo-Time sequence. Repeatability of the ihMT ratio and inverse ihMT ratio were assessed in a cohort of healthy subjects. We also investigated how head orientation affects ihMT across subjects, as a previous study in a single subject suggests this as a potential confound. Results: We demonstrated that ihMT ratios comparable to existing, acoustically loud, implementations could be obtained with the silent sequence. We observed that the ihMT ratio varied with the orientation of the head. Conclusions: Silent ihMT imaging is a comparable alternative to conventional, noisy, alternatives. For all future ihMT studies we recommend careful attention should be paid to subject positioning within the scanner.
Prototyp eines zweisprachigen Internetwörterbuchs für DaF
Authors: Hollós Zita 
Published: April 2020

AbstractThis article gives an insight into a newly developed prototype of an online, bilingual learner’s dictionary. The first part of the article describes the lexicographic praxis of free accessible online German-Hungarian dictionaries. We will focus on some online bilingual dictionaries (PONS, dict.cc and Glosbe), which feature some relevant technical improvements in the field of the collaborative lexicography with German and Hungarian. The second part presents innovative features of this online learner’s dictionary focusing on the aspects of dynamism and integration from a learner’s perspective. We also provide concrete figures of the new developed reference work. The solutions found for the integration of corpora and new online lexical resources in the electronic version of a particular part of the corpus- and data-based bilingual syntagmatic learner’s dictionary SZÓKAPTÁR/KOLLEX (2014) are presented by means of concrete examples. Illustrated by commented screenshots, this paper provides an impression on the web design and functioning of this online learner’s dictionary.