bluuebunny/crossref_metadata_2025_split huggingface dataset:
GeographicalDifference, Rural-urban Transition and Trend in Stroke Prevalence in China: Findings from a National Epidemiological Survey of Stroke in China
Authors: Ru Xiaojuan , Wang Wenzhi , Sun Haixin , Sun Dongling , Fu Jie , Ge Siqi , Wang Limin , Wang Linhong , Jiang Bin 
Published: November 2019

AbstractAccurate and up-to-date provincial and regional-level stroke prevalence estimates are important for research planning and targeted strategies for stroke prevention and management. However, recent and comprehensive evaluation is lacking over the past 30 years in China. This study aimed to examine the geographical variations in stroke prevalence based on data from the National Epidemiological Survey of Stroke in China (NESS-China) and demonstrate urban-rural transition and trend over three decades. The stroke prevalence (prevalence day, August 31, 2013) was estimated using the world standard population. The stroke prevalence was 873.4 per 100,000 population, and varied from 218.0 in Sichuan to 1768.9 in Heilongjiang. Stroke prevalence exhibited a noticeable north-south gradient (1097.1, 917.7, and 619.4 in the north, middle, and the south, respectively; P < 0.001) and showed a 2.0-fold, 1.5-fold, and 1.2-fold increase in rural areas in the north, the middle, and the south, respectively, from 1985 to 2013. Overall, stroke prevalence was higher in the rural regions than in the urban (945.4 versus 797.5, P < 0.001) regions. However, the converse was depicted in 12 provinces. A noticeable geographical variation in stroke prevalence was observed and was evolving overtime in China. It is imperative that effective public health policies and interventions be implemented, especially in those regions with higher prevalence.
Parasite induced mortality is context dependent in Atlantic salmon: insights from an individual-based model
Authors: Vollset Knut Wiik 
Published: November 2019

AbstractAn individual-based model was parameterized to explore the impact of a crustacean ectoparasite (sea louse, Lepeophtheirus salmonis & Caligus spp.) on migrating Atlantic salmon smolt. The model explores how environmental and intrinsic factors can modulate the effect of sea lice on survival, growth and maturation of Atlantic salmon at sea. Relative to other effects, the parasite infestation pressure from fish farms and the encounter process emerge as the most important parameters. Although small variations in parasite-induced mortality may be masked by variable environmental effects, episodes of high infestation pressure from fish farms should be observable in wild populations of Atlantic salmon if laboratory studies accurately reflect the physiological effects of sea lice. Increases in temperature in the model negatively influenced fish survival by affecting the development time of the parasite at a rate that was not compensated for by the growth of the host. Discharge from rivers was parameterized to increase migration speed and influenced parasite induced mortality by decreasing time spent in areas with increased infestation pressure. Initial size and growth of the host was inversely related to the impact of the parasite because of size-dependent parasite-induced mortality in the early phase of migration. Overall, the model illustrates how environmental factors modulate effects on the host population by impacting either the parasite load or the relative effect of the parasite. The results suggest that linking population-level effects to parasite infestation pressure across climatic and environmental gradients may be challenging without correctly accounting for these effects.
Longitudinal morphological changes during recovery from brain deformation due to idiopathic normal pressure hydrocephalus after ventriculoperitoneal shunt surgery
Authors: Yamada Shigeki , Ishikawa Masatsune , Yamaguchi Makoto , Yamamoto Kazuo 
Published: November 2019

AbstractThe present study aimed to examine time-dependent change in cerebrospinal fluid distribution and various radiological indices for evaluating shunt effectiveness in patients with idiopathic normal pressure hydrocephalus (iNPH). This study included 54 patients with iNPH who underwent MRI before and after ventriculoperitoneal shunt surgery. The volume of the total ventricles and subarachnoid spaces decreased within 1 month after shunting. However, more than 1 year after shunting, the volume of the total ventricles decreased, whereas that of the total subarachnoid spaces increased. Although cerebrospinal fluid distribution changed considerably throughout the follow-up period, the brain parenchyma expanded only 2% from the baseline brain volume within 1 month after shunting and remained unchanged thereafter. The volume of the convexity subarachnoid space markedly increased. The changing rate of convexity subarachnoid space per ventricle ratio (CVR) was greater than that of any two-dimensional index. The brain per ventricle ratio (BVR), callosal angle and z-Evans index continued gradually changing, whereas Evans index did not change throughout the follow-up period. Both decreased ventricular volume and increased convexity subarachnoid space volume were important for evaluating shunt effectiveness. Therefore, we recommend CVR and BVR as useful indices for the diagnosis and evaluation of treatment response in patients with iNPH.
Nutritional factors associated with distribution of Mopani Worms in Mopani woodlands in Tsholotsho and Gwanda Districts, Zimbabwe: A comparative survey
Authors: Nunu Wilfred Njabulo , Ncube Buhlebenkosi , Dube Oliver , Mpofu Clever , Ndlovu Brighton , Dzinomwa Tariro , Khumalo Nkosana 
Published: November 2019

AbstractMopani worms are abundant in Gwanda and sporadic in Tsholotsho though the two areas have similar climatic conditions. The study sought to determine nutritional factors that could be associated with distribution of Mopani worms in these two districts. Ten sampling points in undisturbed Mopani woodlands were established in each district. Samples were collected and analysed in the lab to determine the levels of crude protein, tannin and natural detergent fibres levels in leaves and pH, Nitrates, Phosphates and Potassium levels in soil and Welch’s test, Wilcoxon-Mann-Whitney, Analysis of Variance and the Bonferroni Confidence Intervals were employed to test for significance in the observed differences. Findings showed differences in tree size and leaf length whilst the differences of all other variables (non-extractible tannis, extractible tannis crude protein levels and natural detergent fibres) relating to leaf sample analysis were not statistically significant. Findings on soil sample analysis pointed out that Gwanda had higher pH, Phosphorus and Potassium levels whilst Nitrates were significantly higher in Tsholotsho. Differences in the tree sizes and leaf sizes of the samples from the two sites show that there could be host selection based on these variables.
Lactation and menstruation shift the vaginal microbiota in captive rhesus monkeys to be more similar to the male urethral microbiota
Authors: Hallmaier-Wacker L. K. , Lüert S. , Roos C. , Knauf S. 
Published: November 2019

AbstractThe vaginal microbiota of nonhuman primates differs substantially from humans in terms of Lactobacillus abundance, overall taxonomic diversity, and vaginal pH. Given these differences, it remains unclear in what way the nonhuman primate genital microbiota protects against pathogens, in particular sexually transmitted infections. Considering the effect that microbiota variations can have on disease acquisition and outcome, we examined endogenous and exogenous factors that influence the urogenital microbiota of male and female captive rhesus monkeys. The male urethral (n = 37) and vaginal (n = 194) microbiota of 11 breeding groups were examined in a cross-sectional study. During lactation and menstruation, the vaginal microbiota becomes significantly more diverse and more similar to the microbes observed in the male urethra. Group association and cage-mate (sexual partners) relationships were additionally associated with significant differences in the urogenital microbiota. Our results demonstrate that microbiota considerations are necessary in order to make informed selection of nonhuman primates as translational animal models.
The relationship between mindfulness and objective measures of body awareness: A meta-analysis
Authors: Treves Isaac N. , Tello Lawrence Y. , Davidson Richard J. , Goldberg Simon B. 
Published: November 2019

AbstractAlthough awareness of bodily sensations is a common mindfulness meditation technique, studies assessing the relationship between mindfulness and body awareness have provided mixed results. The current study sought to meta-analytically examine the relationship between mindfulness operationalized as a dispositional trait or a construct trained through short- (i.e., randomized controlled trials [RCTs]) or long-term mindfulness meditation practice with objective measures of body awareness accuracy. PubMed, Web of Science, PsycINFO, and Scopus were searched. Studies were eligible if they reported the association between mindfulness and body awareness, were published in English, and included adults. Across 15 studies (17 independent samples), a small effect was found linking mindfulness with greater body awareness accuracy (g = 0.21 [0.08, 0.34], N = 879). When separated by study design, only RCTs continued to show a significant relationship (g = 0.20, [0.02, 0.38], k = 7, n = 505). Heterogeneity of effects was low (I2 < 25%), although with wide confidence intervals. Effects were not moderated by study quality. Low fail-safe N estimates reduce confidence in the observed effects. Results suggest a small but potentially detectable relationship between mindfulness and body awareness accuracy. Future investigations could examine individual differences in body awareness as a mechanism within mindfulness interventions.
Electrochemical detection of different p53 conformations by using nanostructured surfaces
Authors: Tonello Sarah , Stradolini Francesca , Abate Giulia , Uberti Daniela , Serpelloni Mauro , Carrara Sandro , Sardini Emilio 
Published: November 2019

AbstractProtein electrochemistry represents a powerful technique for investigating the function and structure of proteins. Currently available biochemical assays provide limited information related to the conformational state of proteins and high costs. This work provides novel insights into the electrochemical investigation of the metalloprotein p53 and its redox products using label-free direct electrochemistry and label-based antibody-specific approaches. First, the redox activities of different p53 redox products were qualitatively investigated on carbon-based electrodes. Then, focusing on the open p53 isoform (denatured p53), a quantitative analysis was performed, comparing the performances of different bulk and nanostructured materials (carbon and platinum). Overall, four different p53 products could be successfully discriminated, from wild type to denatured. Label-free analysis suggested a single electron exchange with electron transfer rate constants on the order of 1 s−1. Label-based analysis showed decreasing affinity of pAb240 towards denatured, oxidized and nitrated p53. Furthermore, platinum nanostructured electrodes showed the highest enhancement of the limit of detection in the quantitative analysis (100 ng/ml). Overall, the obtained results represent a first step towards the implementation of highly requested complex integrated devices for clinical practices, with the aim to go beyond simple protein quantification.
Fabrication of Second Generation Smarter PLGA Based Nanocrystal Carriers for Improvement of Drug Delivery and Therapeutic Efficacy of Gliclazide in Type-2 Diabetes Rat Model
Authors: Panda Bibhu Prasad , Krishnamoorthy Rachna , Bhattamisra Subrat Kumar , Shivashekaregowda Naveen Kumar Hawala , Seng Low Bin , Patnaik Sujata 
Published: November 2019

AbstractDrug delivery and therapeutic challenges of gliclazide, a BCS class II drug used in type 2 diabetes mellitus (T2DM) can be overcome by exploring smarter carriers of second-generation nanocrystals (SGNCs). A combined method of emulsion diffusion, high-pressure homogenization and solvent evaporation method were employed in the preparation of gliclazide loaded poly (D, L-lactide-co-glycolide) (PLGA) SGNCs. Taguchi experimental design was adopted in fabrication of Gliclazide SGNc using Gliclazide -PLGA ratio at 1:0.5, 1:0.75, 1:1 with stabilizer (Poloxamer-188, PEG 4000, HPMC E15 at 0.5, 0.75, 1% w/v). The formulated gliclazide of SGNCs were investigated for physicochemical properties, in vitro drug release, and in vivo performance studies using type-2 diabetes rat model. The formulation (SGNCF1) with Drug: PLGA 1: 0.5 ratio with 0.5% w/v Poloxamer-188 produced optimized gliclazide SGNCs. SGNCF1 showed spherical shape, small particle size (106.3 ± 2.69 nm), good zeta potential (−18.2 ± 1.30 mV), small PDI (0.222 ± 0.104) and high entrapment efficiency (86.27 ± 0.222%). The solubility, dissolution rate and bioavailability of gliclazide SGNCs were significantly improved compared to pure gliclazide. The findings emphasize gliclazide SGNCs produce faster release initially, followed by delayed release with improved bioavailability, facilitate efficient delivery of gliclazide in T2DM with better therapeutic effect.
An Escherichia coli ST131 pangenome atlas reveals population structure and evolution across 4,071 isolates
Authors: Decano Arun Gonzales , Downing Tim 
Published: November 2019

AbstractEscherichia coli ST131 is a major cause of infection with extensive antimicrobial resistance (AMR) facilitated by widespread beta-lactam antibiotic use. This drug pressure has driven extended-spectrum beta-lactamase (ESBL) gene acquisition and evolution in pathogens, so a clearer resolution of ST131’s origin, adaptation and spread is essential. E. coli ST131’s ESBL genes are typically embedded in mobile genetic elements (MGEs) that aid transfer to new plasmid or chromosomal locations, which are mobilised further by plasmid conjugation and recombination, resulting in a flexible ESBL, MGE and plasmid composition with a conserved core genome. We used population genomics to trace the evolution of AMR in ST131 more precisely by extracting all available high-quality Illumina HiSeq read libraries to investigate 4,071 globally-sourced genomes, the largest ST131 collection examined so far. We applied rigorous quality-control, genome de novo assembly and ESBL gene screening to resolve ST131’s population structure across three genetically distinct Clades (A, B, C) and abundant subclades from the dominant Clade C. We reconstructed their evolutionary relationships across the core and accessory genomes using published reference genomes, long read assemblies and k-mer-based methods to contextualise pangenome diversity. The three main C subclades have co-circulated globally at relatively stable frequencies over time, suggesting attaining an equilibrium after their origin and initial rapid spread. This contrasted with their ESBL genes, which had stronger patterns across time, geography and subclade, and were located at distinct locations across the chromosomes and plasmids between isolates. Within the three C subclades, the core and accessory genome diversity levels were not correlated due to plasmid and MGE activity, unlike patterns between the three main clades, A, B and C. This population genomic study highlights the dynamic nature of the accessory genomes in ST131, suggesting that surveillance should anticipate genetically variable outbreaks with broader antibiotic resistance levels. Our findings emphasise the potential of evolutionary pangenomics to improve our understanding of AMR gene transfer, adaptation and transmission to discover accessory genome changes linked to novel subtypes.
Spatiotemporal characteristics of an attacker’s strategy to pass a defender effectively in a computer-based one-on-one task
Authors: Tsutsui Kazushi , Shinya Masahiro , Kudo Kazutoshi 
Published: November 2019

AbstractFor modern humans, chase-and-escape behaviors are fundamental skills in many sports. A critical factor related to the success or failure of chase-and-escape is the visuomotor delay. Recent studies on sensorimotor decision making have shown that humans can incorporate their own visuomotor delay into their decisions. However, the relationship between the decision of an attacker and the visuomotor delay of a defender is still unknown. Here, we conducted a one-on-one chase-and-escape task for humans and investigated the characteristics of the direction changes of the attacker and the responses of the defender. Our results showed that the direction change of the attacker has two characteristics: uniformity of spatial distribution and bimodality of temporal distribution. In addition, we showed that the response of the defender did not depend on the position but it was delayed to the direction change of the attacker with a short interval. These results suggest that the characteristics of direction change of an attacker increased unpredictability, and it could be useful for preventing the predictive response of the defender and to receive the benefit of an extra response delay of tens of milliseconds, respectively.
Diagnostic Test Efficacy of Meibomian Gland Morphology and Function
Authors: Xiao Jiaxin , Adil Muhammed Yasin , Olafsson Jonatan , Chen Xiangjun , Utheim Øygunn A. , Ræder Sten , Lagali Neil S. , Dartt Darlene A. , Utheim Tor P. 
Published: November 2019

AbstractMeibomian gland dysfunction (MGD) is the leading cause of dry eye and proposed treatments are based on disease severity. Our purpose was to establish reliable morphologic measurements of meibomian glands for evaluating MGD severity. This retrospective, cross-sectional study included 100 MGD patients and 20 controls. The patients were classified into dry eye severity level (DESL) 1–4 based on symptoms and clinical parameters including tear-film breakup time, ocular staining and Schirmer I. The gland loss, length, thickness, density and distortion were analyzed. We compared the morphology between patients and controls; examined their correlations to meibum expressibility, quality, and DESL. Relative to controls, the gland thickness, density and distortion were elevated in patients (p < 0.001 for all tests). The area under the receiver operating characteristic curve was 0.98 (95% confidence interval [CI], 0.96–1.0) for gland loss, and 0.96 (CI 0.91–1.0) for gland distortion, with a cutoff value of six distorted glands yielding a sensitivity of 93% and specificity of 97% for MGD diagnosis. The gland distortion was negatively correlated to the meibum expressibility (r = −0.53; p < 0.001) and DESL (r = −0.22, p = 0.018). In conclusion, evaluation of meibomian gland loss and distortion are valuable complementary clinical parameters to assess MGD status.
Cerebrospinal fluid growth-associated protein 43 in multiple sclerosis
Authors: Sandelius Åsa , Sandgren Sofia , Axelsson Markus , Malmeström Clas , Novakova Lenka , Kostanjevecki Vesna , Vandijck Manu , Blennow Kaj , Zetterberg Henrik , Lycke Jan 
Published: November 2019

AbstractNeurodegeneration in multiple sclerosis (MS) correlates with disease progression and reparative processes may be triggered. Growth-associated protein 43 (GAP-43) exhibits induced expression during axonal growth and reduced expression during MS progression. We aimed to evaluate if GAP-43 can serve as a biomarker of regeneration in relapsing-remitting MS (RRMS) and whether disease-modifying therapies (DMTs) influence GAP-43 concentration in cerebrospinal fluid (CSF). GAP-43 was measured using an enzyme-linked immunosorbent assay in 105 MS patients (73 RRMS, 12 primary progressive MS, 20 secondary progressive MS) and 23 healthy controls (HCs). In 35 of the patients, lumbar puncture, clinical assessment, and magnetic resonance imaging was performed before initiation of therapeutic intervention, and at follow-up. CSF GAP-43 concentration was significantly lower in progressive MS compared with HCs (p = 0.004) and RRMS (p =  < 0.001) and correlated negatively with disability (p = 0.026). However, DMTs did not alter CSF GAP-43. Interestingly, in RRMS CSF GAP-43 levels were higher in patients with signs of active inflammatory disease than in patients in remission (p = 0.042). According to CSF GAP-43 concentrations, regeneration seems reduced in progressive MS, increased during disease activity in RRMS but is unaffected by treatment of highly active DMTs.
Differential expression of ghrelin and GHSR via the mTOR pathway during the dynamic carcinogenic process involving oral, potentially malignant disorders
Authors: Lou Jianing , Liu Lin , Zhang Weizhen , Zhou Zengtong , Fan Yuan 
Published: November 2019

AbstractThe purpose was to explore the sequence changes in ghrelin and GHSR in the mTOR signaling pathway during carcinogenesis involving oral, potentially malignant disorders (OPMD). The samples were confirmed through in vivo pathologic tissue screening and diagnosis. The immunohistochemical method was used to detect the expression of the ghrelin/growth hormone secretagogue receptor (GHSR) protein. The expression of ghrelin, GHSR 1α, GHSR 1β, and mammalian target of rapamycin (mTOR) RNA were detected by real-time PCR. The expression of ghrelin, GHSR, mTOR, and phosphorylated mTOR (phosphor-mTOR) protein were detected by Western blot. The expression of ghrelin/GHSR increased gradually in the dynamic process of OPMD carcinogenesis. There was a correlation between the increase in ghrelin, GHSR, mTOR, and phospho-mTOR. The in vivo expression of ghrelin/GHSR protein was the most apparent pathologic change from normal-to-mild, moderate, and severe dysplasia, and finally to the dynamic process from normal-to-mild-to-moderate dysplasia. The in vitro cell experiments based on QPCR results also proved that GHSR 1a functional receptor of ghrelin had a peak expression in LEUK-1 cells. In conclusioin, the close relationship between ghrelin and OPMD carcinogenesis can be used as a new biological target to assess the carcinogenesis of OPMD.
Sentence Repetition: A Clinical Marker for Developmental Language Disorder in Danish
Authors: Vang Christensen Rikke 
Published: November 2019

Purpose
The aim of the study was to explore the potential of performance on a Danish sentence repetition (SR) task—including specific morphological and syntactic properties—to identify difficulties in children with developmental language disorder (DLD) relative to typically developing (TD) children. Furthermore, the potential of the task as a clinical marker for Danish DLD was explored.

Method

SR performance of children with DLD aged 5;10–14;1 (years;months;
n
= 27) and TD children aged 5;3–13;4 (
n
= 87) was investigated.

Results
Compared to TD same-age peers, children with DLD were less likely to repeat the sentences accurately but more likely to make ungrammatical errors with respect to verb inflection and use of determiners and personal pronouns. Younger children with DLD also produced more word order errors that their TD peers. Furthermore, older children with DLD performed less accurately than younger TD peers, indicating that the SR task taps into morphosyntactic areas of particular difficulty for Danish children with DLD. The classification accuracy associated with SR performance showed high levels of sensitivity and specificity (> 90%) and likelihood ratios indicating good identification potential for clinical and future research purposes.

Conclusion
SR performance has a strong potential for identifying children with DLD, also in Danish, and with a carefully designed SR task, performance has potential for revealing morphosyntactic difficulties.

Supplemental Material

https://doi.org/10.23641/asha.10314437