bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk factors for cerebral palsy in neonates due to placental abruption
Authors: Ichizuka Kiyotake , Toyokawa Satoshi , Ikenoue Tsuyomu , Satoh Shoji , Hasegawa Junichi , Ikeda Tomoaki , Tamiya Nanako , Nakai Akihito , Fujimori Keiya , Maeda Tsugio , Kanayama Naohiro , Masuzaki Hideaki , Iwashita Mitsutoshi , Suzuki Hideaki , Takeda Satoru 
Published: September 2020

AbstractAimThis study aimed to identify risk factors for the onset of cerebral palsy (CP) in neonates due to placental abruption and investigate their characteristics.MethodsA retrospective case–control study was conducted using a nationwide registry from Japan. The study population included pregnant women (n = 122) who delivered an infant with CP between 2009 and 2015, where placental abruption was identified as the single cause of CP. The control group consisted of pregnant women with placental abruption, who delivered an infant without CP and were managed from 2013 to 2014. They were randomly identified from the prenatal database of the Japan Society of Obstetrics and Gynecology (JSOG‐DB; n = 1214). Risk factors were investigated using multivariate analysis.ResultsAlcohol consumption (3.38, 2.01–5.68) (odds ratio, 95% confidence interval), smoking during pregnancy (3.50, 1.32–9.25), number of deliveries (1.28, 1.05–1.56), polyhydramnios (5.60, 1.37–22.6), oral administration of ritodrine hydrochloride (2.09, 1.22–3.57) and hypertensive disorders in pregnancy (2.25, 1.27–4.07) were significant risk factors. In contrast, intravenous administration of oxytocin (odds ratio, 95% confidence interval: 0.22, 0.09–0.58) and magnesium sulfate (0.122, 0.02–0.89) attenuated risk.ConclusionAlcohol consumption, smoking during pregnancy, number of deliveries, polyhydramnios, oral administration of ritodrine hydrochloride and hypertensive disorders in pregnancy were identified as risk factors for CP following placental abruption. Regarding alcohol consumption and smoking during pregnancy, the results suggest the importance of educational activities targeting pregnant women to increase their awareness of placental abruption.
Positioning operations in the dental safety net to enhance value‐based care delivery in an integrated health‐care setting
Authors: Nycz Gregory , Shimpi Neel , Glurich Ingrid , Ryan Megan , Sova Gwen , Weiner Sarah , Nichols Laurie , Acharya Amit 
Published: September 2020

AbstractObjectivesImpact of implementing data‐driven performance metric‐tracking across a 10‐dental center infrastructure established by Family Heath Center of Marshfield (FHC‐M) was examined for relative impact on achieving value‐based care delivery in serving a patient population characterized by 88% Medicaid representation.MethodsTo track progress toward national benchmarks for preventive care delivery, dental quality analytics dashboard tracking was implemented in real time with sharing of performance metrics across centers. Compliance rate with Uniform Data Systems reporting requirements for sealant placement on permanent first molars in children aged 6‐9 years of age at moderate‐to‐high risk of caries was targeted at FHC‐M dental centers for comparison with those of other community health centers statewide and nationally. Hygienist‐to‐dentist ratio to support robust sealant placement capacity was further examined.ResultsUniform Data Systems data for rate of sealant placement between 2016‐2018 revealed that FHC‐M consistently exceeded rates reported statewide and nationally. For this quality indicator, performance across all dental practices in 27 states reported by Centers for Medicare and Medicaid Services in 2018 achieved 23% in 2017 compared to 73% and 52% placement rates reported by FHC‐M and community health centers, respectively. A 1:1 hygienist‐to‐dentist was documented across FHC‐M dental centers compared to 0.5:1 reported nationally.ConclusionsImplementation of quality metric dashboard and a 1:1 dentist‐to‐hygienist ratio supported realization of value‐based dental care delivery relative to caries prevention in a moderate‐to‐high risk pediatric Medicaid population through achievement of robust sealant placement. Importance of adequate hygienist staffing, "same day" sealant placement and performance feedback supported by technology are highlighted.
Trophically polymorphic loggerhead sea turtles show similar interannual variability in clutch frequencies: implications for estimating population size of iteroparous animals
Authors: Hatase H. , Omuta K. 
Published: September 2020

AbstractWe investigated how trophic polymorphism observed at a loggerhead sea turtle (Caretta caretta) rookery affected the interannual variability of clutch frequency (the number of clutches laid by a female during a nesting season) and of the number of total located nests, based on comprehensive nighttime and daytime field surveys conducted at Yakushima Island, Japan, over a non‐consecutive eight‐year period. Taking into account the fact that lower trophic‐level sea turtles show greater variability in these parameters, we anticipated clutch frequency and the number of total located nests to vary more in low trophic‐level oceanic planktivores (secondary consumers) than in high trophic‐level neritic benthivores (tertiary consumers). Oceanic planktivores and neritic benthivores were classified by stable isotope ratios in egg yolks. Neritic foragers had higher clutch frequencies than oceanic foragers in any year. Contrary to our anticipation, however, both types of foragers showed similarly low interannual variability in clutch frequencies. No significant correlations were found between mean clutch frequencies and the estimated number of nests made by either oceanic or neritic foragers and the number of total located nests. Interannual fluctuations in the total number of nests made by loggerhead turtles, whether trophically monomorphic or polymorphic, seem to be driven more by the number of females than by clutch frequency; this suggests that the number of total located nests can be a good proxy for the population size of iteroparous animals at relatively high trophic levels.
Spatial, climate and ploidy factors drive genomic diversity and resilience in the widespread grass Themeda triandra
Authors: Ahrens Collin W. , James Elizabeth A. , Miller Adam D. , Scott Ferguson , Aitken Nicola C. , Jones Ashley W. , Lu‐Irving Patricia , Borevitz Justin O. , Cantrill David J. , Rymer Paul D. 
Published: September 2020

AbstractGlobal climate change poses a significant threat to natural communities around the world, with many plant species showing signs of climate stress. Grassland ecosystems are not an exception, with climate change compounding contemporary pressures such as habitat loss and fragmentation. In this study, we assess the climate resilience of Themeda triandra, a foundational species and the most widespread plant in Australia, by assessing the relative contributions of spatial, environmental and ploidy factors to contemporary genomic variation. Reduced‐representation genome sequencing on 472 samples from 52 locations was used to test how the distribution of genomic variation, including ploidy polymorphism, supports adaptation to hotter and drier climates. We explicitly quantified isolation by distance (IBD) and isolation by environment (IBE) and predicted genomic vulnerability of populations to future climates based on expected deviation from current genomic composition. We found that a majority (54%) of genomic variation could be attributed to IBD, while an additional 22% (27% when including ploidy information) could be explained by two temperature and two precipitation climate variables demonstrating IBE. Ploidy polymorphisms were common within populations (31/52 populations), indicating that ploidy mixing is characteristic of T. triandra populations. Genomic vulnerabilities were found to be heterogeneously distributed throughout the landscape, and our analysis suggested that ploidy polymorphism, along with other factors linked to polyploidy, reduced vulnerability to future climates by 60% (0.25–0.10). Our data suggests that polyploidy may facilitate adaptation to hotter climates and highlight the importance of incorporating ploidy in adaptive management strategies to promote the resilience of this and other foundation species.
Catastrophic risk
Authors: Stefánsson H. Orri 
Published: September 2020

AbstractCatastrophic risk raises questions that are not only of practical importance, but also of great philosophical interest, such as how to define 'catastrophe' and what distinguishes catastrophic outcomes from non‐catastrophic ones. Catastrophic risk also raises questions about how to rationally respond to such risks. How to rationally respond arguably partly depends on the severity of the uncertainty, for instance, whether quantitative probabilistic information is available, or whether only comparative likelihood information is available, or neither type of information. Finally, catastrophic risk raises important ethical questions about what to do when catastrophe avoidance conflicts with equity promotion.
Can Achilles and patellar tendon structures predict musculoskeletal injuries in combat soldiers?
Authors: Steinberg Nili , Pantanowitz Michal , Funk Shany , Svorai Band Shani , Waddington Gordon , Yavnai Nirit , Zeev Aviva 
Published: September 2020

Aiming to investigate whether Achilles tendon (AT) structure and patellar tendon (PT) structure are risk factors for musculoskeletal injuries in combat soldiers, 168 participants were recruited from an infantry commander's course. The AT and PT were examined pre‐course using UTC to capture the structure of four echo‐type fibers (I–IV). All injuries were assessed by military physicians pre‐course and throughout the 14‐week course. Soldiers who were injured during the course had a significantly higher pre‐course prevalence of AT and PT echo‐type III and echo‐type IV compared to soldiers that were not injured during the course. Variables that were found to be associated with injured/non‐injured participants were echo‐type III + IV of the PT (OR = 1.44, 95% CI = 1.24‐1.68) and echo‐type III of the AT (OR = 1.69, 95% CI = 1.35‐2.12). ROC analyses showed that the best model, exhibiting both high sensitivity and low specificity, was that participants with PT echo‐type III + IV > 10% or AT echo‐type III >8.5% had the highest risk of being injured during the course. In conclusions, the tendon structure at the beginning of high‐intensity activity or physical training program might be a risk factor for subsequent injury during the course. Soldiers and high‐level athletes should be aware of the cutoff points for fiber types in tendon structure that might put them at high risk for future injury. At‐risk soldiers/athletes should be provided with an intervention program before they start their training program, with the aim of improving the tendon structure and preventing subsequent injury.
Straw amendments did not induce high N2O emissions in non‐frozen wintertime conditions: A study in northern Germany
Authors: Wang Haitao , Ma Shutan , Dittert Klaus 
Published: September 2020

AbstractAn increasing area of oilseed rape cultivation in Europe is used to produce biodiesel. However, a large amount of straw residue is often left in the field in autumn. Straw mineralization provides both carbon (C) and nitrogen (N) sources for emission of soil nitrous oxide (N2O), which is an important greenhouse gas with a high warming potential. Some studies have focused on soil N2O emissions immediately post‐harvest; however, straw mineralization could possibly last over winter. Most field studies in winter have focused on freeze‐thaw cycles. It is still not clear how straw mineralization affects soil N2O emissions in unfrozen wintertime conditions. We carried out a field experiment in northern Germany in winter 2014, adding straw and glucose as a source of C with three rates of N fertilizer (0, 30, and 60 kg N ha−1). During the 26 days of observation, cumulative N2O emission in treatments without C addition was negative at all N fertilizer levels. Straw addition produced –3.2, 11.2, and 5.0 mg N2O‐N m−2 at 0, 30, and 60 kg N ha−1, respectively. Addition of glucose surprisingly caused –1.5, 74.6, and 165 mg N2O–N m−2 at 0, 30, and 60 kg N ha−1, respectively. This study demonstrates that oilseed rape straw does not cause high N2O emissions in wintertime when no extreme precipitation or freeze‐thaw cycles are involved, and soil organic C content is low. However, N2O emission could be intensively stimulated, when both easily available organic C and nitrate are not limited and the soil temperature between 0 and 10°C. These results provide useful information on potential changes to N2O emissions that may occur due to the increased use of oilseed rape for biodiesel combined with less severe winters in the northern hemisphere driven by global warming.
A Comparison of the Thermo-Fluid Properties of Ti-6Al-4V Melt Pools Formed by Laser and Electron-Beam Powder-Bed Fusion Processes
Authors: Rahman M Shafiqur , Schilling Paul J. , Herrington Paul D. , Chakravarty Uttam K. 
Published: September 2020

Abstract
Powder-bed fusion (PBF) process is a subdivision of additive manufacturing (AM) technology where a heat source at a controlled speed selectively fuses regions of a powder-bed material to form three-dimensional (3D) parts in a layer-by-layer fashion. Two of the most commercialized and powerful PBF methods for fabricating full-density metallic parts are the laser PBF (L-PBF) and electron beam PBF (E-PBF) processes. In this study, a multiphysics-based 3D numerical model is developed to compare the thermo-fluid properties of Ti-6Al-4V melt pools formed by the L-PBF and E-PBF processes. The temperature-dependent properties of Ti-6Al-4V alloy and the parameters for the laser and electron beams are incorporated in the model as the user-defined functions (UDFs). The melt-pool geometry and its thermo-fluid behavior are investigated using the finite volume (FV) method, and results for the variations of temperature, thermo-physical properties, velocity, geometry of the melt pool, and cooling rate in the two processes are compared under similar irradiation conditions. For an irradiance level of 26 J/mm3 and a beam interaction time of 1.212 ms, simulation results show that the L-PBF process gives a faster cooling rate (1. 5 K/μs) than that in the E-PBF process (0.74 K/μs). The magnitude of liquid velocity in the melt pool is also higher in L-PBF than that in E-PBF. The numerical model is validated by comparing the simulation results for the melt-pool geometry with the PBF experimental results and comparing the numerical melt-front position with the analytical solution for the classical Stephan problem of melting of a phase-change material (PCM).
Experimental evidence supports early silica cementation of the Ediacara Biota
Authors: Slagter Silvina , Tarhan Lidya G. , Hao Weiduo , Planavsky Noah J. , Konhauser Kurt O. 
Published: September 2020

Abstract
Casts and molds of soft-bodied organisms in Ediacaran sandstones (“Ediacara-style” fossilization) have played an important role in reconstruction of the emergence and radiation of early complex macroscopic life. However, the preservational processes responsible for the Ediacara fossil record are still vigorously debated. Whereas classic studies proposed fossilization via rapid sulfide mineralization of carcass and matground surfaces, a more recent view posits silica as the key mineral involved in their preservation. We performed experiments in which a variety of soft-bodied organisms were exposed to silica-rich solutions at concentrations considered characteristic of Ediacaran seawater (2 mM). Our results document continuous precipitation of amorphous silica onto the surfaces of these organic tissues under constant and normal marine pH values (7.8). Mineral formation was accompanied by a progressive decrease in the dissolved silica (DSi) concentration of the experimental solution to levels well below amorphous silica saturation. Additionally, we find that the magnitude of silica precipitation is correlated to each organism’s functional-group chemistry, as measured by potentiometric acid-base titrations. We suggest that a wide range of soft-bodied organisms were prone to silicification in Ediacaran marine environments characterized by anactualistically high DSi concentrations. This provides further support for the model that the extraordinary moldic preservation of the Ediacara Biota was promoted by early silica cementation and that this mode of preservation can offer an accurate glimpse into the composition of those early animal ecosystems.
Plasma phenylalanine and tyrosine and their interactions with diabetic nephropathy for risk of diabetic retinopathy in type 2 diabetes
Authors: Luo Hui-Huan , Li Juan , Feng Xiao-Fei , Sun Xiao-Yu , Li Jing , Yang Xilin , Fang Zhong-Ze 
Published: September 2020

ObjectiveTight control of hyperglycemia reduces risk of diabetic retinopathy (DR), but the residual risk remains high. This study aimed to explore relationships between plasma phenylalanine and tyrosine with DR in type 2 diabetes (T2D) and interactions between the two amino acids, and their secondary interaction with renal dysfunction.Research design and methodsWe extracted data of 1032 patients with T2D from tertiary hospital consecutively from May 2015 to August 2016. Binary logistic regression models with restricted cubic spline were used to check potential non-linear associations and to obtain ORs and 95% CIs of variables under study. Addictive interaction was estimated using relative excess risk due to interaction, attributable proportion due to interaction and synergy index. Area under the receiver operating characteristic curve was used to check increased predictive values.ResultsOf 1032 patients, 162 suffered from DR. Copresence of low phenylalanine and low tyrosine increased DR risk (OR 6.01, 95% CI 1.35 to 26.8), while either of them alone did not have a significant effect with significant additive interaction. Presence of diabetic nephropathy further increased the OR of copresence of low phenylalanine and low tyrosine for DR to 25.9 (95% CI 8.71 to 76.9) with a significant additive interaction. Inclusion of phenylalanine and tyrosine in a traditional risk factor model significantly increased area under the curve from 0.81 to 0.83 (95% CI 0.80 to 0.86).ConclusionPlasma low phenylalanine and low tyrosine worked independently and synergistically to increase the risk of DR in T2D. Presence of renal dysfunction further amplified the effect of copresence of low phenylalanine and low tyrosine on DR risk.
Methylation pattern of urinary DNA as a marker of kidney function decline in diabetes
Authors: Marumo Takeshi , Hoshino Junichi , Kawarazaki Wakako , Nishimoto Mitsuhiro , Ayuzawa Nobuhiro , Hirohama Daigoro , Yamanouchi Masayuki , Ubara Yoshifumi , Okaneya Toshikazu , Fujii Takeshi , Yuki Kazunari , Atsumi Yoshihito , Sato Atsuhisa , Arai Eri , Kanai Yae , Shimosawa Tatsuo , Fujita Toshiro 
Published: September 2020

IntroductionRenal tubular injury contributes to the decline in kidney function in patients with diabetes. Cell type-specific DNA methylation patterns have been used to calculate proportions of particular cell types. In this study, we developed a method to detect renal tubular injury in patients with diabetes by detecting exfoliated tubular cells shed into the urine based on tubular cell-specific DNA methylation patterns.Research design and methodsWe identified DNA methylation patterns specific for human renal proximal tubular cells through compartment-specific methylome analysis. We next determined the methylation levels of proximal tubule-specific loci in urine sediment of patients with diabetes and analyzed correlation with clinical variables.ResultsWe identified genomic loci inSMTNL2andG6PCto be selectively unmethylated in human proximal tubular cells. The methylation levels ofSMTNL2andG6PCin urine sediment, deemed to reflect the proportion of exfoliated proximal tubular cells due to injury, correlated well with each other. Methylation levels ofSMTNL2in urine sediment significantly correlated with the annual decline in estimated glomerular filtration rate. Moreover, addition of urinarySMTNL2methylation to a model containing known risk factors significantly improved discrimination of patients with diabetes with faster estimated glomerular filtration rate decline.ConclusionsThis study demonstrates that patients with diabetes with continual loss in kidney function may be stratified by a specific DNA methylation signature through epigenetic urinalysis and provides further evidence at the level of exfoliated cells in the urine that injury of proximal tubular cells may contribute to pathogenesis of diabetic kidney disease.
Role of beta blockers following percutaneous coronary intervention for acute coronary syndrome
Authors: Peck Kah Yong , Andrianopoulos Nick , Dinh Diem , Roberts Louise , Duffy Stephen J , Sebastian Martin , Clark David , Brennan Angela , Oqueli Ernesto , Ajani Andrew E , Reid Christopher M , Freeman Melanie , Teh Andrew W 
Published: September 2020

AimsThere is a paucity of evidence supporting routine beta blocker (BB) use in patients undergoing percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). The aim of this study was to evaluate BB use post PCI and its association with mortality. Furthermore, the study aimed to evaluate the association between BB and mortality in the subgroups of patients with left ventricular ejection fraction (LVEF) <35%, LVEF 35%–50% and LVEF >50%.MethodsUsing a large PCI registry, data from patients with ACS between January 2005 and June 2017 who were alive at 30 days were analysed. Those patients taking BB at 30 days were compared with those who were not taking BB. The primary outcome was all-cause mortality. The mean follow-up was 5.3±3.5 years.ResultsOf the 17 562 patients, 83.3% were on BB. Mortality was lower in the BB group (13.1% vs 19.5%, p=0.0001). Multivariable Cox proportional hazards model showed that BB use was associated with lower overall mortality (adjusted HR 0.87, 95% CI 0.78 to 0.97, p=0.014). In the subgroup analysis, BB use was associated with reduced mortality in LVEF <35% (adjusted HR 0.63, 95% CI 0.44 to 0.91, p=0.013), LVEF 35%–50% (adjusted HR 0.80, 95% CI 0.68 to 0.95, p=0.01), but not LVEF >50% (adjusted HR 1.03, 95% CI 0.87 to 1.21, p=0.74).ConclusionBB use remains high and is associated with reduced mortality. This reduction in mortality is primarily seen in those with reduced ejection fraction, but not in those with preserved ejection fraction.