bluuebunny/crossref_metadata_2025_split huggingface dataset:
THM modeling of gravity anomalies related to deep hydrothermal circulation at Soultz-sous-Forêts (France)
Authors: Vallier Bérénice , Magnenet Vincent , Schmittbuhl Jean , Fond Christophe 
Published: April 2020

AbstractGravity measurements in the Upper Rhine Graben evidence spatial variations at the regional scale and close to the geothermal sites. They are classically interpreted as linked to the geology. We aim to bring new insights on another potential origin of these gravity changes. Our approach is to quantify gravity anomalies related to the deep hydrothermal circulation. A thermo-hydro-mechanical model is developed at the reservoir scale for the Soultz-sous-Forêts site (Soultz), France. A finite element method is used in 2D and 3D. The size of the representative elementary volume is assumed to be 100 m with no regional fault in the reservoir. Surface gravity profiles and maps associated to the large-scale hydrothermal circulation are computed from the variations of the effective density through the model. Synthetic spatial gravity variations in 2D and 3D models are shown to have an amplitude of 0.02 mGal. They are shown to be mostly linked to the convective system. Their wavelength is about 7.5 km, consistent with the width of the hydrothermal convection cells. The anomaly maximum is located at the top of the maximum surface heat flux. However, gravity anomaly observations show much higher amplitude and heterogeneity. Spatial gravity variations linked to the hydrothermal circulation are shown to be smaller than the observed gravity spatial variations, but still measurable with very sensitive instruments (absolute gravimeters).
Sorting big data by revealed preference with application to college ranking
Authors: Hu Xingwei 
Published: April 2020

AbstractWhen ranking big data observations such as colleges in the United States, diverse consumers reveal heterogeneous preferences. The objective of this paper is to sort out a linear ordering for these observations and to recommend strategies to improve their relative positions in the ranking. A properly sorted solution could help consumers make the right choices, and governments make wise policy decisions. Previous researchers have applied exogenous weighting or multivariate regression approaches to sort big data objects, ignoring their variety and variability. By recognizing the diversity and heterogeneity among both the observations and the consumers, we instead apply endogenous weighting to these contradictory revealed preferences. The outcome is a consistent steady-state solution to the counterbalance equilibrium within these contradictions. The solution takes into consideration the spillover effects of multiple-step interactions among the observations. When information from data is efficiently revealed in preferences, the revealed preferences greatly reduce the volume of the required data in the sorting process. The employed approach can be applied in many other areas, such as sports team ranking, academic journal ranking, voting, and real effective exchange rates.
Leptospirosis as an important differential of pulmonary haemorrhage on the intensive care unit: a case managed with VV-ECMO
Authors: Barnacle James , Gurney Stefan , Ledot Stephane , Singh Suveer 
Published: April 2020

Abstract
Background
Leptospirosis is a potentially fatal zoonosis. It can cause a wide range of symptoms, including diffuse alveolar haemorrhage which occurs in a minority of cases but carries a mortality of over 70%. These patients may present with severe acute respiratory failure. The differential diagnosis for diffuse alveolar haemorrhage is broad whereas prompt diagnosis and treatment can be lifesaving.

Case presentation
A 20-year-old previously fit and well trout farm worker presented with a 3-day history of malaise, fevers, diarrhoea, vomiting and jaundice. He developed haemoptysis, severe headaches, neck stiffness and photophobia on the day of emergency admission. He was anaemic and thrombocytopenic. Anuric acute kidney injury (urea 32, creat 507) required immediate haemofiltration. In view of progressive respiratory failure with four-quadrant lung infiltrates on imaging, he was given broad spectrum antibiotics and pulsed methylprednisolone empirically, in case of a vasculitic pulmonary-renal presentation. He was intubated within 48 h of admission. Despite attempted protective ventilatory management, he remained hypoxaemic and developed pneumomediastinum. He was retrieved to a specialist cardiorespiratory intensive care unit on femoro-femoral mobile VV-ECMO. Three days from admission, results showed positive Leptospira IgM and real-time PCR. Serial bronchoscopies showed old and fresh clots, but not the classical progressive late red tinge of the returned lavage fluid. After eight days, VV-ECMO was weaned, he was extubated three days later, and made a full recovery. At 9 months follow-up, he was clinically better, with resolution of the CT scan findings and near normal lung function, albeit with low normal gas transfer.

Conclusions
Leptospirosis is a rare but important differential to be considered in diffuse alveolar haemorrhage presenting to the ICU, especially in young males. A thorough history for occupational or recreational risk factors may offer the diagnostic clue. Most patients recover fully with antibiotics. However, resulting acute severe respiratory failure can ensue. In this situation, early consideration for respiratory ECMO support offers time for clearance of endobronchial clot, parenchymal recovery, and prevention of ventilator-induced lung injury. Steroids have no clear evidence but may be used to avoid delay in treating suspected vasculitic or autoimmune causes of diffuse alveolar haemorrhage.
Impact of host- and early treatment-related factors on mortality in ICU patients with candidemia: a bicentric retrospective observational study
Authors: Ohki Shingo , Shime Nobuaki , Kosaka Tadashi , Fujita Naohisa 
Published: April 2020

Abstract
Background
Candidemia is one of the most life-threatening infections among critically ill patients in the intensive care unit. However, the number of studies on the impact of host- and early treatment-related factors on mortality in this cohort is limited. The aim of this study was to investigate the relationship between clinically relevant factors, including early treatment (appropriate antifungal therapy and/or central venous catheter removal) and mortality in intensive care unit patients with candidemia.

Methods
We performed a retrospective observational study in two Japanese University hospitals between January 2007 and December 2016. Adult intensive care unit patients with candidemia who met the following inclusion criteria: (1) ≥ 18 years old; (2) admitted in intensive care unit at the time of onset; and (3) central venous catheter in situ at the time of onset were included. We performed univariate and multivariate logistic regression analysis to identify factors associated with 30-day crude mortality.

Results
A total of 68 patients met the inclusion criteria, 47 (69%) of whom were males. The median age was 68.0 (interquartile range, 61.0–76.0) years. The most common causative Candida species was Candida albicans (40 [59%] patients). With respect to the source of infection, central venous catheter-related candidemia was the most frequent (30 [44%] patients). Thirty-day crude mortality was 54% (37 patients). In multivariate logistic regression analysis, Acute Physiology and Chronic Health Evaluation II score (1-point increments) was the only factor that was independently associated with higher 30-day crude mortality. Other variables, including appropriate antifungal therapy and/or central venous catheter removal ≤ 24 h and ≤ 48 h following onset, did not significantly influence mortality.

Conclusions
Candidemia in intensive care unit patients is still associated with high 30-day crude mortality rates. The only predictor of death was Acute Physiology and Chronic Health Evaluation II score ≤ 24 h following candidemia onset. Early empiric antifungal therapy and/or early CVC removal conferred no significant clinical benefit on survival in this patient population.
Eye-tracking and artificial intelligence to enhance motivation and learning
Authors: Sharma Kshitij , Giannakos Michail , Dillenbourg Pierre 
Published: April 2020

AbstractThe interaction with the various learners in a Massive Open Online Course (MOOC) is often complex. Contemporary MOOC learning analytics relate with click-streams, keystrokes and other user-input variables. Such variables however, do not always capture users’ learning and behavior (e.g., passive video watching). In this paper, we present a study with 40 students who watched a MOOC lecture while their eye-movements were being recorded. We then proposed a method to define stimuli-based gaze variables that can be used for any kind of stimulus. The proposed stimuli-based gaze variables indicate students’ content-coverage (in space and time) and reading processes (area of interest based variables) and attention (i.e., with-me-ness), at the perceptual (following teacher’s deictic acts) and conceptual levels (following teacher discourse). In our experiment, we identified a significant mediation effect of the content coverage, reading patterns and the two levels of with-me-ness on the relation between students’ motivation and their learning performance. Such variables enable common measurements for the different kind of stimuli present in distinct MOOCs. Our long-term goal is to create student profiles based on their performance and learning strategy using stimuli-based gaze variables and to provide students gaze-aware feedback to improve overall learning process. One key ingredient in the process of achieving a high level of adaptation in providing gaze-aware feedback to the students is to use Artificial Intelligence (AI) algorithms for prediction of student performance from their behaviour. In this contribution, we also present a method combining state-of-the-art AI technique with the eye-tracking data to predict student performance. The results show that the student performance can be predicted with an error of less than 5%.
Serious sports-related injury in England and Wales from 2012-2017: a study protocol
Authors: Davies Madeleine A. M. , Lawrence Tom , Edwards Antoinette , Lecky Fiona , McKay Carly D. , Stokes Keith A. , Williams Sean 
Published: April 2020

Abstract
Background
Physical activity is an important component of healthy lifestyles, with a central role in morbidity prevention. However, sporting and physical activity also involve an inherent injury risk. Some sports and activities have a higher injury risk, and may involve more severe injuries. Furthermore, injuries of a severe nature have substantial individual and societal consequences, including the burden of assessment, treatment, and potential on-going care costs. There are limited data on severe sports injury risk in England and Wales, and no national data describing risk across sports. The aims of this study are to identify the cases and incidence of: i) paediatric and ii) adult severe sports injury from 2012 to 2017; and to describe injury incidence in individual sports.

Methods
This study is an analysis of prospectively collected sport-related injuries, treated from January 2012 to December 2017. Incidents involving a severe injury (in-patient trauma care) in England and Wales, will be identified from the Trauma Audit Research Network registry. Data for patients who were: transfers or direct hospital admissions, with inpatient stays of ≥3 days, admissions to High Dependency areas, or in-hospital mortality after admission; and whose injury mechanism was sport, or incident description included one of 62 sporting activities, will be extracted. Data will be categorised by sport, and sports participation data will be derived from Sport England participation surveys. Descriptive statistics will be estimated for all demographic, incident, treatment and sport fields, and crude serious annual injury incidence proportions estimated. Poisson confidence intervals will be estimated for each sport and used to describe injury risk (incidence) across sporting activities.

Discussion
This study will be the first to describe the number of, and trends in severe sport-related injuries in England and Wales. These data are useful to monitor the number and burden of severe sports injury, and inform injury prevention efforts. The monitoring and mitigation of sports injury risk is essential for individuals, health services and policy, and to encourage physically active lifestyles and safer participation for adults and children.
Femoral revision knee Arthroplasty with Metaphyseal sleeves: the use of a stem is not mandatory of a structural point of view
Authors: Fonseca F. , Sousa A. , Completo A. 
Published: April 2020

AbstractPurposeAlthough metaphyseal sleeves are usually used with stems, little is known about the exact contribution/need of the stem for the initial sleeve-bone interface stability, particularly in the femur, if the intramedullary canal is deformed or bowed. The aim of the present study is (1) to determine the contribution of the diaphyseal-stem on sleeve-femur interface stability and (2) to determine experimentally the strain shielding effect on the metaphyseal femur with and without diaphyseal-stem. It is hypothesised that diaphyseal-stem addition increases the sleeve-femur interface stability and the strain-shielding effect on the metaphyseal femur relatively to the stemless condition.Material and methodsThe study was developed through a combined experimental and finite-element analysis approach. Five synthetic femurs were used to measure cortex strain (triaxial-rosette-gages) behaviour and implant cortex micromotions (Digital Image Correlation) for three techniques: only femoral-component, stemless-sleeve and stemmed-sleeve. Paired t-tests were performed to evaluate the statistical significance of the difference of cortex strains and micromotions. Finite-element models were developed to assess the cancellous bone strain behaviour and sleeve-bone interface micromotions; these models were validated against the measurements.ResultsCortex strains are significantly reduced (p < 0.05) on the stemmed-sleeve with a 150 μstrain mean reduction at the medial and lateral distal sides which compares with a 60 μstrain mean reduction (p > 0.05) on the stemless condition. Both techniques presented a mean cancellous bone strain reduction of 700 μstrain (50%) at the distal region and a mean increase of 2500 μstrain (4x) at the sleeve proximal region relative to the model only with the femoral component. Both techniques presented sleeve-bone micromotions amplitude below 50-150 μm, suitable for bone ingrowth.ConclusionsThe use of a supplemental diaphyseal-stem potentiates the risk of cortex bone resorption as compared to the stemless-sleeve condition; however, the stem is not essential for the enhancement of the initial sleeve-bone stability and has minor effect on the cancellous bone strain behaviour. Based on a purely structural point view, it appears that the use of a diaphyseal-femoral-stem with the metaphyseal sleeve is not mandatory in the revision TKA, which is particularly relevant in cases where the use of stems is impracticable.
SARS-CoV-2 in the ocular surface of COVID-19 patients
Authors: Xie Hua-Tao , Jiang Shi-Yun , Xu Kang-Kang , Liu Xin , Xu Bing , Wang Lin , Zhang Ming-Chang 
Published: April 2020

AbstractThe 2019 novel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread globally, while the routes of transmission of this virus are still controversial. We enrolled 33 patients, without any ocular manifestation, with their ocular surface swabs collected for virus detection. RNA was detected strong positive in samples of both eyes from two patients. Therefore, SARS-CoV-2 may exist in the normal ocular surface of COVID-19 patients, suggesting that this virus might be spread through conjunctival contact.
Trade-offs between ecosystem service provision and the predisposition to disturbances: a NFI-based scenario analysis
Authors: Temperli Christian , Blattert Clemens , Stadelmann Golo , Brändli Urs-Beat , Thürig Esther 
Published: April 2020

Abstract
Background
Scenario analyses that evaluate management effects on the long-term provision and sustainability of forest ecosystem services and biodiversity (ESB) also need to account for disturbances. The objectives of this study were to reveal potential trade-offs and synergies between ESB provision and disturbance predisposition at the scale of a whole country.

Methods
The empirical scenario model MASSIMO was used to simulate forest development and management from years 2016 to 2106 on 5086 sample plots of the Swiss National Forest Inventory (NFI). We included a business-as-usual (BAU) scenario and four scenarios of increased timber harvesting. Model output was evaluated with indicators for 1) ESB provision including a) timber production, b) old-growth forest characteristics as biodiversity proxies and c) protection against rockfall and avalanches and 2) for a) storm and b) bark beetle predisposition.

Results
The predisposition indicators corresponded well (AUC: 0.71–0.86) to storm and insect (mostly bark beetle) damage observations in logistic regression models. Increased timber production was generally accompanied with decreased predisposition (storm: >−11%, beetle: >−37%, depending on region and scenario), except for a scenario that promoted conifers where beetle predisposition increased (e.g. + 61% in the Southern Alps). Decreased disturbance predisposition and decreases in old-growth forest indicators in scenarios of increased timber production revealed a trade-off situation. In contrast, growing stock increased under BAU management along with a reduction in conifer proportions, resulting in a reduction of beetle predisposition that in turn was accompanied by increasing old-growth forest indicators. Disturbance predisposition was elevated in NFI plots with high avalanche and rockfall protection value.

Conclusions
By evaluating ESB and disturbance predisposition based on single-tree data at a national scale we bridged a gap between detailed, stand-scale assessments and broader inventory-based approaches at the national scale. We discuss the limitations of the indicator framework and advocate for future amendments that include climate-sensitive forest development and disturbance modelling to strengthen decision making in national forest policy making.
Effect of scots pine forest management on soil properties and carabid beetle occurrence under post-fire environmental conditions - a case study from Central Europe
Authors: Błońska Ewa , Bednarz Bartłomiej , Kacprzyk Magdalena , Piaszczyk Wojciech , Lasota Jarosław 
Published: April 2020

Abstract
Background
Fires have a fundamental impact on phytocoenoses and, depending on the size of the fire, can have a positive or negative effect. The role of fires in the formation of the species composition of plants, restoration of stands and changes in soil properties is well studied. However, the long-term relationship between forest management methods, soil properties and epigeic entomofauna assemblages in post-fire areas is still not clear. The effects of Scots pine stand management methods on biochemical soil properties and ground beetle assemblages in the largest post-fire area in Central Europe after the second World were investigated. The study was conducted in the Rudy Raciborskie Forest district in southern Poland. The soil properties and epigeic beetle community structure were analysed. The research covered areas with natural and artificial pine regeneration, which were subjected to various care treatments.

Results
The tendency for higher accumulations of organic matter in the soil of stands that underwent natural regeneration was proven. The stimulating role of soil organic carbon on the activity of dehydrogenases in the soil of naturally renewed areas with silvicultural treatment (NRAT) was noted. Regardless of the manner of stand regeneration, the activity of β-glucosidase was higher in the areas in which breeding treatments were practised. Furthermore, managed forest stands presented a higher abundance of carabid beetles than stands without treatment practices. Thirteen epigeic beetle species from the families Geotrupidae, Carabidae, Curculionidae, Cerambycidae and Silphidae were captured, with beetles from the first two families being the most numerous. Rare epigeal carabid species in the fauna of Poland and Europe, such as Carabus glabratus (Paykull) and Carabus auronitens Fabr., found appropriate habitat conditions for survival in the post-fire areas. Compared with the other areas, in the NRAT area, there were better stand and soil properties and more features conducive to epigeic entomofaunal occurrences. The highest post-fire content of polycyclic aromatic hydrocarbons was recorded in the soils of the sites that underwent artificial regeneration. The results suggest that preparing the soil before the introduction of new vegetation affects the amount of aromatic hydrocarbons (PAHs).

Conclusions
The better performance of the NRAT stand draws attention to the positive aspects of the use of natural regeneration, both from ecological and economic perspectives. The effects of forest management on the amount of soil organic matter after fires have been proven. The natural regeneration of stands was conducive to the accumulation of organic matter. The enzymatic activity of soils is influenced by the renewal method and forest management strategy. The NRAT area was characterized by the highest number of carabid species.
Ex vivo limb perfusion for traumatic amputation in military medicine
Authors: Kaltenborn Alexander , Krezdorn Nicco , Hoffmann Sebastian , Gutcke André , Haastert-Talini Kirsten , Vogt Peter M. , Haverich Axel , Wiegmann Bettina 
Published: April 2020

Abstract
Background
Limb loss has a drastic impact on a patient’s life. Severe trauma to the extremities is common in current military conflicts. Among other aspects, “life before limb” damage control surgery hinders immediate replantation within the short post-traumatic timeframe, which is limited in part by the ischemic time for successful replantation. Ex vivo limb perfusion is currently being researched in animal models and shows promising results for its application in human limb replantation and allotransplantation.

Presentation of the hypothesis
The current lack of replantation possibilities in military operations with high rates of amputation can be addressed with the development of a portable ex vivo limb perfusion device, as there are several opportunities present with the introduction of this technique on the horizon. We hypothesize that ex vivo limb perfusion will enable overcoming the critical ischemic time, provide surgical opportunities such as preparation of the stump and limb, allow for spare-part surgery, enable rigorous antibiotic treatment of the limb, reduce ischemia-reperfusion injuries, enable a tissue function assessment before replantation, and enable the development of large limb transplant programs.

Testing the hypothesis
Data from in vivo studies in porcine models are limited by the relatively short perfusion time of 24 h. In the military setting, notably longer perfusion times need to be realized. Therefore, future animal studies must focus especially on long-term perfusion, since this represents the military setting, considering the time for stabilization of the patient until evacuation to a tertiary treatment center.

Implications of the hypothesis
The development and clinical introduction of ex vivo limb perfusion in the military setting could lead to a drastic reduction in the number of limb amputations among service members. Ex vivo limb perfusion enables replantation surgery in Role 4 facilities and changes the clinical setting from a highly urgent, life-threatening situation to a highly methodical, well-prepared starting point for optimal treatment of the wounded service member. With its introduction, the principle of “life before limb” will change to “life before limb before elective replantation/allotransplantation after ex vivo limb perfusion”.