bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence and Clinical Impact of Vertebral Endplate Changes after Limited Lumbar Microdiscectomy and Implantation of a Bone-anchored Annular Closure Device&nbsp;
Authors: Kienzler Jenny Christine , Rey Sofia , Wetzel Oliver , Atassi Hermien , Bäbler Sabrina , Burn Felice , Fandino Javier 
Published: November 2020

Abstract
Background: An annular closure device (ACD) could potentially prevent recurrent herniation by blocking larger annular defects after limited microdiscectomy (LMD). The purpose of this study was to analyze the incidence of endplate changes (EPC) and outcome after LMD with additional implantation of an ACD to prevent reherniation. Methods: This analysis includes data from a) RCT study-arm of patients undergoing LMD with ACD implantation and b) additional patients undergoing ACD implantation at our institution. Clinical findings (VAS,ODI), radiological outcome (reherniation, implant integrity, volume of (EPC) and risk factors for EPC were assessed. Results: Seventy-two patients (37men, 47±11.63yo) underwent LMD and ACD implantation between 2013-2016. A total of 71 (99%) patients presented with some degree of EPC during the follow-up period (14.67±4.77months). In the multivariate regression analysis, localization of the anchor was the only significant predictor of EPC (p=0.038). The largest EPC measured 4.2 cm3. Reherniation was documented in 17 (24%) patients (symptomatic: n=10; asymptomatic: n=7). Six (8.3%) patients with symptomatic reherniation underwent rediscectomy. Implant failure was documented in 19 (26.4%) patients including anchor head breakage (n=1, 1.3%), dislocation of the whole device (n=5, 6.9%), and mesh dislocation into the spinal canal (n=13, 18%). Mesh subsidence within the EPC was documented in 15 (20.8%) patients. Seven (9.7%) patients underwent explantation of the entire, or parts of the device.Conclusion: Clinical improvement after LMD and ACD implantation was proven in our study. High incidence and volume of EPC did not correlate with clinical outcome. The ACD might prevent disc reherniation despite implant failure rates. Mechanical friction of the polymer mesh with the endplate is most likely the cause of EPC after ACD.
Single-Step Ethanol Production from Raw Cassava Starch Using a Combination of Raw Starch Hydrolysis and Fermentation, Scale-Up from 5-L Laboratory and 200-L Pilot Plant to 3,000-L Industrial Fermenters
Authors: Krajang Morakot , Malairuang Kwanruthai , Sukna Jatuporn , Rattanapradit Krongchan , Chamsart Saethawat 
Published: November 2020

Abstract
Background: A single-step ethanol production is the combination of raw cassava starch hydrolysis and fermentation. For the development of raw starch consolidated bioprocessing technologies, this research was to investigate the optimum conditions and technical procedures for the production of ethanol from raw cassava starch in a single step. It successfully resulted in high yields and productivities of all the experiments from the laboratory, the pilot, through the industrial scales. Yields of ethanol concentration are comparable with those in the commercial industries that use molasses and hydrolyzed starch as the raw materials.Results: Before single-step ethanol production, studies of raw cassava starch hydrolysis by a granular starch hydrolyzing enzyme, StargenTM002, were carefully conducted. It successfully converted 80.19% (w/v) of raw cassava starch to glucose at a concentration of 176.41 g/L with a productivity at 2.45 g/L/h when it was pretreated at 60 °C for 1 h with 0.10% (v/w dry starch basis) of Distillase ASP before hydrolysis. The single-step ethanol production at 34 °C in a 5-L fermenter showed that Saccharomyces cerevisiae (Fali, active dry yeast) produced the maximum ethanol concentration, pmax at 81.86 g/L (10.37% v/v) with a yield coefficient, Yp/s of 0.43 g/g, a productivity or production rate, rp at 1.14 g/L/h and an efficiency, Ef of 75.29%. Scale-up experiments of the single-step ethanol production using this method, from the 5-L fermenter to the 200-L fermenter and further to the 3,000-L industrial fermenter were successfully achieved with essentially good results. The values of pmax, Yp/s, rp, and Ef of the 200-L scale were at 80.85 g/L (10.25% v/v), 0.42 g/g, 1.12 g/L/h and 74.40%, respectively and those of the 3,000-L scale were at 70.74 g/L (8.97% v/v), 0.38 g/g, 0.98 g/L/h and 67.56%, respectively. Because of using raw starch, major by-products, i.e., glycerol, lactic acid, and acetic acid of all three scales were very low, in ranges of 0.940−1.140, 0.046−0.052, 0.000−0.059 (% w/v), respectively, where are less than those values in the industries.Conclusion: The single-step ethanol production using the combination of raw cassava starch hydrolysis and fermentation of three fermentation scales in this study is practicable and feasible for the scale-up of industrial production of ethanol from raw starch.
­­Correlation analysis of oxygen consumptions between stepper and treadmill movements and implication for rehabilitation&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
Authors: Mukrikakkada Anwar Hussain , Arnold Graham , Abboud Rami , Wang Weijie 
Published: November 2020

Abstract
Background: Stepper movement is popular as a home-based exercise. However, it has not been fully investigated how much energy is consumed during movement. This study aimed to investigate oxygen consumption for stepper movements at different cadence levels and to look into whether there are correlations between stepper movement and treadmill walking. Methods: Twenty two healthy volunteers (10 males, 12 females, aged between 18 and 40 years) participated in the study. The participants randomly performed stepper movements and treadmill walking at three different cadences, a self-determined comfortable cadence, a 20% higher and a 20% lower ones than the comfortable one. Their oxygen consumption was measured using Oxycon mobile® system. A set of parameters, e.g. VO2, Metabolic unit, Energy expenditure, etc were obtained. Statistical analysis was carried out to investigate correlations between stepper and treadmill movements in terms of oxygen consumptions. Results: Strong correlations were found between two types of movements, most of metabolic parameters had correlation coefficients ranged proximately between 0.5 to 0.8, p<0.001, e.g. 0.789 for VO2, 0.790 for energy consumption, 0.826 for ventilation, all p<0.001. In the conformable cadence level, VO2 for stepper movements was 826.49±56.02 (ml/min) while VO2 for treadmill walking was 787.16±56.02. Usually, stepper movements have oxygen consumption similar to or slightly higher than that in treadmill walking.Conclusions: This study indicates that stepper movement has similar oxygen consumption level to treadmill at a comfortable cadence level and at a 20% higher than the comfortable one, but stepper movement consumes more energy than treadmill walking by approximately 10% at lower cadence (i.e. 20% lower than the comfortable one). The study shows that the stepper movements is highly correlated with treadmill walking in terms of oxygen consumption, and thus stepper movement data provided can be used as a reference for the healthy to estimate their energy consumption in rehabilitation at home.
Development of Space Environment Customized Risk Estimation for Satellites (SECURES)
Authors: Nagatsuma Tsutomu , Nakamizo Aoi , Kubota Yasubumi , Nakamura Masao , Koga Kiyokazu , Miyoshi Yoshizumi , Matsumoto Haruhisa 
Published: November 2020

Abstract
Plasma variations in the geospace environment driven by the solar wind–magnetosphere interaction are one of the major causes of satellite anomaly. To mitigate the effect of satellite anomaly, the risk of space weather disturbances predicted by space weather forecasting needs to be known in advance. However, the risk of satellite anomaly owing to space weather disturbances is not the same for all satellites, because the risk depends not only on the space environment itself but also on the design and materials of individual satellites. From the viewpoint of satellite operators, it is difficult to apply a general alert level of the space environment to the risk of individual satellites. To provide tailored space weather information, we have developed SECURES (Space Environment Customized Risk Estimation for Satellites) by combining models of the space environment and those of spacecraft charging. In SECURES, we focus on the risk of spacecraft charging (surface/internal) for geosynchronous satellites. For the risk estimation of surface charging, we have combined the global magnetosphere magnetohydrodynamics (MHD) model with the satellite surface charging models. For the risk estimation of internal charging, we have combined the radiation belt models with the satellite internal charging models. We have developed prototype products for both types of charging/electrostatic discharge (ESD). The development of SECURES and our achievements are introduced in this paper.
Predictors of Skin and Soft Tissue Infections Among Sample of Rural Residents Who Inject Drugs
Authors: Baltes Amelia , Akhtar Wajiha , Birstler Jen , Olson-Streed Heidi , Eagen Kellene , Seal David , Westergaard Ryan , Brown Randall 
Published: November 2020

Abstract
Introduction: Skin and soft tissue infections (SSTIs) are among the leading causes of morbidity and mortality for people who inject drugs (PWID). Studies demonstrate that certain injection practices correlate with SSTI incidence among PWID. The opioid epidemic in the United States has particularly affected rural communities, where access to prevention and treatment presents unique challenges. This study aims to estimate unsafe injection practices among rural-dwelling PWID; assess treatments utilized for injection related SSTIs; and gather data to help reduce the overall risk of injection-related SSTIs. Methods: Thirteen questions specific to SSTIs and injection practices were added to a larger study assessing unmet health care needs among PWID and were administered at six syringe exchange programs in rural Wisconsin between May and July 2019. SSTI history prevalence was estimated based on infections reported within one-year prior of response and was compared to self-reported demographics and injection practices. Results: Eighty responses were collected and analyzed. Respondents were white (77.5%), males (60%), between the ages 30-39 (42.5%), and have a high school diploma or GED (38.75%). The majority of respondents (77.5%) reported no history of SSTI within the year prior to survey response. Females were over three times more likely to report SSTI history (OR=3.07, p=0.038) compared to males. Water sources for drug dilution (p=0.093) and frequency of injecting on first attempt (p=0.037), but not proper skin cleaning method (p = 0.378), were significantly associated with a history of SSTI. Injecting into skin (p=0.038) or muscle (p=0.001) were significantly associated with a history of SSTI. Injection into veins was not significantly associated with SSTI (p=0.333).Conclusion: Higher-risk injection practices were common among participants reporting a history of SSTIs in this rural sample. Studies exploring socio-demographic factors influencing risky injection practices and general barriers to safer injection practices to prevent SSTIs are warranted. Dissemination of education materials targeting SSTI prevention and intervention among PWID not in treatment are warranted.
Structurally different lysophosphatidylethanolamine species stimulate neurite outgrowth in cultured cortical neurons via distinct G-protein-coupled receptors and signaling cascades
Authors: Hisano Kazutoshi , Kawase Shiori , Mimura Tetsuhiko , Yamada Hiroki , Haniu Hisao , Tsukahara Tamotsu , Kurihara Taiga , Matsuda Yoshikazu , Saito Naoto , Uemura Takeshi 
Published: November 2020

Abstract
Neurite outgrowth is important in neuronal circuit formation and functions, and for regeneration of neuronal networks following trauma and disease in the brain. Thus, identification and characterization of the molecules that regulate neurite outgrowth are essential for understanding how brain circuits form and function and for the development of treatment of neurological disorders. In this study, we found that structurally different lysophosphatidylethanolamine (LPE) species, palmitoyl LPE (16:0 LPE) and stearoyl LPE (18:0 LPE), stimulate neurite growth in cultured cortical neurons. Interestingly, YM‐254890, an inhibitor of Gq/11 protein, inhibited 16:0 LPE-stimulated neurite outgrowth but not 18:0 LPE-stimulated neurite outgrowth. In contrast, pertussis toxin, an inhibitor of Gi/Go proteins, inhibited 18:0 LPE-stimulated neurite outgrowth but not 16:0 LPE-stimulated neurite outgrowth. The effects of protein kinase C inhibitors on neurite outgrowth were also different. In addition, both 16:0 LPE and 18:0 LPE activate mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (ERK)1/2, but the effect of the MAPK inhibitor differed between the 16:0 LPE- and 18:0 LPE-treated cultures. Collectively, the results suggest that the structurally different LPE species, 16:0 LPE and 18:0 LPE stimulate neurite outgrowth through distinct signaling cascades in cultured cortical neurons and that distinct G protein-coupled receptors are involved in these processes.
Potential Risk Analysis and Experience Summarization of Unstable Factors of Cranial Fixation Devices in Neurosurgical Operations
Authors: Cheng Gaopeng , Hao2 Shuyu , Ye Zhifen , Wang Bao , Huangpu Bin , Zhang Pengfei , Wang Hao , Hao Qiang 
Published: November 2020

Abstract
BACKGROUND The use of cerebral fixation devices in neurosurgery is very common, which is considered to be an important auxiliary method for many craniotomies. However, previous studies have reported complications of using cerebral fixation devices. Some of the complications are serious and even potentially fatal, and the causes of which may be related to incorrect use of cranial fixation devices. Although there are no serious complications, the cause of that needs to be further summarized and analyzed, as so to minimize the serious consequences caused by the cerebral fixation devices slippage and ensure the safety of the patients’ surgical procedure.METHODS In our recent work, we have continuously found three cases of unstable cerebral fixation devices, which allowed us to analysis the possible factors and summarize experience combined with the review of other senior neurosurgeons from different departments of neurosurgery.RESULTS Based on our recent unstable cranial fixation incidents and the experience of investigating and analyzing senior doctors from different neurosurgery centers, we conducted experience analysis and summary to minimize the risk of unstable cranial fixation pins. We tried a variety of options, including a safe anatomical location for cranial fixation, teamwork and communication with anesthesiologists and itinerant nurses to ensure the stability of the patient’s cerebral fixation devices.CONCLUSIONS The data obtained in this survey has great limitations, including the doctor’s personal prejudice and dependence on anecdotal memories. Therefore, the data should be interpreted with caution. Despite these limitations, there are still some modes that can help to better understand the use of safe skull fixation. Based on the above research and analysis, we have made recommendations that may help avoid preventable complications
Stimulated Raman Scattering Simulation for Imaging Optimization
Authors: Zada Liron , Fokker Bart , Leslie Heather A. , Vethaak A. Dick , de Boer Johannes F. , Ariese Freek 
Published: November 2020

Abstract
Two simulation programs of a stimulated Raman scattering microscopy (SRS) imaging system with lock-in amplifier (LIA) detection were developed. SRS is an imaging technique based on the vibrational Raman cross-section as the contrast mechanism and enables fast, label-free imaging. Most SRS implementations are based on a LIA detection of a modulated signal. However, building and operating such SRS set-ups still poses a challenge when selecting the LIA parameter settings for optimized acquisition speed or image quality. Moreover, the type of sample, e.g. a sparse sample vs. a densely packed sample, the required resolution as well as the Raman cross-section and the laser powers affect the parameter choice. A simulation program was used to find these optimal parameters. The focal spot diameters of the individual lasers (pump and Stokes) were used to estimate the effective SRS signal focal spot and the (optical) spatial resolution. By calibrating the signal and noise propagation through an SRS system for a known molecule, we estimated the signal and noise input to the LIA. We used a low pass filter model to simulate the LIA behavior in order to find the optimal parameters (i.e. filter order and time constant). Optimization was done for either image quality (expressed as contrast to noise ratio) or acquisition time. The targeted object size was first determined as a measure for the required resolution. The simulation output consisted of the LIA parameters, pixel dwell time and contrast to noise ratio. In a second simulation we evaluated SRS imaging based on the same principles as the optimal setting simulation, i.e. the signals were propagated through an imaging system and LIA detection. The simulated images were compared to experimental SRS images of polystyrene beads. Finally, the same software was used to simulate multiplexed SRS imaging. In this study we modeled a six-channel frequency-encoded multiplexed SRS system demodulated with six LIA channels. We evaluated the inter-channel crosstalk as a function of chosen LIA parameters, which in multiplex SRS imaging also needs to be considered. These programs to optimize the contrast to noise ratio, acquisition speed, resolution and crosstalk will be useful for operating stimulated Raman scattering imaging setup, as well as for designing novel setups.
Diagnostic Utility of Bronchoalveolar Lavage and Bronchial Brush Cytology in Lung Lesions
Authors: George Jofy , T Umashankar 
Published: November 2020

Background: In 1960’s, flexible fiberoptic bronchoscope, was first used to give a better yield to diagnose pulmonary diseases. Bronchial brushing cytology (BBC) and Broncho-alveolar lavage (BAL) are two important adjuncts done along with bronchoscopic biopsy. Bronchial brushings yield better diagnostic material than simple exfoliative cytology. Therefore, both techniques are of much diagnostic value and is widely accepted as it is safe, economical and evaluation requires much less time.
Methods: All the bronchial brush and bronchoalveolar lavage smears obtained from January 2018 to December 2018 were assessed. Correlation was done with histopathology wherever was available.
Result: BBC showed a sensitivity and specificity of 59.28% and 100%. The positive predictive value and negative predictive value were 100% and 47.62%. BAL showed a sensitivity and specificity of 51% and 100%. The positive predictive value and negative predictive value was 100% and 43.18%. The diagnostic accuracy of BBC and BAL were 70.27% and 64.86%.
Conclusion: Universally bronchial washings and bronchial brushings should be considered important adjunct to bronchoscopic biopsies to diagnose pulmonary lesions as both are safe, economical and can will give better diagnostic yield if incorporated together.
A Comparison Between Cytological and Histopathological Grading System in Cases of Breast Malignancy
Authors: Goswami Alpeshpuri P , Gondaliya Jignesh V , Shah Shaila N 
Published: November 2020

Background
Treatment of breast malignancies depends on its types and grades. Classification of breast lesion is usually based on the histological appearance of tissue in the tumor. Like histopathology, the diagnostic cytology is also a useful tool for the oncologist and surgeons. It is possible to grade breast cancer on fine-needle aspirates.
Material and methods:
A prospective study of FNAC of breast lesions was carried out along with its histopathological correlation. Malignant breast lesion diagnosed on FNAC were graded using Robinson's grading system and correlated with Elstons modified Bloom Richardson histological grading system.
Results:
The sensitivity, specificity and accuracy of the fine needle aspiration cytology to diagnose breast malignancy were 84.84%, 100.00% and 93.75% respectively. Out of 17 cases of Robinson gradeing on FNAC, 12(70.59%) cases were well correlated with Bloom-Richardson histological grade.
Conclusion:
Cytological grading is simple, less time consuming and with rare exceptions correlates precisely with the histological grade. It helps to know prognostic evaluation of breast carcinoma along with diagnosis.
Study of mast Cells in Appendectomy Specimen
Authors: Upadhyay Janaki V , Shah Shaila N 
Published: November 2020

Background: Mast cells play an important role in various inflammatory and immune reaction. Mast cells are constantly present in the appendices, and appendix remains one of the common surgical specimens received at pathology laboratory. Mast cells could be one of the important cell population responsible for nerve proliferation and hypertrophy in cases with clinically and histopathologically diagnosed appendicitis.
Material and methods: The study was done on 100 surgically resected specimens of appendix received for routine histopathological evaluation at the Department of Pathology, Government Medical College, Bhavnagar, between June 2018 and May 2019. All appendices surgically resected as a therapeutic measure for clinically suspected appendicitis included. Cases of normal appendix and acute gangrenous appendicitis were excluded from the study. The appendices were assessed for their histological changes and density of mast cell infiltration. The mast cells were counted in 1% toluidine blue stained sections.
Results: Out of 100 cases of surgically resected appendices, chronic appendicitis was found in 65% of cases and occurred frequently during the second and third decades of life. Highest mast cell count was seen in acute eosinophilic appendicitis and chronic appendicitis. No significant difference was observed in the mean mast cell counts among the different layers of the appendices studied.
Conclusion: Mast cell counts were found to be highest in acute eosinophilic appendicitis and chronic appendicitis. Intermediate mast cell counts were seen in acute appendicitis and acute suppurative appendicitis. Mast cells appear to play roles in accentuation of inflammatory process and fibrosis.