bluuebunny/crossref_metadata_2025_split huggingface dataset:
Short-term exposure to particulate matters is associated with septic emboli in infective endocarditis
Authors: Hsieh Fu-Chien , Huang Chun-Yen , Lin Sheng-Feng , Sun Jen-Tang , Yen Tzung-Hai , Chang Chih-Chun 
Published: November 2019

Abstract
This survey was to investigate the short-term effect of particulate matters (PMs) exposure on clinical and microbiological variables, especially septic emboli, in infective endocarditis (IE). The study analyzed 138 IE patients in Far Eastern Memorial Hospital from 2005 to 2015 and clinical variables were retrospectively requested. The data of air quality were recorded and collected by a network of 26 monitoring stations spreading in Northern part of Taiwan. We found that IE patients with septic emboli were found to be exposed to a significantly higher level of PM2.5 (32.01 ± 15.89 vs. 21.70 ± 13.05 μg/m3, P < .001) and PM10 (54.57 ± 24.43 vs 40.98 ± 24.81 μg/m3, P = .002) on lag 0 day when compared to those without. Furthermore, multivariate regression analysis revealed that that ambient exposure to PM2.5 (odds ratio: 3.87, 95% confidence interval: 1.31–8.31; P = .001) and PM10 (odds ratio: 4.58, 95% confidence interval: 2.03–10.32; P < .001) significantly increased risk of septic emboli in IE patients. To our knowledge, this is the first study demonstrating that short-term exposure to PMs was associated with septic emboli in IE.
Increased risk of eczema after joint replacement
Authors: Wu Po-Yuan , Muo Chih-Hsin , Tsai Chun-Hao 
Published: November 2019

AbstractThere are very few reports of eczema and other prosthetic-related allergic skin complications following arthroplasty. We aimed to assess the risk of eczema after joint replacement.We performed a retrospective population-based cohort study in 2024 joint replacement patients using the Longitudinal Health Insurance Database. For comparison, 8096 controls were selected, with 4 control subjects for each joint replacement patient matched for age, sex, and index year, to assess eczema risk. We examined 14-year cumulative eczema incidence associated with age, sex, immunity, disease history, and joint replacement location.Eczema rates in the joint replacement patients were 38% higher than in the control group (57.90 vs 41.84 per 1000 person-years, respectively). Compared with the control group, joint replacement patients showed a 1.35-fold increased risk of eczema according to the multivariable Cox model (95% Confidence interval [CI] = 1.23–1.49). Knee replacement patients had higher eczema risk compared with the control group (Hazard ratio [HR] = 1.45, 95% CI = 1.33–1.70). Stratified by study period, the joint replacement cohort had a higher eczema risk after the 3-month follow-up.Our study revealed that joint arthroplasty increased risk of eczema in this 14-year follow-up study, and this was not related to personal atopic history or gender.
Surgical versus trans-catheter aortic valve replacement (SAVR vs TAVR) in patients with aortic stenosis
Authors: Ziv-Baran Tomer , Zelman Richard B. , Dombrowski Philip , Schaub Amber E. , Mohr Rephael , Loberman Dan 
Published: November 2019

Abstract
Trans-catheter aortic valve replacement (TAVR) has become an alternative to surgical aortic valve replacement (SAVR) in high and intermediate risk patients with aortic stenosis. TAVR programs are spreading from large referral centers and being established in community based institutions. The purpose of this study was to compare the outcomes of TAVR to those of SAVR in a community hospital.
A historical cohort study of patients with aortic stenosis and pre-post procedure echocardiography data who underwent SAVR or TAVR in Cape Cod Hospital between January 2014 and December 2016. Patient characteristics and procedure outcomes were compared between the two procedures.
The study included 230 patients, of them 111 underwent SAVR and 119 underwent TAVR. None of the patients died during the 30 days after the procedure. TAVR patients had higher rates of postoperative mild+ aortic regurgitation (AR) (29.4% vs 12.6%, P = .002), postoperative atrial ventricular blocks (11.8% vs 0.9%, P = .001), and more often need an implantation of pacemaker (16.8% vs 0.9%, P < .001). Postoperative mean gradient of SAVR patients was higher (median 14 vs 11 mm Hg, P = .001) and atrial fibrillation postoperatively was more frequent (18.9% vs 2.5%, P < .001). Length of stay after procedure was shorter in TAVR patients (median 2 vs 4 days, P < .001).
After controlling for confounders, the use of TAVR was associated with an increased risk for postoperative pacemaker implantation (OR = 16.3, 95%CI 1.91–138.7, P = .011), lower mean gradient (−4.327, 95%CI −7.68 to −0.98, P = .011), and lower risk for atrial fibrillation (OR = 0.11, 95%CI 0.03–0.38, P = .001), but not with postoperative AR (OR = 0.84, 95%CI 0.22–3.13, P = .789).
In conclusion, short-term mortality was not reported in SAVR or TAVR patients. However, TAVR was associated with an increased risk for postoperative pacemaker implantation but with a lower risk for atrial fibrillation. Aortic valves implanted through a trans-catheter approach are also associated with a better hemodynamic performance.
Probiotics supplement in children with severe hand, foot, and mouth disease
Authors: Zhang Haibo , Zhang Lei , Xie Jiadong , Wen Wenting , Wei Luxia , Nie Bo 
Published: November 2019

Abstract

Background:
Severe hand, foot, and mouth disease (HFMD) is an acute infectious disease caused by infection with serotypes of Enterovirus A, most commonly by enterovirus A71 and coxsackievirus A16. Clinical symptoms usually include fever, malaise, rashes on hands and feet, and oral vesicles. Of note, severe and even life-threatening complications can develop rapidly in young children, such as acute pulmonary edema, cardiopulmonary failure, aseptic meningitis, encephalitis and acute flaccid paralysis. Probiotics supplement have been demonstrated play a positive role as a therapeutic approaches for modulation of gut microbiota. This study aims to systematically investigate the efficacy and safety of probiotics for children with severe HFMD.

Methods:
All randomized controlled trials related to probiotics and severe HFMD will be searched in 9 electronic databases (PubMed, Cochrane Library, Embase, ClinicalTrails, China National Knowledge Infrastructure, Sino Med, ScienceDirect, VIP, and Wanfang Data databases) from their inception to November 2019. The primary outcome is total effective rate, fever clearance time, rash regression time, remission time of neurological symptoms, and clinical cure time. Two researchers will perform the study selection, data extraction, and assessment of risk of bias independently. RevMan software (version 5.3) will be used for data synthesis.

Results:
The findings of this study will be published in a peer-reviewed journal.

Conclusion:
The study will provide evidence to judge whether probiotics is an effective therapeutic intervention for severe HFMD.

PROSPERO registration number:
PROSPERO CRD42019152946.
Handgrip Strength Is Associated With Hippocampal Volume and White Matter Hyperintensities in Major Depression and Healthy Controls: A UK Biobank Study
Authors: Firth Josh A. , Smith Lee , Sarris Jerome , Vancampfort Davy , Schuch Felipe , Carvalho Andre F. , Solmi Marco , Yung Alison R. , Stubbs Brendon , Firth Joseph 
Published: November 2019

ABSTRACT

Objective
Emerging evidence suggests that handgrip strength (a proxy for muscular fitness) is associated with better cognitive performance in people with major depressive disorder (MDD). The underlying processes are unclear, although hippocampal volume (HCV) reductions and white matter hyperintensities (WMHs) have been implicated. Therefore, we investigated the associations between handgrip strength and various brain region volumes and WMHs in MDD and healthy controls (HCs).

Methods
This study is a cross-sectional analysis of handgrip strength and neuroimaging data from the UK Biobank. Generalized linear models were used to assess the relationship between grip strength and gray matter, white matter, total brain volume, left and right hippocampus volume, and WMHs in MDD and HCs, adjusting for age, sex, education, and body weight.

Results
The sample included 527 people with MDD (54.3 ± 7.3 years, 37.2% male) and 1764 HCs (56.6 ± 7.2 years, 53% male). In MDD, stronger handgrip was significantly associated with increased left (coefficient ± SE = 108.1 ± 27.6, t = 3.92) and right (76.8 ± 30.4, t = 2.53) HCV. In HCs, only right HCV related to handgrip strength (44.8 ± 18.1, t = 2.47). Interaction analyses found stronger associations between grip strength and HCV in MDD compared with HCs, for both hippocampal regions. Stronger handgrip was associated with reduced WMHs in people with MDD (−0.24 ± 0.07, t = −3.24) and HCs (−0.11 ± 0.04, t = −2.47). Maximal handgrip strength was not associated with gray matter, white matter, or total brain volumes in either group.

Conclusions
Stronger grip strength is associated with greater left and right HCV and reduced WMHs in MDD. Future research should investigate directionality and consider if interventions targeting strength/muscular fitness can improve brain health and reduce the neurocognitive abnormalities associated with MDD.
Consistency of Visual Evoked Potential in Extraocular Manifestations of Behcet Disease and Impact of Corticosteroid Treatment
Authors: Mahgoub Marwa Yahia , Elmohamady Mohamed Nagy 
Published: November 2019

Purpose:
To study the ability of pattern reversal visual evoked potentials (VEPs) to detect subclinical visual pathway pathologic assessment in Behcet disease (BD) and correlate VEP results in BD with disease activity and response to corticosteroid treatment.

Methods:
This study included 18 patients (36 eyes) with BD without recent ocular manifestations and 20 healthy controls (40 eyes). Clinical history was taken, and clinical examinations were done. Visual evoked potential recordings were performed by an electromyographic evoked machine for patients and controls. Corticosteroids were given to patients with extraocular activity, and VEP was repeated after clinical and laboratory improvement of the manifestations.

Results:
p100 latency of VEP was prolonged in 8 patients (11 eyes) (44.4% of cases). Mean p100 latency showed statistically significant prolongations in BD group compared with the control group (106.7 ± 8.1 ms vs. 99.6 ± 1.9 ms) with P value < 0.001. There was a positive correlation between p100 latency and the disease activity score (r = 0.8673), whereas there was no correlation between p100 latency and the disease duration (r = 0.00072). Patients treated with corticosteroids showed statistically significant reduction in mean p100 latency after treatment (P < 0.001).

Conclusions:
Visual evoked potential may be a valuable tool for detecting subclinical neurologic affection in BD.
Cortical Spreading Depression Phenomena Are Frequent in Ischemic and Traumatic Penumbra: A Prospective Study in Patients With Traumatic Brain Injury and Large Hemispheric Ischemic Stroke
Authors: Sueiras Maria , Thonon Vanessa , Santamarina Estevo , Sánchez-Guerrero Ángela , Poca Maria A. , Quintana Manuel , Riveiro Marilyn , Sahuquillo Juan 
Published: November 2019

Purpose:
Spreading depolarization (SD) phenomena are waves of neuronal depolarization, which propagate slowly at a velocity of 1 to 5 mm/minute and can occur in patients with ischemic or hemorrhagic stroke, traumatic brain injury, and migraine with aura. They form part of secondary injury, occurring after spreading ischemia. The purposes of this study were to describe the frequency and characteristics of SD phenomena and to define whether a correlation existed between SD and outcome in a group of patients with TBI and large hemispheric ischemic stroke.

Methods:
This was a prospective observational study of 39 adult patients, 17 with malignant middle cerebral artery infarction and 22 with moderate or severe traumatic brain injury, who underwent decompressive craniectomy and multimodal neuromonitoring including electrocorticography. Identification, classification, and interpretation of SDs were performed using the published recommendations from the Cooperative Study on Brain Injury Depolarization group. The outcomes assessed were functional disability at 6 and 12 months after injury, according to the extended Glasgow outcome scale, Barthel index, and modified Rankin scale.

Results:
Four hundred eighty-three SDs were detected, in 58.9% of the patients. Spreading depolarizations were more common, particularly the isoelectric SD type, in patients with malignant middle cerebral artery infarction (P < 0.04). In 65.21% of patients with SDs on electrocorticography, the “peak” day of depolarization was day 0 (the first 24 hours of recording). Spreading depolarization convulsions were present in 26.08% of patients with SDs. Patients with more SDs and higher depolarization indices scored worse on extended Glasgow outcome scale (6 months) and Barthel index (6 and 12 months) (P < 0.05).

Conclusions:
Evidence on SD phenomena is important to ensure continued progress in understanding their pathophysiology, in the search for therapeutic targets to avoid additional damage from these secondary injuries.
Using genetic variation to disentangle the complex relationship between food intake and health outcomes
Authors: Pirastu Nicola , McDonnell Ciara , Grzeszkowiak Eryk J. , Mounier Ninon , Imamura Fumiaki , Merino Jordi , Day Felix R. , Zheng Jie , Taba Nele , Concas Maria Pina , Repetto Linda , Kentistou Katherine A. , Robino Antonietta , Esko Tõnu , Joshi Peter K. , Fischer Krista , Ong Ken K. , Gaunt Tom R. , Kutalik Zoltan , Perry John R. B. , Wilson James F. 
Published: November 2019

AbstractDespite food choices being one of the most important factors influencing health, efforts to identify individual food groups and dietary patterns that cause disease have been challenging, with traditional nutritional epidemiological approaches plagued by biases and confounding. After identifying 302 individual genetic determinants of dietary intake in 445,779 individuals in the UK Biobank study, we develop a statistical genetics framework that enables us, to directly assess the impact of food choices on health outcomes. We show that the biases which affect observational studies extend also to GWAS, genetic correlations and causal inference through genetics, which can be corrected by applying our methods. Finally, by applying Mendelian Randomization approaches to the corrected results we identify some of the first robust causal associations between eating patterns and cancer, heart disease, obesity, and several other health related risk factors, distinguishing between the effects of specific foods or dietary patterns.
Experimentally revealed stochastic preferences for multi-component choice options
Authors: Pastor-Bernier Alexandre , Volkmann Konstantin , Stasiak Arkadiusz , Grabenhorst Fabian , Schultz Wolfram 
Published: November 2019

AbstractRealistic, everyday rewards contain multiple components. An apple has taste and size. However, we choose in single dimensions, simply preferring some apples to others. How can such single-dimensional preference relationships refer to multi-component choice options? Here, we measured how stochastic choices revealed preferences for two-component milkshakes. The preferences were intuitively graphed as indifference curves that represented the orderly integration of the two components as trade-off: parts of one component were given up for obtaining one additional unit of the other component without a change in preference. The well-ordered, non-overlapping curves satisfied leave-one-out tests, followed predictions by machine learning decoders and correlated with single-dimensional Becker-DeGroot-Marschak (BDM) auction-like bids for the two-component rewards. This accuracy suggests a decision process that integrates multiple reward components into single-dimensional estimates in a systematic fashion. In inter-species comparisons, human performance matched that of highly experienced laboratory monkeys, as measured by accuracy of the critical trade-off between bundle components. These data describe the nature of choices of multi-component choice options and attest to the validity of the rigorous economic concepts and their convenient graphic schemes for explaining choices of human and non-human primates. The results encourage formal behavioral and neural investigations of normal, irrational and pathological economic choices.
Brain states govern the spatio-temporal dynamics of resting state functional connectivity
Authors: Aedo-Jury Felipe , Schwalm Miriam , Hamzehpour Lara , Stroh Albrecht 
Published: November 2019

AbstractPreviously, using simultaneous task-free fMRI and optic-fiber-based neuronal calcium recordings in the anesthetized rat, we identified BOLD responses directly related to slow calcium waves, revealing a cortex-wide and spatially organized BOLD correlate (Schwalm et al. 2017). Here, with these bimodal recordings, we reveal two distinct brain states: persistent state, in which compartmentalized network activity was observed, including defined subsets such as the default mode network; and slow wave state, dominated by a cortex-wide component, suggesting a strong functional coupling of brain activity. In slow wave state we find a correlation between slow wave events and the strength of functional connectivity. These findings suggest that indeed down-up transitions of neuronal excitability drive cortex-wide functional connectivity. This study provides strong evidence that previously reported changes in functional connectivity are highly dependent on the brain’s current state and directly linked with cortical excitability and slow waves generation.
Doing nothing and what it looks like… Inactivity in fattening cattle
Authors: Hintze Sara , Maulbetsch Freija , Asher Lucy , Winckler Christoph 
Published: November 2019

AbstractAnimals kept in barren environments often show increased levels of inactivity and first studies indicate that inactive behaviour may reflect boredom or depression-like states. However, inactivity does not necessarily reflect negative welfare and can even be a sign of positive welfare, for example in terms of relaxation. To date, knowledge of how to reliably differentiate between positive and negative states associated with inactivity is scarce and methods to identify different forms of inactivity are thus warranted. To this end, we developed an Inactivity Ethogram including detailed information on the postures of different body parts (Standing/Lying, Head, Ears, Eyes, Tail) for fattening cattle, a farm animal category often kept in barren environments. The Inactivity Ethogram was applied to Austrian Fleckvieh heifers from intensive, semi-intensive and pasture-based husbandry systems. Three farms per husbandry system were visited twice; once in the morning and once in the afternoon to cover most of the daylight hours with our observations. During each visit, 16 focal animals were continuously observed for 15 minutes each (96 heifers per husbandry system, 288 in total). Moreover, the focal animals’ groups were video recorded to later determine the inactivity level on the group level. Group level and focal animal data were analysed with (generalised) linear mixed-effect models with husbandry system as fixed effect and (group nested in) farm visit nested in farm as random effects. Husbandry system did not affect group level inactivity or the time the different postures were adopted (with the exception of asymmetrical ears, which were more prevalent in intensive than in semi-intensive than in pasture systems). In addition to the analysis of the time the single postures were observed for, simultaneous occurrences of postures of different body parts (Standing/Lying, Head, Ears and Eyes) were analysed using the machine learning algorithm cspade to provide insight into co-occurring postures of inactivity. Frequently co-occurring postures were generally similar between husbandry systems, but with subtle differences. The most frequently observed combination in intensive and semi-intensive systems was Lying with Head up, Ears backwards and Eyes open whereas in pasture systems it was Lying with Head up, ears low and eyes closed. To conclude, both the Inactivity Ethogram (including the description of detailed postures) and the machine learning algorithm cspade (for identifying frequently co-occurring posture combinations) are promising tools to understand how combinations of postures may be used to distinguish between different affective states associated with inactivity.
A structure-based deep learning framework for protein engineering
Authors: Shroff Raghav , Cole Austin W. , Morrow Barrett R. , Diaz Daniel J. , Donnell Isaac , Gollihar Jimmy , Ellington Andrew D. , Thyer Ross 
Published: November 2019

AbstractWhile deep learning methods exist to guide protein optimization, examples of novel proteins generated with these techniques require a priori mutational data. Here we report a 3D convolutional neural network that associates amino acids with neighboring chemical microenvironments at state-of-the-art accuracy. This algorithm enables identification of novel gain-of-function mutations, and subsequent experiments confirm substantive phenotypic improvements in stability-associated phenotypes in vivo across three diverse proteins.
Arc Regulates Transcription of Genes for Plasticity, Excitability and Alzheimer’s Disease
Authors: Leung How-Wing , Foo Gabriel Wei Quan , VanDongen Antonius M.J. 
Published: November 2019

ABSTRACTThe immediate-early gene Arc is a master regulator of synaptic function and a critical determinant of memory consolidation. Arc protein is localized to excitatory synapses, where it controls AMPA receptor endocytosis, and to the nucleus, where it associates with Tip60, a subunit of a chromatin modifying complex. Here we show that Arc interacts with dynamic chromatin loops and associates with histone markers for active enhancers and transcription in cultured hippocampal neurons. When Arc induction by pharmacological network activation was prevented using a short hairpin RNA, the expression profile was altered for over 1900 genes. Many gene families were affected by the absence of Arc, most notably those associated with synaptic function, neuronal plasticity, intrinsic excitability (channels, receptors, transporters), and signaling pathways (transcription factors/regulators). Interestingly, about 100 genes whose activity-dependent expression level depends on Arc are associated with the pathophysiology of Alzheimer’s disease, suggesting a critical role for Arc in the development of neurodegenerative disorders. When endogenous Arc expression was induced in a non-neuronal cell line (HEK293T), the transcription of many neuronal genes was increased, suggesting Arc can control expression in the absence of activated signaling pathways. Taken together, these data establish Arc as a master regulator of neuronal activity-dependent gene expression and a significant factor underlying the pathophysiology Alzheimer’s disease.