bluuebunny/crossref_metadata_2025_split huggingface dataset:
Two cases of breast angiosarcoma after breast conserving surgery
Authors: Shiraki Eriko , Kang Yookija , Shibayama Takahiro , Tsuyuki Shigeru 
Published: April 2020

Abstract
Background
Breast angiosarcoma (AS) is a rare malignant breast tumor arising from endothelial cells lining the blood vessels. The prognosis of AS is reportedly poor. However, the effectiveness of chemotherapy and radiation is still controversial. Surgery is the only curable treatment, and removal of AS with adequate surgical margin is important.

Case presentation
We report two cases of primary and radiation-induced breast angiosarcoma (AS) after performing breast conserving surgery (BCS) for breast cancer. In case 1, a 72-year-old woman underwent right BCS with adjuvant radiation therapy (RT) for breast cancer 5 years prior. She was diagnosed with AS of the right breast and underwent mastectomy with a wide skin resection of the breast. As the tumor cells were positive for c-myc, this tumor was diagnosed as a radiation-induced AS. In case 2, an 80-year-old woman underwent BCS without adjuvant RT. She was diagnosed with AS 3 years after BCS and underwent mastectomy with a wide skin resection of the breast. The tumor was diagnosed to be a primary AS because there were no episodes of RT or lymphedema. Both cases developed local recurrence within 1 year of surgery.

Conclusion
Our cases suggest that surgical margin is associated with the risk of local recurrence, and the difficulty of deciding a safe surgical margin should be set during preoperative diagnosis.
Intraperitoneal onlay mesh repair (IPOM) plus technique using a hybrid procedure of open laparotomy and laparoscopic approach (hybrid IPOM plus) for incarceration of umbilical hernia in a severely obese patient: a case report
Authors: Yanari Shingo , Suto Takayuki , Fujiwara Hisataka , Ariyoshi Yu , Umemura Akira , Sasaki Akira 
Published: April 2020

Abstract
Background
A standard procedure for the treatment of incarcerated umbilical hernia among severely obese patients has yet to be established. We used the hybrid intraperitoneal onlay mesh repair (IPOM) plus method, which combines open and laparoscopic surgery to treat incarcerated umbilical hernia in a severely obese patient.

Case presentation
A 46-year-old man presented in our department with a chief complaint of a painful mass in the umbilical region. Incarcerated umbilical hernia was diagnosed on the basis of abdominal computed tomography, and the decision was made to perform emergency surgery. The patient was severely obese (body mass index, 53.8 kg/m2), and the incarcerated portion of the hernia was therefore first addressed by open surgery. As bowel resection was unnecessary, the risk of infection was considered low, and after direct closure of the hernia orifice, IPOM was performed laparoscopically using the hybrid IPOM plus method.

Conclusion
Among severely obese patients, first trocar insertion is difficult and the wound site tends to come under strain, meaning that simple closure of the hernia orifice results in a high recurrence rate. The hybrid IPOM plus method used in this case combines open surgery and laparoscopy and appears useful for treating uninfected incarcerated umbilical hernia in severely obese patients safely and with an anticipated low rate of postoperative recurrence.
Laparoscopic approach to early gastric cancer in a patient with a prior history of open right hepatectomy: a case report
Authors: Ikegame Ko , Hikage Makoto , Kamiya Satoshi , Tanizawa Yutaka , Bando Etsuro , Terashima Masanori 
Published: April 2020

Abstract
Background
Laparoscopic gastrectomy is regarded a standard treatment procedure for early gastric cancer and is widely used in clinical practice. However, the feasibility of laparoscopic gastrectomy for patients with a prior history of open surgery, especially in the case of a complicated operation, remains unclear. Here, we report a laparoscopic gastrectomy case with a prior history of right hepatectomy.

Case presentation
A 70-year-old man was diagnosed with early gastric cancers preceding a right hepatectomy for a solitary hepatocellular carcinoma at risk of rupture. An additional gastrectomy, after non-curative endoscopic submucosal dissection, was planned after the hepatectomy. Extensive adhesions were found around the liver. Rigid adherence of the duodenum to the adjacent hepatoduodenal ligament had formed. In addition, identification of the hepatic artery was difficult due to stiffening of the mesentery. Peeling off the adhesions from the ventral side of the duodenum revealed the supra-pyloric vessels and enabled us to transect the duodenum safely. Further, exposing the proper hepatic artery via the dorsal side of the mesentery and subsequent supra-pancreatic dissection on the outermost layer allowed effective identification of the right gastric artery. The postoperative course was uneventful.

Conclusions
We successfully performed total laparoscopic distal gastrectomy on a patient with a prior history of major hepatectomy.
Successful preservation of the proximal stomach tube by evaluating blood flow using indocyanine green for gastric tube cancer: a case report
Authors: Hara Kazushi , Matsunaga Tomoyuki , Fukumoto Yoji , Miyauchi Wataru , Kono Yusuke , Shishido Yuji , Hanaki Takehiko , Miyatani Kozo , Watanabe Joji , Kihara Kyoichi , Yamamoto Manabu , Tokuyasu Naruo , Takano Shuichi , Sakamoto Teruhisa , Honjo Soichiro , Fujiwara Yoshiyuki 
Published: April 2020

Abstract
Background
There have been two reports on preserving the proximal gastric tube by using intraoperative indocyanine green (ICG)-based photodynamic detection to evaluate blood flow through the anastomosis for gastric tube cancer after esophagectomy. However, in those cases, the period since the first operation was > 3 years 11 months, and there have been no reports of cases with < 1-year periods after the first operation.

Case presentation
A 59-year-old man underwent video-assisted thoracic subtotal esophagectomy and gastric tube reconstruction after two courses of preoperative chemotherapy for middle thoracic esophageal cancer. After half a year, follow-up upper gastrointestinal endoscopy showed a submucosal tumor in the posterior wall of the pre-pyloric region. We performed a biopsy, and the results led to a diagnosis of gastric cancer (moderately differentiated adenocarcinoma: tub2). Clinically, the patient was described as having stage IB (cT2N0M0) gastric cancer of the reconstructed gastric tube. To avoid total gastrectomy, we tried to evaluate the blood flow of the proximal part of the gastric tube by intraoperative ICG-based photodynamic detection. Intraoperative findings confirmed neo-vascularization from the remnant cervical esophagus to the upper region of the gastric tube approximately 7 cm through the esophagogastric anastomosis. Therefore, we dissected the distal part of the gastric tube approximately 4 cm from the esophagogastric anastomosis and then performed Roux-en-Y gastro-jejunostomy via the ante-sternum route. The postoperative course was stable, and the patient was discharged on the 14th postoperative day.

Conclusions
ICG-based photodynamic diagnosis was found to be simple and less invasive. Therefore, even if the postoperative period is short, this method should be considered for evaluation of blood flow prior to performing less invasive surgery.
Recurrent aspiration pneumonia due to bilateral associated laryngeal paralysis after tooth extraction under general anesthesia: a case report
Authors: Koshika Kyotaro , Ouchi Takashi , Serita Ryohei , Koitabashi Toshiya 
Published: April 2020

Abstract
Background
Associated laryngeal paralysis is a clinical condition merged with other cranial nerve disorders associated with vocal cord paralysis. It is a rare complication in patients after general anesthesia. Here, we report our experience with a patient who developed associated laryngeal paralysis after oral surgery.

Case presentation
A healthy 31-year-old man underwent extraction of horizontally impacted wisdom teeth in the bilateral mandible under general anesthesia. During the surgery, no significant changes in respiratory and cardiovascular parameters or neurosurgical abnormalities occurred. After the surgery, the patient was diagnosed with aspiration pneumonia. Furthermore, the results of otorhinolaryngological and neurological examinations led to a diagnosis of a combination of bilateral glossopharyngeal and vagus nerve paralysis, right recurrent nerve paralysis, and right hypoglossal nerve paralysis. In this case, seriously associated peripheral laryngeal paralysis with repeated episodes of aspiration pneumonia improved in approximately 6 months with rehabilitation and vitamin B12 administration, and no complications remained.

Conclusions
We suggest that the anesthesiologist should take care of each procedure minutely. It is important to diagnose cases of nerve palsy as soon as possible to reduce the damage. Having had experience with this case, we believe sharing our experience with anesthesiologists is important.
The first confirmed case of COVID-19 in Tanzania: recommendations based on lesson learned from China
Authors: Tarimo Clifford Silver , Wu Jian 
Published: April 2020

AbstractAs the coronavirus disease (COVID-19) takes its course outside China, the number of imported cases to other countries is on the rise. Currently, Tanzania has received the first imported case on 16 March 2020. This letter serves to describe this specific event and put forth a number of recommendations including establishing more testing points, discouraging all forms of public and religious gatherings, and tailoring a unique model for lockdown and social distancing to prevent further spread of the disease. The letter has also suggested ways to further improve the efforts already in place so as to strengthen the prevention and control system.
Procedural complications of inferior vena cava filter retrieval, an illustrated review
Authors: Quencer Keith B. , Smith Tyler A. , Deipolyi Amy , Mojibian Hamid , Ayyagari Raj , Latich Igor , Ali Rahmat 
Published: April 2020

AbstractAnnually, approximately 65,000 inferior vena cava (IVC) filters are placed in the United States (Ahmed et al., J Am Coll Radiol 15:1553–1557, 2018). Approximately 35% of filters are eventually retrieved (Angel et al., J Vasc Interv Radiol 22: 1522–1530 e1523, 2011). Complications during filter retrieval depend heavily on technique and filter position. In this paper, we review risk factors and incidence of complications during IVC filter removal. We also discuss ways these complications could be avoided and the appropriate management if they occur.
From visual estimates to fully automated sensor-based measurements of plant disease severity: status and challenges for improving accuracy
Authors: Bock Clive H. , Barbedo Jayme G. A. , Del Ponte Emerson M. , Bohnenkamp David , Mahlein Anne-Katrin 
Published: April 2020

AbstractThe severity of plant diseases, traditionally the proportion of the plant tissue exhibiting symptoms, is a key quantitative variable to know for many diseases and is prone to error. Good quality disease severity data should be accurate (close to the true value). Earliest quantification of disease severity was by visual estimates. Sensor-based image analysis including visible spectrum and hyperspectral and multispectral sensors are established technologies that promise to substitute, or complement visual ratings. Indeed, these technologies have measured disease severity accurately under controlled conditions but are yet to demonstrate their full potential for accurate measurement under field conditions. Sensor technology is advancing rapidly, and artificial intelligence may help overcome issues for automating severity measurement under hyper-variable field conditions. The adoption of appropriate scales, training, instruction and aids (standard area diagrams) has contributed to improved accuracy of visual estimates. The apogee of accuracy for visual estimation is likely being approached, and any remaining increases in accuracy are likely to be small. Due to automation and rapidity, sensor-based measurement offers potential advantages compared with visual estimates, but the latter will remain important for years to come. Mobile, automated sensor-based systems will become increasingly common in controlled conditions and, eventually, in the field for measuring plant disease severity for the purpose of research and decision making.
Continental chemical weathering during the Early Cretaceous Oceanic Anoxic Event (OAE1b): a case study from the Fuxin fluvio-lacustrine basin, Liaoning Province, NE China
Authors: Xu Xiao-Tao , Shao Long-Yi , Lan Bo , Wang Shuai , Hilton Jason , Qin Jian-Yi , Hou Hai-Hai , Zhao Jie 
Published: April 2020

AbstractThis study focuses on Early Cretaceous mudstones from the Shahai and Fuxin formations in the Fuxin continental basin. We analyse chemical weathering, land surface temperatures and palaeoclimates based on chemical weathering indices, and emphasize the implications of continental chemical weathering on nutrient fluxes into lakes and oceans. According to Cr and Ni abundance, Al2O3-TiO2, La/Sc-Th/Co and V-Ni-Th×10 plots, as well as rare earth element (REE) analysis, mudstone samples from the Shahai and Fuxin formations were derived from the same type of provenance comprising mainly felsic igneous rocks. Chemical weathering trends reflected by the Chemical Index of Alteration (CIA), Weathering Index of Parker (WIP) and the Mafic Index of Alteration for Oxidative weathering environments (MIA(O)) are consistent with each other and allow the geological succession to be divided into four stages. Land surface temperatures of the Shahai and Fuxin formations are estimated based on the linear relationship of CIA to temperature, and also can be divided into four stages consistent with those determined from chemical weathering trends. During Stage A (early part of the late Aptian) chemical weathering and land surface temperatures were relatively low and showed characteristic high fluctuations, while Stage B (latest Aptian) represented a transitional period where weathering rates and temperatures increased, and high amplitude fluctuations continued. Conditions changed markedly in Stage C (early Albian) with very high and stable weathering, and warm, humid climates, while in Stage D (middle and late Albian) conditions returned to low chemical weathering and land surface temperatures. These stages of chemical weathering and land surface temperature fluctuations represent responses to global climate fluctuations during the Early Cretaceous, with the early Albian high weathering intensities and warm, humid climates combining to create high nutrient levels that would have flushed through rivers into lakes and ultimately oceans. This correlates stratigraphically with the development of Early Cretaceous black shales during Ocean Anoxic Event 1b, showing the importance of continental weathering regimes as a causal mechanism for lake and ocean anoxia.
Pegylated liposomal doxorubicin in patients with metastatic triple-negative breast cancer: 8-year experience of a single center
Authors: Khallaf Salah Mabrouk , Roshdy Jasmine , Ibrahim Abeer 
Published: April 2020

Abstract
Background
The known efficacy of doxorubicin in metastatic breast cancer is countered by its dose-limiting myelosuppression and cardiotoxicity. Pegylated liposomal doxorubicin (PLD) was discovered to overcome these problems. But the data regarding its use in metastatic TNBC (triple-negative breast cancer) is still insufficient. Our study aimed to assess the factors affecting the outcome of the patients with metastatic TNBC who received PLD.

Results
During a period of 8 years (January 2011–December 2018), we analyzed 39 eligible patients. The disease control rate (DCR) was 51.3%. Among all the analyzed factors, two of them significantly affected DCR. The first factor was the chemosensitivity to prior anthracycline. As patients with chemosensitive disease had higher DCR than those with the chemoresistant disease (P = .001). The second factor was the number of prior lines of chemotherapy. As the patients who received two prior lines had a higher DCR than those who received three lines or more (P = .023). Chemosensitivity was the only significant independent factor for DCR (odds ratio = .095, P = .008).
For the studied patients, the median progression-free survival (PFS) was 7 months. The anthracycline-chemosensitivity was the only significant independent prognostic factor for PFS (P = .002). The median overall survival (OS) was 12 months. There was a marginally significant effect of anthracycline-chemosensitivity on OS (P = .052).

Conclusion
The anthracycline-chemosensitivity is an independent predictive and prognostic factor for the patients with metastatic TNBC receiving PLD. In developing countries, PLD should be reserved for the patients whose tumors are anthracycline-chemosensitive.
GATA2 and Progesterone Receptor Interaction in Endometrial Stromal Cells Undergoing Decidualization
Authors: Kohlmeier Amanda , Sison Christia Angela M , Yilmaz Bahar D , Coon V John S , Dyson Matthew T , Bulun Serdar E 
Published: April 2020

Abstract
The transcription factor GATA2 is important for endometrial stromal cell decidualization in early pregnancy. Progesterone receptor (PGR) is also critical during decidualization but its interaction with GATA2 in regulating genes and pathways necessary for decidualization in human endometrium are unclear. RNA-sequencing (RNA-seq) was performed to compare gene expression profiles (n = 3), and chromatin immunoprecipitation followed by sequencing (ChIP-seq) using an antibody against GATA2 (n = 2) was performed to examine binding to target genes in human endometrial stromal cells undergoing in vitro decidualization (IVD including estrogen, progestin, and 3′,5′-cyclic AMP analogue) or vehicle treatment. We identified 1232 differentially expressed genes (DEGs) in IVD vs vehicle. GATA2 cistrome in IVD-treated cells was enriched with motifs for GATA, ATF, and JUN, and gene ontology analysis of GATA2 cistrome revealed pathways that regulate cholesterol storage, p38 mitogen-activated protein kinase, and the c-Jun N-terminal kinase cascades. Integration of RNA-seq and ChIP-seq data revealed that the PGR motif is highly enriched at GATA2 binding regions surrounding upregulated genes in IVD-treated cells. The integration of a mined public PGR cistrome in IVD-treated human endometrial cells with our GATA2 cistrome showed that GATA2 binding was significantly enhanced at PGR-binding regions in IVD vs vehicle. Interrogating 2 separate ChIP-seq data sets together with RNA-seq revealed integration of GATA2 and PGR action to coregulate biologic processes during decidualization of human endometrial stromal cells, specifically via WNT activation and stem cell differentiation pathways. These findings reveal the key pathways that are coactivated by GATA2 and PGR that may be therapeutic targets for supporting implantation and early pregnancy.
Systematic Review of Factors Affecting Quality of Life After Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy
Authors: Leimkühler Maleen , Hentzen Judith E. K. R. , Hemmer Patrick H. J. , Been Lukas B. , van Ginkel Robert J. , Kruijff Schelto , van Leeuwen Barbara L. , de Bock Geertruida H. 
Published: April 2020

Abstract
Background
Previous studies have shown that, overall, quality of life (QoL) decreases within the first 3–6 months after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS + HIPEC), returning to baseline levels by 6–12 months. This systematic review aims to evaluate the factors affecting QoL after CRS + HIPEC within 12 months of surgery.

Methods
Electronic databases were investigated searching for articles reporting QoL with validated questionnaires up to September 2019. Risk of bias was assessed with the methodological index for non-randomized studies tool. The primary outcomes were short-term (< 6 months after surgery) and medium-term (6–12 months after surgery) determinants of QoL after CRS + HIPEC. Secondary outcomes were QoL and reported symptoms over time.

Results
We included 14 studies that used 12 different questionnaires. The reported data were collected prospectively or retrospectively for 1556 patients (dropout < 50% in four studies). Overall, studies showed diminished QoL within 3 months after surgery and a recovery to baseline or greater by 12 months. QoL was negatively influenced by higher age, female sex, prolonged operation time, extensive disease, residual disease, adjuvant chemotherapy, complications, stoma placement, and recurrent disease. QoL results were comparable between studies, with dropout rates above and below 50%.

Conclusions
QoL returns to baseline levels within 12 months after CRS + HIPEC provided the disease does not recur, and this recovery process is influenced by several factors.
Factors of professional activity that cause a decrease in psychological resources of employees of internal affairs bodies
Authors: Tihonova Elena 
Published: April 2020

The article discusses the factors of professional activity that reduce the psychological resources of the personality of employees of internal affairs bodies, which contribute to the negative manifestations of professional stress and burnout. The results of the study are presented, the influence of factors of professional activity of employees of internal affairs bodies, leading to a significant reduction in their resources and, as a result, stress and burnout. The relationship of stress and burnout with the self-report of employees of internal affairs bodies about various factors of professional activity and personal life was examined. Our goal was to better understand the factors that could potentially be targeted in order to mitigate their impact on employees by increasing psychological resources and thereby prevent police stress and burnout. To achieve research goals, we used the questionnaire of emotional burnout K. Maslach and S. Jackson, in adaptation N.E. Vodopyanova and a specially designed profile.
The study involved 38 employees of the middle and senior command staff of the Ministry of Internal Affairs of Russia in the Omsk Region, consisting of a reserve of personnel for promotion to higher managerial positions. According to the results of the study, the number of ATS employees with high intensity of occupational stress amounted to 26% of the total number of examined, with an intensity of stress above average - 37% of employees, with low and medium intensity of occupational stress - 37%.
Using the Pearson coefficient r revealed the presence of a direct positive relationship between the level of emotional exhaustion and the presence of conflict in the performance of respondents.
Distribution of some heavy and essential metals Cd, Pb, Cu, Fe and Zn in Mango fruit (Mangifera Indica L.) cultivated in Different Regions of Pakistan
Authors: Jalbani NUSRAT , Tuzen Mustafa , Aydin Funda , Bhutto Shahid 
Published: April 2020

Â In the present study, the concentrations of Cd, Pb, Cu, Zn and Fe from 50 mango samples (Mangifera indica L.) were detected by electro-thermal/flame atomic absorption spectrometry (ETAAS/FAAS). In this study three varieties such as Dusahri, Langra and Chaunsa were collected from different regions (Multan, Sadiqabad, Rahimyar Khan and Mirpurkhas) of Pakistan.Â The effect of different varieties and environmental conditions on metal accumulation was also investigated. The aim of this study is to compare the level of essential and toxic metal in different regions and correlate the differences observed in metal accumulation to environmental conditions. The accuracy of the conventional acid digestion (CAD) method was checked by analyzing Certified Reference Materials (CRM) i.e. fortified water (TMDA-70), apple leaves (1515) and standard addition technique. The limit of detections (LODs) of the method were found to be 0.113, 2.0, 22.7, 3.85 and 3.05 Âµg L-1 for Pb, Cd, Cu, Fe, and Zn, respectively.