bluuebunny/crossref_metadata_2025_split huggingface dataset:
High road mortality during female-biased larval dispersal in an iconic beetle
Authors: Lehtonen Topi K. , Babic Natarsha L. , Piepponen Timo , Valkeeniemi Otso , Borshagovski Anna-Maria , Kaitala Arja 
Published: January 2021

Abstract
Animals often disperse from one habitat to another to access mates or suitable breeding sites. The costs and benefits of such movements depend, in part, on the dispersing individuals’ phenotypes, including their sex and age. Here we investigated dispersal and road-related mortality in larvae of a bioluminescent beetle, the European common glow-worm, Lampyris noctiluca, in relation to habitat, sex and proximity of pupation. We expected these variables to be relevant to larval dispersal because adult females are wingless, whereas adult males fly when searching for glowing females. We found that dispersing glow-worm larvae were almost exclusively females and close to pupation. The larvae were often found on a road, where they were able to move at relatively high speeds, with a tendency to uphill orientation. However, each passing vehicle caused a high mortality risk, and we found large numbers of larvae run over by cars, especially close to covered, forest-like habitat patches. In contrast, adult females in the same area were most often found glowing in more open rocky and grassy habitats. These findings demonstrate an underappreciated ecological strategy, sex-biased dispersal at larval phase, motivated by different habitat needs of larvae and wingless adult females. The results are also consistent with roads being an ecological trap, facilitating dispersal and presumably females’ signal visibility but causing severe larval mortality just before the reproductive stage. Hence, in addition to the previously recognised threats of urbanisation, even low traffic volumes have a high potential to negatively affect especially females of this iconic beetle.

Significance statement
Animals sometimes need to move from one habitat to another to find mating partners or breeding sites. We found this need to result in strongly female-biased larval dispersal in the European common glow-worm, a beetle known for the glow of wingless females that attract flying males to mate. Female larvae moving between habitats often used a road or trail but perished in high numbers when run over by cars. Hence, roads are likely to be ecological traps for the female glow-worm larvae, attracting them during dispersal, but causing grave mortality. The sex-biased larval dispersal, demonstrated in this study, is a poorly known ecological strategy that was found to be very risky in a human-modified landscape.
Diagnosis‐Related Group (DRG)‐Based Prospective Hospital Payment System can be well adopted for Acute Care Surgery: Taiwanese Experience with Acute Cholecystitis
Authors: Wu Yu‐Tung , Lin Yu‐Ning , Cheng Chi‐Tung , Fu Chih‐Yuan , Liao Chien‐Hung , Hsieh Chi‐Hsun 
Published: January 2021

AbstractBackgroundLaparoscopic cholecystectomy (LC) is a common procedure for cholelithiasis paid by diagnostic‐related groups (DRGs) systems. However, acute cholecystitis (AC) patients usually have heterogeneous conditions that compromise the successful implementation of DRGs. We evaluated the quality/efficiency of treating AC patients under the DRG system in Taiwan.MethodsAll AC patients who underwent LC between October 2015 and December 2016 were included. Patient demographics, treatment outcomes, and financial results were analyzed. Patients were reimbursed by one of the two DRG schemes based on their comorbidities/complications (CC): DRG‐1, LC without CC; and DRG‐2, LC with CC. Hospitals were reimbursed the costs incurred if they were below the lower threshold (balanced sector); with the outlier threshold if costs were between the lower and outlier thresholds (profitable sector); and with the outlier threshold plus 80% of the exceeding cost if costs were higher than the outlier threshold (profit‐losing sector).ResultsAmong 246 patients, 114 were paid by DRG‐1, and 132 were by DRG‐2. In total, 195 of 246 patients underwent LC within 1 day after admission, and patients with mild AC had shorter hospital stays than those with moderate or severe AC. The complication rate was 7.3% with only one mortality. In total, 92.1% of patients in DRG‐1 and 90.9% of patients in DRG‐2 were profitable. The average margin per patient was 11,032 TWD for DRG‐1 and 24,993 TWD for DRG‐2.ConclusionsDRGs can be well adopted for acute care surgery, and hospitals can still provide satisfactory services without losing profit.
Global incidence of spinal perineural Tarlov’s cysts and their morphological characteristics: a meta-analysis of 13,266 subjects
Authors: Klepinowski Tomasz , Orbik Wojciech , Sagan Leszek 
Published: January 2021

Abstract
Background
Spinal perineural Tarlov’s cysts (TCs) are considered incidental findings that occasionally might exert pressure upon nerve roots and correspond with patients’ signs and symptoms. Purpose of this meta-analysis is to deliver global incidence and characteristics (location, size, and shape) of TCs.

Methods
Following PRISMA checklist, all major databases were searched by two authors for radiologic studies reporting incidence and morphologic features (location, size, and shape) of TCs. Anatomical Quality Assessment tool was applied for risk of bias evaluation. Meta-analysis of random-effects model was employed. Subgroup analysis for regional distribution, gender, sacral levels, age, correspondence with symptoms, and persistent genital arousal disorder (PGAD) were planned ahead.

Results
22 radiologic studies of level 3 evidence involving 13,266 subjects were included. Global pooled prevalence of TCs was 4.18% (95% CI 2.47–6.30). Mean pooled sagittal diameter was 11.86 mm (95% CI 10.78–12.93). Sacral cysts strongly prevailed over the other segments. Of the sacral, S2 level was the most common (46.7% [95% CI 29.4–60.5]). Geographically, the highest incidence was found in Europe (6.07% [95% CI 1.49–13.00]), followed by North America (3.82% [95% CI 0.49–9.44]), and Asia (3.33% [95% CI 1.52–5.75]). TCs were more common in women than in men (5.84% vs 3.03%, p < 0.001, test of homogeneity, χ2). Subjects with PGAD had incidence of 37.87% (95% CI 2.45–81.75). TCs in pediatric population are rare—0.53% (95% CI 0.02–1.51). 15.59% of TCs corresponded with symptoms.

Conclusions
Spinal perineural (Tarlov) cysts are found in a minority of population. S2 level of the sacral bone is affected most frequently. There is female predominance. Correspondence with symptoms is seen in less than one-fifth of TCs. Studies with stronger evidence level are needed to corroborate the results. The purported high incidence in PGAD requires confirmation in case–control studies for the risk-ratio calculation.
Coronary artery lumen volume index as a marker of flow-limiting atherosclerosis—validation against 13N-ammonia positron emission tomography
Authors: Benetos Georgios , Benz Dominik C. , Rampidis Georgios P. , Giannopoulos Andreas A. , von Felten Elia , Bakula Adam , Sustar Aleksandra , Fuchs Tobias A. , Pazhenkottil Aju P. , Gebhard Catherine , Kaufmann Philipp A. , Gräni Christoph , Buechel Ronny R. 
Published: January 2021

Abstract
Objectives
Coronary artery volume indexed to left myocardial mass (CAVi), derived from coronary computed tomography angiography (CCTA), has been proposed as an indicator of diffuse atherosclerosis. We investigated the association of CAVi with quantitative flow parameters and its ability to predict ischemia as derived from 13N-ammonia positron emission tomography myocardial perfusion imaging (PET-MPI).

Methods
Sixty patients who underwent hybrid CCTA/PET-MPI due to suspected CAD were retrospectively included. CAVi was defined as total coronary artery lumen volume over myocardial mass, both derived from CCTA. From PET-MPI, quantitative stress and rest myocardial blood flow (MBF) and myocardial flow reserve (MFR) were obtained and correlated with CAVi, and semi-quantitative perfusion images were analyzed for the presence of ischemia. Harrell’s c-statistic and net reclassification improvement (NRI) analysis were performed to evaluate the incremental value of CAVi over the CCTA model (i.e., stenosis > 50% and > 70%).

Results
CAVi correlated moderately with stress MBF and MFR (R = 0.50, p < 0.001, and R = 0.39, p = 0.002). Mean stress MBF and MFR were lower in patients with low (i.e., ≤ 20.2 mm3/g, n = 24) versus high (i.e., > 20.2 mm3/g, n = 36) CAVi (p < 0.001 for both comparisons). CAVi was independently associated with abnormal stress MBF (OR 0.90, 95% CI 0.82–0.998, p = 0.045). CAVi increased the predictive ability of the CCTA model for abnormal stress MBF and ischemia (c-statistic 0.763 versus 0.596, pdiff < 0.05 and 0.770 versus 0.645, pdiff < 0.05, NRI 0.84, p = 0.001 and 0.96, p < 0.001, respectively).

Conclusions
CAVi exhibits incremental value to predict both abnormal stress MBF and ischemia over CCTA alone.

Key Points
• Coronary artery volume indexed to left myocardial mass (CAVi), derived from coronary computed tomography angiography (CCTA), is correlated with myocardial blood flow indices derived from13N-ammonia positron emission tomography myocardial perfusion imaging.
• CAVi is independently associated with abnormal stress myocardial blood flow.
• CAVi provides incremental diagnostic value over CCTA for both abnormal stress MBF and ischemia.
The efficacy and safety of Serenoa repens extract for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome: a multicenter, randomized, double-blind, placebo-controlled trial
Authors: Zhang Kai , Guo Run-Qi , Chen Shan-Wen , Chen Bin , Xue Xin-Bo , Chen Shan , Huang Jian , Liu Ming , Tian Ye , Zuo Li , Chen Ming , Zhou Li-Qun 
Published: January 2021

Abstract
Purpose
To perform a placebo-controlled trial to evaluate the efficacy and safety of Serenoa repens extract (SRE) for the treatment of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Methods
We conducted a double-blind, randomized, placebo-controlled, multicenter, clinical phase 4 study of 221 patients with CP/CPPS across 11 centers. Participants were randomly assigned in a 2:1 ratio to receive SRE or placebo for 12 weeks. The primary efficacy endpoint was the change in total score on the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI). Secondary efficacy endpoints included improvements within each domain of NIH-CPSI, clinical response rate, and International Index of Erectile Function 5 items (IIEF-5).

Results
In total, 226 patients were enrolled and randomized between January 2017 and June 2018. Of these 221 patients were included in the intent-to-treat analysis: 148 in the SRE group and 73 patients in the placebo group. Compared to the placebo, SRE led to statistically significant improvements in the NIH-CPSI total score and sub-scores. The significant improvements of NIH-CPSI scores were established after 2 weeks from the first dose, and continued to the end of the treatment. Furthermore, a significantly higher rate of patients achieved a clinical response in the SRE group compared with that in the placebo group (73.0% vs 32.9%, P < 0.0001). Only minor adverse events were observed across the entire study population.

Conclusions
SRE was effective, safe, and clinically superior to placebo for the treatment of CP/CPPS. ChiCTR-IPR-16010196, December 21, 2016 retrospectively registered
Association between acute myocardial infarction-to-cardiac rupture time and in-hospital mortality risk: a retrospective analysis of multicenter registry data from the Cardiovascular Research Consortium-8 Universities (CIRC-8U)
Authors: Yoneyama Kihei , Ishibashi Yuki , Koeda Yorihiko , Itoh Tomonori , Morino Yoshihiro , Shimohama Takao , Ako Junya , Ilari Yuji , Yoshioka Koichiro , Kunishima Tomoyuki , Inami Shu , Ishikawa Tetsuya , Sugimura Hiroyuki , Kozuma Ken , Sugi Keiki , Yoshino Hideaki , Akashi Yoshihiro J. 
Published: January 2021

AbstractDespite the known association of cardiac rupture with acute myocardial infarction (AMI), it is still unclear whether the clinical characteristics are associated with the risk of in-hospital mortality in patients with AMI complicated by cardiac rupture. The purpose of this study was to investigate the association between the time of cardiac rupture occurrence and the risk of in-hospital mortality after AMI. We conducted a retrospective analysis of multicenter registry data from eight medical universities in Eastern Japan. From 10,278 consecutive patients with AMI, we included 183 patients who had cardiac rupture after AMI, and examined the incidence of in-hospital deaths during a median follow-up of 26 days. Patients were stratified into three groups according to the AMI-to-cardiac rupture time, namely the > 24-h group (n = 111), 24–48-h group (n = 20), and < 48-h group (n = 52). Cox proportional hazards regression analysis was used to estimate the hazard ratio (HR) and the confidence interval (CI) for in-hospital mortality. Around 87 (48%) patients experienced in-hospital death and 126 (67%) underwent a cardiac surgery. Multivariable Cox regression analysis revealed a non-linear association across the three groups for mortality (HR [CI]; < 24 h: 1.0, reference; 24–48 h: 0.73 [0.27–1.86]; > 48 h: 2.25 [1.22–4.15]) after adjustments for age, sex, Killip classification, percutaneous coronary intervention, blood pressure, creatinine, peak creatine kinase myocardial band fraction, left ventricular ejection fraction, and type of rupture. Cardiac surgery was independently associated with a reduction in the HR of mortality (HR [CI]: 0.27 [0.12–0.61]) and attenuated the association between the three AMI-to-cardiac rupture time categories and mortality (statistically non-significant) in the Cox model. These data suggest that the AMI-to-cardiac rupture time contributes significantly to the risk of in-hospital mortality; however, rapid diagnosis and prompt surgical interventions are crucial for improving outcomes in patients with cardiac rupture after AMI.
Meta-analyses in paediatric surgery are often fragile: implications and consequences
Authors: Schröder Arne , Muensterer Oliver J. , Oetzmann von Sochaczewski Christina 
Published: January 2021

Abstract
Purpose
Meta-analyses occupy the highest level of evidence and thereby guide clinical decision-making. Recently, randomised-controlled trials were evaluated for the robustness of their findings by calculating the fragility index. The fragility index is the number of events that needs to be added to one treatment arm until the statistical significance collapses. We, therefore, aimed to evaluate the robustness of paediatric surgical meta-analyses.

Methods
We searched MEDLINE for paediatric surgical meta-analyses in the last decade. All meta-analyses on a paediatric surgical condition were eligible for analysis if they based their conclusion on a statistically significant meta-analysis.

Results
We screened 303 records and conducted a full-text evaluation of 60 manuscripts. Of them, 39 were included in our analysis that conducted 79 individual meta-analyses with significant results. Median fragility index was 5 (Q25–Q75% 2–11). Median fragility in relation to included patients was 0.77% (Q25–Q75% 0.29–1.87%).

Conclusion
Paediatric surgical meta-analyses are often fragile. In almost 60% of results, the statistical significance depends on less than 1% of the included population. However, as the fragility index is just a transformation of the P value, it basically conveys the same information in a different format. It therefore should be avoided.
Dysphagia, voice problems, and pain in head and neck cancer patients
Authors: Zebralla Veit , Wichmann Gunnar , Pirlich Markus , Hammermüller Carola , Berger Thomas , Zimmermann Klara , Neumuth Thomas , Mehnert-Theuerkauf Anja , Dietz Andreas , Hinz Andreas , Wiegand Susanne 
Published: January 2021

Abstract
Purpose
Head and neck cancer (HNC) and its treatment can leave devastating side effects with a relevant impact on physical and emotional quality of life (QoL) of HNC patients. The objectives were to examine the amount of dysphagia, voice problems, and pain in HNC patients, the impact of sociodemographic, behavioral, and clinical factors on these symptoms, the psychometric properties of the EAT-10, and the relationship between these symptoms and QoL variables.

Methods
HNC patients attending for regular follow-up from 07/2013 to 09/2019 completed questionnaires (Eating Assessment Tool-10 (EAT-10); questions from the EORTC QLQ-C30 and EORTC H&N35) on dysphagia, voice problems, pain, fatigue, and QoL collected with the software OncoFunction. Associations between prognostic factors and symptoms were tested with analyses of variance (ANOVAs). Associations between the symptom scales and QoL variables were expressed with Pearson correlations.

Results
Of 689 patients, 54.9% suffered from dysphagia, the EAT-10 proved to be a reliable measure. The mean voice score was 37.6 (± 33.9) [range 0–100], the mean pain score 1.98 (± 2.24) [range 0–10]. Trimodality treatment was associated with the highest dysphagia scores. Dysphagia, voice problems, and pain significantly correlated with each other, the highest association was found for dysphagia and pain (r = 0.51). QoL was strongly correlated with dysphagia and pain (r = − 0.39 and r = − 0.40, respectively), while the association with voice problems was weaker (r = − 0.28).

Conclusion
Dysphagia is an important symptom in HNC patients greatly affecting patients’ QoL and significantly correlating with voice problems and pain.
A deformation energy model reveals sequence-dependent property of nucleosome positioning
Authors: Liu Guoqing , Zhao Hongyu , Meng Hu , Xing Yongqiang , Cai Lu 
Published: January 2021

AbstractWe present a deformation energy model for predicting nucleosome positioning, in which a position-dependent structural parameter set derived from crystal structures of nucleosomes was used to calculate the DNA deformation energy. The model is successful in predicting nucleosome occupancy genome-wide in budding yeast, nucleosome free energy, and rotational positioning of nucleosomes. Our model also indicates that the genomic regions underlying the MNase-sensitive nucleosomes in budding yeast have high deformation energy and, consequently, low nucleosome-forming ability, while the MNase-sensitive non-histone particles are characterized by much lower DNA deformation energy and high nucleosome preference. In addition, we also revealed that remodelers, SNF2 and RSC8, are likely to act in chromatin remodeling by binding to broad nucleosome-depleted regions that are intrinsically favorable for nucleosome positioning. Our data support the important role of position-dependent physical properties of DNA in nucleosome positioning.
Catastrophe theory in work from heartbeats to eye movements
Authors: Ather Syed Hussain 
Published: January 2021

AbstractIn "Slow-fast control of eye movements: an instance of Zeeman’s model for an action," Clement and Akman extended Zeeman's model for the heartbeat to describe eye movement control of different species using aspects of catastrophe theory. The scientists created a model that gives an example of how the techniques of catastrophe theory can be used to understand information processing by biological organisms, a key aspect of biological cybernetics. They tested how well the system of equations for Zeeman's model could be applied to saccadic eye movements.
Detecting faking-good response style in personality questionnaires with four choice alternatives
Authors: Monaro Merylin , Mazza Cristina , Colasanti Marco , Ferracuti Stefano , Orrù Graziella , di Domenico Alberto , Sartori Giuseppe , Roma Paolo 
Published: January 2021

AbstractDeliberate attempts to portray oneself in an unrealistic manner are commonly encountered in the administration of personality questionnaires. The main aim of the present study was to explore whether mouse tracking temporal indicators and machine learning models could improve the detection of subjects implementing a faking-good response style when answering personality inventories with four choice alternatives, with and without time pressure. A total of 120 volunteers were randomly assigned to one of four experimental groups and asked to respond to the Virtuous Responding (VR) validity scale of the PPI-R and the Positive Impression Management (PIM) validity scale of the PAI via a computer mouse. A mixed design was implemented, and predictive models were calculated. The results showed that, on the PIM scale, faking-good participants were significantly slower in responding than honest respondents. Relative to VR items, PIM items are shorter in length and feature no negations. Accordingly, the PIM scale was found to be more sensitive in distinguishing between honest and faking-good respondents, demonstrating high classification accuracy (80–83%).
From immune to olfactory expression: neofunctionalization of formyl peptide receptors
Authors: Boillat Madlaina , Carleton Alan , Rodriguez Ivan 
Published: January 2021

Abstract Variations in gene expression patterns represent a powerful source of evolutionary innovation. In a rodent living about 70 million years ago, a genomic accident led an immune formyl peptide receptor (FPR) gene to hijack a vomeronasal receptor regulatory sequence. This gene shuffling event forced an immune pathogen sensor to transition into an olfactory chemoreceptor, which thus moved from sensing the internal world to probing the outside world. We here discuss the evolution of the FPR gene family, the events that led to their neofunctionalization in the vomeronasal organ and the functions of immune and vomeronasal FPRs.
Characteristics of the vaginal microbiomes in prepubertal girls with and without vulvovaginitis
Authors: Xiaoming Wu , Jing Liu , Yuchen Pan , Huili Liu , Miao Zhang , Jing Shu 
Published: January 2021

AbstractThe present study focused on the characteristics of the vaginal microbiomes in prepubertal girls with and without vulvovaginitis. We collected 24 vaginal samples and 16 fecal samples from 10 girls aged 3–9 years with vulvovaginitis and 16 healthy girls of the same age. The samples were divided into three groups: fecal swabs from healthy controls (HF), vaginal swabs from healthy controls (HVS), and vaginal swabs from girls with vulvovaginitis (VVS). Sequencing of the V3–V4 region of the 16S rDNA gene was performed with the NovaSeq PE250 platform to reveal the vaginal microbial community structure in healthy prepubertal girls and vulvovaginitis-associated microbiota. The intestinal microbiomes of healthy children were also analyzed for comparison. This study revealed that the healthy vaginal tract in prepubertal girls was dominated by Prevotella, Porphyromonas, Ezakiella, and Peptoniphilus species, with a high diversity of microbiota. The vulvovaginitis-associated microbiota were dominated by Streptococcus, Prevotella, Haemophilus, and Granulicatella, with lower diversity than that in healthy girls. Furthermore, the compositions of the vaginal and intestinal microbiomes were completely different. ANOSIM, MRPP, Adonis, and AMOVA were used to analyze the beta diversity, and the results showed that there were significant differences in the microbial communities among the three groups. Lactobacillus deficiency and high bacterial diversity were characteristics of the vaginal microbiome in healthy prepubertal girls; this is inconsistent with that in reproductive-age women. The vulvovaginitis-associated vaginal microbiota differed dramatically from normal microbiota, and the main causative agents were not fecal in origin.