bluuebunny/crossref_metadata_2025_split huggingface dataset:
Novel population-level proxy measures for suboptimal HIV preexposure prophylaxis initiation and persistence in the USA
Authors: Dean Lorraine T. , Chang Hsien-Yen , Goedel William C. , Chan Philip A. , Doshi Jalpa A. , Nunn Amy S. 
Published: July 2021

Objective:
In the United States (USA), HIV preexposure prophylaxis (PrEP) use is suboptimal. Population-level metrics on PrEP use are limited and focus on prescriptions issued rather than how much prescriptions are picked up. We introduce PrEP reversals, defined as when patients fail to pick up PrEP prescriptions at the pharmacy point-of-sale, as a proxy for PrEP initiation and persistence.

Design:
We analysed PrEP pharmacy claims and HIV diagnoses from a Symphony Health Solutions dataset across all US states from 1 October 2015 to 30 September 2019.

Methods:
We calculated the percentage of individuals who were newly prescribed PrEP and who reversed (i.e. patient did not pick up an insurance-approved prescription and pharmacy withdrew the claim), delayed (reversed and then picked up within 90 days), very delayed (reversed and then picked up between 90 and 365 days) or abandoned (not picked up within 365 days), and subsequent HIV diagnosis within 365 days.

Results:
Of 59 219 individuals newly prescribed PrEP, 19% reversed their index prescription. Among those, 21% delayed initiation and 8% had very delayed initiation. Seventy-one percent of patients who reversed their initial prescription abandoned it, 6% of whom were diagnosed with HIV---three times higher than those who persisted on PrEP.

Conclusion:
Nearly one in five patients newlyprescribed PrEP reversed initial prescriptions, leading to delayed medication access, being lost to PrEP care, and dramatically higher HIV risk. Reversals could be used for real-time nationwide PrEP population-based initiation and persistence tracking, and for identifying patients that might otherwise be lost to care.
Graft Versus Host Disease After Intestinal Transplantation: A Single-center Experience
Authors: Kaufman Stuart S. , Hussan Elsadig , Kroemer Alexander , Timofeeva Olga , Pasieka Helena B. , Guerra Juan Francisco , Yazigi Nada A. , Khan Khalid M. , Ekong Udeme D. , Subramanian Sukanya , Hawksworth Jason S. , Girlanda Raffaelle , Ghobrial Shahira S. , Fishbein Thomas M. , Matsumoto Cal S. 
Published: July 2021

Background.
Graft versus host disease (GVHD) is an uncommon but highly morbid complication of intestinal transplantation (ITx). In this study, we reviewed our 17-y experience with GVHD focusing on factors predicting GVHD occurrence and survival.

Methods.
Retrospective review of 271 patients who received 1 or more ITx since program inception in 2003 with survival analysis using Cox proportional hazard modeling.

Results.
Of 271 patients, 28 developed GHVD 34 (18–66) d after ITx presenting with rash or rash with fever in 26, rectosigmoid disease in 1, and hemolysis in 1; other sites, mainly rectosigmoid colon, were involved in 13. Initial skin biopsy demonstrated classic findings in 6, compatible findings in 14, and no abnormalities in 2. Additional sites of GVHD later emerged in 14. Of the 28 patients, 16 died largely from sepsis, the only independent hazard for death (hazard ratio [HR], 37.4181; P = 0.0008). Significant (P < 0.0500) independent hazards for occurrence of GVHD in adults were pre-ITx functional intestinal failure (IF) (HR, 15.2448) and non-IF diagnosis (HR, 20.9952) and early post-ITx sirolimus therapy (HR, 0.0956); independent hazards in children were non-IF diagnosis (HR, 4.3990), retransplantation (HR, 4.6401), donor:recipient age ratio (HR, 7.3190), and graft colon omission (HR, 0.1886). Variant transplant operation was not an independent GVHD hazard.

Conclusions.
Initial diagnosis of GVHD after ITx remains largely clinical, supported but not often confirmed by skin biopsy. Although GVHD risk is mainly recipient-driven, changes in donor selection and immunosuppression practice may reduce incidence and improve survival.
COMP: A Potential Early Biomarker of RAS After Lung Transplantation
Authors: Novo Mirza , Westin Johan , Andersson Lars-Magnus , Jonsson Berdenius Anton , Nordén Rickard , Magnusson Jesper M. 
Published: July 2021

Background.
Chronic rejection, defined as chronic lung allograft dysfunction (CLAD), is the major factor limiting long-term survival after lung transplantation (LTx). A specific subgroup of CLAD is restrictive allograft syndrome (RAS). CLAD’s pathogenesis is largely unknown, but previous findings suggest that it is associated with increased fibrosis in the transplanted lung. Cartilage oligomeric matrix protein (COMP) has been associated with multiple fibrotic conditions. The current study aimed to explore the relation between COMP serum levels and development of CLAD, and RAS in particular, in a retrospective cohort of LTx patients.

Methods.
This study included retrospective data from patients who underwent LTx during 2009–2011. Blood samples and spirometry data were obtained at follow-up visits 1, 3, 6, 9, and 12 mo after transplantation. Serum samples were analyzed for COMP. CLAD and RAS were defined according to the 2019 International Society for Heart and Lung Transplantation consensus document.

Results.
Data from 38 patients (19 men and women, respectively) were collected. Twenty-three patients (60.5%) developed CLAD, of whom 6 (26.1 %) fulfilled the criteria for RAS. Patients who developed RAS had higher mean COMP levels between 1 and 3 mo after LTx than those who did not develop RAS (10.9 [3.9-17.5] U/L vs 7.4 [3.9-10.8] U/L, P = 0.008). RAS was also associated with shorter survival. We found no association between COMP levels and CLAD of other types than RAS.

Conclusions.
Serum level of COMP early after LTx seems to be associated with RAS development and might serve as a biomarker suitable for clinical use in the LTx setting.
Transport phenomena in complex systems (part 1)
Authors: Alexandrov Dmitri V. , Zubarev Andrey Yu 
Published: July 2021

The issue, in two parts, is devoted to theoretical, computational and experimental studies of transport phenomena in various complex systems (in porous and composite media; systems with physical and chemical reactions and phase and structural transformations; in biological tissues and materials). Various types of these phenomena (heat and mass transfer; hydrodynamic and rheological effects; electromagnetic field propagation) are considered. Anomalous, relaxation and nonlinear transport, as well as transport induced by the impact of external fields and noise, is the focus of this issue. Modern methods of computational modelling, statistical physics and hydrodynamics, nonlinear dynamics and experimental methods are presented and discussed. Special attention is paid to transport phenomena in biological systems (such as haemodynamics in stenosed and thrombosed blood vessels magneto-induced heat generation and propagation in biological tissues, and anomalous transport in living cells) and to the development of a scientific background for progressive methods in cancer, heart attack and insult therapy (magnetic hyperthermia for cancer therapy, magnetically induced circulation flow in thrombosed blood vessels and non-contact determination of the local rate of blood flow in coronary arteries). The present issue includes works on the phenomenological study of transport processes, the derivation of a macroscopic governing equation on the basis of the analysis of a complicated internal reaction and the microscopic determination of macroscopic characteristics of the studied systems.This article is part of the theme issue ‘Transport phenomena in complex systems (part 1)’.
The role of thermal diffusion, particle clusters, hydrodynamic and magnetic forces on the flow behaviour of magneto-polymer composites
Authors: Suarez-Fernandez William R. , Duran Juan D. G. , Lopez-Lopez Modesto T. 
Published: July 2021

In this paper, we study the shear-induced flow of magneto-polymer composites, consisting of dispersions of magnetic particles in solutions of polymers, as a competition between the colloidal forces amid particles and their bulk transport induced by the hydrodynamic forces. For this aim, we analyse the role of different experimental parameters. Firstly, by using only solutions of a well-known anionic polymer (sodium alginate), we provoke a moderate hindering of particle movement, but keeping the liquid-like state of the samples. On the contrary, a gel-like behaviour is conferred to the samples when a cationic polymer (chitosan) is additionally added, which further reduces the particle movement. We analyse the effect of an applied magnetic field, which is opposed to particle transport by hydrodynamic forces, by inducing magnetic attraction between the particles. We perform the analysis under both stationary and oscillatory shear. We show that by using dimensionless numbers the differences between samples and experimental conditions are emphasized. In all cases, as expected, the transport of particles driven by bulk hydrodynamic forces dominates at high values of the shear rate.
This article is part of the theme issue ‘Transport phenomena in complex systems (part 1)’.
The influence of non-stationarity and interphase curvature on the growth dynamics of spherical crystals in a metastable liquid
Authors: Makoveeva Eugenya V. , Alexandrov Dmitri V. 
Published: July 2021

This manuscript is concerned with the theory of nucleation and evolution of a polydisperse ensemble of crystals in metastable liquids during the intermediate stage of a phase transformation process. A generalized growth rate of individual crystals is obtained with allowance for the effects of their non-stationary evolution in unsteady temperature (solute concentration) field and the phase transition temperature shift appearing due to the particle curvature (the Gibbs–Thomson effect) and atomic kinetics. A complete system of balance and kinetic equations determining the transient behaviour of the metastability degree and the particle-radius distribution function is analytically solved in a parametric form. The coefficient of mutual Brownian diffusion in the Fokker–Planck equation is considered in a generalized form defined by an Einstein relation. It is shown that the effects under consideration substantially change the desupercooling/desupersaturation dynamics and the transient behaviour of the particle-size distribution function. The asymptotic state of the distribution function (its ‘tail’), which determines the relaxation dynamics of the concluding (Ostwald ripening) stage of a phase transformation process, is derived.This article is part of the theme issue ‘Transport phenomena in complex systems (part 1)’.
A kinetic model for magnetostriction of a ferrogel with physical networking
Authors: Safronov A. P. , Zubarev A. Yu. , Mikhnevich E. A. , Rusinova E. V. 
Published: July 2021

Kinetics of magnetostriction of ferrogel with physical networking based on natural polysaccharide guar gum with embedded strontium hexaferrite magnetic particles were studied in the uniform magnetic field 420 mT. An ellipsoidal sample was elongated by 37% along the applied field and contracted by 15% in the transverse direction, while its volume was kept constant. The characteristic time of magnetostriction was 440 s. Dynamic mechanical analysis in an oscillatory mode showed that the deformation of ferrogel is mostly elastic rather than viscous. Its storage modulus was almost constant in a frequency range of 0.1–100 Hz and by at least an order of magnitude larger than the loss modulus. Meanwhile, a developed theoretical model based on the elasto-viscous behaviour of the ferrogel failed to estimate correctly the experimental value of its magnetostriction. Calculated values of the elongation of ferrogel in the field were several orders of magnitude lower than those observed in the experiment for the ferrogel with physical networking. Consistency between the experiment and the theory was achieved using the alternative consideration based on the deformation of a liquid droplet of ferrofluid. The applicability of such an approach was discussed concerning structural relaxation properties of the ferrogel with physical networking.This article is part of the theme issue ‘Transport phenomena in complex systems (part 1)’.
COVID-19 convalescent plasma donors: impact of vaccination on antibody levels, breakthrough infections and reinfection rate
Authors: Massimo La Raja , Monia Pacenti , Ileana Grimaldi , Caterina Boldrin , Margherita Cattai , Erica Solimbergo , Anna Battisti , Michele Scomazzon , Alberto Roman , Rosa Lazzaro Anna , Stefano Vicari , Stefano Terzariol , Giustina De Silvestro 
Published: July 2021

AbstractFrom April 2020 through May 2021 in Padova Province 3395 COVID-19 recovered patients were recruited as potential convalescent plasma donors and tested for SARS-CoV-2 antibodies. Since January 2021 COVID-19 vaccination campaign began in Italy, the impact of vaccination on antibody levels and suspect vaccine breakthrough infections in these subjects were investigated. Post-vaccination anti-Sars-Cov-2 antibody level in 54 previously infected subjects had an exponential increase compared to pre-vaccination level regardless of the number of vaccine doses. However after 100 days from vaccination SARS-CoV-2 antibody level tends to decline. Post-vaccination primary infections were detected in 15 cases, with 3 possible breakthrough infections after a full vaccination course. In these cases, antibody response after infection was present but weaker than the one of subjects vaccinated after natural infection. A trend toward stronger antibody response was observed with increasing distance between natural infection and vaccination. Additionally, 2 cases of asymptomatic reinfections are also discussed.
Timeline of SARS-CoV2 spread in Italy: results from an independent serological retesting
Authors: Montomoli Emanuele , Apolone Giovanni , Manenti Alessandro , Boeri Mattia , Suatoni Paola , Sabia Federica , Marchianò Alfonso , Bollati Valentina , Pastorino Ugo , Sozzi Gabriella 
Published: July 2021

AbstractThe massive emergence of COVID19 cases in the first phase of pandemic within an extremely short period of time suggest that an undetected earlier circulation of SARS-CoV-2 might have occurred, as documented by several papers in different countries, including a few that reported positive cases even earlier the first cases identified in Wuhan. Given the importance of this evidence, an independent evaluation was recommended. Here we report the results of SARS-CoV-2 antibodies blind retesting of blood samples collected in the prepandemic period in Italy, and in control samples collected one year before, by two independent centers. Results suggest the presence of SARS-CoV-2 antibodies in some samples collected in the prepandemic period, though the detection of IgM and/or IgG binding and neutralizing antibodies is strongly dependent on the different serological assays and thresholds employed, while being absent in control samples collected one year before. These findings highlight the importance of harmonizing serological assays for testing SARS-CoV-2 virus spreading and may contribute to a better understanding the future virus dynamics.Article Summary LineWe report the results of an independent retesting of SARS-CoV-2 antibodies in blood samples collected in prepandemic period in Italy and in matched samples collected one year before. The findings indicate the presence of IgM and/or IgG antibodies in selected samples of the prepandemic period only with different performance of serological assays used by the two centers. The results could give highlights on SARS-CoV-2 circulation in the pre-pandemic period and contribute to better predict future virus dynamic.
Temporal Variations in Seroprevalence of SARS-CoV-2 Infections by Race and Ethnicity in Arkansas
Authors: Kennedy Joshua L. , Forrest J. Craig , Young Sean G. , Amick Benjamin , Williams Mark , James Laura , Snowden Jessica , Cardenas Victor M. , Boothe Danielle , Kirkpatrick Catherine , Modi Zeel , Caid Katherine , Owens Shana , Kouassi Marianne , Mann Ryan , Putt Claire , Irish-Clardy Katherine , Macechko Michael , Brimberry Ronald K. , Nembhard Wendy N. , Du Ruofei , Jin Jing , Zohoori Namvar , Kothari Atul , Hagrass Hoda , Olgaard Ericka , Boehme Karl W. 
Published: July 2021

ABSTRACTObjectiveOur objective is to estimate CoV-2 infection rates in a rural state using seroprevalence of antibodies to CoV-2 as an indicator of infection.Study Design and SettingThis is a single-site study within an academic center and regional programs within the state of Arkansas. We obtained residual serum samples from a convenience sample of adults who were outpatients and came to the hospital or regional clinic for non-COVID-related reasons. We collected remnant in three time periods (August 15 to September 5, September 12 to October 24, and November 7 to December 19).ResultsIn 2020, the overall age, gender, and race standardized prevalence of CoV-2 antibodies was 2.6% (August to September), 4.1% (September to October), and 7.4% (November to December). There was no difference in seroprevalence between urban compared to rural areas. Positive tests were not uniformly distributed across racial and ethnic minorities. Higher seroprevalence rates were found in Hispanics and Blacks or African Americans compared to whites across all time periods.ConclusionsIn a state with a large rural population, 2.6-7.4% of people experienced CoV-2 infection by December 2020. Blacks and Hispanics had disproportionately higher rates of CoV-2 infections than whites.What is new?Key findingsIn this prospective convenience sampling of remnant sera, we found increasing seroprevalence from 2.6% to 7.4% (August 2020 to December 2020). Higher seroprevalence rates were found in Hispanics and Blacks or African Americans compared to whites across all time periods, and no difference was determined between those individuals from rural or urban areas.What this adds to what is knownIn a largely rural population, Blacks and Hispanics had disproportionately higher rates of CoV-2 infections than whites, and these populations need to be studied further regarding outcomes.What is the implication?There are health disparities that exist regarding CoV-2 infections, and we should target vaccination information and education to these groups.Highlights-SARS-CoV-2 infections increased from 2.6% to 7.4% from August to December 2020.-Higher seroprevalence was found in Hispanics and Blacks as compared to whites.-There was no difference in the seroprevalence in rural compared to urban areas.
Modeling Pulmonary Cystic Fibrosis in a Human Lung Airway-on-a-chip
Authors: Plebani Roberto , Potla Ratnakar , Soong Mercy , Bai Haiqing , Izadifar Zohreh , Jiang Amanda , Travis Renee N. , Belgur Chaitra , Cartwright Mark J. , Prantil-Baun Rachelle , Jolly Pawan , Giplin Sarah E. , Romano Mario , Ingber Donald E. 
Published: July 2021

AbstractBackgroundCystic fibrosis (CF) is a genetic disease caused by mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR), which results in impaired airway mucociliary clearance, inflammation, infection, and respiratory insufficiency. The development of new therapeutics for CF are limited by the lack of reliable preclinical models that recapitulate the structural, immunological, and bioelectrical features of human CF lungs.MethodsWe leveraged organ-on-a-chip technology to develop a microfluidic device lined by primary human CF bronchial epithelial cells grown under an air-liquid interface and interfaced with pulmonary microvascular endothelial cells (CF Airway Chip) exposed to fluid flow. The responses of CF and healthy Airway Chips were analyzed in the presence or absence of polymorphonuclear leukocytes (PMNs) and the bacterial pathogen, Pseudomonas aeruginosa.ResultsThe CF Airway Chip faithfully recapitulated many features of the human CF airways, including enhanced mucus production, increased cilia density and a higher ciliary beating frequency compared to chips lined by healthy bronchial epithelial cells. The CF chips also secreted higher levels of IL-8, which was accompanied by enhanced PMN adhesion to the endothelium and transmigration into the airway compartment. In addition, CF Airway Chips provided a more favorable environment for Pseudomonas aeruginosa growth, which resulted in enhanced secretion of inflammatory cytokines and recruitment of PMNs to the airway.ConclusionsThe human CF Airway Chip may provide a valuable preclinical tool for pathophysiology studies as well as for drug testing and personalized medicine.
The retrospective observational study of clinical outcomes of single dose infusion of warm blood cardioplegia in patients undergoing cardiac surgery
Authors: Chernov Igor I. , Ivashchenko Iliya A. , Mandel Irina A. 
Published: July 2021

AbstractObjectiveThe aim of the study was to assess the safety and efficacy of a normothermic cardioplegia solution N™ use and obtain additional information about dosing regimens during normothermic or mild hypothermic cardiac surgery.MethodsA retrospective observational study included 150 cardio surgery patients. The primary endpoint was the intraoperative acute heart failure development. The secondary endpoints were the postoperative Troponin T concentrations, the need for catecholamine support, and the repeated infusion of a cardioplegia solution.ResultsThe duration of aortic cross-clamping varied from 17 to 154 minutes, median 59 [interquartile range, 46 - 73] minutes. Spontaneous sinus rhythm recovery was observed in 136 (90.7%) patients. Intraoperative acute heart failure was observed in 1 case. The Troponin T concentrations were 0.331±0.143 ng/mL after surgery. Mortality was 2% (3 patients). Eight patients received an additional volume of N™ solution to maintain asystole. Among 16 patients with a cross-clamp duration greater than 90 minutes epinephrine was used in 3 (18.8%) patients in dose of more than 0.05 mcg/kg/min. Among 134 patients cross-clamp duration less than 90 minutes the catecholamine support was used in 4 (3%) patients, p=0.027.ConclusionsA primary single-dose infusion of cardioplegia solution N™ provides myocardial protection for 59 [interquartile range, 46 - 73] minutes and up to 154 minutes. The catecholamine support in the group of aortic cross-clamp duration less than 90 minutes was used lesser than in the group of aortic cross-clamp duration greater than 90 minutes (3% and 18.8%, respectively). The cardioprotection during cardiopulmonary bypass surgery especially in elderly patients with concomitant disease needs to be confirmed in a future investigations.
Serological testing reveals the hidden COVID-19 burden among healthcare workers experiencing a SARS-CoV-2 nosocomial outbreak
Authors: Nakagama Yu , Komase Yuko , Candray Katherine , Nakagama Sachie , Sano Fumiaki , Tsuchida Tomoya , Kunishima Hiroyuki , Imai Takumi , Shintani Ayumi , Nitahara Yuko , Kaku Natsuko , Kido Yasutoshi 
Published: July 2021

AbstractWe describe the results of testing healthcare workers from a tertiary care hospital in Japan, which had experienced a COVID-19 outbreak during the first peak of the pandemic, for SARS-CoV-2 specific antibody seroconversion. Using two chemiluminescent immunoassays and a confirmatory surrogate virus neutralization test, serological testing unveiled that a surprising 42.2% (27/64) of overlooked COVID-19 diagnoses had occurred when case detection had relied solely on SARS-CoV-2 nucleic acid amplification testing. This undetected portion of the COVID-19 iceberg beneath the surface may potentially have led to silent transmissions and triggered the spread. A questionnaire-based risk assessment was further indicative of exposures to specific aerosol-generating procedures, i.e. non-invasive ventilation, having had conveyed the highest transmission risks and served as the origin of outbreak. Our observations are supportive of a multi-tiered testing approach, including the use of serological diagnostics, in order to accomplish exhaustive case detection along the whole COVID-19 spectrum.