bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors
Authors: Aydin M. , Fikatas P. , Denecke C. , Pratschke J. , Raakow J. 
Published: February 2021

Abstract
Introduction
As in the rest of the world, in Germany, inguinal hernia operations are among the most common operations. From an economic standpoint, very little is known about the influence of demographic, clinical or hernia-related parameters on the cost of inguinal hernia repair. We, therefore, evaluated individual patient parameters associated with higher costs with a special focus on multimorbidity.

Methods
A total of 916 patients underwent hernia repair for primary or recurrent inguinal hernia between 2014 and 2017 at a single university center and were included in the analysis. The clinical and financial data of these patients were analyzed to identify cost-increasing parameters.

Results
A majority of patients were male (90.7%), with a mean age of 55 years. The surgical methods utilized were mainly the TAPP (57.2%) and Lichtenstein (41.7%) procedures, with an average duration of surgery of 85 min and an average duration of anesthesia of 155 min. The mean cost of all procedures was 3338.3 € (± 1608.1 €).
Older age, multimorbidity, emergency operations with signs of incarceration, longer hospital stays and postoperative complications were significant cost-driving factors. On the other hand, sex, the side of the hernia (left vs. right) and the presence of recurrent hernias had no influence on the overall direct costs.

Conclusion
From a purely economic point of view, older age and multimorbidity are demographic cost-driving factors that cannot be influenced. The national hospital reimbursement system needs to consider and compensate for these factors. Emergency operations need to be prevented by early elective treatment. Long postoperative stays and postoperative complications need to be prevented by proper preoperative check-ups and accurate treatment.
Quantified factory worker: field study of a web application supporting work well-being and productivity
Authors: Heikkilä Päivi , Honka Anita , Kaasinen Eija , Väänänen Kaisa 
Published: February 2021

AbstractThe work on the factory floor is gradually changing to resemble knowledge work due to highly automated manufacturing machines. In the increasingly automated work environment, the machine operator’s task is to keep the production running and to solve possible problems quickly. This work is expected to become more autonomous, which raises the importance of supporting the workers’ well-being. An important aspect of that is giving concrete feedback of success at work as well as feedback on physical and mental load. We implemented a smartphone optimized web application, Worker Feedback Dashboard that offers feedback to machine operators about their well-being at work and personally relevant production data as well as their connections to each other. The feedback is personal and based on objective, near real-time measurements. We present the results of a field study, in which ten machine operators used the application for 2–3 months. We studied the operators’ user experience, usage activity, perceived benefits and concerns for the application with questionnaires, interviews and application log data. The operators found the feedback interesting and beneficial, and used the application actively. The perceived benefits indicate impacts on well-being as well as on work performance. Based on the results, we highlight three design implications for quantified worker applications: presenting meaningful overviews, providing guidance to act based on the feedback and refraining from too pervasive quantification not to narrow down the meaningful aspects in one’s work.
Nonlinear parsimonious forest modeling assuming normal distribution of residuals
Authors: Strimbu Bogdan M. , Amarioarei Alexandru , Paun Mihaela 
Published: February 2021

AbstractTo avoid the transformation of the dependent variable, which introduces bias when back-transformed, complex nonlinear forest models have the parameters estimated with heuristic techniques, which can supply erroneous values. The solution for accurate nonlinear models provided by Strimbu et al. (Ecosphere 8:e01945, 2017) for 11 functions (i.e., power, trigonometric, and hyperbolic) is not based on heuristics but could contain a Taylor series expansion. Therefore, the objectives of the present study are to present the unbiased estimates for variance following the transformation of the predicted variable and to identify an expansion of the Taylor series that does not induce numerical bias for mean and variance. We proved that the Taylor series expansion present in the unbiased expectation of mean and variance depends on the variance. We illustrated the new modeling approach on two problems, one at the ecosystem level, namely site productivity, and one at individual tree level, namely stem taper. The two models are unbiased, more parsimonious, and more precise than the existing less parsimonious models. This study focuses on research methods, which could be applied in similar studies of other species, ecosystem, as well as in behavioral sciences and econometrics.
Sexual Mixing and HIV Transmission Potential Among Greek Men Who have Sex with Men: Results from SOPHOCLES
Authors: Bowman Benjamin , Psichogyiou Mina , Papadopoulou Martha , Sypsa Vana , Khanna Aditya , Paraskevis Dimitrios , Chanos Sophocles , Friedman Samuel R. , Hatzakis Angelos , Schneider John 
Published: February 2021

AbstractHIV incidence among men who have sex with men (MSM) in Greece remains unchanged despite effective response to a recent outbreak among people who inject drugs (PWID). Network factors are increasingly understood to drive transmission in epidemics. The primary objective of the study was to characterize MSM in Greece, their sexual behaviors, and sexual network mixing patterns. We investigated the relationship between serostatus, sexual behaviors, and self-reported sex networks in a sample of MSM in Athens, Greece, generated using respondent driven sampling. We estimated mixing coefficients (r) based on survey-generated egonets. Additionally, multiple logistic regression was used to estimate adjusted odds ratios (AOR) and to assess relationships between serostatus, sexual behaviors, and sociodemographic indicators. A sample of 1,520 MSM participants included study respondents (n = 308) and their network members (n = 1,212). Mixing based on serostatus (r = 0.12, σr = 0.09–0.15) and condomless sex (r = 0.11, σr = 0.07–0.14) was random. However, mixing based on sex-drug use was highly assortative (r = 0.37, σr = 0.32–0.42). This study represents the first analysis of Greek MSM sexual networks. Our findings highlight protective behavior in two distinct network typologies. The first typology mixed assortatively based on serostatus and sex-drug use and was less likely to engage in condomless sex. The second typology mixed randomly based on condomless sex but was less likely to engage in sex-drug use. These findings support the potential benefit of HIV prevention program scale-up for this population including but not limited to PrEP.
Honokiol induces paraptosis-like cell death of acute promyelocytic leukemia via mTOR & MAPK signaling pathways activation
Authors: Liu Xiaoli , Gu Yan , Bian Yaoyao , Cai Danhong , Li Yu , Zhao Ye , Zhang Zhaofeng , Xue Mei , Zhang Liang 
Published: February 2021

AbstractAcute promyelocytic leukemia (APL) is a blood system disease caused by the accumulation of a large number of immature blood cells in bone marrow. Although the introduction of all-trans retinoic acid (ATRA) and arsenic has reached a high level of complete remission rate and 5-year disease-free survival rate, the occurrence of various adverse reactions still severely affects the quality of life of patients. As a natural product, honokiol (HNK) has the advantages of low toxicity and high efficiency, and it is a potential drug for the treatment of cancer. Since cancer cells can escape apoptotic cell death through multiple adaptive mechanisms, HNK, a drug that induces cancer cell death in a nonapoptotic way, has attracted much interest. We found that HNK reduced the viability of human APL cell line (NB4 cells) by inducing paraptosis-like cell death. The process was accompanied by excessive reactive oxygen species (ROS), mitochondrial damage, endoplasmic reticulum stress, and increased microtubule-associated protein 1 light chain 3 (LC3) processing. The inactivation of proteasome activity was the main cause of misfolded and unfolded protein accumulation in endoplasmic reticulum, such as LC3II/I and p62. This phenomenon could be alleviated by adding cycloheximide (CHX), a protein synthesis inhibitor. We found that mTOR signaling pathway participated in paraptosis-like cell death induced by HNK in an autophagy-independent process. Moreover, the mitogen-activated protein kinase (MAPK) signaling pathway induced paraptosis of NB4 cells by promoting endoplasmic reticulum stress. In summary, these findings indicate that paraptosis may be a new way to treat APL, and provide novel insights into the potential mechanism of paraptosis-like cell death.
Diagrams, Conceptual Space and Time, and Latent Geometry
Authors: Magnani Lorenzo 
Published: February 2021

AbstractThe “origins” of (geometric) space is examined from the perspective of the so-called “conceptual space” or “semantic space”. Semantic space is characterized by its fundamental “locality” that generates an “implicit” mode of geometrizing. This view is examined from within three perspectives. First, the role that various diagrammatic entities play in the everyday life and pragmatic activities of selected ethnic groups is illustrated. Secondly, it is shown how conceptual spaces are fundamentally linked to the meaning effects of particular natural languages and these are very different from the global and universal aspects of Euclidean spaces. Thirdly, it is contended that these modes of creating body and culture-based spatial frameworks and related cosmogonies and cosmologies can be described as forms of “latent geometry” that initially appear unexplainable in any rational way. Nonetheless, and thanks to the deep mathematical reflections provided by René Thom, it is illustrated how the various ways of generating space can be further analyzed as distortions of mainstream spatialization furnished by Euclidean geometry that established the dominant universality of the ideas of space (and time).
Prognostic significance of cardiac magnetic resonance-based markers in patients with hypertrophic cardiomyopathy
Authors: Dohy Zsofia , Szabo Liliana , Toth Attila , Czimbalmos Csilla , Horvath Rebeka , Horvath Viktor , Suhai Ferenc Imre , Geller Laszlo , Merkely Bela , Vago Hajnalka 
Published: February 2021

AbstractThe prognosis of patients with hypertrophic cardiomyopathy (HCM) varies greatly. Cardiac magnetic resonance (CMR) is the gold standard method for assessing left ventricular (LV) mass and volumes. Myocardial fibrosis can be noninvasively detected using CMR. Moreover, feature-tracking (FT) strain analysis provides information about LV deformation. We aimed to investigate the prognostic significance of standard CMR parameters, myocardial fibrosis, and LV strain parameters in HCM patients. We investigated 187 HCM patients who underwent CMR with late gadolinium enhancement and were followed up. LV mass (LVM) was evaluated with the exclusion and inclusion of the trabeculae and papillary muscles (TPM). Global LV strain parameters and mechanical dispersion (MD) were calculated. Myocardial fibrosis was quantified. The combined endpoint of our study was all-cause mortality, heart transplantation, malignant ventricular arrhythmias and appropriate implantable cardioverter defibrillator (ICD) therapy. The arrhythmia endpoint was malignant ventricular arrhythmias and appropriate ICD therapy. The LVM index (LVMi) was an independent CMR predictor of the combined endpoint independent of the quantification method (p < 0.01). The univariate predictors of the combined endpoint were LVMi, global longitudinal (GLS) and radial strain and longitudinal MD (MDL). The univariate predictors of arrhythmia events included LVMi and myocardial fibrosis. More pronounced LV hypertrophy was associated with impaired GLS and increased MDL. More extensive myocardial fibrosis correlated with impaired GLS (p < 0.001). LVMi was an independent CMR predictor of major events, and myocardial fibrosis predicted arrhythmia events in HCM patients. FT strain analysis provided additional information for risk stratification in HCM patients.
Inexact Derivative-Free Optimization for Bilevel Learning
Authors: Ehrhardt Matthias J. , Roberts Lindon 
Published: February 2021

AbstractVariational regularization techniques are dominant in the field of mathematical imaging. A drawback of these techniques is that they are dependent on a number of parameters which have to be set by the user. A by-now common strategy to resolve this issue is to learn these parameters from data. While mathematically appealing, this strategy leads to a nested optimization problem (known as bilevel optimization) which is computationally very difficult to handle. It is common when solving the upper-level problem to assume access to exact solutions of the lower-level problem, which is practically infeasible. In this work we propose to solve these problems using inexact derivative-free optimization algorithms which never require exact lower-level problem solutions, but instead assume access to approximate solutions with controllable accuracy, which is achievable in practice. We prove global convergence and a worst-case complexity bound for our approach. We test our proposed framework on ROF denoising and learning MRI sampling patterns. Dynamically adjusting the lower-level accuracy yields learned parameters with similar reconstruction quality as high-accuracy evaluations but with dramatic reductions in computational work (up to 100 times faster in some cases).
Pedigree-based genetic dissection of quantitative loci for seed quality and yield characters in improved soybean
Authors: Huang Wenxuan , Hou Jingjing , Hu Quan , An Jie , Zhang Yanwei , Han Qi , Li Xuhui , Wu Yueying , Zhang Dajian , Wang Jianhua , Xu Ran , Li Li , Sun Lianjun 
Published: February 2021

AbstractAs soybean plays an indispensable role in the supply of vegetable oil and protein, balancing the relationship between seed quality and yield traits according to human demand has become an important breeding goal for soybean improvement. Here, 256 intraspecific recombinant inbred lines (RILs), derived from a cross between Qi Huang No.34 (QH34) and Ji Dou No.17 (JD17), were used for quantitative trait loci (QTLs) mapping with remarkable four chemical and physical properties with a purpose for exploring the distribution of excellent alleles in germplasm resources in China. A total of 25 QTLs were detected, of which 10 QTLs inherited the alleles from the parent QH34. Pedigree research on favorable alleles on these QTLs showed the process of excellent alleles pyramided into QH34. Meta-analysis of the 25 QTLs by comparing with existed QTLs in previous study identified 17 novel QTLs. QTLs with pleiotropic effects have been detected. Furthermore, three representative elite recombinant inbred lines in different locations that have great potential in soybean breeding were selected, and finally, four seed weight-related candidate genes were identified. The discovery of these QTLs provides a new guidance for combining the diversity and rarity of germplasm resources, which can effectively increase population genetic diversity and broaden genetic basis of varieties.
Seizure outcome in temporal glioblastoma surgery: lobectomy as a supratotal resection regime outclasses conventional gross-total resection
Authors: Borger Valeri , Hamed Motaz , Ilic Inja , Potthoff Anna-Laura , Racz Attila , Schäfer Niklas , Güresir Erdem , Surges Rainer , Herrlinger Ulrich , Vatter Hartmut , Schneider Matthias , Schuss Patrick 
Published: February 2021

Abstract
Introduction
The postoperative seizure freedom represents an important secondary outcome measure in glioblastoma surgery. Recently, supra-total glioblastoma resection in terms of anterior temporal lobectomy (ATL) has gained growing attention with regard to superior long-term disease control for temporal-located glioblastoma compared to conventional gross-total resections (GTR). However, the impact of ATL on seizure outcome in these patients is unknown. We therefore analyzed ATL and GTR as differing extents of resection in regard of postoperative seizure control in patients with temporal glioblastoma and preoperative symptomatic seizures.

Methods
Between 2012 and 2018, 33 patients with preoperative seizures underwent GTR or ATL for temporal glioblastoma at the authors’ institution. Seizure outcome was assessed postoperatively and 6 months after tumor resection according to the International League Against Epilepsy (ILAE) classification and stratified into favorable (ILAE class 1) versus unfavorable (ILAE class 2–6).

Results
Overall, 23 out of 33 patients (70%) with preoperative seizures achieved favorable seizure outcome following resection of temporal located glioblastoma. For the ATL group, postoperative seizure freedom was present in 13 out of 13 patients (100%). In comparison, respective rates for the GTR group were 10 out of 20 patients (50%) (p = 0.002; OR 27; 95% CI 1.4–515.9).

Conclusions
ATL in terms of a supra-total resection strategy was associated with superior favorable seizure outcome following temporal glioblastoma resection compared to GTR. Regarding above mentioned survival benefit following ATL compared to GTR, ATL as an aggressive supra-total resection regime might constitute the surgical modality of choice for temporal-located glioblastoma.
Cocaine‐Specific Effects on Exosome Biogenesis in Microglial Cells
Authors: Kumar Sanjay , Crenshaw Brennetta J. , Williams Sparkle D. , Bell Courtnee’ R. , Matthews Qiana L. , Sims Brian 
Published: February 2021

AbstractCocaine is a highly addictive stimulant and a well-known drug, with multiple effects on physiology. Cocaine can have direct effects on all cell types in the brain, including microglia. Microglia can be activated by other conditions, such as infection, inflammation, or injury. However, how cocaine regulates microglia and the influence of cocaine on microglial-derived exosomes remains unknown. Exosomes are nanovesicles that are responsible for intercellular communications, signaling, and trafficking necessary cargo for cell homeostasis. In this study, we hypothesized that cocaine affects exosome biogenesis and composition in BV2 microglial cells. BV2 microglial cells were cultured in exosome-depleted RPMI-1640 media and were treated according to the experimental designs. We observed that cell viability decreased by 11% at 100 µM cocaine treatment but was unaffected at other concentrations. After treatments, the exosomes were isolated from the condition media. Purified exosomes were characterized and quantified using transmission electron microscope (TEM) and nanoparticle tracking analysis (NTA). By NTA, there was a significant decrease in particles/mL after cocaine treatment. There was a 39.5%, 58.1%, 32.3% and 28.1% decrease in particles/mL at 100 nM, 1 μM, 10 μM and 100 μM cocaine, respectively. The characterization of exosomes and exosomal protein was performed by western/dot blot analyses. Tetraspanins CD11b, CD18 and CD63 were relatively unchanged after cocaine treatment. The heat shock proteins (Hsps), Hsp70 and Hsp90, were both significantly increased at 10 μM and 100 μM, but only hsp70 was significantly increased at 10 nM. The Rab proteins were assessed to investigate their role in cocaine-mediated exosomal decrease. Rab11 was significantly decreased at 10 nM, 100 nM, 1 μM, 10 μM and 100 μM by 15%, 28%, 25%, 38% and 22%, respectively. Rab27 was decreased at all concentrations but only significantly decreased at 100 nM, 1 μM and 100 μM cocaine by 21%, 24% and 23%, respectively. Rab35 had no significant changes noted when compared to control. Rab7 increased at all cocaine concentrations but only a significant increase in expression at 100 nM and 10 μM by 1.32-fold and 1.4-fold increase. Cocaine was found to alter exosome biogenesis and composition in BV2 microglial cells. Western and dot blot analyses verified the identities of purified exosomes, and the specific protein compositions of exosomes were found to change in the presence of cocaine. Furthermore, cocaine exposure modulated the expression of exosomal proteins, such as Hsps and Rab GTPases, suggesting the protein composition and formation of microglial-derived exosomes were regulated by cocaine.
Physiological and Pathological Ageing of Astrocytes in the Human Brain
Authors: Verkerke Marloes , Hol Elly M. , Middeldorp Jinte 
Published: February 2021

AbstractAgeing is the greatest risk factor for dementia, although physiological ageing by itself does not lead to cognitive decline. In addition to ageing, APOE ε4 is genetically the strongest risk factor for Alzheimer’s disease and is highly expressed in astrocytes. There are indications that human astrocytes change with age and upon expression of APOE4. As these glial cells maintain water and ion homeostasis in the brain and regulate neuronal transmission, it is likely that age- and APOE4-related changes in astrocytes have a major impact on brain functioning and play a role in age-related diseases. In this review, we will discuss the molecular and morphological changes of human astrocytes in ageing and the contribution of APOE4. We conclude this review with a discussion on technical issues, innovations, and future perspectives on how to gain more knowledge on astrocytes in the human ageing brain.
Influence of Cation Transporters (OCTs and MATEs) on the Renal and Hepatobiliary Disposition of [11C]Metoclopramide in Mice
Authors: Hernández-Lozano Irene , Mairinger Severin , Sauberer Michael , Stanek Johann , Filip Thomas , Wanek Thomas , Ciarimboli Giuliano , Tournier Nicolas , Langer Oliver 
Published: February 2021

Abstract
Purpose
To investigate the role of cation transporters (OCTs, MATEs) in the renal and hepatic disposition of the radiolabeled antiemetic drug [11C]metoclopramide in mice with PET.

Methods
PET was performed in wild-type mice after administration of an intravenous microdose (<1 μg) of [11C]metoclopramide without and with co-administration of either unlabeled metoclopramide (5 or 10 mg/kg) or the prototypical cation transporter inhibitors cimetidine (150 mg/kg) or sulpiride (25 mg/kg). [11C]Metoclopramide PET was also performed in wild-type and Slc22a1/2(−/−) mice. Radiolabeled metabolites were measured at 15 min after radiotracer injection and PET data were corrected for radiolabeled metabolites.

Results
[11C]Metoclopramide was highly metabolized and [11C]metoclopramide-derived radioactivity was excreted into the urine. The different investigated treatments decreased (~2.5-fold) the uptake of [11C]metoclopramide from plasma into the kidney and liver, inhibited metabolism and decreased (up to 3.8-fold) urinary excretion, which resulted in increased plasma concentrations of [11C]metoclopramide. Kidney and liver uptake were moderately (~1.3-fold) reduced in Slc22a1/2(−/−) mice.

Conclusions
Our results suggest a contribution of OCT1/2 to the kidney and liver uptake and of MATEs to the urinary excretion of [11C]metoclopramide in mice. Cation transporters may contribute, next to variability in the activity of metabolizing enzymes, to variability in metoclopramide pharmacokinetics and side effects.