bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk of sports-related sudden cardiac death in women
Authors: Rajan Deepthi , Garcia Rodrigue , Svane Jesper , Tfelt-Hansen Jacob 
Published: November 2021

Abstract
Sudden cardiac death (SCD) is a tragic incident accountable for up to 50% of deaths from cardiovascular disease. Sports-related SCD (SrSCD) is a phenomenon which has previously been associated with both competitive and recreational sport activities. SrSCD has been found to occur 5–33-fold less frequently in women than in men, and the sex difference persists despite a rapid increase in female participation in sports. Establishing the reasons behind this difference could pinpoint targets for improved prevention of SrSCD. Therefore, this review summarizes existing knowledge on epidemiology, characteristics, and causes of SrSCD in females, and elaborates on proposed mechanisms behind the sex differences. Although literature concerning the aetiology of SrSCD in females is limited, proposed mechanisms include sex-specific variations in hormones, blood pressure, autonomic tone, and the presentation of acute coronary syndromes. Consequently, these biological differences impact the degree of cardiac hypertrophy, dilation, right ventricular remodelling, myocardial fibrosis, and coronary atherosclerosis, and thereby the occurrence of ventricular arrhythmias in male and female athletes associated with short- and long-term exercise. Finally, cardiac examinations such as electrocardiograms and echocardiography are useful tools allowing easy differentiation between physiological and pathological cardiac adaptations following exercise in women. However, as a significant proportion of SrSCD causes in women are non-structural or unexplained after autopsy, channelopathies may play an important role, encouraging attention to prodromal symptoms and family history. These findings will aid in the identification of females at high risk of SrSCD and development of targeted prevention for female sport participants.
Prevalence of skin diseases in school-age children
Authors: Tempark Therdpong , Whaidee Khwaunrat , Bongsebandhu-phubhakdi Chansuda , Suteerojntrakool Orapa 
Published: November 2021

Abstract

Background
The prevalence of community-based skin diseases, especially among school-age children, depends on topography, climate, and age of population.

Objective
We determined the prevalence of skin diseases among community-based primary school-age children and identified demographic characteristics in relation to particular skin conditions.

Methods
This was a cross-sectional descriptive survey study of a subproject school cohort in children aged 5–14 years of 2 community-based primary schools. Demographic data and whole-body skin examination were collected. The association of individual skin conditions was analysed by using bivariate and multivariable binary logistic regression.

Results
A total of 556 children were enrolled in this study. Of these, 90.2% had at least 1 skin disease. The most common skin disease was postinflammatory hyperpigmentation (PIH) (58.3%), followed by nevus/mole (40.1%), insect bite reaction (28.0%), acanthosis nigricans (20.0%), acne (13.7%), and pityriasis alba (12.9%). There was an increase of body mass index (BMI) in PIH and acanthosis nigricans with the adjusted odds ratios of 2.01 (95% confidence interval [CI] 1.40–2.87, P &lt; 0.001) and 1.93 (95% CI 1.49–2.49, P &lt; 0.001), respectively. Insect bite reaction was related to PIH with the adjusted odds ratio of 5.66 (95% CI 3.15–10.17, P = 0.001).

Conclusions
The most common skin disease in community-based primary school-age children is PIH which related to acanthosis nigricans and insect bite reaction. A decrease of BMI may lower the risk for PIH and acanthosis nigricans. Education on common skin diseases is recommended for both community-based schools and school-age children.
Disulfiram attenuates lipopolysaccharide-induced acute kidney injury by suppressing oxidative stress and NLRP3 inflammasome activation in mice
Authors: Huang Jie , Wei Shanshan , Peng Zhenyu , Xiao Zijun , Yang Yuanying , Liu Jiaqin , Zhang Bikui , Li Wenqun 
Published: November 2021

Abstract

Objectives
Disulfiram (DSF), an old drug for treating chronic alcohol addiction, has been reported to exhibit widely pharmacological actions. This study aimed to explore the protective effect of DSF on lipopolysaccharide (LPS)-induced acute kidney injury (AKI).

Methods
C57BL/6J mice were treated with 15 mg/kg LPS (i.p.) with or without DSF pre-treatment (i.p.). The histopathological analysis was conducted by H&E staining and TUNEL kit assay. An automatic biochemical analyser was used to determine the serum creatinine and blood urea nitrogen (BUN). Expressions of 8-OHdG, NLRP3 and IL-1β in the kidney tissues were observed by IHC staining. The protein expressions of β-actin, Bax, Bcl-2, NLRP3, caspase-1 (p20), pro-IL-1β and IL-1β were analysed by western blot.

Key findings
DSF attenuated the histopathologic deterioration of the kidney and inhibited the elevation of creatinine and BUN levels in mice. DSF inhibited LPS-induced cell apoptosis. Moreover, DSF treatment reversed the LPS-induced excessive oxidative stress. The NLRP3 inflammasome activation induced by the LPS, as indicated by up-regulation of NLRP3 expression, cleaved caspase-1 (p20) and IL-1β, was also suppressed by DSF.

Conclusions
The study here shows that DSF protects against the AKI induced by LPS at least partially via inhibiting oxidative stress and NLRP3 inflammasome activation.
Dynamical friction modelling of massive black holes in cosmological simulations and effects on merger rate predictions
Authors: Chen Nianyi , Ni Yueying , Tremmel Michael , Di Matteo Tiziana , Bird Simeon , DeGraf Colin , Feng Yu 
Published: November 2021

ABSTRACT
In this work, we establish and test methods for implementing dynamical friction (DF) for massive black hole pairs that form in large volume cosmological hydrodynamical simulations that include galaxy formation and black hole growth. We verify our models and parameters both for individual black hole dynamics and for the black hole population in cosmological volumes. Using our model of DF from collisionless particles, black holes can effectively sink close to the galaxy centre, provided that the black hole’s dynamical mass is at least twice that of the lowest mass resolution particles in the simulation. Gas drag also plays a role in assisting the black holes’ orbital decay, but it is typically less effective than that from collisionless particles, especially after the first billion years of the black hole’s evolution. DF from gas becomes less than $1{{\ \rm per\ cent}}$ of DF from collisionless particles for BH masses &gt;107 M⊙. Using our best DF model, we calculate the merger rate down to z = 1.1 using an Lbox = 35 Mpc h−1 simulation box. We predict ∼2 mergers per year for z &gt; 1.1 peaking at z ∼ 2. These merger rates are within the range obtained in previous work using similar resolution hydrodynamical simulations. We show that the rate is enhanced by factor of ∼2 when DF is taken into account in the simulations compared to the no-DF run. This is due to ${\gt}40{{\ \rm per\ cent}}$ more black holes reaching the centre of their host halo when DF is added.
Estimating urine volume from the urine creatinine concentration
Authors: Dong Yishan , Silver Stephen M , Sterns Richard H 
Published: November 2021

ABSTRACTSpot determinations of the urine creatinine concentration are widely used as a substitute for 24-h urine collections. Expressed as the amount excreted per gram of creatinine, urine concentrations in a single-voided sample are often used to estimate 24-h excretion rates of protein, sodium, potassium, calcium, magnesium, urea and uric acid. These estimates are predicated on the assumption that daily creatinine excretion equals 1 g (and that a urine creatinine concentration of 100 mg/dL reflects a 1 L 24-h urine volume). Such estimates are invalid if the serum creatinine concentration is rising or falling. In addition, because creatinine excretion is determined by muscle mass, the assumption that 24-h urine creatinine excretion equals 1 g yields a misleading estimate at the extremes of age and body size. In this review, we evaluate seven equations for the accuracy of their estimates of urine volume based on urine creatinine concentrations in actual and idealized patients. None of the equations works well in patients who are morbidly obese or in patients with markedly decreased muscle mass. In other patients, estimates based on a reformulation of the Cockroft–Gault equation are reasonably accurate. A recent study based on this relationship found a high strength of correlation between estimated and measured urine output with chronic kidney disease (CKD) studied in the African American Study of Kidney Disease (AASK) trial and for the patients studied in the CKD Optimal Management with Binders and NictomidE (COMBINE) trial. However, the equation systematically underestimated urine output in the AASK trial. Hence, an intercept was added to account for the bias in the estimated output. A more rigorous equation derived from an ambulatory Swiss population, which includes body mass index and models the non-linear accelerated decline in creatinine excretion with age, could potentially be more accurate in overweight and elderly patients. In addition to extremes of body weight and muscle mass, decreased dietary intake or reduced hepatic synthesis of creatine, a precursor of creatinine or ingestion of creatine supplements will also result in inaccurate estimates. These limitations must be appreciated to rationally use predictive equations to estimate urine volume. If the baseline urine creatinine concentration is determined in a sample of known volume, subsequent urine creatinine concentrations will reveal actual urine output as well as the change in urine output. Given the constraints of the various estimating equations, a single baseline timed collection may be a more useful strategy for monitoring urine volume than entering anthropomorphic data into a calculator.
Psychometric Properties of a Healthcare Provider Burden Scale: Preliminary Results
Authors: Chibnall John T , Tait Raymond C 
Published: November 2021

Abstract
Measures are lacking that assess the clinical burden that healthcare providers perceive in treating chronic conditions. This study presents a preliminary psychometric evaluation of a novel self-report measure of provider burden in the treatment of chronic pain. Data for eight burden items were available from vignette studies examining the effects of patient pain severity and medical evidence on clinical burden and judgments for chronic pain. Participants (N = 922) were 109 physicians and 813 non-physicians, all acting in the role of physician (232 community members without chronic pain, 105 community members with chronic pain, and 476 American Chronic Pain Association members with chronic pain). Factor analyses of burden items yielded one-factor solutions in all samples, with high factor loadings and adequate explained variance. Internal consistency reliability was uniformly high (≥ 0.87). Burden scores were significantly higher among physicians compared to nonphysicians; nonphysician groups did not differ on any burden score. Significant correlations of burden score with indicators of psychosocial complications in patient care supported scale validity. Burden score was not associated with gender, age, or education. Results provide initial support for the psychometric properties of a Healthcare Provider Burden Scale (HPBS). Research utilizing larger and representative healthcare provider groups is needed.
Tributyltin and the Female Hypothalamic-Pituitary-Gonadal Disruption
Authors: Barbosa Kayke L , Dettogni Raquel S , da Costa Charles S , Gastal Eduardo L , Raetzman Lori T , Flaws Jodi A , Graceli Jones B 
Published: November 2021

Abstract
The hypothalamic-pituitary-gonadal (HPG) axis is the principal modulator of reproductive function. Proper control of this system relies on several hormonal pathways, which make the female reproductive components susceptible to disruption by endocrine-disrupting chemicals such as tributyltin (TBT). Here, we review the relevant research on the associations between TBT exposure and dysfunction of the female HPG axis components. Specifically, TBT reduced hypothalamic gonadotropin-releasing hormone (GnRH) expression and gonadotropin release, and impaired ovarian folliculogenesis, steroidogenesis, and ovulation, at least in part, by causing abnormal sensitivity to steroid feedback mechanisms and deleterious ovarian effects. This review covers studies using environmentally relevant doses of TBT in vitro (1 ng—20 ng/ml) and in vivo (10 ng—20 mg/kg) in mammals. The review also includes discussion of important gaps in the literature and suggests new avenue of research to evaluate the possible mechanisms underlying TBT-induced toxicity in the HPG axis. Overall, the evidence indicates that TBT exposure is associated with toxicity to the components of the female reproductive axis. Further studies are needed to better elucidate the mechanisms through which TBT impairs the ability of the HPG axis to control reproduction.
Responsivity of the striatal dopamine system to methylphenidate – a within-subject I-123-ß-CIT-SPECT study in children and adolescents with Attention-Deficit/Hyperactivity Disorder
Authors: Aster Hans-Christoph , Romanos Marcel , Walitza Susanne , Gerlach Manfred , Mühlberger Andreas , Hasenauer Natalie , Hartrampf Philipp E. , Nerlich Kai , Reiners Christoph , Lorenz Reinhard , Buck Andreas K. , Deserno Lorenz 
Published: November 2021

AbstractBackgroundMethylphenidate (MPH) is the first-line pharmacological treatment of attention-deficit/hyperactivity disorder (ADHD). MPH binds to the dopamine (DA) transporter (DAT), which has high density in the striatum. Assessments of the striatal dopamine transporter by single positron emission computed tomography (SPECT) in childhood and adolescent patients are rare but can provide insight in how effects of MPH affect DAT availability. The aim of our within-subject study was to investigate the effect of MPH on DAT availability and how responsivity to MPH in DAT availability is linked to clinical symptoms and cognitive functioning.MethodsThirteen adolescent male patients (9-16 years) with diagnosis of ADHD according to DSM-IV and long-term stimulant medication (for at least 6 months) with MPH were assessed twice within 7 days using SPECT after application of I-123-ß-CIT to examine DAT binding potential (DAT BP). SPECT measures took place in on and off-MPH status balanced for order across participants. A virtual-reality continuous-performance test was performed at each time point. Further clinical symptoms were assessed for baseline off-MPH.ResultsOn-MPH status was associated with a highly significant decrease (−27,6%) of striatal DAT BP as compared to off-MPH (t=4.93, p<0.001). More pronounced decrease in striatal DAT BP was associated with higher off-MPH attentional and externalizing symptom ratings (Pearson r=0.68, p=0.01). Striatal DAT BP off-MPH, but not on-MPH, was associated with higher symptom ratings off-MPH (Pearson r=0.56, p=0.04). In further exploratory analysis in left vs. right striatal sub-regions, stronger decrease in DAT BP in the right caudate nucleus was weakly associated with improved performance in the continuous-performance test (Pearson r= - 0.54, p=0.07).ConclusionOur findings corroborate previous reports from mainly adult samples that MPH reduces striatal DAT BP availability and suggest higher off-MPH DAT BP, likely reflecting low baseline DA levels, as a marker of symptom severity. More speculatively, regional specific responsivity of DAT BP to MPH may reflect treatment response with respect to cognitive functioning. However, implications from this small patient sample should be treated with caution and warrant replication.
Hypertonic saline and aprotinin based blockage of SARS-CoV-2 specific furin site cleavage by inhibition of nasal protease activity
Authors: Li Clarissa , Li Adam W. 
Published: November 2021

AbstractSARS-CoV-2 enters into the human body mainly through the nasal epithelial cells. Cell entry of SARS-CoV-2 needs to be pre-activated by S1/S2 boundary furin motif cleavage by furin and/or relevant proteases. It is important to locally block SARS-CoV-2 S1/S2 site cleavage caused by furin and other relevant protease activity in the nasal cavity. We tested hypertonic saline and aprotinin-based blockage of SARS-CoV-2 specific furin site cleavage by furin, trypsin and nasal swab samples containing nasal proteases. Our results show that saline and aprotinin block SARS-Cov-2 specific furin site cleavage and that a saline and aprotinin combination could significantly reduce SARS-Cov-2 wild-type and P681R mutant furin site cleavage by inhibition of nasal protease activity.
The gendered self: Evidence for differences in whole-brain dynamics
Authors: Uribe Carme , Escrichs Anira , de Filippi Eleonora , Sanz-Perl Yonatan , Junque Carme , Gomez-Gil Esther , Kringelbach Morten L , Guillamon Antonio , Deco Gustavo 
Published: November 2021

AbstractHow the brain constructs gender identity is largely unknown, but some neural differences have recently been discovered. Here, we used an intrinsic-ignition framework to investigate if gender identity changes the propagation of the neural activity across the whole-brain network and within resting-state networks. Studying 29 transmen and 17 transwomen with gender incongruence, 22 ciswomen, and 19 cismen, we computed the capability of a given brain area in space to propagate activity to other areas (mean-ignition) and its variability across time (node-metastability). We found that both measures differentiated all four groups across the whole-brain network. Furthermore, at the network level, we found that compared to the other groups, cismen showed higher mean-ignition of the dorsal attention network and node-metastability of the dorsal and ventral attention, executive control, and temporal parietal networks. We also found mean-ignition differences between cismen and ciswomen within the executive control network, but higher in ciswomen than cismen and transmen for the default-mode network. For the node-metastability, this was higher in cismen compared to ciswomen in the somatomotor network, while both mean-ignition and node-metastability were higher for cismen than transmen in the limbic network. Finally, we computed correlations between both measures and their body image scores. Transmen dissatisfaction, cismen, and ciswomen satisfaction towards their own body image were distinctively associated with specific networks per group. Overall, the study of the whole-brain network dynamical complexity discriminates binary gender identity groups, and functional connectivity dynamics approaches are needed to disentangle the complex understanding of the gendered self.Significance statementThe study of sex/gender differences may be enriched by the heterogeneity of other gender minority groups, such as transgender. Functional connectivity measures capturing the spatio-temporal oscillations of the brain can provide insights on how the brain cooperates. This is the first study investigating how the whole-brain network propagates information across the brain, spatially and temporally, in binary gender groups (cisgender and transgender) by means of the intrinsic-ignition framework. We found four whole-brain unique phenotypes pertaining to each gender group, namely cismen, ciswomen, transmen and transwomen. Novel functional connectivity dynamics frameworks can contribute to disentangle the complex experience of agendered-self.
Acute SARS-CoV-2 infection in pregnancy is associated with placental ACE-2 shedding
Authors: Taglauer Elizabeth S. , Wachman Elisha M. , Juttukonda Lillian , Klouda Timothy , Kim Jiwon , Wang Qiong , Ishiyama Asuka , Hackam David J. , Yuan Ke , Jia Hongpeng 
Published: November 2021

AbstractHuman placental tissues have variable rates of SARS-CoV-2 invasion resulting in consistently low rates of fetal transmission suggesting a unique physiologic blockade against SARS-CoV-2. Angiotensin-converting enzyme (ACE)-2, the main receptor for SARS-CoV-2, is expressed as cell surface and soluble forms regulated by a metalloprotease cleavage enzyme, ADAM17. ACE-2 is expressed in the human placenta, but the regulation of placental ACE-2 expression in relation to timing of maternal SARS-CoV-2 infection in pregnancy is not well understood. In this study, we evaluated ACE-2 expression, ADAM17 activity and serum ACE-2 abundance in a cohort of matched villous placental and maternal serum samples from Control pregnancies (SARS-CoV-2 negative, n=8) and pregnancies affected by symptomatic maternal SARS-CoV-2 infections in the 2nd trimester (“2ndTri COVID”, n=8) and 3rd trimester (“3rdTri COVID”, n=8). In 3rdTri COVID as compared to control and 2ndTri-COVID villous placental tissues ACE-2 mRNA expression was remarkably elevated, however, ACE-2 protein expression was significantly decreased with a parallel increase in ADAM17 activity. Soluble ACE-2 was also significantly increased in the maternal serum from 3rdTri COVID infections as compared to control and 2ndTri-COVID pregnancies. These data suggest that in acute maternal SARS-CoV-2 infections, decreased placental ACE-2 protein may be the result of ACE-2 shedding. Overall, this work highlights the importance of ACE-2 for ongoing studies on SARS-CoV-2 responses at the maternal-fetal interface.
Is Footedness Driving Right Lower Extremity Arthroplasty Becoming Commoner Than Left Lower Extremity Arthroplasty?
Authors: Gupta Deepak 
Published: November 2021

AbstractThe question arises whether footedness transforms into asymmetrical incidence of wear and tear within lower extremity joints. After obtaining institutional review board approval for exempt research, the author manually counted the number of patients who underwent right or left or bilateral, hip or knee, primary or revision arthroplasty over a five-year period (2016-2020) at a university-affiliated hospital in the United States. Overall, right lower extremity arthroplasty was significantly commoner than left lower extremity arthroplasty (P=0.002). Individually, only right primary hip arthroplasty (P=0.033) and right revision knee arthroplasty (P=0.041) were significantly commoner procedures than their left counterparts. These results should set up the stage for future investigations into footedness retrospectively and prospectively to rule out if commoner right footedness in itself is driving this asymmetrical incidence of lower extremity arthroplasty or whether automatic transmission vehicular driving is independently contributing to this asymmetrical incidence.