bluuebunny/crossref_metadata_2025_split huggingface dataset:
Esophagus involvement in systemic sclerosis: ultrasound parameters and association with clinical manifestations
Authors: Ma Li , Zhu Qingli , Zhang Yan , Li Jianchu , Jiang Yuxin , Xu Dong , Zeng Xiaofeng , Hou Yong , Liu He 
Published: April 2021

Abstract
Background
The esophagus involvement in systemic sclerosis (SSc) is very common yet underestimated due to the lack of suitable screening tools. This study aims to explore the usefulness of ultrasound (US) in the assessment of esophagus involvement and to identify its relationship with clinical and CT manifestations.

Methods
We performed transabdominal esophageal US in 38 SSc patients and 38 controls. US parameters including the abdominal esophagus length, esophagus wall thickness, shear-wave elastography, gastro-esophageal (His) angle, and reflux were compared. Relationships between distinguishable US parameters and clinical/CT parameters, such as gastro-esophageal reflux disease questionnaire (GERDQ), modified Rodnan skin score (mRSS), interstitial lung disease (ILD) score, the largest esophagus diameter (Dmax), and esophagus dilation percentage (%Eop), were evaluated.

Results
Abdominal esophagus length was shorter in the SSc group than the control group (2.69 cm vs 3.06 cm, P = 0.018), whereas His angle and the angle change before and after drinking water were larger in the SSc group than the control group (121° vs 108°, P < 0.001; 7.97° vs 2.92°, P = 0.025). Reflux was more frequently seen in the SSc group than the control group (7/38 vs 0/38; P = 0.017). As for correlation with clinical and CT parameters, His angle was higher in patients with GERDQ ≥ 8 than GERDQ < 8 (116.5° vs 125.6°, P = 0.035). Patients with reflux showed higher ILD score than patients without (15.8 vs 9.6, P = 0.043). Furthermore, abdominal esophagus length was negatively correlated with %Eop and Dmax (r = − 0.573, P < 0.001; r = − 0.476, P = 0.003).

Conclusion
US parameters of the esophagus can distinguish SSc patients from controls, as well as have correlations with clinical and CT characteristics. Our pilot study first shows that US can be used as a noninvasive and convenient method to evaluate the esophagus involvement in SSc.
Burden of non-alcoholic steatohepatitis among children with type 2 diabetes mellitus
Authors: Parlett Lauren , Ma Qinli , Shi Qian , Crawford Geoffrey , Herrera Scott Laura , Willey Vincent , Agiro Abiy 
Published: April 2021

AbstractThis claims-based retrospective cohort study examined the prevalence and incremental impact of non-alcoholic steatohepatitis among children with type 2 diabetes mellitus in the United States. Although diagnoses of non-alcoholic steatohepatitis were not common among diabetic children, it was associated with significantly higher incremental healthcare cost and risk of hospitalization.
Data on the effects of fertilization on growth rates, biomass allocation, carbohydrates and nutrients of nitrogen-fixing and non-nitrogen-fixing tree legumes during tropical forest restoration
Authors: Jaquetti Roberto K. , Gonçalves José Francisco C. 
Published: April 2021

Abstract
Objectives
Tree legume species play an important role in forest restoration in the tropics. Understanding how different species adjust carbohydrate allocation and growth under distinct nutrient availability will enhance the success of restoring degraded areas.

Data description
A 2-year tropical forest plantation of the Forest Restoration Program of the Balbina Hydropower Dam was evaluated. Three non-N-fixing (Cenostigma tocantinum, Dipteryx odorata and Senna reticulata) and three N-fixing (Clitoria fairchildiana, Inga edulis and Acacia spp.) tree legume species were either fertilized or not fertilized. Growth rates and biomass allocation were calculated, and carbon (C) fractions and nitrogen (N), phosphorus (P) and nonstructural carbohydrate (NSC) concentrations were determined. Multiple nutrient additions increased the growth rates and aboveground biomass production of fertilized plants. According to the results presented, different species and N- fixers respond differently to fertilization regimes. The authors encourage the use of the presented data in meta-analysis studies that consider the fertilization or nutrient deficiency effects on growth, carbohydrate and nutrient responses. N-fixing species with high biomass growth and foliar N are important for restoring N and C cycles in nutrient-limited soils. Fertilization treatments are fundamental during the early stages of forest plantation development.
Diagnostic and prognostic value of plasma neurofilament light and total-tau in sporadic Creutzfeldt-Jakob disease
Authors: Zerr Inga , Villar-Piqué Anna , Hermann Peter , Schmitz Matthias , Varges Daniela , Ferrer Isidre , Riggert Joachim , Zetterberg Henrik , Blennow Kaj , Llorens Franc 
Published: April 2021

Abstract
Background
Blood neurofilament light (Nfl) and total-tau (t-tau) have been described to be increased in several neurological conditions, including prion diseases and other neurodegenerative dementias. Here, we aim to determine the accuracy of plasma Nfl and t-tau in the differential diagnosis of neurodegenerative dementias and their potential value as prognostic markers of disease severity.

Methods
Plasma Nfl and t-tau were measured in healthy controls (HC, n = 70), non-neurodegenerative neurological disease with (NND-Dem, n = 17) and without dementia syndrome (NND, n = 26), Alzheimer’s disease (AD, n = 44), Creutzfeldt-Jakob disease (CJD, n = 83), dementia with Lewy bodies/Parkinson’s disease with dementia (DLB/PDD, n = 35), frontotemporal dementia (FTD, n = 12), and vascular dementia (VaD, n = 22). Biomarker diagnostic accuracies and cutoff points for the diagnosis of CJD were calculated, and associations between Nfl and t-tau concentrations with other fluid biomarkers, demographic, genetic, and clinical data in CJD cases were assessed. Additionally, the value of Nfl and t-tau predicting disease survival in CJD was evaluated.

Results
Among diagnostic groups, highest plasma Nfl and t-tau concentrations were detected in CJD (fold changes of 38 and 18, respectively, compared to HC). Elevated t-tau was able to differentiate CJD from all other groups, whereas elevated Nfl concentrations were also detected in NND-Dem, AD, DLB/PDD, FTD, and VaD compared to HC. Both biomarkers discriminated CJD from non-CJD dementias with an AUC of 0.93. In CJD, plasma t-tau, but not Nfl, was associated with PRNP codon 129 genotype and CJD subtype. Positive correlations were observed between plasma Nfl and t-tau concentrations, as well as between plasma and CSF concentrations of both biomarkers (p < 0.001). Nfl was increased in rapidly progressive AD (rpAD) compared to slow progressive AD (spAD) and associated to Mini-Mental State Examination results. However, Nfl displayed higher accuracy than t-tau discriminating CJD from rpAD and spAD. Finally, plasma t-tau, but not plasma Nfl, was significantly associated with disease duration, offering a moderate survival prediction capacity.

Conclusions
Plasma Nfl and t-tau are useful complementary biomarkers for the differential diagnosis of CJD. Additionally, plasma t-tau emerges as a potential prognostic marker of disease duration.
Severe acute myopathy following SARS-CoV-2 infection: a case report and review of recent literature
Authors: Islam Badrul , Ahmed Mohiuddin , Islam Zhahirul , Begum S. M. 
Published: April 2021

Abstract
Background
SARS-CoV2 virus could be potentially myopathic. Serum creatinine phosphokinase (CPK) is frequently found elevated in severe SARS-CoV2 infection, which indicates skeletal muscle damage precipitating limb weakness or even ventilatory failure.

Case presentation
We addressed such a patient in his forties presented with features of severe SARS-CoV2 pneumonia and high serum CPK. He developed severe sepsis and acute respiratory distress syndrome (ARDS) and received intravenous high dose corticosteroid and tocilizumab to counter SARS-CoV2 associated cytokine surge. After 10 days of mechanical ventilation (MV), weaning was unsuccessful albeit apparently clear lung fields, having additionally severe and symmetric limb muscle weakness. Ancillary investigations in addition with serum CPK, including electromyogram, muscle biopsy, and muscle magnetic resonance imaging (MRI) suggested acute myopathy possibly due to skeletal myositis.

Conclusion
We wish to stress that myopathogenic medication in SARS-CoV2 pneumonia should be used with caution. Additionally, serum CPK could be a potential marker to predict respiratory failure in SARS-CoV2 pneumonia as skeletal myopathy affecting chest muscles may contribute ventilatory failure on top of oxygenation failure due to SARS-CoV2 pneumonia.
An endophytic Schizophyllum commune Fr. exhibits in-vitro and in-vivo antidiabetic activity in streptozotocin induced diabetic rats
Authors: Sharma Avinash , Kaur Rajvir , Kaur Jasleen , Garg Saweta , Bhatti Rajbir , Kaur Amarjeet 
Published: April 2021

AbstractThe present study aimed at isolation of endophytic basidiomycetous fungi and evaluation of their in-vitro and in-vivo antidiabetic potential. Preliminary screening for in-vitro activity was carried out using α-glucosidase inhibition assay. An endophytic isolate Sch1 (isolated from Aloe vera), identified to be Schizophyllum commune Fr. on molecular basis, exhibiting more than 90% α-glucosidase inhibitiory activity was selected for further studies. Detailed in-vivo investigations for antidiabetic potential of ethyl acetate extract of S. commune (Sch1), at two different doses, were carried out in streptozotocin induced diabetic Wistar rats. Treatment of diabetic rats with S. commune extract caused significant decrease in blood glucose level and increase in body weight after 14 days experimental period. It significantly restored renal parameters including creatinine, blood urea nitrogen, fractional excretion of sodium, and potassium level in diabetic rats. Improvement in lipid profile and level of antioxidant parameters viz. reduced glutathione, thiobarbituric acid reactive species, and superoxide anion generation was also observed after treatment. Liver enzymes (serum glutamic pyruvic transaminase, serum glutamic-oxaloacetic transaminases, and alkaline phosphatase) homeostasis was found to be markedly improved in diabetic rats administered with S. commune extract. The effects were more pronounced at higher concentration and comparable to acarbose which was used as positive control. Phytochemical analysis revealed the presence of phenolics and terpenoids in the ethyl acetate extract. This is the first report highlighting the therapeutic potential of an endophytic S. commune in the management of diabetes.
Investigation of the neutral fractional differential inclusions of Katugampola-type involving both retarded and advanced arguments via Kuratowski MNC technique
Authors: Etemad Sina , Souid Mohammed Said , Telli Benoumran , Kaabar Mohammed K. A. , Rezapour Shahram 
Published: April 2021

AbstractA class of the boundary value problem is investigated in this research work to prove the existence of solutions for the neutral fractional differential inclusions of Katugampola fractional derivative which involves retarded and advanced arguments. New results are obtained in this paper based on the Kuratowski measure of noncompactness for the suggested inclusion neutral system for the first time. On the one hand, this research concerns the set-valued analogue of Mönch fixed point theorem combined with the measure of noncompactness technique in which the right-hand side is convex valued. On the other hand, the nonconvex case is discussed via Covitz and Nadler fixed point theorem. An illustrative example is provided to apply and validate our obtained results.
The effects of stump size and within-gap position on sprout non-structural carbohydrates concentrations and regeneration in forest gaps vary among species with different shade tolerances
Authors: Zhang Ting , Yan Qiaoling , Wang G. Geoff , Zhu Jiaojun 
Published: April 2021

Abstract
Background
To restore secondary forests (major forest resources worldwide), it is essential to accelerate the natural regeneration of dominant trees by altering micro-environments. Forest gaps are products of various disturbances, ranging from natural storms or wildfires to anthropogenic events like logging and slashing-and-burning, and sprouts of most tree species with non-structural carbohydrates (NSCs) storage can regenerate from stumps after gap formation. However, how the stump sprouts with diverse NSCs storages and stump sizes (i.e., diameters) adapt to various micro-environments of within-gap positions remains unclear. Therefore in this study, we monitored the stump sprout regeneration (density, survival, and growth) and NSCs concentrations of three dominant tree species with different shade tolerances and varying stump diameters at five within-gap positions for the first two consecutive years after gap formation.

Results
Stump diameter was positively correlated with sprout density, growth, and survival of all three tree species, but insignificantly related with sprout NSCs concentrations at the early stage after gap formation. The effect of within-gap position on sprout NSCs concentrations was different among species. After an environmental adaptation of two growing seasons, the north of gap (higher light availability and lower soil moisture habitat) was the least conducive for shade-intolerant Quercus mongolica to accumulate leaf NSCs, and the east of gap (shadier and drier habitat) was conducive to increasing the leaf NSCs concentrations of shade-tolerant Tilia mandshurica.

Conclusions
Within-gap position significantly affected leaf NSCs concentrations of all three tree species, but most of the sprout growth, survival, and stem NSCs concentrations were independent of the various within-gap positions. Besides stump diameter, the NSCs stored in stump and root systems and the interspecific differences in shade tolerance also contributed more in sprout regeneration at the early stage (2 years) of gap formation. A prolonged monitoring (> 10 years) is needed to further examine the long-term effects of stump diameter and within-gap position on sprout regeneration. All of these findings could be applied to gap-based silviculture by promoting sprout regeneration of dominant tree species with different shade tolerances, which would help accelerate the restoration of temperate secondary forests.
Preserving inferior right hepatic vein enabled bisegmentectomy 7 and 8 without venous congestion: a case report
Authors: Terayama Masayoshi , Ito Kyoji , Takemura Nobuyuki , Inagaki Fuyuki , Mihara Fuminori , Kokudo Norihiro 
Published: April 2021

Abstract
Background
In hepatectomy, the preservation of portal perfusion and venous drainage in the remnant liver is important for securing postoperative hepatic function. Right hepatectomy is generally indicated when a hepatic tumor involves the right hepatic vein (RHV). However, if a sizable inferior RHV (IRHV) exists, hepatectomy with preservation of the IRHV territory may be another option. In this case, we verified the clinical feasibility of anatomical bisegmentectomy 7 and 8 with RHV ligation, averting the right hepatic parenchyma from venous congestion, utilizing the presence of the IRHV.

Case presentation
A 70-year-old man was presented with a large hepatic tumor infiltrating the RHV on computed tomography during a medical checkup. The patient was diagnosed with hepatocellular carcinoma (HCC), T2N0M0, stage III. Right hepatectomy was first considered, but multi-detector computed tomography (MDCT) also revealed a large IRHV draining almost all of segments 5 and 6, suggesting that IRHV-preserving liver resection may be another option. The calculated future remnant liver volumes were 382 mL (26.1% of the total volume) after right hepatectomy and 755 mL (51.7% of the total volume) after anatomical bisegmentectomy 7 and 8; therefore, we scheduled IRHV-preserving anatomical bisegmentectomy 7 and 8 considering the prevention of postoperative liver failure and increased chance of performing repeat resections in cases of recurrence. Preoperative three-dimensional simulation using MDCT clearly revealed the portal perfusion area and venous drainage territories by the RHV and IRHV. There was an issue with invisibility of the anatomical resection line of segments 7 and 8, which was completely dissolved by intraoperative ultrasonography using Sonazoid and the portal dye injection technique with counter staining. The postoperative course in the patient was uneventful, without recurrence of HCC, for 30 months after hepatectomy.

Conclusions
IRHV-preserving anatomical bisegmentectomy 7 and 8 is a safe and feasible procedure utilizing the three-dimensional simulation of the portal perfusion area and venous drainage territories and the portal dye injection technique.
Protocol for a feasibility study incorporating a randomised pilot trial with an embedded process evaluation and feasibility economic analysis of ThinkCancer!: a primary care intervention to expedite cancer diagnosis in Wales
Authors: Disbeschl Stefanie , Surgey Alun , Roberts Jessica L. , Hendry Annie , Lewis Ruth , Goulden Nia , Hoare Zoe , Williams Nefyn , Anthony Bethany Fern , Edwards Rhiannon Tudor , Law Rebecca-Jane , Hiscock Julia , Carson-Stevens Andrew , Neal Richard D. , Wilkinson Clare 
Published: April 2021

Abstract
Background
Compared to the rest of Europe, the UK has relatively poor cancer outcomes, with late diagnosis and a slow referral process being major contributors. General practitioners (GPs) are often faced with patients presenting with a multitude of non-specific symptoms that could be cancer. Safety netting can be used to manage diagnostic uncertainty by ensuring patients with vague symptoms are appropriately monitored, which is now even more crucial due to the ongoing COVID-19 pandemic and its major impact on cancer referrals. The ThinkCancer! workshop is an educational behaviour change intervention aimed at the whole general practice team, designed to improve primary care approaches to ensure timely diagnosis of cancer. The workshop will consist of teaching and awareness sessions, the appointment of a Safety Netting Champion and the development of a bespoke Safety Netting Plan and has been adapted so it can be delivered remotely. This study aims to assess the feasibility of the ThinkCancer! intervention for a future definitive randomised controlled trial.

Methods
The ThinkCancer! study is a randomised, multisite feasibility trial, with an embedded process evaluation and feasibility economic analysis. Twenty-three to 30 general practices will be recruited across Wales, randomised in a ratio of 2:1 of intervention versus control who will follow usual care. The workshop will be delivered by a GP educator and will be adapted iteratively throughout the trial period. Baseline practice characteristics will be collected via questionnaire. We will also collect primary care intervals (PCI), 2-week wait (2WW) referral rates, conversion rates and detection rates at baseline and 6 months post-randomisation. Participant feedback, researcher reflections and economic costings will be collected following each workshop. A process evaluation will assess implementation using an adapted Normalisation Measure Development (NoMAD) questionnaire and qualitative interviews. An economic feasibility analysis will inform a future economic evaluation.

Discussion
This study will allow us to test and further develop a novel evidenced-based complex intervention aimed at general practice teams to expedite the diagnosis of cancer in primary care. The results from this study will inform the future design of a full-scale definitive phase III trial.

Trial registration
ClinicalTrials.gov NCT04823559.
Phenotypic and haplotypic profiles of insecticide resistance in populations of Aedes aegypti larvae (Diptera: Culicidae) from central Lao PDR
Authors: Shimono Takaki , Kanda Seiji , Lamaningao Pheophet , Murakami Yuki , Darcy Andrew Waleluma , Mishima Nobuyuki , Inthavongsack Somchit , Soprasert Odai , Xaypangna Thonelakhanh , Nishiyama Toshimasa 
Published: April 2021

Abstract
Background
Aedes aegypti, which is widely distributed in the Lao People’s Democratic Republic (PDR), is the primary vector of arboviral diseases. Chemical insecticides have been intensively used to eliminate mosquito-borne diseases, resulting in the development of insecticide resistance. However, little is known about the insecticide resistance of mosquito populations in Lao PDR and the mechanisms responsible for it, which have important implications for vector management programs. Here, we examined the phenotypic and haplotypic profiles of insecticide resistance in populations of Ae. aegypti larvae from central Lao PDR.

Methods
Ae. aegypti larvae were collected from four sites in Lao PDR, and their susceptibility to temephos, deltamethrin, permethrin, and Bacillus thuringiensis israelensis (Bti) was tested using larval bioassays. Synergistic tests were also conducted to evaluate the activity of insecticide-metabolizing enzymes in the larvae. Deltamethrin-resistant and Deltamethrin-susceptible larvae were then genotyped for knockdown resistance (kdr) mutations to determine the associations between each genotype and resistance.

Results
Ae. aegypti larvae from central Lao PDR were considered to be “resistant” (<98% mortality) to organophosphates and pyrethroids. The bio-insecticide Bti remains effective against such larvae. The resistance mechanisms of Ae. aegypti larvae were found to vary among populations, especially for pyrethroid resistance. Kdr mutations were significantly associated with deltamethrin resistance in Ae. aegypti from the Xaythany population. In contrast, synergist assays with piperonyl butoxide suggested that cytochrome P450 monooxygenases played an important role in the resistance seen in the Khounkham and Thakhek populations.

Conclusion
This study obtained information that will aid the design and implementation of insecticide-based vector management of Ae. aegypti in central Lao PDR. Ae. aegypti larvae from central Lao PDR were highly susceptible to Bti, while they were resistant to temephos at a diagnostic dose of 0.0286 mg/L. Given the limited number of insecticides that are approved for vector control, it is important to alternate between temephos and other larvicides, such as Bti and pyriproxyfen. The differences in pyrethroid resistance mechanisms seen among the Ae. aegypti populations highlight the need to tailor vector-control strategies to each region to increase the success of dengue control in Lao PDR.