bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cerebral Perfusion and Psychometric Testing after exposure to high altitude in the mountains
Authors: Windle C. M. , Slaven G. M. , Macleod M. A. 
Published: October 2021

AbstractExposure to hypobaric hypoxia is known to cause reductions in mental performance and decision-making and it has been reported that these effects are not fully reversed following descent from altitude. Eight climbers had cerebral perfusion scans performed and undertook a battery of psychometric tests prior to, and upon return from, an expedition to climb the eleventh highest mountain in the world, Gasherbrum 1. No decrements were found in either their performance on the psychometric tests nor to their cerebral perfusion following the expedition. Two subjects had significant cerebral perfusion abnormalities prior to the expedition, which had improved immediately following their return from the expedition. Repeat scans four months later showed the lesion of one of the subjects had returned and there were indications that the lesion in the other subject was beginning to return. These findings are in contrast to previous studies which have suggested that altitude exposure leads to permanent reductions in brain function, this could be because in those studies factors other than hypobaric hypoxia per se lead to the reductions in brain function.
A Critical Review of Reflective Practice in its role towards Personal and Professional Development
Authors: Rooke T. R. 
Published: October 2021

AbstractReflection has become a prominent feature in today’s nursing. Love it or hate it, the UK Central Council for Nurses, Midwives and Health Visitors stipulates that evidence of reflective practice is a requirement for both pre and post registration nurses. While reflection can assist in facing the increasing challenges of nursing, it can also present as a challenge in itself unless nurses have familiarised themselves with the process and feel at ease with it. The issues of reflective practice are explored to determine if it can enhance personal and professional development.
Risk factors for HIV infection among men who have sex with men in the ANRS IPERGAY PrEP trial
Authors: Gras Julien , Pillet Marine , Antoni Guillemette , Cua Eric , Charreau Isabelle , Raffi F , Chidiac Christian , Chas Julie , Tremblay Cécile , Spire Bruno , Delaugerre Constance , Meyer Laurence , Molina Jean-Michel 
Published: October 2021

ObjectivesWe aimed to assess among men who have sex with men (MSM) risk factors for HIV infection, to identify those who require urgent pre-exposure prophylaxis (PrEP) prescription.MethodsAll participants enrolled in the placebo arm of the ANRS IPERGAY trial, or infected between screening and day 0, were included. Baseline characteristics were described and HIV incidence rate ratios (RRs) were estimated with their 95% CIs.Results203 MSM were included with a median follow-up of 9 months. During the study period, 16 participants acquired HIV infection while not receiving tenofovir disoproxil and emtricitabin (TDF/FTC) over 212.4 person-years (PYs) of follow-up (incidence rate 7.5/100 PYs, 95% CI: 4.3 to 12.2). Being enrolled in Paris was associated with a significant increased risk of HIV infection (RR: 4.1; 95% CI: 1.1 to 28.3). A high number of sexual partners in prior 2 months (≥10 vs <5) and of condomless receptive anal sex episodes in prior 12 months (>5 vs <5) were strong predictors for HIV acquisition (RR: 10.6 (2 to 260.2) and 3.3 (1.2 to 10.2), respectively). Those who reported more often or only receptive sexual practices were also at increased risk (RR: 9.8 (2.0 to 246.6)). The use of recreational drugs in prior 12 months, especially gamma hydroxybutarate/gamma butyrolactone (RR: 5.9; 95% CI: 2 to 21.7), was associated with a significantly increased risk of HIV acquisition even after adjustment for sexual practices.ConclusionsMSM who have frequent condomless receptive anal sex and multiple partners, or use recreational drugs should be targeted in priority for PrEP prescription especially if they live in an area with a high prevalence of HIV infection.
Antithrombotic Therapy for Atrial Fibrillation and Coronary Artery Disease in Patients With Prior Atherothrombotic Disease: A Post Hoc Analysis of the AFIRE Trial
Authors: Matsuzawa Yasushi , Kimura Kazuo , Yasuda Satoshi , Kaikita Koichi , Akao Masaharu , Ako Junya , Matoba Tetsuya , Nakamura Masato , Miyauchi Katsumi , Hagiwara Nobuhisa , Hirayama Atsushi , Matsui Kunihiko , Ogawa Hisao ,   AFIRE Investigators
Published: October 2021

Background
Among patients with atrial fibrillation and stable coronary artery disease, those with histories of atherothrombotic disease are at high‐risk for future ischemic events. This study investigated the efficacy and safety of rivaroxaban monotherapy in patients with atrial fibrillation, coronary artery disease, and histories of atherothrombotic disease.

Methods and Results

This was a post hoc subanalysis of the AFIRE (Atrial Fibrillation and Ischemic Events With Rivaroxaban in Patients With Stable Coronary Artery Disease) trial. Patients with non‐valvular atrial fibrillation and coronary artery disease were recruited and randomized to receive the rivaroxaban monotherapy or combination therapy with rivaroxaban plus antiplatelet drug. For the purpose of this sub‐study, participants were divided into 2 subgroups, including the atherothrombosis group (those with histories of myocardial infarction, stroke, and/or peripheral artery disease; n=1052, 47.5%) and non‐atherothrombosis group (n=1163, 52.5%). The efficacy end point included cardiovascular events or all‐cause death, while the safety end point was major bleeding. Net adverse events consisted of all‐cause death, myocardial infarction, stroke, or major bleeding. In the atherothrombosis group, rivaroxaban monotherapy was significantly associated with a lower risk of net adverse events when compared with combination therapy (hazard ratio [HR], 0.50; 95% CI, 0.34–0.74;
P
<0.001), with a decrease in both efficacy (HR, 0.68; 95% CI, 0.47–0.99;
P
=0.044) and safety (HR, 0.37; 95% CI, 0.19–0.71;
P
=0.003) end points. By contrast, there were no differences between treatment outcomes for the non‐atherothrombosis group.

Conclusions
Rivaroxaban monotherapy significantly reduced net adverse events as compared with combination therapy for patients with atrial fibrillation, coronary artery disease, and prior atherothrombotic disease.

Registration

URL:
https://www.umin.ac.jp/ctr/
; Unique identifier: UMIN000016612. URL:
https://www.clinicaltrials.gov
; Unique identifier: NCT02642419.
Lizards as models to explore the ecological and neuroanatomical correlates of miniaturization
Authors: Perez-Martinez Christian A. , Leal Manuel 
Published: October 2021

Abstract
Extreme body size reductions bring about unorthodox anatomical arrangements and novel ways in which animals interact with the environment. Drawing from studies of vertebrates and invertebrates, we provide a theoretical framework for miniaturization to inform hypotheses using lizards as a study system. Through this approach, we demonstrate the repeated evolution of miniaturization across 11 families and a tendency for miniaturized species to occupy terrestrial microhabitats, possibly driven by physiological constraints. Differences in gross brain morphology between two gecko species demonstrate a proportionally larger telencephalon and smaller olfactory bulbs in the miniaturized species, though more data are needed to generalize this trend. Our study brings into light the potential contributions of miniaturized lizards to explain patterns of body size evolution and its impact on ecology and neuroanatomy. In addition, our findings reveal the need to study the natural history of miniaturized species, particularly in relation to their sensory and physiological ecology.
Can animals develop depression? An overview and assessment of ‘depression-like’ states
Authors: MacLellan Aileen , Fureix Carole , Polanco Andrea , Mason Georgia 
Published: October 2021

Abstract
Describing certain animal behaviours as ‘depression-like’ or ‘depressive’ has become common across several fields of research. These typically involve unusually low activity or unresponsiveness and/or reduced interest in pleasure (anhedonia). While the term ‘depression-like’ carefully avoids directly claiming that animals are depressed, this narrative review asks whether stronger conclusions can be legitimate, with animals developing the clinical disorder as seen in humans (cf., DSM-V/ICD-10). Here, we examine evidence from animal models of depression (especially chronically stressed rats) and animals experiencing poor welfare in conventional captive conditions (e.g., laboratory mice and production pigs in barren environments). We find troubling evidence that animals are indeed capable of experiencing clinical depression, but demonstrate that a true diagnosis has yet to be confirmed in any case. We thus highlight the importance of investigating the co-occurrence of depressive criteria and discuss the potential welfare and ethical implications of animal depression.
Storm Surge, Blocking, and Cyclones: A Compound Hazards Analysis for the Northeast United States
Authors: Booth James F. , Narinesingh Veeshan , Towey Katherine L. , Jeyaratnam Jeyavinoth 
Published: October 2021

AbstractStorm surge is a weather hazard that can generate dangerous flooding and is not fully understood in terms of timing and atmospheric forcing. Using observations along the Northeast United States, surge is sorted based on duration and intensity to reveal distinct time-evolving behavior. Long-duration surge events slowly recede, while strong, short-duration events often involve negative surge in quick succession after the maximum. Using Lagrangian track information, the tropical and extratropical cyclones and atmospheric blocks that generate the surge events are identified. There is a linear correlation between surge duration and surge maximum, and the relationship is stronger for surge caused by extratropical cyclones as compared to those events caused by tropical cyclones. For the extremes based on duration, the shortest-duration strong surge events are caused by tropical cyclones, while the longest-duration events are most often caused by extratropical cyclones. At least half of long-duration surge events involve anomalously strong atmospheric blocking poleward of the cyclone, while strong, short-duration events are most often caused by cyclones in the absence of blocking. The dynamical influence of the blocks leads to slow-moving cyclones that take meandering paths. In contrast, for strong, short-duration events, cyclones travel faster and take a more meridional path. These unique dynamical scenarios provide better insight for interpreting the threat of surge in medium-range forecasts.
Long-term pain relief after groin hernia repair for sports groin: A nationwide cohort study
Authors: Gamborg Sara , Öberg Stina , Rosenberg Jacob 
Published: October 2021

Background: The groin is a complex anatomical area with multiple structures that can be injured and cause pain. One condition with groin pain is the so-called “sports groin,” which can be treated with a groin hernia repair even though no hernia is present. The aim of this study was to assess the prevalence of chronic groin pain several years after a groin hernia repair performed in patients with a sports groin. Methods: This nationwide cohort study included adults who had a groin hernia repair for a sports groin through the years 1998–2011. The patients were identified through the Danish Hernia Database and in surgical records. Patients were asked to fill out four questionnaires several years after the repair: a visual analogue scale, the Activity Assessment Scale, the Inguinal Pain Questionnaire, and a questionnaire about treatment satisfaction. Results: Of 118 contacted patients, 71 gave informed consent and were included in the study (60%), and of these the response rate was 100%. The questionnaires were filled out median 14 years after surgery. Most of the patients were pain-free in the operated groin (87%), and only a few had physical impairment caused by groin pain (20%). Prior to surgery, 79% had groin pain that they could not ignore. Overall, 90% of the patients were satisfied with the treatment. Conclusions: Most patients were pain-free and without physical impairment several years after groin hernia repair for a sports groin and with high satisfaction rate.
Point-of-care contrast enhanced lung ultrasound and COVID-19
Authors: Tee Alice , Yusuf Gibran Timothy , Wong Adrian , Rao Deepak , Tran Sa , Sidhu Paul S 
Published: October 2021

Objectives Bedside lung ultrasound has been indispensable during the coronavirus disease 2019 (COVID-19) pandemic, allowing us to rapidly assess critically unwell patients. We demonstrate the unique application of contrast-enhanced ultrasound with the aim of further understanding this disease. Methods Patient demographics were recorded alongside recent cross-sectional imaging and inflammatory markers. Ultrasound was conducted by experienced operators in a portable setting. Conventional six-point lung ultrasound method was used to evaluate B-lines, small (subpleural) consolidation and the pleura. Areas of small consolidation were targeted after intravenous administration of ultrasound contrast. Results The areas of small consolidations, a potential sign of pneumonia on B-mode lung ultrasound, usually enhance on contrast-enhanced ultrasound. Our study revealed these areas to be avascular, indicating an underlying thrombotic/infarction process. Findings were present in 100% of the patients we examined. We have also shown that the degree of infarction correlates with CT severity (r = 0.4) and inflammatory markers, and that these areas improve as patients recover. Conclusions We confirmed the theory of immune thrombus by identifying the presence of microthrombi in the lungs of 100% of our patients, despite 79% having had a recent negative CT pulmonary angiogram study. contrast-enhanced ultrasound can be utilised to add confidence to an uncertain COVID-19 diagnosis and for prognosticating and monitoring progress in confirmed COVID-19 patients. Contrast-enhanced ultrasound is clearly very different to CT, the gold standard, and while there are specific pathologies that can only be detected on CT, contrast-enhanced ultrasound has many advantages, most notability the ability to pick up microthrombi at the periphery of the lungs.
Shen Qi Li Xin formula improves chronic heart failure through balancing mitochondrial fission and fusion via upregulation of PGC-1α
Authors: Sui Yan-Bo , Xiu Jian , Wei Jin-Xuan , Pan Pei-Pei , Sun Bi-Hong , Liu Li 
Published: October 2021

Abstract
Background
Our previous study proved that Shen Qi Li Xin formula (SQLXF) improved the heart function of chronic heart failure (CHF) patients, while the action mechanism remains unclear.

Methods
H&E staining and TUNEL staining were performed to measure myocardial damages. Western blot was used to examine the expression of proteins. Moreover, CCK-8 assay and flow cytometry were used to measure cell viability and cell apoptosis, respectively. Concentrations of ATP and ROS in cells, and mitochondrial membrane potential (MMP) were detected to estimate oxidative stress.

Results
In vivo, we found that SQLXF improved cardiac hemodynamic parameters, reduced LDH, CK-MB and BNP production, and attenuated myocardial damages in CHF rats. Besides, SQLXF promoted mitochondrial fusion-related proteins expression and inhibited fission-related proteins expression in CHF rats and oxygen glucose deprivation/reoxygenation (OGD/R)-induced cardiac myocytes (CMs). In vitro, our data show that certain dose of SQLXF inhibited OGD/R-induced CMs apoptosis, cell viability decreasing and oxidative stress.

Conclusion
Overall, certain dose of SQLXF could effectively improve the cardiac function of CHF rats through inhibition of CMs apoptosis via balancing mitochondrial fission and fusion. Our data proved a novel action mechanism of SQLXF in CHF improvement, and provided a reference for clinical.
AdmixSim 2: a forward-time simulator for modeling complex population admixture
Authors: Zhang Rui , Liu Chang , Yuan Kai , Ni Xumin , Pan Yuwen , Xu Shuhua 
Published: October 2021

Abstract
Background
Computer simulations have been widely applied in population genetics and evolutionary studies. A great deal of effort has been made over the past two decades in developing simulation tools. However, there are not many simulation tools suitable for studying population admixture.

Results
We here developed a forward-time simulator, AdmixSim 2, an individual-based tool that can flexibly and efficiently simulate population genomics data under complex evolutionary scenarios. Unlike its previous version, AdmixSim 2 is based on the extended Wright-Fisher model, and it implements many common evolutionary parameters to involve gene flow, natural selection, recombination, and mutation, which allow users to freely design and simulate any complex scenario involving population admixture. AdmixSim 2 can be used to simulate data of dioecious or monoecious populations, autosomes, or sex chromosomes. To our best knowledge, there are no similar tools available for the purpose of simulation of complex population admixture. Using empirical or previously simulated genomic data as input, AdmixSim 2 provides phased haplotype data for the convenience of further admixture-related analyses such as local ancestry inference, association studies, and other applications. We here evaluate the performance of AdmixSim 2 based on simulated data and validated functions via comparative analysis of simulated data and empirical data of African American, Mexican, and Uyghur populations.

Conclusions
AdmixSim 2 is a flexible simulation tool expected to facilitate the study of complex population admixture in various situations.
A representation and deep learning model for annotating ubiquitylation sentences stating E3 ligase - substrate interaction
Authors: Luo Mengqi , Li Zhongyan , Li Shangfu , Lee Tzong-Yi 
Published: October 2021

AbstractBackgroundUbiquitylation is an important post-translational modification of proteins that not only plays a central role in cellular coding, but is also closely associated with the development of a variety of diseases. The specific selection of substrate by ligase E3 is the key in ubiquitylation. As various high-throughput analytical techniques continue to be applied to the study of ubiquitylation, a large amount of ubiquitylation site data, and records of E3-substrate interactions continue to be generated. Biomedical literature is an important vehicle for information on E3-substrate interactions in ubiquitylation and related new discoveries, as well as an important channel for researchers to obtain such up to date data. The continuous explosion of ubiquitylation related literature poses a great challenge to researchers in acquiring and analyzing the information. Therefore, automatic annotation of these E3-substrate interaction sentences from the available literature is urgently needed.ResultsIn this research, we proposed a model based on representation and attention mechanism based deep learning methods, to automatic annotate E3-substrate interaction sentences in biomedical literature. Focusing on the sentences with E3 protein inside, we applied several natural language processing methods and a Long Short-Term Memory (LSTM)-based deep learning classifier to train the model. Experimental results had proved the effectiveness of our proposed model. And also, the proposed attention mechanism deep learning method outperforms other statistical machine learning methods. We also created a manual corpus of E3-substrate interaction sentences, in which the E3 proteins and substrate proteins are also labeled, in order to construct our model. The corpus and model proposed by our research are definitely able to be very useful and valuable resource for advancement of ubiquitylation-related research.ConclusionHaving the entire manual corpus of E3-substrate interaction sentences readily available in electronic form will greatly facilitate subsequent text mining and machine learning analyses. Automatic annotating ubiquitylation sentences stating E3 ligase-substrate interaction is significantly benefited from semantic representation and deep learning. The model enables rapid information accessing and can assist in further screening of key ubiquitylation ligase substrates for in-depth studies.
Methicillin-resistant Staphylococcus aureus colonization of infectious and non-infectious skin and soft tissue lesions in patients in Tehran
Authors: Khalili Haniyeh , Najar-Peerayeh Shahin , Mahrooghi Mona , Mansouri Parvin , Bakhshi Bita 
Published: October 2021

Abstract
Background
The most common clinical manifestations of Staphylococcus aureus strains in the community are skin and soft-tissue infections. S. aureus could colonize the body sites and complicate the pathogenesis of skin diseases. S. aureus colonization is a risk factor for severe conditions such as bone and joint infections, pneumonia, bacteremia, and endocarditis. This study aimed to investigate the prevalence of S. aureus strains in skin and soft tissue infections and other skin disorders in patients referring to dermatology clinics and to evaluate the antibiotic resistance pattern and molecular characteristics of S. aureus isolates.

Methods
Skin swabs were collected from the lesional sites in 234 outpatients referring to dermatology clinics in three hospitals in Tehran. Antibiotic susceptibility, biofilm formation, and hemolysis tests were performed for isolates. PCR was done for SCCmec typing, agr grouping, and virulence genes detecting.

Results
The prevalence of S. aureus strains among patients with skin and soft-tissue infections and other skin lesions was 44.77% (30/67) and 44.91% (75/167), respectively. Also, 59 (56.19%) isolates were MRSA, 35.57% were HA-MRSA, and 30.5% were CA-MRSA. The psmα gene was more prevalent (62.8%) among isolates, followed by hlaα (56.1%), tsst-1 (15.2%) eta (13.3%), etb (6.6%), and pvl (2.8%). The agr specificity groups I, II, III, and IV were identified in 49.5, 21.9, 11.4, and 14.2% of S. aureus isolates, respectively. Most (56%) S. aureus isolates produced a moderate biofilm, and 23.8% of them produced strong biofilms. α-hemolysin (46.6%), β-hemolysin (25.7%), γ-hemolysin (19%), and both α and β-hemolysin (5.7%) were also produced by isolates.

Conclusion
The present study results indicated high colonization of skin lesions by HA-MRSA and CA-MRSA clones; MRSA strains were more resistant to antibiotics, contained various toxin genes, and were able to form biofilms. Therefore, they could play a vital role in the pathogenesis of various skin diseases; also, they could spread and cause infections in other body sites. Eradication and decolonization strategies could prevent recurrent infections and the spread of resistant strains and improve skin conditions.