bluuebunny/crossref_metadata_2025_split huggingface dataset:
A global systematic review and meta-analysis on laparoscopic vs open right hemicolectomy with complete mesocolic excision
Authors: Anania Gabriele , Arezzo Alberto , Davies Richard Justin , Marchetti Francesco , Zhang Shu , Di Saverio Salomone , Cirocchi Roberto , Donini Annibale 
Published: March 2021

Abstract
Purpose
The aim of this study was to compare the outcomes of right hemicolectomy with CME performed with laparoscopic and open surgery.

Methods
PubMed, Scopus, Web of Science, China National Knowledge Infrastructure, Wanfang Data, Google Scholar and the ClinicalTrials.gov register were searched. Primary outcome was the overall number of harvested lymph nodes. Secondary outcomes were short and long-term course variables. A meta-analysis was performed to calculate risk ratios.

Results
Twenty-one studies were identified with 5038 patients enrolled. The difference in number of harvested lymph nodes was not statistically significant (MD 0.68, − 0.41–1.76, P = 0.22). The only RCT shows a significant advantage in favour of laparoscopy (MD 3.30, 95% CI − 0.20–6.40, P = 0.04). The analysis of CCTs showed an advantage in favour of the laparoscopic group, but the result was not statically significantly (MD − 0.55, 95% CI − 0.57–1.67, P = 0.33). The overall incidence of local recurrence was not different between the groups, while systemic recurrence at 5 years was lower in laparoscopic group. Laparoscopy showed better short-term outcomes including overall complications, lower estimated blood loss, lower wound infections and shorter hospital stay, despite a longer operative time. The rate of anastomotic and chyle leak was similar in the two groups.

Conclusions
Despite the several limitations of this study, we found that the median number of lymph node harvested in the laparoscopic group is not different compared to open surgery. Laparoscopy was associated with a lower incidence of systemic recurrence.
The redox dependence of titanium isotope fractionation in synthetic Ti-rich lunar melts
Authors: Rzehak Laura J. A. , Kommescher Sebastian , Kurzweil Florian , Sprung Peter , Leitzke Felipe P. , Fonseca Raúl O. C. 
Published: March 2021

AbstractEquilibria between Ti oxides and silicate melt lead to Ti isotope fractionation in terrestrial samples, with isotopically light Ti oxides and isotopically heavy coexisting melt. However, while Ti is mostly tetravalent in terrestrial samples, around 10% of the overall Ti is trivalent at fO2 relevant to lunar magmatism (~ IW-1). The different valences of Ti in lunar samples, could additionally influence Ti stable isotope fractionation during petrogenesis of lunar basalts to an unknown extent. We performed an experimental approach using gas mixing furnaces to investigate the effect of Ti oxide formation at different fO2 on Ti stable isotope fractionation during mare basalt petrogenesis. Two identical bulk compositions were equilibrated simultaneously during each experiment to guarantee comparability. One experiment was investigated with the EPMA to characterize the petrology of experimental run products, whereas the second experiment was crushed, and fabricated phases (i.e., oxides, silicates and glass) were handpicked, separated and digested. An aliquot of each sample was mixed with a Ti double-spike, before Ti was separated from matrix and interfering elements using a modified HFSE chemistry. Our study shows fO2-dependent fractionation within seven samples from air to IW-1, especially ∆49Tiarmalcolite-melt and ∆49Tiarmalcolite-orthopyroxene become more fractionated from oxidized to reduced conditions (− 0.092 ± 0.028-  − 0.200 ± 0.033 ‰ and  − 0.089 ± 0.027- − 0.250 ± 0.049 ‰, respectively), whereas ∆49Tiorthopyroxene-melt shows only a minor fractionation (− 0.002 ± 0.017-0.050 ± 0.025 ‰). The results of this study show that Ti isotope fractionation during mare basalt petrogenesis is expected to be redox dependent and mineral-melt fractionation as commonly determined for terrestrial fO2 may not be directly applied to a lunar setting. This is important for the evaluation of Ti isotope fractionation resulting from lunar magmatism, which takes place under more reducing conditions compared to the more oxidized terrestrial magmatism.
Local cooling during hot water immersion improves perceptions without inhibiting the acute interleukin-6 response
Authors: Mansfield R. G. , Hoekstra S. P. , Bill J. J. , Leicht Christof A. 
Published: March 2021

Abstract
Purpose
Passive elevation of body temperature can induce an acute inflammatory response that has been proposed to be beneficial; however, it can be perceived as uncomfortable. Here, we investigate whether local cooling of the upper body during hot water immersion can improve perception without inhibiting the interleukin-6 (IL-6) response.

Methods
Nine healthy male participants (age: 22 ± 1 years, body mass: 83.4 ± 9.4 kg) were immersed up to the waist for three 60-min water immersion conditions: 42 °C hot water immersion (HWI), 42 °C HWI with simultaneous upper-body cooling using a fan (FAN), and 36 °C thermoneutral water immersion (CON). Blood samples to determine IL-6 plasma concentration were collected pre- and post-water immersion; basic affect and thermal comfort were assessed throughout the intervention.

Results
Plasma IL-6 concentration was higher for HWI and FAN when compared with CON (P < 0.01) and did not differ between HWI and FAN (P = 0.22; pre to post, HWI: 1.0 ± 0.6 to 1.5 ± 0.7 pg·ml−1, FAN: 0.7 ± 0.5 to 1.1 ± 0.5 pg·ml−1, CON: 0.5 ± 0.2 to 0.5 ± 0.2 pg·ml−1). At the end of immersion, basic affect was lowest for HWI (HWI: − 1.8 ± 2.0, FAN: 0.2 ± 1.6, CON 1.0 ± 2.1, P < 0.02); thermal comfort for HWI was in the uncomfortable range (3.0 ± 1.0, P < 0.01 when compared with FAN and CON), whereas FAN (0.7 ± 0.7) and CON (-0.2 ± 0.7) were in the comfortable range.

Conclusion
Local cooling of the upper body during hot water immersion improves basic affect and thermal comfort without inhibiting the acute IL-6 response.
Individual characteristics associated with the magnitude of heat acclimation adaptations
Authors: Alkemade Puck , Gerrett Nicola , Eijsvogels Thijs M. H. , Daanen Hein A. M. 
Published: March 2021

Abstract
Purpose
The magnitude of heat acclimation (HA) adaptations varies largely among individuals, but it remains unclear what factors influence this variability. This study compared individual characteristics related to fitness status and body dimensions of low-, medium-, and high responders to HA.

Methods
Twenty-four participants (9 female, 15 male; maximum oxygen uptake [$$\dot{{V}}$$

V
˙

O2peak,kg] 52 ± 9 mL kg−1 min−1) completed 10 daily controlled-hyperthermia HA sessions. Adaptations were evaluated by heat stress tests (HST; 35 min cycling 1.5 W kg−1; 33 °C, 65% relative humidity) pre- and post-HA. Low-, medium-, and high responder groups were determined based on tertiles (n = 8) of individual adaptations for resting rectal temperature (Tre), exercise-induced Tre rise (ΔTre), whole-body sweat rate (WBSR), and heart rate (HR).

Results
Body dimensions (p > 0.3) and $$\dot{{V}}$$

V
˙

O2peak,kg (p > 0.052) did not differentiate low-, medium-, and high responders for resting Tre or ΔTre. High WBSR responders had a larger body mass and lower body surface area-to-mass ratio than low responders (83.0 ± 9.3 vs 67.5 ± 7.3 kg; 249 ± 12 vs 274 ± 15 cm2 kg−1, respectively; p < 0.005). Conversely, high HR responders had a smaller body mass than low responders (69.2 ± 6.8 vs 83.4 ± 9.4 kg; p = 0.02). $$\dot{{V}}$$

V
˙

O2peak,kg did not differ among levels of responsiveness for WBSR and HR (p > 0.3).

Conclusion
Individual body dimensions influenced the magnitude of sudomotor and cardiovascular adaptive responses, but did not differentiate Tre adaptations to HA. The influence of $$\dot{{V}}$$

V
˙

O2peak,kg on the magnitude of adaptations was limited.
Endogenous anandamide and self-reported pain are significantly reduced after a 2-week multimodal treatment with and without radon therapy in patients with knee osteoarthritis: a pilot study
Authors: Gaisberger M. , Fuchs J. , Riedl M. , Edtinger S. , Reischl R. , Grasmann G. , Hölzl B. , Landauer F. , Dobias H. , Eckstein F. , Offenbächer M. , Ritter M. , Winklmayr M. 
Published: March 2021

AbstractMultimodal therapies comprising spa applications are widely used as non-pharmaceutical treatment options for musculoskeletal diseases. The purpose of this randomized, controlled, open pilot study was to elucidate the involvement of the endocannabinoid system in a multimodal therapy approach. Twenty-five elderly patients with knee osteoarthritis (OA) received a 2-week spa therapy with or without combination of low-dose radon therapy in the Bad Gastein radon gallery. A 10-point numerical rating scale (pain in motion and at rest), WOMAC questionnaire, and the EuroQol-5D (EQ-5D) questionnaire were recorded at baseline, and during treatment period at weeks one and two, and at 3-month and 6-month follow-ups. Plasma levels of the endocannabinoid anandamide (AEA) were determined at baseline and at 2 weeks, and serum levels of several cartilage metabolism markers at all five time-points. A significant and sustained reduction of self-reported knee pain was observed in the study population, but no further significant effect of the additional radon therapy up and above base therapy. This pain reduction was accompanied by a significant reduction of AEA plasma levels during treatment in both groups. No significant differences were seen in serum marker concentrations between the groups treated with or without radon, but a small reduction of serum cartilage degradation markers was observed during treatment in both groups. This is the first study investigating AEA levels in the context of a non-pharmacological OA treatment. Since the endocannabinoid system represents a potential target for the development of new therapeutics, further studies will have to elucidate its involvement in OA pain.
The ubiquity of uncertainty: a scoping review on how undergraduate health professions’ students engage with uncertainty
Authors: Moffett Jenny , Hammond Jennifer , Murphy Paul , Pawlikowska Teresa 
Published: March 2021

AbstractAlthough the evidence base around uncertainty and education has expanded in recent years, a lack of clarity around conceptual terms and a heterogeneity of study designs means that this landscape remains indistinct. This scoping review explores how undergraduate health professions' students learn to engage with uncertainty related to their academic practice. To our knowledge, this is the first scoping review which examines teaching and learning related to uncertainty across multiple health professions. The scoping review is underpinned by the five-stage framework of (Arksey and O'Malley in Scoping studies: Towards a methodological framework International Journal of Social Research Methodology 8(1) 19-32, 2005). We searched MEDLINE, Embase, PsychINFO, ISI Web of Science, and CINAHL and hand-searched selected health professions’ education journals. The search strategy yielded a total of 5,017 articles, of which 97 were included in the final review. Four major themes were identified: “Learners’ interactions with uncertainty”; “Factors that influence learner experiences”; “Educational outcomes”; and, “Teaching and learning approaches”. Our findings highlight that uncertainty is a ubiquitous concern in health professions’ education, with students experiencing different forms of uncertainty at many stages of their training. These experiences are influenced by both individual and system-related factors. Formal teaching strategies that directly support learning around uncertainty were infrequent, and included arts-based teaching, and clinical case presentations. Students also met with uncertainty indirectly through problem-based learning, clinical teaching, humanities teaching, simulation, team-based learning, small group learning, tactical games, online discussion of anatomy topics, and virtual patients. Reflection and reflective practice are also mentioned as strategies within the literature.
Thai patients who fulfilled NCCN criteria for breast/ovarian cancer genetic assessment demonstrated high prevalence of germline mutations in cancer susceptibility genes: implication to Asian population testing
Authors: Lertwilaiwittaya Pongtawat , Roothumnong Ekkapong , Nakthong Panee , Dungort Peerawat , Meesamarnpong Chutima , Tansa-Nga Warisara , Pongsuktavorn Khontawan , Wiboonthanasarn Supakit , Tititumjariya Warunya , Thongnoppakhun Wanna , Chanprasert Sirisak , Limwongse Chanin , Pithukpakorn Manop 
Published: March 2021

Abstract
Background
Germline genetic mutation plays a significant role in breast cancer susceptibility. The strength of such predisposition varies among ethnic groups across the globe, and clinical data from Asian population to develop a strategic approach to who should undergo a genetic test are lacking.

Methods
We performed a multigene test with next generation sequencing in Thai patients whose clinical history fulfilled NCCN criteria for breast/ovarian cancer genetic assessment, consists of 306 breast cancer patients, 62 ovarian cancer patients, 14 pancreatic cancer patients and 7 prostate cancer patients. Genetic test result and clinical history were then checked with each NCCN criteria to determined detection rate for each indication.

Results
There were 83 pathogenic/likely pathogenic (P/LP) variants identified in 104 patients, 44 of these P/LP variants were novel. We reported a high rate of germline P/LP variants in breast cancer (24%), ovarian cancer (37%), pancreatic cancer (14%), and prostate cancer (29%). Germline P/LP variants in BRCA1 and BRCA2 accounted for 80% of P/LP variants found in breast cancer and 57% of P/LP variants found in ovarian cancer. The detection rate of patients who fulfilled NCCN 2019 guideline for genetic/familial high-risk assessment of breast and ovarian cancers was 22–40%.

Conclusion
Overall, the data from this study strongly support the consideration of multigene panel test as a diagnostic tool for patients with inherited cancer susceptibility in Thailand and Asian population. Implementation of the NCCN guideline is applicable, some modification may be needed to be more suitable for Asian population.
Tracing groundwater circulation in a valuable mineral water basin with geochemical and isotopic tools: the case of FERRARELLE, Riardo basin, Southern Italy
Authors: Sacchi Elisa , Cuoco Emilio , Oster Harald , Paolucci Vittorio , Tedesco Dario , Viaroli Stefano 
Published: March 2021

AbstractThe Riardo basin hosts groundwater exploited for the production of high quality, naturally sparkling, bottled water (e.g., Ferrarelle water), and circulating in a system constituted by highly fractured Mesozoic carbonates, overlain by more impervious volcanic rocks of the Roccamonfina complex. The two formations are locally in hydraulic connection and dislocated by deep-rooted faults. The study aimed at elucidating groundwater origin and circulation, using isotopic tracers (δ18O, δ2H, δ11B and 87Sr/86Sr) coupled to groundwater dating (Tritium, CFCs and SF6). Besides recharge by local precipitation over the Riardo hydrogeological basin, stable isotope ratios in water indicated an extra-basin recharge, likely from the elevated surrounding carbonate reliefs (e.g., Maggiore and Matese Mts.). The mineralization process, promoted by the deep CO2 flux, controls the B and Sr contents. However, their isotopic ratios did not allow discriminating between circulation in the volcanic and in the carbonate aquifers, as in the latter the isotopic composition differed from the original marine signature. Groundwater model ages ranged from ~ 30 years for the volcanic endmember to > 70 years for the deep, mineralized end-member, with longer circuits recharged at higher elevations. Overall, the results of this study were particularly relevant for mineral water exploitation. A recharge from outside the hydrogeological basin could be evidenced, especially for the more mineralized and valuable groundwater, and an active recent recharge was detected for the whole Riardo system. Both findings will contribute to the refinement of the hydrogeological model and water budget, and to a sustainable development of the resource.
Dicarbonyl stress, protein glycation and the unfolded protein response
Authors: Rabbani Naila , Xue Mingzhan , Thornalley Paul J. 
Published: March 2021

AbstractThe reactive dicarbonyl metabolite, methylglyoxal (MG), is increased in obesity and diabetes and is implicated in the development of insulin resistance, type 2 diabetes mellitus and vascular complications of diabetes. Dicarbonyl stress is the metabolic state of abnormal high MG concentration. MG is an arginine-directed glycating agent and precursor of the major advanced glycation endproduct, arginine-derived hydroimidazolone MG-H1. MG-H1 is often formed on protein surfaces and an uncharged hydrophobic residue, inducing protein structural distortion and misfolding. Recent studies indicate that dicarbonyl stress in human endothelial cells and fibroblasts in vitro induced a proteomic response consistent with activation of the unfolded protein response (UPR). The response included: increased abundance of heat shock proteins and ubiquitin ligases catalysing the removal of proteins with unshielded surface hydrophobic patches and formation of polyubiquitinated chains to encapsulate misfolded proteins; and increased low grade inflammation. Activation of the UPR is implicated in insulin resistance. An effective strategy to counter increased MG is inducing increased expression of glyoxalase-1 (Glo1). An optimized inducer of Glo1 expression, trans-resveratrol and hesperetin combination, normalized increased MG concentration, corrected insulin resistance and decreased low grade inflammation in overweight and obese subjects. We propose that dicarbonyl stress, through increased formation of MG-glycated proteins, may be an important physiological stimulus of the UPR and Glo1 inducers may provide a route to effective suppression and therapy. With further investigation and validation, this may provide key new insight into physiological activators of the UPR and association with dicarbonyl stress.
Estimation of stopping times for stopped self-similar random processes
Authors: Schulmann Viktor 
Published: March 2021

AbstractLet $$X=(X_t)_{t\ge 0}$$

X
=

(

X
t

)

t
≥
0

be a known process and T an unknown random time independent of X. Our goal is to derive the distribution of T based on an iid sample of $$X_T$$

X
T

. Belomestny and Schoenmakers (Stoch Process Appl 126(7):2092–2122, 2015) propose a solution based the Mellin transform in case where X is a Brownian motion. Applying their technique we construct a non-parametric estimator for the density of T for a self-similar one-dimensional process X. We calculate the minimax convergence rate of our estimator in some examples with a particular focus on Bessel processes where we also show asymptotic normality.
Clinical outcome with different doses of low-molecular-weight heparin in patients hospitalized for COVID-19
Authors: Mennuni Marco G. , Renda Giulia , Grisafi Leonardo , Rognoni Andrea , Colombo Crizia , Lio Veronica , Foglietta Melissa , Petrilli Ivan , Pirisi Mario , Spinoni Enrico , Azzolina Danila , Hayden Eyal , Aimaretti Gianluca , Avanzi Gian Carlo , Bellan Mattia , Cantaluppi Vincenzo , Capponi Andrea , Castello Luigi M. , D’Ardes Damiano , Corte Francesco Della , Gallina Sabina , Krengli Marco , Malerba Mario , Pierdomenico Sante D. , Savoia Paola , Zeppegno Patrizia , Sainaghi Pier P. , Cipollone Francesco , Patti Giuseppe ,   the COVID-UPO Clinical Team
Published: March 2021

AbstractA pro-thrombotic milieu and a higher risk of thrombotic events were observed in patients with CoronaVirus disease-19 (COVID-19). Accordingly, recent data suggested a beneficial role of low molecular weight heparin (LMWH), but the optimal dosage of this treatment is unknown. We evaluated the association between prophylactic vs. intermediate-to-fully anticoagulant doses of enoxaparin and in-hospital adverse events in patients with COVID-19. We retrospectively included 436 consecutive patients admitted in three Italian hospitals. Outcome according to the use of prophylactic (4000 IU) vs. higher (> 4000 IU) daily dosage of enoxaparin was evaluated. The primary end-point was in-hospital death. Secondary outcome measures were in-hospital cardiovascular death, venous thromboembolism, new-onset acute respiratory distress syndrome (ARDS) and mechanical ventilation. A total of 287 patients (65.8%) were treated with the prophylactic enoxaparin regimen and 149 (34.2%) with a higher dosing regimen. The use of prophylactic enoxaparin dose was associated with a similar incidence of all-cause mortality (25.4% vs. 26.9% with the higher dose; OR at multivariable analysis, including the propensity score: 0.847, 95% CI 0.400–0.1.792; p = 0.664). In the prophylactic dose group, a significantly lower incidence of cardiovascular death (OR 0.165), venous thromboembolism (OR 0.067), new-onset ARDS (OR 0.454) and mechanical intubation (OR 0.150) was observed. In patients hospitalized for COVID-19, the use of a prophylactic dosage of enoxaparin appears to be associated with similar in-hospital overall mortality compared to higher doses. These findings require confirmation in a randomized, controlled study.
Effect of sodium bicarbonate solution on methyltrimethoxysilane-derived silica aerogels dried at ambient pressure
Authors: Liu Yujing , Han Xiao , Kuerbanjiang Balati , Lazarov Vlado K. , Šiller Lidija 
Published: March 2021

AbstractHere we present an economical ambient pressure drying method of preparing monolithic silica aerogels from methyltrimethoxysilane precursor while using sodium bicarbonate solution as the exchanging solvent. We prepared silica aerogels with a density and a specific surface area of 0.053 g·cm−3 and 423 m2·g−1, respectively. The average pore diameter of silica aerogels is 23 nm as the pore specific volume is 1.11 cm3·g−1. Further, the contact angle between water droplet and the surface of silica aerogels in specific condition can be as high as 166°, which indicates a super-hydrophobic surface of aerogels.
A light life together: photosensing in the plant microbiota
Authors: Losi Aba , Gärtner Wolfgang 
Published: March 2021

AbstractBacteria and fungi of the plant microbiota can be phytopathogens, parasites or symbionts that establish mutually advantageous relationships with plants. They are often rich in photoreceptors for UVA–Visible light, and in many cases, they exhibit light regulation of growth patterns, infectivity or virulence, reproductive traits, and production of pigments and of metabolites. In addition to the light-driven effects, often demonstrated via the generation of photoreceptor gene knock-outs, microbial photoreceptors can exert effects also in the dark. Interestingly, some fungi switch their attitude towards plants in dependence of illumination or dark conditions in as much as they may be symbiotic or pathogenic. This review summarizes the current knowledge about the roles of light and photoreceptors in plant-associated bacteria and fungi aiming at the identification of common traits and general working ideas. Still, reports on light-driven infection of plants are often restricted to the description of macroscopically observable phenomena, whereas detailed information on the molecular level, e.g., protein–protein interaction during signal transduction or induction mechanisms of infectivity/virulence initiation remains sparse. As it becomes apparent from still only few molecular studies, photoreceptors, often from the red- and the blue light sensitive groups interact and mutually modulate their individual effects. The topic is of great relevance, even in economic terms, referring to plant-pathogen or plant-symbionts interactions, considering the increasing usage of artificial illumination in greenhouses, the possible light-regulation of the synthesis of plant-growth stimulating substances or herbicides by certain symbionts, and the biocontrol of pests by selected fungi and bacteria in a sustainable agriculture.