bluuebunny/crossref_metadata_2025_split huggingface dataset:
The endogenous opioid system modulates defensive behavior evoked by Crotalus durissus terrificus: Panicolytic-like effect of intracollicular non-selective opioid receptors blockade
Authors: Calvo Fabrício , Lobão-Soares Bruno , de Freitas Renato Leonardo , Paschoalin-Maurin Tatiana , dos Anjos-Garcia Tayllon , Medeiros Priscila , da Silva Juliana Almeida , Lovick Thelma Anderson , Coimbra Norberto Cysne 
Published: November 2018

Background: There is a controversy regarding the key role played by opioid peptide neurotransmission in the modulation of panic-attack-related responses. Aims: Using a prey versus rattlesnakes paradigm, the present work investigated the involvement of the endogenous opioid peptide-mediated system of the inferior colliculus in the modulation of panic attack-related responses. Methods: Wistar rats were pretreated with intracollicular administration of either physiological saline or naloxone at different concentrations and confronted with rattlesnakes ( Crotalus durissus terrificus). The prey versus rattlesnake confrontations were performed in a polygonal arena for snakes. The defensive behaviors displayed by prey (defensive attention, defensive immobility, escape response, flat back approach and startle) were recorded twice: firstly, over a period of 15 min the presence of the predator and a re-exposure was performed 24 h after the confrontation, when animals were exposed to the experimental enclosure without the rattlesnake. Results: The intramesencephalic non-specific blockade of opioid receptors with microinjections of naloxone at higher doses decreased both anxiety- (defensive attention and flat back approach) and panic attack-like (defensive immobility and escape) behaviors, evoked in the presence of rattlesnakes and increased non-defensive responses. During the exposure to the experimental context, there was a decrease in duration of defensive attention. Conclusions: These findings suggest a panicolytic-like effect of endogenous opioid receptors antagonism in the inferior colliculus on innate (panic attack) and conditioned (anticipatory anxiety) fear in rats threatened by rattlesnakes.
Comparison of public mother–baby psychiatric units in Australia: similarities, strengths and recommendations
Authors: Galbally M , Sved-Williams A , Kristianopulos D , Mercuri K , Brown P , Buist A 
Published: November 2018

Background: Mother–baby units are innovative and important models of care that allow inpatient treatment of postpartum maternal mental disorders whilst preserving and promoting the attachment relationship with their young infants. Objectives: To report data across five public mother–baby units in Australia in order to explore similarities and distinguishing features of each model. Method: Each unit also provided 12 months of data on key characteristics of their unit. Results: Despite the geographic differences, the diagnostic profiling, length of stay, and child protection involvement were similar across the units. Conclusions: Acute care for perinatal mental illness offered in public mother–baby units in Australia shows consistency across units, raising concerns for where such treatment is unavailable.
Is Antibiotic Prophylaxis Necessary Before Dental Procedures in Patients Post Total Ankle Arthroplasty?
Authors: Noori Naudereh , Myerson Charles , Charlton Timothy , Thordarson David 
Published: November 2018

Background: The need for dental antibiotic prophylaxis after orthopedic surgery remains unclear. Current recommendations are based on patients with total hip and total knee arthroplasties. We investigated available evidence regarding the need for dental antibiotic prophylaxis in patients post foot and ankle surgery, specifically total ankle arthroplasty. Additionally, we examined the microbiology behind the risk of transient bacteremia from dental procedures and whether this leads to an increased risk for postoperative infection in foot and ankle surgery. Methods: We performed a MEDLINE literature review of English articles between 1980 and 2018 on patients with prosthetic joints undergoing dental work, and studies evaluating hematogenous prosthetic joint infection (PJI) and dental antibiotic prophylaxis. We additionally included articles on PJI post total ankle arthroplasty, as well as committee guidelines. Results: There is no literature at present that evaluates transient bacteremia with dental procedures in patients following foot and ankle surgery. The data on this topic are isolated to PJI rates in the context of hip and total knee arthroplasty. This is of particular interest as rates of total ankle arthroplasty PJI have been reported to be 2- to 4-fold higher than in hip and total knee arthroplasty. Conclusion: The concern for postoperative infection due to transient bacteremia without dental antibiotic prophylaxis can be extrapolated to patients undergoing foot and ankle surgeries. Some data suggest that oral cavity bacteria can seed a prosthetic joint, though no clear relationship has been demonstrated. Similar risk factors have been identified between hip and knee PJI and total ankle arthroplasty. In light of the absence of scrutiny of and guidelines on this topic in foot and ankle surgery, it may be advisable to apply similar principles to decision-making in patients after foot and ankle surgery. Level of Evidence: Level III, systematic review.
Feline histoplasmosis presenting with bone and joint involvement: clinical and diagnostic findings in 25 cats
Authors: Fielder Susan E , Meinkoth James H , Rizzi Theresa E , Hanzlicek Andrew S , Hallman Ruth Mackenzie 
Published: November 2018

Objectives The aim of this study was to describe clinical and diagnostic findings in cats with bone and joint disease associated with histoplasmosis. Methods Medical records from between 2011 and 2017 were reviewed. Inclusion criteria required: (1) diagnosis of histoplasmosis by cytology, histology, urine or serum Histoplasma antigen testing, or culture; and (2) lameness or joint effusion as a presenting complaint or physical examination finding. Results Twenty-five cases met the inclusion criteria. Four had incomplete records, but available data were included when applicable. Lameness was a presenting complaint in 17/21 cats and was the only complaint in 9/21 cats. Initial diagnosis was made by cytology in 22/25 cats and by culture, urine antigen and necropsy in one case each. Diagnostic cytology samples included synovial fluid (n = 13), lymph node (n = 5), skin (n = 2), lung (n = 1) and bone (n = 1). Two additional cases had synovial fluid examined but no organisms present. Inflammation was present in all synovial fluid samples examined. Biopsy was obtained in two cats and histologic diagnoses included osteomyelitis with no infectious organisms identified and severe lymphoplasmacytic synovitis suggestive of feline periosteal proliferative polyarthritis. Histoplasma urine antigen test was positive in 7/12 cats. Conclusions and relevance Inflammatory arthritis is common in cats with histoplasmosis, with lameness a common presenting complaint. Organisms are found in synovial fluid cytology in most cases. If not, appropriate additional diagnostics must be pursued.
Cardiac involvement in critically ill patients with leptospirosis: A prospective study using myocardial deformation imaging
Authors: Mathew Anoop , Shanks Miriam , Punnoose Eapen , Fischer Louie , Koshy George , Potluri Rahul , Bainey Kevin R 
Published: November 2018

Background:
Myocardial inflammation often complicates leptospirosis, a re-emerging global zoonosis. Leptospirosis associated myocardial dysfunction is equivocal and the pattern of cardiac involvement may not differ from that of sepsis associated myocarditis.

Methods:
We prospectively compared cardiac involvement in 113 intensive care unit patients with severe leptospirosis to 31 patients with sepsis syndrome using a comprehensive assessment comprising of clinical presentation, electrocardiography, two-dimensional echocardiography (with global longitudinal strain calculation), and cardiac biomarker evaluation. Binomial logistic regression was performed to identify independent predictors of left ventricular systolic dysfunction in leptospirosis.

Results:
Compared to sepsis syndrome, leptospirosis patients were younger, had higher body mass index measurements and were more likely to be smokers. Electrocardiography abnormalities were common and similar in both groups. Myocardial systolic dysfunction was common in both groups (leptospirosis: 55.86% vs sepsis syndrome: 51.61%, p=0.675) with subclinical left ventricular systolic dysfunction (characterized by abnormal global longitudinal strain and normal left ventricular ejection fraction) being most frequent followed by isolated right ventricular systolic dysfunction, isolated left ventricular systolic dysfunction, and bi-ventricular systolic dysfunction (leptospirosis: 31.43%, 18.42%, 13.16%, 10.53%, respectively; sepsis syndrome: 22.22%, 12.00%, 12.00%, 8.00%, respectively (p&gt;0.05 for each comparator)). Leptospirosis patients had a trend towards greater troponin-T elevation (61.0% vs 40.0%, p=0.057). ST-segment elevation and elevated troponin were independent predictors of reduced left ventricular ejection fraction in leptospirosis.

Conclusions:
Cardiac involvement in leptospirosis appears to be similar to that of sepsis syndrome, with myocardial systolic dysfunction being common. As such, clinical vigilance pertaining to cardiac status is paramount in these high-risk patients.
Do Prophylactic Knee Braces Protect the Knee Against Impacts or Tibial Moments? An In Vitro Multisensory Study
Authors: Hacker Steffen Paul , Schall Florian , Niemeyer Frank , Wolf Nicolas , Ignatius Anita , Dürselen Lutz 
Published: November 2018

Background: Knee braces are prescribed by physicians to protect the knee from various loading conditions during sports or after surgery, even though the effect of bracing for various loading scenarios remains unclear. Purpose: To extensively investigate whether bracing protects the knee against impacts from the lateral, medial, anterior, or posterior directions at different heights as well as against tibial moments. Study Design: Controlled laboratory study. Methods: Eight limb specimens were exposed to (1) subcritical impacts from the medial, lateral, anterior, and posterior directions at 3 heights (center of the joint line and 100 mm inferior and superior) and (2) internal/external torques. Using a prophylactic brace, both scenarios were conducted under braced and unbraced conditions with moderate muscle loads and intact soft tissue. The change in anterior cruciate ligament (ACL) strain, joint acceleration in the tibial and femoral bones (for impacts only), and joint kinematics were recorded and analyzed. Results: Bracing reduced joint acceleration for medial and lateral center impacts. The ACL strain change was decreased for medial superior impacts and increased for anterior inferior impacts. Impacts from the posterior direction had substantially less effect on the ACL strain change and joint acceleration than anterior impacts. Bracing had no effect on the ACL strain change or kinematics under internal or external moments. Conclusion: Our results indicate that the effect of bracing during impacts depends on the direction and height of the impact and is partly positive, negative, or neutral and that soft tissue absorbs impact energy. An effect during internal or external torque was not detected. Clinical Relevance: Bracing in contact sports with many lateral or medial impacts might be beneficial, whereas athletes who play sports with rotational moments on the knee or anterior impacts may be safer without a brace.
PRMT5 interacts with the BCL6 oncoprotein and is required for germinal center formation and lymphoma cell survival
Authors: Lu Xiaoqing , Fernando Tharu M. , Lossos Chen , Yusufova Nevin , Liu Fan , Fontán Lorena , Durant Matthew , Geng Huimin , Melnick Jacob , Luo Yuan , Vega Francisco , Moy Vincent , Inghirami Giorgio , Nimer Stephen , Melnick Ari M. , Lossos Izidore S. 
Published: November 2018

Key PointsPRMT5 methylates and is needed for the full transcriptional repressive activity of BCL6 and is necessary for germinal center formation. Concomitant inhibition of both BCL6 and PRMT5 exhibits synergistic killing of BCL6-expressing lymphoma cells.
Proposals for revised IWG 2018 hematological response criteria in patients with MDS included in clinical trials
Authors: Platzbecker U. , Fenaux P. , Adès L. , Giagounidis A. , Santini V. , van de Loosdrecht A. A. , Bowen D. , de Witte T. , Garcia-Manero G. , Hellström-Lindberg E. , Germing U. , Stauder R. , Malcovati L. , Sekeres Mikkael A. , Steensma David P. , Gloaguen S. 
Published: November 2018

AbstractThe heterogeneity of myelodysplastic syndromes (MDSs) has made evaluating patient response to treatment challenging. In 2006, the International Working Group (IWG) proposed a revision to previously published standardized response criteria (IWG 2000) for uniformly evaluating clinical responses in MDSs. These IWG 2006 criteria have been used prospectively in many clinical trials in MDSs, but proved challenging in several of them, especially for the evaluation of erythroid response. In this report, we provide rationale for modifications (IWG 2018) of these recommendations, mainly for “hematological improvement” criteria used for lower-risk MDSs, based on recent practical and reported experience in clinical trials. Most suggestions relate to erythroid response assessment, which are refined in an overall more stringent manner. Two major proposed changes are the differentiation between “procedures” and “criteria” for hematologic improvement–erythroid assessment and a new categorization of transfusion-burden subgroups.
Resolution of sickle cell disease–associated inflammation and tissue damage with 17R-resolvin D1
Authors: Matte Alessandro , Recchiuti Antonio , Federti Enrica , Koehl Bérengère , Mintz Thomas , El Nemer Wassim , Tharaux Pierre-Louis , Brousse Valentine , Andolfo Immacolata , Lamolinara Alessia , Weinberg Olga , Siciliano Angela , Norris Paul C. , Riley Ian R. , Iolascon Achille , Serhan Charles N. , Brugnara Carlo , De Franceschi Lucia 
Published: November 2018

Abstract
Resolvins (Rvs), endogenous lipid mediators, play a key role in the resolution of inflammation. Sickle cell disease (SCD), a genetic disorder of hemoglobin, is characterized by inflammatory and vaso-occlusive pathologies. We document altered proresolving events following hypoxia/reperfusion in humanized SCD mice. We demonstrate novel protective actions of 17R-resolvin D1 (17R-RvD1; 7S, 8R, 17R-trihydroxy-4Z, 9E, 11E, 13Z, 15E, 19Z-docosahexaenoic acid) in reducing ex vivo human SCD blood leukocyte recruitment by microvascular endothelial cells and in vivo neutrophil adhesion and transmigration. In SCD mice exposed to hypoxia/reoxygenation, oral administration of 17R-RvD1 reduces systemic/local inflammation and vascular dysfunction in lung and kidney. The mechanism of action of 17R-RvD1 involves (1) enhancement of SCD erythrocytes and polymorphonuclear leukocyte efferocytosis, (2) blunting of NF-κB activation, and (3) a reduction in inflammatory cytokines, vascular activation markers, and E-selectin expression. Thus, 17R-RvD1 might represent a new therapeutic strategy for the inflammatory vasculopathy of SCD.
Variable radiological lung nodule evaluation leads to divergent management recommendations
Authors: Nair Arjun , Bartlett Emily C. , Walsh Simon L.F. , Wells Athol U. , Navani Neal , Hardavella Georgia , Bhalla Sanjeev , Calandriello Lucio , Devaraj Anand , Goo Jin Mo , Klein Jeffrey S. , MacMahon Heber , Schaefer-Prokop C.M. , Seo Joon-Beom , Sverzellati Nicola , Desai Sujal R. 
Published: November 2018

Radiological evaluation of incidentally detected lung nodules on computed tomography (CT) influences management. We assessed international radiological variation in 1) pulmonary nodule characterisation; 2) hypothetical guideline-derived management; and 3) radiologists' management recommendations.107 radiologists from 25 countries evaluated 69 CT-detected nodules, recording: 1) first-choice composition (solid, part-solid or ground-glass, with percentage confidence); 2) morphological features; 3) dimensions; 4) recommended management; and 5) decision-influencing factors. We modelled hypothetical management decisions on the 2005 and updated 2017 Fleischner Society, and both liberal and parsimonious interpretations of the British Thoracic Society 2015 guidelines.Overall agreement for first-choice nodule composition was good (Fleiss' κ=0.65), but poorest for part-solid nodules (weighted κ 0.62, interquartile range 0.50–0.71). Morphological variables, including spiculation (κ=0.35), showed poor-to-moderate agreement (κ=0.23–0.53). Variation in diameter was greatest at key thresholds (5 mm and 6 mm). Agreement for radiologists' recommendations was poor (κ=0.30); 21% disagreed with the majority. Although agreement within the four guideline-modelled management strategies was good (κ=0.63–0.73), 5–10% of radiologists would disagree with majority decisions if they applied guidelines strictly.Agreement was lowest for part-solid nodules, while significant measurement variation exists at important size thresholds. These variations resulted in generally good agreement for guideline-modelled management, but poor agreement for radiologists' actual recommendations.
Keeping hospitals clean and safe without breaking the bank; summary of the Healthcare Cleaning Forum 2018
Authors: Peters Alexandra , Otter Jon , Moldovan Andreea , Parneix Pierre , Voss Andreas , Pittet Didier 
Published: November 2018

AbstractKeeping hospitals clean is a crucial patient safety issue. The importance of the hospital environment in patient care has only recently been recognized widely in infection prevention and control (IPC). In order to create a movement for change, a group of international infection control experts teamed up with Interclean, the largest cleaning trade-show in the world to create the Healthcare Cleaning Forum. This paper is the result of this conference, which featured leaders in healthcare environmental science from across Europe.Although the available literature is limited, there is now enough evidence to demonstrate that maintaining the hygiene of the hospital environment helps prevent infections. Still, good interventional studies are rare, the quality of products and methods available is heterogeneous, and environmental hygiene personnel is often relatively untrained, unmotivated, under-paid, and under-appreciated by other actors in the hospital. Coupled with understaffed environmental hygiene service departments, this creates lasting issues in regards to patient and healthcare worker safety.The Healthcare Cleaning Forum was designed as a platform for healthcare experts, cleaning experts, hospital managers and industry to meet productively. The conference aimed to summarize the state-of-the-art knowledge in the field, create awareness and dialogue, challenge dogma and begin to shape a research agenda for developing the field of hospital hygiene and environmental control. Hospital environmental hygiene is far more complex than other types of cleaning; further evidence-based research in the field is needed. It involves the integration of current and new technologies with human elements that must work together synergistically to achieve optimal results. The education, training and career development, behavior, and work organization of environmental hygiene personnel are at the core of the proposals for the creation of a global initiative. Ultimately, what is needed is a reevaluation of how hospitals view environmental hygiene: not just as an area from which to cut costs, but one that can add value. Hospitals and key stakeholders must work together to change how we maintain the hospital environment in order to better protect patients.
New insights into iron-gall inks through the use of historically accurate reconstructions
Authors: Díaz Hidalgo Rafael Javier , Córdoba Ricardo , Nabais Paula , Silva Valéria , Melo Maria J. , Pina Fernando , Teixeira Natércia , Freitas Victor 
Published: November 2018

Abstract
Iron-gall inks have been described as complexes of iron ions with gallic or tannic acids, available in gall extracts. To assess this working hypothesis, we have prepared medieval inks using ingredients and methods appropriate to the fifteenth to seventeenth centuries. The five historical inks studied were selected based upon research into Iberian written sources of medieval techniques. Results are supported by comparison with iron complexes with a well-characterized phenol counterpart: gallic, ellagic, and tannic acids as well as digalloyl and pentagalloyl glucose; as either precipitates or prepared as inks by adding gum arabic. Raman and infrared spectroscopies show that medieval writing inks could not have been represented solely by iron complexes with gallic acid. Overall, writing inks display the infrared signature of gallotannins, indicating that complexes of Fe3+-polygalloyl esters of glucose are also formed. Our results also show that the commercial tannic acid solution is far more complex than the gall extracts, and cannot be used to represent a gall extract (as described in historic written sources). High-performance liquid chromatography–electrospray ionisation, HPLC–ESI–MS, reveals that the concentration of gallic acid varies in the gall extracts, depending on the extraction method and ink recipe. Importantly, in certain recipes, gallic acid is found as a minor compound, when compared with the galloyl esters of glucose.
Polarity sorting drives remodeling of actin-myosin networks
Authors: Wollrab Viktoria , Belmonte Julio M. , Baldauf Lucia , Leptin Maria , Nédeléc François , Koenderink Gijsje H. 
Published: November 2018

ABSTRACT
Cytoskeletal networks of actin filaments and myosin motors drive many dynamic cell processes. A key characteristic of these networks is their contractility. Despite intense experimental and theoretical efforts, it is not clear what mechanism favors network contraction over expansion. Recent work points to a dominant role for the nonlinear mechanical response of actin filaments, which can withstand stretching but buckle upon compression. Here, we present an alternative mechanism. We study how interactions between actin and myosin-2 at the single-filament level translate into contraction at the network scale by performing time-lapse imaging on reconstituted quasi-2D networks mimicking the cell cortex. We observe myosin end-dwelling after it runs processively along actin filaments. This leads to transport and clustering of actin filament ends and the formation of transiently stable bipolar structures. Further, we show that myosin-driven polarity sorting produces polar actin asters, which act as contractile nodes that drive contraction in crosslinked networks. Computer simulations comparing the roles of the end-dwelling mechanism and a buckling-dependent mechanism show that the relative contribution of end-dwelling contraction increases as the network mesh-size decreases.