bluuebunny/crossref_metadata_2025_split huggingface dataset:
A new prognostic model identifies patients aged 80 years and older with diffuse large B‐cell lymphoma who may benefit from curative treatment: A multicenter, retrospective analysis by the Spanish GELTAMO group
Authors: Pardal Emilia , Díez Baeza Eva , Salas Queralt , García Tomás , Sancho Juan M. , Monzón Encarna , Moraleda José M. , Córdoba Raúl , de la Cruz Fátima , Queizán José A. , Rodríguez María J. , Navarro Belén , Hernández José A. , Díez Rosana , Vahi María , Viguria María C. , Canales Miguel , Peñarrubia María J. , González‐López Tomás J. , Montes‐Moreno Santiago , González‐Barca Eva , Caballero Dolores , Martín Alejandro ,   GELTAMO Spanish Collaborative Group
Published: April 2018

AbstractThe means of optimally managing very elderly patients with diffuse large B‐cell lymphoma (DLBCL) has not been established. We retrospectively analyzed 252 patients aged 80‐100 years, diagnosed with DLBCL or grade 3B follicular lymphoma, treated in 19 hospitals from the GELTAMO group. Primary objective was to analyze the influence of the type of treatment and comorbidity scales on progression‐free survival (PFS) and overall survival (OS). One hundred sixty‐three patients (63%) were treated with chemotherapy that included anthracyclines and/or rituximab, whereas 15% received no chemotherapeutic treatment. With a median follow‐up of 44 months, median PFS and OS were 9.5 and 12.5 months, respectively. In an analysis restricted to the 205 patients treated with any kind of chemotherapy, comorbidity scales did not influence the choice of treatment type significantly. Independent factors associated with better PFS and OS were: age < 86 years, cumulative illness rating scale (CIRS) score < 6, intermediate risk (1‐2) R‐IPI, and treatment with R‐CHOP at full or reduced doses. We developed a prognostic model based on the multivariate analysis of the 108 patients treated with R‐CHOP‐like: median OS was 45 vs. 12 months (P = .001), respectively, for patients with 0‐1 vs. 2‐3 risk factors (age > 85 years, R‐IPI 3‐5 or CIRS > 5). In conclusion, treatment with R‐CHOP‐like is associated with good survival in a significant proportion of patients. We have developed a simple prognostic model that may aid the selection patients who could benefit from a curative treatment, although it needs to be validated in larger series.
Physician decision making in selection of second‐line treatments in immune thrombocytopenia in children
Authors: Grace Rachael F. , Despotovic Jenny M. , Bennett Carolyn M. , Bussel James B. , Neier Michelle , Neunert Cindy , Crary Shelley E. , Pastore Yves D. , Klaassen Robert J. , Rothman Jennifer A. , Hege Kerry , Breakey Vicky R. , Rose Melissa J. , Shimano Kristin A. , Buchanan George R. , Geddis Amy , Haley Kristina M. , Lorenzana Adonis , Thompson Alexis , Jeng Michael , Neufeld Ellis J. , Brown Travis , Forbes Peter W. , Lambert Michele P. 
Published: April 2018

AbstractImmune thrombocytopenia (ITP) is an acquired autoimmune bleeding disorder which presents with isolated thrombocytopenia and risk of hemorrhage. While most children with ITP promptly recover with or without drug therapy, ITP is persistent or chronic in others. When needed, how to select second‐line therapies is not clear. ICON1, conducted within the Pediatric ITP Consortium of North America (ICON), is a prospective, observational, longitudinal cohort study of 120 children from 21 centers starting second‐line treatments for ITP which examined treatment decisions. Treating physicians reported reasons for selecting therapies, ranking the top three. In a propensity weighted model, the most important factors were patient/parental preference (53%) and treatment‐related factors: side effect profile (58%), long‐term toxicity (54%), ease of administration (46%), possibility of remission (45%), and perceived efficacy (30%). Physician, health system, and clinical factors rarely influenced decision‐making. Patient/parent preferences were selected as reasons more often in chronic ITP (85.7%) than in newly diagnosed (0%) or persistent ITP (14.3%, P = .003). Splenectomy and rituximab were chosen for the possibility of inducing long‐term remission (P < .001). Oral agents, such as eltrombopag and immunosuppressants, were chosen for ease of administration and expected adherence (P < .001). Physicians chose rituximab in patients with lower expected adherence (P = .017). Treatment choice showed some physician and treatment center bias. This study illustrates the complexity and many factors involved in decision‐making in selecting second‐line ITP treatments, given the absence of comparative trials. It highlights shared decision‐making and the need for well‐conducted, comparative effectiveness studies to allow for informed discussion between patients and clinicians.
Continuous electroencephalography predicts delayed cerebral ischemia after subarachnoid hemorrhage: A prospective study of diagnostic accuracy
Authors: Rosenthal Eric S. , Biswal Siddharth , Zafar Sahar F. , O'Connor Kathryn L. , Bechek Sophia , Shenoy Apeksha V. , Boyle Emily J. , Shafi Mouhsin M. , Gilmore Emily J. , Foreman Brandon P. , Gaspard Nicolas , Leslie‐Mazwi Thabele M. , Rosand Jonathan , Hoch Daniel B. , Ayata Cenk , Cash Sydney S. , Cole Andrew J. , Patel Aman B. , Westover M. Brandon 
Published: April 2018

ObjectiveDelayed cerebral ischemia (DCI) is a common, disabling complication of subarachnoid hemorrhage (SAH). Preventing DCI is a key focus of neurocritical care, but interventions carry risk and cannot be applied indiscriminately. Although retrospective studies have identified continuous electroencephalographic (cEEG) measures associated with DCI, no study has characterized the accuracy of cEEG with sufficient rigor to justify using it to triage patients to interventions or clinical trials. We therefore prospectively assessed the accuracy of cEEG for predicting DCI, following the Standards for Reporting Diagnostic Accuracy Studies.MethodsWe prospectively performed cEEG in nontraumatic, high‐grade SAH patients at a single institution. The index test consisted of clinical neurophysiologists prospectively reporting prespecified EEG alarms: (1) decreasing relative alpha variability, (2) decreasing alpha‐delta ratio, (3) worsening focal slowing, or (4) late appearing epileptiform abnormalities. The diagnostic reference standard was DCI determined by blinded, adjudicated review. Primary outcome measures were sensitivity and specificity of cEEG for subsequent DCI, determined by multistate survival analysis, adjusted for baseline risk.ResultsOne hundred three of 227 consecutive patients were eligible and underwent cEEG monitoring (7.7‐day mean duration). EEG alarms occurred in 96.2% of patients with and 19.6% without subsequent DCI (1.9‐day median latency, interquartile range = 0.9–4.1). Among alarm subtypes, late onset epileptiform abnormalities had the highest predictive value. Prespecified EEG findings predicted DCI among patients with low (91% sensitivity, 83% specificity) and high (95% sensitivity, 77% specificity) baseline risk.InterpretationcEEG accurately predicts DCI following SAH and may help target therapies to patients at highest risk of secondary brain injury. Ann Neurol 2018;83:958–969
Catalytic Direct‐Type Addition Reactions of Alkylarenes with Imines and Alkenes
Authors: Yamashita Yasuhiro , Suzuki Hirotsugu , Sato Io , Hirata Tsubasa , Kobayashi Shū 
Published: April 2018

AbstractCatalytic addition reactions of very weakly acidic nonactivated alkylarenes such as toluene and its derivatives were developed by using a strongly basic mixed catalyst system under mild reaction conditions. The addition reactions with imines and alkenes proceeded smoothly under proton‐transfer conditions to afford the desired products in good to high yields, and high levels of regio‐ and stereoselectivity were achieved. It was also revealed that the asymmetric addition reaction of an alkylarene was possible.
Exploring the Performance Improvement of the Oxygen Evolution Reaction in a Stable Bimetal–Organic Framework System
Authors: Wang Xiao‐Li , Dong Long‐Zhang , Qiao Man , Tang Yu‐Jia , Liu Jiang , Li Yafei , Li Shun‐Li , Su Jia‐Xin , Lan Ya‐Qian 
Published: April 2018

AbstractDespite wide applications of bimetallic electrocatalysis in oxygen evolution reaction (OER) owing to their superior performance, the origin of the improved performance remains elusive. The underlying mechanism was explored by designing and synthesizing a series of stable metal–organic frameworks (MOFs: NNU‐21–24) based on trinuclear metal carboxylate clusters and tridentate carboxylate ligands. Among the examined stable MOFs, NNU‐23 exhibits the best OER performance; particularly, compared with monometallic MOFs, all the bimetallic MOFs display improved OER activity. DFT calculations and experimental results demonstrate that introduction of the second metal atom can improve the activity of the original atom. The proposed model of bimetallic electrocatalysts affecting their OER performance can facilitate design of efficient bimetallic catalysts for energy storage and conversion, and investigation of the related catalytic mechanisms.
From a Helix to a Small Cycle: Metadynamics‐Inspired αvβ6 Integrin Selective Ligands
Authors: Di Leva Francesco Saverio , Tomassi Stefano , Di Maro Salvatore , Reichart Florian , Notni Johannes , Dangi Abha , Marelli Udaya Kiran , Brancaccio Diego , Merlino Francesco , Wester Hans‐Jürgen , Novellino Ettore , Kessler Horst , Marinelli Luciana 
Published: April 2018

AbstractThe RGD‐recognizing αvβ6 integrin has only recently emerged as a major target for cancer diagnosis and therapy. Thus, the development of selective, low‐molecular‐weight ligands of this receptor is still in great demand. Here, a metadynamics‐driven design strategy allowed us to successfully convert a helical nonapeptide into a cyclic pentapeptide (6) showing remarkable potency and αvβ6 specificity. NMR and docking studies elucidated the reasons for the high affinity and selectivity of this compound, setting the ground for the rational design of new αvβ6‐specific small peptides or even peptidomimetics. In vivo PET imaging studies demonstrated the potential use of 6 for medical applications.
Poly(styrene–divinyl benzene)‐immobilized Fe(III) complex of 1,3‐bis(benzimidazolyl)benzene: Efficient catalyst for the photocatalytic degradation of xylenol orange
Authors: Eshwar Rao Shilpa , Gayathri Virupaiah 
Published: April 2018

ABSTRACTA polymer‐supported Fe(III) complex of 1,3‐bis(benzimidazolyl)benzene [PS–Fe(III)BBZNH] was used in the photodegradation of xylenol orange (XO) dye with H2O2 under UV irradiation. The catalyst was synthesized and characterized by elemental analysis, and Fourier transform infrared, far‐infrared, and UV–visible–diffuse reflectance spectroscopy, Scanning electron microscopy, Brunauer–Emmett–Teller surface area measurements, thermogravimetric analysis, and magnetic measurements. An octahedral coordination around Fe(III) was confirmed by electronic spectral data, and a decrease in the intensity of the νCH2Cl peak in PS–Fe(III)BBZNH was observed compared to the polymer support; this indicated the binding of the ligand to the support. An array of experiments were carried out to assess the influence of various reaction parameters on its photocatalytic performance to ensure maximum dye degradation. The maximum photocatalytic activity was observed at pH 8 with 125 mg of catalyst, 300 ppm of XO, and 200 ppm of H2O2 with complete mineralization after 90 min, as confirmed by chemical oxygen demand measurements. Furthermore, the reactions were repeated under sunlight and under dark conditions to check the photocatalytic efficiency of PS–Fe(III)BBZNH. It displayed better catalytic performance compared than the unsupported complex, PS–Cu(II)BBZNH [Cu(II) complex of 1,3‐bis(benzimidazolyl)benzene], and PS–VO(IV)BBZNH [VO(IV) complex of 1,3‐bis(benzimidazolyl)benzene]. PS–Fe(III)BBZNH could be recycled for up to seven runs. A tentative mechanism involving ·OH radical was proposed. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46480.
Electrochemical performance and thermal stability of the electrospun PTFE nanofiber separator for lithium‐ion batteries
Authors: Li Jingde , Zhong Qin , Yao Yongyi , Bi Songhu , Zhou Tao , Guo XiaoMing , Wu Mengqiang , Feng Tingting , Xiang Ruili 
Published: April 2018

ABSTRACTSeparator is a very important set of lithium‐ion batteries. At present, low porosity and poor thermal stability are two major disadvantages of separator. In this work, we first apply electrospinning method to prepare the Polytetrafluoroethylene (PTFE) nanofiber separator, which has the advantages of electrospinning method and PTFE materials. The effect of the PTFE nanofiber separator is investigated by scanning electron microscope, Capillary Flow Porometer, thermogravimetric–differential scanning calorimeter, linear sweep voltammeter, AC impedance, and charge/discharge cycling tests. The results demonstrate that the PTFE nanofiber separator has a special fiber structure made from PTFE particles gathering one by one along the fibers. Moreover, the PTFE nanofiber separator exhibits several advantages, including suitable pore diameter, uniform pore size distribution, high porosity, and electrolyte uptake, which enhance the ionic conductivity. The thermal stability of the PTFE nanofiber separator is much better than that of the conventional polyolefin separator. The Li/LiCoO2 cell equipped with PTFE nanofiber separator exhibits excellent rate performance and first charge–discharge specific capacity of 142 and 131 mA h g−1, respectively, accompanied by relatively stable cycle performance at 0.2 C rate. It is supposed to be a candidate for application in lithium‐ion batteries. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46508.
Hybrid composites of ABS with carbonaceous fillers for electromagnetic shielding applications
Authors: Schmitz Débora P. , Silva Tamara I. , Ramoa Sílvia D. A. S. , Barra Guilherme M. O. , Pegoretti Alessandro , Soares Bluma G. 
Published: April 2018

ABSTRACTThis work evaluates the influence of two types of carbonaceous fillers, carbon black (CB) and carbon nanotubes (CNTs), on the electrical, electromagnetic, and rheological properties of composites based on poly(acrylonitrile‐co‐butadiene‐co‐styrene) (ABS) prepared by the melt mixing. Electrical conductivity, electromagnetic shielding efficiency (EMI SE) in the X‐band frequency range (8–12.4 GHz), and melt flow index (MFI) results showed that ABS/CNT composites exhibit higher electrical conductivity and EMI SE, but lower MFI when compared to ABS/CB composites. The electrical conductivity of the binary composites showed an increase of around 16 orders of magnitude, when compared to neat ABS, for both fillers. Binary composites with 5 and 15 wt % of filler showed an EMI SE of, respectively, −44 and −83 dB for ABS/CNT, and −9 and −34 dB for ABS/CB. MFI for binary composites with 5 wt % were 15.45 and 0.55 g/10 min for CB and CNT, respectively. Hybrid composites ABS/CNT.CB with 3 wt % total filler and fraction 50:50 and 75:25 showed good correlation between EMI SE and MFI. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46546.
Influence of poly(phosphoric acid) on the properties and structure of ethylene–vinyl acetate‐modified bitumen
Authors: Zhang Feng , Hu Changbin , Zhang Yu 
Published: April 2018

ABSTRACTEthylene–vinyl acetate (EVA) modified (EM) bitumen was modified further by the addition of poly(phosphoric acid) (PPA). Owing to the gelation and acidification effect of PPA, the high‐temperature properties and compatibility of EM bitumen were improved greatly. Part dissolution of EVA after acidification was confirmed by the viscous behavior of EVA/PPA‐modified (EPM) bitumen in rheological tests to some extent. Morphology observation illustrated the decomposition of EVA in bitumen after PPA modification and ageing. Fourier transform infrared analysis proved that the hydrolysis reaction took place between the vinyl acetate segment of EVA molecule and the extra hydrogen protons of PPA. Thermal analysis displayed the thermodynamic behaviors of EM and EPM bitumens before and after ageing and confirmed the part dissolution of EVA further after PPA acidification. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46553.
Morphological Features of the Branching Pattern of the Hypoglossal Nerve
Authors: Sakamoto Yujiro 
Published: April 2018

ABSTRACTThe hypoglossal or twelfth cranial nerve is the motor nerve to the extrinsic and intrinsic muscles of the tongue, and the superior root of the ansa cervicalis and the thyrohyoid and geniohyoid branches are delivered through the nerve. This study investigated the muscular branches of the hypoglossal nerve to clarify their spatial relationships with the muscles of the tongue and the neighboring structures. The muscles and the nerve were gross anatomically examined in 42 cadavers. The superior root and the thyrohyoid branch left the nerve near the occipital and lingual arteries, respectively. The extrinsic muscles consisted of some components, and the geniohyoid branch and the lingual branches arose on the hyoglossus. The ascending lingual branches formed a plexus on the anterior part of the hyoglossus and were divided into the proximal and distal groups. They supplied the two parts of the hyoglossus, the three bundles of the styloglossus and the superior and inferior longitudinal muscles and communicated with the lingual nerve. The descending lingual branches supplied the inferior part of the genioglossus, and the terminal branches gave intramuscular twigs to its main part and the transverse and vertical muscles. The findings indicated that the branching pattern of the hypoglossal nerve is characterized by the positional relationships to the components of the extrinsic muscles. The hyoid bone can be an effective marker to identify the branches and affected position if it was used in combination with the morphology of the extrinsic muscles, and the knowledge of their variations is also beneficial. Anat Rec, 302:558–567, 2019. © 2018 Wiley Periodicals, Inc.
The Anatomical Relationships of the Ocular Motor Nerves with an Emphasis on Surgical Anatomy of the Orbit
Authors: Apaydin Nihal , Kendir Simel , Karahan Suleyman Tuna 
Published: April 2018

ABSTRACTThe surgical procedures directed to the orbit are invariably reported to be one of the most challenging procedures of the neurosurgery and it is very important to take measures to protect the ocular nerves. Many researchers have tried to identify safe approaches or safe regions in the orbit but the suggestions and results vary among published studies. The ocular motor nerves are under risk of injury during various approaches to the orbit. Simple but careful attention to potential variations in the origin and anatomical course of the ocular nerves and their relationships to the orbit may help to define “safe zones” during various approaches, thus, help to enhance clinical outcomes. The objective of this review, therefore, is to discuss the surgical anatomy of the orbit with special emphasis on oculomotor, trochlear, and abducens nerves and further emphasize their relationships with a surgical point of view during various approaches directed to the orbit. Anat Rec, 302:568–574, 2019. © 2018 Wiley Periodicals, Inc.
Role of Stem Cell–Like Memory T Cells in Systemic Lupus Erythematosus
Authors: Lee Ye Ji , Park Ji Ah , Kwon Hyunmi , Choi Youn Soo , Jung Kyeong Cheon , Park Seong Hoe , Lee Eun Bong 
Published: April 2018

ObjectiveStem cell–like memory T (Tscm) cells are long‐lived memory T cells that have multipotent capacity to differentiate into different subsets. However, the role of Tscm cells in autoimmune diseases remains unclear. Here, we performed phenotypic studies to identify Tscm cells in patients experiencing systemic lupus erythematosus (SLE).MethodsCD4+ and CD8+ Tscm cells were identified in SLE patients and healthy controls (HCs). In in vitro culture systems, CD4+ Tscm cells were induced to differentiate into subsets of T cells, including follicular helper T (Tfh) cells, and cytokine production patterns were assessed after stimulation. After confirming induction of transcription factors for Tfh cells, the capacity of CD4+ Tscm‐derived Tfh cells to help B cells was analyzed by measuring antibody secretion.ResultsThe percentages of CD4+ and CD8+ Tscm cells among the naive CD4+/CD8+ or total CD4+ T cell populations were significantly higher in SLE patients than in HCs. Stimulated Tscm cells from SLE patients could replenish themselves and differentiate into other T lymphocyte subsets, including Tfh cells upon stimulation with T cell receptor. Production of T cell factor 1, which is an inducer of Tfh, was also increased. The differentiated Tfh cells increased antibody production by autologous B cells.ConclusionTaken together, these findings suggest that Tscm cells play a role in the pathogenesis of SLE by maintaining Tfh cells.
Water‐Soluble Phospholo[3,2‐b]phosphole‐P,P′‐Dioxide‐Based Fluorescent Dyes with High Photostability
Authors: Wang Chenguang , Fukazawa Aiko , Tanabe Yoshiyuki , Inai Naoto , Yokogawa Daisuke , Yamaguchi Shigehiro 
Published: April 2018

AbstractWe recently reported that fluorescent dye PB430, which consisted of a 2‐phenyl‐substituted benzophosphole P‐oxide skeleton that was reinforced by a methylene bridge, showed pronounced photostability and, thus, high utility for applications in super‐resolution stimulated emission depletion (STED) microscopy. Herein, we replaced the methylene bridge with another P=O group to 1) investigate the role of the bridging moieties; and 2) further modulate the fluorescence properties of this skeleton. We synthesized a series of phospholo[3,2‐b]phosphole‐based dyes—trans‐PO‐PB430, cis‐PO‐PB430, and trans‐PO‐PB460—all of which showed sufficient water solubility. Moreover, trans‐PO‐PB430 and trans‐PO‐PB460 exhibited intense green and orange fluorescence, respectively, and a high photostability that was comparable to that of PB430. In contrast, cis‐PO‐PB430 underwent rapid photobleaching upon continuous photoirradiation, which demonstrated the importance of steric shielding of the polycyclic skeleton by the substituents on the bridging moieties. The fluorescence properties of these dyes were insensitive to concentration, pH value, and polarity changes of the environment in solution. In addition, even in the solid state, these dyes showed strong green to orange emissions. These results demonstrate the potential utility of trans‐PO‐PB430 and trans‐PO‐PB460 as highly photostable fluorescent dyes.