bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uptake and trophic changes in polybrominated diphenyl ethers in the benthic marine food chain in southwestern British Columbia, Canada
Authors: Burd Brenda , Lowe Chris , Morales-Caselles Carmen , Noel Marie , Ross Peter , Macdonald Tara 
Published: February 2019

We examined the physical and geochemical effects of sediment on the uptake of polybrominated diphenyl ethers (PBDEs) into marine sediment feeders and their transfer to higher trophic fauna. Sediment PBDEs increased with % total organic carbon (%TOC), organic carbon (OC) flux and grain size (%fines). Tissue PBDE variance was best explained ( R2 = 0.70) by sediment acid volatile sulfides (AVS), PBDEs, and organic lability and input, with the highest values near wastewater outfalls. Dry weight tissue/sediment PBDEs declined with increasing sediment PBDEs, resulting in tissue dilution (ratio <1) at >10 000 pg/g in harbours. Ratios also decreased with increasing %fines, resulting in regional differences. These patterns imply that high levels of fines and high sediment concentrations make PBDEs less bioavailable. Dry weight PBDEs increased >100× between background deposit feeders and predators (polychaetes, crabs, bottom fish, seal), but lipid normalized PBDEs barely increased (<1.3%), suggesting remarkably high uptake in low-lipid sediment feeders, and that PBDEs don’t accumulate at higher trophic levels, but lipid content does. Filter feeders had lower lipid-normalized PBDEs than deposit feeders, highlighting the importance of food resources in higher trophic fauna for bioaccumulation. The most profound congener change occurred with sediment uptake, with nona/deca-BDEs declining and tetra-hexa-BDEs increasing. Harbour sediment feeders had more deca-BDEs than other samples, suggesting PBDEs mostly pass unmodifed through them. Deca-BDEs persist patchily in all tissues, reflecting variable dependence on sediment/pelagic food.
Characterization of Slow and Fast Fading in Off-Body Communication at 2.45 GHz with Space Diversity Scheme in an Indoor Environment
Authors: Wiszniewski Szymon , Ambroziak Slawomir J. 
Published: February 2019

The characterization of slow and fast fading in wireless body area networks with space diversity scheme has been presented. The analysis, based on the measurements at 2.45 GHz in an indoor environment, has shown that for all investigated configurations of receiving wearable antennas, the correlation coefficient values of the received signals’ parameters are below the assumed value of 0.5, being close to zero for the vast majority of cases. It has been shown that the slow fading component may be modelled by a lognormal distribution with zero average and the standard deviation from the range of [1.43, 1.98] dB. The fast fading component is the best modelled by a Rice distribution with the noncentrality parameter and the scale parameter being in the range [0.8125, 0.9624] and [0.5269, 0.6954], respectively.
Comparison of the Effects of Glucagon-Like Peptide Receptor Agonists and Sodium-Glucose Cotransporter 2 Inhibitors for Prevention of Major Adverse Cardiovascular and Renal Outcomes in Type 2 Diabetes Mellitus
Authors: Zelniker Thomas A. , Wiviott Stephen D. , Raz Itamar , Im KyungAh , Goodrich Erica L. , Furtado Remo H.M. , Bonaca Marc P. , Mosenzon Ofri , Kato Eri T. , Cahn Avivit , Bhatt Deepak L. , Leiter Lawrence A. , McGuire Darren K. , Wilding John P.H. , Sabatine Marc S. 
Published: February 2019

Background:
Glucagon-like peptide 1 receptor agonists (GLP1-RA) and sodium-glucose cotransporter-2 inhibitors (SGLT2i) have emerged as 2 new classes of antihyperglycemic agents that also reduce cardiovascular risk. The relative benefits in patients with and without established atherosclerotic cardiovascular disease for different outcomes with these classes of drugs remain undefined.

Methods:
We performed a systematic review and trial-level meta-analysis of GLP1-RA and SGLT2i cardiovascular outcomes trials using the PubMed and EMBASE databases (Excerpta Medica Database). The primary outcomes were the composite of myocardial infarction, stroke, and cardiovascular death (MACE); hospitalization for heart failure; and progression of kidney disease.

Results:

In total, data from 8 trials and 77 242 patients, 42 920 (55.6%) in GLP1-RA trials, and 34 322 (44.4%) in SGLT2i trials, were included. Both drug classes reduced MACE in a similar magnitude with GLP1-RA reducing the risk by 12% (hazard ratio [HR], 0.88; 95% CI, 0.84–0.94;
P
<0.001) and SGLT2i by 11% (HR, 0.89; 95% CI, 0.83–0.96;
P
=0.001). For both drug classes, this treatment effect was restricted to a 14% reduction in those with established atherosclerotic cardiovascular disease (HR, 0.86; 95% CI, 0.80–0.93;
P
=0.002), whereas no effect was seen in patients without established atherosclerotic cardiovascular disease (HR, 1.01; 95% CI, 0.87–1.19;
P
=0.81;
P
interaction, 0.028). SGLT2i reduced hospitalization for heart failure by 31% (HR, 0.69; 95% CI, 0.61–0.79;
P
<0.001), whereas GLP1-RA did not have a significant effect (HR, 0.93; 95% CI, 0.83–1.04;
P
=0.20). Both GLP1-RA (HR, 0.82; 95% CI, 0.75–0.89;
P
<0.001) and SGLT2i (HR, 0.62; 95% CI, 0.58–0.67;
P
<0.001) reduced the risk of progression of kidney disease including macroalbuminuria, but only SGLT2i reduced the risk of worsening estimated glomerular filtration rate, end-stage kidney disease, or renal death (HR, 0.55; 95% CI, 0.48–0.64;
P
<0.001).

Conclusions:
In trials reported to date, GLP1-RA and SGLT2i reduce atherosclerotic MACE to a similar degree in patients with established atherosclerotic cardiovascular disease, whereas SGLT2i have a more marked effect on preventing hospitalization for heart failure and progression of kidney disease. Their distinct clinical benefit profiles should be considered in the decision-making process when treating patients with type 2 diabetes mellitus.
Notes on Afrotropical Cydnidae (Heteroptera) with emphasis on vehicle-mounted net samples and description of a new species from Liberia, West Africa
Authors: KRÜGER ANDREAS , LIS JERZY A. 
Published: February 2019

Notes on the Cydnidae fauna in Liberia, sampled with a vehicle-mounted net, the species taxonomy and general distribution are reported, including the description of Chilocoris elongatus sp. nov. In addition, new country records are provided for Angola, Ethiopia, Gabon, Guine a-Bissau, Namibia, Niger, Republic of South Africa, Sierra Leone, Tanzania, Togo, Uganda, and Zimbabwe.
Correction and Accuracy of High- and Low-Resolution CTD Data from Animal-Borne Instruments
Authors: Siegelman Lia , Roquet Fabien , Mensah Vigan , Rivière Pascal , Pauthenet Etienne , Picard Baptiste , Guinet Christophe 
Published: February 2019

AbstractMost available CTD Satellite Relay Data Logger (CTD-SRDL) profiles are heavily compressed before satellite transmission. High-resolution profiles recorded at the sampling frequency of 0.5 Hz are, however, available upon physical retrieval of the logger. Between 2014 and 2018, several loggers deployed on elephant seals in the Southern Ocean have been set in continuous recording mode, capturing both the ascent and descent for over 60 profiles per day during several months, opening new horizons for the physical oceanography community. Taking advantage of a new dataset made of seven such loggers, a postprocessing procedure is proposed and validated to improve the quality of all CTD-SRDL data: that is, both high-resolution profiles and compressed low-resolution ones. First, temperature and conductivity are corrected for a thermal mass effect. Then salinity spiking and density inversion are removed by adjusting salinity while leaving temperature unchanged. This method, applied here to more than 50 000 profiles, yields significant and systematic improvements in both temperature and salinity, particularly in regions of rapid temperature variation. The continuous high-resolution dataset is then used to provide updated accuracy estimates of CTD-SRDL data. For high-resolution data, accuracies are estimated to be of ±0.02°C for temperature and ±0.03 g kg−1 for salinity. For low-resolution data, transmitted data points have similar accuracies; however, reconstructed temperature profiles have a reduced accuracy associated with the vertical interpolation of ±0.04°C and a nearly unchanged salinity accuracy of ±0.03 g kg−1.
Orbital Complications of Rhinosinusitis in the Adult Population: Analysis of Cases Presenting to a Tertiary Medical Center Over a 13-Year Period
Authors: El Mograbi Aiman , Ritter Amit , Najjar Esmat , Soudry Ethan 
Published: February 2019

Background: Orbital complications of rhinosinusitis in adults are scarcely discussed in the literature. Objective: To review our experience with the management of orbital complications of rhinosinusitis in the adult patient population and identify key factors in the characteristics and management of these patients. Design: Retrospective case series during the years 2004 to 2016 in a tertiary referral center including all patients with rhinosinusitis and orbital complications. Main Outcomes and Measures: Severity of complications, risk factors, clinical, imaging and microbiological data, treatment outcomes. Results: Seventy patients were identified. Median age at diagnosis was 38 years. In 57%, complications were associated with acute rhinosinusitis and in 43% with chronic rhinosinusitis, most of whom had a history of previous sinus surgery. Thirty-five percent of patients received antibiotics prior to admission. The majority of the previously operated patients (61%) had some form of orbital wall dehiscence noted on imaging. Preseptal cellulitis was the most common complication (61.5%) encountered, followed by orbital cellulitis (23%), sub-periosteal abscess (11.5%), orbital abscess (3%), and cavernous sinus thrombosis (1.5%). Gram-positive bacteria were more commonly isolated from acute rhinosinusitis patients and gram-negative bacteria from chronic rhinosinusitis (CRS) patients. Complete recovery was noted in all patients, of whom 85% were managed conservatively. All, but 1 patient, with an abscess or cavernous sinus thrombosis required surgical drainage. Older age was the only risk factor identified for severe complications. Conclusions: In contrast to the pediatric population, CRS is very common in adults with orbital complications of rhinosinusitis, with previous sinus surgery and orbital wall dehiscence being noticeably common. Older patients are at risk for more severe complications. Conservative treatment suffices in patients with preseptal and orbital cellulitis. In more advanced stages, surgical drainage is advocated with excellent results. Larger cohort studies are needed to further investigate this patient group.
Role of the endocannabinoid system in the dorsal hippocampus in the cardiovascular changes and delayed anxiety-like effect induced by acute restraint stress in rats
Authors: Hartmann Alice , Fassini Aline , Scopinho América , Correa Fernando MA , Guimarães Francisco S , Lisboa Sabrina F , Resstel Leonardo BM 
Published: February 2019

Background: The dorsal hippocampus has a central role in modulating cardiovascular responses and behavioral adaptation to stress. The dorsal hippocampus also plays a key role in stress-associated mental disorders. The endocannabinoid system is widely expressed in the dorsal hippocampus and modulates defensive behaviors under stressful conditions. The endocannabinoid anandamide activates cannabinoid type 1 receptors and is metabolized by the fatty acid amide hydrolase enzyme. Aims: We sought to verify whether cannabinoid type 1 receptors modulate stress-induced cardiovascular changes, and if pharmacological fatty acid amide hydrolase inhibition in the dorsal hippocampus would prevent the cardiovascular responses and the delayed anxiogenic-like behavior evoked by restraint stress in rats via cannabinoid type 1 receptors. Methods: Independent groups received intra-dorsal-hippocampal injections of N-(piperidin-1yl)-5-(4-iodophenyl)-1-(2,4-dichlorophenyl)-4-methyl-hpyrazole-3-carboxamide (AM251; cannabinoid type 1 receptor antagonist/inverse agonist, 10–300 pmol) and/or cyclohexyl carbamic acid 3′-carbamoyl-biphenyl-3-yl ester (URB597; fatty acid amide hydrolase inhibitor, 10 pmol) before the restraint stress session. Cardiovascular response during restraint stress or later behavioral parameters were evaluated. Results: Acute restraint stress altered the cardiovascular response, characterized by increased heart rate and mean arterial pressure, as well as decreased tail cutaneous temperature. It also induced a delayed anxiogenic-like effect, evidenced by reduced open arm exploration in the elevated plus maze 24 h after stress. AM251 exacerbated the stress-induced cardiovascular responses after injection into the dorsal hippocampus. In contrast, local injection of URB597 prevented the cardiovascular response and the delayed (24 h) behavioral consequences of restraint stress, effects attenuated by pretreatment with AM251. Conclusion: Our data corroborate previous results indicating that the hippocampal endocannabinoid system modulates the outcome of stress exposure and suggest that this could involve modulation of the cardiovascular response during stress exposure.
Assessing evidence-based medicine and opioid/barbiturate as first-line acute treatment of pediatric migraine and primary headache: A retrospective observational study of health systems data
Authors: Seng Elizabeth K , Gelfand Amy A , Nicholson Robert A 
Published: February 2019

ObjectivesTo evaluate providers’ use and predictors of evidence-based medicine or opioid/barbiturate as first-line acute treatment for children’s initial presentation of acute migraine or primary headache.MethodsThis retrospective, observational study utilized patient (children ages 6–17) and provider/encounter characteristics extracted from the patient’s Electronic Health Record from 2008–2014 during an initial encounter for migraine or primary headache. The primary outcome was provider evidence-based medicine utilization; overall prescriptions and opioid/barbiturate prescriptions were also evaluated. Hierarchical linear modeling examined whether Level 1 (patient: Demographic, insurance type) and Level 2 (provider/encounter: Treatment setting/location, encounter diagnoses) characteristics influenced outcomes.ResultsIn all, 38,926 patients (56.7% female, mean age = 12.1) and 1617 providers were evaluated. Only 17.7% of patients were diagnosed with migraine; 16.1% received evidence-based medicine. Older children (OR = 1.07, p < 0.001), females (OR = 1.14, p < 0.001), and those diagnosed with migraine (OR = 4.71, p < 0.001) were more likely to receive evidence-based medicine. Among prescriptions, 15.8% were for opioids/barbiturates. Older children (OR = 1.14, p < 0.001) and those cared for in the emergency department/urgent care (OR = 2.02, p < 0.001) were at increased risk.ConclusionsDemographics and migraine diagnosis are associated with evidence-based medicine and opioid/barbiturates. Primary care provides an opportunity to target provider interventions to enhance effective pediatric headache treatment.
Alterations in Synovial Fluid Biomarker Levels in Knees With Meniscal Injury as Compared With Asymptomatic Contralateral Knees
Authors: Clair Andrew J. , Kingery Matthew T. , Anil Utkarsh , Kenny Lena , Kirsch Thorsten , Strauss Eric J. 
Published: February 2019

Background: Changes in the joint microenvironment after an injury to the articular surface of the knee have been implicated in the pathogenesis of osteoarthritis. While prior studies focused on changes in this microenvironment after anterior cruciate ligament ruptures, few have explored the biomarker changes that occur in the setting of meniscal injuries. Purpose: To determine whether meniscal injury results in significant alterations to synovial fluid biomarker concentrations as compared with noninjured contralateral knees. Additionally, to explore the relationship between synovial fluid biomarkers and the degree of cartilage injury seen in these patients. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Patients undergoing surgery for unilateral meniscal injury were prospectively enrolled from October 2011 to December 2016, forming a cohort that had synovial fluid samples collected from both the injured knee and the contralateral uninjured knee at the time of meniscal surgery. Synovial fluid samples were collected just before incision, and the concentrations of 10 biomarkers of interest were determined with a multiplex magnetic bead immunoassay. The concentrations of synovial fluid biomarkers from the operative and contralateral knees were compared. Additionally, the synovial fluid biomarker concentrations of operative knees from patients with associated high-grade cartilage lesions were compared with those with low-grade lesions. Results: The current analysis included synovial fluid samples from 82 knees (41 operative and 41 contralateral) from 41 patients undergoing arthroscopic surgery to treat a symptomatic meniscal injury. The mean ± SD age of patients was 49.86 ± 11.75 years. There were significantly greater concentrations of 4 of the 5 proinflammatory biomarkers (IL-6, MCP-1, MIP-1β, and MMP-3) in symptomatic knees as compared with asymptomatic knees when controlling for the duration of symptoms, body mass index, age, and the random effects of by-patient variability. In the injured knees, associated high-grade cartilage lesions were predictive of elevated MCP-1, MIP-1β, and VEGF levels. Low synovial fluid concentration of TIMP-1 or a greater ratio of MMP-3 to TIMP-1 was associated with the presence of synovitis. Increasing age was found to be an independent predictor of increased IL-6, MCP-1, and VEGF concentrations in the setting of symptomatic meniscal injury. Conclusion: The authors identified 4 proinflammatory synovial fluid biomarkers whose concentrations were significantly different after meniscal injury as compared with uninjured contralateral knees. Furthermore, they describe the effects of associated cartilage damage, synovitis, and patient age on biomarker concentrations.
Morphology of the Musculus Uvulae In Vivo Using MRI and 3D Modeling Among Adults With Normal Anatomy and Preliminary Comparisons to Cleft Palate Anatomy
Authors: Perry Jamie L. , Chen Joshua Y. , Kotlarek Katelyn J. , Haenssler Abigail , Sutton Bradley P. , Kuehn David P. , Sitzman Thomas J. , Fang Xiangming 
Published: February 2019

Purpose: To investigate the musculus uvulae morphology in vivo in adults with normal velopharyngeal anatomy and to examine sex and race effects on the muscle morphology. We also sought to provide a preliminary comparison of musculus uvulae morphology in adults with normal velopharyngeal anatomy to adults with repaired cleft palate. Methods: Three-dimensional magnetic resonance imaging data and Amira 5.5 Visualization Modeling software were used to evaluate the musculus uvulae in 70 participants without cleft palate and 6 participants with cleft palate. Muscle length, thickness, width, and volume were compared among participant groups. Results: Analysis of covariance analysis did not yield statistically significant differences in musculus uvulae length, thickness, width, or volume by race or sex among participants without cleft palate when the effect of body size was accounted for. Two-sample t test revealed that the musculus uvulae in participants with repaired cleft palate is significantly shorter ( P = .008, 13.65 mm vs 16.07 mm) and has less volume ( P = .002, 51.08 mm3 vs 97.62 mm3) than participants without cleft palate. Conclusion: In adults with normal velopharyngeal anatomy, the musculus uvulae is a cylindrical oblong-shaped muscle lying on the nasal surface of the soft palate, with its greatest bulk located just nasal to the levator veli palatini muscle sling. In participants with repaired cleft palate, the musculus uvulae is substantially reduced in volume. This diminished muscle bulk located just at the point where the palate contacts the posterior pharyngeal wall may contribute to velopharyngeal insufficiency in children with repaired cleft palate.
Magnetic resonance texture analysis utility in differentiating intraparenchymal neurosarcoidosis from primary central nervous system lymphoma: a preliminary analysis
Authors: Bathla Girish , Soni Neetu , Endozo Raymondo , Ganeshan Balaji 
Published: February 2019

Purpose Neurosarcoidosis and primary central nervous system lymphomas, although distinct disease entities, can both have overlapping neuroimaging findings. The purpose of our preliminary study was to assess if magnetic resonance texture analysis can differentiate parenchymal mass-like neurosarcoidosis granulomas from primary central nervous system lymphomas. Methods A total of nine patients was evaluated, four with parenchymal neurosarcoidosis granulomas and five with primary central nervous system lymphomas. Magnetic resonance texture analysis was performed with commercial software using a filtration histogram technique. Texture features of different sizes and variations in signal intensity were extracted at six different spatial scale filters, followed by feature quantification using statistical and histogram parameters and 36 features were analysed for each sequence (T1-weighted, T2-weighted, fluid-attenuated inversion recovery, diffusion-weighted, apparent diffusion coefficient, T1-post contrast). The non-parametric Mann–Whitney test was used to evaluate the differences between different texture parameters. Results The differences in distribution of entropy on T2-weighted imaging, apparent diffusion coefficient and T1-weighted post-contrast images were statistically significant on all spatial scale filters. Magnetic resonance texture analysis using medium and coarse spatial scale filters was especially useful in discriminating neurosarcoidosis from primary central nervous system lymphomas for mean, mean positive pixels, kurtosis, and skewness on diffusion-weighted imaging ( P < 0.004–0.030). At spatial scale filter 5, entropy on T2-weighted imaging ( P = 0.001) was the most useful discriminator with a cut-off value of 6.12 ( P = 0.001, area under the curve (AUC)-1, sensitivity (Sn)-100%, specificity (Sp)-100%), followed by kurtosis and skewness on diffusion-weighted imaging with a cut-off value of −0.565 ( P = 0.011, AUC-0.97, Sn-100%, Sp-83%) and–0.365 ( P = 0.008, AUC-0.98, Sn-100%, Sp-100%) respectively. Conclusion Filtration histogram-based magnetic resonance texture analysis appears to be a promising modality to distinguish parenchymal neurosarcoidosis granulomas from primary central nervous system lymphomas.