bluuebunny/crossref_metadata_2025_split huggingface dataset:
Advanced virtual reality-based rehabilitation of balance and gait in clinical practice
Authors: Cano Porras Desiderio , Sharon Hadar , Inzelberg Rivka , Ziv-Ner Yitzhak , Zeilig Gabriel , Plotnik Meir 
Published: August 2019

Background: Extensive research shows that virtual reality (VR) enhances motor learning and has advantages in balance and gait rehabilitation of neurological patients. There is still uncertainty, however, as for the practicality and efficacy of VR in long-term clinical routine. The objective of this study was to report on 3 years of clinical practice conducting VR-based rehabilitation of balance and gait in a large medical center. Methods: This retrospective study systematically analyzed clinical records of patients who received VR-based rehabilitation in a large rehabilitation center during 3 years. We evaluated the effect of VR-based rehabilitation treatments on balance and gait, cognitive dual-task load, patient’s balance confidence (ABC-scale) and perception of suitability. Patients were either neurological patients, allocated to five groups: Parkinson’s disease (PD), poststroke (PS), multiple sclerosis, traumatic brain injury, and ‘other conditions’, or non-neurological patients. Results: Records of 167 patients were analyzed. The availability of multiple VR systems and environments contributed to highly personalized interventions that tailored specific deficits with therapeutic goals. VR-based rehabilitation significantly improved balance and gait (measured by 10-Meter Walk Test, Timed-Up-and-Go, Berg Balance Scale, and Mini BESTest). Patients with PD and PS decreased dual-task cost while walking. Patients increased balance confidence and deemed VR suitable for rehabilitation. Conclusions: Our results suggest that VR-based rehabilitation is practicable and effective in clinical routine. Functional measures of balance and gait show significant improvements following VR-based interventions. Clinical approaches should exploit VR advantages for promoting motor learning and motivation. This study serves to aid transition to long-term clinical implementation of VR.
The predictive role of interleukin 6 trans-signalling in middle-aged men and women at low-intermediate risk of cardiovascular events
Authors: Ziegler Louise , Frumento Paolo , Wallén Håkan , de Faire Ulf , Gigante Bruna 
Published: August 2019

Background Interleukin 6 trans-signalling is independently associated with the risk of cardiovascular events. The aim of this study was to investigate if interleukin 6 trans-signalling can identify individuals at risk for cardiovascular events (coronary artery disease and ischaemic stroke) among those at-low–intermediate risk. Methods In a cohort of 60-year-olds ( n = 4232, incident cardiovascular events n = 525), interleukin 6 trans-signalling was estimated by a ratio between the pro-inflammatory interleukin 6: soluble interleukin 6 receptor binary receptor complex and the inactivated interleukin 6: soluble interleukin 6 receptor: sgp130 ternary complex (B/T ratio). Risk associated with B/T ratio >median was investigated in individuals with low-density lipoprotein cholesterol ≤4.0 (mmol/l) and in those at low-intermediate risk according to the Framingham risk score (FRS) using Cox regression and expressed as hazard ratio and 95% confidence interval. Difference in time to event (years; 95% confidence interval) was analysed with quantile regression. The interaction between low-density lipoprotein cholesterol and B/T ratio was estimated on the additive scale. Incremental discriminatory value of the B/T ratio if low-density lipoprotein cholesterol ≤4.0 was compared to that of the FRS and interleukin 6. Results B/T ratio >median was associated with increased cardiovascular event risk when low-density lipoprotein cholesterol ≤4.0 (hazard ratio 1.59; 95% confidence interval 1.24–2.05) or FRS ≤ 10%, >10–≤20% (hazard ratio 1.27; 95% confidence interval 1.00–1.61 and hazard ratio 1.78; 95% confidence interval 1.36–2.34, respectively). B/T ratio >median and low-density lipoprotein cholesterol ≤4.0 were associated with early cardiovascular events, particularly ischaemic stroke. No interaction was observed between low-density lipoprotein cholesterol and the B/T ratio, both factors increasing cardiovascular event risk by 60%. In the presence of low-density lipoprotein cholesterol ≤4.0, the B/T ratio slightly improved discrimination measures. Conclusions Interleukin 6 trans-signalling increases cardiovascular event risk in middle-aged men and women otherwise classified at low-intermediate cardiovascular risk.
Nutrition in Hip Fracture Units: Contemporary Practices in Preoperative Supplementation
Authors: Dixon Ján , Channell Wes , Arkley James , Eardley William 
Published: August 2019

Introduction: Patients with hip fractures pose a significant burden on health services. Malnutrition, frailty, and cognitive impairment are common, and key to addressing the needs of this vulnerable patient group is nutrition optimization, including reduction in arbitrary nil by mouth (NBM) perioperative regimens. In order to understand current practices, we characterize preoperative nutrition in a regional hip fracture population. Methods: Prospective data were submitted to the National Hip Fracture Database by 6 hospitals in the north east of England over a 6-month period. Patients were stratified by preoperative nutritional intake, frailty, and cognitive function. Results: In all, 24.2% (n = 205) patients received no oral intake at all preoperatively; 15.3% of NBM patients were at risk of malnutrition; and 6.9% were malnourished at the time of assessment. Median time to surgery for NBM patients was 16.75 hours, and 6.34% of patients were fasted with no intake for >36 hours. In all, 6.5% (n = 44) of patients with an Abbreviated Mental Test Score (AMTS) of 8 or above were deemed to be at risk of malnutrition at admission, compared to 11.3% (n = 50) of patients with an AMTS of 7 or below. The NBM patients had similar mean Rockwood (4.97) and AMTS (6.51) scores to patients given oral nutrition. Conclusion: We have demonstrated contemporary preoperative nutritional practices in the management of over 800 hip fracture patients. Contrary to perception, nutrition practices vary little when stratified for age, cognition frailty, or comorbid burden. We have identified widespread prolonged NBM fasting and undersupplementation in patients sustaining hip fracture across a region. This work suggests a need to focus less on patient factors and more on systematic practices.
Screening to prevent fragility fractures among adults 40 years and older in primary care: protocol for a systematic review
Authors: Gates Michelle , Pillay Jennifer , Thériault Guylène , Limburg Heather , Grad Roland , Klarenbach Scott , Korownyk Christina , Reynolds Donna , Riva John J. , Thombs Brett D. , Kline Gregory A. , Leslie William D. , Courage Susan , Vandermeer Ben , Featherstone Robin , Hartling Lisa 
Published: August 2019

AbstractPurposeTo inform recommendations by the Canadian Task Force on Preventive Health Care by systematically reviewing direct evidence on the effectiveness and acceptability of screening adults 40 years and older in primary care to reduce fragility fractures and related mortality and morbidity, and indirect evidence on the accuracy of fracture risk prediction tools. Evidence on the benefits and harms of pharmacological treatment will be reviewed, if needed to meaningfully influence the Task Force’s decision-making.MethodsA modified update of an existing systematic review will evaluate screening effectiveness, the accuracy of screening tools, and treatment benefits. For treatment harms, we will integrate studies from existing systematic reviews. A de novo review on acceptability will be conducted. Peer-reviewed searches (Medline, Embase, Cochrane Library, PsycINFO [acceptability only]), grey literature, and hand searches of reviews and included studies will update the literature. Based on pre-specified criteria, we will screen studies for inclusion following a liberal-accelerated approach. Final inclusion will be based on consensus. Data extraction for study results will be performed independently by two reviewers while other data will be verified by a second reviewer; there may be some reliance on extracted data from the existing reviews. The risk of bias assessments reported in the existing reviews will be verified and for new studies will be performed independently. When appropriate, results will be pooled using either pairwise random effects meta-analysis (screening and treatment) or restricted maximum likelihood estimation with Hartun-Knapp-Sidnick-Jonkman correction (risk prediction model calibration). Subgroups of interest to explain heterogeneity are age, sex, and menopausal status. Two independent reviewers will rate the certainty of evidence using the GRADE approach, with consensus reached for each outcome rated as critical or important by the Task Force.DiscussionSince the publication of other guidance in Canada, new trials have been published that are likely to improve understanding of screening in primary care settings to prevent fragility fractures. A systematic review is required to inform updated recommendations that align with the current evidence base.
Evaluation of the total organic carbon of source rocks in lacustrine basins using the variable-coefficient ΔLgR technique — A case study of the Xujiaweizi Fault Depression in the Songliao Basin
Authors: Liu Chao , Sun Lidong , Li Jijun , Lu Shuangfang , Tian Lei , Liu Pei , Yu Jia 
Published: August 2019

To lay the foundation for the exploration of shale gas, we calculated the total organic carbon (TOC) of Shahezi Formation source rocks in the Xujiaweizi Fault Depression in the Songliao Basin by using the measuring data and the logging curves. Because the source rocks in the study area were formed in a lacustrine basin, they are characterized by strong organic heterogeneity, making it difficult to objectively characterize any changes in the TOC of the underground source rocks based on discrete and limited sampling. In addition, because the source rock is relatively rich in shale and poor in organic matter, the logging response features of high natural gamma, medium-high interval transit time, and medium-low resistivity, making it easily identified. However, because the logging parameters to predict the TOC of source rocks are not universal, it is impossible to establish a prediction equation that is universally applicable. To solve the above problems, we used the variable-coefficient [Formula: see text] technique to predict the TOC of the source rocks in the study area. We defined the two key parameters that affect the TOC prediction in the classic [Formula: see text] technique as the undetermined coefficients, and the coefficients were determined according to the logging and geologic data of the individual wells. The application results indicate that the variable-coefficient [Formula: see text] technique has an average relative error of 17.5% in the prediction of the TOC, which is 16.1% lower than that of the classic [Formula: see text] technique. Thus, the prediction results can effectively reflect the vertical variation in the TOC of source rocks. Based on the logging evaluation results for the TOC of source rocks in 35 wells throughout the study area, the thickness of the high-quality source rocks in the fourth member of the Shahezi Formation was mapped. The thickness of the high-quality source rocks in the fourth member of the Shahezi Formation is generally [Formula: see text]. There are two centers of greater thickness in the plane, with the maximum thickness of more than 70 m.
The significance of karst unconformities on overlying resource shales: Lessons learned from the Devonian Woodford Formation applied to the Permian Wolfcamp Shale
Authors: Zhang Jing , Slatt Roger 
Published: August 2019

We have summarized the threefold significance of karst unconformity boundary: (1) The development of a sequence stratigraphic model for the Devonian Woodford Shale Formation is transferable to the Upper Wolfcamp in the Permian Basin, (2) demonstration of the more general application of that model beyond the Woodford to other resource shales, and (3) illustration of a modification of common sequence stratigraphy models specifically to unconventional resource shales. During early transgression, marine encroachment into the paleolows created anoxic, hypersaline marine “pockets” conducive to the preservation of organic matter. The result is deposition of thick, laterally discontinuous, organic-rich strata stratigraphically at or near the unconformity surface. This pattern of deposition and distribution of the organic-rich shale has been well-documented in the Devonian Woodford Shale and is applicable to other resource shales, in this case to the Permian Upper Wolfcamp Formation in the Central Basin Platform of the Permian Basin. The stratigraphy of the distribution of the Upper Wolfcamp on top of the Upper/Middle Wolfcamp Unconformity is similar to that of the Woodford, suggesting a similar origin and distribution. The resulting stratigraphy in both cases resembles that of the classical Exxon sea slug model except that rather than a single organic-rich deposit defining the condensed section and maximum flooding surface, a second organic-rich deposit occurs stratigraphically lower, at or near the unconformity surface. This theoretical summary can support the discovery of potential drillable target zones in the Woodford Shale and the Wolfcamp Shale.
Concerns of Patients With Cancer on Accessing Cannabis Products in a State With Restrictive Medical Marijuana Laws: A Survey Study
Authors: Singh Vinita , Zarrabi Ali J. , Curseen Kimberly A. , Sniecinski Roman , Welsh Justine W. , McKenzie-Brown Anne M. , Baer Wendy , Gillespie Theresa W. 
Published: August 2019

PURPOSE: Several states, particularly in the Southeast, have restrictive medical marijuana laws that permit qualified patients to use specific cannabis products. The majority of these states, however, do not provide avenues for accessing cannabis products such as in-state dispensaries. METHODS: We conducted a survey of patients registered for medical marijuana (low tetrahydrocannabinol [THC] oil cards) in an ambulatory palliative care practice in Georgia (one of the states with restrictive medical marijuana laws). RESULTS: We had a total of 101 responses. Among our sample of patients who use cannabis as part of a state-approved low THC oil program, 56% were male and 64% were older than age 50 years. Advanced cancer was the most common reason (76%) for granting the patients access to a low THC oil card. Although patients reported cannabis products as being extremely helpful for reducing pain, they expressed considerable concerns about the legality issues (64%) and ability to obtain THC (68%). Several respondents were using unapproved formulations of cannabis products. For 48% of the patients, their physician was the source of information regarding marijuana-related products. Furthermore, they believed that their health care providers and family members were supportive of their use of cannabis (62% and 79%, respectively). CONCLUSION: Patients on Georgia’s medical marijuana program are most concerned about the legality of the product and their ability to obtain marijuana-related products. Therefore, we recommend that states with medical marijuana laws should provide safe and reliable access to cannabis products for qualifying patients.
A Plasmodium berghei putative serine-threonine kinase 2 (PBANKA_0311400) is required for late liver stage development and timely initiation of blood stage infection
Authors: Jillapalli Ravi , Narwal Sunil Kumar , Kolli Surendra Kumar , Mastan Babu S. , Segireddy Rameswara Reddy , Dey Sandeep , Srivastava Pratik Narain , Mishra Satish , Kumar Kota Arun 
Published: August 2019

ABSTRACT
In Plasmodium, protein kinases govern key biological processes of the parasite life cycle involved in the establishment of infection, dissemination and sexual reproduction. The rodent malaria model Plasmodium berghei encodes for 66 putative eukaryotic protein kinases (ePKs) as identified through modelling domain signatures and are highly conserved in Plasmodium falciparum. We report here the functional characterisation of a putative serine-threonine kinase PBANKA_0311400 identified in this kinome analysis and designate it as Pbstk2. To elucidate its role, we knocked out Pbstk2 locus and performed a detailed phenotypic analysis at different life cycle stages. The Pbstk2 knockout (KO) was not compromised in asexual blood stage propagation, transmission and development in the mosquito vector. The Pbstk2 KO produced viable salivary gland sporozoites that successfully transformed into exo-erythrocytic forms (EEFs) and were morphologically indistinguishable from wild-type GFP (WT GFP) with regard to size and shape until 48 h. An intravenous dose of 1×103 Pbstk2 KO sporozoites in C57BL/6 mice failed to establish blood stage infection and a higher dose of 5X103 showed a 2–3 day delay in prepatency as compared to WT GFP parasites. Consistent with such an observation, analysis of in vitro EEF development at 62 h revealed that the hepatic merozoite numbers were reduced to nearly 40% as compared to WT GFP and showed meagre expression of MSP1. Our studies provide evidence for the role of PbSTK2 in late liver stage development and for the successful establishment of a timely blood stage infection.
GPR17 is an essential regulator for the temporal adaptation of Sonic hedgehog signalling in neural tube development
Authors: Yatsuzuka Atsuki , Hori Akiko , Kadoya Minori , Matsuo-Takasaki Mami , Kondo Toru , Sasai Noriaki 
Published: August 2019

Dorsal-ventral pattern formation of the neural tube is regulated by temporal and spatial activities of extracellular signalling molecules. Sonic hedgehog (Shh) assigns ventral neural subtypes via activation of the Gli transcription factors. Shh activity in the neural progenitor cells changes dynamically during differentiation, but the mechanisms regulating this dynamicity are not fully understood.
Here we show that temporal change of the intracellular cAMP level confers the temporal Shh signal, and the purinergic-type G-protein coupled receptor GPR17 plays an essential role for this regulation. GPR17 is highly expressed in the ventral progenitor regions of the neural tube and acts as a negative regulator of the Shh signal in chick embryos. While the activation of the GPR17-related signal inhibits ventral identity, perturbation of GPR17 expression leads to aberrant expansion of ventral neural domains. Notably, perturbation of GPR17 expression partially inhibits the negative feedback of Gli activity. Moreover, GPR17 increases cAMP activity, suggesting that it exerts its function by inhibiting the processing of Gli3 protein. GPR17 also negatively regulates Shh signalling in neural cells differentiated from mouse embryonic stem cells, suggesting that GPR17 function is conserved among different organisms. Our results demonstrate that GPR17 is a novel negative regulator of Shh signalling in a wide range of cellular contexts.
Live imaging the foreign body response in zebrafish reveals how dampening inflammation reduces fibrosis
Authors: Gurevich David B. , French Kathryn E. , Collin John D. , Cross Stephen J. , Martin Paul 
Published: August 2019

ABSTRACT
Implanting biomaterials in tissues leads to inflammation and a foreign body response (FBR), which can result in rejection. Here, we live image the FBR triggered by surgical suture implantation in a translucent zebrafish model and compare with an acute wound response. We observe inflammation extending from the suture margins, correlating with subsequent avascular and fibrotic encapsulation zones: sutures that induce more inflammation result in increased zones of avascularity and fibrosis. Moreover, we capture macrophages as they fuse to become multinucleate foreign body giant cells (FBGCs) adjacent to the most pro-inflammatory sutures. Genetic and pharmacological dampening of the inflammatory response minimises the FBR (including FBGC generation) and normalises the status of the tissue surrounding these sutures. This model of FBR in adult zebrafish allows us to live image the process and to modulate it in ways that may lead us towards new strategies to ameliorate and circumvent FBR in humans.
This article has an associated First Person interview with the first author of the paper.
Developmental effects of heatwave conditions on the early life stages of a coral reef fish
Authors: Spinks Rachel K. , Munday Philip L. , Donelson Jennifer M. 
Published: August 2019

ABSTRACT
Marine heatwaves, which are increasing in frequency, duration and intensity owing to climate change, are an imminent threat to marine ecosystems. On coral reefs, heatwave conditions often coincide with periods of peak recruitment of juvenile fishes and exposure to elevated temperature may affect their development. However, whether differences in the duration of high temperature exposure have effects on individual performance is unknown. We exposed juvenile spiny damselfish, Acanthochromis polyacanthus, to increasing lengths of time (3, 7, 30 and 108 days post-hatching) of elevated temperature (+2°C). After 108 days, we measured escape performance at present-day control and elevated temperatures, standard length, mass and critical thermal maximum. Using a Bayesian approach, we show that 30 days or more exposure to +2°C leads to improved escape performance, irrespective of performance temperature, possibly owing to developmental effects of high temperature on muscle development and/or anaerobic metabolism. Continued exposure to elevated temperature for 108 days caused a reduction in body size compared with the control, but not in fish exposed to high temperature for 30 days or less. By contrast, exposure to elevated temperatures for any length of time had no effect on critical thermal maximum, which, combined with previous work, suggests a short-term physiological constraint of ∼37°C in this species. Our study shows that extended exposure to increased temperature can affect the development of juvenile fishes, with potential immediate and future consequences for individual performance.
Accelerated Organic Photoreactions in Flow Microreactors under Gas-Liquid Slug Flow Conditions Using N2 Gas as an Unreactive Substance
Authors: Nakano Momoe , Morimoto Tsumoru , Noguchi Jiro , Tanimoto Hiroki , Mori Hajime , Tokumoto Shin-ichi , Koishi Hideyuki , Nishiyama Yasuhiro , Kakiuchi Kiyomi 
Published: August 2019

Abstract
In this work, the [2+2] photocycloaddition of carbonyl compounds with olefins, the Paternò-Büchi-type photoreaction, was performed in a flow microreactor under slug flow (two-phase flow) conditions which are constructed by alternatively introducing nitrogen gas as an unreactive substance into the organic reaction phase. The use of N2 gas-liquid slug flow conditions permitted the organic photoreactions to proceed more efficiently compared to one-phase flow conditions. A detailed investigation of the influence of the flow mode, the viscosity of the solvents, and the segment length (length of each phase) on the efficiency of the photoreaction was conducted. Based on the results, we concluded that these three factors contribute to the improvement in photoreaction efficiency under slug flow conditions using N2 gas as an unreactive substance. Furthermore, the use of N2 gas as an unreactive substance was found to be applicable to other Paternò-Büchi-type photoreactions.