bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Chinese herbal medicine granules and traditional Chinese medicine–based psychotherapy for perimenopausal depression in Chinese women: a randomized controlled trial
Authors: Cao Xiao-jing , Huang Xu-chun , Wang Xiaoyun 
Published: September 2019

Abstract

Objective:
The aim of the study was to assess the effectiveness of Chinese herbal medicine combined with traditional Chinese medicine (TCM)-based psychotherapy (TBP) on perimenopausal depression (PMD).

Methods:
This multicenter, randomized, placebo-controlled clinical trial was conducted in nine hospitals in China between August 2015 and June 2017. The study included 307 women with PMD who were divided randomly into two treatment groups: the Bushen Tiaogan formula (BSTG) plus TBP (n = 156) and placebo plus TBP (n = 151). All participants underwent treatment for 8 weeks and were followed up for 4 weeks. The primary outcome measures included scores of the Greene Climacteric Scale (GCS), Self-Rating Depression Scale (SDS), and Self-Rating Anxiety Scale (SAS). Secondary outcomes included serum levels of sex hormones and lipids, as well as adverse events.

Results:
The average GCS, SDS, and SAS scores after treatment were significantly lower in the BSTG-plus-TBP group than those in the placebo-plus-TBP group, and the differences were greatest at the end of the 12th week: the average GCS scores were 10.8 in the BSTG-plus-TBP group versus 18.5 in the placebo-plus-TBP group (P < 0.001); the average SDS scores were 30.7 in the BSTG-plus-TBP group versus 45.4 in the placebo-plus-TBP group (P < 0.001); the SAS scores were 28.6 in the BSTG-plus-TBP group versus 42.6 in the placebo-plus-TBP group (P < 0.001). In addition, treatments with BSTG plus TBP significantly reduced the levels of basal follicle-stimulating hormone (P = 0.045) and triglycerides (P = 0.039) and increased the level of high-density lipoprotein cholesterol (P < 0.001) compared to placebo treatments with TBP. No serious adverse events occurred, and the safety indices of complete blood counts, renal function, and liver function were within normal ranges, before and after treatments.

Conclusions:
Treatment with BSTG formula plus TBP was more effective than TBP alone for improving PMD symptoms, sexual hormone levels, and blood lipid conditions in women with mild PMD.
Visual Perceptual Skills in Attention-deficit/Hyperactivity Disorder Children: The Mediating Role of Comorbidities
Authors: Redondo Beatriz , Molina Rubén , Cano-Rodríguez Andrea , Vera Jesús , García José Antonio , Muñoz-Hoyos Antonio , Jiménez Raimundo 
Published: September 2019

SIGNIFICANCE
Attention-deficit/hyperactivity disorder (ADHD) has been commonly associated with alterations in visual perception. However, the individual behavior of visual perceptual skills and its relationship with different comorbidities remain unknown.

PURPOSE
The purpose of this study was to examine whether visual perceptual skills are impaired in children with ADHD, as well as to test the possible mediating role of comorbidities.

METHODS
Thirty-five nonmedicated ADHD (20 pure and 15 with comorbidities) and 35 age-matched controls completed the performance-based Test of Visual Perceptual Skills.

RESULTS
The analysis between total ADHD and controls favored the alternative hypothesis (greater values for children with ADHD) for visual memory, spatial relationships, sequential memory, and all the composite measures (Bayes factor [BF] range, 4.26 to 366.85). The analysis between pure ADHD and controls showed that data are more likely under the alternative hypothesis for spatial relationships, sequential memory, overall, basic, and sequencing (BF range, 3.82 to 21.71), whereas the comparison between ADHD with comorbidities and controls additionally favored the alternative hypothesis for visual discrimination (BF = 5.37). Lastly, data from the comparison between pure ADHD and ADHD with comorbidities were insensitive for favoring the null or alternative hypotheses in any subtest or composite scaled score (BF range, 0.33 to 0.66).

CONCLUSIONS
Our results suggest that some specific patterns of visual perception are altered in ADHD, especially for the total ADHD group. The current findings also evidence that comorbidities play an important role in the association between ADHD and visual perceptual skills. Future studies should address the mediating role of each specific type of comorbidity.
Case Series: Late Postoperative Capsular Block Syndrome Causing Reduced Vision Years After Uncomplicated Cataract Surgery
Authors: Sandhaus Sarah , Flettner Juliane Grace , Mick Andrew B. 
Published: September 2019

SIGNIFICANCE
Late postoperative capsular block syndrome is a treatable complication presenting months to years after cataract surgery using continuous curvilinear anterior capsulorhexis and a posterior chamber intraocular lens implantation. Patients may present to optometric practices because of symptom onset significantly after the immediate post-operative period.

PURPOSE
The purpose of this study was to describe the defining clinical features, proposed pathophysiology, and treatment of late postoperative capsular block syndrome. Case 1 was a 68-year-old man who presented with a sudden onset of blurry vision in the right eye 2 years after uncomplicated cataract surgery. Clinical examination revealed turbid fluid distending the posterior lens capsule, a 2-D myopic shift, and an absence of intraocular inflammation. Laser posterior capsulotomy successfully released the trapped fluid and reversed the myopic shift without complication. Case 2 was a 67-year-old man who presented with a gradual onset of hazy vision in the right eye 7 years after uncomplicated cataract surgery. Cloudy fluid was observed to be filling the space between the intraocular lens and the posterior lens capsule, and the refractive error was stable. The fluid was liberated and visual function was restored with uncomplicated laser posterior capsulotomy.

CONCLUSIONS
Patients with late postoperative capsular block syndrome may present with blurry vision months to years after cataract surgery performed with continuous curvilinear capsulorhexis and posterior capsule intraocular lens implantation. The defining clinical sign is entrapment of turbid fluid between the intraocular lens and the posterior capsule that may result in reduced vision or refractive error shift. Late postoperative capsular block syndrome is distinguishable from other late complications of cataract surgery, including delayed endophthalmitis or phacoantigenic uveitis, by lack of concurrent robust ocular inflammation.
Dural Reconstruction Using Laparoscopic Gastro-omental Free Flap in Refractory Cranial Infections
Authors: Elfeki Bassem , Chang Lan Sook , Kang Byung Kwon , Eun Seokchan 
Published: September 2019

BackgroundEpidural abscesses and subdural empyema after craniotomy are potentially lethal complications in neurosurgery. Patients with recalcitrant cranial wound infections may be difficult to manage, and dural reconstruction in these patients is challenging.MethodsA total of 14 patients presented with recurrent intracranial infection after craniotomy. The symptoms and signs included persistent fever, despite prolonged systemic broad-spectrum antibiotic administration and repetitive debridement of the dural space. They underwent reconstruction with an omental free flap to cover the craniotomy defect. Microvascular anastomosis is usually performed between the gastroepiploic and superficial temporal vessels. Surgeries were performed in the chronic stages of infection, and the patients were reviewed and assessed for recurrence over the long-term postoperatively.ResultsThe postoperative course was uneventful, and flap survival was excellent in all patients. The patients were discharged with no evidence of wound discharge, and there were no reports of infection recurrence, flap failure, or donor site morbidity.ConclusionsThe use of vascularized free omentum flap was effective in cases involving intractable cranial wound infection.
Evaluation of Neurotized Hypothenar Free Perforator Flaps Used for Fingertip Reconstruction
Authors: Dağdelen Dağhan , Aksoy Alper 
Published: September 2019

Introduction
In reconstruction of digital amputations of the upper extremity, composite tissue alternatives with similar features are limited for finger tip reconstruction. Among these alternatives, free perforator flaps elevated from the hypothenar region (HFPFs) are defined, but reluctancy goes on for utilization of these flaps.
In this study, we aimed to highlight the sensory results of HFPFs when a neural repair is incorporated to the flap and also to justify their usage by presenting functional and aesthetic outcomes of the reconstructions performed with HFPFs.

Methods
This clinical study was conducted from June 2015 to June 2017. Twelve patients with acute finger tip amputations were examined. Distal amputation levels were subgrouped according to Ishikawa classification. Patient demographics and amputation etiology were listed. All fingertip defects were reconstructed with a neurotized HFPF. All perforator anastomoses were performed in an end-to-end fashion. During follow-up, 2-point discrimination and dynamometric test were conducted. In addition, the Michigan Hand Outcomes Questionnaire was carried out. Evaluation of the results from a cosmetic standpoint was also conducted, with 4 blinded, independent surgeons using the visual analog scale.

Results
Of 12 digital amputations reconstructed with neurotized HFPFs, 10 were totally viable during follow-up, whereas partial loss was observed in 2 flaps. The mean age was 38.8 ± 11.8 years. Most of the amputations were classified as Ishikawa subgroup 2 (50%). The mean dynamic 2-point discrimination was 3.2 ± 0.11 mm and slightly greater compared with contralateral digit (P = 0.003). Also minor decreases were measured in forced grip and pulp-to-pulp grip strengths (P = 0.003). Overall satisfaction was 92.7% in Michigan Hand Outcomes Questionnaire. Average visual analog scale score was 7.25 out of 10.

Conclusions
Hypothenar free perforator flaps, with incorporation of neural repair, give promising results for reconstruction of the fingertip. In addition to superior sensorial outcomes, HFPFs yield satisfying results from aesthetic and functional perspectives.
Advancements in Reconstructive Surgery Broaden Opportunities for Salvage of the Injured Lower Extremity
Authors: Assi Patrick E. , Giladi Aviram M. 
Published: September 2019

Abstract
Advancements in microsurgery have made lower extremity reconstruction possible even after major soft tissue loss or tibial nerve disruption. There is an ongoing paradigm shift in the indications for amputation versus salvage and in flap selection protocols for different areas of the lower extremity. Initial evaluation, patient selection, triage, and timing of reconstruction are essential factors that can influence functional and aesthetic outcomes. The emergence of perforator flaps and the application of new concepts such as free-style flaps, propeller perforator flaps, thinning of free flaps, and supermicrosurgery have provided reconstructive surgeons with many techniques to decrease donor-site morbidity and improve outcomes. This includes options for reconstruction on extremities with single or no adequate runoff vessels. We present a review of the major advancements in reconstructive surgery for salvage of the traumatic lower extremity.
Clinical Application of Precise Composite Breast Augmentation
Authors: Shi Yanyan , Sun Haiyang , Fang Jun , Yang Zhenyu , Jiang Ping , Tan Xiaoyan 
Published: September 2019

Objective
For thin women with little subcutaneous fat and micromastia, they could not obtain ideal results by choosing autologous fat breast augmentation or prosthesis-only breast augmentation. To address these problems, we combined autologous fat and prosthesis for breast augmentation, and the clinical results were satisfactory.

Methods
Eleven cases of composite breast augmentation from 2014 to 2017 were analyzed retrospectively. Postoperative follow-up and evaluation were completed. The operations were performed through a subaxillary incision, and the round, high-convex breast prostheses were implanted into the retropectoralis major space. Autologous fat was injected into subcutaneous, retromammary, and prepectoralis layers to cover the whole breast before and after implanting the prosthesis.

Results
The mean follow-up period was 16 months (range, 6–36 months). All patients were satisfied with the size of their breasts. Postoperative complications such as infection, vascular embolism, delayed healing incision, hematoma, and seroma were not detected. In 1 case, the sensation of a unilateral nipple-areola was decreased initially but recovered after 4 months. Long-term complications such as capsular contracture, palpable nodules, double-bubble deformity, asymmetry, poor handling, implant edge visibility, and palpability also did not occur.

Conclusion
Breast augmentation combining autologous fat and prosthesis was safe and could achieve aesthetically satisfactory results.
Dermatologic Biopsy of Silicone Nasal Implant and Revision Rhinoplasty in the Asian Patient, A Cautionary Report
Authors: Khan Saiqa , Kotick James , Khasawneh Raed , Lim Alan 
Published: September 2019

Abstract
Care provided to the Asian rhinoplasty patient may be multidisciplinary at times, including not only plastic surgeons, but also other health care professionals. It is crucial that all physicians caring for these patients practice complete awareness of the patient's prior operations and details of materials used in order to optimize results and avoid potentially devastating complications. These complications include but are not limited to implant infection and extrusion. Here the authors describe one such case report, discussing dermatologic biopsy of a silicone implant of the nasal tip and dorsum and subsequent revision rhinoplasty with implant removal and costochondral graft placement.
Combined Use of Specially-Designed Digital Surgical Guides and Pre-Formed Reconstruction Plate to Treat Bilateral Mandibular Fracture
Authors: Huang Yanling , Xia Zhuoyu , Zhang Xiaojie , Liao Xuejuan , Guo Zeyou , Ji Suhui , Long Jie 
Published: September 2019

Abstract
This paper describes the application of a modified digital surgical guide, an occlusal template and a pre-formed reconstruction titanium plate in the open reduction and internal fixation of a bilateral mandibular fracture. Bilateral mandibular fracture is a commonly encountered simple type of fracture. However, even for an experience surgeon, achieving precise treatment remains a challenge due to the movable temporomandibular joint, unstable fractured segments, the difficulty in forming a reconstruction plate, and the lack of an effective stabilizing and locating device. In this case, the surgeon used a specially-designed modified guide together with a reconstruction plate and an occlusal template to treat a bilateral mandible fracture, effectively improving the accuracy and the medical outcome of the operation, saving operation time and reducing postoperative complications.
Mixed-stock analyses among migratory, non-native Chinook salmon at-sea and assignment to natal sites in freshwater at their introduced range in South America
Authors: Musleh Selim S. , Seeb Lisa W. , Seeb James E. , Ernst Billy , Neira Sergio , Harrod Chris , Gomez-Uchida Daniel 
Published: September 2019

AbstractInvasive species with migratory behavior and complex life cycle represent a challenge for evaluating natal sites among individuals. Private and government-sponsored initiatives resulted in the successful introduction and naturalization of Chinook salmon (Oncorhynchus tshawytscha) throughout northern and southern Patagonia in South America. These migratory fish breed in freshwater, but spend most of their life at sea feeding, forming abundant populations in several watersheds draining into the southeast Pacific Ocean. We used single nucleotide polymorphisms (SNPs) combined with genetic structure and mixed-stock analyses to evaluate natal sites of Chinook salmon at-sea caught in one estuary and two coastal locations compared to reference populations from breeding sites in freshwater. Firstly, Bayesian individual-assignment analyses revealed no genetic structure among adults caught off the coast of the Toltén River and migrating (maturing) adults caught in Toltén River estuary, suggesting they likely belong to a single population. Secondly, mixed-stock genetic analyses revealed that most at-sea Chinook salmon caught in one estuary and two coastal locations likely originated from spawners from the nearest river (90-95%), with a small contribution from adjacent watersheds (5-10%). This appears consistent with Chinook salmon populations in their native range in which juveniles migrate short distances (100-200 km) from their river of origin to coastal feeding grounds, some of which became donor of propagules for non-native Chinook salmon populations under study. Mixed-stock genetic analyses provide considerable potential to identify the population of origin of Chinook salmon mixtures caught off the coast. They also seem an appropriate proof of concept to help identify potential immigrants from other watersheds as well as migration patterns and invasion pathways in a non-native species.
An Aryl Hydrocarbon Receptor from the CaecilianGymnopis multiplicataSuggests Low Dioxin Affinity in the Ancestor of All Three Amphibian Orders
Authors: Kazzaz Sarah A. , Tagliabue Sara Giani , Franks Diana G. , Denison Michael S. , Hahn Mark E. , Bonati Laura , Powell Wade H. 
Published: September 2019

AbstractThe aryl hydrocarbon receptor (AHR) plays pleiotropic roles in the development and physiology of vertebrates in conjunction with xenobiotic and endogenous ligands. It is best known for mediating the toxic effects of dioxin-like pollutants such as 2,3,7,8-tetracholordibenzo-p-dioxin (TCDD). While most vertebrates possess at least one AHR that binds TCDD tightly, amphibian AHRs bind TCDD with very low affinity. Previous analyses of AHRs fromXenopus laevis(a frog; order Anura) andAmbystoma mexicanum(a salamander; order Urodela) identified three amino acid residues in the ligand-binding domain (LBD) that underlie low-affinity binding. InX. laevisAHR1β, these are A354, A370, and N325. Here we extend the analysis of amphibian AHRs to the caecilianGymnopis multiplicata, representing the remaining extant amphibian order, Apoda.G. multiplicataAHR groups with the monophyletic vertebrate AHR/AHR1 clade. The LBD includes all three signature residues of low TCDD affinity, and a structural homology model suggests that its architecture closely resembles those of other amphibians. In transactivation assays, the EC50 for reporter gene induction by TCDD was 17.17 nM, comparable toX. laevisAhR1β (26.23 nM) andAmbystomaAHR (34.09 nM) and dramatically higher than mouse AhR (0.13 nM), a trend generally reflected in direct measures of TCDD binding. These shared properties distinguish amphibian AHRs from the high-affinity proteins typical of both more ancient vertebrate groups (teleost fish) and those that appeared more recently (tetrapods). We suggest that AHRs with low TCDD affinity represent a basal characteristic that evolved in a common ancestor of all three extant amphibian groups.Research HighlightsA caecilian aryl hydrocarbon receptor exhibits low dioxin binding and sensitivity.The protein’s ligand-binding domain resembles frog and salamander AHRs in structure and function.AHR with low dioxin affinity likely evolved in a common ancestor of all three extant amphibian groups.Graphical Abstract
Pulling the strings of cell cycle: a non-coding RNA, CcnA, modulates the master regulators CtrA and GcrA in Caulobacter crescentus
Authors: Beroual Wanassa , Prévost Karine , Lalaouna David , Zaina Nadia Ben , Valette Odile , Denis Yann , Djendli Meriem , Brasseur Gaël , Brilli Matteo , Marta Robledo Garrido , Jose-Ignacio Jimenez-Zurdo , Massé Eric , Biondi Emanuele G. 
Published: September 2019

SummaryBacteria are powerful models for understanding how cells divide and accomplish global regulatory programs. In Caulobacter crescentus, a cascade of essential master regulators supervises the correct and sequential activation of DNA replication, cell division and development of different cell types. Among them, the response regulator CtrA plays a crucial role coordinating all those functions. Here, for the first time we describe the role of a novel factor named CcnA, a cell cycle regulated ncRNA located at the origin of replication, presumably activated by CtrA and responsible for the accumulation of CtrA itself. In addition, CcnA may be also involved in the inhibition of translation of the S-phase regulator, GcrA, by interacting with its 5’ untranslated region (5’-UTR). Performing in vitro experiments and mutagenesis, we propose a mechanism of action of CcnA based on liberation (ctrA) or sequestration (gcrA) of their ribosome-binding site (RBS). Finally, its role may be conserved in other alphaproteobacterial species, such as Sinorhizobium meliloti, representing indeed a potentially conserved process modulating cell cycle in Caulobacterales and Rhizobiales.
Subpopulation identification for single-cell RNA-sequencing data using functional data analysis
Authors: Ahn Kyungmin , Fujiwara Hironobu 
Published: September 2019

AbstractBackgroundIn single-cell RNA-sequencing (scRNA-seq) data analysis, a number of statistical tools in multivariate data analysis (MDA) have been developed to help analyze the gene expression data. This MDA approach is typically focused on examining discrete genomic units of genes that ignores the dependency between the data components. In this paper, we propose a functional data analysis (FDA) approach on scRNA-seq data whereby we consider each cell as a single function. To avoid a large number of dropouts (zero or zero-closed values) and reduce the high dimensionality of the data, we first perform a principal component analysis (PCA) and assign PCs to be the amplitude of the function. Then we use the index of PCs directly from PCA for the phase components. This approach allows us to apply FDA clustering methods to scRNA-seq data analysis.ResultsTo demonstrate the robustness of our method, we apply several existing FDA clustering algorithms to the gene expression data to improve the accuracy of the classification of the cell types against the conventional clustering methods in MDA. As a result, the FDA clustering algorithms achieve superior accuracy on simulated data as well as real data such as human and mouse scRNA-seq data.ConclusionsThis new statistical technique enhances the classification performance and ultimately improves the understanding of stochastic biological processes. This new framework provides an essentially different scRNA-seq data analytical approach, which can complement conventional MDA methods. It can be truly effective when current MDA methods cannot detect or uncover the hidden functional nature of the gene expression dynamics.