bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence of Seizures in Fat Embolism Syndrome Over a 10-Year Period
Authors: Kavi Tapan , Teklemariam Ephrem , Gaughan John , Schorr Christa 
Published: May 2019

Background and Purpose:
Data regarding the incidence of seizures in patients diagnosed with fat embolism syndrome (FES) are lacking. We examined the incidence of seizures in patients with FES, and the impact of seizures on outcomes over a 10-year period.

Methods:
Using the National Inpatient Sample data set we identified adults (age 18 y old or above) with a diagnosis of FES (ICD-9 958.1) between 2005 and 2014, and categorized them according to the presence or absence of seizures. We excluded patients with a history of epilepsy or traumatic brain injury

Results:
Of the 66,227,531 discharges, we identified 1888 patients (0.003%) with FES of which 53% were male and mean age of 56 (±57.45). Seizure or epilepsy rate in patients with FES was 2.86% (1.69% with seizures and 1.16% with epilepsy), as compared with 3.6% in all hospitalized patients without FES. The Charlson Comorbidity Index for all FES patients was 2.38 (±5.28) and was similar for those with and without seizures. Hospital length of stay was higher in patients with FES and seizures versus those without seizures (14.59 vs. 10.82 d, P=0.09). No statistically significant difference in mortality was observed between the 2 groups.

Conclusions:
The rate of seizure and epilepsy in patients with FES is low when compared with rates in all hospitalized patients or in patients with other causes of acute neurological injury such as intracerebral hemorrhage, subarachnoid hemorrhage, and traumatic brain injury. Further studies are needed to provide recommendations for antiepileptic medication use in FES.
Are Elderly Patients Optimally Corrected with Spectacles in the Longer Term after Cataract Surgery?
Authors: Råen Marianne , Kristianslund Olav , Østern Atle Einar , Sandvik Gunhild Falleth , Drolsum Liv 
Published: May 2019

SIGNIFICANCEOur study suggests that patients would benefit from adjusting their distance spectacles several years after cataract surgery. This may lead to a better quality of life for these patients.PURPOSEThe purpose of this study was to determine whether patients' distance vision is optimally corrected with spectacles 6 to 7 years after cataract surgery and whether patients with glaucoma who regularly visit an ophthalmologist have more correct power in their spectacles.METHODSA total of 153 patients (153 eyes) who underwent cataract surgery with phacoemulsification at Oslo University Hospital were examined 6 to 7 years after surgery. Patients with better or equal best-corrected distance visual acuity in the study eye compared with the other eye were included (n = 90; 59%). Vision-related outcomes were measured and analyzed, including a modified version of the visual function questionnaire, Visual Function-14 (VF-14).RESULTSA significant difference was found in the logMAR score between the patients' habitual correction (if any) and those with best-corrected distance visual acuity measured at the postoperative study examination (0.20 ± 0.40 and 0.10 ± 0.39, respectively;P< .0001). Patients with glaucoma (n = 17) did not have more correct power of their spectacles than did patients without glaucoma (n = 73;P= .38). The overall mean VF-14 score was 89%, with a statistically significant correlation between a high VF-14 score and a good habitual distance correction (r= −0.82;P< .0001).CONCLUSIONSThis study indicates that, although the patients are quite satisfied with their visual function 6 to 7 years after cataract surgery, many patients are not making the most of their visual potential. Thus, there seems to be a need for better monitoring of patients' distance refraction and spectacle use for an extended period after cataract surgery.
The Impact of Presentation Mode and Technology on Reading Comprehension among Blind and Sighted Individuals
Authors: Stepien-Bernabe Natalie N. , Lei Daisy , McKerracher Amanda , Orel-Bixler Deborah 
Published: May 2019

SIGNIFICANCE
Technological advancements have made distributing reading materials in audio formats more common. Investigating how presentation mode impacts comprehension among sighted and blind individuals will inform the distribution of information to enhance comprehension.

PURPOSE
The aims were (1) to investigate the hypothesis that reading comprehension is enhanced by increased physical engagement and cognitive effort through text or braille and (2) to explore how assistive technology impacts comprehension for blind individuals.

METHODS
In a within-subjects design, 31 sighted and 34 blind participants read and listened to scientific passages and verbally answered free-response questions about what they read and heard. For sighted participants, passages were presented in text and human voice actor recordings. For blind participants, passages were presented with hard-copy braille, a refreshable braille display, voice actor recordings, and a screen reader.

RESULTS
Comprehension scores were analyzed using mixed-effects regression and pairwise comparisons on the estimated marginal means. In study 1, the comprehension difference between text or hard-copy braille and the voice actor formats was assessed to address the first aim. Sighted participants had better comprehension with text (mean, 74.8%; 95% confidence interval [CI], 70.5 to 79.1%) than with a voice actor (mean, 69.7%; 95% CI, 65.4 to 74.0%; P = .02), and blind participants had superior comprehension with hard-copy braille (mean, 70.4%; 95% CI, 63.3 to 77.5%) than with a voice actor (mean, 61.9%; 95% CI, 54.7 to 69.0%; P = .03). In study 2, the comprehension differences among blind participants between the four formats were investigated to address the second aim. Comprehension was better with hard-copy braille (mean, 70.6%; 95% CI, 63.4 to 77.7%) than with a screen reader (mean, 60.7%; 95% CI, 53.5 to 67.9%; P = .02) and better with a braille display (mean, 69.7%; 95% CI, 62.5 to 76.9%) than with a screen reader (P = .04).

CONCLUSIONS
Study 1 supports the hypothesis that more physically engaging tasks enhance comprehension, and study 2 suggests that listening to scientific materials using a synthesized voice may reduce comprehension ability compared with hard-copy braille and braille displays.
Club Cell Protein, CC10, Attenuates Acute Respiratory Distress Syndrome Induced by Smoke Inhalation
Authors: Lopez Ernesto , Fujiwara Osamu , Nelson Christina , Winn Melissa E. , Clayton Richard S. , Cox Robert A. , Hawkins Hal K. , Andersen Clark R. , Wade Charles E. , Hariprakasha Humcha , Prough Donald S. , Pilon Aprile L. , Enkhbaatar Perenlei 
Published: May 2019

ABSTRACT

Objectives:
To evaluate the dose effects of Recombinant human Club cell 10-kDa protein (rhCC10) on lung function in a well-characterized ovine model of acute respiratory distress syndrome (ARDS) induced by smoke inhalation injury (SII); specifically, the potential of rhCC10 protein to control the inflammatory response and protect pulmonary tissue and function following SII.

Design:
Randomized, controlled, prospective, and large animal translational studies.

Setting:
University large animal intensive care unit.

Subjects:
Thirty-six adult female sheep were surgically prepared and allocated into five groups (Sham (no SII), n = 6; 1 mg/kg/d CC10, n = 8; 3 mg/kg/d CC10, n = 7; 10 mg/kg/d CC10, n = 8; Control SII, n = 7).

Interventions:
All groups except the sham group were subjected to SII with cooled cotton smoke. Then, the animals were placed on a ventilator, treated with 1, 3, and 10 mg/kg/d of intravenous rhCC10 or vehicle, divided evenly into two administrations per day every 12 h, fluid resuscitated, and monitored for 48 h in a conscious state.

Measurements and main results:
The group treated with 10 mg/kg/d rhCC10 attenuated changes in the following variables: PaO2/FiO2 ratio, oxygenation index, and peak inspiratory pressure; neutrophil content in the airway and myeloperoxidase levels; obstruction of the large and small airways; systemic leakage of fluid and proteins, and pulmonary edema.

Conclusions:
In this study, high-dose rhCC10 significantly attenuated ARDS progression and lung dysfunction and significantly reduced systemic extravasation of fluid and proteins, normalizing fluid balance. Based on these results, rhCC10 may be considered a novel therapeutic option for the treatment of SII-induced ARDS.
Emerging pharmacological therapies in fragile X syndrome and autism
Authors: Yamasue Hidenori , Aran Adi , Berry-Kravis Elizabeth 
Published: May 2019

Purpose of review
Research on the pathophysiology of syndromic autism spectrum disorder (ASD) has contributed to the uncovering of mechanisms in nonsyndromic ASD. The current review aims to compare recent progress in therapeutics development for ASD with those for fragile X syndrome (FXS), the most frequent monogenic form of ASD.

Recent findings
Although candidates such as oxytocin, vasopressin, and cannabinoids are being tested as novel therapeutics, it remains difficult to focus on a specific molecular target of drug development for ASD core symptoms. As the pathophysiology of FXS has been well described as having a causal gene, fragile X mental retardation-1, development of therapeutic agents for FXS is focused on specific molecular targets, such as metabotropic glutamate receptor 5 and GABAB receptor.

Summary
There is a large unmet medical need in ASD, a heterogeneous and clinically defined behavioral syndrome, owing to its high prevalence in the general population, lifelong cognitive and behavioral deficits, and no established treatment of ASD core symptoms, such as deficits in social communication and restrictive repetitive behaviors. The molecular pathogenesis of nonsyndromic ASD is largely undefined. Lessons from initial attempts at targeted treatment development in FXS, and new designs resulting from these lessons, will inform trials in nonsyndromic ASD for development of therapeutics for its core symptoms.
Curcumin as Add-On to Antipsychotic Treatment in Patients With Chronic Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled Study
Authors: Miodownik Chanoch , Lerner Vladimir , Kudkaeva Natalie , Lerner Paul P. , Pashinian Artashez , Bersudsky Yuly , Eliyahu Ronen , Kreinin Anatoly , Bergman Joseph 
Published: May 2019

Background
Introduction of old and new generations of antipsychotics leads to significant improvements in the positive symptoms of schizophrenia. However, negative symptoms remain refractory to conventional trials of antipsychotic therapy. Recently, there were several open clinical human trials with curcumin. Curcumin is a natural polyphenol, which has a variety of pharmacological activities, including antioxidative and neuroprotective effects. The studies showed that curcumin improved the negative symptoms of schizophrenia. The purpose of our study was to examine the efficacy of curcumin as an add-on agent to regular antipsychotic medications in patients with chronic schizophrenia.

Methods
Thirty-eight patients with chronic schizophrenia were enrolled in a 24-week, double-blind, randomized, placebo-controlled study. The subjects were treated with either 3000 mg/d curcumin or placebo combined with antipsychotics from January 2015 to February 2017. The outcome measures were the Positive and Negative Symptoms Scale (PANSS) and the Calgary Depression Scale for Schizophrenia.

Results
Analysis of variance showed significant positive changes in both groups from baseline to the end of the study in all scales of measurement. There was a significant response to curcumin within 6 months in total PANSS (P = 0.02) and in the negative symptoms subscale (P = 0.04). There were no differences in the positive and general PANSS subscales, and the Calgary Depression Scale for Schizophrenia scores between the treatment and placebo groups. No patient complained of any adverse effect.

Conclusions
The promising results of curcumin as an add-on to antipsychotics in the treatment of negative symptoms may open a new and safe therapeutic option for the management of schizophrenia. However, these results should be replicated in further studies.

ClinicalTrials.gov Identifier: NCT 02298985
A Spatiomolecular Map of the Striatum
Authors: Märtin Antje , Calvigioni Daniela , Tzortzi Ourania , Fuzik Janos , Wärnberg Emil , Meletis Konstantinos 
Published: May 2019

SUMMARYThe striatum is organized into two major outputs formed by striatal projection neuron (SPN) subtypes with distinct molecular identities. In addition, the histochemical division into patch and matrix compartments represents an additional spatial organization, proposed to mirror a functional specialization in a motor-motivation dimension. To map the molecular diversity of SPNs in the context of the patch and matrix division, we genetically labeled mu-opioid receptor (Oprm1) expressing striatal neurons and performed single-nucleus RNA sequencing (snRNA-seq). This allowed us to establish new molecular definitions of the patch-matrix compartments, resulting in a molecular code for mapping patch SPNs at the cellular level. In addition, Oprm1 expression labeled exopatch SPNs, which we found to be molecularly distinct from both patch as well as neighboring matrix SPNs, thereby forming a separate molecular entity. At the cell-type level, we found an unexpected SPN diversity, leading to the identification of a new Col11a1+ striatonigral SPN type. At the tissue level, we found that mapping the spatial expression of a number of markers revealed new definitions of spatial domains in the striatum, which were conserved in the non-human primate brain. Interestingly, the spatial markers were cell-type independent and instead represented a spatial code that was found across all SPNs within a spatially restricted domain. This spatiomolecular map establishes a formal system for targeting and studying the striatal subregions and SPNs subtypes, beyond the classical striatonigral and striatopallidal division.
Unicellular Cyanobacteria Exhibit Light-Driven, Oxygen-Tolerant, Constitutive Nitrogenase Activity Under Continuous Illumination
Authors: Young James , Gu Liping , Hildreth Michael , Zhou Ruanbao 
Published: May 2019

AbstractCyanobacteria have played a profound role in shaping the biosphere, most notably through the Great Oxygenation Event (GOE) with the advent of photosynthesis1. Cyanobacteria also contribute to global primary production through biological nitrogen fixation (BNF) using nitrogenase2,3, an oxygen-labile enzyme complex that evolutionarily predates the GOE4. Current literature reports nitrogenase activity in unicellular cyanobacteria is protected from oxygen through diurnal separation of photosynthesis and BNF5. However, historic conditions of continuous-light and warm temperature at polar latitudes during the Triassic and Cretaceous may have created a selective advantage amongst unicellular cyanobacteria for non-temporal mechanisms of maintaining nitrogenase activity in the presence of oxygen. Here we report constitutive nitrogenase activity concurrent with a net-gain of oxygen through photosynthesis in a continuous-light adapted culture of the unicellular cyanobacteria, Cyanothece sp. ATCC 51142. Nitrogenase activity in the adapted culture exhibited dependence on light and an increased resilience to artificially raised oxygen-tension compared to traditional culture. We predict cyanobacteria closely related to Cyanothece sp. ATCC 51142 also possess this physiology and found an accessory predicted proteome with functional relevance. This work provides a model of light-driven, oxygen-tolerant, constitutive nitrogenase activity and suggests this physiology may be conserved in closely related unicellular diazotrophic cyanobacteria with implications for primary production in polar ecosystems and potential biotechnological application in sustainable agriculture production.
Harvesting-induced evolution of collective risk-taking behavior and changes to the circadian system in a fish
Authors: Sbragaglia Valerio , López-Olmeda Jose Fernando , Frigato Elena , Bertolucci Cristiano , Arlinghaus Robert 
Published: May 2019

ABSTRACTIntensive and trait-selective harvesting of fish and wildlife can cause evolutionary changes in a range of life-history and behavioural traits. These changes might in turn alter the circadian system both at behavioral and molecular levels, with knock-on effects on daily physiological processes and behavioural outputs. We examined the evolutionary impact of size-selective mortality on collective risk-taking behavior and the circadian system in a model fish species. We exposed zebrafish (Danio rerio) to either large or small size-selective mortality relative to a control over five generations, followed by eight generations during which harvesting halted to remove maternal effects. Large size-selective mortality typical of many fisheries and specialized predators targeting larger size classes decreased collective risk-taking behavior compared to controls. The opposite occurred in response to small size-selective mortality typical of specialized fisheries and most gape-limited predators. The evolutionary changes in risk-taking behavior were linked to daily activity rhythms in response to small size-selective mortality, while no changes were observed in response to large size-selective mortality. We also found changes in the molecular circadian core clockwork in response to both size selective mortality treatments. These changes disappeared in the clock output pathway, resulting in similar transcription profiles of both size-selected lines. The results suggest a switch downstream to the molecular circadian core clockwork, leading to overall similar daily activity patterns across selection lines. Our experimental harvest left an evolutionary legacy in collective risktaking behavior and relatedly in the circadian system, both at behavioral and molecular levels. Changes to risk-sensitive behavior of exploited organisms can have far-reaching consequences for how space and time is used and may also affect catchability and natural predation.
Binaural Beats through the auditory pathway: from brainstem to connectivity patterns
Authors: Perez Hector D Orozco , Dumas Guillaume , Lehmann Alexandre 
Published: May 2019

AbstractBinaural beating is a perceptual auditory illusion occurring when presenting two neighboring frequencies to each ear separately. Binaural beats have been attributed to several controversial claims regarding their ability to modulate brain activity and mood, in both the scientific literature and the marketing realm. Here, we sought to address those questions in a robust fashion using a single-blind, sham-controlled protocol. To do so, we characterized responses to theta and gamma binaural beats and “sham” stimulation (monaural beats) across four distinct levels: subcortical and cortical entrainment, scalp-level Functional Connectivity and self-reports. Both stimuli elicited standard subcortical responses at the pure tone frequencies of the stimulus (i.e., Frequency Following Response), and entrained the cortex at the beat frequency (i.e., Auditory Steady State Response). Furthermore, Functional Connectivity patterns were modulated differentially by both kinds of stimuli, with binaural beats being the only one eliciting cross-frequency activity. Despite this, we did not find any mood modulation related to our experimental manipulation. Our results provide evidence that binaural beats elicit cross frequency connectivity patterns, but weakly entrain the cortex when compared to a sham stimulus. Whether these patterns have an impact in cognitive performance or other mood measurements remains to be seen.Significance StatementBinaural beats have been a source of speculation and debate in the scientific community. Our study addresses pseudo-scientific marketing claims and approaches them using proper experimental control and state-of-the-art signal processing techniques. Here we show that binaural beats can both entrain the cortex and elicit specific connectivity patterns. Regardless of this, our sham condition was able to entrain the cortex more strongly, and both binaural beats and the sham condition failed to regulate mood. All in all, though binaural beats weakly entrain cortical activity and elicit complex patterns of connectivity, the functional significance (if any) of these patterns remains an open question.
Myosin II Tension Sensors Visualize Force Generation within the Actin Cytoskeleton in Living Cells
Authors: Hart Ryan G. , Kota Divya , Li Fangjia , Ramallo Diego , Price Andrew J. , Otterpohl Karla L. , Smith Steve J. , Dunn Alexander R. , Liu Jing , Chandrasekar Indra 
Published: May 2019

AbstractType II myosin motors generate cytoskeletal forces that are central to cell division, embryogenesis, muscle contraction, and many other cellular functions. However, at present there is no method that can directly measure the forces generated by myosins in living cells. Here we describe a Förster resonance energy transfer (FRET)-based tension sensor that can measure forces generated by Nonmuscle Myosin IIB (NMIIB) in living cells with piconewton (pN) sensitivity. Fluorescence lifetime imaging microscopy (FLIM)-FRET measurements indicate that the forces generated by NMIIB exhibit significant spatial and temporal heterogeneity, with inferred tensions that vary widely in different regions of the cell. This initial report highlights the potential utility of myosin-based tension sensors in elucidating the roles of cytoskeletal contractility in a wide variety of contexts.
Evidence for shared conceptual representations for sign and speech
Authors: Evans Samuel , Price Cathy , Diedrichsen Jörn , Gutierrez-Sigut Eva , MacSweeney Mairéad 
Published: May 2019

AbstractDo different languages evoke different conceptual representations? If so, greatest divergence might be expected between languages that differ most in structure, such as sign and speech. Unlike speech bilinguals, hearing sign-speech bilinguals use languages conveyed in different modalities. We used functional magnetic resonance imaging and representational similarity analysis (RSA) to quantify the similarity of semantic representations elicited by the same concepts presented in spoken British English and British Sign Language in hearing, early sign-speech bilinguals. We found shared representations for semantic categories in left posterior middle and inferior temporal cortex. Despite shared category representations, the same spoken words and signs did not elicit similar neural patterns. Thus, contrary to previous univariate activation-based analyses of speech and sign perception, we show that semantic representations evoked by speech and sign are only partially shared. This demonstrates the unique perspective that sign languages and RSA provide in understanding how language influences conceptual representation.