bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awake versus asleep deep brain stimulation for Parkinson’s disease: a critical comparison and meta-analysis
Authors: Ho Allen L , Ali Rohaid , Connolly Ian D , Henderson Jaimie M , Dhall Rohit , Stein Sherman C , Halpern Casey H 
Published: March 2017

ObjectiveNo definitive comparative studies of the efficacy of ‘awake’ deep brain stimulation (DBS) for Parkinson’s disease (PD) under local or general anaesthesia exist, and there remains significant debate within the field regarding differences in outcomes between these two techniques.MethodsWe conducted a literature review and meta-analysis of all published DBS for PD studies (n=2563) on PubMed from January 2004 to November 2015. Inclusion criteria included patient number >15, report of precision and/or clinical outcomes data, and at least 6 months of follow-up. There were 145 studies, 16 of which were under general anaesthesia. Data were pooled using an inverse-variance weighted, random effects meta-analytic model for observational data.ResultsThere was no significant difference in mean target error between local and general anaesthesia, but there was a significantly less mean number of DBS lead passes with general anaesthesia (p=0.006). There were also significant decreases in DBS complications, with fewer intracerebral haemorrhages and infections with general anaesthesia (p<0.001). There were no significant differences in Unified Parkinson’s Disease Rating Scale (UPDRS) Section II scores off medication, UPDRS III scores off and on medication or levodopa equivalent doses between the two techniques. Awake DBS cohorts had a significantly greater decrease in treatment-related side effects as measured by the UPDRS IV off medication score (78.4% awake vs 59.7% asleep, p=0.022).ConclusionsOur meta-analysis demonstrates that while DBS under general anaesthesia may lead to lower complication rates overall, awake DBS may lead to less treatment-induced side effects. Nevertheless, there were no significant differences in clinical motor outcomes between the two techniques. Thus, DBS under general anaesthesia can be considered at experienced centres in patients who are not candidates for traditional awake DBS or prefer the asleep alternative.
3D-guided direct puncture therapeutic embolization of intracranial tumors
Authors: Caroff Jildaz , Benachour Nidhal , Ikka Léon , Nevoux Jérôme , Parker Fabrice , Da Ros Valerio , Mihalea Cristian , Iacobucci Marta , Moret Jacques , Spelle Laurent 
Published: March 2017

BackgroundDirect punctures of intracranial tumors have rarely been described in the literature.ObjectiveTo assess the feasibility, safety, efficacy, and advantages of using 3D DSA-guided direct puncture rather than the traditional transarterial route to preoperatively devascularize intracranial lesions in particular clinical situations, paying special attention to any correlation with surgical observations; we present the largest series to date.MethodsBetween July 2015 and July 2016, data from all presurgical embolizations performed in our institution were prospectively collected. Information on tumor type, location, size, eventual bone erosion, complications, devascularization percentage, and estimated blood loss was analyzed.ResultsTumors of four patients (two meningioma, two endolymphatic sac tumor) were embolized using direct puncture. 3D XperGuide planning software was used in all procedures. Embolization was feasible in all cases. In one case, a small craniotomy was specifically performed to allow needle positioning. In all cases n-butyl cyanoacrylate was used. No ischemic or hemorrhagic complications related to embolization occurred. Complete or near complete devascularization was obtained in all cases. In one case, surgery was not performed and the patient was monitored. Resection was complete without significant blood loss in two cases, and resection was incomplete but satisfactory in one case.ConclusionsIn selected cases, 3D-guided direct puncture of intracranial tumors appears safe, feasible, and efficient for preoperative embolization.
Lay beliefs about hypertension among HIV-infected adults in Kenya
Authors: Temu Tecla M , Bahiru Ehete , Bukachi Fredrick , Bloomfield Gerald S , Muiruri Peter , Farquhar Carey 
Published: March 2017

ObjectiveHypertension affects 23% of Kenyans and is the most prevalent modifiable risk factor for cardiovascular disease. Despite this, hypertension awareness and treatment adherence is very low. We conducted a qualitative study to explore lay beliefs about hypertension among HIV-infected adults to inform the development of culture sensitive hypertension prevention and control program.MethodsEight focus group discussions were held for 53 HIV-infected adults at the HIV clinic in Kenya.ResultsRespondents had difficulties in describing hypertension. Hypertension was considered a temporary illness that is fatal and more serious than HIV. Stress was perceived as a main cause for hypertension with a large majority claiming stress reduction as the best treatment modality. Alcohol and tobacco use were not linked to hypertension. Obesity was cited as a cause of hypertension but weight control was not considered as a treatment modality even though the majority of our participants were overweight. Most participants did not believe hypertension could be prevented.ConclusionOur findings suggest a limited understanding of hypertension among people living with HIV and points to an urgent need to integrate hypertension education programmes in HIV care facilities in Kenya. To effect change, these programmes will need to tie in the culture meaning of hypertension.
Structural and electrical studies of sol–gel synthesized nanocrystalline hexagonal yttrium iron manganite ceramics
Authors: Touthang Jangkhohao , Maisnam Mamata 
Published: March 2017

Hexagonal yttrium manganites, YMnO3, are interesting materials for their multiferroic behavior. Substituting suitable cations either at the Y-site or Mn-site offers great opportunities to produce a variety of manganites and tune their properties. Nanocrystalline yttrium iron manganites with the compositional formula Y[Formula: see text]Fe[Formula: see text]MnO3, [Formula: see text] = 0.0, 0.10, 0.15, 0.20 and 0.25, were synthesized by sol–gel autocombustion method. The prepared samples were heated at 1100[Formula: see text]C for 1 h. Another set of samples with compositional formula YFe[Formula: see text]Mn[Formula: see text]O3, [Formula: see text] = 0.0, 0.10, 0.15, 0.20 and 0.25, were also synthesized by the same method and heated at 1100[Formula: see text]C for 1 h. Various characterizations were done on these manganite systems synthesized by substituting iron at different sites. X-ray diffraction (XRD) technique studied the structure of the samples and analysis of XRD patterns confirmed the formation of hexagonal phase in the samples. Structural parameters such as lattice constants, crystallite size, theoretical density, etc. were determined using the XRD data. The unit cell dimensions have been found to agree with the standard data and the Debye–Scherrer crystallite size obtained from XRD data ranges from 42 nm to 77 nm. The room temperature frequency variations of electrical properties such as dielectric constant, dielectric loss and AC conductivity were measured in the range of 100 Hz–2 MHz and the variations showed a dispersive behavior for all the samples. The various measurements and the results obtained were studied and discussed in the paper.
The conical conformal MEMS quasi-end-fire array antenna
Authors: Cong Lin , Xu Lixin , Li Jianhua , Wang Ting , Han Qi 
Published: March 2017

The microelectromechanical system (MEMS) quasi-end-fire array antenna based on a liquid crystal polymer (LCP) substrate is designed and fabricated in this paper. The maximum radiation direction of the antenna tends to the cone axis forming an angle less than 90[Formula: see text], which satisfies the proximity detection system applied at the forward target detection. Furthermore, the proposed antenna is fed at the ended side in order to save internal space. Moreover, the proposed antenna takes small covering area of the proximity detection system. The proposed antenna is fabricated by using the flexible MEMS process, and the measurement results agree well with the simulation results. This is the first time that a conical conformal array antenna is fabricated by the flexible MEMS process to realize the quasi-end-fire radiation. A pair of conformal MEMS array antennas resonates at 14.2 GHz with its mainlobes tending to the cone axis forming a 30[Formula: see text] angle and a 31[Formula: see text] angle separately, and the gains achieved are 1.82 dB in two directions, respectively. The proposed antenna meets the performance requirements for the proximity detection system which has vast application prospects.
Central inhibition of initiation of swallowing by systemic administration of diazepam and baclofen in anaesthetized rats
Authors: Tsujimura Takanori , Sakai Shogo , Suzuki Taku , Ujihara Izumi , Tsuji Kojun , Magara Jin , Canning Brendan J. , Inoue Makoto 
Published: March 2017

Dysphagia is caused not only by neurological and/or structural damage but also by medication. We hypothesized memantine, dextromethorphan, diazepam, and baclofen, all commonly used drugs with central sites of action, may regulate swallowing function. Swallows were evoked by upper airway (UA)/pharyngeal distension, punctate mechanical stimulation using a von Frey filament, capsaicin or distilled water (DW) applied topically to the vocal folds, and electrical stimulation of a superior laryngeal nerve (SLN) in anesthetized rats and were documented by recording electromyographic activation of the suprahyoid and thyrohyoid muscles and by visualizing laryngeal elevation. The effects of intraperitoneal or topical administration of each drug on swallowing function were studied. Systemic administration of diazepam and baclofen, but not memantine or dextromethorphan, inhibited swallowing evoked by mechanical, chemical, and electrical stimulation. Both benzodiazepines and GABAA receptor antagonists diminished the inhibitory effects of diazepam, whereas a GABAB receptor antagonist diminished the effects of baclofen. Topically applied diazepam or baclofen had no effect on swallowing. These data indicate that diazepam and baclofen act centrally to inhibit swallowing in anesthetized rats. NEW & NOTEWORTHY Systemic administration of diazepam and baclofen, but not memantine or dextromethorphan, inhibited swallowing evoked by mechanical, chemical, and electrical stimulation. Both benzodiazepines and GABAA receptor antagonists diminished the inhibitory effects of diazepam, whereas a GABAB receptor antagonist diminished the effects of baclofen. Topical applied diazepam or baclofen was without effect on swallowing. Diazepam and baclofen act centrally to inhibit swallowing in anesthetized rats.
Reach-relevant somatosensory signals modulate tactile suppression
Authors: Gertz Hanna , Voudouris Dimitris , Fiehler Katja 
Published: March 2017

Tactile stimuli on moving limbs are typically attenuated during reach planning and execution. This phenomenon has been related to internal forward models that predict the sensory consequences of a movement. Tactile suppression is considered to occur due to a match between the actual and predicted sensory consequences of a movement, which might free capacities to process novel or task-relevant sensory signals. Here, we examined whether and how tactile suppression depends on the relevance of somatosensory information for reaching. Participants reached with their left or right index finger to the unseen index finger of their other hand (body target) or an unseen pad on a screen (external target). In the body target condition, somatosensory signals from the static hand were available for localizing the reach target. Vibrotactile stimuli were presented on the moving index finger before or during reaching or in a separate no-movement baseline block, and participants indicated whether they detected a stimulus. As expected, detection thresholds before or during reaching were higher compared with baseline. Tactile suppression was also stronger for reaches to body targets than external targets, as reflected by higher detection thresholds and lower precision of detectability. Moreover, detection thresholds were higher when reaching with the left than with the right hand. Our results suggest that tactile suppression is modulated by position signals from the target limb that are required to reach successfully to the own body. Moreover, limb dominance seems to affect tactile suppression, presumably due to disparate uncertainty of feedback signals from the moving limb. NEW & NOTEWORTHY Tactile suppression on a moving limb has been suggested to release computational resources for processing other relevant sensory events. In the current study, we show that tactile sensitivity on the moving limb decreases more when reaching to body targets than external targets. This indicates that tactile perception can be modulated by allocating processing capacities to movement-relevant somatosensory information at the target location. Our results contribute to understanding tactile processing and predictive mechanisms in the brain.
Reflex wind-up in early chronic spinal injury: plasticity of motor outputs
Authors: Johnson Michael D. , Frigon Alain , Hurteau Marie-France , Cain Charlette , Heckman C. J. 
Published: March 2017

In this study we evaluate temporal summation (wind-up) of reflexes in select distal and proximal hindlimb muscles in response to repeated stimuli of the distal tibial or superficial peroneal nerves in cats 1 mo after complete spinal transection. This report is a continuation of our previous paper on reflex wind-up in the intact and acutely spinalized cat. To evaluate reflex wind-up in both studies, we recorded electromyographic signals from the following left hindlimb muscles: lateral gastrocnemius (LG), tibialis anterior (TA), semitendinosus (ST), and sartorius (Srt), in response to 10 electrical pulses to the tibial or superficial peroneal nerves. Two distinct components of the reflex responses were considered, a short-latency compound action potential (CAP) and a longer duration bout of sustained activity (SA). These two response types were shown to be differentially modified by acute spinal injury in our previous work (Frigon A, Johnson MD, Heckman CJ. J Physiol 590: 973-989, 2012). We show that these responses exhibit continued plasticity during the 1-mo recovery period following acute spinalization. During this early chronic phase, wind-up of SA responses returned to preinjury levels in one muscle, the ST, but remained depressed in all other muscles tested. In contrast, CAP response amplitudes, which were initially potentiated following acute transection, returned to preinjury levels in all muscles except for Srt, which continued to show marked increase. These findings illustrate that spinal elements exhibit considerable plasticity during the recovery process following spinal injury and highlight the importance of considering SA and CAP responses as distinct phenomena with unique underlying neural mechanisms. NEW & NOTEWORTHY This research is the first to assess temporal summation, also called wind-up, of muscle reflexes during the 1-mo recovery period following spinal injury. Our results show that two types of muscle reflex activity are differentially modulated 1 mo after spinal cord injury (SCI) and that spinal reflexes are altered in a muscle-specific manner during this critical period. This postinjury plasticity likely plays an important role in spasticity experienced by individuals with SCI.
IL33 Promotes Colon Cancer Cell Stemness via JNK Activation and Macrophage Recruitment
Authors: Fang Min , Li Yongkui , Huang Kai , Qi Shanshan , Zhang Jian , Zgodzinski Witold , Majewski Marek , Wallner Grzegorz , Gozdz Stanislaw , Macek Pawel , Kowalik Artur , Pasiarski Marcin , Grywalska Ewelina , Vatan Linda , Nagarsheth Nisha , Li Wei , Zhao Lili , Kryczek Ilona , Wang Guobin , Wang Zheng , Zou Weiping , Wang Lin 
Published: March 2017

Abstract
The expression and biological role of IL33 in colon cancer is poorly understood. In this study, we show that IL33 is expressed by vascular endothelial cells and tumor cells in the human colon cancer microenvironment. Administration of human IL33 and overexpression of murine IL33 enhanced human and murine colon cancer cell growth in vivo, respectively. IL33 stimulated cell sphere formation and prevented chemotherapy-induced tumor apoptosis. Mechanistically, IL33 activated core stem cell genes NANOG, NOTCH3, and OCT3/4 via the ST2 signaling pathway, and induced phosphorylation of c-Jun N terminal kinase (JNK) activation and enhanced binding of c-Jun to the promoters of the core stem cell genes. Moreover, IL33 recruited macrophages into the cancer microenvironment and stimulated them to produce prostaglandin E2, which supported colon cancer stemness and tumor growth. Clinically, tumor IL33 expression associated with poor survival in patients with metastatic colon cancer. Thus, IL33 dually targets tumor cells and macrophages and endows stem-like qualities to colon cancer cells to promote carcinogenesis. Collectively, our work reveals an immune-associated mechanism that extrinsically confers cancer cell stemness properties. Targeting the IL33 signaling pathway may offer an opportunity to treat patients with metastatic cancer. Cancer Res; 77(10); 2735–45. ©2017 AACR.
NR1D1 Recruitment to Sites of DNA Damage Inhibits Repair and Is Associated with Chemosensitivity of Breast Cancer
Authors: Ka Na-Lee , Na Tae-Young , Na Hyelin , Lee Min-Ho , Park Han-Su , Hwang Sewon , Kim Il Yong , Seong Je Kyung , Lee Mi-Ock 
Published: March 2017

Abstract
DNA repair capacity is critical for survival of cancer cells upon therapeutic DNA damage and thus is an important determinant of susceptibility to chemotherapy in cancer patients. In this study, we identified a novel function of nuclear receptor NR1D1 in DNA repair, which enhanced chemosensitivity in breast cancer cells. NR1D1 inhibited both nonhomologous end joining and homologous recombination double-strand breaks repair, and delayed the clearance of γH2AX DNA repair foci that formed after treatment of doxorubicin. PARylation of NR1D1 by PARP1 drove its recruitment to damaged DNA lesions. Deletion of the ligand binding domain of NR1D1 that interacted with PARP1, or treatment of 6-(5H)-phenanthridinone, an inhibitor of PARP1, suppressed the recruitment of NR1D1 to DNA damaged sites, indicating PARylation as a critical step for the NR1D1 recruitment. NR1D1 inhibited recruitment of the components of DNA damage response complex such as SIRT6, pNBS1, and BRCA1 to DNA lesions. Downregulation of NR1D1 in MCF7 cells resulted in resistance to doxorubicin, both in vitro and in vivo. Analysis of four public patient data sets indicated that NR1D1 expression correlates positively with clinical outcome in breast cancer patients who received chemotherapy. Our findings suggest that NR1D1 and its ligands provide therapeutic options that could enhance the outcomes of chemotherapy in breast cancer patients. Cancer Res; 77(9); 2453–63. ©2017 AACR.
Defining Cancer Subpopulations by Adaptive Strategies Rather Than Molecular Properties Provides Novel Insights into Intratumoral Evolution
Authors: Ibrahim-Hashim Arig , Robertson-Tessi Mark , Enriquez-Navas Pedro M. , Damaghi Mehdi , Balagurunathan Yoganand , Wojtkowiak Jonathan W. , Russell Shonagh , Yoonseok Kam , Lloyd Mark C. , Bui Marilyn M. , Brown Joel S. , Anderson Alexander R.A. , Gillies Robert J. , Gatenby Robert A. 
Published: March 2017

Abstract
Ongoing intratumoral evolution is apparent in molecular variations among cancer cells from different regions of the same tumor, but genetic data alone provide little insight into environmental selection forces and cellular phenotypic adaptations that govern the underlying Darwinian dynamics. In three spontaneous murine cancers (prostate cancers in TRAMP and PTEN mice, pancreatic cancer in KPC mice), we identified two subpopulations with distinct niche construction adaptive strategies that remained stable in culture: (i) invasive cells that produce an acidic environment via upregulated aerobic glycolysis; and (ii) noninvasive cells that were angiogenic and metabolically near-normal. Darwinian interactions of these subpopulations were investigated in TRAMP prostate cancers. Computer simulations demonstrated invasive, acid-producing (C2) cells maintain a fitness advantage over noninvasive, angiogenic (C3) cells by promoting invasion and reducing efficacy of immune response. Immunohistochemical analysis of untreated tumors confirmed that C2 cells were invariably more abundant than C3 cells. However, the C2 adaptive strategy phenotype incurred a significant cost due to inefficient energy production (i.e., aerobic glycolysis) and depletion of resources for adaptations to an acidic environment. Mathematical model simulations predicted that small perturbations of the microenvironmental extracellular pH (pHe) could invert the cost/benefit ratio of the C2 strategy and select for C3 cells. In vivo, 200 mmol/L NaHCO3 added to the drinking water of 4-week-old TRAMP mice increased the intraprostatic pHe by 0.2 units and promoted proliferation of noninvasive C3 cells, which remained confined within the ducts so that primary cancer did not develop. A 0.2 pHe increase in established tumors increased the fraction of C3 cells and signficantly diminished growth of primary and metastatic tumors. In an experimental tumor construct, MCF7 and MDA-MB-231 breast cancer cells were coinjected into the mammary fat pad of SCID mice. C2-like MDA-MB-231 cells dominated in untreated animals, but C3-like MCF7 cells were selected and tumor growth slowed when intratumoral pHe was increased. Overall, our data support the use of mathematical modeling of intratumoral Darwinian interactions of environmental selection forces and cancer cell adaptive strategies. These models allow the tumor to be steered into a less invasive pathway through the application of small but selective biological force. Cancer Res; 77(9); 2242–54. ©2017 AACR.