bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ideas, structures, and the (un)conventional politics of minority rights in Romania and Ukraine
Authors: Fedotov Egor 
Published: June 2017

AbstractThis article uses a paired comparison of ethnic politics in postcommunist Romania and post-Soviet Ukraine to explore the example of language policy implementation, empirically speaking. It argues that the (variable) behaviours of linguistic minority elites—the Hungarians in Romania and the Russophones in Ukraine—are driven by elites’ ideas (or ideational elements), theoretically speaking. In Romania, a politics of interethnic compromise and thequid pro quogained the upper hand. In Ukraine, a politics of confrontation carried the day. In these two cases, the divergence—in behavioural terms—had had far-reaching political consequences, the latter affecting the level of cooperation and the amount of trust amongst the ethnic groups. These findings enrich our understanding of the behaviour of these particular groups in politics and of the policies toward them.
Using Hydroacoustics to Describe Pelagic Fish Distribution in the Penobscot Estuary, Maine
Authors: O'Malley Michael B. , Saunders Rory , Stevens Justin R. , Jech J. Michael , Sheehan Timothy F. 
Published: June 2017

AbstractTemperate estuaries are inherently variable and productive ecosystems that provide nursery habitat, migration pathways, and forage areas for diadromous, estuarine, and marine fish. We used multifrequency scientific echo sounders (SIMRAD EK60 split‐beam, 38 and 120 kHz) to describe the distribution of pelagic fish in the Penobscot River estuary, Maine, in 2012 and 2013. Differences in responses between frequencies were used to distinguish fish from other biota. Acoustic area backscatter from echo integration (sA [m2/nautical mile2], a common measure proportional to fish density) and target strength (TS; dB re 1 m2, an acoustic measure of fish size) distributions varied with season and salinity. Overall, the sA and TS distributions were similar in both years, with detectable spatial and temporal patterns. The highest value of sA occurred in July of both years, when dense schools of fish were detected in higher‐salinity areas of the lower estuary. The middle estuary had high sA values in April both years, particularly in the vicinity of the seawater–freshwater interface. The mixing area in the middle estuary stratum appears to be important fish habitat; we found fish in this area throughout the year. Fish of variable TS were using this mixing zone throughout the survey period. In full freshwater, upstream from the salinity mixing area, sA was generally low. The majority (~77%) of discrete fish detected had TS values less than −42 dB. The TS distributions varied seasonally, with the highest TS measurements occurring more frequently in April and May and the lowest ones occurring most frequently in July and August. This study demonstrates the efficacy of using a mobile hydroacoustic survey to assess pelagic fish distribution in a complex estuary and may provide a template for long‐term monitoring in dynamic estuarine ecosystems.Received November 3, 2016; accepted March 15, 2017 Published online June 20, 2017
Spatial and Temporal Variation in the Diets of Pacific Staghorn Sculpins Related to Hydrological Factors in a Glacially Influenced Estuary
Authors: Whitney Emily J. , Beaudreau Anne H. , Duncan Douglas H. 
Published: June 2017

AbstractIn southeastern Alaska, a large volume of freshwater flows into estuaries from thinning and retreating glaciers and from high rainfall in the surrounding coastal temperate rainforest. Freshwater runoff to the coast affects the physical and chemical properties of estuarine habitats and, in turn, the structure and dynamics of biological communities. This study quantified temporal and spatial variation in the diets of Pacific Staghorn Sculpins Leptocottus armatus as an important step toward understanding how climate‐driven changes in freshwater runoff may translate into shifts in the feeding ecology of a highly abundant consumer in estuaries along the west coast of North America. Stomach contents of Staghorn Sculpins were collected monthly (April–September 2014) from three intertidal sites at the mouths of rivers that differ in their headwater hydrology. Staghorn Sculpins (N = 402) consumed a variety of marine prey items including epibenthic invertebrates, juvenile fishes, and terrestrial and aquatic insects. Based on a multivariate analysis of similarity, diet composition showed weak to moderate differences across sampling months and sites. Diet differences reflected seasonal shifts in the contributions of freshwater‐tolerant marine invertebrates and young of the year fishes. The greatest site differences were observed between the Cowee Creek estuary and Mendenhall River estuary, the watersheds with the lowest and highest glacial coverage, respectively. Overall, the generalist feeding behavior of Staghorn Sculpins and their consumption of prey items that are well adapted to brackish and freshwater conditions suggest that these fish are resilient to changes in estuarine conditions associated with increasing freshwater runoff.
Final report on APMP.M.M.K4.1—bilateral comparison of 1 kg stainless steel mass standards between KRISS and A*STAR
Authors: Chung J W , Lee S M , Lee S J 
Published: June 2017

This report describes a bilateral comparison of 1 kg stainless steel mass standard between the Korea Research Institute of Standards and Science (KRISS), and the National Measurement Centre, Agency for Science, Technology and Research (A*STAR), Singapore, which is registered in the BIPM KCDB as APMP.M.M-K4.1. This nominal value was chosen as it followed the nominal value of CCM.M-K4. This bilateral comparison was piloted by KRISS. The transfer weight was delivered to A*STAR from KRISS in April 2015 and received back from A*STAR in October 2015. A*STAR are aiming to improve their calibration measurement capability (CMC) for mass of 1 kg. KRISS participated in both this comparison and CCM.M-K4, providing a link between the A*STAR result and the KCRV of CCM.M-K4. The final report of this comparison is given in this document.

Main text

To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/.
The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).
Acute Kidney Injury and Urinary Biomarkers in Human Immunodeficiency Virus–Associated Cryptococcal Meningitis
Authors: Schutz Charlotte , Boulware David R. , Huppler-Hullsiek Katherine , von Hohenberg Maximilian , Rhein Joshua , Taseera Kabanda , Thienemann Friedrich , Muzoora Conrad , Meya David B. , Meintjes Graeme 
Published: June 2017

Abstract

Background
Cryptococcus is the most common etiology of adult meningitis in Africa. Amphotericin B deoxycholate remains paramount to treatment, despite toxicities, including acute kidney injury (AKI). We assessed the ability of the following urine markers to predict AKI in patients who received amphotericin B: urine neutrophil gelatinase-associated lipocalin (NGAL), cystatin C (CysC), tissue inhibitor of metalloproteinases-2 (TIMP-2), and protein.

Methods
One hundred and thirty human immunodeficiency virus (HIV)–infected participants with cryptococcal meningitis were enrolled and received amphotericin and fluconazole for 2 weeks. We defined AKI as glomerular filtration rate (GFR) &lt; 60 mL/min/1.73 m2; measured urine NGAL, CysC, TIMP-2, and protein; and explored AKI incidence, risk factors, and associations with mortality using Cox proportional hazards models.

Results
Participants were 48% female with a median age of 35 years, a median CD4 count of 21 cells/μL, and 44% died within 12 months. Incident AKI occurred in 42% and was associated with mortality (adjusted hazard ratio [aHR] = 2.8; P &lt; .001). Development of AKI was associated with female sex (P = .04) and with higher CD4 count (49 vs 14 cells/μL; P &lt; .01). Urine protein level in the highest quartile independently predicted AKI and mortality (aHR = 1.64, P = .04; aHR = 2.13, P = .02, respectively). Urine NGAL levels in the highest quartile independently predicted AKI (aHR = 1.65; P = .04).

Conclusions
Acute kidney injury occurred in 42% of patients, and AKI was associated with mortality. Urine biomarkers, specifically urine protein, may be useful for antecedent prediction of amphotericin-associated AKI but need further evaluation.
Evaluation of Viral Surrogate Markers for Study of Pathogen Dissemination During Simulations of Patient Care
Authors: Alhmidi Heba , John Amrita , Mana Thriveen C. , Koganti Sreelatha , Cadnum Jennifer L. , Shelton Melissa B. , Donskey Curtis J. 
Published: June 2017

Abstract
During patient care simulations, cauliflower mosaic virus DNA and bacteriophage MS2 performed similarly as surrogate markers of pathogen dissemination. These markers disseminated to the environment in a manner similar to Clostridium difficile spores but were more frequently detected on skin and clothing of personnel after personal protective equipment removal.
The Effect of Smallpox and Bacillus Calmette-Guérin Vaccination on the Risk of Human Immunodeficiency Virus-1 Infection in Guinea-Bissau and Denmark
Authors: Rieckmann Andreas , Villumsen Marie , Jensen Mette Lundsby , Ravn Henrik , da Silva Zacarias J , Sørup Signe , Baker Jennifer Lyn , Rodrigues Amabélia , Benn Christine Stabell , Roth Adam E , Aaby Peter 
Published: June 2017

Abstract

Background
The live smallpox and Bacillus Calmette-Guérin (BCG) vaccinations have been associated with better adult survival in both Guinea-Bissau and Denmark. In Guinea-Bissau, human immunodeficiency virus (HIV)-1 became an important cause of death after smallpox vaccination was phased out globally in 1980. We hypothesised that smallpox and BCG vaccinations were associated with a lower prevalence of HIV-1 infection, and we tested this hypothesis in both Guinea-Bissau and Denmark.

Methods
We conducted 2 studies: (1) a cross-sectional study of HIV infection and vaccination scars in Guinea-Bissau including 1751 individuals and (2) a case-base study with a background population of 46239 individuals in Denmark. In Guinea-Bissau, HIV-1 transmission was almost exclusively sexually transmitted. In Denmark, we excluded intravenous drug users. Data were analyzed using logistic regression.

Results
Bacillus Calmette-Guérin and/or smallpox vaccination compared with neither of these vaccines was associated with an adjusted odds ratio (aOR) for HIV-1 of 0.62 (95% confidence interval [CI], 0.36–1.07) in Guinea-Bissau and 0.70 (95% CI, 0.43–1.15) in Denmark. We combined the results from both settings in a meta-analysis (aOR = 0.66; 95% CI, 0.46–0.96). Data from Guinea-Bissau indicated a stronger effect of multiple smallpox vaccination scars (aOR = 0.27; 95% CI, 0.10–0.75) as follows: women, aOR = 0.18 (95% CI, 0.05–0.64); men, aOR = 0.52 (95% CI, 0.12–2.33); sex-differential effect, P = .29.

Conclusions
The studies from Guinea-Bissau and Denmark, 2 very different settings, both suggest that the BCG and smallpox vaccines could be associated with a decreased risk of sexually transmitted HIV-1. It might be informative to pursue this observation and explore possible protective mechanisms as part of the search for an HIV-1 vaccine.
Revised National Estimates of Emergency Department Visits for Sepsis in the United States*
Authors: Wang Henry E. , Jones Allison R. , Donnelly John P. 
Published: June 2017

Objectives:
The emergency department is an important venue for initial sepsis recognition and care. We sought to determine contemporary estimates of the epidemiology of U.S. emergency department visits for sepsis.

Design:
Analysis of data from the National Hospital Ambulatory Medical Care Survey.

Setting:
U.S. emergency department visits, 2009–2011.

Patients:
Adult (age, ≥ 18 yr) emergency department sepsis patients. We defined serious infection as an emergency department diagnosis of a serious infection or a triage temperature greater than 38°C or less than 36°C. We defined three emergency department sepsis classifications: 1) original emergency department sepsis—serious infection plus emergency department diagnosis of organ dysfunction, endotracheal intubation, or systolic blood pressure less than or equal to 90 mm Hg or explicit sepsis emergency department diagnoses; 2) quick Sequential Organ Failure Assessment emergency department sepsis—serious infection plus presence of at least two “quick” Sequential Organ Failure Assessment criteria (Glasgow Coma Scale ≤ 14, respiratory rate ≥ 22 breaths/min, or systolic blood pressure ≤ 100 mm Hg); and 3) revised emergency department sepsis—original or quick Sequential Organ Failure Assessment emergency department sepsis.

Interventions:
None.

Measurements and Main Results:
We used survey design and weighting variables to produce national estimates of annual adult emergency department visits using updated sepsis classifications. Over 2009–2011, there were 103,257,516 annual adult emergency department visits. The estimated number of emergency department sepsis visits were as follows: 1) original emergency department sepsis 665,319 (0.64%; 95% CI, 0.57–0.73); 2) quick Sequential Organ Failure Assessment emergency department sepsis 318,832 (0.31%; 95% CI, 0.26–0.37); and 3) revised emergency department sepsis 847,868 (0.82%; 95% CI, 0.74–0.91).

Conclusions:
Sepsis continues to present a major burden to U.S. emergency departments, affecting up to nearly 850,000 emergency department visits annually. Updated sepsis classifications may impact national estimates of emergency department sepsis epidemiology.
Levosimendan Prevents and Reverts Right Ventricular Failure in Experimental Pulmonary Arterial Hypertension
Authors: Hansen Mona Sahlholdt , Andersen Asger , Holmboe Sarah , Schultz Jacob Gammelgaard , Ringgaard Steffen , Simonsen Ulf , Happé Chris , Bogaard Harm Jan , Nielsen-Kudsk Jens Erik 
Published: June 2017

Background:
We investigated whether chronic levosimendan treatment can prevent and revert right ventricular (RV) failure and attenuate pulmonary vascular remodeling in a rat model of pulmonary arterial hypertension (PAH).

Methods and Results:
PAH was induced in rats by exposure to SU5416 and hypoxia (SuHx). The rats were randomized to levosimendan (3 mg·kg−1·d−1) initiated before SuHx (n = 10, PREV), levosimendan started 6 weeks after SuHx (n = 12, REV), or vehicle treatment (n = 10, VEH). Healthy control rats received vehicle (n = 10, CONT). Ten weeks after SuHx, RV function was evaluated by echocardiography, magnetic resonance imaging, invasive pressure–volume measurements, histology, and biochemistry. Levosimendan treatment improved cardiac output (VEH vs. PREV 77 ± 7 vs. 137 ± 6 mL/min; P < 0.0001; VEH vs. REV 77 ± 7 vs. 117 ± 10 mL/min; P < 0.01) and decreased RV afterload compared with VEH (VEH vs. PREV 219 ± 33 vs. 132 ± 20 mm Hg/mL; P < 0.05; VEH vs. REV 219 ± 33 vs. 130 ± 11 mm Hg/mL; P < 0.01). In the PREV group, levosimendan restored right ventriculoarterial coupling (VEH vs. PREV 0.9 ± 0.1 vs. 1.8 ± 0.3; P < 0.05) and prevented the development of pulmonary arterial occlusive lesions (VEH vs. PREV 37 ± 7 vs. 15 ± 6% fully occluded lesions; P < 0.05).

Conclusion:
Chronic treatment with levosimendan prevents and reverts the development of RV failure and attenuates pulmonary vascular remodeling in a rat model of PAH.
Direct to Implant Reconstruction in Nipple Sparing Mastectomy: Patient Selection by Preoperative Digital Mammogram
Authors: Rancati Alberto O. , Angrigiani Claudio H. , Hammond Dennis C. , Nava Maurizio B. , Gonzalez Eduardo G. , Dorr Julio C. , Gercovich Gustavo F. , Rocco Nicola , Rostagno Roman L. 
Published: June 2017

Background:
Digital mammography clearly distinguishes gland tissue density from the overlying nonglandular breast tissue coverage, which corresponds to the existing tissue between the skin and the superficial layer of the fascia superficialis surrounding the gland (i.e., dermis and subcutaneous fat). Preoperative digital imaging can determine the thickness of this breast tissue coverage, thus facilitating planning and reducing the rate of necrotic complications after direct to implant (DTI) reconstruction in nipple sparing mastectomy (NSM).

Methods:
Thirty NSMs in 22 patients with type 3 tissue coverage (subcutaneous tissue thickness of 2 cm or more) were selected for DTI reconstruction after NSM to evaluate immediate skin flap/nipple areola complex ischemic complications and patient satisfaction.

Results:
We experienced no wound healing problems or ischemic complications immediately after surgery in our population. Only 1 seroma was observed as a short-term complication. Quality of life and patients’ satisfaction level were optimal at 3 and 6 months follow-up, respectively. The aesthetic results have been evaluated as good/excellent in all cases.

Conclusions:
DTI immediate reconstruction with silicone implants following NSM appears to be a safe option in selected cases with enough tissue coverage, also providing a high level of patient satisfaction. The possibility of selecting cases for this procedure according to the preoperative digital mammogram showing more than 2 cm of superficial tissues thickness may help reducing the risk of immediate ischemic complications.
INTRAOPERATIVE IMAGING OF RETAINED PERFLUOROCARBON LIQUID USING SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY
Authors: Strampe Margaret R. , Kaehr Mark M. , Carroll Joseph , Kim Judy E. 
Published: June 2017

Purpose:
To report images of retained perfluorocarbon liquid (PFCL) on the surface of the retina obtained during an intraoperative use of hand-held spectral domain optical coherence tomography.

Methods:
A 54-year-old man underwent pars plana vitrectomy with injection of PFCL to repair retinal detachment. Postoperatively, visually significant PFCL droplets were found to be retained in the eye. During the surgical removal of PFCL, a hand-held spectral domain optical coherence tomography was used to image the retina with the patient supine.

Results:
Spectral domain optical coherence tomography images of the retained PFCL illustrated magnification of the areas of the outer retina underlying PFCL bubbles. The images obtained had some similarities to the patient's own observation of “floaters.”

Conclusion:
Droplets of PFCL over the retina result in imaging artifact, most likely due to a lensing effect caused by differences in refractive index between the PFCL and vitreous humor. Although the utility of hand-held spectral domain optical coherence tomography for infants has previously been established, this case presents further application of spectral domain optical coherence tomography in adults when imaging in the supine position is required.
Pediatric jellyfish envenomation in the Mediterranean Sea
Authors: Glatstein Miguel , Adir Dikla , Galil Bella , Scolnik Dennis , Rimon Ayelet , Pivko-Levy Dikla , Hoyte Christopher 
Published: June 2017

Background
Several species of jellyfish native to the western Indian Ocean have entered the Mediterranean Sea through the Suez Canal. Since the late 1980s, each summer Rhopilema nomadica forms swarms as long as 100 km in the southeastern Levant and since the millennium aggregations of additional nonnative jellyfish have been sighted. The aim of this study was to evaluate children seen in the emergency department after jellyfish envenomations and to establish patterns of toxicity associated with this organism.

Methods
A retrospective chart review was performed of all children presenting after jellyfish envenomations to the pediatric emergency department during the jellyfish swarming seasons (June–August) between 2010 and 2015. Extracted data included age, location of envenomation, pain scores, local and systemic manifestations, treatment provided in the emergency department and hospital, and disposition.

Results
Forty-one patients fulfilled the inclusion criteria; their ages ranged from 1 to 16 years and the median age was 9.4 years. Clinical manifestations were evident in all patients. Pain, present in 100% of patients, and an erythematous, whip-like, linear rash present in 87.8%, were the most common manifestations. The majority of ‘burns’ associated with jellyfish stings were first and second degree. The upper limb was affected in 34% and the lower limb was affected in 61% of cases. One patient suffered a sting to the abdomen and three patients suffered a sting to the face. Treatment in the emergency department included pain control, with nonsteroidal anti-inflammatory drugs and opiates, and antihistamines and topical corticosteroids in some cases. Nearly 49% of patients were seen during the summer of 2015 alone and seven patients in this group needed hospitalization. Reasons for hospitalization included systemic symptoms such as fever, chills, tachycardia, and muscle spasms. Two patients developed severe cellulitis, one patient had an anaphylactic reaction, and one was admitted to the ICU after suffering an anaphylactic reaction to a sting sustained while surfing.

Conclusion
The prevalence of the jellyfish swarms and the severity of clinical manifestations because of their envenomations suggest that it should be considered as a health hazard in the Mediterranean Sea. We call for public health authorities in affected countries to initiate a health hazards database, familiarize medical and healthcare staff with the clinical syndromes, train medical and healthcare staff` in appropriate treatment, and initiate and continue public awareness campaigns.
A Macaque Model for Rectal Lymphogranuloma Venereum and Non-Lymphogranuloma Venereum Chlamydia trachomatis: Impact on Rectal Simian/Human Immunodeficiency Virus Acquisition
Authors: Vishwanathan Sundaram Ajay , Aubert Rachael D. , Morris Monica R. , Zhao Chunxia , Philips Christi , Khalil George M. , Deyounks Frank , Kelley Kristen , Ritter Jana M. , Chen C.Y. , Kersh Ellen N. , McNicholl Janet M. 
Published: June 2017

Background
Sustained genital tract inflammation caused by sexually transmitted infections (STIs) is known to increase risk of vaginal human immunodeficiency virus (HIV) infections but, to our knowledge, there are no nonhuman primate studies that have evaluated its link to rectal HIV acquisition.

Methods
Rhesus macaques inoculated with Chlamydia trachomatis (CT) (serovars LGV-L2 and CT-E; n = 7) or saline (n = 7) received up to 20 rectal challenges twice a week of simian/HIV immunodeficiency virus (SHIVSF162p3). SHIV viremia was determined by real-time PCR and Chlamydia infection by APTIMA Combo 2 testing. The rectal cytokine-chemokine levels were evaluated by multiplex bead assays.

Results
Rectal Chlamydia infection was maintained throughout the study. We did not observe significant differences (P = 1.0) in frequency of SHIV acquisition between the STI and control arms. It took fewer SHIV challenges to infect the STI animals although the difference was not significant (P = 0.59). There were no significant differences in peak plasma viremia between STI and control arms (P = 0.63). The association of plasma viremia with rectal shedding was significantly different by arm (P = 0.038).

Conclusions
In the first such study in a macaque model, we did not observe an increased risk of SHIV acquisition due to rectal Chlamydia coinfection. This macaque model can be further developed and expanded to better investigate the impact of different rectal STIs on HIV acquisition.