bluuebunny/crossref_metadata_2025_split huggingface dataset:
The mechanics of male courtship display behaviour in the Ptiloris riflebirds (Aves: Paradisaeidae)
Authors: MacGillavry Thomas , Frith Clifford B , Fusani Leonida 
Published: September 2024

Abstract
Sexual selection through female choice has driven the evolution of some of the most elaborate signalling behaviours in animals. These displays often require specialized morphological adaptations and may incorporate signals in multiple sensory modalities. Visual and acoustic signals are often precisely choreographed in temporally structured courtship performances, though the precise mechanics of such signalling behaviours are often enigmatic. We find that riflebirds (genus Ptiloris)—a bird of paradise clade—achieve their remarkable display postures by hyperextending the wrist joint, vastly exceeding the maximal wrist extension capabilities of any other known bird. Using video collected in the field, we then show that this hypermobility is required for a sonation unique to riflebirds, and find that the yellow interior of the mouth is displayed in the dynamic phase of display. As this sonation cannot be produced when the mouth is exposed, it represents a mechanical constraint to signal design. Finally, we used a large morphometric dataset to describe patterns of sexual dimorphism in wing length across diverse bird of paradise species, and find evidence of sexual selection for large and structurally modified wings used in riflebird displays. Our study highlights nuanced choreographic differences in the display behaviours of different riflebird species, and sheds light on the intricate design features of sexual signals in this fascinating taxon.
Mitogenomics of a declining species, the Rio Grande silvery minnow (Hybognathus amarus), with boom–bust population dynamics
Authors: Osborne Megan J , Caeiro-Dias Guilherme , Turner Thomas F 
Published: September 2024

Abstract
Large mitochondrial DNA fragments and nearly complete mitogenomes were obtained from nextera-tagmented reductively amplified DNA (nextRAD) data from the Rio Grande silvery minnow (Hybognathus amarus). We used these data to characterize variation across the mitogenome and to evaluate changes in mitochondrial diversity across a 20 year time series punctuated by marked species decline. We observed different evolutionary rates among protein-coding genes and inflated values of the ratio of non-synonymous change to non-synonymous sites to synonymous changes per synonymous site for several protein-coding genes, violating assumptions of selective neutrality. Analyses suggested that non-synonymous substitutions are effectively neutral, and our results were not consistent with genetic draft. Mitogenomes revealed large long-term effective population size for Rio Grande silvery minnow, and time-series data indicated recent reductions in mitochondrial diversity via genetic drift associated with population bottlenecks. The results presented in this study show that in some cases, nextRAD sequences contain informative mitochondrial DNA data.
Deep learning-assisted distinguishing breast phyllodes tumours from fibroadenomas based on ultrasound images: a diagnostic study
Authors: Yan Yuqi , Liu Yuanzhen , Yao Jincao , Sui Lin , Chen Chen , Jiang Tian , Liu Xiaofang , Wang Yifan , Ou Di , Chen Jing , Wang Hui , Feng Lina , Pan Qianmeng , Su Ying , Wang Yukai , Wang Liping , Zhou Lingyan , Xu Dong 
Published: September 2024

Abstract

Objectives
To evaluate the performance of ultrasound-based deep learning (DL) models in distinguishing breast phyllodes tumours (PTs) from fibroadenomas (FAs) and their clinical utility in assisting radiologists with varying diagnostic experiences.

Methods
We retrospectively collected 1180 ultrasound images from 539 patients (247 PTs and 292 FAs). Five DL network models with different structures were trained and validated using nodule regions annotated by radiologists on breast ultrasound images. DL models were trained using the methods of transfer learning and 3-fold cross-validation. The model demonstrated the best evaluation index in the 3-fold cross-validation was selected for comparison with radiologists’ diagnostic decisions. Two-round reader studies were conducted to investigate the value of DL model in assisting 6 radiologists with different levels of experience.

Results
Upon testing, Xception model demonstrated the best diagnostic performance (area under the receiver-operating characteristic curve: 0.87; 95% CI, 0.81-0.92), outperforming all radiologists (all P &lt; .05). Additionally, the DL model enhanced the diagnostic performance of radiologists. Accuracy demonstrated improvements of 4%, 4%, and 3% for senior, intermediate, and junior radiologists, respectively.

Conclusions
The DL models showed superior predictive abilities compared to experienced radiologists in distinguishing breast PTs from FAs. Utilizing the model led to improved efficiency and diagnostic performance for radiologists with different levels of experience (6-25 years of work).

Advances in knowledge
We developed and validated a DL model based on the largest available dataset to assist in diagnosing PTs. This model has the potential to allow radiologists to discriminate 2 types of breast tumours which are challenging to identify with precision and accuracy, and subsequently to make more informed decisions about surgical plans.
Assessing fat fraction and R2* value of lumbar spine based on MRI as a marker of bone mineral density
Authors: Zhou Feng , Sheng Bo , Lv Furong 
Published: September 2024

Abstract

Objectives
The study aimed to investigate the correlation between fat fraction (FF), R2* value of vertebrae based on IDEAL-IQ sequence and bone mineral density (BMD) based on QCT, and their diagnostic value for low BMD and osteoporosis.

Methods
Subgroups were divided according to different gender, age, BMI, and bone mass to compare the differences in parametric variables. One-way ANOVA, independent samples t-test, correlation coefficient analysis, linear regression analysis, and ROC curve analysis were performed.

Results
Significant differences were found in FF among different bone mass groups, and between different gender and age groups. While R2* only had a significant difference between different gender groups and males with different ages. BMD was significantly negatively correlated with FF, especially in women, and FF significantly negatively affected BMD after controlling for gender, age, and BMI. There was mildly positive correlation between BMD and R2* in men, and R2* significantly positively influenced BMD controlling for the confounders. In addition, FF was positively correlated with age, whereas R2* was negatively correlated with age in men. FF had high diagnostic efficacy for low bone mass and osteoporosis, while R2* alone was weakly diagnostic.

Conclusions
Vertebral FF can be served as a potentially important imaging biomarker for assessing low BMD and osteoporosis, and R2* of males can be utilized as a complementary parameter for evaluating osteoporosis.

Advances in knowledge
The IDEAL-IQ sequence has the potential to be used as an accessory examination in the diagnosis of osteoporosis, assessment of treatment efficacy, and prediction of fracture risk.
Lifetime history of head injury is associated with reduced perivascular space number in acute mild traumatic brain injury
Authors: Garcia Kiersten J , Brolly Grace , Ng Daniel , Bederson Maria , Martinez Pedro , Whiting Mark D 
Published: September 2024

Abstract
Traumatic brain injury impairs function of the glymphatic system, a perivascular network involved in waste clearance. Enlarged perivascular spaces visible on MRI are an emerging biomarker of glymphatic function. This study characterized enlarged perivascular spaces in acute head injury with 7 T MRI. Healthy controls (n = 8) and patients (n = 11) with mild traumatic brain injury underwent MRI within 7 days of injury and were evaluated for lifetime history of head injury, neurobehavioral symptoms and sleep disturbances. MRI-visible perivascular spaces were quantified and assessed according to published criteria. The number of enlarged perivascular spaces was significantly higher in traumatic brain injury patients than controls (P = 0.015). Among healthy controls, 6/8 scored ‘none’ or ‘mild’ on the perivascular space rating scale, while 10/11 patients scored ‘moderate’, ‘frequent’ or ‘severe’. There was an inverse relationship between perivascular space number and number of lifetime head injuries. Patients with more prior head injuries exhibited fewer enlarged perivascular spaces (P = 0.014). These results indicate that mild head injury results in acute alterations in perivascular space number, and this effect is mediated by previous head injury history. Enlarged perivascular spaces may reflect a glymphatic response that is diminished after multiple head injuries, although this will require further study.
Highly efficient direct air capture using solid–liquid phase separation in aqueous diamine solution as sorbent
Authors: Cao Furong , Kikkawa Soichi , Yamada Hidetaka , Yamazoe Seiji 
Published: September 2024

Abstract
To reduce climate change, absorbing CO2 directly from the air (DAC) with high-efficient CO2 absorption, low-cost, and environmentally friendly system has been attracted much attention for several decades. In this work, a series of aqueous diamine solutions was examined for 400 ppm CO2 absorption at ambient temperature. The absorbents exhibited CO2 absorption with molar ratio of 1 molCO2/molamine, and aqueous isophorone diamine (IPDA) in particular showed &gt;99% CO2 removal even under a 500 mL min−1 flow of 400 ppm CO2–N2 with the contact rate of 13,761.5 h−1 between CO2 and IPDA aqueous solution and the CO2 absorption rate of 4.46 mmol/L min. A precipitate of carbamic acid of IPDA was formed by reaction with CO2, and the CO2 removal efficiency was enhanced by increasing the solution viscosity by the formation of this precipitate. The CO2 was absorbed in aqueous IPDA solution as carbamic acid of IPDA and bicarbonate/carbonate species, and the absorbed CO2 could desorb by heating under O2-containing gas flow, which indicates our system is applicable to the CO2 condensation for a plant growth. This work provides fundamental information to establishing a solid–liquid phase change system with a high-efficient and environmentally friendly DAC system using aqueous solvent.
High- and low-social-anxiety individuals process the outcomes of ability comparisons differently: an event-related potential study
Authors: Liu Siqi , Chen Peiqi , Qin Shaozhen , Mai Xiaoqin 
Published: September 2024

Abstract
Individuals engage in upward or downward comparisons with superiors or inferiors, respectively. Social comparison is associated with social anxiety. Utilizing event-related potentials, we investigated how individuals with high social anxiety (HSA) and low social anxiety (LSA) evaluate self- versus other-outcomes in upward and downward comparison contexts. We found significant valence effects of self- or other-outcomes on feedback-related negativity (FRN) and P300 for both groups, with loss inducing larger FRN and smaller P300 than gain. In the early stage, the valence effect of other-outcomes was significant when LSA participants gained money, but not when they lost money, revealing a social comparison effect on FRN. Conversely, this valence effect was significant whether HSA participants gained or lost money. At the late stage, the valence effect of other-outcomes was significant when HSA or LSA participants gained money but not when they lost, revealing social comparison effects on the P300. Notably, only the social comparison effect in the LSA group was further moderated by comparison direction. These findings suggest that LSA participants engaged in social comparison throughout all evaluation stages, whereas HSA participants started at the late stage. Moreover, LSA participants were more sensitive to different comparison directions in the late stage.
Cerebral white matter injury in haemodialysis patients: a cross-sectional tract-based spatial statistics and fixel-based analysis
Authors: Qi Yu , Song Lijun , Liu Xu , Xu Boyan , Yang Wenbo , Li Mingan , Li Min , Zhu Zhengyang , Liu Wenhu , Yang Zhenghan , Wang Zhenchang , Wang Hao 
Published: September 2024

ABSTRACT

Background
End-stage renal disease (ESRD) patients on maintenance haemodialysis (HD) often have damage to brain white matter (WM) and cognitive impairment. However, whether this damage is caused by maintenance HD or renal dysfunction is unclear. Herein we investigate the natural progression of WM damage in patients with ESRD and the effects of HD on WM using tract-based spatial statistics (TBSS) and fixel-based analysis (FBA).

Methods
Eighty-one ESRD patients, including 41 with no dialysis (ND) and 40 on HD, and 46 healthy controls (HCs) were enrolled in this study. The differences in WM among the three groups [ESRD patients with HD (ESRD-HD), ESRD patients without HD (ESRD-ND) and HCs] were analysed using TBSS and FBA. Pairwise comparison was then used to compare the differences in WM between two groups. The relationships between WM and neurocognitive assessments/clinical data were analysed in ESRD patients with and without HD.

Results
The damage to WM in ESRD-ND and ESRD-HD appeared around the lateral ventricles in TBSS, while FBA reflected that the changes had extended to adjacent WM in the anterior hemisphere, with a larger region in ESRD-HD compared with ESRD-ND and the brainstem was also widely affected in ESRD-HD. The Montreal Cognitive Assessment (MoCA) scores were lower in the ESRD-HD group. RD in the body of the corpus callosum were negatively correlated with MoCA scores in both groups. Fiber density and cross-section (FDC) in the left thalamo-prefrontal projection (T_PREFL) and left and right cingulum (CGL and CGR) were positively correlated with MoCA scores in both groups. Creatinine (Cr) was positively correlated with FDC in some frontal projection fibres in the striatum and thalamus, CG and fronto-pontine tract and was positively correlated with FD mainly in premotor projection fibres in the striatum and thalamus in the ESRD-HD group. Cr was negatively correlated with mean and radial diffusivity in regions of the corona radiata in the ESRD-ND group.

Conclusions
FBA is more sensitive in detecting differences between ESRD patients and HCs. When ESRD patients receive maintenance HD, the degree of WM damage may not be aggravated, but the range of damaged WM may be expanded, especially in the anterior hemisphere and brainstem. Some of these changes in the anterior hemisphere may contribute to cognitive decline.
Silent severe aortic regurgitation due to blunt chest trauma: ignore it at your peril—a case report
Authors: Markides Rafaella I L , Rosendahl Ulrich P , Roussin Isabelle 
Published: September 2024

Abstract

Background
Blunt chest trauma (BCT) presenting to the emergency department is common and may cause life-threatening cardiac complications. Whilst complications causing haemodynamic instability are generally detected promptly, others may present late with long-term consequences. We describe a rare, serious complication of BCT presenting five years after a road traffic accident (RTA).

Case summary
A 23-year-old man was incidentally found to have a murmur. Past history was notable only for BCT with rib fracture sustained in a RTA 5 years prior. Examination revealed a hyperdynamic pulse, loud decrescendo diastolic murmur, and Duroziez’s sign over the femoral arteries. Echocardiography showed severe valvular aortic regurgitation (AR) from a hole in the left coronary cusp and holodiastolic flow reversal in the descending aorta. The left ventricle (LV) showed marked dilatation in diastole, mild dilatation in systole, and preserved systolic function. The aorta was normal. Severe AR was attributed to his previous BCT, with AR causing subsequent LV dilatation. He underwent aortic valve replacement (AVR) with rapid recovery. He remains well, and his echo shows a well-functioning AVR with normalization of LV dimensions.

Discussion
Aortic regurgitation following BCT is rare but well-recognized, most often resulting from RTAs. Only a third of cases are diagnosed acutely. In others, lack of haemodynamic instability means that emergency echocardiography is not routinely performed, such that this may go unrecognized with long-term consequences. Clinicians should be aware of possible valve damage following BCT. Prompt echocardiography should be routinely performed for all BCT at initial presentation, even without haemodynamic instability.
The phenotype of the pediatric patient with Cushing syndrome but without obesity
Authors: Padilla Cameron , Stratakis Constantine A , Tatsi Christina 
Published: September 2024

Abstract

Objective
Cushing syndrome (CS) often presents with obesity that is not as severe in children as it is in adults. The role of obesity in the severity of metabolic syndrome in children with CS has not been studied. This study evaluates whether pediatric patients with CS have obesity-specific differences in their demographic, biochemical, and presenting findings.

Design
Cohort study.

Participants and Methods
We analyzed 273 patients with young onset of CS at ≤18 years old and who were classified as patients with or without obesity based on their BMI z scores.

Results
Patients without obesity (n = 84, 31%) were more frequently females with an older age of onset compared with patients with obesity (n = 189, 69%). Consistent with their older age, patients without obesity were also more likely to have advanced Tanner stages. Patients with and without obesity had a similar duration of disease, but patients with obesity showed higher markers of hypercortisolemia (urinary free cortisol, UFC). A higher prevalence of hypertension and insulin resistance was seen in patients with obesity than those without obesity, adjusting for UFC (P &lt; .05 for all comparisons). While fatty liver disease was not statistically different among the entire cohort, elevated alanine transaminase and metabolic dysfunction–associated steatotic liver disease scores were more common in ACTH-dependent CS patients with obesity (P &lt; .05).

Conclusions
Weight gain appears to mediate some but not all the cortisol-associated complications in pediatric CS. Therefore, obesity may be a modifiable risk factor among these patients.
Risk of sleep-disordered breathing in orthodontic patients: comparison between children and adolescents
Authors: Jost Patrícia , Conte Ana Lurdes , Lira Adriana de Oliveira , Pugliese Fernando , Palomo Juan Martin , Quevedo Beatriz , Garib Daniela 
Published: September 2024

Abstract

Objective
The aim of this study was to assess the risk of sleep-disordered breathing (SDB) in orthodontic patients and to evaluate the influence of sex, age, and orthodontic treatment in a cohort of subjects using the Pediatric Sleep Questionnaire (PSQ) screening tool.

Methods
Parents of 245 patients aged 5–18 years (11.4 ± 3.3 years) were invited to participate in the study by answering the PSQ, which has 22 questions about snoring, sleepiness, and behavior. The frequency of high and low risk was calculated for the full sample. Multiple logistic regression was used to assess the association among sex, age, orthodontic treatment, rapid maxillary expansion (RME), and body mass index (BMI) with SDB. A significance level of 5% (P &lt; .05) was adopted in all tests.

Results
A high risk of SDB was found in 34.3% of the sample. No sex and BMI difference was found for the risk of SDB. The high risk of SDB was significantly associated with younger ages (OR = 1.889, P = .047), pre-orthodontic treatment phase (OR = 3.754, P = .02), and RME (OR = 4.157, P = .001).

Limitations
Lack of ear, nose and throat-related medical history.

Conclusion
Children showed a 1.8 higher probability of having a high risk of SDB compared with adolescents. Patients before orthodontic treatment and patients submitted to RME showed a high risk of SDB.
What is known about the challenges people with Parkinson’s disease experience with their medicines and what solutions have been explored to overcome them? A scoping review
Authors: Jones Shelley , Patel Jignesh P , Twigg Michael J , Chaudhuri Kallol Ray 
Published: September 2024

Abstract

Background
The symptomatic management of Parkinson’s disease (PD) relies heavily on medications, which increase in complexity as the disease progresses.

Objectives
To describe (i) the extent, range, and nature of research describing the experience and challenges people with PD and their carers have with their medicines for symptomatic treatment, and (ii) any interventions that have been reported in a community setting that address medicine-related challenges experienced by people with PD.

Methods
The scoping review searched electronic databases (EMBASE, PubMed, and CINAHL). The studies included were full-text articles in English only, including conference abstracts that focussed on patients with PD or their carers and discussed medicines in the primary care setting, even where this was not the primary focus.

Results
Thirty-nine papers were taken forward for data extraction. Twenty described patient experience and challenges. Although none were explicitly focussed on medications, they did highlight challenges including the work of taking multiple medications and a desire for non-oral formulations. Nineteen described or tested interventions to support people with PD with their medication including community pharmacist-led reviews, medication compliance aids, and the use of text message reminders. These were all small-scale feasibility and pilot studies, and none were grounded in a methodological framework. Positive outcomes were reported against various scales, but no evidence of scaling up any of the interventions was found.

Conclusion
There is very little published research surrounding the challenges people with PD have with their medicines. The published research that does exist alludes to challenges with medicines taking in people with PD but identifies a gap in the detail and understanding. Further work is required to improve our understanding and allow the development of sustainable interventions that support people with PD and their carers.