bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of a Multidisciplinary Team Approach for Managing Advanced and Recurrent Colorectal Cancer
Authors: Jung Sung Min , Hong Yong Sang , Kim Tae Won , Park Jin‐hong , Kim Jong Hoon , Park Seong Ho , Kim Ah Young , Lim Seok‐Byung , Lee Young‐Joo , Yu Chang Sik 
Published: December 2017

AbstractBackgroundThe wide variety of treatment strategies makes clinical decision‐making difficult in advanced and recurrent colorectal cancer cases. Many hospitals have started multidisciplinary team (MDT) meetings comprising a team of dedicated specialists for discussing cases. MDTs for selected cases that are difficult to diagnose and treat are alternatives to regular MDTs. This study’s aim was to determine the impact of a MDT for colorectal cancer on clinical decision‐making.MethodsCases were discussed when clinical specialists had difficulty making decisions alone. All processes done by the MDT were then recorded in prospectively designed medical case forms.ResultsFrom Jan 2011 to Dec 2014, 1383 cases were discussed. A total of 549 (39.8%) case forms were completed for patients with newly diagnosed colorectal cancer, whereas 833 (60.2%) were completed for those with recurrent diseases. The MDT altered the proposed treatment of the referring physician in 179 (13%) cases. In 85 of the 179 (47.5%) altered cases, the radiologist’s review of clinical information affected the diagnosis and decision. Furthermore, 152 of the 1383 MDT decisions were not implemented. Treatment intent, therapeutic plan, and alteration of decision were important reasons for not following the MDT’s recommendation.ConclusionCase discussions in MDT meetings resulted in altered clinical decisions in >10% cases. Implementation rates after MDT discussions might be affected by the treatment decision‐making process. Imperfect decisions made by individual physicians can be decreased by the multidisciplinary decision‐making process.
Measuring Outcomes of Clinical Care: Victorian Emergency Laparotomy Audit Using Quality Investigator
Authors: Stevens Claire L. , Brown Christopher , Watters David A. K. 
Published: December 2017

AbstractBackgroundThe Australian and New Zealand Audit of Surgical Mortality (ANZASM) National Report 2015 found that within the cohort of audited deaths, 85% were emergencies with acute life‐threatening conditions, and by far, the most common procedures were laparotomy and colorectal procedures. Emergency laparotomy outcomes have shown improvement through audit and reporting in the UK. The purpose of this study was to determine the outcome of emergency laparotomy in the state of Victoria, Australia.MethodThe Dr Foster Quality Investigator (DFQI) database was interrogated for a set of Australian Classification of Health Intervention (ACHI) codes defined by the authors as representing an emergency laparotomy. The dataset included patients who underwent emergency laparotomy from July 2007 to July 2016 in all Victorian hospitals.ResultsThere were 23,115 emergency laparotomies conducted over 9 years in 66 hospitals. Inpatient mortality was 2036/23,115 (8.8%). Mortality in the adult population increased with age and reached 18.1% in those patients that were 80 years or older. 51.3% were females, and there was no significant difference in survival between genders. Patients with no recorded comorbidities had a mortality of 4.3%, whereas those with > 5 comorbidities had 19.3% mortality.ConclusionAdministrative data accessed via a tool such as DFQI can provide useful population data to guide further evidence‐based improvement strategies. The mortality for emergency laparotomy within Victorian hospitals is comparable, if not better than that seen in overseas studies. There is a need to continue routine audit of mortality rates and implement systems improvement where necessary.
Genetic Counsellors and Private Practice: Professional Turbulence and Common Values
Authors: Collis Sarah , Gaff Clara , Wake Samantha , McEwen Alison 
Published: December 2017

AbstractGenetic counsellors face tensions between past and future identities: between established values and goals, and a broadening scope of settings and activities. This study examines the advent of genetic counsellors in private practice in Australia and New Zealand from the perspectives of the small numbers working in this sector and those who have only worked in public practice. Semi‐structured interviews were conducted with 16 genetic counsellors who had experience in private practice, and 14 genetic counsellors without private sector experience. Results demonstrated that circumstantial and personal factors can mitigate the challenges experienced and the amount of support desired by those who had established a private practice, and those who were employed by private companies. Notably, most participants with private sector experience perceived themselves to be viewed negatively by other genetic counsellors. Most participants without private sector experience expressed concern that the challenges they believed genetic counsellors face in private practice may impact service quality, but wished to address such concerns by providing appropriate support. Together, our results reinforce that participants in private and public sectors are strong advocates for peer support, multidisciplinary team work, and professional development. These core values, and seeking understanding of different circumstances and support needs, will enable genetic counsellors in different sectors to move forward together. Our results suggest supports that may be acted upon by members of the profession, professional groups, and training programs, in Australia, New Zealand, and overseas.
Epistaxis 2016: national audit of management
Authors:   INTEGRATE (The National ENT Trainee Research Network)
Published: December 2017

AbstractBackground:Epistaxis is a common condition that can be associated with significant morbidity, and it places a considerable burden on our healthcare system. This national audit of management sought to assess current practice against newly created consensus recommendations and to expand our current evidence base.Methods:The management of epistaxis patients who met the inclusion criteria, at 113 registered sites across the UK, was compared with audit standards during a 30-day window. Data were further utilised for explorative analysis.Results:Data for 1826 cases were uploaded to the database, representing 94 per cent of all cases that met the inclusion criteria at participating sites. Sixty-two per cent of patients were successfully treated by ENT clinicians within 24 hours. The 30-day recurrent presentation rate across the dataset was 13.9 per cent. Significant event analysis revealed an all-cause 30-day mortality rate of 3.4 per cent.Conclusion:Audit findings demonstrate a varying alignment with consensus guidance, with explorative analysis countering some previously well-established tenets of management.
Capacity estimation and verification of quantum channels with arbitrarily correlated errors
Authors: Pfister Corsin , Rol M. Adriaan , Mantri Atul , Tomamichel Marco , Wehner Stephanie 
Published: December 2017

AbstractThe central figure of merit for quantum memories and quantum communication devices is their capacity to store and transmit quantum information. Here, we present a protocol that estimates a lower bound on a channel’s quantum capacity, even when there are arbitrarily correlated errors. One application of these protocols is to test the performance of quantum repeaters for transmitting quantum information. Our protocol is easy to implement and comes in two versions. The first estimates the one-shot quantum capacity by preparing and measuring in two different bases, where all involved qubits are used as test qubits. The second verifies on-the-fly that a channel’s one-shot quantum capacity exceeds a minimal tolerated value while storing or communicating data. We discuss the performance using simple examples, such as the dephasing channel for which our method is asymptotically optimal. Finally, we apply our method to a superconducting qubit in experiment.
Structural absorption by barbule microstructures of super black bird of paradise feathers
Authors: McCoy Dakota E. , Feo Teresa , Harvey Todd Alan , Prum Richard O. 
Published: December 2017

AbstractMany studies have shown how pigments and internal nanostructures generate color in nature. External surface structures can also influence appearance, such as by causing multiple scattering of light (structural absorption) to produce a velvety, super black appearance. Here we show that feathers from five species of birds of paradise (Aves: Paradisaeidae) structurally absorb incident light to produce extremely low-reflectance, super black plumages. Directional reflectance of these feathers (0.05–0.31%) approaches that of man-made ultra-absorbent materials. SEM, nano-CT, and ray-tracing simulations show that super black feathers have titled arrays of highly modified barbules, which cause more multiple scattering, resulting in more structural absorption, than normal black feathers. Super black feathers have an extreme directional reflectance bias and appear darkest when viewed from the distal direction. We hypothesize that structurally absorbing, super black plumage evolved through sensory bias to enhance the perceived brilliance of adjacent color patches during courtship display.
Nanoparticle anchoring targets immune agonists to tumors enabling anti-cancer immunity without systemic toxicity
Authors: Zhang Yuan , Li Na , Suh Heikyung , Irvine Darrell J. 
Published: December 2017

AbstractImmunostimulatory agents such as agonistic anti-CD137 and interleukin (IL)−2 generate effective anti-tumor immunity but also elicit serious toxicities, hampering their clinical application. Here we show that combination therapy with anti-CD137 and an IL-2-Fc fusion achieves significant initial anti-tumor activity, but also lethal immunotoxicity deriving from stimulation of circulating leukocytes. To overcome this toxicity, we demonstrate that anchoring IL-2 and anti-CD137 on the surface of liposomes allows these immune agonists to rapidly accumulate in tumors while lowering systemic exposure. In multiple tumor models, immunoliposome delivery achieves anti-tumor activity equivalent to free IL-2/anti-CD137 but with the complete absence of systemic toxicity. Immunoliposomes stimulated tumor infiltration by cytotoxic lymphocytes, cytokine production, and granzyme expression, demonstrating equivalent immunostimulatory effects to the free drugs in the local tumor microenvironment. Thus, surface-anchored particle delivery may provide a general approach to exploit the potent stimulatory activity of immune agonists without debilitating systemic toxicities.
LncRNA CAIF inhibits autophagy and attenuates myocardial infarction by blocking p53-mediated myocardin transcription
Authors: Liu Cui-Yun , Zhang Yu-Hui , Li Rui-Bei , Zhou Lu-Yu , An Tao , Zhang Rong-Cheng , Zhai Mei , Huang Yan , Yan Kao-Wen , Dong Yan-Han , Ponnusamy Murugavel , Shan Chan , Xu Sheng , Wang Qi , Zhang Yan-Hui , Zhang Jian , Wang Kun 
Published: December 2017

AbstractIncreasing evidence suggests that long noncoding RNAs (lncRNAs) play crucial roles in various biological processes. However, little is known about the effects of lncRNAs on autophagy. Here we report that a lncRNA, termed cardiac autophagy inhibitory factor (CAIF), suppresses cardiac autophagy and attenuates myocardial infarction by targeting p53-mediated myocardin transcription. Myocardin expression is upregulated upon H2O2 and ischemia/reperfusion, and knockdown of myocardin inhibits autophagy and attenuates myocardial infarction. p53 regulates cardiomyocytes autophagy and myocardial ischemia/reperfusion injury by regulating myocardin expression. CAIF directly binds to p53 protein and blocks p53-mediated myocardin transcription, which results in the decrease of myocardin expression. Collectively, our data reveal a novel CAIF-p53-myocardin axis as a critical regulator in cardiomyocyte autophagy, which will be potential therapeutic targets in treatment of defective autophagy-associated cardiovascular diseases.
Development of an oral once-weekly drug delivery system for HIV antiretroviral therapy
Authors: Kirtane Ameya R. , Abouzid Omar , Minahan Daniel , Bensel Taylor , Hill Alison L. , Selinger Christian , Bershteyn Anna , Craig Morgan , Mo Shirley S. , Mazdiyasni Hormoz , Cleveland Cody , Rogner Jaimie , Lee Young-Ah Lucy , Booth Lucas , Javid Farhad , Wu Sarah J. , Grant Tyler , Bellinger Andrew M. , Nikolic Boris , Hayward Alison , Wood Lowell , Eckhoff Philip A. , Nowak Martin A. , Langer Robert , Traverso Giovanni 
Published: December 2017

AbstractThe efficacy of antiretroviral therapy is significantly compromised by medication non-adherence. Long-acting enteral systems that can ease the burden of daily adherence have not yet been developed. Here we describe an oral dosage form composed of distinct drug–polymer matrices which achieved week-long systemic drug levels of the antiretrovirals dolutegravir, rilpivirine and cabotegravir in a pig. Simulations of viral dynamics and patient adherence patterns indicate that such systems would significantly reduce therapeutic failures and epidemiological modelling suggests that using such an intervention prophylactically could avert hundreds of thousands of new HIV cases. In sum, weekly administration of long-acting antiretrovirals via a novel oral dosage form is a promising intervention to help control the HIV epidemic worldwide.
Coherent organization of electronic correlations as a mechanism to enhance and stabilize high-T
C cuprate superconductivity
Authors: Li Haoxiang , Zhou Xiaoqing , Parham Stephen , Reber Theodore J. , Berger Helmuth , Arnold Gerald B. , Dessau Daniel S. 
Published: December 2017

AbstractStrong diffusive or incoherent electronic correlations are the signature of the strange-metal normal state of the cuprate superconductors, with these correlations considered to be undressed or removed in the superconducting state. A critical question is if these correlations are responsible for the high-temperature superconductivity. Here, utilizing a development in the analysis of angle-resolved photoemission data, we show that the strange-metal correlations don’t simply disappear in the superconducting state, but are instead converted into a strongly renormalized coherent state, with stronger normal state correlations leading to stronger superconducting state renormalization. This conversion begins well above TC at the onset of superconducting fluctuations and it greatly increases the number of states that can pair. Therefore, there is positive feedback––the superconductive pairing creates the conversion that in turn strengthens the pairing. Although such positive feedback should enhance a conventional pairing mechanism, it could potentially also sustain an electronic pairing mechanism.
Diabetes impairs wound healing by Dnmt1-dependent dysregulation of hematopoietic stem cells differentiation towards macrophages
Authors: Yan Jinglian , Tie Guodong , Wang Shouying , Tutto Amanda , DeMarco Natale , Khair Lyne , Fazzio Thomas G. , Messina Louis M. 
Published: December 2017

AbstractPeople with type 2 diabetes mellitus (T2DM) have a 25-fold higher risk of limb loss than non-diabetics due in large part to impaired wound healing. Here, we show that the impaired wound healing phenotype found in T2D mice is recapitulated in lethally irradiated wild type recipients, whose hematopoiesis is reconstituted with hematopoietic stem cells (HSCs) from T2D mice, indicating an HSC-autonomous mechanism. This impaired wound healing phenotype of T2D mice is due to a Nox-2-dependent increase in HSC oxidant stress that decreases microRNA let-7d-3p, which, in turn, directly upregulates Dnmt1, leading to the hypermethylation of Notch1, PU.1, and Klf4. This HSC-autonomous mechanism reduces the number of wound macrophages and skews their polarization towards M1 macrophages. These findings reveal a novel inflammatory mechanism by which a metabolic disorder induces an epigenetic mechanism in HSCs, which predetermines the gene expression of terminally differentiated inflammatory cells that controls their number and function.
Sirt2 facilitates hepatic glucose uptake by deacetylating glucokinase regulatory protein
Authors: Watanabe Hitoshi , Inaba Yuka , Kimura Kumi , Matsumoto Michihiro , Kaneko Shuichi , Kasuga Masato , Inoue Hiroshi 
Published: December 2017

AbstractImpaired hepatic glucose uptake (HGU) causes postprandial hyperglycemia in type 2 diabetes. Here, we show that diminished hepatic Sirt2 activity impairs HGU in obese diabetic mice. Hepatic Sirt2 overexpression increases HGU in high-fat diet (HFD)-fed obese diabetic mice and mitigates their impaired glucose tolerance. Hepatic Sirt2 knockdown in non-diabetic mice reduces HGU and causes impaired glucose tolerance. Sirt2 promotes glucose-dependent HGU by deacetylating K126 of glucokinase regulatory protein (GKRP). Glucokinase and GKRP glucose-dependent dissociation is necessary for HGU but is inhibited in hepatocytes derived from obese diabetic mice, depleted of Sirt2 or transfected with GKRP acetylation-mimicking mutants. GKRP deacetylation-mimicking mutants dissociate from glucokinase in a glucose concentration-dependent manner in obese diabetic mouse-derived hepatocytes and increase HGU and glucose tolerance in HFD-induced or db/db obese diabetic mice. We demonstrate that Sirt2-dependent GKRP deacetylation improves impaired HGU and suggest that it may be a therapeutic target for type 2 diabetes.
How cores grow by pebble accretion
Authors: Brouwers M. G. , Vazan A. , Ormel C. W. 
Published: December 2017

Context. Planet formation by pebble accretion is an alternative to planetesimal-driven core accretion. In this scenario, planets grow by the accretion of cm- to m-sized pebbles instead of km-sized planetesimals. One of the main differences with planetesimal-driven core accretion is the increased thermal ablation experienced by pebbles. This can provide early enrichment to the planet’s envelope, which influences its subsequent evolution and changes the process of core growth.
Aims. We aim to predict core masses and envelope compositions of planets that form by pebble accretion and compare mass deposition of pebbles to planetesimals. Specifically, we calculate the core mass where pebbles completely evaporate and are absorbed before reaching the core, which signifies the end of direct core growth.
Methods. We model the early growth of a protoplanet by calculating the structure of its envelope, taking into account the fate of impacting pebbles or planetesimals. The region where high-Z material can exist in vapor form is determined by the temperature-dependent vapor pressure. We include enrichment effects by locally modifying the mean molecular weight of the envelope.
Results. In the pebble case, three phases of core growth can be identified. In the first phase (Mcore < 0.23–0.39 M⊕), pebbles impact the core without significant ablation. During the second phase (Mcore < 0.5M⊕), ablation becomes increasingly severe. A layer of high-Z vapor starts to form around the core that absorbs a small fraction of the ablated mass. The rest of the material either rains out to the core or instead mixes outwards, slowing core growth. In the third phase (Mcore > 0.5M⊕), the high-Z inner region expands outwards, absorbing an increasing fraction of the ablated material as vapor. Rainout ends before the core mass reaches 0.6 M⊕, terminating direct core growth. In the case of icy H2O pebbles, this happens before 0.1 M⊕.
Conclusions. Our results indicate that pebble accretion can directly form rocky cores up to only 0.6 M⊕, and is unable to form similarly sized icy cores. Subsequent core growth can proceed indirectly when the planet cools, provided it is able to retain its high-Z material.
Estimated Placental Volume and Gestational Age
Authors: Isakov Kimberly , Emerson John , Campbell Katherine , Galerneau France , Anders Amber , Lee Yoonjoo , Subramanyam Pritha , Roberts Andrea , Kliman Harvey 
Published: December 2017

Objective The objective of this study was to validate estimated placental volume (EPV) across a range of gestational ages (GAs).
Study Design Three hundred sixty-six patients from 2009 to 2011 received ultrasound scans between 11 + 0 and 38 + 6 weeks GA to assess EPV. An EPV versus GA best fit curve was generated and compared with published normative curves of EPV versus GA in a different population. A subanalysis was performed to explore the relationship between EPV and birth weight (BW).
Results Analysis of EPV versus GA revealed a parabolic curve with the following best fit equation: EPV = (0.372 GA − 0.00364 GA2)3. EPV was weakly correlated with BW, and patients with an EPV in the bottom 50th percentile had 2.42 times the odds of having a newborn with a BW in the bottom 50th percentile (95% confidence interval: 1.27–4.68). Microscopic evaluation of two placentas corresponding to the smallest EPV outliers revealed significant placental pathology.
Conclusion Placental volume increases throughout gestation and follows a predictable parabolic curve, in agreement with the existing literature. Further validation is required, but EPV may have the potential for clinical utility as a screening tool in a variety of settings.
Creation of disease-inspired biomaterial environments to mimic pathological events in early calcific aortic valve disease
Authors: Porras Ana M. , Westlund Jennifer A. , Evans Austin D. , Masters Kristyn S. 
Published: December 2017

Significance
Due to an insufficient understanding of the mechanisms that drive its progression, there is currently no treatment for calcific aortic valve disease (CAVD) other than valve replacement. In this report, we describe the generation of engineered environments that mimic features found in early CAVD. By combining these engineered models of valve disease with other exogenous cues present during CAVD, we were able to propose a previously unidentified cascade of pathological events and identify specific extracellular components that are critical in regulating this process. These findings demonstrate the utility of engineered in vitro models to perform systematic, controlled studies of events related to disease progression that may lead to future identification of potential targets for therapeutic interventions.
Biphasic functions for the GDNF-Ret signaling pathway in chemosensory neuron development and diversification
Authors: Donnelly Christopher R. , Shah Amol A. , Mistretta Charlotte M. , Bradley Robert M. , Pierchala Brian A. 
Published: December 2017

Significance
While knowledge of signaling mechanisms orchestrating the development and diversification of peripheral somatosensory neurons is extensive, our understanding of the mechanisms controlling chemosensory neuron specification remains rudimentary. Lingually projecting sensory neurons of the geniculate ganglion are receptive to the five taste qualities, as well as temperature and tactile stimuli, but the mechanisms responsible for the diversification of the unique subpopulations that respond to one, or several, of these stimuli remain unknown. Here we demonstrate that the GDNF-Ret signaling pathway exerts a unique, dual function in peripheral taste system development and postnatal function. Ret acts embryonically to regulate the expression of the chemosensory master regulator Phox2b, thus inducing chemosensory differentiation, while postnatally acting to specify a molecularly unique subpopulation of lingual mechanoreceptors.