bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association Between the Order of Macrolide and Cephalosporin Treatment and Outcomes of Pneumonia
Authors: Metersky Mark L , Priya Aruna , Mortensen Eric M , Lindenauer Peter K 
Published: July 2017

Abstract

Background
Many patients hospitalized with pneumonia are treated with combination macrolide/cephalosporin therapy. Macrolides have immunomodulatory effects and do not directly cause bacterial lysis. These effects suggest the possibility that initial treatment with a macrolide before a cephalosporin could improve patient outcomes by preventing the inflammatory response to rapid bacterial lysis that can be caused by cephalosporin treatment. This study explores whether initial treatment for pneumonia with a macrolide before a cephalosporin is associated with better patient outcomes than treatment with a cephalosporin before a macrolide.

Methods
This is a retrospective cohort study using a clinically rich database derived from electronic health records of 71 hospitals. We compared outcomes for pneumonia patients who received intravenous treatment with a macrolide at least 1 hour before a cephalosporin, versus patients who received a cephalosporin at least 1 hour before a macrolide. Propensity matching was performed for 527 patients in each group.

Results
Among the propensity-matched cohorts, for the macrolide first group, in-hospital mortality was 4.2% vs 5.5% for the cephalosporin first group (P = .31), combined in-hospital mortality/hospice discharge was 6.3% vs 9.3% (P = .06), median hospital length of stay was 101.5 hours vs 109.5 hours (P = .09), and 30-day readmission was 12.9% vs 10.6% (P = .27).

Conclusions
Treatment of pneumonia with a macrolide before a cephalosporin was not associated with significantly improved outcomes when compared with treatment with a cephalosporin first; however, the lower rate of mortality/discharge to hospice and the large confidence intervals allow for the possibility of a clinically significant benefit.
An Unusual Cause of a Prostatic Abscess
Authors: Majumdar Rohit , Crum-Cianflone Nancy F. 
Published: July 2017

Abstract
Prostatic abscesses are most commonly caused by bacterial uropathogens, but may also be due to fungi or mycobacteria. We present a case of disseminated tuberculous infection presenting as a prostatic abscess. Genitourinary tract tuberculous is an uncommon clinical entity, with prostatic involvement being the least common form. Diagnosis is by acid-fast bacilli smear and culture of prostatic fluid/tissue, with polymerase chain reaction as an emerging tool for the early recognition of these infections. Treatment is with prostatic debridement and initiation of standard 4-drug antituberculosis medications.
Most red flags for malignancy in low back pain guidelines lack empirical support: a systematic review
Authors: Verhagen Arianne P. , Downie Aron , Maher Chris G. , Koes Bart W. 
Published: July 2017

Abstract
Clinicians do not want to miss underlying serious pathology, but it is still unclear which red flags are relevant. We aimed to evaluate the origin and evidence on diagnostic accuracy of red flags for malignancy for management of low back pain (LBP) in primary care. We performed a comprehensive overview and searched the literature using snowballing techniques and reference checking for evidence on red flags endorsed in clinical guidelines for identifying patients with higher likelihood of malignancy. We selected studies including people with LBP without any restriction on study design. We extracted data on prevalence and diagnostic accuracy. Furthermore, we assessed the methodological quality of studies evaluating diagnostic accuracy. We identified 13 red flags endorsed in a total of 16 guidelines and 2 extra red flags not endorsed in any guideline. We included 33 publications varying from systematic reviews to case reports. The origin of many red flags was unclear or was sourced from case reports. The incidence of malignancy in patients presenting with LBP in primary care varied between 0% and 0.7%. Seven studies provided diagnostic accuracy data on red flags. We found 5 red flags with accuracy data from 2 or more studies, with 2 (“history of malignancy” and “strong clinical suspicion”) considered informative. In conclusion, the origin and diagnostic accuracy of many red flags endorsed in guidelines are unclear. A “history of malignancy” and “strong clinical suspicion” are the only red flags with empirical evidence of acceptably high diagnostic accuracy.
The Adult Male Rape Victim
Authors: Casali Michelangelo Bruno , Palazzo Elisa , Blandino Alberto , Battistini Alessio , Motta Francesca , Kustermann Alessandra , Cattaneo Cristina 
Published: July 2017

Abstract
A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86.8% of cases, mostly performed by a single assailant. Anogenital injuries were recorded in 61.4% of cases, whereas extragenital injuries in 35.1%: abrasions and perianal reddening were the most frequent acute anogenital marks, whereas the head and lower limbs were the body parts most commonly affected by blunt trauma. No clinically severe injuries were found. Anal and perianal swabs for semen detection tested positive in less than 20% cases, whereas oral swabs always tested negative. When performed, nearly 50% of cases tested positive in drug tests, above all for psychoactive substances. No definite forensic diagnosis in terms of confirmation of rape was possible on the basis of type and topography of injuries.
T2*-Correction in Dynamic Contrast-Enhanced Magnetic Resonance Imaging of Glioblastoma From a Half Dose of High-Relaxivity Contrast Agent
Authors: Filice Silvano , Crisi Girolamo , Erb Gunter 
Published: July 2017

Objective
The aim of this study was to evaluate the arterial input function (AIF) and tissue enhancement time curve (tissue function [TF]) obtained after the administration of a half-dose gadobenate dimeglumine (0.05-mmol/kg body weight [bw]) compared with a full dose (0.1-mmol/kg bw) of a standard-relaxivity contrast agent.

Methods
We enrolled 40 adult patients with glioblastoma in an interindividual comparative study. Patients were randomized to 1 of the 2 study arms: 20 patients received 0.1-mmol/kg bw of gadoterate; the other 20 patients received 0.05-mmol/kg bw of gadobenate. The patients underwent dynamic contrast-enhanced magnetic resonance imaging examinations. Arterial input function, tissue enhancement time curve (TF), tumor transfer rate (Ktrans), and tumor extracellular-extravascular volume fraction (Ve) were calculated for each patients. Averaged AIF, TF, Ktrans, and Ve of both groups were compared.

Results
A significant difference (P = 0.001) between the peak AIF values obtained with the 2 different gadolinium-based contrast agents was observed. No difference was found between TFs (P = 0.35). Comparison on kinetic parameters revealed a significant difference for Ktrans (P = 0.047) but no difference for Ve (P = 0.74).

Conclusions
The administration of half dose of the high-relaxivity contrast agent gadobenate is effective in improving AIF by reducing T2*-shortening effects on dynamic contrast-enhanced magnetic resonance imaging and ensuring at the same time an adequate signal enhancement in tumor tissue. The use of 0.05-mmol/kg bw of gadobenate not only is feasible but also can lead to a better estimation of Ktrans based on a more accurate AIF assessment.
The Influence of Contrast Agent's Osmolarity on Iodine Delivery Protocol in Coronary Computed Tomography Angiography: Comparison Between Iso-Osmolar Iodixanol-320 and Low-Osmolar Iomeprol-370
Authors: Yang Xiaohan , Huang Weiwei , Liu Wangyan , Zhu Yinsu , Xu Yi , Yang Guanyu , Tang Lijun , Zhu Xiaomei 
Published: July 2017

Objectives
This study aims to assess whether iodine-contained contrast agents with different osmolarity affect iodine delivery protocol during coronary computed tomography angiography (CCTA).

Methods
Patients who underwent CCTA were randomized to receive contrast media either iodixanol-320 (iso-osmolar group) or iopromide-370 (low-osmolar group). Contrast protocols were recorded. Tube voltage of 100 kV was chosen for patients with body mass index of less than or equal to 25 (n = 224) and tube voltage of 120 kV for patients with body mass index of greater than 25 (n = 165). Both groups applied automatic current modulation technique. Mean contrast enhancement of the ascending aorta, left main coronary artery, and descending aorta was calculated. Simulated contrast flow rate and iodine delivery rate (IDR) to reach a mean contrast enhancement level of 350 HU were calculated.

Results
A total of the 389 patients were enrolled in the study. To achieve the same contrast enhancement of 350 HU, iso-osmolar group required higher simulated contrast flow rate (3.90 vs 3.62 mL/s, P = 0.017) but lower simulated IDR (1.34 vs 1.25 g/s, P = 0.024) compared with low-osmolar group.

Conclusions
To maintain a similar level of contrast enhancement during CCTA, iodixanol-320 needs larger contrast flow rate with lower IDR compared with low-osmolar iopromide-370.
Procuring load curtailment from local customers under uncertainty
Authors: Mijatović Aleksandar , Moriarty John , Vogrinc Jure 
Published: July 2017

Demand side response (DSR) provides a flexible approach to managing constrained power network assets. This is valuable if future asset utilization is uncertain. However there may be uncertainty over the process of procurement of DSR from customers. In this context we combine probabilistic modelling, simulation and optimization to identify economically optimal procurement policies from heterogeneous customers local to the asset, under chance constraints on the adequacy of the procured DSR. Mathematically this gives rise to a search over permutations, and we provide an illustrative example implementation and case study.This article is part of the themed issue ‘Energy management: flexibility, risk and optimization’.
The Evolution of Fair Offers with Low Rejection Thresholds in the Ultimatum Game
Authors: Schank Jeffrey C. , Miller Matt L. , Smaldino Paul E. 
Published: July 2017

AbstractThe ultimatum game (UG) is widely used in economic and anthropological research to investigate fairness by how one player proposes to divide a resource with a second player who can reject the offer. In these contexts, fairness is understood as offers that are more generous than predicted by the subgame perfect Nash equilibrium (SPNE). A surprising and robust result of UG experiments is that proposers offer much more than the SPNE. These results have spawned many models aimed at explaining why players do not conform to the SPNE by showing how Nash equilibrium strategies can evolve far from the SPNE. However, empirical data from UG experiments indicate that players do not use Nash equilibrium strategies, but rather make generous offers while rejecting only very low offers. To better understand why people behave this way, we developed an agent-based model to investigate how generous strategies could evolve in the UG. Using agents with generic biological properties, we found that fair offers can readily evolve in structured populations even while rejection thresholds remain relatively low. We explain the evolution of fairness as a problem of the efficient conversion of resources into the production of offspring at the level of the group.Significance StatementHuman generosity is widespread and far exceeds that of other social animals. Generosity is often studied experimentally with the ultimatum game, in which a proposer offers a split and a responder can either accept it or cancel the whole deal. A surprising result of ultimatum game experiments is that players are much more generous than predicted while only rejecting very low offers. This has presented a theoretical puzzle, since mathematical models have generally relied on high rejection levels—just below offer levels—to maintain generosity. Using evolutionary simulations, we explain both generous offers and the rejection of only low offers as a solution to the problem of how groups can efficiently convert resources into the production of offspring.
Rapid Detection of Norovirus Using Paper-based Microfluidic Device
Authors: Weng Xuan , Neethirajan Suresh 
Published: July 2017

AbstractNoroviruses (NoV) are the leading cause of outbreak of acute gastroenteritis worldwide. A substantial effort has been made in the development of analytical devices for rapid and sensitive food safety monitoring via the detection of foodborne bacteria, viruses and parasites. Conventional analytical approaches for noroviruses suffer from some critical weaknesses: labor-intensive, time-consuming, and relatively low sensitivity. In this study, we developed a rapid and highly sensitive biosensor towards point-of-care device for noroviruses based on 6-carboxyfluorescein (6-FAM) labeled aptamer and nanomaterials, multi-walled carbon nanotubes (MWCNTs) and graphene oxide (GO). In an assay, the fluorescence of 6-FAM labeled aptamer was quenched by MWCNTs or GO via fluorescence resonance energy transfer (FRET). In the presence of norovirus, the fluorescence would be recovered due to the release of the 6-FAM labeled aptamer from MWCNTs or GO. An easy-to-make paper-based microfluidic platform made by nitrocellulose membrane was used to conduct the assay. The quantitative detection of norovirus virus-like particles (NoV VLPs) was successfully performed. A linear range of 0-12.9 μg/mL with a detection limit of 40 pM and 30 pM was achieved for the MWCNTs and GO based paper sensors, respectively. The results suggested the developed paper-based microfluidic device is simple, cost-effective and holds the potential of rapid in situ visual determination for noroviruses with remarkable sensitivity and specificity, which provides a new way for early identification of NoV and thereby an early intervention for preventing the spread of an outbreak.
A Comparison of Methods for Estimating Substitution Rates from Ancient DNA Sequence Data
Authors: Tong K. Jun , Duchêne David A. , Duchêne Sebastián , Geoghegan Jemma L. , Ho Simon Y.W. 
Published: July 2017

AbstractThe estimation of evolutionary rates from ancient DNA sequences can be negatively affected by among-lineage rate variation and non-random sampling. Using a simulation study, we compared the performance of three phylogenetic methods for inferring evolutionary rates from time-structured data sets: root-to-tip regression, least-squares dating, and Bayesian inference. Our results show that these methods produce reliable estimates when the substitution rate is high, rate variation is low, and samples of similar ages are not phylogenetically clustered. The interaction of these factors is particularly important for Bayesian estimation of evolutionary rates. We also inferred rates for time-structured mitogenomic data sets from six vertebrate species. Root-to-tip regression estimated a different rate from least-squares dating and Bayesian inference for mitogenomes from the horse, which has high levels of among-lineage rate variation. We recommend using multiple methods of inference and testing data for temporal signal, among-lineage rate variation, and phylo-temporal clustering.
The non-homologous end joining factor Ku orchestrates replication fork resection and fine-tunes Rad51-mediated fork restart
Authors: Teixeira-Silva Ana , Saada Anissia Ait , Iraqui Ismail , Nocente Marina Charlotte , Fréon Karine , Hardy Julien , Lambert Sarah 
Published: July 2017

AbstractReplication requires Homologous Recombination (HR) to stabilize and restart terminally-arrested forks. HR-mediated fork processing requires single stranded DNA (ssDNA) gaps and not necessarily Double Strand Breaks. We used genetic and molecular assays to investigate fork-resection and restart at dysfunctional, unbroken forks inSchizosaccharomyces pombe. We found that fork-resection is a two-step process coordinated by the non-homologous end joining factor Ku. An initial resection mediated by MRN/Ctp1 removes Ku from terminally-arrested forks, generating ~ 110 bp sized gaps obligatory for subsequent Exo1-mediated long-range resection and replication restart. The lack of Ku results in slower fork restart, excessive resection, and impaired RPA recruitment. We propose that terminally-arrested forks undergo fork reversal, providing a single DNA end for Ku binding which primes RPA-coated ssDNA. We uncover an unprecedented role for Ku in orchestrating resection of unbroken forks and in fine-tuning HR-mediated replication restart.Ku orchestrates a two-steps DNA end-resection of terminally-arrested and unbroken forksMRN/Ctp1 removes Ku from terminally-arrested forks to initiate fork-resectiona ~110 bp sized ssDNA gap is sufficient and necessary to promote fork restart.The lack of Ku decreases ssDNA RPA-coating, and slows down replication fork restart.
CRAVAT 4: Cancer-Related Analysis of Variants Toolkit
Authors: Masica David L. , Douville Christopher , Tokheim Collin , Bhattacharya Rohit , Kim RyangGuk , Moad Kyle , Ryan Michael C. , Karchin Rachel 
Published: July 2017

AbstractCancer sequencing studies are increasingly comprehensive and well-powered, returning long lists of somatic mutations that can be difficult to sort and interpret. Diligent analysis and quality control can require multiple computational tools of distinct utility and producing disparate output, creating additional challenges for the investigator. The Cancer-Related Analysis of Variants Toolkit (CRAVAT) is an evolving suite of informatics tools for mutation interpretation that includes mutation projecting and quality control, impact prediction and extensive annotation, gene- and mutation-level interpretation including joint prioritization of all nonsilent consequence types, and structural and mechanistic visualization. Results from CRAVAT submissions are explored in an interactive, user-friendly web-environment with dynamic filtering and sorting designed to highlight the most informative mutation, even in the context of very large studies. CRAVAT can be run on a public web-portal, in the cloud, or downloaded for local use, and is easily integrated with other methods for cancer omics analysis.Conflict of interestAll authors declare no potential conflict of interest.
R (Miller) v Secretary of State for Exiting the European Union: Three Competing Syllogisms
Authors: Aroney Nicholas 
Published: July 2017

The Miller case concerned the constitutional requirements for the UK to give notice of its intention to withdraw from the EU pursuant to Article 50 of the Treaty on European Union. The parties made submissions in terms of two competing syllogisms. The Government argued that ministers, exercising Crown prerogative, had the power to give notice without statutory authorisation. The Applicants argued that the process required authorisation by Act of Parliament because the UK's withdrawal would deprive people of rights arising under EU law. However, a majority of the Supreme Court decided in favour of the Applicants based on a third and significantly different syllogism, based on the proposition that the European Communities Act had established EU law‐making and law‐interpreting institutions as new ‘sources of law’. This note assesses the three competing syllogisms and examines the constitutional significance of the majority's proposition that these new EU sources of law were integrated into UK domestic law without disrupting the principle of parliamentary sovereignty.
Amniotic fluid neutrophils can phagocytize bacteria: A mechanism for microbial killing in the amniotic cavity
Authors: Gomez‐Lopez Nardhy , Romero Roberto , Garcia‐Flores Valeria , Xu Yi , Leng Yaozhu , Alhousseini Ali , Hassan Sonia S. , Panaitescu Bogdan 
Published: July 2017

ProblemNeutrophils are capable of performing phagocytosis, a primary mechanism for microbial killing. Intra‐amniotic infection is characterized by an influx of neutrophils into the amniotic cavity. Herein, we investigated whether amniotic fluid neutrophils could phagocytize bacteria found in the amniotic cavity of women with intra‐amniotic infection.MethodsAmniotic fluid neutrophils from women with intra‐amniotic infection were visualized by transmission electron microscopy (n=6). The phagocytic activity of amniotic fluid neutrophils from women with intra‐amniotic infection and/or inflammation (n=10) or peripheral neutrophils from healthy individuals (controls, n=3) was tested using ex vivo phagocytosis assays coupled with live imaging. Phagocytosis by amniotic fluid neutrophils was also visualized by confocal microscopy (n=10) as well as scanning and transmission electron microscopy (n=5).Results(i) Intra‐amniotic infection‐related bacteria including cocci (eg Streptococcus agalactiae), bacilli (eg Bacteriodes fragilis and Prevotella spp.), and small bacteria without a cell wall (eg Ureaplasma urealyticum) were found inside of amniotic fluid neutrophils; (ii) peripheral neutrophils (controls) rapidly phagocytized S. agalactiae, U. urealyticum, Gardnerella vaginalis, and Escherichia coli; (iii) amniotic fluid neutrophils rapidly phagocytized S. agalactiae and G. vaginalis; and (iv) amniotic fluid neutrophils slowly phagocytized U. urealyticum and E. coli; yet, the process of phagocytosis of the genital mycoplasma was lengthier.ConclusionAmniotic fluid neutrophils can phagocytize bacteria found in the amniotic cavity of women with intra‐amniotic infection, namely S. agalactiae, U. urealyticum, G. vaginalis, and E. coli. Yet, differences in the rapidity of phagocytosis were observed among the studied microorganisms. These findings provide a host defense mechanism whereby amniotic fluid neutrophils can kill microbes invading the amniotic cavity.