bluuebunny/crossref_metadata_2025_split huggingface dataset:
What is the Risk of Developing Proximal Junctional Kyphosis During Growth Friendly Treatments for Early-onset Scoliosis?
Authors: El-Hawary Ron , Sturm Peter , Cahill Patrick , Samdani Amer , Vitale Michael , Gabos Peter , Bodin Nathan , d’Amato Charles , Harris Colin , Al Khudairy Ammar , Smith John T. 
Published: July 2015

Background:
Rib-based and spine-based systems are commonly used distraction-based growth friendly treatments for early-onset scoliosis (EOS). Our primary purpose was to determine the risk of developing postoperative proximal junctional kyphosis (PJK) during distraction-based growth friendly surgery.

Methods:
A multicenter, retrospective, radiographic comparison was performed for a group of 40 children with EOS who were treated with posterior distraction-based implants. PJK was defined as proximal junction sagittal angle (PJA)≥10 degrees and PJA at least 10 degrees greater than preoperative.

Results:
Eight subjects (20%) at immediate postoperative follow-up and 11 subjects (27.5%) at minimum 2-year follow-up had developed PJK. The risk of developing PJK between rib-based and spine-based growing systems was not significantly different at immediate postoperative (17% vs. 25%) or at final (25% vs. 31%) follow-ups.
Further analysis combining both treatment groups demonstrated that PJK subjects were significantly older at time of initial surgery (7.1 y PJK vs. 5.0 y no PJK)*. Radiographic comparisons between PJK versus no PJK: Preoperative scoliosis (69.9 vs. 76.0 degrees), thoracic kyphosis (45.1 vs. 28.7 degrees)*, lumbar lordosis (53.1 vs. 44.0 degrees), PJA (2.2 vs. 2.8 degrees), sagittal vertical axis (1.5 vs. 2.6 cm), pelvic incidence (52.8 vs. 47.4 degrees), pelvic tilt (14.3 vs. 8.7 degrees), and sacral slope (37.7 vs. 35.9 degrees). At both initial postoperative and at final follow-up visits, a significant difference was found for cervical lordosis 32.2 versus 14.0 degrees* and 42.0 versus 16.6 degrees, *respectively. *Risk ratio for developing PJK at final follow-up was 2.8 for subjects with preoperative thoracic hyperkyphosis and was 3.1 for subjects with high pelvic incidence* (*
P<0.05).

Conclusions:
The risk of developing PJK during distraction-based growth friendly treatment for EOS was 20% immediately after implantation and 28% at minimum 2-year follow-up, with no difference observed between rib-based and spine-based treatment groups. As this study identifies a significant risk of developing PJK during the treatment of EOS, it allows clinicians to preoperatively council patients and their families about this possible complication. In addition, several potential risk factors for the development of postoperative PJK were identified, but should be investigated further in future studies.

Level of Evidence:
Level III—therapeutic study (retrospective, comparative).
The Etiology of Cam-type Femoroacetabular Impingement: A Cadaveric Study
Authors: Collins Jason A. , Beutel Bryan G. , Liu Raymond W. , Feldman David S. , Otsuka Norman Y. 
Published: July 2015

Background:
There is a dearth of literature examining the causes of cam-type femoroacetabular impingement (FAI) and when such morphology appears. The purpose of the current study was to analyze how the ossific portion of the proximal femur develops over time with respect to standard cam-type FAI parameters.

Methods:
A collection of 193 femurs from cadavers aged 4 to 21 years were evaluated. The age, sex, ethnicity, and status of the proximal femoral physes (open or closed) of each were recorded. Each specimen was digitally photographed in standardized anteroposterior and modified axial positions. From these photographs, the anterior offset, anterior offset ratio (AOR), and α-angle were determined. A cam lesion was defined as an α-angle >55 degrees on the lateral view.

Results:
The mean age of the specimens was 17.5±4.2 years. The majority were male (69%) and African American (79%) with closed physes (78%). There were significant differences among discrete age groups with respect to α-angle (P=0.01), anterior offset (P<0.01), and AOR (P<0.01). In addition, younger femurs with open physes had a significantly higher mean α-angle (P<0.01), lower mean anterior offset (P<0.01), and higher mean AOR (P<0.01) compared with older ones with closed physes. Specimens defined as having a cam deformity had a statistically higher α-angle (P<0.01) and lower anterior offset (P<0.01), but there was no difference in AOR values compared with specimens without a cam lesion (P=0.1).

Conclusions:
The apparent decline in α-angles as age increases indicates that the traditional α-angle in younger patients measures a different anatomic parameter (ossified femur excluding the cartilaginous portion) than in older patients (completely ossified femur). This suggests that the bony α-angle is inappropriate in the evaluation of cam lesions in the immature physis. The AOR, rather than the anterior offset, may be more accurate in the evaluation of the growing proximal femur.

Clinical Relevance:
This study provides novel insight into, and enhances the understanding of, the development of cam-type FAI.
All-Epiphyseal ACL Reconstruction in Children: Review of Safety and Early Complications
Authors: Cruz Aristides I. , Fabricant Peter D. , McGraw Michael , Rozell Joshua C. , Ganley Theodore J. , Wells Lawrence 
Published: July 2015

Background:
All-epiphyseal anterior cruciate ligament (ACL) reconstruction is a well-described technique for skeletally immature patients. The purpose of this study was to elucidate the early complication rate and identify associated risk factors for rerupture after this procedure in children.

Methods:
We retrospectively reviewed patients who underwent all-epiphyseal ACL reconstructions performed at a large, tertiary care children’s hospital between January 2007 and April 2013. Relevant postoperative data including the development of leg-length discrepancy, angular deformity, rerupture, infection, knee range of motion, arthrofibrosis, and other complications were recorded. Independent variables analyzed for association with rerupture included age, body mass index, graft type, graft size, and associated injuries addressed at surgery.

Results:
A total of 103 patients (average 12.1 y old; range, 6.3 to 15.7) were analyzed. The mean follow-up was 21 months. The overall complication rate was 16.5% (17/103), including 11 reruptures (10.7%), 1 case (<1.0%) of clinical leg-length discrepancy of <1 cm, and 2 cases (1.9%) of arthrofibrosis requiring manipulation under anesthesia. Two patients (1.9%) sustained contralateral ACL ruptures and 3 (2.9%) sustained subsequent ipsilateral meniscus tears during the study period. There were no associations found between age, sex, graft type, graft thickness, body mass index, or associated injuries addressed during surgery and rerupture rate. Knee flexion continued to improve by 20 degrees on an average between the 6 weeks and 6 months postoperative visits (P<0.001; paired samples Student's t test).

Conclusions:
When taken in the context of known risk of future injury in an ACL-deficient knee, all-epiphyseal ACL reconstruction in children is safe. The rate of growth disturbance in this study is similar to previous reports in this patient demographic. The rerupture rate in this cohort is slightly higher compared with ACL reconstruction in older patients.

Level of Evidence:
Level IV—retrospective case series.
Patients With Inflammatory Bowel Disease Are Unaware of the Impact of Smoking on Their Disease
Authors: Ducharme-Bénard Stéphanie , Côté-Daigneault Justin , Lemoyne Michel , Orlicka Katarzyna , Lahaie Raymond , Weber Audrey , Bouin Mickael 
Published: July 2015

Backgound:
Tobacco is one of the most significant risk factors for inflammatory bowel disease (IBD).

Goals:
The main objective was to assess the knowledge of patients with IBD regarding the effects of tobacco on their disease. Secondary objectives were to determine the source of their knowledge, the influence of their knowledge on their intent to quit smoking, and the association between patients’ characteristics and their knowledge.

Study:
Patients with IBD completed a self-administered questionnaire on demographic data, severity of disease, and effects of tobacco on their disease.

Results:
In total 259 patients [182 with Crohn’s disease, 77 with ulcerative colitis (UC)] participated. The prevalence of current smokers, exsmokers, and nonsmokers was 19.6%, 40.2%, and 40.2%, respectively. Patients with Crohn’s disease were more aware of the effects of tobacco on their disease compared with those with UC (57.7% vs. 13.0%, P<0.0001). In informed patients, the main source of information was the gastroenterologist (56.9%). The intent to quit smoking was superior in informed patients compared with those uninformed (78.6% vs. 47.8%, P=0.046). Older patients (odds ratio=0.97, P=0.01) and patients with UC (odds ratio=0.11, P<0.0001) were less likely to be informed.

Conclusions:
Only half of patients with IBD are aware of the risks of smoking associated with their disease, whereas their intent to quit smoking is directly related to their awareness. In the scope of IBD’s treatment, management of smoking cessation should be undertaken in all smokers.
Intrastate Variations in Rural Cancer Risk and Incidence: An Illinois Case Study
Authors: Zahnd Whitney E. , Mueller Georgia S. , Fogleman Amanda J. , Jenkins Wiley D. 
Published: July 2015

Context:
Although rural-urban cancer disparities have been explored with some depth, disparities within seemingly homogeneous rural areas have received limited attention. However, exploration of intrarural cancer incidence may have important public health implications for risk assessment, cancer control, and resource allocation.

Objective:
The objective of this study was to explore intrastate rural cancer risk and incidence differences within Illinois.

Design:
Illinois's 83 rural counties were categorized into northern, central, and southern regions (IL-N, IL-C, and IL-S, respectively). Chi-square test for independence and analysis of variance calculations were performed to assess regional differences in demographic characteristics, socioeconomic deprivation, smoking history, obesity, cancer-screening adherence, and density of general practitioners. Age-adjusted incidence rates were calculated for 5 cancer categories: all cancers combined, lung, colorectal, breast (female), and prostate cancers. Unadjusted and adjusted incidence rate ratios (IRRs) were calculated to evaluate regional differences in rates for each cancer category.

Results:
Socioeconomic deprivation varied by region: 4.5%, 6.9%, and 40.6% of IL-N, IL-C, and IL-S counties, respectively (P < .001). Smoking history also significantly differed by region. Mean former/current smoking prevalence in IL-N, IL-C, and IL-S counties was 46.4%, 48.2%, and 51.4%, respectively (P = .006). In unadjusted analysis, IL-C (IRR = 1.12; 95% confidence interval [CI], 1.02-1.23) and IL-S (IRR = 1.24; 95% CI, 1.13-1.35) had increased lung cancer incidence compared with IL-N. Elevated risk remained in IL-S after adjusting for relevant factors such as smoking and socioeconomic deprivation (IRR = 1.14; 95% CI, 1.04-1.26).

Conclusions:
Socioeconomic deprivation, health behaviors, and lung cancer incidence varied across rural regions. Our findings underscore the importance of identifying cancer risk heterogeneity, even within a state, to effectively target risk factor reduction and cancer control interventions.
Embedded Online Questionnaire Measures Are Sensitive to Identifying Mild Cognitive Impairment
Authors: Seelye Adriana , Mattek Nora , Howieson Diane B. , Austin Daniel , Wild Katherine , Dodge Hiroko H. , Kaye Jeffrey A. 
Published: July 2015

Background/Aims:
Early changes in cognitively demanding daily activities occur between normal cognition and the development of mild cognitive impairment (MCI). These real-world functional changes as early signals of cognitive change form a prime target for meaningful early detection of dementia. We examined whether passive aspects of responding to a remotely monitored weekly online questionnaire discriminated between older adults with and without MCI.

Methods:
Participants were 83 independent, community-dwelling older adults enrolled in a longitudinal study of in-home monitoring technologies, which included completion of a short weekly online questionnaire of health and life events.

Results:
In longitudinal analyses, time to complete the online questionnaire decreased over 1 year in both MCI and cognitively intact participants (P<0.01). MCI and intact participants did not differ in the time of day they submitted their questionnaires initially; however, over the course of 1 year MCI participants began to submit their questionnaires progressively later in the day and they needed greater assistance from staff as compared with intact participants (P<0.05). The online questionnaire performance measures were significantly correlated to conventional cognitive test scores (P<0.05) across the spectrum of normal cognition to MCI.

Conclusions:
Ambiently assessed, passive performance measures embedded within an online questionnaire are able to discriminate between normal cognition and MCI. Remote monitoring of cognitively demanding routine daily activities is a promising approach for ecologically valid real-world cognitive assessment.
Polymorphisms in oxidative pathway related genes and susceptibility to inflammatory bowel disease
Authors: Senhaji Nezha , Nadifi Sellama , Serrano Aurora , Rodríguez Daniel León , Serbati Nadia , Karkouri Mehdi , Badre Wafaa , Martin Javier 
Published: July 2015

ABSTRACTObjectiveTo better characterize the genetic factors, implicated in oxidative pathway, determining susceptibility to inflammatory bowel disease (IBD), we assessed for the first time the potential role ofNOS2A,HIF1AandNFKB1polymorphisms on the risk of developing IBD in Moroccan population.MethodsThe distribution of (TAAA)n_rs12720460 and (CCTTT)n_rs3833912NOS2Amicrosatellite repeats,HIF-1A_rs11549467 andNFKB1–94ins/delATTG_rs28362491 was analyzed in 507 subjects grouped in 199 IBD and 308 healthy controls. Genotyping was performed with polymerase chain reaction-fluorescent method and the TaqMan® allelic discrimination technology.ResultsThe allele and genotype frequencies ofHIF1A_rs11549467,NFKB1_rs28362491 andNOS2A_(TAAA)n did not differ significantly between patients and controls. Analysis ofNOS2A_(CCTTT)n markers evidenced differences between patients and healthy controls. A preferential presence of the (CCTTT)8 (P=0.02; OR=1.71, 95%CI=1.07–2.74), (CCTTT)14 (P=0.02; OR=1.71, 95%CI=1.06–2.76) alleles in IBD, (CCTTT)8 (P=0.008; OR=1.95, 95%CI=1.17–3.23) in CD and (CCTTT)7 (P=0.009; OR = 7.61, 95%CI=1.25-46.08), (CCTTT)11 (P=0.05 ; OR= 0.51, 95%CI=0.25-1.01), (CCTTT)14 (P=0.02 ; OR= 2.05, 95%CI=1.07-3.94), (CCTTT)15 (P=0.01 ; OR= 2.25, 95%CI=1.16-4.35) repeats in UC patients indicated its possible association with higher disease risk which need to be confirmed in a larger sample size.ConclusionOur results suggest that theNOS2A_(CCTTT)n gene variations may influence IBD susceptibility in the Moroccan population.
TheC. elegansephrin EFN-4 functions non-cell autonomously with heparan sulfate proteoglycans to promote axon outgrowth and branching
Authors: Schwieterman Alicia A. , Steves Alyse N. , Yee Vivian , Donelson Cory J. , Pital Aaron , Voyles Taylor , Howard Austin M. , Ereddia Danielle E. , Effrein Kelsie S. , McMurry Jonathan L. , Ackley Brian D. , Chisholm Andrew D. , Hudson Martin L. 
Published: July 2015

ABSTRACTThe Eph receptors and their cognate ephrin ligands play key roles in many aspects of nervous system development. These interactions typically occur within an individual tissue type, serving either to guide axons to their terminal targets or to define boundaries between the rhombomeres of the hindbrain. We have identified a novel role for theCaenorhabditis elegansephrin EFN-4 in promoting primary neurite outgrowth in AIY interneurons and D-class motor neurons. Rescue experiments reveal that EFN-4 functions non-cell autonomously in the epidermis to promote primary neurite outgrowth. We also find that EFN-4 plays a role in promoting ectopic axon branching in aC. elegansmodel of X-linked Kallmann syndrome. In this context, EFN-4 functions non-cell autonomously in the body wall muscle, and in parallel with HS biosynthesis genes and HSPG core proteins, which function cell autonomously in the AIY neurons. This is the first report of an epidermal ephrin providing a developmental cue to the nervous system.
Adaptive divergence in the bovine genome
Authors: Barendse William , McWilliam Sean , Bunch Rowan J. , Harrison Blair E. 
Published: July 2015

AbstractCattle diverged during the Pleistocene into two subspecies, one in temperate and one in tropical environments. Here we have used next generation sequencing of the indicine subspecies of cattle and compared it to the taurine subspecies. Although 23.8 million single nucleotide polymorphisms (SNP) were found, the number of fixed amino acid substitutions between the taurine and indicine subspecies was low and consistent with the Haldane predictions for adaptive selection rather than with Neutral Theory. We noted 33 regions of enhanced divergence of nonsynonymous SNP between the subspecies, which included an increased rate of deleterious variants. Signals of positive selection were found for genes associated with immunity, including the Bovine Major Histocompatibility Complex, which also showed an increased rate of deleterious amino acid variants. The genes important in sensing the environment, especially the olfactory system, showed a network wide signal of positive selection.
Cancer evolution simulation identifies possible principles underlying intratumor heterogeneity
Authors: Niida Atsushi , Ito Satoshi , Tremmel Georg , Imoto Seiya , Uchi Ryutaro , Takahashi Yusuke , Mimori Koshi , Miyano Satoru 
Published: July 2015

AbstractCancer arises from accumulation of somatic mutations and accompanying evolutionary selection for growth advantage. During the evolutionary process, an ancestor clone branches into multiple clones, yielding intratumor heterogeneity. However, principles underlying intratumor heterogeneity have been poorly understood. Here, to explore the principles, we built a cellular automaton model, termed the BEP model, which can reproduce the branching cancer evolution in silico. We then extensively searched for conditions leading to high intratumor heterogeneity by performing simulations with various parameter settings on a supercomputer. Our result suggests that multiple driver genes of moderate strength can shape subclonal structures by positive natural selection. Moreover, we found that high mutation rate and a stem cell hierarchy can contribute to extremely high intratumor heterogeneity, which is characterized by fractal patterns, through neutral evolution. Collectively, This study identified the possible principles underlying intratumor heterogeneity, which provide novel insights into the origin of cancer robustness and evolvability.
Roles of the three L‐domains in β‐retrovirus budding
Authors: Narahara Chisato , Yasuda Jiro 
Published: July 2015

ABSTRACTRetroviral Gag protein plays a critical role during the late stage of virus budding and possesses a so‐called L‐domain containing PT/SAP, PPxY, YxxL or FPIV motifs that are critical for efficient budding. Mason–Pfizer monkey virus (M‐PMV) contains PSAP, PPPY, and YADL sequences in Gag. This study was performed to investigate the roles of these three L‐domain‐like sequences in virus replication in three different cell lines, 293T, COS‐7 and HeLa cells. It was found that the PPxY motif plays an essential role in progeny virus production as a major L‐domain in all three cell lines. The PSAP sequence was shown to function as an additional L‐domain in HeLa cells and to promote efficient release of M‐PMV; however, this sequence was dispensable for M‐PMV production in 293T and COS‐7 cells, suggesting that the role of the PSAP motif as an L‐domain in M‐PMV budding is cell type‐dependent. Viruses possessing multiple L‐domains appear to change the L‐domain usage to replicate in various cells. On the other hand, the YADL motif was required for M‐PMV production as a transport signal of Gag to the plasma membrane, but not as an L‐domain.
Birds and butterflies respond to soil‐induced habitat heterogeneity in experimental plantings of tallgrass prairie species managed as agroenergy crops in Iowa, USA
Authors: Myers Mark C. , Mason James T. , Hoksch Benjamin J. , Cambardella Cynthia A. , Pfrimmer Jarrett D. 
Published: July 2015

Summary

The maintenance of habitat heterogeneity in agricultural landscapes has been promoted as a key strategy to conserve biodiversity. Animal response to grassland heterogeneity resulting from spatiotemporal variation in disturbance is well documented; however, the degree to which edaphic variation generates heterogeneity detectable by grassland wildlife has proven more difficult to study in natural settings.

We conducted a field experiment to study how soils directly affect vegetation structure and composition and indirectly affect bird and butterfly assemblages using plantings of tallgrass prairie species managed as agroenergy crops in Iowa, USA. The experimental design included four vegetation treatments of varying species richness replicated on three soil types.

Habitat characteristics varied widely among soils. Crops on sandy loam, the driest, most acidic soil with the lowest nutrient content, developed shorter, less dense vegetation with sparse litter accumulation and more bare ground compared to crops on loam and clay loam.

Birds and butterflies responded similarly to soil‐induced variation in habitat characteristics. Their abundance and species richness were similar on all soils, but their assemblage compositions varied among soils in certain vegetation treatments.

In low‐diversity grass crops, bird assemblages using sandy loam were dominated by species preferring open ground and sparse vegetation for foraging and nesting, whereas assemblages using loam and clay loam were dominated by birds preferring tall, dense vegetation with abundant litter. In high‐diversity prairie crops, the species composition of forbs in bloom varied among soils and strongly influenced butterfly assemblages.

Synthesis and applications. Prairie agroenergy crops established with identical management practices developed variable habitat characteristics due to natural edaphic variation, and this heterogeneity influenced the spatial distribution of bird and butterfly assemblages due to differential habitat use among species. This finding suggests that if unfertilized prairie crops were grown for agroenergy by land managers large‐scale, soil‐induced habitat heterogeneity would promote wildlife diversity within and among fields, further increasing the habitat value of these crops compared to the fertilized, annual monocultures that currently dominate the agricultural landscape. Our study also highlights the need for managers to consider soil properties when selecting sites to restore grassland habitat for species of conservation concern.