bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effects on biomechanics of walking and balance recovery in a novel pelvis exoskeleton during zero-torque control
Authors: Martelli Dario , Vannetti Federica , Cortese Mario , Tropea Peppino , Giovacchini Francesco , Micera Silvestro , Monaco Vito , Vitiello Nicola 
Published: June 2014

SUMMARYFall-related accidents are among the most serious concerns in elderly people, amputees and subjects with neurological disorders. The aim of this paper was to investigate the behaviour of healthy subjects wearing a novel light-weight pelvis exoskeleton controlled in zero-torque mode while carrying out unperturbed locomotion and managing unexpected perturbations. Results showed that the proposed exoskeleton was unobtrusive and had a minimum loading effect on the human biomechanics during unperturbed locomotion. Conversely, it affected the movement of the trailing leg while subjects managed unexpected slipping-like perturbations. These findings support further investigations on the potential use of powered exoskeletons to assist locomotion and, possibly prevent incipient falls.
Tree damage and microclimate of forest canopies along a hurricane-impact gradient in Cusuco National Park, Honduras
Authors: Batke Sven Peter , Kelly Daniel Lucius 
Published: June 2014

Abstract:Past studies of large, infrequent wind disturbances have shown that topographical, biological and meteorological factors interact to create complex damage patterns to forest ecosystems. However, the extent to which some of these factors change the forest microclimate along a vertical forest profile is poorly known. In a previous study, we correlated tree damage with a hurricane model that estimated past hurricane impacts within Cusuco National Park, Honduras over a 15-y period. Here we use the model to compare physical tree damage among different species in ten 150 ×150-m plots and to correlate modelled exposure of hurricanes to microclimate measurements along the vertical canopy over a 12-mo period. It was found that past hurricane impacts could still be detected long after the events. Different tree species showed different levels of wind damage. Most branch damage was observed on conifers (Pinusspp.), followed by angiosperm species. Vapour pressure deficit increased with height in the canopy and with increased disturbance level. A linear model explained 83% of the total variance in vapour pressure deficit, with 67% attributed to monthly fluctuation, 15% to altitude, 12% to historical hurricane damage and 6% to height in the canopy.
Using population dynamics modelling to evaluate potential success of restoration: a case study of a Hawaiian vine in a changing climate
Authors: WONG TAMARA M. , TICKTIN TAMARA 
Published: June 2014

SUMMARYDemographic comparisons between wild and restored populations of at-risk plant species can reveal key management strategies for effective conservation, but few such studies exist. This paper evaluates the potential restoration success ofAlyxia stellata, a Hawaiian vine. Stage-structured matrix projection models that compared long-term and transient dynamics of wild versus restoredA. stellatapopulations, and restored populations under different levels of canopy cover, were built from demographic data collected over a four year period. Stochastic models of wild populations projected stable or slightly declining long-term growth rates depending on frequency of dry years. Projected long-term population growth rates of restored populations were significantly higher in closed than open canopy conditions, but indicated population decline under both conditions. Life table response experiments illustrated that lower survival rates, especially of small adults and juveniles, contributed to diminished population growth rates in restored populations. Transient analyses for restored populations projected short-term decline occurring even faster than predicted by asymptotic dynamics. Restored populations will not be viable over the long term under conditions commonly found in restoration projects and interventions will likely be necessary. This study illustrates how the combination of long-term population modelling and transient analyses can be effective in providing relevant information for plant demographers and restoration practitioners to promote self-sustaining native populations, including under future climates.
Visualization of Hierarchical Nanodomains in Polymer/Fullerene Bulk Heterojunction Solar Cells
Authors: Wen Jianguo , Miller Dean J. , Chen Wei , Xu Tao , Yu Luping , Darling Seth B. , Zaluzec Nestor J. 
Published: June 2014

AbstractTraditional electron microscopy techniques such as bright-field imaging provide poor contrast for organic films and identification of structures in amorphous material can be problematic, particularly in high-performance organic solar cells. By combining energy-filtered corrected transmission electron microscopy, together with electron energy loss and X-ray energy-dispersive hyperspectral imaging, we have imaged PTB7/PC61BM blended polymer optical photovoltaic films, and were able to identify domains ranging in size from several hundred nanometers to several nanometers in extent. This work verifies that microstructural domains exist in bulk heterojunctions in PTB7/PC61BM polymeric solar cells at multiple length scales and expands our understanding of optimal device performance providing insight for the design of even higher performance cells.
Propagation and energy deposition of cosmic rays’ muons on terrestrial environments
Authors: Marinho Franciole , Paulucci Laura , Galante Douglas 
Published: June 2014

AbstractThe Earth is constantly struck by radiation coming from the interstellar medium. The very low energy end of the spectrum is shielded by the geomagnetic field but charged particles with energies higher than the geomagnetic cutoff will penetrate the atmosphere and are likely to interact, giving rise to secondary particles. Some astrophysical events, such as γ-ray bursts and supernovae, when happening at short distances, may affect the planet's biosphere, due to the temporary enhanced radiation flux. Muons are abundantly produced by high-energy cosmic rays in the Earth's atmosphere. These particles, due to their low cross-section, are able to penetrate deep both underground and underwater, with the possibility of affecting biological niches normally considered shielded from radiation. We investigate the interaction of muons produced by high-energy cosmic rays on the Earth's atmosphere using the Geant4 toolkit. We analyse its penetration power in water and crust and also the interaction effects within bacteria-like material according to the particle type and energy, and noticed the possibility of off-track damage due to secondary particles.
Unveiling microbial activities along the halocline of Thetis, a deep-sea hypersaline anoxic basin
Authors: Pachiadaki Maria G , Yakimov Michail M , LaCono Violetta , Leadbetter Edward , Edgcomb Virginia 
Published: June 2014

Abstract
Deep-sea hypersaline anoxic basins (DHABs) in the Eastern Mediterranean Sea are considered some of the most hostile environments on Earth. Little is known about the biochemical adaptations of microorganisms living in these habitats. This first metatranscriptome analysis of DHAB samples provides significant insights into shifts in metabolic activities of microorganisms as physicochemical conditions change from deep Mediterranean sea water to brine. The analysis of Thetis DHAB interface indicates that sulfate reduction occurs in both the upper (7.0–16.3% salinity) and lower (21.4–27.6%) halocline, but that expression of dissimilatory sulfate reductase is reduced in the more hypersaline lower halocline. High dark-carbon assimilation rates in the upper interface coincided with high abundance of transcripts for ribulose 1,5-bisphosphate carboxylase affiliated to sulfur-oxidizing bacteria. In the lower interface, increased expression of genes associated with methane metabolism and osmoregulation is noted. In addition, in this layer, nitrogenase transcripts affiliated to uncultivated putative methanotrophic archaea were detected, implying nitrogen fixation in this anoxic habitat, and providing evidence of linked carbon, nitrogen and sulfur cycles.
The niche of an invasive marine microbe in a subtropical freshwater impoundment
Authors: Hambright K David , Beyer Jessica E , Easton James D , Zamor Richard M , Easton Anne C , Hallidayschult Thayer C 
Published: June 2014

Abstract
Growing attention in aquatic ecology is focusing on biogeographic patterns in microorganisms and whether these potential patterns can be explained within the framework of general ecology. The long-standing microbiologist’s credo ‘Everything is everywhere, but, the environment selects’ suggests that dispersal is not limiting for microbes, but that the environment is the primary determining factor in microbial community composition. Advances in molecular techniques have provided new evidence that biogeographic patterns exist in microbes and that dispersal limitation may actually have an important role, yet more recent study using extremely deep sequencing predicts that indeed everything is everywhere. Using a long-term field study of the ‘invasive’ marine haptophyte Prymnesium parvum, we characterize the environmental niche of P. parvum in a subtropical impoundment in the southern United States. Our analysis contributes to a growing body of evidence that indicates a primary role for environmental conditions, but not dispersal, in the lake-wide abundances and seasonal bloom patterns in this globally important microbe.
Probing the solar corona with very long baseline interferometry
Authors: Soja B. , Heinkelmann R. , Schuh H. 
Published: June 2014

AbstractUnderstanding and monitoring the solar corona and solar wind is important for many applications like telecommunications or geomagnetic studies. Coronal electron density models have been derived by various techniques over the last 45 years, principally by analysing the effect of the corona on spacecraft tracking. Here we show that recent observational data from very long baseline interferometry (VLBI), a radio technique crucial for astrophysics and geodesy, could be used to develop electron density models of the Sun’s corona. The VLBI results agree well with previous models from spacecraft measurements. They also show that the simple spherical electron density model is violated by regional density variations and that on average the electron density in active regions is about three times that of low-density regions. Unlike spacecraft tracking, a VLBI campaign would be possible on a regular basis and would provide highly resolved spatial–temporal samplings over a complete solar cycle.
Autophagy inhibits chemotherapy-induced apoptosis through downregulating Bad and Bim in hepatocellular carcinoma cells
Authors: Zhou Yan , Sun Kai , Ma Yi , Yang Haozheng , Zhang Yuanliang , Kong Xianming , Wei Lixin 
Published: June 2014

AbstractThe tumor microenvironment, including ischemia, has been increasingly recognized as a critical factor in the process of tumor development. Hypoxia and nutrient deficiency resulting from ischemia widely exist in solid tumors. Recent studies have shown that hypoxia and nutrient deficiency contribute to chemoresistance by inducing autophagy, but the underlying mechanism remains unknown. This study aimed to explore the role of autophagy induced by low glucose and hypoxia (LH) in the chemoresistance of hepatocellular carcinoma cells. Our results demonstrated that LH induced autophagy and downregulated Bad and Bim in hepatocellular carcinoma cells. The inhibition of autophagy reversed the reduction of these pro-apoptotic factors during the LH treatment. Furthermore, Bad and Bim were also significantly downregulated by autophagy during the process that LH promoted the chemoresistance of hepatocellular carcinoma cells. In addition, RNAi or the overexpression of Bad and Bim can significantly reduce or increase chemotherapy-induced cell death, respectively. Taken together, these data indicate that the downregulation of Bad and Bim plays a significant role in the autophagy-induced chemoresistance of hepatocellular carcinoma cells.
Up-regulation of brain-enriched miR-107 promotes excitatory neurotoxicity through down-regulation of glutamate transporter-1 expression following ischaemic stroke
Authors: Yang Zhong-Bao , Zhang Zhen , Li Ting-Bo , Lou Zheng , Li Shu-Yu , Yang Huan , Yang Jie , Luo Xiu-Ju , Peng Jun 
Published: June 2014

Recent studies have uncovered that accumulation of glutamate after ischaemic stroke is closely associated with the down-regulation of glutamate transporter-1 (GLT-1) expression, suggesting that GLT-1 expression critically controls glutamate accumulation and the abnormal glutamate transport-elicited neuronal cell excitotoxicity in patients with ischaemic stroke. However, it remains unknown how GLT-1 expression is regulated under ischaemic stroke conditions. In the present study, we screened the expression of nine brain-specific or brain-enriched miRNAs in a focal cerebral ischaemia/reperfusion (I/R) injury rat model, which showed glutamate accumulation and down-regulated GLT-1 expression as expected, and revealed that the miR-107 level was elevated in both brain tissue and plasma in the model. Next, we examined the functional relationship of miR-107 with GLT-1 expression in a nerve cell hypoxia/reoxygenation (H/R) injury model. H/R treatment increased apoptosis of the nerve cells concomitant with glutamate accumulation, miR-107 elevation and suppressed GLT-1 expression, mimicking our in vivo findings in the cerebral I/R injury rat model in vitro. Co-treating the cells with an miR-107 inhibitor blocked all of the effects, demonstrating that miR-107 functions to inhibit GLT-1 expression and elevate glutamate accumulation. To extend these animal and cell-based studies to clinical patients, we measured the plasma levels of miR-107 and glutamate, and observed that both miR-107 and glutamate were elevated in patients with ischaemic stroke. On the basis of these observations, we conclude that elevated miR-107 expression after ischaemic stroke accounts, at least partially, for glutamate accumulation through suppression of GLT-1 expression. Our findings also highlight that the plasma level of miR-107 may serve as a novel biomarker for monitoring excitotoxicity in patients with ischaemic stroke.
Effects of the Teach-Model-Coach-Review Instructional Approach on Caregiver Use of Language Support Strategies and Children's Expressive Language Skills
Authors: Roberts Megan Y. , Kaiser Ann P. , Wolfe Cathy E. , Bryant Julie D. , Spidalieri Alexandria M. 
Published: June 2014

Purpose
In this study, the authors examined the effects of the Teach-Model-Coach-Review instructional approach on caregivers' use of four enhanced milieu teaching (EMT) language support strategies and on their children's use of expressive language.

Method
Four caregiver–child dyads participated in a single-subject, multiple-baseline study. Children were between 24 and 42 months of age and had language impairment. Interventionists used the Teach-Model-Coach-Review instructional approach to teach caregivers to use matched turns, expansions, time delays, and milieu teaching prompts during 24 individualized clinic sessions. Caregiver use of each EMT language support strategy and child use of communication targets were the dependent variables.

Results
The caregivers demonstrated increases in their use of each EMT language support strategy after instruction. Generalization and maintenance of strategy use to the home was limited, indicating that teaching across routines is necessary to achieve maximal outcomes. All children demonstrated gains in their use of communication targets and in their performance on norm-referenced measures of language.

Conclusion
The results indicate that the Teach-Model-Coach-Review instructional approach resulted in increased use of EMT language support strategies by caregivers. Caregiver use of these strategies was associated with positive changes in child language skills.
Probing the inherent stability of siRNA immobilized on nanoparticle constructs
Authors: Barnaby Stacey N. , Lee Andrew , Mirkin Chad A. 
Published: June 2014

Significance
Previous research has investigated the interactions between linear oligonucleotides and serum nucleases but the emergence of oligonucleotides conjugated to nanoparticles opens up a new avenue of research that has yet to be fully explored. In this work, we probed the degradation of a model small interfering RNA (siRNA) immobilized on gold nanoparticles (AuNPs). We show that serum nucleases are able to recognize and degrade the immobilized siRNA at specific sites within 4 nm of the AuNP surface, which were different than the sites for siRNA free in solution. These data suggest that oligonucleotides immobilized on nanoparticle surfaces must be studied independently from siRNA free in solution due to the potential influence of the local chemical environment of the oligonucleotide–nanoparticle conjugates.
Clostridium difficile Infections in Veterans Health Administration Acute Care Facilities
Authors: Evans Martin E. , Simbartl Loretta A. , Kralovic Stephen M. , Jain Rajiv , Roselle Gary A. 
Published: June 2014

ObjectiveAn initiative was implemented in July 2012 to decrease Clostridium difficile infections (CDIs) in Veterans Affairs (VA) acute care medical centers nationwide. This is a report of national baseline CDI data collected from the 21 months before implementation of the initiative.MethodsPersonnel at each of 132 data-reporting sites entered monthly retrospective CDI case data from October 2010 through June 2012 into a central database using case definitions similar to those of the National Healthcare Safety Network multidrug-resistant organism/CDI module.ResultsThere were 958,387 hospital admissions, 5,286,841 patient-days, and 9,642 CDI cases reported during the 21-month analysis period. The pooled CDI admission prevalence rate (including recurrent cases) was 0.66 cases per 100 admissions. The nonduplicate/nonrecurrent community-onset not-healthcare-facility-associated (CO-notHCFA) case rate was 0.35 cases per 100 admissions, and the community-onset healthcare facility–associated (CO-HCFA) case rate was 0.14 cases per 100 admissions. Hospital-onset healthcare facility–associated (HO-HCFA), clinically confirmed HO-HCFA (CC-HO-HCFA), and CO-HCFA rates were 9.32, 8.40, and 2.56 cases per 10,000 patient-days, respectively. There were significant decreases in admission prevalence (P = .0006, Poisson regression), HO-HCFA (P = .003), and CC-HO-HCFA (P = .004) rates after adjusting for type of diagnostic test. CO-HCFA and CO-notHCFA rates per 100 admissions also trended downward (P = .07 and .10, respectively).ConclusionsVA acute care medical facility CDI rates were higher than those reported in other healthcare systems, but unlike rates in other venues, they were decreasing or trending downward. Despite these downward trends, there is still a substantial burden of CDI in the system supporting the need for efforts to decrease rates further.
Frequency of Interactions and Hand Disinfections among Anesthesiologists While Providing Anesthesia Care in the Operating Room: Induction versus Maintenance
Authors: Munoz-Price L. Silvia , Riley Bobbie , Banks Shawn , Eber Scott , Arheart Kristopher , Lubarsky David A. , Birnbach David J. 
Published: June 2014

We evaluated the behaviors of anesthesiologists during induction and maintenance of anesthesia. Contacts with surfaces occurred a mean (±standard error) of 154.8 ± 7.7 and 60 ± 3.1 times per hour during induction and maintenance, respectively (P < .0001). Hand hygiene events were 1.8 ± 0.27 per hour during induction versus 1.19 ± 0.27 during maintenance (P = .018).Infect Control Hosp Epidemiol 2014;35(8):1056–1059
Rising Rates of Carbapenem-Resistant Enterobacteriaceae in Community Hospitals: A Mixed-Methods Review of Epidemiology and Microbiology Practices in a Network of Community Hospitals in the Southeastern United States
Authors: Thaden Joshua T. , Lewis Sarah S. , Hazen Kevin C. , Huslage Kirk , Fowler Vance G. , Moehring Rebekah W. , Chen Luke F. , Jones Constance D. , Moore Zack S. , Sexton Daniel J. , Anderson Deverick J. 
Published: June 2014

(See the commentary by Pfeiffer and Beldavs, on pages 984–986.)ObjectiveDescribe the epidemiology of carbapenem-resistant Enterobacteriaceae (CRE) and examine the effect of lower carbapenem breakpoints on CRE detection.DesignRetrospective cohort.SettingInpatient care at community hospitals.PatientsAll patients with CRE-positive cultures were included.MethodsCRE isolated from 25 community hospitals were prospectively entered into a centralized database from January 2008 through December 2012. Microbiology laboratory practices were assessed using questionnaires.ResultsA total of 305 CRE isolates were detected at 16 hospitals (64%). Patients with CRE had symptomatic infection in 180 cases (59%) and asymptomatic colonization in the remainder (125 cases; 41%). Klebsiella pneumoniae (277 isolates; 91%) was the most prevalent species. The majority of cases were healthcare associated (288 cases; 94%). The rate of CRE detection increased more than fivefold from 2008 (0.26 cases per 100,000 patient-days) to 2012 (1.4 cases per 100,000 patient-days; incidence rate ratio (IRR), 5.3 [95% confidence interval (CI), 1.22–22.7]; P = .01). Only 5 hospitals (20%) had adopted the 2010 Clinical and Laboratory Standards Institute (CLSI) carbapenem breakpoints. The 5 hospitals that adopted the lower carbapenem breakpoints were more likely to detect CRE after implementation of breakpoints than before (4.1 vs 0.5 cases per 100,000 patient-days; P < .001; IRR, 8.1 [95% CI, 2.7–24.6]). Hospitals that implemented the lower carbapenem breakpoints were more likely to detect CRE than were hospitals that did not (3.3 vs 1.1 cases per 100,000 patient-days; P = .01).ConclusionsThe rate of CRE detection increased fivefold in community hospitals in the southeastern United States from 2008 to 2012. Despite this, our estimates are likely underestimates of the true rate of CRE detection, given the low adoption of the carbapenem breakpoints recommended in the 2010 CLSI guidelines.
An Economic Model: Value of Antimicrobial-Coated Sutures to Society, Hospitals, and Third-Party Payers in Preventing Abdominal Surgical Site Infections
Authors: Singh Ashima , Bartsch Sarah M. , Muder Robert R. , Lee Bruce Y. 
Published: June 2014

BackgroundWhile the persistence of high surgical site infection (SSI) rates has prompted the advent of more expensive sutures that are coated with antimicrobial agents to prevent SSIs, the economic value of such sutures has yet to be determined.MethodsUsing TreeAge Pro, we developed a decision analytic model to determine the cost-effectiveness of using antimicrobial sutures in abdominal incisions from the hospital, third-party payer, and societal perspectives. Sensitivity analyses systematically varied the risk of developing an SSI (range, 5%–20%), the cost of triclosan-coated sutures (range, $5–$25/inch), and triclosan-coated suture efficacy in preventing infection (range, 5%–50%) to highlight the range of costs associated with using such sutures.ResultsTriclosan-coated sutures saved $4,109–$13,975 (hospital perspective), $4,133–$14,297 (third-party payer perspective), and $40,127–$53,244 (societal perspective) per SSI prevented, when a surgery had a 15% SSI risk, depending on their efficacy. If the SSI risk was no more than 5% and the efficacy in preventing SSIs was no more than 10%, triclosan-coated sutures resulted in extra expenditure for hospitals and third-party payers (resulting in extra costs of $1,626 and $1,071 per SSI prevented for hospitals and third-party payers, respectively; SSI risk, 5%; efficacy, 10%).ConclusionsOur results suggest that switching to triclosan-coated sutures from the uncoated sutures can both prevent SSIs and save substantial costs for hospitals, third-party payers, and society, as long as efficacy in preventing SSIs is at least 10% and SSI risk is at least 10%.