bluuebunny/crossref_metadata_2025_split huggingface dataset:
Back-to-back bleaching events in Peninsular Malaysia (2019–2020) selectively affect hard coral taxa across- and within-reef scales
Authors: Szereday Sebastian , Voolstra Christian R. , Amri Affendi Y. 
Published: August 2024

AbstractThe impacts of (repeat) bleaching events and the differential heat stress susceptibility of hard coral taxa are largely unknown in Malaysia, although it is part of the greater coral triangle. Here we determined bleaching trajectories of 46 hard coral taxa across- and within-reef scales based on data recorded during the first reported back-to-back coral bleaching occurrences in Malaysia between May 2019 and September 2020. Although the severity of coral bleaching in both years did not correspond to the rather small magnitude of heat stress observed, i.e., Degree Heating Weeks (DHW) of 1.05 °C-weeks and 0 °C-weeks in 2019 and 2020 respectively, we observed high levels of bleaching (55.21% and 26.63% of all surveyed colonies in 2019 and 2020, respectively). Notably, the bleaching response for both consecutive years was highly taxon-specific and significantly varied across- and within-reef scales. Mortality rates overall were low following the 2019 event, likely due to a rapid decrease in heat stress. Five of the 46 surveyed hard coral taxa exhibited more severe bleaching in 2020, despite a lower heat stress load. Interestingly, we observed low bleaching of ascribed susceptible taxa such as Acropora and Montipora, while we found taxa considered to be resilient, e.g. Heliopora and Porites, to exhibit severe bleaching, suggesting a reversal of bleaching hierarchies of taxa over time. Our findings provide a foundation for further coral bleaching studies in a region with few published records to enable more accurate regional assessments and to follow the trajectory of future coral bleaching events.
Does two dimensional templating allow for the use of reduced-size ancillaries in total hip arthroplasty?
Authors: Heliere Gregoire , David Guillaume , Cypel Sarah , Steiger Vincent , Ducellier Florian , Rony Louis 
Published: August 2024

Abstract
Purpose
Rising costs in healthcare for total hip arthroplasty (THA) mean that new solutions must be considered, such as the use of single-use ancillaries (SUA). The goal of this study was to assess the accuracy of 2D templating in primary THA for the use of reduced-size SUA. Our hypothesis was that the accuracy of 2D templating in primary THA would be higher than 95%, give or take two sizes.

Method
This single-centre prospective study included all primary THAs performed over two years. Templating was carried out using 2D templating on anteroposterior pelvic X-rays. The template sizes were compared to the implant sizes. The primary endpoint was the rate of coincidence between digitally templated estimates and the actual implant sizes. The secondary endpoint was the difference of accuracy based on patient parameters.

Results
We analysed 512 cases of THA. Accuracy within two sizes was 96.9% for acetabular implants and 98.5% for femoral implants. Accuracy was below the 95% threshold only in patients under 55 and over 85 years old. A BMI above 30.0 kg/m2 significantly reduced accuracy but did not fall below the 95% threshold. The operated hip, the type of implant, and the operative indication did not significantly influence templating accuracy.

Conclusion
Using reduced-size SUA with five rasps and five reamers depending on template sizes means that THA can be performed in more than 95% of cases allowing the use of compact single use ancillaries.
Implications of coronary calcification on the assessment of plaque pathology: a comparison of computed tomography and multimodality intravascular imaging
Authors: Yap Nathan Angelo Lecaros , Ramasamy Anantharaman , Tanboga Ibrahim Halil , He Xingwei , Cap Murat , Bajaj Retesh , Karaduman Medeni , Jain Ajay , Kitslaar Pieter , Broersen Alexander , Zhang Xiaotong , Sokooti Hessam , Reiber Johan H. C. , Dijkstra Jouke , Ozkor Mick , Serruys Patrick W. , Moon James C. , Mathur Anthony , Baumbach Andreas , Torii Ryo , Pugliese Francesca , Bourantas Christos V. 
Published: August 2024

Abstract
Objectives
This study aimed to investigate the impact of calcific (Ca) on the efficacy of coronary computed coronary angiography (CTA) in evaluating plaque burden (PB) and composition with near-infrared spectroscopy-intravascular ultrasound (NIRS-IVUS) serving as the reference standard.

Materials and methods
Sixty-four patients (186 vessels) were recruited and underwent CTA and 3-vessel NIRS-IVUS imaging (NCT03556644). Expert analysts matched and annotated NIRS-IVUS and CTA frames, identifying lumen and vessel wall borders. Tissue distribution was estimated using NIRS chemograms and the arc of Ca on IVUS, while in CTA Hounsfield unit cut-offs were utilized to establish plaque composition. Plaque distribution plots were compared at segment-, lesion-, and cross-sectional-levels.

Results
Segment- and lesion-level analysis showed no effect of Ca on the correlation of NIRS-IVUS and CTA estimations. However, at the cross-sectional level, Ca influenced the agreement between NIRS-IVUS and CTA for the lipid and Ca components (p-heterogeneity < 0.001). Proportional odds model analysis revealed that Ca had an impact on the per cent atheroma volume quantification on CTA compared to NIRS-IVUS at the segment level (p-interaction < 0.001). At lesion level, Ca affected differences between the modalities for maximum PB, remodelling index, and Ca burden (p-interaction < 0.001, 0.029, and 0.002, respectively). Cross-sectional-level modelling demonstrated Ca’s effect on differences between modalities for all studied variables (p-interaction ≤ 0.002).

Conclusion
Ca burden influences agreement between NIRS-IVUS and CTA at the cross-sectional level and causes discrepancies between the predictions for per cent atheroma volume at the segment level and maximum PB, remodelling index, and Ca burden at lesion-level analysis.

Clinical relevance statement
Coronary calcification affects the quantification of lumen and plaque dimensions and the characterization of plaque composition coronary CTA. This should be considered in the analysis and interpretation of CTAs performed in patients with extensive Ca burden.

Key Points

Coronary CT Angiography is limited in assessing coronary plaques by resolution and blooming artefacts.

Agreement between dual-source CT angiography and NIRS-IVUS is affected by a Ca burden for the per cent atheroma volume.

Advanced CT imaging systems that eliminate blooming artefacts enable more accurate quantification of coronary artery disease and characterisation of plaque morphology.
Ultrashort-pulse-laser ablation of freestanding dielectric thin films
Authors: Sneftrup Peter S. , Hansen John L. , Balslev Signe G. , Balling Peter 
Published: August 2024

AbstractUltrashort-pulse-laser ablation of dielectric thin films is strongly affected by the interference of the exciting laser pulse with itself, which causes the deposited energy to be confined to narrow regions equidistantly spaced along the propagation direction of the laser. We investigate how this affects the ablation mechanism of freestanding $$\hbox {Al}_2\hbox {O}_3$$

Al
2

O
3

thin films by analyzing the laser-generated structures with several post-mortem imaging and spectroscopic techniques. Close to the ablation threshold, the laser-irradiated region exhibits surface blistering. Higher intensities cause layers of material to be removed corresponding to ejection of material initiated from the regions of high excitation. Significantly above the ablation threshold, the laser-generated structure is remarkably stable and consists of a membrane of thickness corresponding to the distance between neighboring interference maxima, which is uniquely determined by the central wavelength of the laser pulse and the refractive index of the film. The electronic excitation as a function of depth is simulated using a multiple-rate-equation model in combination with finite-difference-time-domain propagation of the laser field. The simulations confirm the strongly localized excitation and thus correlate well with the observed laser-generated structures.
Pediatric-onset Multiple Sclerosis treatment: a multicentre observational study comparing natalizumab with fingolimod
Authors: Carotenuto Antonio , Di Monaco Cristina , Papetti Laura , Borriello Giovanna , Signoriello Elisabetta , Masciulli Camilla , Tomassini Valentina , De Luca Giovanna , Ianniello Antonio , Lus Giacomo , Novarella Federica , Spiezia Antonio Luca , Di Somma Dario , Moccia Marcello , Petracca Maria , Iacovazzo Carmine , Servillo Giuseppe , Portaccio Emilio , Triassi Maria , Amato Maria Pia , Pozzilli Carlo , Valeriani Massimiliano , Brescia Morra Vincenzo , Lanzillo Roberta 
Published: August 2024

Abstract
Background
Pediatric-onset Multiple Sclerosis (POMS) patients show more inflammatory disease compared with adult-onset MS. However, highly effective treatments are limited with only fingolimod being approved in Italy and natalizumab prescribed as off-label treatment.

Objectives
to compare the efficacy of natalizumab versus fingolimod in POMS.

Methods
This is an observational longitudinal multicentre study including natalizumab- and fingolimod-treated POMS patients (N-POMS and F-POMS, respectively). We collected Annual Relapse Rate (ARR), Expanded Disability Status Scale (EDSS), Symbol Digit Modality Test (SDMT), and MRI activity at baseline (T0), 12–18 months (T1), and last available observation (T2).

Results
We enrolled 57 N-POMS and 27 F-POMS patients from six Italian MS Centres. At T0, N-POMS patients showed higher ARR (p = 0.03), higher EDSS (p = 0.003) and lower SDMT (p = 0.04) at baseline compared with F-POMS. Between T0 and T1 ARR improved for both N-POMS and F-POMS (p < 0.001), while EDSS (p < 0.001) and SDMT (p = 0.03) improved only for N-POMS. At T2 (66.1 ± 55.4 months) we collected data from 42 out of 57 N-POMS patients showing no further ARR decrease.

Conclusion
Both natalizumab and fingolimod showed high and sustained efficacy in controlling relapses and natalizumab also associated to a disability decrease in POMS. This latter effect might be partly mediated by the high inflammatory activity at baseline in N-POMS.
A multidimensional gender analysis of health technology self-efficacy among people with Parkinson’s disease
Authors: Göttgens Irene , Darweesh Sirwan K. L. , Bloem Bastiaan R. , Oertelt-Prigione Sabine 
Published: August 2024

Abstract
Background
Digital health technologies (DHT) enable self-tracking of bio-behavioral states and pharmacotherapy outcomes in various diseases. However, the role of gender, encompassing social roles, expectations, and relations, is often overlooked in their adoption and use. This study addresses this issue for persons with Parkinson’s disease (PD), where DHT hold promise for remote evaluations.

Methods
We conducted a cross-sectional survey study in the Netherlands, assessing the impact of gender identity, roles, and relations on health technology self-efficacy (HTSE) and attitude (HTA). An intersectional gender analysis was applied to explore how gender intersects with education, employment, disease duration, and severity in influencing HTSE and HTA.

Results
Among 313 participants (40% women), no significant correlation was found between gender identity or relations and HTSE or HTA. However, individuals with an androgynous (non-binary) gender role orientation demonstrated better HTSE and HTA. The exploratory intersectional analysis suggested that sociodemographic and clinical factors might affect the influence of gender role orientations on HTSE and HTA, indicating complex and nuanced interactions.

Conclusion
This study highlights the importance of investigating gender as a multidimensional variable in PD research on health technology adoption and use. Considering gender as a behavioral construct, such as through gender roles and norms, shows more significant associations with HTSE and HTA, although effect sized were generally small. The impact of gender dimensions on these outcomes can be compounded by intersecting social and disease-specific factors. Future studies should consider multiple gender dimensions and intersecting factors to fully understand their combined effects on technology uptake and use among people with PD.
Expression of matrix metalloproteinases and their inhibitors in corneal stromal fibroblasts and keratocytes from healthy and keratoconus corneas
Authors: Berger Tim , Flockerzi Elias , Berger Maximilian , Chai Ning , Stachon Tanja , Szentmáry Nóra , Seitz Berthold 
Published: August 2024

Abstract
Purpose
To examine the in-vitro expression of matrix metalloproteinases (MMP) and tissue inhibitors of metalloproteinases (TIMP) in corneal stromal cells by distinguishing between fibroblasts and keratocytes of healthy and keratoconus (KC) corneas.

Methods
Stromal cells were isolated from healthy and KC corneas (n = 8). A normal-glucose, serum-containing cell culture medium (NGSC-medium) was used for cultivation of healthy human corneal fibroblasts (HCFs) and KC human corneal fibroblasts (KC-HCFs). In order to obtain a keratocyte phenotype, the initial cultivation with NGSC-medium was changed to a low-glucose, serum-free cell culture medium for healthy (Keratocytes) and KC cells (KC-Keratocytes). Gene and protein expression of MMP-1, -2, -3, -7, -9 and TIMP-1, -2, -3 were measured by quantitative PCR and Enzyme-Linked Immunosorbent Assay (ELISA) from the cell culture supernatant.

Results
KC-HCFs demonstrated a lower mRNA gene expression for MMP-2 compared to HCFs. In contrast to their respective fibroblast groups (either HCFs or KC-HCFs), Keratocytes showed a higher mRNA gene expression of TIMP-3, whereas TIMP-1 mRNA gene expression was lower in Keratocytes and KC-Keratocytes. Protein analysis of the cell culture supernatant revealed lower concentrations of MMP-1 in KC-HCFs compared to HCFs. Compared to Keratocytes, TIMP-1 concentrations was lower in the cell culture supernatant of KC-Keratocytes. In HCFs and KC-HCFs, protein levels of MMP-1 and TIMP-1 were higher and MMP-2 was lower compared to Keratocytes and KC-Keratocytes, respectively.

Conclusion
This study indicates an imbalance in MMP and TIMP expression between healthy and diseased cells. Furthermore, differences in the expression of MMPs and TIMPs exist between corneal fibroblasts and keratocytes, which could influence the specific proteolytic metabolism in-vivo and contribute to the progression of KC.
Long-term follow-up of pilonidal sinus disease treated by radial laser surgery
Authors: Karita Koskinen , Adalia Lindström , Tuija Poussa , Jukka Harju , Kethe Hermunen 
Published: August 2024

Abstract
Purpose
Laser ablation is one of the newest and most advanced minimally invasive techniques in treating pilonidal sinus disease (PSD). Most studies on the subject have small sample sizes and relatively short follow-up times, making evaluation of long-term healing rates and recurrences difficult. Furthermore, long-term results for laser surgery of PSD are still lacking. The aim of this study was to retrospectively report long-term follow-up results for PSD treatment by radial laser surgery.

Methods
We retrospectively studied the medical records of 83 patients who underwent the radial laser procedure for PSD between January 2017 and September 2019. Our follow-up time was a median of 5.2 years, range 1.5 to 7.4 years.

Results
Twelve patients had a PSD recurrence after their laser procedure, which gives a recurrence rate of 14.5% (95% CI 8.2%-23.2%). These recurrences appeared at a median 12.2 months after the laser procedure, range 4.2 to 51 months. A total of 23 patients (27.7%; 95% CI 19.0–38.0) underwent a reoperation, 11 patients due to postoperative infection or prolonged recovery and 12 patients due to PSD recurrence. Recurrent PSD and spillage of pus during operation were statistically significantly associated with the need for a second operation.

Conclusion
Radial laser surgery provides a minimally invasive treatment option with an acceptable recurrence rate in long-term follow-up.
Perinatal risk factors of renal outcome in former extremely low birth weight neonates
Authors: Colleman Marieke , Staessen Jan A. , Allegaert Karel , Raaijmakers Anke 
Published: August 2024

AbstractFormer Extremely Low Birthweight (ELBW) neonates suffer from adverse renal and cardiovascular outcomes later in life. Less is known about additional perinatal risk factors for these adverse outcomes which we have investigated in this study. We compared renal outcome between ELBW children and controls, to find perinatal risk factors for poorer renal outcome and to unveil associations between kidney function and blood pressure. This study included 93 former ELBW children and 87 healthy controls with a mean age of 11 years at assessment. We measured cystatin C-based estimated glomerular filtration rate (eGFR) and blood pressure. Blood pressure and eGFR levels were compared between cases and controls. We subsequently investigated perinatal risk factors for adverse outcome amongst ELBW children. ELBW children have significantly higher blood pressure (mean SBP percentile 75thvs. 47th, p <0.001) and lower mean eGFR (94 vs. 107 ml/min/1.73 m2, p = 0.005) compared to the control group. Elevated blood pressure did not correlate with perinatal characteristics and none of them had microalbuminuria. ELBW children with eGFR <90 ml/min/1.73 m2 were ventilated longer (17 vs. 9 days, p = 0.006), more frequently male (OR = 3.33, p = 0.055) and tended to suffer more from intraventricular hemorrhage (40% vs. 15.8%, p = 0.056). There was no association between blood pressure and kidney dysfunction. Conclusions: Understanding risk profiles for unfavorable outcomes may help to identify children at increased risk for kidney dysfunction. Poorer eGFR was associated with longer ventilation, male sex, and intra-ventricular hemorrhage but not with blood pressure. This knowledge can lead to safer neonatal therapeutic regimens for ELBW infants, a more intensive follow-up and earlier treatment initiation for children at highest risk.

What is Known:• Extremely Low Birthweight (ELBW) neonates suffer later in life from adverse renal and cardiovascular outcomes.• Perinatal risk factors that further predict the individual risk for adverse outcomes are not well known.

What is New:• Poorer eGFR in adolescence was associated with male sex, longer ventilation and intra-ventricular hemorrhage at birth but not with blood pressure.• Former ELBW infants had higher blood pressures compared to controls, but no microalbuminuria.• This knowledge can lead to potential precision medicine, safer neonatal therapeutic regimens for ELBW infants, a more intensive follow-up and earlier treatment initiation for children at highest risk.
Isolated pulmonary valve endocarditis
Authors: Valsky Sonja , Mutschlechner David , Wiedemann Dominik , Gremmel Thomas 
Published: August 2024

SummaryIsolated pulmonary valve endocarditis (IPE) is a rare form of infectious endocarditis. This article reports the case of a 49-year-old patient with IPE who was initially admitted with suspected cholecystitis. After vegetations were detected by transthoracic (TTE) and transesophageal echocardiography (TEE), antibiotic therapy in accordance with the antibiogram was primarily attempted; however, due to persistently elevated infection parameters and structural valve damage a pulmonary valve replacement was eventually performed.
Ultrasound evaluation of radial nerve injuries by cortex overlapping screw tips after internal fixation of humeral fractures: a cadaveric study
Authors: Lorenzana David , Spicher Anna , Beeres Frank J. P. , Moriggl Bernhard , Bomberg Hagen , Eichenberger Urs 
Published: August 2024

Abstract
Purpose
The radial nerve may be painfully irritated or damaged by open reduction and internal fixation (ORIF) of humeral fractures. Secondary radial nerve lesions after ORIF of humeral shaft fractures are described in up to 16%. Not only peripheral nerves but also orthopaedic instruments and osteosynthesis material are well visible by ultrasound. The aim of this study was to evaluate the accuracy of ultrasound in assessing the relation between the bone overlapping screw tips and the radial nerve close to the humeral bone.

Methods
Ultrasound-guided drilling was used to place screws as close as possible to the radial nerve in 8 humeral bones of four cadavers. The relation between the radial nerve and the screw tips was assessed by high-resolution ultrasound, and the overlap of all screw tips over the bone was measured by ultrasound and fluoroscopy. Thereafter, the findings were validated by anatomical dissection.

Results
We could correctly identify all screw tips and their relation to the radial nerve by ultrasound. In 7 of 8 cases, the screw tip had direct contact with the radial nerve. The overlaying length of the screw tip was accurately measured by using ultrasound in all cases. In contrast fluoroscopy underestimated this length in 50% of cases.

Conclusion
With this study, we show that ultrasound can reliable visualize the screw tips and its relation to the radial nerve. Ultrasound is a promising diagnostic tool to evaluate patients with radial nerve irritations or lesions after ORIF of humeral fractures. Furthermore, ultrasound could be an adequate tool to guide drilling.
Exploring the influence of silicon oxide microchips shape on cellular uptake using imaging flow cytometry
Authors: Bruce Gordon , Bagherpour Saman , Duch Marta , Plaza José Antonio , Stolnik Snow , Pérez-García Lluïsa 
Published: August 2024

AbstractNano- and micro-carriers of therapeutic molecules offer numerous advantages for drug delivery, and the shape of these particles plays a vital role in their biodistribution and their interaction with cells. However, analysing how microparticles are taken up by cells presents methodological challenges. Qualitative methods like microscopy provide detailed imaging but are time-consuming, whereas quantitative methods such as flow cytometry enable high-throughput analysis but struggle to differentiate between internalised and surface-bound particles. Instead, imaging flow cytometry combines the best of both worlds, offering high-resolution imaging with the efficiency of flow cytometry, allowing for quantitative analysis at the single-cell level. This study focuses on fluorescently labelled silicon oxide microchips of various morphologies but related surface areas and volumes: rectangular cuboids and apex-truncated square pyramid microchips fabricated using photolithography techniques, offering a reliable basis for comparison with the more commonly studied spherical particles. Imaging flow cytometry was utilised to evaluate the effect of particle shape on cellular uptake using RAW 264.7 cells and revealed phagocytosis of particles with all shapes. Increasing the particle dose enhanced the uptake, while macrophage stimulation had minimal effect. Using a ratio particle:cell of 10:1 cuboids and spheres showed an uptake rate of approximately 50%, in terms of the percentage of cells with internalised particles, and the average number of particles taken up per cell ranging from about 1–1.5 particle/cell for all the different shapes. This study indicates how differently shaped micro-carriers offer insights into particle uptake variations, demonstrating the potential of non-spherical micro-carriers for precise drug delivery applications.
Graphical Abstract