bluuebunny/crossref_metadata_2025_split huggingface dataset:
Audiological outcomes after revision stapes surgeries: a systematic review
Authors: Székely László , Uri Imre , Luka Ágnes , Gáborján Anita , Tamás László , Polony Gábor 
Published: June 2024

Abstract
Purpose
Revision stapes surgery is a challenging procedure performed in relatively small numbers compared to other middle ear procedures. Despite numerous data on hearing results of different middle ear surgeries, the audiological standards for successful outcome of this procedure are still not clarified. On the basis of well-documented data, we wanted to determine what the expected audiological results and complications are after revision stapes surgery in order to set a realistic threshold for surgical success.

Methods
After the protocol registration in the PROSPERO database, a systematic review was performed in multiple databases (PubMed, Cochrane, Web of Science, Scopus, ScienceOpen, ClinicalTrials.gov, Google Scholar) according to PRISMA guidelines. Twelve articles were reviewed according to the inclusion criteria. A total of 1032 cases were obtained for evaluation. A modified version of Newcastle–Ottawa Scale (NOS) was used to assess publication quality.

Results
Average air–bone gap (ABG) gain was 17.3 dB, average air conduction (AC) gain was 17.5 dB. The average postoperative air–bone gap was 11.1 dB. The postoperative ABG distribution was the following 0–10 dB: 53.3%, > 10–20 dB: 28.2%, > 20 dB: 18.5%. SNHL as a surgical complication was described in a total of 17 cases (1.6%), no equilibrium disorder was reported.

Conclusion
The pooled data suggest that revision stapes surgery is an effective solution after failure of previous stapes surgery. However, the results are clearly inferior to those of primary stapedotomies. Hence, we need to apply different expectations and use different standards in the indication and evaluation of this type of surgery.
Epstein-Barr virus as promoter of Lemierre syndrome: systematic literature review
Authors: Delcò Alessia A. , Montorfani Sara M. M. A. , Gualtieri Renato , Lava Sebastiano A. G. , Milani Gregorio P. , Bianchetti Mario G. , Bronz Gabriel , Faré Pietro B. , Kottanattu Lisa 
Published: June 2024

Abstract
Purpose
To investigate a possible link between acute Epstein-Barr virus infection and Lemierre syndrome, a rare yet life-threatening infection.

Methods
A systematic review was conducted adhering to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Diagnosis criteria for Lemierre syndrome were established, and data extraction encompassed demographic data, clinical, and laboratory information.

Results
Out of 985 initially identified papers, 132 articles were selected for the final analysis. They reported on 151 cases of Lemierre syndrome (76 female and 75 male patients with a median of 18 years) alongside interpretable results for Epstein-Barr virus serology. Among these, 38 cases (25%) tested positive for acute Epstein-Barr virus serology. There were no differences in terms of age, sex, or Fusobacterium presence between the serologically positive and negative groups. Conversely, instances of cervical thrombophlebitis and pulmonary complications were significantly higher (P = 0.0001) among those testing negative. The disease course was lethal in one case for each of the two groups.

Conclusions
This analysis provides evidence of an association between acute Epstein-Barr virus infection and Lemierre syndrome. Raising awareness of this link within the medical community is desirable.
Decreased peri-parafoveal RPE, EZ and ELM intensity: A novel predictive biomarker for hydroxychloroquine retinal toxicity
Authors: Yucel Gencoglu Aysun , Ağın Abdullah , Colak Dilan , Un Yasemin , Ozturk Yucel 
Published: June 2024

Abstract
Purpose
To evaluate the reflectivities of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) in the central fovea, perifoveal, and parafoveal regions with Optical Coherence Tomography (OCT) and the change in choroid vascular index (CVI) in patients using hydroxychloroquine (HCQ).

Methods
Sixty-one patients underwent HCQ treatment; age and sex-matched 44 control group subjects were included in the study. The RPE, EZ, and ELM reflectivities were measured with the ImageJ program at 5 points, and CVI was calculated.

Results
RPE, EZ, and ELM reflectivities in the central fovea were higher in the HCQ group than in the control group (p < 0.001, p = 0.013, p = 0.022). In the HCQ group, there was a decrease in RPE reflectivities in the temporal, nasal parafovea, and nasal perifovea (p = 0.001, p = 0.03, p = < 0.001). EZ and ELM reflectivity in the nasal parafovea and nasal perifovea was lower in the patient group than in the control group (p = 0.007, p = 0.005, p = 0.009, p = 0.001). In the HCQ group, all absolute para and perifoveal reflectivities relative to the fovea decreased significantly more than in the control group (p < 0.05).

Conclusion
In patients who underwent HCQ treatment, there is a decrease in the reflectivities of the para and perifoveal RPE, EZ, and ELM compared to the fovea. This decrease is more pronounced than the decrease in reflectivity in the para and perifoveal regions compared to the fovea in people who do not use HCQ. This situation can be considered as a sign of toxicity that is a precursor to overt maculopathy.
Comparison of the efficacy of taxanes with carboplatin and anthracyclines with taxanes in neoadjuvant chemotherapy for stage II–III triple negative breast cancer: a retrospective analysis
Authors: Wang Huibo , Zhang Nana , Sun Qi , Zhao Ziqi , Pang Hui , Huang Xiatian , Zhang Ruifeng , Kang Wenli , Shan Ming 
Published: June 2024

Abstract
Purpose
The neoadjuvant chemotherapy (NACT) regimen for triple negative breast cancer (TNBC) primarily consists of anthracyclines and taxanes, and the addition of platinum-based drugs can further enhance the efficacy. However, it is also accompanied by more adverse events, and considering the potential severe and irreversible toxicity of anthracyclines, an increasing number of studies are exploring nonanthracycline regimens that combine taxanes and platinum-based drugs.

Methods
The retrospective study included 273 stage II–III TNBC patients who received NACT. The AT group, consisting of 195 (71.4%) patients, received a combination of anthracyclines and taxanes, while the TCb group, consisting of 78 (28.6%) patients, received a combination of taxanes and carboplatin. Logistic regression analysis was performed to evaluate the factors influencing pathological complete response (pCR) and residual cancer burden (RCB). The log-rank test was used to assess the differences in event-free survival (EFS) and overall survival (OS) among the different treatment groups. Cox regression analysis was conducted to evaluate the factors influencing EFS and OS.

Results
After NACT and surgery, the TCb group had a higher rate of pCR at 44.9%, as compared to the AT group at 31.3%. The difference between the two groups was 13.6% (OR = 0.559, 95% CI 0.326–0.959, P = 0.035). The TCb group had a 57.7% rate of RCB 0–1, which was higher than the AT group's rate of 42.6%. The difference between the two groups was 15.1% (OR = 0.543, 95% CI 0.319–0.925, P = 0.024), With a median follow-up time of 40 months, the TCb group had better EFS (log-rank, P = 0.014) and OS (log-rank, P = 0.040) as compared to the AT group. Clinical TNM stage and RCB grade were identified as independent factors influencing EFS and OS, while treatment group was identified as an independent factor influencing EFS, with a close-to-significant impact on OS.

Conclusion
In stage II–III triple TNBC patients, the NACT regimen combining taxanes and carboplatin yields higher rates of pCR and significant improvements in EFS and OS as compared to the regimen combining anthracyclines and taxanes.
What if the upwelling weakens? Effects of rising temperature and nutrient depletion on coastal assemblages
Authors: Chabrerie Axel , Arenas Francisco 
Published: June 2024

AbstractSurface temperature of the oceans has increased globally over the past decades. In coastal areas influenced by eastern boundary upwelling systems (EBUS), winds push seawater offshore and deep, cold and nutrient-rich seawater rise towards the surface, partially buffering global warming. On the North coast of Portugal, the NW Iberian upwelling system allows extensive kelp forests to thrive in these “boreal-like” conditions, fostering highly diverse and productive communities. However, the warming of the upper layer of the ocean may weaken this upwelling, leading to higher sea surface temperature and lower nutrient input in the coastal areas. The effects of these changes on the structure and function of coastal ecosystems remain unexplored. The present study aimed to examine the combined effects of elevated temperature and nutrient depletion on semi-naturally structured assemblages. The eco-physiological responses investigated included growth, chlorophyll fluorescence and metabolic rates at the levels of individual species and whole assemblages. Our findings showed interactive effects of the combination of elevated temperature with nutrient depletion on the large canopy-forming species (i.e., kelp). As main contributor to community response, those effects drove the whole assemblage responses to significant losses in productivity levels. We also found an additive effect of elevated temperature and reduced nutrients on sub-canopy species (i.e., Chondrus crispus), while turfs were only affected by temperature. Our results suggest that under weakening upwelling scenarios, the ability of the macroalgal assemblages to maintain high productivity rates could be seriously affected and predict a shift in community composition with the loss of marine forests.
Association between Swallowing Outcomes and Dose to Critical Swallow Structures in Patients Undergoing Transoral Robotic Surgery and Post-Operative Radiation Therapy
Authors: Charters Emma , Lawless Anna , Clark Jonathan R , McCabe Natalie , Milross Chris , Britton Rafe , Heller Gillian , Wu Raymond 
Published: June 2024

Abstract

Background
The radiation dose to dysphagia and aspiration-related structures (DARS) for patients undergoing transoral robotic surgery (TORS) and post-operative radiation therapy (PORT) for primary oropharyngeal carcinoma is unknown.

Methods
This prospective study measured swallowing using the MD Anderson Dysphagia Inventory at baseline and then 12-months after PORT. Dosimetric parameters were collected.

Results
19 patients were recruited between 2017 and 2019. Worse swallow function at 12-months after PORT was associated with dose-parameters to the oesophageal inlet muscle, superior pharyngeal constrictor muscle and cervical oesophagus. Mean dose, V50Gy, and V60Gy to the base of tongue and pharyngeal constrictors was significantly lower in those receiving PORT to the neck alone.

Conclusion
Dose to DARS was lower in patients who received PORT to the neck alone. In patients treated with TORS and PORT, poorer swallowing outcomes at 12 months post-treatment were associated with increased dose to oesophageal inlet muscle, superior constrictor muscle, and cervical oesophagus.
Comparison of nectar and pollen resources in various Tilia species. A case study from southern Poland
Authors: Dmitruk Marta , Denisow Bożena , Chrzanowska Ewelina , Dąbrowska Agnieszka , Bożek Małgorzata 
Published: June 2024

AbstractManagement of food resources is considered fundamental for supporting insect pollinators, whose abundance shows a downward trend on the global scale. Here, the nectar and pollen production (per flower, per 1 m2 of tree crown), the composition of nectar carbohydrates and the levels of pollen proteins was evaluated in eight Tilia species (Malvaceae) growing in SE Poland. In the warm-summer continental climate, Tilia species can improve nectar and pollen resources mainly in June/July. Although the flowering period of each species is short (8.0–14.7 days), appropriate selection of species can extend the availability of food for more than a month. However, the considerable variations in the flowering onset (11.2–20.1 days) may cause significant inter-seasonal shifts in food accessibility.The nectar with its highly changeable sugar concentration (29.5–77.4%) was composed of sucrose, glucose, and fructose; protein content in pollen was 7.2–16.8%. The mean sugar yield was in the range of 0.95–19.1 g per 1 m2 (T. amuriensis – T. platyphyllos, respectively), whereas the mean pollen yield was 1.37–4.1 g per 1 m2 of tree crown (T. amuriensis – T. × euchlora, respectively). Significant year-to-year fluctuations of sugar and pollen yield in linden trees have to be taken into account in conservation schemes, and the introduction of other flowering plants with more stable sugar and pollen production should be considered in an area with a high density of linden trees. Linden flowers mainly support honey bees; nevertheless, wild pollinators (bumble bees, solitary bees, and dipterans) can also benefit from linden floral resources.
A synthetic approach to the Holiday Climate Index for the Mediterranean Coast of Türkiye
Authors: Bilgin Başak , Acar Sevil , Demiralay Zekican , An Nazan , Turp M. Tufan , Kurnaz M. Levent 
Published: June 2024

AbstractClimate change affects the comfort level of tourists visiting coastal areas. Researching these impacts is important for a more comprehensive understanding of climate change and for developing effective adaptation solutions. Considering this fact, the study derived the Holiday Climate Index (HCI: Coast, HCI: Urban, and HCI: Combined) in the Mediterranean coastal provinces of Türkiye from 1976 to 2020. Utilizing the derived indices, the effects of climate-related holiday comfort on the number of tourist arrivals as well as on overnight stays between 1976 and 2020 were examined by panel data analysis. The study examined how comfort patterns could change during the period 2026–2050 under the pessimistic RCP8.5 scenario. It was detected that the comfort level significantly and positively affects the number of arrivals and overnight stays of tourists. Besides, comfort levels were found to deteriorate in the period 2026–2050 compared to the reference period, 1976–2020. As the comfort conditions get worse, the number of tourist arrivals and overnight stays is expected to decline in the future. It is envisaged that the results of the study can be useful for tourists, tourism professionals, operators, other stakeholders, and policymakers.
Increased incidence of traumatic spinal injury in patients aged 65 years and older in the Netherlands
Authors: Bruggink C. , van de Ree C. L. P. , van Ditshuizen J. , Polinder-Bos H. A. , Oner F. C. , Reijman M. , Rutges J. P. H. J. 
Published: June 2024

Abstract
Purpose
The global population is ageing rapidly. As a result, an increasing number of older patients with traumatic spine injuries are seen in hospitals worldwide. However, it is unknown how the incidence of traumatic spinal injury has developed over the past decade. Therefore, this study aimed to determine the incidence and characteristics of traumatic spinal injury in patients aged under and above 65 years.

Methods
During three time periods: 2009–2010, 2014–2015 and 2019–2020, all adult patients with traumatic spinal injury in the Netherlands were identified from the Dutch National Trauma Registry. Patient-related characteristics and 1-year mortality were collected from a subgroup of patients treated at a level-1 trauma centre, and patients aged ≥ 65 years were compared to patients aged < 65 years.

Results
In the Dutch National Trauma Registry 25,737 patients with traumatic spinal injury were identified. The incidence of spine injury in patients > 65 years was 49.5/100,000/yr in 2009–2010, 68.8 in 2014–2015 and 65.9 in 2019–2020. The percentage of patients ≥ 65 years increased from 37% in 2009–2010, to 43% in 2014–2015, and to 47% in 2019–2020. In the subgroup of 1054 patients treated in a level-1 trauma centre, a similar increasing incidence was seen in patients aged ≥ 65 years. In these patients low energy falls were the most common trauma mechanism and the cervical spine was the most commonly injured region. Moreover, patients ≥ 65 years had significantly higher 1-year mortality compared with patients aged < 65 years, 22.7% versus 9.2%.

Conclusion
The incidence of traumatic spinal injury in older patients in the Netherlands has increased over the last 12 years. Almost half of the patients with traumatic spinal injury are currently aged ≥ 65 years. The increasing incidence and the high 1-year mortality highlight the need to modify existing treatment protocols for these patients.
Right-sided versus left-sided colorectal cancer in elderly patients: a sub-analysis of a large multicenter case–control study in Japan
Authors: Sada Haruki , Hinoi Takao , Niitsu Hiroaki , Ohdan Hideki , Yamamoto Seiichiro , Endo Shungo , Hida Koya , Kinugasa Yusuke , Enomoto Toshiyuki , Maruyama Satoshi , Konishi Fumio , Watanabe Masahiko ,   The Japan Society of Laparoscopic Colorectal Surgery, Kanehira Eiji , Shiozawa Kunihisa , Bando Hiroyuki , Yamamoto Daisuke , Kitano Seigo , Inomata Masafumi , Akagi Tomonori , Okuda Junji , Tanaka Keitaro , Yasui Masayoshi , Hirakawa Kosei , Maeda Kiyoshi , Kanazawa Akiyoshi , Hasegawa Junichi , Nishimura Junichi , Akamoto Shintaro , Ueno Masashi , Kuroyanagi Hiroya , Naito Masaki , Ueki Takashi , Sakai Yoshiharu , Hida Koya , Kinjo Yousuke , Kokuba Yukihito , Hamada Madoka , Saito Norio , Ito Masaaki , Yamaguchi Shigeki , Tashiro Jou , Yatsuoka Toshimasa , Furuhata Tomohisa , Okita Kenji , Kubo Yoshiro , Saito Shuji , Kinugasa Yosuke , Konishi Fumio , Sakamoto Kazuhiro , Goto Michitoshi , Tanaka Junichi , Miyajima Nobuyoshi , Suda Tadashi , Shimamura Tsukasa , Saida Yoshihisa , Enomoto Toshiyuki , Naito Takeshi , Munakata Yasuhiro , Hayashi Ken , Takii Yasukimi , Maruyama Satoshi , Kurose Yohei , Miyake Yasuhiro , Hazama Shoichi , Fujii Shoich , Yamagishi Shigeru , Okajima Masazumi , Yamamoto Seiichiro , Horie Hisanaga , Murata Kohei , Sugihara Kenichi 
Published: June 2024

Abstract
Purpose
This study investigated the impact of sidedness of colorectal cancer (CRC) in elderly patients on the prognosis.

Methods
In a sub-analysis of a multicenter case–control study of CRC patients who underwent surgery at ≥ 80 years old conducted in Japan between 2003 and 2007, both short- and long-term outcomes were compared between right-sided colon cancers (RCCs) and left-sided colorectal cancers (LCCs). RCCs were defined as those located from the cecum to the transverse colon.

Results
Among the 1680 patients who underwent curative surgery, 812 and 868 had RCCs and LCCs, respectively. RCCs were more frequent than LCCs in those who were female, had renal comorbidities, and had a history of abdominal surgery. Regarding tumor characteristics, RCCs were larger, invaded more deeply, and were diagnosed as either mucinous or signet ring-cell carcinoma more frequently than LCCs. Regarding the prognosis, patients with RCCs had a significantly longer cancer-specific survival (CS-S) and cancer-specific relapse-free survival (CS-RFS) than those with LCCs. Furthermore, sidedness was determined to be an independent prognostic factor for CS-S and CS-RFS.

Conclusion
RCCs, which accounted for half of the cases in patients ≥ 80 years old, showed better long-term outcomes than LCCs.
The temperature dependence of the Hildebrand solubility parameters of selected hydrocarbon polymers and hydrocarbon solvents: a molecular dynamics investigation
Authors: Costa Gabriel P. , Choi Phillip , Stoyanov Stanislav R. , Liu Qi 
Published: June 2024

Abstract
Context
To determine the miscibility of liquids at high temperatures using the concept of Hildebrand solubility parameter $$\delta$$
δ
, the current practice is to examine the difference in $$\delta$$
δ
between two liquids at room temperature, assuming that $$\delta$$
δ
is not sensitive to temperature. However, such an assumption may not be valid for certain polymer blends and solutions. Therefore, a knowledge of the δ values of the liquids of interest at high temperatures is desirable. The determination of δ at high temperatures, especially for high-molecular-weight polymers, is impossible, as polymers have vapor pressures of zero. To this end, molecular dynamics (MD) simulations provide a practical means for determining δ over a wide range of temperatures. In this work, we study the temperature dependence of $$\delta$$
δ
of five hydrocarbon polymers: polyethylene (PE), isotactic and atactic polypropylene (i-PP and a-PP), polyisobutylene (PIB), and polyisoprene (PI) in five hydrocarbon solvents: n-pentane, n-hexane, n-dodecane, isobutene, and cyclohexane. The polymers are modeled as monodisperse chains with 100 repeat units. The average δ values of PE, i-PP, a-PP, PIB, and PI at 300 K are determined as 18.6, 14.9, 14.6, 14.3, and 16.4 MPa1/2, respectively, in a good agreement with experimental data. The δ values of these polymers at various temperatures are also determined. The temperature dependence of δ is fitted to two linear equations, one above and the other below the polymer’s glass transition temperature Tg. The δ values are more sensitive to temperature at T ≥ Tg. The Tg values of the polymers, determined based upon their specific volumes and δ values agree with the experiment qualitatively. The determination of the temperature dependence of δ has a great potential for industrial applications, such as determining miscibility, developing polymeric organogelators as flocculants and oil spill treating agents, and identifying potential solvents and ideal processing temperatures.

Methods
The MD simulations are performed using the GROMACS 2022.3 package with optimized potential for liquid simulations-all atom (OPLS-AA) force field parameters. All polymers are built as extended chains using CHARMM-GUI Polymer Builder.

Graphical Abstract
Swept-source optical coherence tomography and swept-source optical coherence tomography angiography findings in circumscribed choroidal hemangioma before and after transpupillary thermotherapy
Authors: Mirzayev Ibadulla , Gündüz Ahmet Kaan , Ergin Ahmet 
Published: June 2024

Abstract

Purpose
To investigate the swept-source optical coherence tomography (SS-OCT) and SS-OCT angiography (SS-OCTA) findings in circumscribed choroidal hemangioma (CCH) before and after treatment with transpupillary thermotherapy (TTT).

Methods
The clinical records of 21 eyes having CCH imaged with SS-OCT/SS-OCTA between September 2018 and December 2022 were evaluated.

Results
SS-OCT examination in CCH showed dome-shaped appearance (100%), choroidal shadowing (100%), expansion of choroidal structures (100%), subretinal fluid (66.7%), intraretinal edema/schisis (33.3%), retinal pigment epithelium (RPE) atrophy (19.0%), hyperreflective dots (19.0%), and epiretinal membrane (4.8%). Internal arborizing tumor vessels showing hyperreflectivity were observed in the choriocapillaris slab on SS-OCTA in all eyes. In the deep capillary plexus (DCP), flow void changes were seen in 7 eyes with intraretinal schisis/cystoid macular edema. Four CCHs > 2 mm in thickness showed outer retinal involvement due to unmasking of flow in intratumoral vessels related to RPE atrophy. Following TTT/indocyanine green-enhanced TTT (ICG-TTT) of CCH, SS-OCT findings included total/partial resolution of subretinal fluid (57.1%), complete/partial regression of the tumor (52.4%), and RPE atrophy (33.3%). After treatment; loss of choriocapillaris, decrease in tumor vascularity together with increase in the fibrous component and flow void areas were detected on SS-OCTA.

Conclusions
SS-OCT/SS-OCTA are useful non-invasive tools for imaging the structural/vascular changes in CCHs managed with TTT or ICG-TTT. On SS-OCTA, hyporeflective spaces localizing to edema/schisis in the DCP and arborizing tumor vessels within a hyporeflective stromal background in the choriocapillaris slab were observed. After TTT/ICG-TTT, a decrease in tumor vessels and an increase in the fibrous component and flow-void areas inside the CCH were detected on SS-OCTA.