bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prognostic value of histopathological findings in aneurysmal subarachnoid hemorrhage
Authors: Holling Markus , Jeibmann Astrid , Gerss Joachim , Fischer Bernhard R. , Wassmann Hansdetlef , Paulus Werner , Hasselblatt Martin , Albert Friedrich K. 
Published: December 2008

Object
Aneurysmal subarachnoid hemorrhage (SAH) carries a severe prognosis, which is often related to the development of cerebral vasospasm. Even though several clinical and radiological predictors of vasospasm and functional outcome have been established, the prognostic value of histopathological findings remains unclear.

Methods
Histopathological findings in resected distal aneurysm walls were examined, as were the clinical and radiological factors in a series of 91 patients who had been neurosurgically treated for aneurysmal SAH. The impact of the histological, clinical, and radiological factors on the occurrence of vasospasm and functional outcome at discharge was analyzed.

Results
Histopathological findings frequently included lymphocytic infiltrates (60%), fibrosis (60%), and necrosis (50%) of the resected aneurysm wall. On univariate analysis, clinical (Hunt and Hess grade) and radiological (aneurysm size) factors as well as histopathological features—namely, lymphocytic infiltrates and necrosis of the aneurysm wall—were significantly associated with the occurrence of vasospasm. On multivariate analysis, lymphocytic infiltrates (OR 6.35, 95% CI 2.32–17.36, p = 0.0001) and aneurysm size (OR 1.22, 95% CI 1.05–1.42, p = 0.009) remained the only factors predicting the development of vasospasm. A poor functional outcome at discharge was significantly associated with vasospasm, other clinical factors (Hunt and Hess grade, alcohol consumption, hyperglycemia, and elevated white blood cell count [WBC] at admission), and radiological factors (Fisher grade and aneurysm size), as well as with histopathological features (lymphocytic infiltrates [p = 0.0001] and necrosis of the aneurysm wall [p = 0.0015]). On multivariate analysis taking into account all clinical, radiological, and histological factors; vasospasm (OR 9.82, 95% CI 1.83–52.82, p = 0.008), Hunt and Hess grade (OR 5.61, 95% CI 2.29–13.74, p = 0.0001), patient age (OR 1.09, 95% CI 1.02–1.16, p = 0.0013), elevated WBC (OR 1.29, 95% CI 1.01–1.64, p = 0.04), and Fisher grade (OR 4.35, 95% CI 1.25–15.07, p = 0.015) best predicted functional outcome at discharge.

Conclusions
The demonstration of lymphocytic infiltrates in the resected aneurysm wall is of independent prognostic value for the development of vasospasm in patients with neurosurgically treated aneurysmal SAH. Thus, histopathology might complement other clinical and radiological factors in the identification of patients at risk.
Cortical calculation localization using electrostimulation
Authors: Roux Franck-Emmanuel , Boukhatem Leila , Draper Louisa , Sacko Oumar , Démonet Jean-François 
Published: December 2008

Object
A naming task has been used to spare cortical areas involved in language. In the present study, a calculation task was combined with electrostimulation mapping (awake surgery) to spare cortical areas involved in calculation in patients undergoing surgery for brain lesions. The organization of language and calculation areas was analyzed in relation to these surgical data.

Methods
Twenty patients with brain lesions close to areas possibly involved in calculation (dominant parietal lobe and F2) were prospectively studied over a 4-year period. Four patients had preoperative symptoms of acalculia and therefore were not included in the brain mapping procedure.

Results
In 16 patients, direct electrostimulation caused calculation interferences in localized small cortical areas (< 2 cm2). Of the 53 calculation interferences found, 23 were independent of language areas, especially those in the inferior left parietal lobule. Various patterns of interference were observed (11 complete acalculia, 5 acalculia with wrong answers, 2 hesitations, and 5 mixed responses), although error patterns were fairly similar across angular, parietal, and frontal stimulation sites. Calculation areas in 4 patients could not be spared for oncological reasons; postoperatively, 3 of these patients showed significant acalculia symptoms. In contrast, none of the patients whose calculation areas were spared had arithmetic difficulties 1 month after surgery. Improvements in acalculia symptoms after surgery were also found in 3 of the 4 patients with preoperative calculation difficulties.

Conclusions
To limit the risk of personal and professional disturbances caused by acquired anarithmetia in patients undergoing surgery for brain tumors or epilepsy, the authors think it is necessary to use a calculation task during brain mapping, especially when operating in the dominant parietal lobe.
Use of Pharmacogenetics, Enzymatic Phenotyping, and Metabolite Monitoring to Guide Treatment with Azathioprine in Patients with Systemic Lupus Erythematosus
Authors: ASKANASE ANCA D. , WALLACE DANIEL J. , WEISMAN MICHAEL H. , TSENG CHUNG-E , BERNSTEIN LANA , BELMONT H. MICHAEL , SEIDMAN ERNEST , ISHIMORI MARIKO , IZMIRLY PETER M. , BUYON JILL P. 
Published: December 2008

Objective.Individualized therapy based on genetic background and monitoring of metabolites can optimize drug safety and efficacy. Such an approach is available for azathioprine (AZA), the thiopurine antimetabolite. AZA exerts therapeutic effects when metabolized to the active thiopurine nucleotide, 6-thioguanine (6-TGN). In inflammatory bowel disease (IBD), 6-TGN levels in the target range of 235–400 pmol/8 ×108 red blood cells (RBC) are associated with a high likelihood of response. Our objective was to evaluate whether drug escalation based on metabolite levels improves efficacy and maintains safety in patients with systemic lupus erythematosus (SLE).Methods.We conducted a 6-month open-label dose-escalation clinical study of patients with active SLE treated with azathioprine dosed by body weight and metabolite levels. The primary endpoint was ≥50% improvement in any one parameter of disease activity, or 50% decrease in glucocorticoid dose.Results.Of 50 patients enrolled in the study, 21 achieved clinical responses, 13 of whom had 6-TGN < 235 pmol/8 ×108 RBC. Ten patients had no clinical response at 6 months, yet achieved either therapeutic IBD 6-TGN levels (> 235, n = 4) or received maximum AZA dose ≥3.5 mg/kg (n = 6). In 19 patients the drug was discontinued prematurely due to side effects or SLE activity. For those patients in whom either liver function test or white blood cell count abnormalities were encountered, metabolites guided attribution to drug or disease activity.Conclusion.Clinical responses in SLE can occur at levels of 6-TGN lower than the target range established for IBD. During followup, measurements of AZA metabolites may provide a rational approach to safety.
Shifting Our Thinking About Uncommon Disease Trials: The Case of Methotrexate in Scleroderma
Authors: JOHNSON SINDHU R. , FELDMAN BRIAN M. , POPE JANET E. , TOMLINSON GEORGE A. 
Published: December 2008

Objective.Randomized trials for uncommon diseases suffer from methodological challenges: difficulty in recruiting sufficient numbers of patients and low power to detect important treatment effects. Using traditional (frequentist) analysis, p values > 0.05 mean investigators are unable to reject the null hypothesis (of no treatment effect). The medical community often labels trials with p values > 0.05 as “negative.” Our study demonstrates how Bayesian analysis conveys more relevant information to clinicians — using the example of methotrexate (MTX) in systemic sclerosis (SSc).Methods.Data from 71 patients with diffuse SSc (n = 35 MTX, n = 36 placebo) in the trial were reanalyzed using Bayesian models. We examined 3 primary outcomes: modified Rodnan skin score (MRSS), University of California Los Angeles (UCLA) skin score, and physician global assessment of overall disease activity. Using noninformative prior probability distributions, the probability of beneficial treatment effects for each outcome and the probability of simultaneous benefit in outcomes were computed.Results.The probability that treatment with MTX results in better mean outcomes than placebo was 94% for MRSS, 96% for UCLA skin score, and 88% for physician global assessment. There was 96% probability that at least 2 of 3 primary outcomes were better on treatment.Conclusion.Bayesian analysis of uncommon disease trials allows for more flexible and clinically relevant interpretations of the data. From the trial data, clinicians can infer that MTX has a high probability of beneficial effects on skin score and global assessment.
Passion for guns and beliefs in a dangerous world: An examination of defensive gun ownership
Authors: Bélanger Jocelyn J. , Leander N. Pontus , Agostini Maximilian , Kreienkamp Jannis , Stroebe Wolfgang 
Published: April 2024

AbstractThis research examines the notion of defensive gun ownership using the Dualistic Model of Passion. We hypothesized that an obsessive (vs. harmonious) passion for guns would be associated with a belief in a dangerous world (BDW). We expected this relationship to intensify in threatening contexts, leading to a more expansive view on defensive gun ownership. We tested this hypothesis across three threat contexts: a gun‐control message (Study 1, N = 342), a live shooting simulation (Study 2, N = 398), and the aftermath of the Christchurch mass shootings (Study 3, N = 314). In the experimental Study 1, exposure to a gun‐control message increased the intention to purchase guns among those with an obsessive passion (OP) for guns. Study 2 revealed that BDW mediated the relationship between OP and assertive modes of protection, the desire to purchase high‐stopping‐power guns, and anti‐Black racial bias in a shooting task. Study 3 showed that knowledge of the Christchurch attack intensified the link between OP and BDW, leading to increased support for gun access, a willingness to act as a citizen‐protector, and prejudice against Muslims. Comprehending these dynamics can assist policymakers in crafting messaging campaigns for firearm regulation and public safety measures that are more effective.
Diagnostic Accuracy of Raman Spectroscopy Integrated With Polarized Light Microscopy for Calcium Pyrophosphate–Associated Arthritis
Authors: Niessink Tom , Janssen Matthijs , Giesen Tanja , Efdé Monique N. , Comarniceanu Antoaneta C. , Otto Cees , Jansen Tim L. 
Published: April 2024

ObjectiveWe studied the performance of integrated Raman polarized light microscopy (iRPolM) for the identification of calcium pyrophosphate (CPP)–associated arthritis (CPPD).MethodsThis is a diagnostic accuracy study including 400 consecutive synovial fluid samples from a single hospital in the Netherlands. Accuracy measures were calculated against polarized light microscopy (PLM) and the 2023 American College of Rheumatology (ACR)/EULAR criteria set for CPPD.ResultsThe interrater reliability between iRPolM and the 2023 ACR/EULAR criteria set for CPPD was strong (κ = 0.88). The diagnostic performance of iRPolM compared to the 2023 ACR/EULAR criteria set was sensitivity 86.0% (95% confidence interval [CI] 73.3–94.2), specificity 99.1% (95% CI 97.5–99.8), positive likelihood ratio 100.33 (95% CI 32.3–311.3), negative likelihood ratio 0.14 (95% CI 0.07–0.28), positive predictive value 93.5% (95% CI 82.2–97.8), negative predictive value 98.0% (95% CI 82.2–97.8), and accuracy 97.5% (95% CI 95.5–98.8). We allowed rheumatologists to rate the certainty of their microscopic identification of CPP and found a large correspondence between iRPolM and a certain identification (κ = 0.87), whereas only 10% of the uncertain CPP identifications could be confirmed with iRPolM. We identified several novel particle types in synovial fluid analysis, including calcium carbonate crystals, deposited carotenoids, microplastics, and three types of Maltese cross birefringent objects.ConclusioniRPolM can easily identify CPP crystals with a strong diagnostic performance. PLM alone is not specific enough to reliably resolve complicated cases, and the implementation of Raman spectroscopy in rheumatology practice can be of benefit to patients with suspected CPPD.
Large‐Scale Flexible Fabric Biosensor for Long‐Term Monitoring of Sweat Lactate
Authors: Chen Yangyang , Hu Xiaokang , Liang Qimin , Wang Xin , Zhang Huanlei , Jia Kangkang , Li Yuan , Zhang Anning , Chen Peining , Lin Meng , Qiu Longbin , Peng Huisheng , He Sisi 
Published: April 2024

AbstractIntegrating sweat biosensors into daily wear has the potential to effectively monitor personal lactate levels, offering the advantages of convenience, precision, and multi‐point detection. However, existing wearable fabric sweat biosensors have limitations in terms of long‐term repeatable detection and washability due to the difficulty of building a stable layer of recognition materials on the highly curved fiber surface. Here, a long‐term repeatable and washable electrochemical fabric biosensor is reported based on a fiber electrode with multi‐scaled aligned channels for efficient and reliable lactate detection. Through the functionalization of a molecularly imprinted polymer with redox‐sensitive nano reporters, the fabric biosensor exhibits impressive in situ long‐term repeatable detection for more than 400 times, washability, and stability under deformations. The multi‐scaled channels contribute to a desired electric field distribution and thus a reliable interface between the polymer and the fiber. Employing industrial sewing technology, a 20 m (L) × 0.5 m (W) sensing fabric is further produced. Ultimately, combined with a wireless communication element, the fabric biosensing system can immediately track lactate levels.
Light‐Driven Multi‐Core/Shell Microdroplets as a Targeted Drug Delivery System
Authors: Yuan Shun , Yao Benjun , Yang Guowei , Lei Hongxiang 
Published: April 2024

AbstractTargeted drug delivery system (DDS) holds exciting prospects in biomedical clinical research and drug development. However, it faces a significant challenge in achieving stable and safe targeted transportation without drug leakage while obtaining precise and controllable drug dosing with a high drug utilization rate and low side effects. Herein, an optical tweezers‐based light‐driven technique is proposed to transport and construct multi‐core/shell microdroplets enveloping drug carriers and target cells as a novel, safe, and efficient targeted DDS. Drug‐loaded microdroplets with core/shell structures are first fabricated by a new and simple injection extrusion method and then it is transported to a target cell by a dynamic optical trap with a low optical power, which ensures no drug leakage, exogenous materials, and biothermal damage are introduced during the drug delivery process. Next, precise drug dosing is realized by pushing the target cell into the drug‐loaded microdroplet under the actions of optical forces, which constructs a multi‐core/shell microdroplet structure with a pure drug environment to improve the drug action efficiency. Moreover, quantitative drug dosing with a high drug utilization rate can also achieved by controlling the sizes/number of drug droplets inside the microdroplets. This light‐driven DDS is of great interest to frontier medical research and disease treatment fields.
Intelligent Tribotronic Transistors Toward Tactile Near‐Sensor Computing
Authors: Lei Hao , Yin Zi‐Yi , Huang Peihao , Gao Xu , Zhao Chun , Wen Zhen , Sun Xuhui , Wang Sui‐Dong 
Published: April 2024

AbstractFor the next generation of human‐machine interaction (HMI) systems, the development of a tactile interaction unit with multimodal, high sensitivity, and real‐time perception and recognition is the key. Herein, an artificial tactile near‐sensor computing (ATNSC) unit based on a triboelectric tactile sensor and an organic synaptic transistor is reported. By introducing multi‐peak microstructures, the mechanical performance of the tactile sensor is optimized, showing a high sensitivity of 0.98 V kPa−1 in the pressure range of 0–10 kPa and maintaining 0.11 V kPa−1 at high pressures up to 350 kPa. Additionally, by designing stripe‐like convex structures on the top surface, the sensor is capable of bimodal perception in both pressure and sliding sensations. Furthermore, the organic synaptic transistor, which can be driven by tactile sensing stimuli in a variety of circumstances, is achieved utilizing an ion‐rich gelatin dielectric covered by a hydrophobic polymer coating layer. The ATNSC unit well demonstrates the stimuli‐dependent short‐term memory effect, and it enables tactile near‐sensor computing for feature action recognition in an HMI system, laying a solid foundation for the construction of intelligent interaction devices.
Multifunctional Phototransistor Based on Double Van der Waals Heterojunction with Reversed Band Edge Bending
Authors: Xiao Shaowu , Zheng Tao , Chen Wenlong , Zhang Jielian , Yang Mengmeng , Sun Yiming , Zheng Zhaoqiang , Hao Derek , Huo Nengjie , Chen Zuxin , Gao Wei 
Published: April 2024

AbstractDouble van der Waals heterojunctions (vdWHs) based on 2D materials showcase multifunctional properties, including anti‐ambipolar behavior and polarization‐sensitive photodetection capabilities, providing a new degree of freedom for the development of next‐generation integrated electronics and optoelectronics. Herein, this work reports an anti‐ambipolar transistor with high polarized photosensitivity based on MoS2/Ta2NiS5/WSe2 double vdWH with back‐to‐back type‐I band alignment. It demonstrates a noticeable negative differential transconductance with an ultrahigh peak‐to‐valley ratio of 4.3 × 104 and a bidirectional transconductance variation from 41.6 to −17.5 nS when VD = 2 V. It is ascribed to the effective gate‐modulation of the reversed band edge bending at the double vdWH interfaces. Additionally, the structure benefits from a photogating effect and the anisotropic Ta2NiS5 interlayer, achieving a peak responsivity of 120.58 A W−1 and a decent specific detectivity of 2.65 × 1012 Jones at VD = 2 V and Vg = 5 V and exhibiting an exceptional photocurrent anisotropic ratio of 15.31 via the photovoltaic effect under 635 nm light. These findings not only expand the potential applications of the advanced 2D Ta2NiS5 material but also offer valuable insights for the development of multifunctional optoelectronic devices leveraging 2D double vdWHs.
Domains with Varying Conductance in Tensile Strained SrMnO3 Thin Films Using Out‐of‐Plane Electric Fields
Authors: van Rijn Job J. L. , Bhaduri Ishitro , Ahmadi Majid , Noheda Beatriz , Kooi Bart J. , Banerjee Tamalika 
Published: April 2024

AbstractDomains and domain wall engineering have been extensively explored in ferroic materials for a wide range of applications in nanoelectronics and spintronics. Complex oxides exhibiting strongly correlated properties are model platforms for such studies where response to strain or external stimuli such as electric field, temperature and light can be probed. Here, domains in strained SrMnO3 films, grown on a degenerate semiconductor, allowing for conduction in an out‐of‐plane geometry, are studied using a combination of microscopy probes. Using conductive atomic force microscopy, electrically isolated domains with varying conductance are found and their temporal evolution is investigated. Further, their formation and microstructure are studied using scanning transmission electron microscopy and secondary electron contrast in scanning electron microscopy. An important contribution is establishing that the observed domains are formed by cracks, driven by inhomogeneous strain relaxation throughout the film, resulting in significantly high strain planes. The potential of secondary electrons to detect domain dependent contrast over a large area, ensuing due to the use of a degenerate semiconductor correlates with the conductive properties of the domains and serves as a new direction to probe domains and domain walls in ferroic materials.
Biofabrication Directions in Recapitulating the Immune System‐on‐a‐Chip
Authors: Janssen Robine , Benito‐Zarza Laura , Cleijpool Pim , Valverde Marta G. , Mihăilă Silvia M , Bastiaan‐Net Shanna , Garssen Johan , Willemsen Linette E. M. , Masereeuw Rosalinde 
Published: April 2024

AbstractEver since the implementation of microfluidics in the biomedical field, in vitro models have experienced unprecedented progress that has led to a new generation of highly complex miniaturized cell culture platforms, known as Organs‐on‐a‐Chip (OoC). These devices aim to emulate biologically relevant environments, encompassing perfusion and other mechanical and/or biochemical stimuli, to recapitulate key physiological events. While OoCs excel in simulating diverse organ functions, the integration of the immune organs and immune cells, though recent and challenging, is pivotal for a more comprehensive representation of human physiology. This comprehensive review covers the state of the art in the intricate landscape of immune OoC models, shedding light on the pivotal role of biofabrication technologies in bridging the gap between conceptual design and physiological relevance. The multifaceted aspects of immune cell behavior, crosstalk, and immune responses that are aimed to be replicated within microfluidic environments, emphasizing the need for precise biomimicry are explored. Furthermore, the latest breakthroughs and challenges of biofabrication technologies in immune OoC platforms are described, guiding researchers toward a deeper understanding of immune physiology and the development of more accurate and human predictive models for a.o., immune‐related disorders, immune development, immune programming, and immune regulation.
Lignin Derived Ultrathin All‐Solid Polymer Electrolytes with 3D Single‐Ion Nanofiber Ionic Bridge Framework for High Performance Lithium Batteries
Authors: Liu Yuhan , Wang Pinhui , Yang Zhenyue , Wang Liying , Li Zhangnan , Liu Chengzhe , Liu Baijun , Sun Zhaoyan , Pei Hanwen , Lv Zhongyuan , Hu Wei , Lu Yunfeng , Zhu Guangshan 
Published: April 2024

AbstractThe lignin derived ultrathin all‐solid composite polymer electrolyte (CPE) with a thickness of only 13.2 µm, which possess 3D nanofiber ionic bridge networks composed of single‐ion lignin‐based lithium salt (L‐Li) and poly(vinylidene fluoride‐co‐hexafluoropropylene) (PVDF‐HFP) as the framework, and poly(ethylene oxide)/lithium bis(trifluoromethanesulfonyl)imide (PEO/LiTFSI) as the filler, is obtained through electrospinning/spraying and hot‐pressing. t. The Li‐symmetric cell assembled with the CPE can stably cycle more than 6000 h under 0.5 mA cm−2 with little Li dendrites growth. Moreover, the assembled Li||CPE||LiFePO4 cells can stably cycle over 700 cycles at 0.2 C with a super high initial discharge capacity of 158.5 mAh g−1 at room temperature, and a favorable capacity of 123 mAh g−1 at −20 °C for 250 cycles. The excellent electrochemical performance is mainly attributed to the reason that the nanofiber ionic bridge network can afford uniformly dispersed single‐ion L‐Li through electrospinning, which synergizes with the LiTFSI well dispersed in PEO to form abundant and efficient 3D Li+ transfer channels. The ultrathin CPE induces uniform deposition of Li+ at the interface, and effectively inhibit the lithium dendrites. This work provides a promising strategy to achieve ultrathin biobased electrolytes for solid‐state lithium ion batteries.