bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neuropathic and Nociplastic Pain Profiles are Common in Adult Chronic Nonbacterial Osteitis (CNO)
Authors: Leerling Anne T. , Niesters Marieke , Flendrie Marcel , Tel Marije , Appelman-Dijkstra Natasha M. , Dekkers Olaf M. , Winter Elizabeth M. 
Published: April 2024

AbstractChronic nonbacterial osteitis (CNO) is a rare musculoskeletal disease causing chronic bone pain. It is known that chronic musculoskeletal pain may involve other mechanisms than nociceptive pain only. We investigate the prevalence of neuropathic and nociplastic pain in adult CNO and their association with clinical characteristics and treatment outcomes. Survey study among the Dutch adult CNO cohort (n = 84/195 participated), including PAIN-detect for neuropathic pain, and the Central Sensitization Inventory (CSI), Fibromyalgia Rapid Screening Tool (FiRST), and ACTTION-APS Pain Taxonomy (AAPT) for nociplastic pain. Clinical characteristics and CNO-related bone pain scores were compared between patients with exclusive nociceptive pain and those with nociceptive pain plus neuropathic and/or nociplastic pain (mixed pain). 31% (95% CI 21–41) of patients classified as likely having neuropathic pain according to PAIN-detect. 53% (41–64) of patients displayed central sensitization on CSI, 61% (50–72) screened positive for fibromyalgia on FiRST and 14% (7–23) of patients fulfilled the AAPT criteria, all indicative of nociplastic pain. Mixed pain was associated with longer diagnostic delay (mean difference 2.8 years, 95% CI 0.4–5.2, p = 0.023), lower educational level (72% versus 20%, p < 0.001), and opioid use (37% versus 13%, p = 0.036). Despite comparable disease severity and extent, patients with mixed pain reported significantly higher CNO-related bone pain scores. This study demonstrates the high prevalence of mixed pain in adult CNO, in which neuropathic and nociplastic pain exist alongside nociceptive inflammatory bone pain. Disease burden in CNO may extend beyond inflammatory activity, highlighting the need for a multifaceted management approach.
Association of clinical outcome and imaging endpoints in extensive ischemic stroke—comparing measures of cerebral edema
Authors: Geest Vincent , Steffen Paul , Winkelmeier Laurens , Faizy Tobias D. , Heitkamp Christian , Kniep Helge , Meyer Lukas , Zelenak Kamil , Götz Thomalla , Fiehler Jens , Broocks Gabriel 
Published: April 2024

Abstract
Objectives
Ischemic edema is associated with worse clinical outcomes, especially in large infarcts. Computed tomography (CT)–based densitometry allows direct quantification of absolute edema volume (EV), which challenges indirect biomarkers like midline shift (MLS). We compared EV and MLS as imaging biomarkers of ischemic edema and predictors of malignant infarction (MI) and very poor clinical outcome (VPCO) in early follow-up CT of patients with large infarcts.

Materials and methods
Patients with anterior circulation stroke, large vessel occlusion, and Alberta Stroke Program Early CT Score (ASPECTS) ≤ 5 were included. VPCO was defined as modified Rankin scale (mRS) ≥ 5 at discharge. MLS and EV were quantified at admission and in follow-up CT 24 h after admission. Correlation was analyzed between MLS, EV, and total infarct volume (TIV). Multivariable logistic regression and receiver operating characteristics curve analyses were performed to compare MLS and EV as predictors of MI and VPCO.

Results
Seventy patients (median TIV 110 mL) were analyzed. EV showed strong correlation to TIV (r = 0.91, p < 0.001) and good diagnostic accuracy to classify MI (EV AUC 0.74 [95%CI 0.61–0.88] vs. MLS AUC 0.82 [95%CI 0.71–0.94]; p = 0.48) and VPCO (EV AUC 0.72 [95%CI 0.60–0.84] vs. MLS AUC 0.69 [95%CI 0.57–0.81]; p = 0.5) with no significant difference compared to MLS, which did not correlate with TIV < 110 mL (r = 0.17, p = 0.33).

Conclusion
EV might serve as an imaging biomarker of ischemic edema in future studies, as it is applicable to infarcts of all volumes and predicts MI and VPCO in patients with large infarcts with the same accuracy as MLS.

Clinical relevance statement
Utilization of edema volume instead of midline shift as an edema parameter would allow differentiation of patients with large and small infarcts based on the extent of edema, with possible advantages in the prediction of treatment effects, complications, and outcome.

Key Points
• CT densitometry–based absolute edema volume challenges midline shift as current gold standard measure of ischemic edema.
• Edema volume predicts malignant infarction and poor clinical outcome in patients with large infarcts with similar accuracy compared to MLS irrespective of the lesion extent.
• Edema volume might serve as a reliable quantitative imaging biomarker of ischemic edema in acute stroke triage independent of lesion size.
Boosting Capsicum annuum Growth Through Non-native Endophytic Bacterial Consortium
Authors: Matthews Stella , Siddiqui Yasmeen , Supramaniam Christina Vimala , Ali Asgar 
Published: April 2024

Abstract
Organic and natural sources of bio-stimulant have a great expectancy to boost green agriculture practices for sustainable, safe, and smart cultivation of crops. In that regard, beneficial endophytic bacteria have great potential. They have unique features in promoting plant growth by colonizing and establishing well in plant roots. In this study, endophytes isolated from the roots of moringa, neem, sesbania, and chilli were screened for crop’s growth-enhancing activities, such as phosphorus (P) solubilization, 1-aminocyclopropane-1-carboxylic-acid deaminase (ACC deaminase) production, and indole-acetic acid (IAA) production. The phosphorus solubilization, indole-acetic acid production, and ACC deaminase production values fall in the range of 55–88 ppm, 20–164 ppm, and 0.317–0.375 mM, respectively. Chilli seeds’ three highest vigor index (VI) values were attained by MR10 (12,457 VI), MR3 (9450 VI), and MR13 (8730 VI). MR13 showed the highest seed germination energy (221%), followed by MR1 (178%) and MR3 (156%). The promising endophytes were tested on chilli seedlings as single and mixed inoculum treatments to study the efficiency of root colonization. Mixed cultures containing CKR8 and MR13 exhibited the highest seedling height (17.0 cm), followed by MR13, MR10, and MR13 (16.8 cm) compared to the control (12.6 cm). A single culture of MR10 (109.0 g and 13.53 cm2) and a mixed culture of MR10 and MR13 (100.0 g and 13.09 cm2) showed the maximum root length and surface area, respectively. The highest relative chlorophyll content was recorded by MR10 and MR13 (40.3 SPAD value), followed by MR13, MR3, and CKR8 (36.8 SPAD value). The non-native endophytic bacteria, MR13, Streptomyces panaciradicis (GenBank accession no. OM001090), and MR3, Bacillus subtilis (GenBank accession no. OM714810), could colonize the roots and improve the growth of chilli at the seedling growth stage.

Graphical Abstract
Histopathological findings of failed blebs after microinvasive bleb surgery with the XEN Gel Stent and Preserflo MicroShunt
Authors: Neubauer Jonas , Suesskind Daniela , Gassel Caroline J. , Nasyrov Emil , Voykov Bogomil 
Published: April 2024

Abstract
Purpose
The success of XEN Gel Stent (XEN) and Preserflo MicroShunt (Preserflo) implantation depends mainly on the development of bleb fibrosis. This study aimed to describe the histological findings of bleb fibrosis after XEN and Preserflo surgery.

Methods
This retrospective study included patients with different types of glaucoma who underwent revision surgery after XEN or Preserflo implantation. The available clinical information and histological samples of removed fibrotic tissue were analyzed.

Results
Thirty-six patients were included. Revision surgery was performed at a median of 195 (range = 31–1264) days after primary surgery. The mean intraocular pressure changed from 29.1 (± 10.3) mmHg at baseline to 18.3 (± 8.7) mmHg (− 37%; p < 0.0001) and 16.2 (± 4.2) mmHg (− 45%; p < 0.0001) after 6 and 12 months, respectively. Histological analysis revealed an increase in activated fibroblasts and macrophages in all specimens and a parallel orientation of fibroblasts in a minor part of the probe in 60% of the specimens. No pronounced inflammatory reaction in the form of lymphocytic or granulocytic infiltration was observed. The comparison of specimens from uveitic glaucoma and primary open-angle glaucoma patients revealed no significant differences.

Conclusions
The histological analysis of fibrotic blebs from the XEN and Preserflo implants did not show any pronounced immune or foreign-body reaction and revealed a similar histological pattern of failed blebs after trabeculectomy.
Construction and validation of a folate metabolism-related gene signature for predicting prognosis in HNSCC
Authors: Wang Lu , He Ye , Bai Yijiang , Zhang Shuai , Pang Bo , Chen Anhai , Wu Xuewen 
Published: April 2024

Abstract
Purpose
Metabolic reprogramming is currently considered a hallmark of tumor and immune development. It is obviously of interest to identify metabolic enzymes that are associated with clinical prognosis in head and neck squamous cell carcinomas (HNSCC).

Methods
Candidate genes were screened to construct folate metabolism scores by Cox regression analysis. Functional enrichment between high- and low-folate metabolism groups was explored by GO, KEGG, GSVA, and ssGSEA. EPIC, MCPcounter, and xCell were utilized to explore immune cell infiltration between high- and low-folate metabolism groups. Relevant metabolic scores were calculated and visually analyzed by the “IOBR” software package.

Results
To investigate the mechanism behind metabolic reprogramming of HNSCC, 2886 human genes associated with 86 metabolic pathways were selected. Folate metabolism is significantly enriched in HNSCC, and that the six-gene (MTHFD1L, MTHFD2, SHMT2, ATIC, MTFMT, and MTHFS) folate score accurately predicts and differentiates folate metabolism levels. Reprogramming of folate metabolism affects CD8T cell infiltration and induces immune escape through the MIF signaling pathway. Further research found that SHMT2, an enzyme involved in folate metabolism, inhibits CD8T cell infiltration and induces immune escape by regulating the MIF/CD44 signaling axis, which in turn promotes HNSCC progression.

Conclusions
Our study identified a novel and robust folate metabolic signature. A folate metabolic signature comprising six genes was effective in assessing the prognosis and reflecting the immune status of HNSCC patients. The target molecule of folate metabolic reprogramming, SHMT2, probably plays a very important role in HNSCC development and immune escape.
Evaluation of chemotherapy-induced nausea and vomiting in pediatric patients with high-grade glioma treated with lomustine—a case series
Authors: Schellekens Kim P. J. , Hageman Sarah Babette , Haverkate Els C. , van de Wetering Marianne D. , Engels Frederike K. , Brinksma Aeltsje , de Vos-Kerkhof Evelien 
Published: April 2024

Abstract
Purpose
Although lomustine has been used as a chemotherapeutic agent for decades, no recommendation on appropriate chemotherapy-induced nausea and vomiting (CINV) prophylaxis is available. As CINV is considered one of the most bothersome side effects of chemotherapy, adequate prophylaxis is of relevance to improve quality of life during cancer treatment. The aim of this retrospective case series was to report the incidence and severity of CINV in pediatric patients with high-grade glioma treated with lomustine and to formulate recommendations for appropriate CINV prophylaxis.

Methods
Pediatric patients treated with lomustine for high-grade glioma according to the ACNS 0423 protocol were identified retrospectively. Two researchers independently reviewed and classified complaints of CINV and administered CINV prophylaxis. Treatment details, tumor localization, and response to therapy were systematically extracted from the patients’ files.

Results
Seventeen children aged 8–18 years received a median of four cycles of lomustine. CINV complaints and administered prophylaxis were evaluable in all patients. Moderate or severe CINV was observed in 13/17 (76%) patients. Administered prophylactic CINV regimens varied from no prophylaxis to triple-agent combinations.

Conclusion
In this case series, we identified lomustine as a highly emetogenic chemotherapeutic agent. According to the current guidelines, CINV prophylaxis with a 5-HT3 receptor antagonist in combination with dexamethasone and (fos)aprepitant is recommended.
Molecular characterization of the whole genome of H9N2 avian influenza virus isolated from Egyptian poultry farms
Authors: Bedair Nahed M. , Sakr Moustafa A. , Mourad Ahmed , Eissa Nourhan , Mostafa Ahmed , Khamiss Omaima 
Published: April 2024

AbstractH9N2 avian influenza viruses (AIVs) affect both poultry and humans on a global level, and they are especially prevalent in Egypt. In this study, we sequenced the entire genome of AIV H9N2 isolated from chickens in Egypt in 2021, using next-generation sequencing (NGS) technology. Phylogenetic analysis of the resulting sequences showed that the studied strain was generally monophyletic and grouped within the G1 sublineage of the Eurasian lineage. Four segments (polymerase basic 2 [PB2], polymerase basic 1 [PB1], polymerase acidic [PA], and non-structural [NS]) were related to Egyptian genotype II, while the nucleoprotein (NP), neuraminidase (NA), matrix (M), and haemagglutinin (HA) segments were related to Egyptian genotype I. Molecular analysis revealed that HA protein contained amino acid residues (191H and 234L) that suggested a predilection for attaching to human-like receptors. The antigenic sites of HA had two nonsynonymous mutations: V194I at antigenic site A and M40K at antigenic site B. Furthermore, the R403W and S372A mutations, which have been observed in H3N2 and H2N2 strains that caused human pandemics, were found in the NA protein of the detected strain. The internal proteins contained virulence markers: 504V in the PB2 protein, 622G, 436Y, 207K, and 677T in the PB1 protein, 127V, 550L, and 672L in PA protein, and 64F and 69P in the M protein. These results show that the detected strain had undergone intrasubtype reassortment. Furthermore, it contains changes in the viral proteins that make it more likely to be virulent, raising a question about the tendency of AIV H9N2 to become highly pathogenic in the future for both poultry and humans.
Evaluation of maxillary arch symmetry in cleft patients undergoing orthodontic treatment: a comparative study
Authors: Tabellion Maike , Linsenmann Constanze Charlotte , Lisson Jörg Alexander 
Published: April 2024

Abstract
Objective
Patients with a cleft require structured procedures to achieve feasible treatment results. Since many treatment protocols coexist without being superior to one another, this study investigated the Saarland University Hospital treatment concept for patients with unilateral and bilateral clefts to evaluate its effects upon dental arch dimensions until the early mixed dentition.

Material and methods
Digitized plaster models were used for data collection. Records of 83 patients (Cleft n = 41 [UCLP n = 28, BCLP n = 13], Non-Cleft Control n = 42) comprised 249 casts. The evaluation included established procedures for measurements of edentulous and dentate jaws. Statistics included Shapiro–Wilk, Friedmann, Wilcoxon and Mann–Whitney-U-Tests for the casts. The level of significance was set at p < 0.05.

Results
The cast analysis showed an approximation of arch dimensions towards those of age-matched patients without a cleft until early mixed dentition. The mean values of patients with and without cleft lip and palate were almost indistinguishable when compared in primary and/or early mixed dentition.

Conclusions
The evaluated treatment concept leads to feasible outcomes regarding dental arches in patients with unilateral and bilateral clefts compared to an age-matched non-cleft control.

Clinical relevance
The evaluated treatment concept leads to favorable outcomes until early mixed dentition.
OneLog: towards end-to-end software log anomaly detection
Authors: Hashemi Shayan , Mäntylä Mika 
Published: April 2024

AbstractWith the growth of online services, IoT devices, and DevOps-oriented software development, software log anomaly detection is becoming increasingly important. Prior works mainly follow a traditional four-staged architecture (Preprocessor, Parser, Vectorizer, and Classifier). This paper proposes OneLog, which utilizes a single deep neural network instead of multiple separate components. OneLog harnesses convolutional neural network (CNN) at the character level to take digits, numbers, and punctuations, which were removed in prior works, into account alongside the main natural language text. We evaluate our approach in six message- and sequence-based data sets: HDFS, Hadoop, BGL, Thunderbird, Spirit, and Liberty. We experiment with Onelog with single-, multi-, and cross-project setups. Onelog offers state-of-the-art performance in our datasets. Onelog can utilize multi-project datasets simultaneously during training, which suggests our model can generalize between datasets. Multi-project training also improves Onelog performance making it ideal when limited training data is available for an individual project. We also found that cross-project anomaly detection is possible with a single project pair (Liberty and Spirit). Analysis of model internals shows that one log has multiple modes of detecting anomalies and that the model learns manually validated parsing rules for the log messages. We conclude that character-based CNNs are a promising approach toward end-to-end learning in log anomaly detection. They offer good performance and generalization over multiple datasets. We will make our scripts publicly available upon the acceptance of this paper.
Revisiting the effect of relative density on cyclic liquefaction of clean and silty sands: the crossing effect
Authors: Monkul Mehmet Murat , Tütüncü Yunus Emre 
Published: April 2024

AbstractLiquefaction of clean and silty sands remains to be an important problem during earthquakes. Even though many factors are known to influence liquefaction behavior, the influence of density index parameter and fines content (FC) are among the most important parameters. In this study, the effect of relative density (Dr) on liquefaction behavior of clean and silty sands was investigated by cyclic direct simple shear tests on two different silty sands at various FC. Several different relationships affected from Dr are revisited or investigated including number of cycles to liquefaction (NL) and cyclic resistance ratio (CRR). It was found that liquefaction resistance-fines content-relative density relationship is much more complex than previously thought. This is because CRR-Dr lines of clean and/or silty sands may cross each other at specific relative densities, which may cause the liquefaction resistance of a clean sand to be either smaller, equal or greater than the liquefaction resistance of a silty sand with the same base sand dependent on the magnitude of relative density. The mentioned behavior is also confirmed on different clean and silty sands tested in literature.
Tolerability and effectiveness of palbociclib in older women with metastatic breast cancer
Authors: Baltussen Joosje C. , Mooijaart Simon P. , Vulink Annelie J.E. , Houtsma Danny , Van der Deure Wendy M. , Westerman Elsbeth M. , Oosterkamp Hendrika M. , Spierings Leontine E.A.M.M. , van den Bos Frederiek , de Glas Nienke A. , Portielje Johanneke E.A. 
Published: April 2024

AbstractPurposePalbociclib has become the standard of care for estrogen receptor-positive (ER+), human epidermal growth factor receptor 2 negative (HER2-) metastatic breast cancer, but real-world evidence in older women remains scarce. Therefore, we investigated tolerability of palbociclib in older women with metastatic breast cancer.MethodsConsecutive women aged ≥ 70 with ER+/HER2- metastatic breast cancer, treated with palbociclib in any treatment line in six hospitals, were included. Primary endpoint was grade ≥ 3 palbociclib-related toxicity. Predictors of toxicity were identified using logistic regression models. Progression-free survival (PFS) and overall survival (OS) were estimated using Kaplan Meier.ResultsWe included 144 women with a median age of 74 years. Grade 3–4 toxicity occurred in 54% of patients, of which neutropenia (37%) was most common. No neutropenic fever or grade 5 toxicity occurred. Dose reduction during treatment occurred in 50% of patients, 8% discontinued treatment due to toxicity and 3% were hospitalized due to toxicity. Polypharmacy (odds ratio (OR) 2.50; 95% confidence interval (CI) 1.12–5.58) and pretreatment low leukocytes (OR 4.81; 95% CI 1.27–18.21) were associated with grade 3–4 toxicity, while comorbidities were not. In first-line systemic therapy, median PFS was 12 months and median OS 32 months. In second-line, median PFS was 12 months and median OS 31 months.ConclusionAlthough grade 3–4 toxicity and dose reductions occurred frequently, most were expected and managed by dose reductions, showing that palbociclib is generally well tolerated and thus represents a valuable treatment option in the older population.
Gut physiology of rainbow trout (Oncorhynchus mykiss) is influenced more by short-term fasting followed by refeeding than by feeding fishmeal-free diets
Authors: Frohn Laura , Peixoto Diogo , Terrier Frédéric , Costas Benjamin , Bugeon Jérôme , Cartier Christel , Richard Nadège , Pinel Karine , Skiba-Cassy Sandrine 
Published: April 2024

AbstractSupplementing a fishmeal-free diet with yeast extract improves rainbow trout (Oncorhynchus mykiss) growth performance and modulates the hepatic and intestinal transcriptomic response. These effects are often observed in the long term but are not well documented after short periods of fasting. Fasting for a few days is a common practice in fish farming, especially before handling the fish, such as for short sorting, tank transfers, and vaccinations. In the present study, rainbow trout were subjected to a 4-day fast and then refed, for 8 days, a conventional diet containing fishmeal (control diet) or alternative diets composed of terrestrial animal by-products supplemented or not with a yeast extract. During the refeeding period alone, most of the parameters considered did not differ significantly in response to the different feeds. Only the expression of claudin-15 was upregulated in fish fed the yeast-supplemented diet compared to the control diet. Conversely, fasting followed by refeeding significantly influenced most of the parameters analyzed. In the proximal intestine, the surface area of villi significantly increased, and the density of goblet cell tended to decrease during refeeding. Although no distinct plasma immune response or major signs of gut inflammation were observed, some genes involved in the structure, complement pathway, antiviral functions, coagulation, and endoplasmic reticulum stress response of the liver and intestine were significantly regulated by refeeding after fasting. These results indicate that short-term fasting, as commonly practiced in fish farming, significantly alters the physiology of the liver and intestine regardless of the composition of the diet.