bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optic nerve haemangioblastoma in association with von Hippel-Lindau syndrome: case report and literature review
Authors: Vásquez Montoya Juan David , Velez Jorge Mario , Naranjo Vanegas Melisa , Montes Jimenez Natalia 
Published: February 2024

Abstract
Optic nerve haemangioblastoma (ONH) is an uncommon, benign, non-meningothelial, mesenchymal tumour of unclear origin. Most are associated with von Hippel-Lindau (VHL) syndrome (71%), and only 40 cases have been reported in the medical literature. Most of the patients develop non-specific visual symptoms, including decreased visual acuity and/or loss of visual fields, exophthalmos, trigeminal neuralgia, and retroorbital pain. Optic nerve sheath meningioma and optic nerve glioma are among the differential diagnoses that may be considered in this location. Contrast-enhanced MRI is considered an optimal diagnostic tool, which helps to determine some characteristics that guide towards an adequate diagnosis and treatment. We present a 42-year-old patient with a history of VHL syndrome in whom a cerebellar lesion and optic nerve lesions were evidenced, and we did a review of the literature and case analysis.
Green Chromatographic Assay of Toxic Impurities of Cyproheptadine: In Silico Toxicity Profiling
Authors: Emam Raghda A , Emam Aml A 
Published: February 2024

Abstract
Cyproheptadine (CYP) is an antihistaminic and anti-serotonin drug used to improve the clinical course of hospitalized patients severely affected by COVID-19 and requiring supplemental oxygen. Thin layer chromatography (TLC)-densitometry method was developed and validated for the estimation of CYP and its impurity, dibenzosuberone and its degradation product: 10, 11-dihydroxy-dibenzosuberone. The toxicity profiles of CYP impurity and degradation product were studied and the in silico data, using pre-ADMET software, proved their toxicity. A developing system of hexane: methanol: ethyl acetate: formic acid: triethylamine (8:1:1:0.05:0.1, by volume) was used with densitometric scanning at 245 nm. International Conference of Harmonization guidelines were obeyed for method validation. The proposed method was applied on CYP pharmaceutical formulation whose results showed no significant difference from results of the reported chromatographic method regarding accuracy and precision. Method’s greenness was evaluated by analytical Eco scale, Green Analytical Procedure Index, and Analytical greenness approach tools. The developed method can be applied for safety check analysis of CYP containing formulations and detection and even quantification of its related toxic components in quality control laboratories at high sensitivity up to 20-fold than the reported chromatographic method.
Modelling costs of interventional pulmonary embolism treatment: implications of US trends for a European healthcare system
Authors: Mohr Katharina , Keeling Brent , Kaier Klaus , Neusius Thomas , Rosovsky Rachel P , Moriarty John M , Rosenfield Kenneth , Abele Christina , Farmakis Ioannis T , Keller Karsten , Barco Stefano , Channick Richard N , Giri Jay S , Lookstein Robert A , Todoran Thomas M , Christodoulou Konstantinos C , Hobohm Lukas , Lanno Michelle , Reed Jamie , Binder Harald , Konstantinides Stavros V , Valerio Luca , Secemsky Eric A 
Published: February 2024

Abstract

Aims
Catheter-directed treatment (CDT) of acute pulmonary embolism (PE) is entering a growth phase in Europe following a steady increase in the USA in the past decade, but the potential economic impact on European healthcare systems remains unknown.

Methods and results
We built two statistical models for the monthly trend of proportion of CDT among patients with severe (intermediate- or high-risk) PE in the USA. The conservative model was based on admission data from the National Inpatient Sample (NIS) 2016–20 and the model reflecting increasing access to advanced treatment from the PERT™ national quality assurance database registry 2018–21. By applying these models to the forecast of annual PE-related hospitalizations in Germany, we calculated the annual number of severe PE cases and the expected increase in CDT use for the period 2025–30. The NIS-based model yielded a slow increase, reaching 3.1% (95% confidence interval 3.0–3.2%) among all hospitalizations with PE in 2030; in the PERT-based model, increase would be steeper, reaching 8.7% (8.3–9.2%). Based on current reimbursement rates, we estimated an increase of annual costs for PE-related hospitalizations in Germany ranging from 15.3 to 49.8 million euros by 2030. This calculation does not account for potential cost savings, including those from reduced length of hospital stay.

Conclusion
Our approach and results, which may be adapted to other European healthcare systems, provide a benchmark for healthcare costs expected to result from CDT. Data from ongoing trials on clinical benefits and cost savings are needed to determine cost-effectiveness and inform reimbursement decisions.
Association between peripheral endothelial function and myocardial perfusion in patients with coronary artery disease
Authors: Vartiainen Niklas , Hartikainen Juha E K , Laitinen Tiina M , Kuikka Paavo-Ilari , Mussalo Hanna , Laitinen Tomi P 
Published: February 2024

Abstract

Aims
Endothelial dysfunction is a systemic disorder and risk factor for atherosclerosis. Our aim was to assess whether there is a relation between peripheral endothelial function and myocardial perfusion in patients with coronary artery disease (CAD).

Methods and results
We prospectively studied 54 patients, who had a positive result for obstructive CAD in coronary CT angiography. Myocardial perfusion (15O)H2O positron emission tomography was imaged at rest and during adenosine-induced maximal vasodilation. Peripheral endothelial function was assessed by measuring flow-mediated dilation (FMD) with ultrasound from the left brachial artery. There was a statistically significant correlation between FMD and global hyperaemic myocardial blood flow (MBF; r = 0.308, P = 0.023). The correlation remained statistically significant when controlling for gender, height, and diastolic blood pressure at rest (r = 0.367, P = 0.008). Receiver operating character analysis, however, yielded an area under curve of only 0.559 (P = 0.492) when FMD was used to predict reduced MBF (below 2.3 mL/g/min). Patients with significantly decreased MBF (n = 14) underwent invasive coronary angiography. FMD showed an inverse correlation with the severity of the most significant stenosis (r = −0.687, P = 0.007).

Conclusion
Peripheral endothelial function is related with hyperaemic MBF and with the severity of CAD in invasive coronary angiography. Due to insufficient sensitivity and specificity in the identification of reduced MBF, FMD is not suitable for clinical practice at the individual level. However, it works at the population level as a research tool when assessing endothelial dysfunction in patients with CAD.
Insights into adherence to medication and lifestyle recommendations in an international cohort of patients with catecholaminergic polymorphic ventricular tachycardia
Authors: Peltenburg Puck J , van den Heuvel Lieke M , Kallas Dania , Bell Cheyanne , Denjoy Isabelle , Behr Elijah R , Field Ella , Kammeraad Janneke A E , Yap Sing-Chien , Probst Vincent , Ackerman Michael J , Blom Nico A , Wilde Arthur A M , Clur Sally-Ann B , van der Werf Christian 
Published: February 2024

Abstract

Aims
In patients with catecholaminergic polymorphic ventricular tachycardia (CPVT), a rare inherited arrhythmia syndrome, arrhythmic events can be prevented by medication and lifestyle recommendations. In patients who experience breakthrough arrhythmic events, non-adherence plays an essential role. We aimed to investigate the incidence and potential reasons for non-adherence to medication and lifestyle recommendations in a large, international cohort of patients with CPVT.

Methods and results
An online multilingual survey was shared with CPVT patients worldwide by their cardiologists, through peer-recruitment, and on social media from November 2022 until July 2023. Self-reported non-adherence was measured using the validated Medication Adherence Rating Scale (MARS) and a newly developed questionnaire about lifestyle. Additionally, validated questionnaires were used to assess potential reasons for medication non-adherence. Two-hundred-and-eighteen patients completed the survey, of whom 200 (92%) were prescribed medication [122 (61%) female; median age 33.5 years (interquartile range: 22–50)]. One-hundred-and-three (52%) were prescribed beta-blocker and flecainide, 85 (43%) beta-blocker, and 11 (6%) flecainide. Thirty-four (17%) patients experienced a syncope, aborted cardiac arrest or appropriate implantable cardioverter defibrillator shock after diagnosis. Nineteen (13.4%) patients were exercising more than recommended. Thirty (15%) patients were non-adherent to medication. Female sex [odds ratio (OR) 3.7, 95% confidence interval (CI) 1.3–12.0, P = 0.019], flecainide monotherapy compared to combination therapy (OR 6.8, 95% CI 1.6–31.0, P = 0.010), and a higher agreement with statements regarding concerns about CPVT medication (OR 1.2, 95% CI 1.1–1.3, P &lt; 0.001) were independently associated with non-adherence.

Conclusion
The significant rate of non-adherence associated with concerns regarding CPVT-related medication, emphasizes the potential for improving therapy adherence by targeted patient education.
LaMYC7, a positive regulator of linalool and caryophyllene biosynthesis, confers plant resistance to Pseudomonas syringae
Authors: Dong Yanmei , Wei Ziling , Zhang Wenying , Li Jingrui , Han Meixian , Bai Hongtong , Li Hui , Shi Lei 
Published: February 2024

Abstract
Linalool and caryophyllene are the main monoterpene and sesquiterpene compounds in lavender; however, the genes regulating their biosynthesis still remain many unknowns. Here, we identified LaMYC7, a positive regulator of linalool and caryophyllene biosynthesis, confers plant resistance to Pseudomonas syringae. LaMYC7 was highly expressed in glandular trichomes, and LaMYC7 overexpression could significantly increase the linalool and caryophyllene contents and reduce susceptibility to P. syringae in Nicotiana. In addition, the linalool possessed antimicrobial activity against P. syringae growth and acted dose-dependently. Further analysis demonstrated that LaMYC7 directly bound to the promoter region of LaTPS76, which encodes the terpene synthase (TPS) for caryophyllene biosynthesis, and that LaTPS76 was highly expressed in glandular trichomes. Notably, the LaMYC7 promoter contained hormone and stress-responsive regulatory elements and responded to various treatments, including ultraviolet, low temperature, salt, drought, methyl jasmonate, and P. syringae infection treatments. Under these treatments, the changes in the linalool and caryophyllene contents were similar to those in LaMYC7 transcript abundance. Based on the results, LaMYC7 could respond to P. syringae infection in addition to being involved in linalool and caryophyllene biosynthesis. Thus, the MYC transcription factor gene LaMYC7 can be used in the breeding of high-yielding linalool and caryophyllene lavender varieties with pathogen resistance.
Comparisons of landings to scientific advice indicate overshooting within the common TAC for skates and rays in the Northeast Atlantic
Authors: Batsleer Jurgen , Griffiths Christopher A , Bleeker Katinka , Johnston Graham , Cardinale Massimiliano , Lorance Pascal 
Published: February 2024

Abstract
The International Council for the Exploration of the Sea (ICES) typically provides advice on fishing opportunities on a stock-by-stock basis. Nevertheless, levels of total allowable catch (TAC) are sometimes set for a collection of stocks and species (i.e. a common TAC). An explicit expectation of these is that landings will scale with ICES advice, especially when ICES advice is used to calculate the common TAC. This expectation is tested for skates and rays in the Northeast Atlantic, spanning 26 stocks, 8 species, and 3 ecoregions. Using ICES landings and ICES advice data from 2016 to 2022, we show that landings of several stocks and species have overshot their respective ICES advice, whereas others have undershot. Specifically, some stocks of blonde ray (Raja brachyura) in North Sea and Celtic Seas ecoregions are being landed at a rate that often exceeds double its ICES advice. By collating species based on their ICES assessment category and life-history traits, we find that those considered data-poor and potentially most vulnerable to fishing are consistently landed at higher-than-expected rates in the Celtic Seas. This study questions the appropriateness of a common TAC for skates and rays and calls for shifts towards the use of single-stock catch allocations and the application of advanced stock assessment methodologies.
Interim Report of the Reactogenicity and Immunogenicity of Severe Acute Respiratory Syndrome Coronavirus 2 XBB–Containing Vaccines
Authors: Chalkias Spyros , McGhee Nichole , Whatley Jordan L , Essink Brandon , Brosz Adam , Tomassini Joanne E , Girard Bethany , Edwards Darin K , Wu Kai , Nasir Arshan , Lee Diana , Avena Laura E , Feng Jing , Deng Weiping , Montefiori David C , Baden Lindsey R , Miller Jacqueline M , Das Rituparna 
Published: February 2024

Abstract

Background
Monovalent Omicron XBB.1.5–containing vaccines were approved for coronavirus disease 2019 (COVID-19) 2023–2024 immunizations.

Methods
This ongoing, open-label, phase 2/3 study evaluated messenger RNA (mRNA)-1273.815 monovalent (50-µg Omicron XBB.1.5 spike mRNA) and mRNA-1273.231 bivalent (25-µg each Omicron XBB.1.5 and BA.4/BA.5 spike mRNAs) vaccines, administered as fifth doses to adults who previously received primary series, third doses of an original mRNA COVID-19 vaccine, and fourth doses of an Omicron BA.4/BA.5 bivalent vaccine. Interim safety and immunogenicity 29 days after vaccination are reported.

Results
Participants (randomized 1:1) received 50-µg of mRNA-1273.815 (n = 50) or mRNA-1273.231 (n = 51); median intervals (interquartile range) from prior BA.4/BA.5 bivalent doses were 8.2 (8.1–8.3) and 8.3 (8.1–8.4) months, respectively. Fold increases in neutralizing antibody (nAb) against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants from prebooster nAb levels were numerically higher against XBB.1.5, XBB.1.16, EG.5.1, BA.2.86, and JN.1 than BA.4/BA.5, BQ.1.1, or D614G on day 29. Monovalent vaccine also cross-neutralized FL.1.5.1, EG.5.1, BA.2.86, HK.3.1, HV.1, and JN.1 variants in a participant subset (n = 20) 15 days after vaccination. Reactogenicity was similar to that of mRNA-1273 vaccines.

Conclusions
XBB.1.5-containing mRNA-1273 vaccines elicit robust, diverse nAb responses against more recent SARS-CoV-2 variants, including JN.1, supporting the XBB.1.5-spike update for COVID-19 vaccines.
Specifics of spinal neuropathology in the molecular age
Authors: Kresbach Catena , Hack Karoline , Ricklefs Franz , Schüller Ulrich 
Published: February 2024

Abstract
Tumors located in the spinal cord and its coverings can be diagnostically challenging and require special consideration regarding treatment options. During the last decade, important advances regarding the molecular characterization of central and peripheral nervous system tumors were achieved, resulting in improved diagnostic precision, and understanding of the tumor spectrum of this compartment. In particular, array-based global DNA methylation profiling has emerged as a valuable tool to delineate biologically and clinically relevant tumor subgroups and has been incorporated in the current WHO classification for central nervous system tumors of 2021. In addition, several genetic drivers have been described, which may also help to define distinct tumor types and subtypes. Importantly, the current molecular understanding not only sharpens diagnostic precision but also provides the opportunity to investigate both targeted therapies as well as risk-adapted changes in treatment intensity. Here, we discuss the current knowledge and the clinical relevance of molecular neuropathology in spinal tumor entities.
Spinal ependymal tumors
Authors: Westphal Manfred , Mohme Malte 
Published: February 2024

Abstract
Spinal ependymomas are strictly to be subdivided into intramedullary lesions and extramedullary lesions as they are histologically and genetically distinct. Whereas the intramedullary lesions (SPE) are assigned to the WHO grade 2 and very rarely grade 3, the extramedullary lesions or myxopapilary tumors (MPE) are only as recently also assigned to WHO grade 2. The major difference is that in general, an intramedullary lesion of grade 2 remains confined to the local site of origin, even when rarely recurring after complete resection. In contrast, the MPEs have the capacity to spread throughout the cerebrospinal fluid compartment but can also be controlled by cautious complete resection.
We here review the clinical features of spinal ependymomas, contrasting the entities, and describe the treatment found best from the literature to manage these lesions including interdisciplinary approaches.
Stereotactic body radiotherapy for treatment of spinal metastasis: A systematic review of the literature
Authors: McVeigh Luke G , Linzey Joseph R , Strong Michael J , Duquette Elizabeth , Evans Joseph R , Szerlip Nicholas J , Jackson William C 
Published: February 2024

Abstract

Background
Advances in local and systemic therapies continue to improve overall survival for patients with cancer, increasing the incidence of spine metastases. Up to 15% of patients with solid tumors develop spinal metastases. Spinal metastases can be particularly devastating for quality of life given the potential pain, neurological deficits from spinal cord compression or cauda equina syndrome, spinal instability, and pathological fractures that may result. Stereotactic body radiotherapy (SBRT) with or without adding less invasive surgical techniques for stabilization or separation has gained favor. SBRT uses smaller, more precise treatment volumes, allowing for higher doses per fracture, thus increasing ablative abilities.

Methods
We conducted a systematic review using MEDLINE, Embase (Elsevier), and Web of Science to identify all articles investigating the effectiveness of SBRT in providing local disease control, pain control, and relief of spinal cord compression for patients with metastatic disease of the spine.

Results
The review yielded 84 articles that met inclusion criteria. The evidence indicates SBRT provides excellent local control and pain control for patients with spine metastesis, and this remains true for patients with spinal cord compression managed with surgical separation followed by postoperative spine SBRT.

Conclusion
While not all patients are appropriate candidates for SBRT, carefully considering appropriate frameworks that consider the patient’s overall prognosis can guide a multidisciplinary team toward the patients who will benefit the most from this treatment modality.
Barriers to Hepatitis C Treatment and Interest in Telemedicine-Based Care Among Clients of a Syringe Access Program
Authors: Loy Dorothy E , Kamis Kevin , Kanatser Ruth , Rowan Sarah E 
Published: February 2024

Abstract

Background
Sharing equipment for injection drug use is the most common mode of hepatitis C virus (HCV) transmission in the United States, yet people who inject drugs (PWID) historically have low rates of HCV treatment. New strategies are needed to expand access to HCV treatment among PWID. Co-locating HCV treatment at syringe access programs (SAPs) reduces barriers to treatment, and telemedicine-based treatment programs could expand access further.

Methods
To evaluate interest in a co-localized or telemedicine-based program at an SAP in Denver, Colorado, we surveyed 171 SAP clients to understand barriers to HCV treatment and comfort with various appointment modalities.

Results
Eighty-nine of the surveyed SAP clients (52%), 50 of whom had not completed treatment, reported current or prior HCV infection. The most commonly cited reasons for not seeking HCV treatment were ongoing drug use, logistic barriers, and medical system barriers. Eighty-eight percent of clients with HCV reported that they would be more likely to get treatment if they were able to do so at the SAP, and the rate was higher among people who reported reluctance to seek medical care in general (98% vs 77%, P = .011). In-person appointments were preferred, though 77% of respondents were comfortable with a video appointment. However, only 60% of SAP clients reported having access to a phone, and fewer (48%) had access to video capability.

Conclusions
These findings suggest that telemedicine-based treatment at an SAP could improve access to HCV treatment, but successful implementation would require attention to barriers impacting clients’ ability to participate in telemedicine appointments.
Efficient natural plasmid transformation of Vibrio natriegens enables zero-capital molecular biology
Authors: Specht David A , Sheppard Timothy J , Kennedy Finn , Li Sijin , Gadikota Greeshma , Barstow Buz 
Published: February 2024

Abstract
The fast-growing microbe Vibrio natriegens is capable of natural transformation where it draws DNA in from media via an active process under physiological conditions. Using an engineered strain with a genomic copy of the master competence regulator tfoX from Vibrio cholerae in combination with a new minimal competence media (MCM) that uses acetate as an energy source, we demonstrate naturally competent cells which are created, transformed, and recovered entirely in the same media, without exchange or addition of fresh media. Cells are naturally competent to plasmids, recombination with linear DNA, and cotransformation of both to select for scarless and markerless genomic edits. The entire process is simple and inexpensive, requiring no capital equipment for an entirely room temperature process (zero capital protocol, 104 cfu/μg), or just an incubator (high-efficiency protocol, 105−6 cfu/μg). These cells retain their naturally competent state when frozen and are transformable immediately upon thawing like a typical chemical or electrochemical competent cell. Since the optimized transformation protocol requires only 50 min of hands-on time, and V. natriegens grows quickly even on plates, a transformation started at 9 AM yields abundant culturable single colonies by 5 PM. Further, because all stages of transformation occur in the same media, and the process can be arbitrarily scaled in volume, this natural competence strain and media could be ideal for automated directed evolution applications. As a result, naturally competent V. natriegens could compete with Escherichia coli as an excellent chassis for low-cost and highly scalable synthetic biology.