bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the ankle function after Achilles tendon resection: a retrospective clinical study
Authors: Bota Olimpiu , Heinzinger Leona M. , Herzog Bianka , Disch Alexander C. , Amlang Michael , Flößel Philipp , Dragu Adrian , Taqatqeh Feras 
Published: January 2024

Abstract
Introduction
The Achilles tendon is the strongest tendon in the human body and has the function of plantar ankle flexion. When the tendon is exposed, the peritendineum has been breached and the thick avascular tendon colonized with bacteria, a complete resection of the tendon may be indicated to achieve infection control and facilitate wound closure. The Achilles tendon reconstruction is not mandatory, as the plantar flexion of the ankle joint is assumed by the remaining flexor hallucis longus, flexor digitorum longus and tibialis posterior muscles. Our study aimed to evaluate the impact of Achilles tendon resection without reconstruction on leg function and quality of life.

Material and methods
We retrospectively evaluated all patients who were treated with an Achilles tendon resection between January 2017 and June 2022 in our quaternary institution. After evaluating the data, the patients who survived and were not amputated were contacted for re-evaluation, which included isokinetic strength measurement of both ankle joints, evaluation of the ankle range of motion and collection of several functional scores.

Results
Thirty patients were included in the retrospective study, with a mean age of 70.3 years, including 11 women and 19 men. The most frequent cause of the infection was leg ulcer (43.3%), followed by open tendon suture (23.3%). No tendon reconstruction was performed. Fifteen patients could be gained for reevaluation. The average difference in ankle flexion torque on the injured side compared to the healthy side at 30 degrees/second was 57.49% (p = 0.003) and at 120 degrees/second was 53.13% (p = 0.050) while the difference in power was 45.77% (p = 0.025) at 30 degrees/second and 38.08% (p = 0.423) at 120 degrees/second. The follow-up time was between 4 and 49 months and a positive correlation could be determined between the time elapsed from surgery and the ankle joint strength. There was a significant loss of range of motion on the operated side compared to the healthy side: 37.30% for plantar flexion, 24.56% for dorsal extension, 27.79% for pronation and 24.99% for supination. The average Lepillhati Score was 68.33, while the average American Orthopedic Foot and Ankle Score was 74.53.

Conclusion
The complete Achilles tendon resection leaves the patient with satisfactory leg function and an almost normal gait. Especially in elderly, multimorbid patients, straightforward tendon resection and wound closure provide fast infection control with acceptable long-term results. Further prospective studies should compare the ankle function and gait in patients with and without Achilles tendon reconstruction after complete resection.
‘Concept creep’ in perceptions of mental illness — an experimental examination of prevalence-induced concept change
Authors: Speerforck Sven , Jürgensen Vanessa , Göbel Mirjam , Meyer Nicholas , Schomerus Georg 
Published: January 2024

AbstractThe perception of what constitutes mental illness is influenced by various social and medical developments. Prevalence-induced concept change is a phenomenon where decreasing the prevalence of a category leads people to expand their judgment of that concept. In this study, we tested whether changing the prevalence of statements describing mental illness results in a change in the concept of mental illness. Based on a population survey (n = 1031), we created a validated set of 273 brief statements depicting either clear symptoms of mental illness, clear examples of healthy behaviour, or ambiguous situations. We presented a subset of statements to 138 students, asking them to judge whether each statement represented mental illness, or not. After 96 statements, we reduced the prevalence of clearly mentally ill statements in one group, while the proportion of statements denoting clear mental illness remained the same in the other group. In the group where the proportion of clearly mentally ill statements was reduced during the experiment, a concept change of mental illness evolved: participants were more likely to identify a statement as denoting a mental illness. The results indicate that the perceived prevalence of symptoms of mental illness is important for conceptualizing mental illness and that decreasing prevalence broadens the concept of mental illness. These findings add a novel perspective to current debates around diagnostic thresholds, the treatment-prevalence paradox, the medicalization of emotions, and the focus of anti-stigma campaigns.
The association between childhood trauma and tobacco smoking in patients with psychosis, unaffected siblings, and healthy controls
Authors: de With Justine , van der Heijden Heleen S. , van Amelsvoort Therese , Daemen Maud , Simons Claudia , Alizadeh Behrooz , van Aalst Daphne , de Haan Lieuwe , Vermeulen Jentien , Schirmbeck Frederike 
Published: January 2024

AbstractIn patients with psychosis, rates of tobacco smoking and childhood trauma are significantly higher compared to the general population. Childhood trauma has been proposed as a risk factor for tobacco smoking. However, little is known about the relationship between childhood trauma and smoking in psychosis. In a subsample of the Genetic Risk and Outcome of Psychosis study (760 patients with psychosis, 991 unaffected siblings, and 491 healthy controls), tobacco smoking was assessed using the Composite International Diagnostic Interview and childhood trauma was measured with the Childhood Trauma Questionnaire. Logistic regression models were used to assess associations between trauma and smoking, while correcting for confounders. Positive associations were found between total trauma, abuse, and neglect, and an increased risk for smoking in patients, while correcting for age and gender (ORtrauma 1.77, 95% CI 1.30–2.42, p < 0.001; ORabuse 1.69, 95% CI 1.23–2.31, p = 0.001; ORneglect 1.48, 95% CI 1.08–2.02, p = 0.014). In controls, total trauma and abuse were positively associated with smoking, while correcting for age and gender (ORtrauma 2.40, 95% CI 1.49–3.88, p < 0.001; ORabuse 2.02, 96% CI 1.23–3.32, p = 0.006). All associations lost their significance after controlling for additional covariates and multiple testing. Findings suggest that the association between childhood trauma and tobacco smoking can be mainly explained by confounders (gender, cannabis use, and education) in patients with psychosis. These identified aspects should be acknowledged in tobacco cessation programs.
Serum calcitonin gene-related peptide in patients with persistent post-concussion symptoms, including headache: a cohort study
Authors: Eggertsen Peter Preben , Palmfeldt Johan , Schytz Henrik Winther , Hay Debbie , Olsen Rikke Katrine Jentoft , Nielsen Jørgen Feldbæk 
Published: January 2024

Abstract
Background
Calcitonin gene-related peptide (CGRP) plays an important role in migraine pathophysiology, and post-traumatic headache (PTH) frequently presents with migraine-like features. Despite several clinical similarities, few studies have explored CGRP in PTH and concussion. This study investigates serum CGRP levels in patients with persistent post-concussion symptoms (PPCS), including PTH.

Methods
This cohort study was based on serum samples from individuals aged 18–30 years with PPCS who participated in a previously published randomized controlled trial of a non-pharmacological intervention. The primary outcome was serum CGRP concentrations, determined at baseline before randomization and at follow-up 7 months later, using an enzyme-linked immunosorbent assay (ELISA). CGRP levels at baseline were compared with healthy anonymous blood donors in the same age group.

Results
Baseline serum samples were collected from 86 participants with PPCS. The participants were most often female (78%) and migraine-like headache was the most frequent headache phenotype (74%). Serum CGRP levels were higher in participants with PPCS than in 120 healthy individuals (median: 158.5 pg/mL vs. 76.3 pg/mL, p = 0.050). A stratified analysis revealed that females with PPCS had a fivefold higher median than healthy females (166.3 pg/mL vs. 32.1 pg/mL, p = 0.0006), while no differences were observed in males (p = 0.83). At follow-up, CGRP levels decreased with a median change of  – 1.3 pg/mL (95% confidence interval:  – 17.6–0, p = 0.024).

Discussion
Elevated serum levels of CGRP in patients with PPCS and a decrease over time suggest an involvement of CGRP in PTH/PPCS. If confirmed in other studies, it could pave the way for CGRP-targeted therapies, which could have clinical significance.
Guillain–Barré syndrome and COVID-19 vaccination: a systematic review and meta-analysis
Authors: Censi Stefano , Bisaccia Giandomenico , Gallina Sabina , Tomassini Valentina , Uncini Antonino 
Published: January 2024

Abstract
Background
Case-reports/series and cohorts of Guillain–Barré syndrome (GBS) associated with COVID-19 vaccination have been reported.

Methods
A systematic review and meta-analysis of cohort studies of GBS after COVID-19 vaccination was carried out. Incidence and incidence rate ratio for a number of vaccine doses and risk of GBS, also considering the specific vaccine technology, were calculated in a random-effects model.

Results
Of 554 citations retrieved, 518 were discarded as irrelevant. We finally included 15 studies. The random effect model yielded, regardless of the vaccine technology, 1.25 (95%CI 0.21; 2.83) GBS cases per million of COVID-19 vaccine doses, 3.93 (2.54; 5.54) cases per million doses for adenovirus-vectored vaccines and 0.69 (0.38; 1.06) cases per million doses for mRNA vaccines. The GBS risk was 2.6 times increased with the first dose. Regardless of the vaccine technology, the GBS risk was not increased but disaggregating the data it was 2.37 (1.67; 3.36) times increased for adenovirus-vectored vaccines and 0.32 (0.23; 0.47) for mRNA vaccines. Mortality for GBS after vaccination was 0.10 per million doses and 4.6 per GBS cases.

Conclusions
Adenovirus-vectored vaccines showed a 2.4 times increased risk of GBS that was about seven times higher compared with mRNA-based vaccines. The decreased GBS risk associated with mRNA vaccines was possibly due to an elicited reduction of infections, including SARS-CoV-2, associated with GBS during the vaccination period. How adenovirus-vectored COVID-19 vaccines may trigger GBS is unclear and further studies should investigate the relationship between vaccine technologies and GBS risk.
Postural adjustments and perceptual responses of Nordic running: concurrent effects of poles and irregular terrain
Authors: Ivaniski-Mello André , Cubillos-Arcila Diana Maria , Dell’Anna Stefano , de Liz Alves Lucas , Martinez Flávia Gomes , Buzzachera Cosme Franklim , Saute Jonas Alex Morales , Peyré-Tartaruga Leonardo Alexandre 
Published: January 2024

Abstract
Purpose
In the natural environment, humans must continuously negotiate irregular and unpredictable terrain. Recently, the poles have been extensively used during trial running events. However, we know little about how humans adjust posture and bilateral coordination to use poles in irregular terrain. Here, we compared kinematics, bilateral coordination and perceptual responses between regular (compact dust) and irregular terrain (medium-length grass) during running at preferred speed with and without poles.

Methods
In this transversal observational study, thirteen young healthy adults (8 men; mean ± SD; age 29.1 ± 8.0 years, body mass 76.8 ± 11.4 kg; height 1.75 ± 0.08 m) were evaluated during running at a self-selected comfortable speed with and without poles on regular and irregular terrains.

Results
Our results show that, despite more flexed pattern on lower-limb joints at irregular terrain, the usage of poles was not enough to re-stabilize the bilateral coordination. Also, the perceived exertion was impaired adding poles to running, probably due to more complex movement pattern using poles in comparison to free running, and the invariance in the bilateral coordination.

Conclusion
Besides the invariability of usage poles on bilateral coordination and lower-limb kinematics, the runners seem to prioritize postural stability over lower limb stiffness when running in medium-length grass given the larger range of ankle and knee motion observed in irregular terrain. Further investigations at rougher/hilly terrains will likely provide additional insights into the neuromotor control strategies used to maintain the stability and on perceptual responses using poles during running.
An update of predictive biomarkers related to WEE1 inhibition in cancer therapy
Authors: Wang Zizhuo , Li Wenting , Li Fuxia , Xiao Rourou 
Published: January 2024

Abstract
Purpose
WEE1 is a crucial kinase involved in the regulation of G2/M checkpoint within the cell cycle. This article aims to comprehensively review the existing knowledge on the implication of WEE1 as a therapeutic target in tumor progression and drug resistance. Furthermore, we summarize the current predictive biomarkers employed to treat cancer with WEE1 inhibitors.

Methods
A systematic review of the literature was conducted to analyze the association between WEE1 inhibition and cancer progression, including tumor advancement and drug resistance. Special attention was paid to the identification and utilization of predictive biomarkers related to therapeutic response to WEE1 inhibitors.

Results
The review highlights the intricate involvement of WEE1 in tumor progression and drug resistance. It synthesizes the current knowledge on predictive biomarkers employed in WEE1 inhibitor treatments, offering insights into their prognostic significance. Notably, the article elucidates the potential for precision medicine by understanding these biomarkers in the context of tumor treatment outcomes.

Conclusion
WEE1 plays a pivotal role in tumor progression and is a promising therapeutic target. Distinguishing patients that would benefit from WEE1 inhibition will be a major direction of future research.
Toxocarosis in a patient with autism spectrum disorder presenting with severe hypereosinophilia and acute respiratory distress: a case report
Authors: Üblagger Daniel , Auer Herbert , Bezakova Milina , Kirchlechner Veronika 
Published: January 2024

AbstractA boy with known autism spectrum disorder was transferred to our department due to a rapidly worsening respiratory situation. The patient’s history revealed previous treatment with albendazole against a Toxocara infection 2 weeks prior in Poland. Blood analysis showed such severe eosinophilia and markedly elevated levels of IgE that, initially, a hematologic malignancy was suspected. However, diagnostic workup including autoimmune diagnostic, molecular genetic testing, fluorescence in situ hybridization (FISH), bone marrow aspiration, and parasitological testing led to the diagnosis of an insufficiently treated Toxocara infection. Treatment with albendazole and prednisone (six cycles for 4 weeks each) was administered. This treatment regime led to prompt improvement of symptoms and normalization of laboratory findings.
Robust and compact maximum margin clustering for high-dimensional data
Authors: Cevikalp Hakan , Chome Edward 
Published: January 2024

AbstractIn the field of machine learning, clustering has become an increasingly popular research topic due to its critical importance. Many clustering algorithms have been proposed utilizing a variety of approaches. This study focuses on clustering of high-dimensional data using the maximum margin clustering approach. In this paper, two methods are introduced: The first method employs the classical maximum margin clustering approach, which separates data into two clusters with the greatest margin between them. The second method takes cluster compactness into account and searches for two parallel hyperplanes that best fit to the cluster samples while also being as far apart from each other as possible. Additionally, robust variants of these clustering methods are introduced to handle outliers and noise within the data samples. The stochastic gradient algorithm is used to solve the resulting optimization problems, enabling all proposed clustering methods to scale well with large-scale data. Experimental results demonstrate that the proposed methods are more effective than existing maximum margin clustering methods, particularly in high-dimensional clustering problems, highlighting the efficacy of the proposed methods.
Classification of orbital tumors using convolutional neural networks
Authors: Allam Esraa , Salem Abdel-Badeeh M. , Alfonse Marco 
Published: January 2024

AbstractOrbital tumors are the most common eye tumors that affect people all over the world. Early detection prevents the progression to other regions of the eye and the body. Also, early identification and treatment could reduce mortality. A computer-assisted diagnosis (CAD) system to help physicians diagnose tumors is in great demand in ophthalmology. In recent years, deep learning has demonstrated promising outcomes in computer vision systems. This work proposes a CAD system for detecting various forms of orbital tumors using convolutional neural networks. The system has three stages: preprocessing, data augmentation and classification. The proposed system was evaluated on two datasets of magnetic resonance imaging (MRI) images containing 1404 MRI T1-weighted images and 1560 MRI T2-weighted images. The results have shown that the system is capable of detecting and classifying the tumor in each image type, and the recognition rate for the T1-weighted image is 98% and for the T2-weighted image is 97%.
Deep learning algorithm for fully automated measurement of sagittal balance in adult spinal deformity
Authors: Löchel Jannis , Putzier Michael , Dreischarf Marcel , Grover Priyanka , Urinbayev Kudaibergen , Abbas Fahad , Labbus Kirsten , Zahn Robert 
Published: January 2024

Abstract
Aim
Deep learning (DL) algorithms can be used for automated analysis of medical imaging. The aim of this study was to assess the accuracy of an innovative, fully automated DL algorithm for analysis of sagittal balance in adult spinal deformity (ASD).

Material and methods
Sagittal balance (sacral slope, pelvic tilt, pelvic incidence, lumbar lordosis and sagittal vertical axis) was evaluated in 141 preoperative and postoperative radiographs of patients with ASD. The DL, landmark-based measurements, were compared with the ground truth values from validated manual measurements.

Results
The DL algorithm showed an excellent consistency with the ground truth measurements. The intra-class correlation coefficient between the DL and ground truth measurements was 0.71–0.99 for preoperative and 0.72–0.96 for postoperative measurements. The DL detection rate was 91.5% and 84% for preoperative and postoperative images, respectively.

Conclusion
This is the first study evaluating a complete automated DL algorithm for analysis of sagittal balance with high accuracy for all evaluated parameters. The excellent accuracy in the challenging pathology of ASD with long construct instrumentation demonstrates the eligibility and possibility for implementation in clinical routine.
Integrating porphyrin-based nanoporous organic polymers with electrochemical aptasensors for ultratrace detection of kanamycin
Authors: Tian Guanghui , Guo Feng , Fan Chuanbin , Zong Zi-Ao , Wang Junli , Tegudeer Zhuorigebatu , Gao Wen-Yang 
Published: January 2024

Abstract The synthesis and characterization of two new porphyrin-based porous organic polymers (POPs) via Sonogashira cross-coupling reaction and leverage the two obtained POPs is reported for the fabrication of electrochemical aptasensors to detect kanamycin at an ultratrace level. The resultant electrochemical aptasensor demonstrates a high linear relationship with the logarithmic value of kanamycin concentration in the range 5 × 10−5–5 μg/L with the limit of detection of 17.6 pg/L or 36.3 fM. During the analysis of real samples from milk and river, a relative standard deviation of less than 4.39%, and good recovery values in the range 97.0–105% were obtained.
Graphical Abstract
Applications of bioclimatology to assess effects of climate change on viticultural suitability in the DO León (Spain)
Authors: del Río S. , Álvarez-Esteban R. , Alonso-Redondo R. , Álvarez R. , Rodríguez-Fernández M. P. , González-Pérez A. , Penas A. 
Published: January 2024

AbstractSpain accounts for 13.1% of the world’s vineyard area, and viticulture is crucial for the socioeconomic and cultural sectors. Vineyards are among the perennial crops that can suffer most negative impacts under climate change which can pose challenges to the sustainability of viticulture. Local and regional studies are needed to assess these impacts to help implement effective strategies in response to climate change. To this end, our approach involves integrating both conventional agroclimatic indices and those new bioclimatic indices that have proven to be essential for the characterization and demarcation of vineyards into species distribution models to assess areas suitable for viticulture under climate change projections. The proposed methodology was tested in a viticultural region located in northwestern Spain (DO León). An ensemble platform was used to build consensus models encompassing three general circulation models, two emission scenario pathways and two time horizons. Only the predictors that effectively characterize each grape variety were included in the models. The results revealed increases in the continentality index, compensated thermicity index, hydrothermic index of Branas, and temperature range during ripening in all the future scenarios analyzed in comparison to current conditions. Conversely, the values for the annual ombrothermic index and growing season precipitation may decrease in the future. The pattern of changes for 2070 will be more pronounced than for 2050. A significant loss of future habitat suitability was detected within the limits of the study area for the grape varieties analyzed. This negative impact could be counteracted to some degree with new and favorable areas for the cultivation of vineyards in territories located at the north of the DO limits. We suggest that our results could help policymakers to develop practices and strategies to conserve existing grape varieties and to implement efficient adaptation measures for mitigating or anticipating the effects of climate change on viticulture.