bluuebunny/crossref_metadata_2025_split huggingface dataset:
Robotic stereotactic body radiotherapy for localized prostate cancer: final analysis of the German HYPOSTAT trial
Authors: Krug David , Imhoff Detlef , Haidenberger Alfred , Heßler Nicole , Schäfer Jane , Huttenlocher Stefan , Chatzikonstantinou Georgios , Fürweger Christoph , Ramm Ulla , König Inke R. , Chun Felix , Staehler Michael , Rödel Claus , Muacevic Alexander , Vonthein Reinhard , Dunst Jürgen , Blanck Oliver 
Published: February 2023

Abstract
Purpose
We report results of the first German prospective multicenter single-arm phase II trial (ARO 2013-06; NCT02635256) of hypofractionated robotic stereotactic body radiotherapy (SBRT) for patients with localized prostate cancer (HYPOSTAT).

Methods
Patients eligible for the HYPOSTAT study had localized prostate cancer (cT1‑3 cN0 cM0), Gleason score ≤ 7, prostate-specific antigen (PSA) ≤ 15 ng/ml, prostate volume ≤ 80 cm3, and an International Prostate Symptom Score (IPSS) ≤ 12. Initially, inclusion was limited to patients ≥ 75 years or patients 70–74 years with additional risk factors. The trial protocol was later amended to allow for enrolment of patients aged ≥ 60 years. The treatment consisted of 35 Gy delivered in 5 fractions to the prostate and for intermediate- or high-risk patients, also to the proximal seminal vesicles using the CyberKnife system (Accuray Inc., Sunnyvale, CA, USA). Primary endpoint was the rate of treatment-related gastrointestinal or genitourinary grade ≥ 2 toxicity based on the RTOG scale 12–15 months after treatment. Secondary endpoints were acute toxicity, late toxicity, urinary function, quality of life, and PSA response.

Results
From July 2016 through December 2018, 85 eligible patients were enrolled and received treatment, of whom 83 could be evaluated regarding the primary endpoint. Patients mostly had intermediate-risk disease with a median PSA value of 7.97 ng/ml and Gleason score of 7a and 7b in 43.5% and 25.9% of patients, respectively. At the final follow-up 12–15 months after treatment, no patient suffered from treatment-related gastrointestinal or genitourinary grade ≥ 2 toxicity. Acute toxicity was mostly mild, with three grade 3 events, and the cumulative rate of grade ≥ 2 genitourinary toxicity was 8.4% (95% CI 4.1–16.4%). There were no major changes in urinary function or quality of life. The median PSA value dropped to 1.18 ng/ml 12–15 months after treatment. There was one patient who developed distant metastases.

Conclusion
Robotic SBRT with 35 Gy in 5 fractions was associated with a favorable short-term toxicity profile. Recruitment for the HYPOSTAT‑2 trial (ARO-2018‑4; NCT03795337), which further analyses the late toxicity of this regimen with a planned sample size of 500 patients, is ongoing.
Intercontinental validation of a clinical prediction model for predicting 90-day and 2-year mortality in an Israeli cohort of 2033 patients with a femoral neck fracture aged 65 or above
Authors: Oosterhoff Jacobien H. F. , Karhade Aditya V. , Groot Olivier Q. , Schwab Joseph H. , Heng Marilyn , Klang Eyal , Prat Dan 
Published: February 2023

Abstract
Purpose
Mortality prediction in elderly femoral neck fracture patients is valuable in treatment decision-making. A previously developed and internally validated clinical prediction model shows promise in identifying patients at risk of 90-day and 2-year mortality. Validation in an independent cohort is required to assess the generalizability; especially in geographically distinct regions. Therefore we questioned, is the SORG Orthopaedic Research Group (SORG) femoral neck fracture mortality algorithm externally valid in an Israeli cohort to predict 90-day and 2-year mortality?

Methods
We previously developed a prediction model in 2022 for estimating the risk of mortality in femoral neck fracture patients using a multicenter institutional cohort of 2,478 patients from the USA. The model included the following input variables that are available on clinical admission: age, male gender, creatinine level, absolute neutrophil, hemoglobin level, international normalized ratio (INR), congestive heart failure (CHF), displaced fracture, hemiplegia, chronic obstructive pulmonary disease (COPD), history of cerebrovascular accident (CVA) and beta-blocker use. To assess the generalizability, we used an intercontinental institutional cohort from the Sheba Medical Center in Israel (level I trauma center), queried between June 2008 and February 2022. Generalizability of the model was assessed using discrimination, calibration, Brier score, and decision curve analysis.

Results
The validation cohort included 2,033 patients, aged 65 years or above, that underwent femoral neck fracture surgery. Most patients were female 64.8% (n = 1317), the median age was 81 years (interquartile range = 75–86), and 80.4% (n = 1635) patients sustained a displaced fracture (Garden III/IV). The 90-day mortality was 9.4% (n = 190) and 2-year mortality was 30.0% (n = 610). Despite numerous baseline differences, the model performed acceptably to the validation cohort on discrimination (c-statistic 0.67 for 90-day, 0.67 for 2-year), calibration, Brier score, and decision curve analysis.

Conclusions
The previously developed SORG femoral neck fracture mortality algorithm demonstrated good performance in an independent intercontinental population. Current iteration should not be relied on for patient care, though suggesting potential utility in assessing patients at low risk for 90-day or 2-year mortality. Further studies should evaluate this tool in a prospective setting and evaluate its feasibility and efficacy in clinical practice. The algorithm can be freely accessed: https://sorg-apps.shinyapps.io/hipfracturemortality/.

Level of evidence
Level III, Prognostic study.
Equal accuracy for Andrew and Abubakar—detecting and mitigating bias in name-ethnicity classification algorithms
Authors: Hafner Lena , Peifer Theodor Peter , Hafner Franziska Sofia 
Published: February 2023

AbstractUncovering the world’s ethnic inequalities is hampered by a lack of ethnicity-annotated datasets. Name-ethnicity classifiers (NECs) can help, as they are able to infer people’s ethnicities from their names. However, since the latest generation of NECs rely on machine learning and artificial intelligence (AI), they may suffer from the same racist and sexist biases found in many AIs. Therefore, this paper offers an algorithmic fairness audit of three NECs. It finds that the UK-Census-trained EthnicityEstimator displays large accuracy biases with regards to ethnicity, but relatively less among gender and age groups. In contrast, the Twitter-trained NamePrism and the Wikipedia-trained Ethnicolr are more balanced among ethnicity, but less among gender and age. We relate these biases to global power structures manifested in naming conventions and NECs’ input distribution of names. To improve on the uncovered biases, we program a novel NEC, N2E, using fairness-aware AI techniques. We make N2E freely available at www.name-to-ethnicity.com.
Delay in childbearing and the evolution of fertility rates
Authors: Dioikitopoulos Evangelos , Varvarigos Dimitrios 
Published: February 2023

AbstractWe present a growth model whose novelty is to explicitly account for the direct, preference-related factors that reinforce the delay in the timing of childbearing. Given the strength of these factors, the model generates the empirically observed dynamics in completed cohort fertility. Furthermore, the quantitative analysis of our results verifies that our model provides a good fit for actual data of the rebound of the completed cohort fertility rates in Nordic countries. The fact that these countries are widely considered as the most progressive ones, in terms of their cultural norms and in terms of their family-oriented policies, offers credence to the hypothesis that our model advances. More generally, our framework provides a platform for research that can uncover empirically relevant, but yet unexplored, mechanisms in the joint analysis of demographic change and economic growth.
Enzymatically mediated fluorescent copper nanocluster generation for tyramine determination
Authors: Camacho-Aguayo Javier , de Marcos Susana , Pericás Marta , Galbán Javier 
Published: February 2023

AbstractThis work details the enzymatic generation of fluorescence nanomaterials and the use of this optical signal as the analytical parameter for the quantification of the substrate. More specifically, fluorescent copper nanoclusters have been obtained during the enzymatic reaction of tyramine oxidase and tyramine in the presence of Cu(II); the fluorescence intensity being proportional to the concentration of tyramine. The nanoclusters obtained show fluorescence at 445 nm by being excited at 320 nm and have been characterized by TEM, EDX, and XPS. The formation mechanism has also been studied, suggesting that under the optimal conditions (0.1 M MES buffer and pH = 6), the formation of the nanoclusters is due to the reducing properties of the product of the enzymatic reaction (p-hydroxybenzaldehyde) in MES buffer. The method shows a linear relationship with the concentration of tyramine in the range from 1.0·10−5 to 2.5·10−4 M, a RSD of 3% (n = 5) and a LOD of 6.3·10−6 M. The method has been applied to the determination of tyramine in sausage with good results.
Graphical Abstract
Maximum depth extensions for Hydrozoa, Tunicata and Ctenophora
Authors: Jamieson Alan J. , Lindsay Dhugal J. , Kitazato Hiroshi 
Published: February 2023

AbstractThe observation of singleton or rare species in the deep sea is extremely valuable for gaining a census of biodiversity. At hadal depths (> 6000 m), these records provide a more complete picture of the vertical distribution of fauna. In this study, we present new in situ video records for Trachymedusae (Hydrozoa), Ascidiacea (Tunicata), and Tentaculata (Ctenophora) taken by submersible and supporting landers in the western Pacific Ocean. Together, these three taxonomic groups are present at depths far deeper than previously known. Observations of the rhopalonematid trachymedusa (Pectis cf. profundicola) from both lander and submersible dives at 10,063 and 10,040 m in the Philippine Trench (NW Pacific Ocean) extend the maximum depth of the Hydrozoa by a further 997 m and is the first record of Hydrozoa > 10,000 m. The predatory tunicate Octacnemidae sp. was observed nine times at 7799 m in the Mariana Trench and once at 8077 m in the Izu-Ogasawara Trench (NW Pacific Ocean), therefore extending its maximum depth by 1726 m, and 1002 m to historical accounts of what might also be in the Phlebobranchia order of Ascidiacea. Several observations of large, globular ctenophores with long filamentous tentacles and lacking oral lobes from 10,040 m in the Kermadec Trench (SW Pacific Ocean) increase the maximum depth of the Ctenophora by 2823 m and is the first record of Ctenophora > 10,000 m. Benthic ctenophores were also recorded from the Japan Trench at 8001 m, extending their known depth range by a further 2750 m.
Integral points on algebraic subvarieties of period domains: from number fields to finitely generated fields
Authors: Javanpeykar Ariyan , Litt Daniel 
Published: February 2023

AbstractWe show that for a variety which admits a quasi-finite period map, finiteness (resp. non-Zariski-density) of S-integral points implies finiteness (resp. non-Zariski-density) of points over all $$\mathbb {Z}$$
Z
-finitely generated integral domains of characteristic zero. Our proofs rely on foundational results in Hodge theory due to Deligne, Griffiths, and Schmid, and Bakker-Brunebarbe-Tsimerman. We give straightforward applications to arithmetic locally symmetric varieties, the moduli space of smooth hypersurfaces in projective space, and the moduli of smooth divisors in an abelian variety.
Soil Bacterial Assemblage Across a Production Landscape: Agriculture Increases Diversity While Revegetation Recovers Community Composition
Authors: Mason A. R. G. , Cavagnaro T. R. , Guerin G. R. , Lowe A. J. 
Published: February 2023

AbstractAboveground ecological impacts associated with agricultural land use change are evident as natural plant communities are replaced with managed production systems. These impacts have been extensively studied, unlike those belowground, which remain poorly understood. Soil bacteria are good candidates to monitor belowground ecological dynamics due to their prevalence within the soil system and ability to survive under harsh and changing conditions. Here, we use soil physicochemical assessment and 16S rRNA gene sequencing to investigate the soil physical and bacterial assemblage changes across a mixed-use agricultural landscape. We assess soil from remnant vegetation (Eucalyptus mallee), new and old vineyards, old pasture, and recently revegetated areas. Elevated concentrations of nitrogen (NO3−) and plant-available (Colwell) phosphorus were identified in the managed vineyard systems, highlighting the impact of agricultural inputs on soil nutrition. Alpha diversity comparison revealed a significant difference between the remnant mallee vegetation and the vineyard systems, with vineyards supporting highest bacterial diversity. Bacterial community composition of recently revegetated areas was similar to remnant vegetation systems, suggesting that bacterial communities can respond quickly to aboveground changes, and that actions taken to restore native plant communities may also act to recover natural microbial communities, with implications for soil and plant health. Findings here suggest that agriculture may disrupt the correlation between above- and belowground diversities by altering the natural processes that otherwise govern this relationship (e.g. disturbance, plant production, diversity of inputs), leading to the promotion of belowground microbial diversity in agricultural systems.
Acyl carrier protein tag can enhance tobacco etch virus protease stability and promote its covalent immobilisation
Authors: Li Xuefeng , Huang Jiahua , Zhou Junjie , Sun Changsheng , Zheng Yujiao , Wang Yuan , Zhu Jin , Wang Shengbin 
Published: February 2023

Abstract

Fusion expression is widely employed to enhance the solubility of recombinant proteins. However, removal of the fusion tag is often required due to its potential impact on the structure and activity of passenger proteins. Tobacco etch virus (TEV) protease is widely used for this purpose due to its stringent sequence recognition. In the present work, fusion to the acyl carrier protein from E. coli fatty acid synthase (ACP) significantly increased the yield of recombinant soluble TEV, and the ACP tag also greatly improved TEV stability. The cleavage activity of TEV was not affected by the ACP fusion tag, and ACP-TEV retained high activity, even at unfavourable pH values. Moreover, ACP-TEV could be efficiently modified by co-expressed E. coli holo-ACP synthase (AcpS), leading to covalent attachment of 4′-phosphopantetheine (4′-PP) group to ACP. The sulfhydryl group of the long, flexible 4′-PP chain displayed high specific reactivity with iodoacetyl groups on the solid support. Thus, TEV could be immobilised effectively and conveniently via the active holo-ACP, and immobilised TEV retained high cleavage activity after a long storage period and several cycles of reuse. As a low-cost and recyclable biocatalyst, TEV immobilised by this method holds promise for biotechnological research and development.

Key points
• The ACP tag greatly increased the soluble expression and stability of TEV protease.
• The ACP tag did not affect the cleavage activity of TEV.
• The holo-ACP Tag effectively mediated the covalent immobilisation of TEV.
Dynamic study of the finger interphalangeal joint volar plate—motion analysis with magnetic resonance cinematography and histologic comparison
Authors: Lutter Christoph , Kuerten Stefanie , Geppert Carol , Mittelmeier Wolfram , Klinder Annett , Söder Stephan , Römer Frank , Uder Michael , Janka Rolf , Bayer Thomas 
Published: February 2023

Abstract
Objective
We aimed to further improve knowledge about volar plate (VP) motion of the finger proximal interphalangeal joint (PIP), by analyzing the dynamic VP shape during a full range of finger flexion using magnetic resonance cinematography of the fingers (MRCF), and to compare the results with anatomical cross sections from cadaver specimens.

Materials and methods
The dynamic sagittal VP shape was visualized with MRCF in a total number of 23 healthy volunteers. The length, angle, and thickness as well as the contact length of the VP to the PIP joint base were measured. Statistical analysis included t-test or rank-sum testing. Anatomical cross sections with differing degrees of PIP joint flexion were obtained from 12 cadaver specimens (fingers) for comparison.

Results
Significant positive correlations between PIP joint flexion angle and VP area, length, depth and the VP contact length were found. This matched histologically to fiber rearrangements especially within the loose third VP layer.

Conclusion
Our study analyzed the full range of motion dynamic VP shape of the PIP joint using MRCF. This contributes to a more precise understanding of the complex interaction of the VP with the PIP joint and may facilitate evaluation of clinical cases such as VP avulsion or pulley rupture.
Surgeon-designed patient-specific instrumentation improves glenoid component screw placement for reverse total shoulder arthroplasty in a population with small glenoid dimensions
Authors: Yung Colin Shing-Yat , Fang Christian , Fang Evan , Siu Yuk-Chuen , Yee Dennis King Hang , Wong Kevin Kwun-Hung , Poon Kai-Chung , Leung Matthew Man Fai , Wan Jonathan , Lau Tak-Wing , Leung Frankie 
Published: February 2023

Abstract
Purpose
Glenoid component loosening is a potential complication of reverse total shoulder arthroplasty (rTSA), occurring in part due to lack of adequate screw purchase in quality scapular bone stock. This study was to determine the efficacy of a surgeon-designed, 3D-printed patient-specific instrumentation (PSI) compared to conventional instrumentation (CI) in achieving longer superior and inferior screw lengths for glenoid component fixation.

Methods
A multi-centre retrospective analysis of patients who underwent rTSA between 2015 and 2020. Lengths of the superior and inferior locking screws inserted for fixation of the glenoid baseplate component were recorded and compared according to whether patients received PSI or CI. Secondary outcomes included operative duration and incidence of complications requiring revision surgery.

Results
Seventy-three patients (31 PSI vs. 42 CI) were analysed. Average glenoid diameter was 24.5 mm (SD: 3.1) and 81% of patients had smaller glenoid dimensions compared to the baseplate itself. PSI produced significantly longer superior (44.7 vs. 30.7 mm; P < 0.001) and inferior (43.0 vs. 31 mm; P < 0.001) mean screw lengths, as compared to CI. A greater proportion of maximal screw lengths for the given rTSA construct (48 mm) were observed in the PSI group (71.9% vs. 11.9% superior, 59.4% vs. 11.9% inferior). Operative duration was not statistically significantly different between the PSI and CI groups (150 min vs. 169 min, respectively; P = 0.229). No patients had radiographic loosening of the glenoid component with an average of 2-year follow-up.

Conclusion
PSI facilitates longer superior and inferior screw placement in the fixation of the glenoid component for rTSA. With sufficient training, PSI can be designed and implemented by surgeons themselves.
Biologically meaningful moonlight measures and their application in ecological research
Authors: Śmielak Michał Krysztof 
Published: February 2023

Abstract
Light availability is one of the key drivers of animal activity, and moonlight is the brightest source of natural light at night. Moon phase is commonly used but, while convenient, it can be a poor proxy for lunar illumination on the ground. While the moon phase remains effectively constant within a night, actual moonlight intensity is affected by multiple factors such as disc brightness, position of the moon, distance to the moon, angle of incidence, and cloud cover. A moonlight illumination model is presented for any given time and location, which is significantly better at predicting lunar illumination than moon phase. The model explains up to 92.2% of the variation in illumination levels with a residual standard error of 1.4%, compared to 60% explained by moon phase with a residual standard error of 22.6%. Importantly, the model not only predicts changes in mean illumination between nights but also within each night, providing greater temporal resolution of illumination estimates. An R package moonlit facilitating moonlight illumination modelling is also presented. Using a case study, it is shown that modelled moonlight intensity can be a better predictor of animal activity than moon phase. More importantly, complex patterns of activity are shown where animals focus their activity around certain illumination levels. This relationship could not be identified using moon phase alone. The model can be universally applied to a wide range of ecological and behavioural research, including existing datasets, allowing a better understanding of lunar illumination as an ecological resource.

Significance statement
Moon phase is often used to represent lunar illumination as an environmental niche, but it is a poor proxy for actual moonlight intensity on the ground. A model is therefore proposed to estimate lunar illumination for any given place and time. The model is shown to provide a significantly better prediction of empirically measured lunar illumination than moon phase. Importantly, it also has much higher temporal resolutions, allowing to not only detect selectiveness for light levels between nights but also within each night, which is not achievable with moon phase alone. This offers unprecedented opportunities to study complex activity patterns of nocturnal species using any time-stamped data (GPS trackers, camera traps, song meters, etc.). It can also be applied to historical datasets, as well as facilitate future research planning in a wide range of ecological and behavioural studies.
Legitimacy, Shared Understanding and Exchange of Resources: Co-managing Lakes Along an Urban–Rural Gradient in Greater Bengaluru Metropolitan Region, India
Authors: Lakshmisha Arvind , Thiel Andreas 
Published: February 2023

AbstractCo-management is increasingly seen as a way forward in natural resource management and collective goods provisioning, especially in the management of urban commons. Co-management entails sharing of power between actors, including elements such as exchange of information and resources as well as changes in regulations favouring the development of common goals among actors. In this paper, we try to understand if and how preconditions of legitimacy, shared understanding and exchange of resources combine to facilitate the co-management of lakes in Greater Bengaluru Metropolitan Region (GBMR), India. To understand these issues, we undertook an exploratory, qualitative analysis of the governance of three lakes located within a single watershed placed along an urban-rural gradient. We provide an exploratory assessment of co-management across the cases situated in diverse contexts, highlighting the importance of heterogeneity of socio-economic settings for co-management of lakes. Community involvement in co-management varies with heterogeneity, correspondingly increasing transaction costs. In urbanising contexts, state actors have started to recognise the political efficacy of non-state actors mobilising knowledge and financial resources for lake management. Involvement of the state custodian and third-sector organisations (NGOs) was found to be crucial in developing and facilitating shared understanding. Deliberation between mutually dependent state and non-state actors was key to overcoming scepticism in order to realign actor perspectives. We highlight that increased acceptance of community participation based on the development of a collective identity and understanding of mutual dependence observed in our urban and rural cases reduced transaction costs and thus enabled co-management.