bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of admission frailty and frailty changes during cardiac rehabilitation with 5-year outcomes
Authors: Quach Jack , Kehler Dustin Scott , Giacomantonio Nicholas , McArthur Caitlin , Blanchard Chris , Firth Wanda , Rockwood Kenneth , Theou Olga 
Published: February 2023

Abstract

Aims
Examine the association between (1) admission frailty and (2) frailty changes during cardiac rehabilitation (CR) with 5-year outcomes (i.e. time to mortality, first hospitalization, first emergency department (ED) visit, and number of hospitalizations, hospital days, and ED visits).

Methods and results
Data from patients admitted to a 12-week CR programme in Halifax, Nova Scotia, from May 2005 to April 2015 (n = 3371) were analysed. A 25-item frailty index (FI) estimated frailty levels at CR admission and completion. FI improvements were determined by calculating the difference between admission and discharge FI. CR data were linked to administrative health data to examine 5-year outcomes [due to all causes and cardiovascular diseases (CVDs)]. Cox regression, Fine–Gray models, and negative binomial hurdle models were used to determine the association between FI and outcomes. On average, patients were 61.9 (SD: 10.7) years old and 74% were male. Mean admission FI scores were 0.34 (SD: 0.13), which improved by 0.07 (SD: 0.09) by CR completion. Admission FI was associated with time to mortality [HRs/IRRs per 0.01 FI increase: all causes = 1.02(95% CI 1.01,1.04); CVD = 1.03(1.02,1.05)], hospitalization [all causes = 1.02(1.01,1.02); CVD = 1.02(1.01,1.02)], ED visit [all causes = 1.01(1.00,1.01)], and the number of hospitalizations [all causes = 1.02(95% CI 1.01,1.03); CVD = 1.02(1.00,1.04)], hospital days [all causes = 1.01(1.01,1.03)], and ED visits [all causes = 1.02(1.02,1.03)]. FI improvements during CR had a protective effect regarding time to all-cause hospitalization [0.99(0.98,0.99)] but were not associated with other outcomes.

Conclusion
Frailty status at CR admission was related to long-term adverse outcomes. Frailty improvements during CR were associated with delayed all-cause hospitalization, in which a larger effect was associated with a greater chance of improved outcome.
Succession of bacteria and archaea involved in the nitrogen cycle of a seasonally stratified lake
Authors: Diao Muhe , Balkema Cherel , Suárez-Muñoz María , Huisman Jef , Muyzer Gerard 
Published: February 2023

AbstractHuman-driven changes affect nutrient inputs, oxygen solubility, and the hydrodynamics of lakes, which affect biogeochemical cycles mediated by microbial communities. However, information on the succession of microbes involved in nitrogen cycling in seasonally stratified lakes is still incomplete. Here, we investigated the succession of nitrogen-transforming microorganisms in Lake Vechten  over a period of 19 months, combining 16S rRNA gene amplicon sequencing and quantification of functional genes. Ammonia-oxidizing archaea (AOA) and bacteria (AOB) and anammox bacteria were abundant in the sediment during winter, accompanied by nitrate in the water column. Nitrogen-fixing bacteria and denitrifying bacteria emerged in the water column in spring when nitrate was gradually depleted. Denitrifying bacteria containing nirS genes were exclusively present in the anoxic hypolimnion. During summer stratification, abundances of AOA, AOB, and anammox bacteria decreased sharply in the sediment, and ammonium accumulated in hypolimnion. After lake mixing during fall turnover, abundances of AOA, AOB, and anammox bacteria increased and ammonium was oxidized to nitrate. Hence, nitrogen-transforming microorganisms in Lake Vechten displayed a pronounced seasonal succession, which was strongly determined by the seasonal stratification pattern. These results imply that changes in stratification and vertical mixing induced by global warming are likely to alter the nitrogen cycle of seasonally stratified lakes.
No Effect of Realistic Microplastic Exposure on Growth and Development of Wild-caught Culex (Diptera: Culicidae) Mosquitoes
Authors: Thormeyer Markus , Tseng Michelle 
Published: February 2023

AbstractMicroplastic (MP) pollution is a threat to environments around the world and mosquitoes are particularly affected because of their high chance of encountering MP as larvae. Mosquitoes have been shown to readily consume microplastics and they have a significant impact on health in society, yet we have limited knowledge on the effects of MP exposure on fitness-related traits. Additionally, the data we do have come primarily from studies that have used unrealistically high microplastic concentrations, or unrealistic methods of exposure. Here we exposed wild-type first instar Culex pipiens and Culex tarsalis larvae to two 4.8–5.8 μm polystyrene microplastic concentrations (0 particles/ml, 200 particles/ml, 20,000 particles/ml) to evaluate the effect of MP exposure on body size, development, and growth rate. We found no effect of microplastics on any of the traits in either species. These results indicate microplastic exposures comparable to levels found in nature have minimal effects on these fitness-related traits. Future directions for this work include examining whether the effects of MP exposure are exacerbated when evaluated in combination with other common stressors, such as warming temperatures, pesticides, and food limitation.
Multiple Episodes of Rock-Melt Reaction at the Slab-Mantle Interface: Formation of High Silica Primary Magmas in Intermediate to Hot Subduction Zones
Authors: Rebaza Anna M , Mallik Ananya , Straub Susanne M 
Published: February 2023

AbstractSiliceous slab-derived partial melts infiltrate the sub-arc mantle and cause rock-melt reactions, which govern the formation of diverse primary arc magmas and lithological heterogeneities. The effect of bulk water content, composition of reactants, and nature of melt infiltration (porous versus channelized) on the rock-melt reactions at sub-arc conditions have been investigated by previous studies. However, the effect of multiple episodes of rock-melt reactions in such scenarios has not been investigated before. Here, we explore mantle wedge modifications through serial additions of hydrous-silicic slab partial melts and whether such a process may ultimately explain the origin of high-Mg# andesites found in arcs worldwide. A series of piston-cylinder experiments simulate a serial addition of silicic slab melts in up to three stages (I through III) at 3 GPa and 800–1050°C, using rock-melt proportions of 75–25 and 50–50. A synthetic KLB-1 and a natural rhyolite (JR-1) represented the mantle and the slab components, respectively. Right from the first rock-melt interaction, the peridotite mantle transforms into olivine-free mica-rich pyroxenites ± amphibole ± quartz/coesite in equilibrium with rhyolitic-hydrous melts (72–80 wt% SiO2 and 40–90 Mg#). The formation of olivine-free pyroxenite seems to be controlled by complex functions of T, P, rock-melt ratio, wedge composition, and silica activity of the slab-melt. Remarkably, the pyroxenites approach a melt-buffered state with progressive stages of rock-melt reactions, where those rhyolitic melts inherit and preserve the major (alkalis, Fe, Mg, Ca) and trace element slab-signature. Our results demonstrate that lithological heterogeneities such as pyroxenites formed as products of rock-melt reactions in the sub-arc mantle may function as melt ‘enablers,’ implying that they may act as pathways that enable the infiltrating melt to retain their slab signature without undergoing modification. Moreover, the density contrast between the products of rock-melt reaction (melts and residues) and the average mantle wedge (~150 to 400 kg/m3) may help forming instabilities and diapiric rise of the slab components into the mantle wedge. However, the fate of the primitive slab-melts seems to be associated with the length of the pathway of mantle interaction which explains the evident wide magma spectrum as well as their degree of slab garnet-signature dilution. This work and the existence of high-Mg# Mexican-trondhjemites indicates that almost pristine slab-melts can make their way up to crustal levels and contribute to the arc magma diversity.
A comparison of dg algebra resolutions with prime residual characteristic
Authors: DeBellevue Michael , Pollitz Josh 
Published: February 2023

AbstractIn this article, we fix a prime integer p and compare certain dg algebra resolutions over a local ring whose residue field has characteristic p. Namely, we show that given a closed surjective map between such algebras there is a precise description for the minimal model in terms of the acyclic closure and that the latter is a quotient of the former. A first application is that the homotopy Lie algebra of a closed surjective map is abelian. We also use these calculations to show deviations enjoy rigidity properties which detect the (quasi-)complete intersection property.
Unique regulation of TiO2 nanoporous topography on macrophage polarization via MSC-derived exosomes
Authors: Wang Jinjin , Wang Yazheng , Li Yi , He Yide , Song Wen , Wang Qintao , Zhang Yumei , He Chenyang 
Published: February 2023

AbstractThe comprehensive recognition of communications between bone marrow mesenchymal stem cells (bm-MSCs) and macrophages in the peri-implant microenvironment is crucial for implantation prognosis. Our previous studies have clarified the indirect influence of Ti surface topography in the osteogenic differentiation of bm-MSCs through modulating macrophage polarization. However, cell communication is commutative and multi-directional. As the immune regulatory properties of MSCs have become increasingly prominent, whether bm-MSCs could also play an immunomodulatory role on macrophages under the influence of Ti surface topography is unclear. To further illuminate the communications between bm-MSCs and macrophages, the bm-MSCs inoculated on Ti with nanoporous topography were indirectly co-cultured with macrophages, and by blocking exosome secretion or extracting the purified exosomes to induce independently, we bidirectionally confirmed that under the influence of TiO2 nanoporous topography with 80–100 nm tube diameters, bm-MSCs can exert immunomodulatory effects through exosome-mediated paracrine actions and induce M1 polarization of macrophages, adversely affecting the osteogenic microenvironment around the implant. This finding provides a reference for the optimal design of the implant surface topography for inducing better bone regeneration.
Trends in Technology for Pedicle Screw Placement
Authors: Naik Anant , MacInnis Bailey R. , Shaffer Annabelle , Krist David T. , Smith Alexander D. , Garst Jonathan R. , Hassaneen Wael , Arnold Paul M. 
Published: February 2023

Study Design.
Systematic Review

Objective.
We sought to determine which method of the pedicle screw (PS) placement is most accurate and understand how the development of subsequent generations of robotic systems has changed placement accuracy over time.

Summary of Background Data.
Previous studies have demonstrated the success of robotic PS placement, but how this accuracy compares to other methods is unclear.

Methods.
A systematic review following PRISMA Guidelines was performed on articles published between January 2000 and August 2021, comparing PS insertion methods with at least 10 screws per study arm. Single and multiple-arm trials were included. Data were extracted for patient outcomes, including optimal PS placement, misplacement, and accuracy. The logit-event rate of misplacement was calculated for each study. P values were adjusted for multiple comparisons using the Tukey post hoc correction.

Results.
Our search revealed 127 studies, and 156 comparative arms, with 77,360 pedicle screws placed using five different modalities. Meta-regression of pooled accuracy revealed no significant changes in PS accuracy over time for freehand, 2D fluoroscopic navigation, 3D fluoroscopic navigation, and computed tomography navigation. Robotic navigation had a significant increase in accuracy over time (P=0.036). Pooled misplacement rates were also compared across all modalities. Robotics was found to have the lowest rates of misplacement for PS compared to freehand (P=0.0015) and 2D fluoroscopic navigation (P=0.026).

Conclusion.
Our analysis is the largest study to date on pedicle screw placement. Pedicle screw placement through robotics was found to be superior due to its low misplacement rates compared with other modalities. Intraoperative 3D fluoroscopic navigation was found to have comparable misplacement rates. In addition, pedicle screw placement accuracy with robotics has continued to improve over time. This speaks to both the stability of the technology and the potential for continued improvement with new and more accurate robotic systems.
Successful Treatment of Severe Peripapillary Pachychoroid Syndrome with Anti VEGF Therapy
Authors: Abraham Neda , Bousquet Elodie , Santina Ahmad , Somisetty Swathi , Romero-Morales Veronica , Sarraf David 
Published: February 2023

Abstract

Purpose:
To describe two cases of severe peripapillary pachychoroid syndrome (PPS) successfully managed with monthly intravitreal aflibercept therapy.

Methods:
Medical and imaging records were retrospectively reviewed. Patients were imaged with ultra-widefield fluorescein and indocyanine green angiography and fundus autofluorescence. Spectral-domain optical coherence tomography (SD-OCT) was performed to evaluate macular edema and choroidal thickness. OCT angiography excluded macular neovascularization.

Results:
This report summarizes 2 cases of PPS complicated by very severe bilateral macular edema. In all 4 eyes, the diffuse intraretinal and subretinal fluid remarkably improved or completely resolved after monthly intravitreal aflibercept injections with commensurate improvement of visual acuity. Multimodal imaging documented the significant improvement of fluid and the reduction in choroidal thickening in response to anti-VEGF therapy in each case.

Conclusion:
Severe cases of PPS associated with vision loss can be successfully treated with intravitreal aflibercept therapy.
Rising Incidence of Inflammatory Bowel Disease in South Asian Children in New Zealand—A Retrospective Population-Based Study
Authors: Rajasekaran Vivek , Evans Helen M. , Andrews Amy , Bishop Jonathan R. , Lopez Robert N. , Mouat Stephen , Han Dug Yeo , Alsweiler Jane , Roberts Amin J. 
Published: February 2023

Objectives:
High rates of inflammatory bowel disease (IBD) are reported in children of South Asian (SA) descent in some western countries. This population-based study describes the incidence and clinical course of IBD in SA children compared to non-South Asian (NSA) children in New Zealand (NZ).

Methods:
Children (≤15 years) with new-onset IBD presenting to a centralized tertiary referral center in Auckland, NZ from 2010 to 2020 were identified. Disease phenotype, clinical characteristics, response to exclusive enteral nutrition, clinical remission rates at 3 and 12 months, biologic use, corticosteroid exposure, and disease complications were compared by ethnicity; IBD incidence was calculated.

Results:
There were 127 (26 SA; 101 NSA) children with Crohn disease, 41 (10 SA; 31 NSA) with ulcerative colitis, and 10 (3 SA; 7 NSA) with IBD-unclassified. IBD incidence in SA and NSA children was 14.1 per 100,000 and 4.3 per 100,000 respectively (P < 0.001). IBD incidence increased by 5.6% per year (P = 0.022), due to a greater rise in incidence in SA (SA 16.8% per year, P = 0.015; NSA 4.5% per year, P = 0.317). At presentation, SA children had worse biochemical parameters, severe colitis, and vitamin D deficiency. SA children had lower rates of remission following exclusive enteral nutrition (28.5% vs 65.0%, P < 0.001) or biologic induction (35.7% vs 70.8%, P = 0.020), at 3-month (35.3% vs 69.8%, P < 0.001) and 12-month follow-up (29.4% vs 55.0%, P = 0.005). No significant differences were found in disease location or corticosteroid burden.

Conclusions:
Increasing incidence of IBD was disproportionately represented by SA children with more severe disease and lower remission rates following exclusive enteral nutrition or biologic therapy.
68Ga-FAPI Versus 18F-FDG PET/CT in the Evaluation of Epithelioid Hemangioendothelioma of Bone
Authors: Xu Weizhi , Cai Jiayu , Meng Tinghua , Pang YiZhen , Chen Haojun 
Published: February 2023

Abstract
Epithelioid hemangioendothelioma (EHE) is a rare type of vascular tumor that may arise in bone. Here we presented a 62-year-old man with suspected bone metastases who underwent PET/CT to detect the primary tumor. He underwent 18F-FDG and 68Ga-FAPI PET/CT under the prospective trial NCT04416165. Radiotracer uptake was much higher with 68Ga-FAPI PET/CT than with 18F-FDG PET/CT in most of bone lesions. No intense uptake likely presenting the primary tumor was observed. Subsequent bone biopsy confirmed the diagnosis of EHE of bone. This case suggested that 68Ga-FAPI PET/CT might be a useful tool for evaluation of EHE.
Changes in Stage at Presentation among Lung and Breast Cancer Patients During the COVID-19 Pandemic
Authors: Mallouh Michael , Linshaw David , Barton Bruce , De La Cruz Gabriel , Dinh Kate , LaFemina Jennifer , Vijayaraghavan Gopal , Larkin Anne , Whalen Giles 
Published: February 2023

Background:
The COVID-19 pandemic altered access to healthcare by decreasing number of patients able to receive preventative care and cancer screening. We hypothesized that given these changes in access to care, radiologic screening for breast and lung cancer would be decreased, and patients with these cancers would consequently present at later stages of their disease.

Design:
Retrospective cross-sectional study of 2017-September 2021 UMass Memorial Tumor Registry for adult breast and lung cancer patients. Changes in stage at presentation of breast and lung cancer during the COVID-19 pandemic were measured, defined as prior to and during COVID-19.

Results:
There were no statistically significant changes in the overall stage of presentation before or during the COVID-19 pandemic for either breast or lung cancer patients. Analysis of case presentation and stage during periods of COVID-19 surges that occurred over the time of this study compared to pre-pandemic data demonstrated a statistically significant decrease in overall presentation of breast cancer patients in the first surge, with no other statistically significant changes in breast cancer presentation. A non-statistically significant decrease in lung cancer presentations was seen during the initial surge of COVID-19. There was also a statistically significant increase in early-stage presentation of lung cancer during the second and third COVID-19 surges.

Conclusions:
In the two years after the COVID-19 pandemic we were not able to demonstrate stage migration at presentation of breast and lung cancer patients to later stages despite decreases in overall presentation during the initial two years of the COVID pandemic. An increase in early-stage lung cancer during the second and third surges is interesting and could be related to increased chest imaging for COVID pneumonia.
Macrophages Promote Tumor Cell Extravasation across an Endothelial Barrier through Thin Membranous Connections
Authors: Genna Alessandro , Duran Camille L. , Entenberg David , Condeelis John , Cox Dianne 
Published: February 2023

AbstractMacrophages are important players involved in the progression of breast cancer, including in seeding the metastatic niche. However, the mechanism by which macrophages in the lung parenchyma interact with tumor cells in the vasculature to promote tumor cell extravasation at metastatic sites is not clear. To mimic macrophage-driven tumor cell extravasation, we used anin vitroassay (eTEM) in which an endothelial monolayer and a matrigel-coated filter separated tumor cells and macrophages from each other. The presence of macrophages promoted tumor cell extravasation while macrophage conditioned media was insufficient to stimulate tumor cell extravasationin vitro. This finding is consistent with a requirement for direct contact between macrophages and tumor cells. We observed the presence of Thin Membranous Connections (TMCs) resembling similar structures formed between macrophages and tumor cells called tunneling nanotubes which we previously demonstrated to be important in tumor cell invasionin vitroandin vivo(Hanna 2019). To determine if TMCs are important for tumor cell extravasation, we used macrophages with reduced levels of endogenous M-Sec (TNFAIP2), which causes a defect in tunneling nanotube formation. As predicted, these macrophages showed reduced macrophage-tumor cell TMCs. In both, human and murine breast cancer cell lines, there was also a concomitant reduction in tumor cell extravasationin vitrowhen co-cultured with M-Sec deficient macrophages compared to control macrophages. We also detected TMCs formed between macrophages and tumor cells through the endothelial layer in the eTEM assay. Furthermore, tumor cells were more frequently found in pores under the endothelium that contain macrophage protrusions. To determine the role of macrophage-tumor cell TMCsin vivo, we generated an M-Sec deficient mouse. Using anin vivomodel of experimental metastasis, we detected a significant reduction in the number of metastatic lesions in M-Sec deficient mice compared to wild type mice. There was no difference in the size of the metastases, consistent with a defect specific to tumor cell extravasation and not metastatic outgrowth. Additionally, examination of time-lapse intravital-imaging (IVI) data sets of breast cancer cell extravasation in the lung, we could detect the presence of TMCs between extravascular macrophages and vascular tumor cells. Overall, our data indicate that macrophage TMCs play an important role in promoting the extravasation of circulating tumor cells in the lung.
Validation of a Radio frequency identification system for tracking location of laying hens in a quasi-commercial aviary system
Authors: Gebhardt-Henrich Sabine G. , Kashev Alexander , Petelle Matthew B. , Toscano Michael J. 
Published: February 2023

AbstractCage-free housing is increasingly chosen in Europe, North America, and Australia as an animal-welfare friendly farm system for laying hens. However, hens are kept in large numbers in those systems which makes checking for health and welfare difficult and individuals cannot be identified. Tracking systems like radio frequency identification allow researchers to monitor these individuals almost continuously. Individual tracking data has revealed substantial individual variation in movement patterns, however, in recent studies, only a subset of animals per flock was tracked. We applied an RFID tracking system to monitor all 1125 laying hens of a flock, which were divided into 5 pens of 225 birds each in a barn with an aviary system. In each pen, 26 antennas were placed on the edges of three tiers and in the litter. For validation purposes, 3 hens in 2 connected pens were fitted with colored backpacks. They were recorded on video and their location throughout the pen was taken from the video and compared with registrations from the RFID system. For 93% of compared transitions, the RFID data matched the observational data regarding the tier or litter whereas the value fell to 39% for specific antennae. When the antennae on the litter were excluded for the validation, the match on tier-level was at least 98% but on antenna-level it remained lower than 50%. The sensitivity of the detection of tiers/litter but not antennae differed among the three hens. We conclude that the RFID tracking system was suitable for studying the movement pattern of individual hens among tiers in an aviary system in a reliable way but tracking birds on the litter needs to be improved.