bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical experience of thoracoplasty with absorbable rib substitutes
Authors: Mancera Juliana , Echeverri Viviana , Castillo Ana M. , Rodríguez Luis F. , Zarama Ricardo , Villamil Carlos , Luengas Juan P. 
Published: March 2023

Abstract
Purpose
Malignant chest wall tumors are rare in pediatrics. They require multimodal oncological treatment and local surgical control. Resections are extensive; therefore, thoracoplasty should be planned to protect intrathoracic organs, prevent herniation, future deformities, preserve ventilatory dynamics, and enable radiotherapy.

Methods
We present a case series of children with malignant chest wall tumors and our surgical experience with thoracoplasty using absorbable rib substitutes (BioBridge®), after local surgical control. BioBridge® is a copolymer made of a polylactide acid blend (70% L-lactic acid y 30% DL-lactide).

Results
In 2 years, we had three patients with malignant chest wall tumors. Resection margins were negative, without recurrence at follow-up. We achieved good cosmetic and functional results, and no postoperative complications.

Conclusion
Alternative reconstruction techniques such as absorbable rib substitutes provide protection, guarantee a flexible chest wall, and do not interfere with adjuvant radiotherapy. Currently, there are no management protocols in thoracoplasty. This option represents an excellent alternative for patients with chest wall tumors. Knowledge of different approaches and reconstructive principles is essential to offer children the best onco-surgical option.
Is a less-intensive follow-up for colon cancer in early stages reasonable?
Authors: Esswein Katharina , Volpi Marco , Ninkovic Marijana , Kröpfl Veronika , Gasser Elisabeth , Lorenz Andreas , Stecher Lea , Kafka-Ritsch Reinhold , Schneeberger Stefan , Öfner Dietmar , Perathoner Alexander 
Published: March 2023

Abstract
Purpose
Patients with colon cancer are usually included in an intensive 5-year surveillance protocol after curative resection, independent of the tumor stage, though early stages have a considerably lower risk of recurrence. The aim of this study was to analyze the adherence to an intensive follow-up and the risk of recurrence in patients with colon cancer in UICC stages I and II.

Methods
In this retrospective study, we assessed patients who underwent resection for colon cancer in UICC stages I and II between 2007 and 2016. Data were collected on demographics, tumor stages, therapy, surveillance, recurrent disease, and oncological outcome.

Results
Of the 232 included patients, 43.5% (n = 101) reached the 5-year follow-up disease-free. Seven (7.5%) patients in stage UICC I and sixteen (11.5%) in UICC II had a recurrence, with the highest risk in patients with pT4 (26.3%). A metachronous colon cancer was detected in four patients (1.7%). The therapy of recurrence was intended to be curative in 57.1% (n = 4) of UICC stage I and in 43.8% (n = 7) of UICC stage II, but only in one of seven patients over 80 years. 44.8% (n = 104) of the patients were lost to follow-up.

Conclusion
A postoperative surveillance in patients with colon cancer is important and recommended as a recurrent disease can be treated successfully in many patients. However, we suggest that a less intensive surveillance protocol is reasonable for patients with colon cancer in early tumor stages, especially in UICC stage I, as the risk of recurrent disease is low. With elderly and/or frail patients in a reduced general condition, who will not endure further specific therapy in case of a recurrence, the performance of the surveillance should be discussed: we recommend a significant reduction or even renunciation.
Changes in quantity plant-based protein intake on type 2 diabetes remission in coronary heart disease patients: from the CORDIOPREV study
Authors: Gutierrez-Mariscal Francisco M. , Alcalá-Diaz Juan F. , Quintana-Navarro Gracia M. , de la Cruz-Ares Silvia , Torres-Peña José D. , Cardelo Magdalena P. , Arenas-Larriva Antonio P. , Malagón María M. , Romero-Cabrera Juan L. , Ordovás José M. , Pérez-Martínez Pablo , Delgado-Lista Javier , Yubero-Serrano Elena M. , Lopez-Miranda José 
Published: March 2023

Abstract
Purpose

Diabetes remission is a phenomenon described in the context of drastic weight loss due to bariatric surgery or low-calorie diets. Evidence suggests that increasing the intake of plant protein could reduce the risk of type 2 diabetes. We sought for association between changes in plant protein intake in the context of 2 healthy diets without weight loss nor glucose-lowering medication, and diabetes remission in coronary heart disease patients from the CORDIOPREV study.

Methods
Newly diagnosed type 2 diabetes participants without glucose-lowering treatment were randomized to consume a Mediterranean or a low-fat diet. Type 2 diabetes remission was assessed with a median follow-up of 60 months according to the ADA recommendation. Information on patient's dietary intake was collected using food-frequency questionnaires. At first year of intervention, 177 patients were classified according to changes in plant protein consumption into those who increased or decreased its intake, in order to perform an observational analysis on the association between protein intake and diabetes remission.

Results

Cox regression showed that patients increasing plant protein intake were more likely to remit from diabetes than those who decreased its intake (HR = 1.71(1.05–2.77)). The remission occurred mainly at first and second year of follow-up with diminished number of patients achieving remission in the third year onwards. The increase in plant protein was associated with lower intake of animal protein, cholesterol, saturated fatty acids, and fat, and with higher intake of whole grains, fibre, carbohydrates, legumes, and tree nuts.

Conclusion

These results support the need to increase protein intake of vegetal origin as dietary therapy to reverse type 2 diabetes in the context of healthy diets without weight loss.
Characterisation of community-dwelling older adults with poor appetite
Authors: Scheufele Pia , Rappl Anja , Visser Marjolein , Kiesswetter Eva , Volkert Dorothee 
Published: March 2023

Abstract
Purpose
A poor appetite affects up to 27% of community-dwelling older adults in Europe and is an early predictor of malnutrition. Little is known about the factors associated with poor appetite. The present study, therefore, aims to characterise older adults with poor appetite.

Methods
As part of the European JPI project APPETITE, data from 850 participants, aged ≥ 70 years of the Longitudinal Ageing Study Amsterdam (LASA) from 2015/16 were analysed. Appetite during the last week was assessed with a five-point scale and dichotomised into "normal" and "poor". Binary logistic regression was used to examine associations between 25 characteristics from 5 domains—physiological, emotional, cognitive, social, and lifestyle—and appetite. First, domain-specific models were calculated using stepwise backward selection. Second, all variables contributing to poor appetite were combined in a multi-domain model.

Results
The prevalence of self-reported poor appetite was 15.6%. Fourteen parameters from all five single-domain models contributed to poor appetite and were entered into the multi-domain model. Here, female sex (total prevalence: 56.1%, odds ratio: 1.95 [95% confidence interval 1.10–3.44]), self-reported chewing problems (2.4%, 5.69 [1.88–17.20]), any unintended weight loss in the last 6 months (6.7%, 3.07 [1.36–6.94]), polypharmacy defined as ≥ 5 medications in the past 2 weeks (38.4%, 1.87 [1.04–3.39]), and depressive symptoms (Centre for Epidemiologic Studies Depression Scale without appetite item) (1.12 [1.04–1.21]) were associated with an increased likelihood of having poor appetite.

Conclusion
According to this analysis, older people with the characteristics described above are more likely to have a poor appetite.
Validation and optimization of the diatom L/D ratio as a diagnostic marker for drowning
Authors: Hagen Dominik , Pittner Stefan , Zhao Jian , Obermayer Astrid , Stoiber Walter , Steinbacher Peter , Monticelli Fabio C. , Gotsmy Walther 
Published: March 2023

AbstractIf a dead body is discovered in water, it nearly always raises the question about the cause of death, often associated with the persistent problem to differentiate between a drowning incident and post-mortem immersion. In numerous cases, a reliable confirmation of death by drowning is often only possible by a combination of diagnoses obtained from autopsy and additional investigations. As to the latter, the use of diatoms has been suggested (and debated) since decades. Based on the consideration that diatoms are present in almost every natural waterbody and are unavoidably incorporated when water is inhaled, their presence in the lung and other tissues can provide evidence of drowning. However, the traditional diatom test methods are still subject of controversial discussion and suspected of erroneous outcome, predominantly through contamination. A promising alternative to minimize the risk of erroneous outcome seems to be disclosed by the recently suggested MD-VF-Auto SEM technique. Especially the establishment of a new diagnostic marker (L/D ratio), which represents the factorial proportion between the diatom concentration in lung tissue and the drowning medium, allows for clearer distinction of drowning and post-mortal immersion and is largely robust to contamination. However, this highly elaborated technique requires specific devices which are frequently unavailable. We therefore developed a modified method of SEM-based diatom testing to enable the use on more routinely available equipment. Process steps such as digestion, filtration, and image acquisition were thoroughly broken down, optimized, and ultimately validated in five confirmed drowning cases. Taking certain limitations into consideration, L/D ratio analysis provided promising results, even in cases of advanced decomposition. We conclude that our modified protocol indeed opens a way for a broader use of the method in forensic drowning investigation.
Neuromuscular junction involvement in inherited motor neuropathies: genetic heterogeneity and effect of oral salbutamol treatment
Authors: McMacken Grace , Whittaker Roger G. , Wake Ruth , Lochmuller Hanns , Horvath Rita 
Published: March 2023

Abstract
Objectives
Inherited defects of the neuromuscular junction (NMJ) comprise an increasingly diverse range of diseases. Several recently identified genes highlight the overlap between peripheral neuropathies and congenital myasthenic syndromes (CMS). The beta-2 adrenergic receptor agonist salbutamol has been shown to provide symptomatic benefit in CMS, while improving structural defects at the NMJ. Based on these findings, we identified cases of motor neuropathy with NMJ dysfunction and assessed the effect of salbutamol on motor function.

Methods
Cases of motor neuropathy with significant NMJ dysfunction, were identified using repetitive nerve stimulation and single fibre electromyography. Oral salbutamol was administered for 12 months. Repeat neurophysiological and clinical assessments were undertaken at baseline, 6 months and 12 months.

Results
Significant defects of neuromuscular transmission were identified in 15 patients harbouring a range of genetic defects, including mutations in GARS1, DNM2, SYT2 and DYNC1H. No clear benefit on motor function was seen following the administration of 12 months of oral salbutamol; however, there was a significant improvement in patient reported fatigue. In addition, no clear effect on neurophysiological parameters was seen in patients treated with salbutamol. Side-effects due to off-target beta-adrenergic effects were significant in the patient cohort.

Conclusion
These results highlight the involvement of the NMJ in several subtypes of motor neuropathies, including subtypes of neuropathy due to deficits in mitochondrial fusion-fission, synaptic vesicle transport, calcium channels and tRNA synthetases. Whether the NMJ dysfunction is simply due to muscle reinnervation or a pathology unrelated to denervation is unknown. The involvement of the NMJ may represent a novel therapeutic target in these conditions. However, treatment regimens will need to be more targeted for patients with primary inherited defects of neuromuscular transmission.
Opposite changes in the expression of clathrin and caveolin-1 in normal and cancerous human prostate tissue: putative clathrin-mediated recycling of EGFR
Authors: Xie Boyu , Zuhair Hawra , Henrique Rui , Millar Michael , Robson Timothy , Thrasivoulou Christopher , Dickens Kerry , Pendjiky Jane , Muneer Asif , Patel Hiten , Ahmed Aamir 
Published: March 2023

AbstractEndocytosis, an important macromolecule uptake process in cells, is known to be dysregulated in cancer. Clathrin and caveolin-1 proteins play a major role in receptor-mediated endocytosis. We have used a quantitative, unbiased and semi-automated method to measure in situ protein expression of clathrin and caveolin-1 in cancerous and paired normal (cancer adjacent, non-cancerous) human prostate tissue. There was a significant (p < 0.0001) increase in the expression of clathrin in prostate cancer samples (N = 29, n = 91) compared to normal tissue (N = 29, n = 67) (N = number of patients, n = number of cores in tissue arrays). Conversely, there was a significant (p < 0.0001) decrease in expression of caveolin-1 in prostate cancer tissue compared to normal prostate tissue. The opposite change in expression of the two proteins was highly correlated to increasing cancer aggressiveness. There was also a concurrent increase in the expression of epidermal growth factor receptor (EGFR), a key receptor in carcinogenesis, with clathrin in prostate cancer tissue, indicating recycling of EGFR through clathrin-mediated endocytosis (CME). These results indicate that in prostate cancer, caveolin-1-mediated endocytosis (CavME) may be acting as a brake and increase in CME may facilitate tumorigenicity and aggressiveness of prostate cancer through recycling of EGFR. Changes in the expression of these proteins can also potentially be used as a biomarker for prostate cancer to aid in diagnosis and prognosis and clinical decision-making.
Imagine to automatize: automatization of stimulus–response coupling after action imagery practice in implicit sequence learning
Authors: Dahm Stephan F. , Hyna Henri , Krause Daniel 
Published: March 2023

AbstractAction imagery practice (AIP) describes the repetitive imagination of an action to improve subsequent action execution. Because AIP and action execution practice (AEP) draw on partly similar motor mechanisms, it was assumed that AIP may lead to motor automatization, which is observable in a reduction of dual-task costs after AEP. To investigate automatization in AIP, we compared dual-task and single-task performance in practice and random sequences in pretests and posttests. All participants practiced serial reactions to visual stimuli in ten single-task practice sessions. An AIP group imagined the reactions. An AEP group and a control practice group executed the reactions. Practice followed a sequential sequence in AIP and AEP but was random in control practice. In dual-task test conditions, tones were counted that appeared in addition to the visual stimuli. RTs decreased from pretest to posttest in both practice and random sequences in all groups indicating general sequence-unspecific learning. Further, RTs decreased to a greater extent in the practice sequence than in the random sequence after AIP and AEP, indicating sequence-specific learning. Dual-task costs—the difference between RTs after tone and no tone events—were reduced independent from the performed sequence in all groups indicating sequence-unspecific automatization. It is concluded that the stimulus–response coupling can be automatized by both, AEP and AIP.
Can smaller predators expand their prey base through killing juveniles? The influence of prey demography and season on prey selection for cheetahs and lions
Authors: Annear Eleesha , Minnie Liaan , Andrew Kaeleah , Kerley Graham I. H. 
Published: March 2023

AbstractSmaller predators may overcome body size restrictions on their prey base by selecting for juveniles of larger prey species. However, traditional prey selection models ignore demographic classes within prey species. We refined these models for two predators with contrasting body sizes and hunting strategies, by including seasonal consumption and availability of prey demographic classes. We predicted that cheetahs would select for smaller neonate and juvenile prey especially of larger species, while lions would select for larger, adult prey. We further predicted seasonal diet shifts in cheetah, but not lion. We recorded species-specific demographic class prey use (kills) via direct observation and GPS cluster of cheetahs and lions fitted with GPS collars. Species-specific demographic class prey availability was estimated from monthly driven transects, and species-specific demographic class prey preferences were estimated. The availability of prey demographic classes varied seasonally. Cheetahs preferred neonates, juveniles, and sub-adults during the wet season, but adults and juveniles during the dry season. Lions preferred adult prey irrespective of season, with sub-adults, juveniles, and neonates killed relative to their abundance. This confirms that traditional prey preference models do not adequately account for demographic-specific prey preference. This is particularly important for smaller predators, like cheetahs, that focus on smaller prey but can expand their prey base by killing juveniles of larger species. For these smaller predators, prey availability will vary strongly seasonally, making them more vulnerable to processes that influence prey reproduction, like global change.
Cost-effectiveness analysis of (accelerated) pre-operative versus (conventional) post-operative radiotherapy for patients with oral cavity cancer in Sweden
Authors: Silfverschiöld Maria , Carlwig Kristin , Jarl Johan , Greiff Lennart , Nilsson Per , Wennerberg Johan , Zackrisson Björn , Östensson Ellinor , Sjövall Johanna 
Published: March 2023

Abstract
Background
Treatment for resectable oral cavity cancer (OCC) often includes combinations of surgery and radiotherapy (RT), but there is no conclusive information on the preferred treatment order. The aim of this study was to assess the costs and cost-effectiveness of two alternative treatment regimens for patients with OCC, reflecting pre- and post-operative RT, from a societal perspective.

Methods
The study used data from the ARTSCAN 2 randomised controlled trial, which compares pre-operative accelerated RT with post-operative conventionally fractionated RT. Two-hundred-forty patients were included in the analysis of treatment outcomes. Direct costs were retrieved from the hospital’s economic systems, while indirect costs were obtained from national registries. Cost-effectiveness was assessed and a sensitivity analysis was performed. Overall survival (OS) at 5 years, was used as effect measure in the analysis.

Results
Two-hundred-nine patients completed the treatments and had retrievable data on costs. Mean direct costs (inpatient and outpatient care) were € 47,377 for pre-operative RT and € 39,841 for post-operative RT (p = 0.001), while corresponding indirect costs were € 19,854 and € 20,531 (p = 0.89). The incremental cost, i.e., the mean difference in total cost between the treatment regimens, was € 6859 paralleled with a 14-percentage point lower OS-rate at 5 years for pre-operative RT (i.e., 58 vs. 72%). Thus, pre-operative RT was dominated by post-operative RT.

Conclusions
From a societal perspective, post-operative RT for patients with resectable OCC is the dominant strategy compared to pre-operative RT.
Tissue-growth-based synthetic tree generation and perfusion simulation
Authors: Kim Hyun Jin , Rundfeldt Hans Christian , Lee Inpyo , Lee Seungmin 
Published: March 2023

AbstractBiological tissues receive oxygen and nutrients from blood vessels by developing an indispensable supply and demand relationship with the blood vessels. We implemented a synthetic tree generation algorithm by considering the interactions between the tissues and blood vessels. We first segment major arteries using medical image data and synthetic trees are generated originating from these segmented arteries. They grow into extensive networks of small vessels to fill the supplied tissues and satisfy the metabolic demand of them. Further, the algorithm is optimized to be executed in parallel without affecting the generated tree volumes. The generated vascular trees are used to simulate blood perfusion in the tissues by performing multiscale blood flow simulations. One-dimensional blood flow equations were used to solve for blood flow and pressure in the generated vascular trees and Darcy flow equations were solved for blood perfusion in the tissues using a porous model assumption. Both equations are coupled at terminal segments explicitly. The proposed methods were applied to idealized models with different tree resolutions and metabolic demands for validation. The methods demonstrated that realistic synthetic trees were generated with significantly less computational expense compared to that of a constrained constructive optimization method. The methods were then applied to cerebrovascular arteries supplying a human brain and coronary arteries supplying the left and right ventricles to demonstrate the capabilities of the proposed methods. The proposed methods can be utilized to quantify tissue perfusion and predict areas prone to ischemia in patient-specific geometries.
Tree mortality in mature temperate forests of central Mexico: a spatial approach
Authors: Rubio-Camacho Ernesto Alonso , Hesselbarth Maximilian H. K. , Flores-Garnica José Germán , Acosta-Mireles Miguel 
Published: March 2023

AbstractTree mortality is an important process of forest stand dynamics and knowledge of it is fundamental to implement adequate management strategies. Subject to several factors, tree mortality can induce different spatial patterns on the remaining live and dead trees. While spatially clustered tree mortality in young forests is often driven by competition, in old-growth forests, spatially clustered tree mortality is often caused by disturbance agents. This study is focused on a spatiotemporal analysis of tree mortality in a mature temperate forest located in central Mexico dominated byPinus montezumaeandAlnus firmifolia. We used tree locations from a permanent plot (300 × 300 m) measured over a 20-year period. The results, from applying point pattern analysis, showed that the spatial pattern of all dead trees was clustered at short to medium distances, but showed no clear deviation from complete spatial randomness at longer distances. Similar results were found forP. montezumaeandA. firmifolia. Using the bivariate mark-connection function (alive and dead trees), no tree mortality caused by competition was discernable, onlyA. firmifoliashowed a tendency toward competition-introduced mortality around 15 m. Regarding forest structure, alive trees retained a clustered distribution and size heterogeneity at different distances during the measurement period. Thus, there was evidence that the resulting spatial pattern of tree mortality could be explained by disturbance agents such as droughts rather than tree competition. Therefore, the results of this study can contribute to implement management strategies based on the principles of continuous cover forestry and provide novel information regarding tree mortality in Mexican montane forests.