bluuebunny/crossref_metadata_2025_split huggingface dataset:
Higher Prevalence of Monogenic Cause Among Very Early Onset Inflammatory Bowel Disease in Children: Experience From a Tertiary Care Center From Northern India
Authors: Poddar Ujjal , Aggarwal Amita , Jayalakshmi Krishnegowda , Sarma Moinak Sen , Srivastava Anshu , Rawat Amit , Yachha Surender Kumar 
Published: January 2023

Abstract

Background
Very early-onset inflammatory bowel disease (VEO-IBD) is generally defined as onset of IBD at &lt;6 years of age. Up to 20% of VEO-IBD may have a monogenic cause; hence, next-generation sequencing is highly recommended for diagnostic accuracy. There remains a paucity of data on VEO-IBD and the proportion of monogeneic causes in South Asia. We analyzed our tertiary care center experience of monogenic VEO-IBD from Northern India and compared them with nonmonogenic VEO-IBD to find out the factors that differentiate monogenic from nonmonogenic VEO-IBD.

Methods
All children (&lt;18 years of age) diagnosed with IBD between January 2010 to July 2021 were analyzed along with the next-generation sequencing data and functional assays when available. Clinical features and outcomes between monogenic and nonmonogenic VEO-IBD were compared.

Results
A total of 200 children with a median age of 15.3 (range, 0.17-17) years, 125 of whom were boys, were diagnosed to have IBD during the study period. VEO-IBD was seen in 48 (24%) children. Monogenic IBD was diagnosed in 15 (31%) children with VEO-IBD and 7.5% of all IBD cases. The causes of monogenic VEO-IBD included disorders of the immune system (including interleukin-10 receptor mutations) in 12 and epithelial barrier dysfunction in 3. Features that differentiated monogenic from nonmonogenic VEO-IBD were neonatal IBD, presence of perianal disease, IBD unclassified, history of consanguinity and sibling death, wasting, and stunting (P &lt; .05). There were 6 deaths.

Conclusions
One-third of participants were monogenic among Indian children with VEO-IBD, the highest proportion reported to date in the world. Next-generation (either exome or whole genome) sequencing should be recommended in a subset of VEO-IBD with neonatal onset, perianal disease, history of consanguinity and siblings’ death, wasting, stunting, and IBD unclassified phenotype for an early diagnosis and referral to an appropriate center for hematopoietic stem cell transplantation for a better outcome.
Medication safety incidents associated with the remote delivery of primary care: a rapid review
Authors: Gleeson Laura L , Clyne Barbara , Barlow James W , Ryan Benedict , Murphy Paul , Wallace Emma , De Brún Aoife , Mellon Lisa , Hanratty Marcus , Ennis Mark , Holton Alice , Pate Muriel , Kirke Ciara , Flood Michelle , Moriarty Frank 
Published: January 2023

Abstract

Objectives
The COVID-19 pandemic triggered rapid, fundamental changes, notably increased remote delivery of primary care. While the impact of these changes on medication safety is not yet fully understood, research conducted before the pandemic may provide evidence for possible consequences. To examine the published literature on medication safety incidents associated with the remote delivery of primary care, with a focus on telemedicine and electronic prescribing.

Methods
A rapid review was conducted according to the Cochrane Rapid Reviews Methods Group guidance. An electronic search was carried out on Embase and Medline (via PubMed) using key search terms ‘medication error’, ‘electronic prescribing’, ‘telemedicine’ and ‘primary care’. Identified studies were synthesised narratively; reported medication safety incidents were categorised according to the WHO Conceptual Framework for the International Classification for Patient Safety.

Key Findings
Fifteen studies were deemed eligible for inclusion. All 15 studies reported medication incidents associated with electronic prescribing; no studies were identified that reported medication safety incidents associated with telemedicine. The most commonly reported medication safety incidents were ‘wrong label/instruction’ and ‘wrong dose/strength/frequency’. The frequency of medication safety incidents ranged from 0.89 to 81.98 incidents per 100 electronic prescriptions analysed.

Summary
This review of medication safety incidents associated with the remote delivery of primary care identified common incident types associated with electronic prescriptions. There was a wide variation in reported frequencies of medication safety incidents associated with electronic prescriptions. Further research is required to determine the impact of the COVID-19 pandemic on medication safety in primary care, particularly the increased use of telemedicine.
Evaluation of similar dietary roughage equivalency fed to beef steers during the growing and finishing phase
Authors: Hamilton Thomas G , Rusche Warren C , Smith Zachary K 
Published: January 2023

AbstractThe objective of this experiment was to determine the influence that similar dietary roughage equivalency offered in a single or two-diet system during a 210-d growing-finishing period has on growth performance, the efficiency of dietary net energy (NE) utilization, and carcass traits in beef steers. Beef steers (n = 46; initial shrunk [4%]; body weight [BW] = 281 ± 40.4 kg) were fed once daily, and bunks were managed according to a slick bunk management system across all 10 pens. Treatments included the following: 1) A single diet program that was formulated to provide 16% (dry matter [DM] basis) dietary roughage equivalency; SD) or 2) multiple diet programs (formulated to provide a dietary roughage equivalency (DM basis) of 25% for 98 d, 16% for 14 d, and 7% for 98 d; MD). Day 1 to 112 was considered the growing period, and day 113 to 210 (the day of harvest) was considered the finishing period, all steers were implanted on day 1 with a 100 mg trenbolone acetate (TBA) and 14 mg estradiol benzoate (EB) implant and implanted with a 200 mg TBA and 28 mg EB implant on day 112. Average daily gain tended (P = 0.06) to be 9.5% greater for SD compared to MD during the growing portion, and average daily gain (ADG) was greater by 11.3% (P = 0.01) for MD compared to SD during the finishing phase of the experiment. Cumulative ADG did not differ (P ≥ 0.86) between treatments (1.61 vs. 1.62 ± 0.046 kg) for SD and MD, respectively. Cumulative dietary NEm and NEg calculated based on performance did not differ (P ≥ 0.96) between treatments. There were no differences (P ≥ 0.18) detected between treatments for hot carcass weight, dressing percent, longissimus muscle area, rib fat, United States Department of Agriculture (USDA) marbling score, kidney, pelvic, heart fat, yield grade, retail yield, empty body fat, or body weight at 28% estimated empty body fat. These data indicate that feedlot producers can feed a single growing-finishing diet to beef steers with minimal effects on overall growth performance or carcass traits.
Evaluation of the effects of corn silage maturity and kernel processing on steer growth performance and carcass traits
Authors: Francis Forest L , Gubbels Erin R , Hamilton Thomas G , Walker Julie A , Rusche Warren C , Smith Zachary K 
Published: January 2023

AbstractTwo experiments were conducted to investigate the effects of feeding kernel processed corn silage to growing calves at 65% inclusion (dry matter [DM] basis; Exp. 1] and finishing beef steers at 20% inclusion (DM basis; Exp. 2). In Exp. 1, steers (n = 184; initial shrunk body weight [BW] = 388 ± 22.3 kg) were used to evaluate the influence that kernel processing of corn silage has on production responses when fed at 65% diet inclusion (DM basis) during a 46-d growing period. Steers were allotted to 1 of 24 pens (12 replicate pens/treatment). Treatments were based upon corn silage that was either kernel processed or not. In Exp. 2, steers (n = 192; initial shrunk BW = 446 ± 28.3 kg) were used in a 112-d finishing experiment. Treatments were grouped in a 2 × 2 factorial arrangement (24 pens total; 8 steers/pen) to evaluate corn silage harvest maturity (1/2 to 2/3 milk line or black layer) and kernel processing (processed or not) at time of corn silage harvest on finishing steer growth performance and carcass traits when corn silage is fed at a dietary DM inclusion of 20%. Both experiments were analyzed as a randomized completed block design with pen as experimental unit. In Exp. 1, final BW tended (P = 0.07) to be increased by 3 kg in kernel processed corn silage. Daily weight gain and DM intake were increased (P ≤ 0.04) by 6% and 2%, respectively, in steers fed kernel processed corn silage compared to controls; however, gain efficiency was not appreciably influenced by treatment (P = 0.15). In Exp. 2, there were no harvest maturity × kernel processing interactions (P ≥ 0.26) for any growth performance measures or any parameters related to efficiency of dietary NE utilization. No harvest maturity × kernel processing interactions (P ≥ 0.08) were observed for any carcass traits except for the distribution of USDA Prime carcasses (P = 0.04). Steers fed 2/3 milk line and unprocessed corn silage had a lower (P = 0.05) proportion of carcasses grade USDA Prime (0.0%) compared to all other treatments (12.0%). Harvest time (P ≥ 0.07) and kernel processing (P ≥ 0.07) of corn silage had no appreciable influence on any other carcass trait measures. These data indicate that kernel processed corn silage fed to growing calves at 65% diet inclusion (DM basis) enhances intake and daily gain, while kernel processed corn silage fed to finishing steers at 20% diet inclusion (DM basis) does not appreciably influence daily gain, efficiency of gain, or carcass parameters.
Molecular epidemiology of clinical filamentous fungi in Qatar beyond Aspergillus and Fusarium with notes on the rare species
Authors: Salah Husam , Houbraken Jos , Boekhout Teun , Almaslamani Muna , Taj-Aldeen Saad J 
Published: January 2023

Abstract
Due to an increasing number of patients at risk (i.e., those with a highly compromised immune system and/or receiving aggressive chemotherapy treatment), invasive fungal infections (IFI) are increasingly being reported and associated with high mortality rates. Aspergillus spp., particularly A. fumigatus, is the major cause of IFI caused by filamentous fungi around the world followed by Fusarium spp., however, other fungi are emerging as human pathogens. The aim of this study was to explore the epidemiology and prevalence of the non-Aspergillus and non-Fusarium filamentous fungi in human clinical samples over an 11-year period in Qatar using molecular techniques. We recovered 53 filamentous fungal isolates from patients with various clinical conditions. Most patients were males (75.5%), 9.4% were immunocompromised, 20.7% had IFI, and 11.3% died within 30 days of diagnosis. The fungal isolates were recovered from a variety of clinical samples, including the nasal cavity, wounds, respiratory samples, body fluids, eye, ear, tissue, abscess, and blood specimens. Among the fungi isolated, 49% were dematiaceous fungi, followed by Mucorales (30%), with the latter group Mucorales being the major cause of IFI (5/11, 45.5%). The current study highlights the epidemiology and spectrum of filamentous fungal genera, other than Aspergillus and Fusarium, recovered from human clinical samples in Qatar, excluding superficial infections, which can aid in the surveillance of uncommon and emerging mycoses.
Evidence of extended cold molecular gas and dust haloes around z ~ 2.3 extremely red quasars with ALMA
Authors: Scholtz J , Maiolino R , Jones G C , Carniani S 
Published: January 2023

ABSTRACT
Large-scale outflows are believed to be an important mechanism in the evolution of galaxies. We can determine the impact of these outflows by studying either current galaxy outflows and their effect in the galaxy or by studying the effect of past outflows on the gas surrounding the galaxy. In this work, we examine the CO(7−6), [C i] ($^{3} \rm P_{1} \rightarrow {\rm ^3 P}_{0}$), H2O 211–202, and dust continuum emission of 15 extremely red quasars at z ∼ 2.3 using ALMA. By investigating the radial surface brightness profiles of both the individual sources and the stacked emission, we detect extended cold gas and dust emission on scales of ∼14 kpc in CO(7−6), [C i](2−1), and dust continuum. This is the first time that the presence of a large amount of molecular gas was detected on large, circumgalactic medium scales around quasar host galaxies using [C i] extended emission. We estimate the dust and molecular gas mass of these haloes to be 107.6 and 1010.6 M⊙, indicating significant dust and molecular gas reservoirs around these extreme quasars. By estimating the time-scale at which this gas can reach these distances by molecular gas outflows (7–32 Myr), we conclude that these haloes are a relic of past AGN or starburst activity, rather than an effect of the current episode of extreme quasar activity.
Accurate prediction of isocitrate dehydrogenase -mutation status of gliomas using SLOW-editing magnetic resonance spectroscopic imaging at 7 T MR
Authors: Weng Guodong , Ermiş Ekin , Maragkou Theoni , Krcek Reinhardt , Reinhardt Philipp , Zubak Irena , Schucht Philippe , Wiest Roland , Slotboom Johannes , Radojewski Piotr 
Published: January 2023

AbstractBackground2-hydroxy-glutarate (2HG) is a metabolite that accumulates in isocitrate dehydrogenase (IDH)-mutated gliomas and can be detected noninvasively using MR spectroscopy. However, due to the low concentration of 2HG, established magnetic resonance spectroscopic imaging (MRSI) techniques at the low field have limitations with respect to signal-to-noise and to the spatial resolution that can be obtained within clinically acceptable measurement times. Recently a tailored editing method for 2HG detection at 7 Tesla (7 T) named SLOW-EPSI was developed. The underlying prospective study aimed to compare SLOW-EPSI to established techniques at 7 T and 3 T for IDH-mutation status determination.MethodsThe applied sequences were MEGA-SVS and MEGA-CSI at both field strengths and SLOW-EPSI at 7 T only. Measurements were performed on a MAGNETOM-Terra 7 T MR-scanner in clinical mode using a Nova 1Tx32Rx head coil and on a 3 T MAGNETOM-Prisma scanner with a standard 32-channel head coil.ResultsFourteen patients with suspected glioma were enrolled. Histopathological confirmation was available in 12 patients. IDH mutation was confirmed in 9 out of 12 cases and 3 cases were characterized as IDH wildtype. SLOW-EPSI at 7 T showed the highest accuracy for IDH-status prediction (91.7% accuracy, 11 of the 12 predictions correct with 1 false negative case). At 7 T, MEGA-CSI had an accuracy of 58.3% and MEGA-SVS had an accuracy of 75%. At 3 T, MEGA-CSI showed an accuracy of 63.6% and MEGA-SVS of 33.3%. The co-edited cystathionine was detected in 2 out of 3 oligodendroglioma cases with 1p/19q codeletion.ConclusionsDepending on the pulse sequence, spectral editing can be a powerful tool for the noninvasive determination of the IDH status. SLOW-editing EPSI sequence is the preferable pulse sequence when used at 7 T for IDH-status characterization.
Globalization, Trade Imbalances, and Labor Market Adjustment
Authors: Dix-Carneiro Rafael , Pessoa João Paulo , Reyes-Heroles Ricardo , Traiberman Sharon 
Published: January 2023

AbstractWe argue that modeling trade imbalances is crucial for understanding transitional dynamics in response to globalization shocks. We build and estimate a general equilibrium, multicountry, multisector model of trade with two key ingredients: (i) endogenous trade imbalances arising from households’ consumption and saving decisions; (ii) labor market frictions across and within sectors. We use our model to perform several empirical exercises. We find that the “China shock” accounted for 28% of the decline in U.S. manufacturing between 2000 and 2014—1.65 times the magnitude predicted from a model imposing balanced trade. A concurrent rise in U.S. service employment led to a negligible aggregate unemployment response. We benchmark our model’s predictions for the gains from trade against the popular ACR sufficient-statistics approach. We find that our predictions for the long-run gains from trade and consumption dynamics significantly diverge.
Molecular detection of Schistosoma species in unusual snail hosts: a note of caution
Authors: Pinto Hudson Alves 
Published: January 2023

ABSTRACT
The interaction between snails and species of Schistosoma results from an evolutionary process with an intrinsic host–parasite specificity to the snail genus. Faced with this fact, the recent molecular-based report on the potential infection of the thiarid Melanoides tuberculata with human schistosome should be cautiously interpreted. The high sensibility of molecular tools can result in false positives, perhaps by amplifying DNA from an external (contaminant) or invasive stage of schistosome found in this non-permissive snail host. Thus, parasitological data are mandatory to extrapolate the importance of the finding for the epidemiology and control of schistosomiasis.
Congenital vertical talus deformity in children with distal arthrogryposis: good clinical outcomes despite high rate of residual radiographic deformity
Authors: Cummings Jason L. , Hosseinzadeh Pooya 
Published: January 2023

Background
Patients with a diagnosis of arthrogryposis often present with various orthopedic conditions, one of which is congenital vertical talus (CVT). This is the first study of this specific subset of syndromic patients to evaluate the medium-term outcomes of CVT correction using the minimally invasive Dobbs method.

Methods
All patients with vertical talus and distal arthrogryposis who received treatment at our institution between January 2006 and June 2021 were identified. Radiographs, clinical notes and Patient-Reported Outcome Measurement Information System (PROMIS) scores (when available) were retrospectively reviewed. An alpha of 0.05 was used for all statistical analyses.

Results
In total 12 patients (19 feet) met all inclusion criteria and were included in the final analysis. By the time of the most recent visit, the average lateral Talar-Axis First Metatarsal Base Angle of the entire cohort increased from 13.73 ± 9.75 degrees 2 weeks postoperatively to 28.75 ± 23.73 degrees (P = 0.0076). Radiographic recurrence of the talonavicular deformity was seen in nine feet (47.4%), 4 (21.1%) of which required additional unplanned surgery, The average PROMIS scores of the entire cohort in the pain interference, mobility and peer relationship domains were 48.97 ± 9.56, 47.9 ± 11.60 and 52.87 ± 8.31, respectively.

Conclusion
Despite a higher radiographic recurrence rate of talonavicular deformity in this specific subset of syndromic patients, these patients still report PROMIS scores near the population average in the pain interference, mobility and peer relationships domains. We believe that the minimally invasive Dobbs method should be recommended as the first-line treatment method for these patients. Level of evidence: Level III
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part III: Executive Functions
Authors: Jeffay Eliyas , Ponsford Jennie , Harnett Amber , Janzen Shannon , Patsakos Eleni , Douglas Jacinta , Kennedy Mary , Kua Ailene , Teasell Robert , Welch-West Penny , Bayley Mark , Green Robin 
Published: January 2023

Introduction:
Moderate-to-severe traumatic brain injury (MS-TBI) causes debilitating and enduring impairments of executive functioning and self-awareness, which clinicians often find challenging to address. Here, we provide an update to the INCOG 2014 guidelines for the clinical management of these impairments.

Methods:
An expert panel of clinicians/researchers (known as INCOG) reviewed evidence published from 2014 and developed updated recommendations for the management of executive functioning and self-awareness post-MS-TBI, as well as a decision-making algorithm, and an audit tool for review of clinical practice.

Results:
A total of 8 recommendations are provided regarding executive functioning and self-awareness. Since INCOG 2014, 4 new recommendations were made and 4 were modified and updated from previous recommendations. Six recommendations are based on level A evidence, and 2 are based on level C. Recommendations retained from the previous guidelines and updated, where new evidence was available, focus on enhancement of self-awareness (eg, feedback to increase self-monitoring; training with video-feedback), meta-cognitive strategy instruction (eg, goal management training), enhancement of reasoning skills, and group-based treatments. New recommendations addressing music therapy, virtual therapy, telerehabilitation-delivered metacognitive strategies, and caution regarding other group-based telerehabilitation (due to a lack of evidence) have been made.

Conclusions:
Effective management of impairments in executive functioning can increase the success and well-being of individuals with MS-TBI in their day-to-day lives. These guidelines provide management recommendations based on the latest evidence, with support for their implementation, and encourage researchers to explore and validate additional factors such as predictors of treatment response.
Variable Identification of Children With Medical Complexity in United States PICUs
Authors: Heneghan Julia A. , Goodman Denise M. , Ramgopal Sriram 
Published: January 2023

OBJECTIVES:
Children with medical complexity are at increased risk for critical illness and adverse outcomes. However, there is currently no consensus definition of medical complexity in pediatric critical care research.

DESIGN:
Retrospective, cross-sectional cohort study.

SETTING:
One hundred thirty-one U.S. PICUs participating in the Virtual Pediatric Systems Database.

SUBJECTS:
Children less than 21 years old admitted from 2017 to 2019. Multisystem complexity was identified on the basis of two common definitions of medical complexity, Pediatric Complex Chronic Conditions (CCC), greater than or equal to 2 qualifying diagnoses, and Pediatric Medical Complexity Algorithm (PMCA), complex chronic disease.

INTERVENTIONS:
None.

MEASUREMENTS AND MAIN RESULTS:
Of 291,583 index PICU admissions, 226,430 (77.7%) met at least one definition of multisystem complexity, including 168,332 patients identified by CCC and 201,537 by PMCA. Of these, 143,439 (63.3%) were identified by both definitions. Cohen kappa was 0.39, indicating only fair agreement between definitions. Children identified by CCC were younger and were less frequently scheduled admissions and discharged home from the ICU than PMCA. The most common reason for admission was respiratory in both groups, although this represented a larger proportion of CCC patients. ICU and hospital length of stay were longer for patients identified by CCC. No difference in median severity of illness scoring was identified between definitions, but CCC patients had higher inhospital mortality. Readmission to the ICU in the subsequent year was seen in approximately one-fifth of patients in either group.

CONCLUSIONS:
Commonly used definitions of medical complexity identified distinct populations of children with multisystem complexity in the PICU with only fair agreement.