bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hygromechanical behaviour of wooden panel paintings: classification of their deformation tendencies based on numerical modelling and experimental results
Authors: Riparbelli Lorenzo , Mazzanti Paola , Manfriani Chiara , Uzielli Luca , Castelli Ciro , Gualdani Giovanni , Ricciardi Luciano , Santacesaria Andrea , Rossi Sandra , Fioravanti Marco 
Published: February 2023

Abstract
Wooden panel paintings are among the most important historical and artistic artworks from the Middle Ages and the Renaissance period. Currently, they represent a challenge for conservators and scientists who face complex issues related to their conservation. Panel paintings can be considered multilayer objects, that for brevity can be considered to consist of a wooden support and various paint layers. The wooden support is known to be hygroscopic and is continuously seeking hygroscopic equilibrium with the humidity of the environment, thus it tends to deform. Based on various hygroscopic tests carried out on 6 real panel paintings chosen by expert restorers to represent different periods and construction techniques, this paper describes the deformation tendencies of the selected panel paintings. Among possible variables, three most important variables were identified: (a) tree ring orientation of the wooden support, (b) stiffness and (c) emissivity of the paint layers. The internal equilibrium of the forces, governed by the moisture gradients across the thickness of the wood, changes drastically according to the varying characterisation of these factors. To observe their individual contributions, the 6 panel paintings underwent various humidity cycles, were completely free to deform and were always in complete safety. To characterise the stiffness and emissivity of the paint layers, the 6 panel paintings underwent a few humidity cycles with the front face totally waterproofed; thus, the moisture exchange was forced from the back only, and one of the three variables was eliminated. A complex system emerges where the tree ring orientation of the wooden support, the stiffness and emissivity of the paint layers are strongly coupled and determine the deformation modes of the panel paintings. A numerical analysis was conducted to classify the various general deformation modes of panel paintings and the specific classification of the 6 real panel paintings analysed experimentally. The complexity of the interaction of the variables studied suggests that experimental procedures must be conducted in preparation for numerical analyses of real panel paintings.
The effect of orthodontic treatment on smile attractiveness: a systematic review
Authors: Coppola G. , Christopoulou I. , Gkantidis N. , Verna C. , Pandis N. , Kanavakis G. 
Published: February 2023

Abstract
Background
Smile attractiveness is a primary factor for patients to seek orthodontic treatment, however, there is yet no systematic evaluation of this topic in the literature.

Objectives
To assess the current evidence on the effect of orthodontic treatment on smile attractiveness.

Search methods
Seven electronic databases (MEDLINE, Cochrane Library, Virtual Health Library, SCOPUS, Web of Science, Google Scholar and Embase) were searched on 14 September 2022.

Selection criteria
Studies evaluating smile attractiveness before and after orthodontic treatment or only after completion of orthodontic treatment.

Data collection and analysis
Extracted data included study design and setting, sample size and demographics, malocclusion type, treatment modality and method for outcome assessment. Risk of bias was assessed with the ROBINS-I tool for non-randomised studies. Random-effects meta-analyses of mean differences and their 95% confidence intervals (CIs) were planned a priori.

Methods
After elimination of duplicate studies, data extraction and risk of bias assessment according to the Cochrane guidelines, an evaluation of the overall evidence was performed. The included studies were evaluated based on the characteristics of their study and control groups and based on their main research question. Also, all outcome measures were standardized into a common assessment scale (0–100), in order to obtain more easily interpretable results.

Results
Ten studies were included in this review, nine of which were assessed as being at serious risk of bias and one at moderate risk of bias. The large heterogeneity between the included studies did not allow for a meta-analysis. Orthodontic treatment has a moderately positive effect on smile attractiveness. When compared to no treatment, orthodontic treatment with premolar extractions improves smile attractiveness by 22%. Also, surgical correction of Class III cases increases smile attractiveness by 7.5% more than camouflage treatment. No other significant differences were shown between different types of treatment.

Conclusion
Based on the available data, orthodontic treatment seems to moderately improve the attractiveness of the smile. There is significant bias in the current literature assessing the effect of orthodontics on smile attractiveness; therefore, the results cannot be accepted with certainty.
Effectiveness of systemic thrombolysis on clinical outcomes in high-risk pulmonary embolism patients with venoarterial extracorporeal membrane oxygenation: a nationwide inpatient database study
Authors: Nishimoto Yuji , Ohbe Hiroyuki , Matsui Hiroki , Nakajima Mikio , Sasabuchi Yusuke , Sato Yukihito , Watanabe Tetsuya , Yamada Takahisa , Fukunami Masatake , Yasunaga Hideo 
Published: February 2023

AbstractBackgroundCurrent guidelines recommend systemic thrombolysis as the first-line reperfusion treatment for patients with high-risk pulmonary embolism (PE) who present with cardiogenic shock but do not require venoarterial extracorporeal membrane oxygenation (VA-ECMO). However, little is known about the optimal reperfusion treatment in high-risk PE patients requiring VA-ECMO. We aimed to evaluate whether systemic thrombolysis improved high-risk PE patients’ outcomes who received VA-ECMO.MethodsThis was a retrospective cohort study using the Japanese Diagnosis Procedure Combination inpatient database from July 2010 to March 2021. We identified patients who were diagnosed with PE and received VA-ECMO on the day of admission. Patients who received systemic thrombolysis with monteplase or urokinase within two days of initiating VA-ECMO were defined as the thrombolysis group and the remaining patients as the control group. The primary outcome was in-hospital mortality and secondary outcomes were favorable neurological outcomes, length of hospital stay, VA-ECMO duration, total hospitalization cost, major bleeding, and blood transfusion volume. Propensity-score inverse probability of treatment weighting (IPTW) was performed to compare the outcomes between the groups.ResultsOf 1220 eligible patients, 432 (35%) received systemic thrombolysis within two days of initiating VA-ECMO. Among the unweighted cohort, patients in the thrombolysis group were less likely to have poor consciousness at admission, out-of-hospital cardiac arrest, and left heart catheterization. After IPTW, the patient characteristics were well-balanced between the two groups The crude in-hospital mortality was 52% in the thrombolysis group and 61% in the control group. After IPTW, in-hospital mortality did not differ significantly between the two groups (risk difference: − 3.0%, 95% confidence interval: − 9.6% to 3.5%). There were also no significant differences in the secondary outcomes. Sensitivity analyses showed a significant difference in major bleeding between the monteplase and control groups (risk difference: 6.9%, 95% confidence interval: 1.7% to 12.1%), excluding patients who received urokinase. There were no significant differences in the other sensitivity and subgroup analyses except for the total hospitalization cost.ConclusionsSystemic thrombolysis was not associated with reduced in-hospital mortality or increased major bleeding in the high-risk PE patients receiving VA-ECMO. However, systemic thrombolysis with monteplase was associated with increased major bleeding.
Maximum tumor-absorbed dose measured by voxel-based multicompartmental dosimetry as a response predictor in yttrium-90 radiation segmentectomy for hepatocellular carcinoma
Authors: Orcajo Rincón Javier , Regi Amanda Rotger , Peña Ana Matilla , Berenguer Laura Reguera , Leyte Manuel González , Martín Laura Carrión , Atance García De La Santa Jaime , Boyra Miguel Echenagusia , Ruiz Cristina González , Rodríguez Arturo Colón , Farto Juan Carlos Alonso 
Published: February 2023

Abstract
Objective
Advances in hepatic radioembolization are based on a selective approach with radical intent and the use of multicompartment dosimetric analysis. The objective of this study is to assess the utility of voxel-based dosimetry in the quantification of actual absorbed doses in radiation segmentectomy procedures and to establish cutoff values predictive of response.

Methods
Ambispective study in hepatocarcinoma patients treated with radiation segmentectomy. Calculated dosimetric parameters were mean tumor-absorbed dose, maximum tumor AD, minimal tumor AD in 30, 50, and 70% of tumor volume and mean AD in non-tumor liver. The actual absorbed dose (aAD) was calculated on the Y-90-PET/CT image using 3D voxel-based dosimetry software. To assess radiological response, localized mRECIST criteria were used. The objective response rate (ORR) was defined as CR or PR.

Results
Twenty-four HCC patients, BCLC 0 (5), A (17) and B (2) were included. The mean yttrium-90 administered activity was 1.38 GBq in a mean angiosome volume of 206.9 cc and tumor volume 56.01 cc. The mean theoretical AD was 306.3 Gy and aAD 352 Gy. A very low concordance was observed between both parameters (rho_c 0.027). ORR at 3 and 6 m was 84.21% and 92.31%, respectively. Statistically significant relationship was observed between the maximum tumor-absorbed dose and complete radiological response at 3 m (p 0.022).

Conclusion
A segmental approach with radical intention leads to response rates greater than 90%, being the tumor maximum absorbed dose the dosimetric parameter that best predicts radiological response in voxel-based dosimetry.
Quality of death after elective surgery: a questionnaire survey for the bereaved family
Authors: Sato Mariko , Ida Mitsuru , Naito Yusuke , Kawaguchi Masahiko 
Published: February 2023

Abstract
Purpose
Postoperative death is the third leading cause of death in the world, but the quality of death after surgery has been poorly documented. This study aimed to evaluate the feasibility of a questionnaire survey for the bereaved family regarding the postoperative quality of death and the impact of preoperative functional disability on the quality of death.

Methods
Patients aged ≥55 years who underwent scheduled surgery under general anesthesia in a tertiary-care hospital in Japan between April 2016 and December 2018 were enrolled. Patients’ functional disability was assessed using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) before surgery and scored based on the sum of the 12 items (0–48). Postoperative deaths were detected in medical records 3 months and 1 year after surgery. When death had occurred, a questionnaire on the quality of death using the short version of the Good Death Inventory (GDI) was sent to the bereaved family, which was scored as the sum of the 10 domains (10–70).

Results
Of 4020 eligible patients, 148 patients (3.6 %) died within 1 year after surgery. A hundred and twenty-nine bereaved families were sent the questionnaire, and 83 of them (64.3%) submitted valid responses suggesting the high feasibility of this questionnaire survey. There were no differences between the GDI and WHODAS 2.0 scores (median 49 [interquartile range 41–55] vs. 49 [43–54], respectively, p = 0.90). In addition, multiple regression analysis of related factors using the short version of the GDI as a continuous variable showed that age and death in a facility other than that in which the surgery was performed were associated with lower GDI scores (p = 0.004 and p = 0.04, respectively).

Conclusion
The completion rate was 64.3%. There was no association between the quality of death and preoperative functional disability; however, older age was associated with a higher quality of death, while death in a facility other than that in which the surgery was performed was associated with lower quality of death.
A nonsense germline mutation in the LPL gene in a 1-month-old infant: case report with review of literature
Authors: Pawal Pratibha , Aute Tukaram 
Published: February 2023

Abstract
Background
Primary hypertriglyceridemia (HTG) is a very rare autosomal recessive disorder caused by the mutations of the genes related with triglyceride metabolism, including apolipoproteins and lipoprotein lipase (LPL) among others. Germline mutations in the LPL gene cause familial LPL deficiency with an incidence of about 1:1,000,000. It is often diagnosed in childhood and consanguinity is common.

Case presentation
We present here a LPL nonsense variant in an infant with heterozygous carriers (parents) of one of each variation detected in the infant. The infant presented with recurrent vomiting, diarrhoea, and haematochezia at 1 month of age. A diagnosis of familial HTG in the infant was made from the clinical manifestations and observation of a lipemic blood sample. Next-generation sequencing identified two pairs of variants in the LPL gene in the patient: chr8:g.19961024G>A; c.1263G>A; p.Trp421Ter and chr8:g.19962221T>G; c.1427+2T>G which were confirmed and validated by Sanger sequencing. The nonsense variant in exon 8 (chr8:g.19961024G>A (HET); c.1263G>AC; p.Trp421Ter) of the LPL gene was detected only in the father, while the 5ʹ splice site variant in intron 9 (chr8:g.19962221T>G (HET); c.1427+2T>G) was detected only in the mother. Thus, the infant manifesting HTG inherited one recessive gene from each of the carrier parents. There were no de novo mutations in the index patient. Based on the clinical findings and genetic test results, it was concluded that the infant suffers from compound heterozygous familial HTG.

Conclusions
The current case of the infant with germline mutations in the LPL gene resulting in very severe HTG highlights the importance of genetic counseling. Genetic identification of the pathogenic variants is essential to strategize genetic therapy whenever feasible. The consanguineous nature of the parents is the most probable identified risk factor for the germline mutation in the LPL gene.
Nicotinamide Adenine Dinucleotide Augmentation in Overweight or Obese Middle-Aged and Older Adults: A Physiologic Study
Authors: Pencina Karol Mateusz , Valderrabano Rodrigo , Wipper Benjamin , Orkaby Ariela R , Reid Kieran F , Storer Thomas , Lin Alexander P , Merugumala Sai , Wilson Lauren , Latham Nancy , Ghattas-Puylara Catherine , Ozimek Noelle E , Cheng Ming , Bhargava Avantika , Memish-Beleva Yusnie , Lawney Brian , Lavu Siva , Swain Pamela M , Apte Rajendra S , Sinclair David A , Livingston David , Bhasin Shalender 
Published: February 2023

Abstract

Context
Nicotinamide adenine dinucleotide (NAD) levels decline with aging and age-related decline in NAD has been postulated to contribute to age-related diseases.

Objective
We evaluated the safety and physiologic effects of NAD augmentation by administering its precursor, β-nicotinamide mononucleotide (MIB-626, Metro International Biotech, Worcester, MA), in adults at risk for age-related conditions.

Methods
Thirty overweight or obese adults, ≥ 45 years, were randomized in a 2:1 ratio to 2 MIB-626 tablets each containing 500 mg of microcrystalline β-nicotinamide mononucleotide or placebo twice daily for 28 days. Study outcomes included safety; NAD and its metabolome; body weight; liver, muscle, and intra-abdominal fat; insulin sensitivity; blood pressure; lipids; physical performance, and muscle bioenergetics.

Results
Adverse events were similar between groups. MIB-626 treatment substantially increased circulating concentrations of NAD and its metabolites. Body weight (difference −1.9 [−3.3, −0.5] kg, P = .008); diastolic blood pressure (difference −7.01 [−13.44, −0.59] mmHg, P = .034); total cholesterol (difference −26.89 [−44.34, −9.44] mg/dL, P = .004), low-density lipoprotein (LDL) cholesterol (−18.73 [−31.85, −5.60] mg/dL, P = .007), and nonhigh-density lipoprotein cholesterol decreased significantly more in the MIB-626 group than placebo. Changes in muscle strength, muscle fatigability, aerobic capacity, and stair-climbing power did not differ significantly between groups. Insulin sensitivity and hepatic and intra-abdominal fat did not change in either group.

Conclusions
MIB-626 administration in overweight or obese, middle-aged and older adults safely increased circulating NAD levels, and significantly reduced total LDL and non-HDL cholesterol, body weight, and diastolic blood pressure. These data provide the rationale for larger trials to assess the efficacy of NAD augmentation in improving cardiometabolic outcomes in older adults.
Intraoperative Triggered Electromyography for Pedicle Screw Placement Under Spinal Anesthesia: A Preliminary Report
Authors: Kanter Matthew , Hernandez Nicholas S. , Olmos Michelle , Karimi Helen , Riesenburger Ron I. , Kryzanski James T. 
Published: February 2023

BACKGROUND:
Triggered electromyography (tEMG) is an intraoperative neuromonitoring technique used to assess pedicle screw placement during instrumented fusion procedures. Although spinal anesthesia is a safe alternative to general anesthesia in patients undergoing lumbar fusion, its use may potentially block conduction of triggered action potentials or may require higher threshold currents to elicit myotomal responses when using tEMG. Given the broad utilization of tEMG for confirmation of pedicle screw placement, adoption of spinal anesthesia may be hindered by limited studies of its use alongside tEMG.

OBJECTIVE:
To investigate whether spinal anesthesia affects the efficacy of tEMG, we compare the baseline spinal nerve thresholds during lumbar fusion procedures under general vs spinal anesthesia.

METHODS:
Twenty-three consecutive patients (12 general and 11 spinal) undergoing single-level transforaminal lumbar interbody fusion were included in the study. Baseline nerve threshold was determined through direct stimulation of the spinal nerve using tEMG.

RESULTS:
Baseline spinal nerve threshold did not differ between the general and spinal anesthesia cohorts (3.25 ± 1.14 vs 3.64 ± 2.16 mA, respectively; P = .949). General and spinal anesthesia cohorts did not differ by age, body mass index, American Society of Anesthesiologists score status, or surgical indication.

CONCLUSION:
We report that tEMG for pedicle screw placement can be safely and effectively used in procedures under spinal anesthesia. The baseline nerve threshold required to illicit a myotomal response did not differ between patients under general or spinal anesthesia. This preliminary finding suggests that spinal anesthetic blockade does not contraindicate the use of tEMG for neuromonitoring during pedicle screw placement.
Geographic variation in bacterial assemblages on cane toad skin is influenced more by local environments than by evolved changes in host traits
Authors: Weitzman Chava L. , Kaestli Mirjam , Rose Alea , Hudson Cameron M. , Gibb Karen , Brown Gregory P. , Shine Richard , Christian Keith 
Published: February 2023

ABSTRACT
Bacterial assemblages on amphibian skin may play an important role in protecting hosts against infection. In hosts that occur over a range of environments, geographic variation in composition of bacterial assemblages might be due to direct effects of local factors and/or to evolved characteristics of the host. Invasive cane toads (Rhinella marina) are an ideal candidate to evaluate environmental and genetic mechanisms, because toads have evolved major shifts in physiology, morphology, and behavior during their brief history in Australia. We used samples from free-ranging toads to quantify site-level differences in bacterial assemblages and a common-garden experiment to see if those differences disappeared when toads were raised under standardised conditions at one site. The large differences in bacterial communities on toads from different regions were not seen in offspring raised in a common environment. Relaxing bacterial clustering to operational taxonomic units in place of amplicon sequence variants likewise revealed high similarity among bacterial assemblages on toads in the common-garden study, and with free-ranging toads captured nearby. Thus, the marked geographic divergence in bacterial assemblages on wild-caught cane toads across their Australian invasion appears to result primarily from local environmental effects rather than evolved shifts in the host.
Myo19 tethers mitochondria to endoplasmic reticulum-associated actin to promote mitochondrial fission
Authors: Coscia Stephen M. , Thompson Cameron P. , Tang Qing , Baltrusaitis Elana E. , Rhodenhiser Joseph A. , Quintero-Carmona Omar A. , Ostap E. Michael , Lakadamyali Melike , Holzbaur Erika L. F. 
Published: February 2023

ABSTRACT
Mitochondrial homeostasis requires a dynamic balance of fission and fusion. The actin cytoskeleton promotes fission, and we found that the mitochondrially localized myosin, myosin 19 (Myo19), is integral to this process. Myo19 knockdown induced mitochondrial elongation, whereas Myo19 overexpression induced fragmentation. This mitochondrial fragmentation was blocked by a Myo19 mutation predicted to inhibit ATPase activity and strong actin binding but not by mutations predicted to affect the working stroke of the motor that preserve ATPase activity. Super-resolution imaging indicated a dispersed localization of Myo19 on mitochondria, which we found to be dependent on metaxins. These observations suggest that Myo19 acts as a dynamic actin-binding tether that facilitates mitochondrial fragmentation. Myo19-driven fragmentation was blocked by depletion of either the CAAX splice variant of the endoplasmic reticulum (ER)-anchored formin INF2 or the mitochondrially localized F-actin nucleator Spire1C (a splice variant of Spire1), which together polymerize actin at sites of mitochondria–ER contact for fission. These observations imply that Myo19 promotes fission by stabilizing mitochondria–ER contacts; we used a split-luciferase system to demonstrate a reduction in these contacts following Myo19 depletion. Our data support a model in which Myo19 tethers mitochondria to ER-associated actin to promote mitochondrial fission.