bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uterine cervical stenosis: from classification to advances in management. Overcoming the obstacles to access the uterine cavity
Authors: Vitale Salvatore Giovanni , De Angelis Maria Chiara , Della Corte Luigi , Saponara Stefania , Carugno Jose , Laganà Antonio Simone , Török Péter , Tinelli Raffaele , Pérez-Medina Tirso , Ertas Sinem , Urman Bulent , Angioni Stefano 
Published: July 2023

Abstract
Background
To date hysteroscopy is the gold standard technique for the evaluation and management of intrauterine pathologies. The cervical canal represents the access route to the uterine cavity. The presence of cervical stenosis often makes entry into the uterine cavity difficult and occasionally impossible. Cervical stenosis has a multifactorial etiology. It is the result of adhesion processes that can lead to the narrowing or total obliteration of the cervical canal.

Purpose
In this review, we summarize the scientific evidence about cervical stenosis, aiming to identify the best strategy to overcome this challenging condition.

Methods
The literature review followed the scale for the quality assessment of narrative review articles (SANRA). All articles describing the hysteroscopic management of cervical stenosis were considered eligible. Only original papers that reported data on the topic were included.

Results
Various strategies have been proposed to address cervical stenosis, including surgical and non-surgical methods. Medical treatments such as the preprocedural use of cervical-ripening agents or osmotic dilators have been explored. Surgical options include the use of cervical dilators and hysteroscopic treatments.

Conclusions
Cervical stenosis can present challenges in achieving successful intrauterine procedures. Operative hysteroscopy has been shown to have the highest success rate, particularly in cases of severe cervical stenosis, and is currently considered the gold standard for managing this condition. Despite the availability of miniaturized instruments that have made the management of cervical stenosis more feasible, it remains a complex task, even for experienced hysteroscopists.
Neural patterns of conscious visual awareness in the Riddoch syndrome
Authors: Beyh Ahmad , Rasche Samuel E. , Leff Alexander , ffytche Dominic , Zeki Semir 
Published: July 2023

AbstractThe Riddoch syndrome is one in which patients blinded by lesions to their primary visual cortex can consciously perceive visual motion in their blind field, an ability that correlates with activity in motion area V5. Our assessment of the characteristics of this syndrome in patient ST, using multimodal MRI, showed that: 1. ST’s V5 is intact, receives direct subcortical input, and decodable neural patterns emerge in it only during the conscious perception of visual motion; 2. moving stimuli activate medial visual areas but, unless associated with decodable V5 activity, they remain unperceived; 3. ST’s high confidence ratings when discriminating motion at chance levels, is associated with inferior frontal gyrus activity. Finally, we report that ST’s Riddoch Syndrome results in hallucinatory motion with hippocampal activity as a correlate. Our results shed new light on perceptual experiences associated with this syndrome and on the neural determinants of conscious visual experience.
Feasibility of home-based exercise training during adjuvant treatment for metastatic castrate-resistant prostate cancer patients treated with an androgen receptor pathway inhibitor (EXACT)
Authors: Brown Malcolm , Murphy Marie H. , McAneney Helen , McBride Ken , Crawford Ffiona , Cole Aidan , O’Sullivan Joe M. , Jain Suneil , Prue Gillian 
Published: July 2023

AbstractBackgroundExercise is an effective adjuvant therapy that can alleviate treatment-related toxicities for men with prostate cancer (PC). However, the feasibility of delivering exercise training to men with advanced disease and the wider impact on clinical outcomes remain unknown. The purpose of the EXACT trial was to determine the feasibility and effects of home-based exercise training in men with metastatic castrate-resistant prostate cancer (mCRPC).MethodsPatients with mCRPC receiving ADT + an androgen receptor pathway inhibitor (ARPI) were prescribed 12 weeks of home-based, remotely monitored, moderate intensity, aerobic and resistance exercise. Feasibility was assessed using recruitment, retention and adherence rates. Safety and adverse events were monitored throughout, with functional and patient-reported outcomes captured at baseline, post-intervention and at 3-month follow-up.ResultsFrom the 117 screened, 49 were deemed eligible and approached, with 30 patients providing informed consent (61% recruitment rate). Of those who consented, 28 patients completed baseline assessments, with 24 patients completing the intervention and 22 completing follow-up (retention rates: 86% and 79% respectively). Task completion was excellent throughout, with no intervention-related adverse events recorded. Self-reported adherence to the overall intervention was 82%. Exercise training decreased mean body mass (−1.5%), improved functional fitness (> 10%) and improved several patient-reported outcomes including clinically meaningful changes in fatigue (p= 0.042), FACT-G (p= 0.054) and FACT-P (p= 0.083), all with moderate effect sizes.ConclusionHome-based exercise training, with weekly remote monitoring, was feasible and safe for men with mCRPC being treated with an ARPI. Given that treatment-related toxicities accumulate throughout the course of treatment, and as a result, negatively impact functional fitness and health-related quality of life (HRQoL), it was positive that exercise training improved or prevented a decline in these clinically important variables and could better equip patients for future treatment. Collectively, these preliminary feasibility findings support the need for a definitive, larger RCT, which downstream may lead to the inclusion of home-based exercise training as part of adjuvant care for mCRPC.
A multivariate ensemble learning method for medium-term energy forecasting
Authors: Liapis Charalampos M. , Karanikola Aikaterini , Kotsiantis Sotiris 
Published: July 2023

AbstractIn the contemporary context, both production and consumption of energy, being concepts intertwined through a condition of synchronicity, are pivotal for the orderly functioning of society, with their management being a building block in maintaining regularity. Hence, the pursuit to develop reliable computational tools for modeling such serial and time-dependent phenomena becomes similarly crucial. This paper investigates the use of ensemble learners for medium-term forecasting of the Greek energy system load using additional information from injected energy production from various sources. Through an extensive experimental process, over 435 regression schemes and 64 different modifications of the feature inputs were tested over five different prediction time frames, creating comparative rankings regarding two case studies: one related to methods and the other to feature setups. Evaluations according to six widely used metrics indicate an aggregate but clear dominance of a specific efficient and low-cost ensemble layout. In particular, an ensemble method that incorporates the orthogonal matching pursuit together with the Huber regressor according to an averaged combinatorial scheme is proposed. Moreover, it is shown that the use of multivariate setups improves the derived predictions.
The machine-vision image guided surgery system reduces fluoroscopy time, ionizing radiation and intraoperative blood loss in posterior spinal fusion for scoliosis
Authors: Lim Kevin Boon Leong , Yeo Inez Su Xian , Ng Stacy Wei Ling , Pan Woei Jack , Lee Nicole Kim Luan 
Published: July 2023

Abstract
Purpose
To determine if the novel 3D Machine-Vision Image Guided Surgery (MvIGS) (FLASH™) system can reduce intraoperative radiation exposure, while improving surgical outcomes when compared to 2D fluoroscopic navigation.

Methods
Clinical and radiographic records of 128 patients (≤ 18 years of age) who underwent posterior spinal fusion (PSF), utilising either MvIGS or 2D fluoroscopy, for severe idiopathic scoliosis were retrospectively reviewed. Operative time was analysed using the cumulative sum (CUSUM) method to evaluate the learning curve for MvIGS.

Results
Between 2017 and 2021, 64 patients underwent PSF using pedicle screws with 2D fluoroscopy and another 64 with the MvIGS. Age, gender, BMI, and scoliosis aetiology were comparable between the two groups. The CUSUM method estimated that the MvIGS learning curve with respect to operative time was 9 cases. This curve consisted of 2 phases: Phase 1 comprises the first 9 cases and Phase 2 the remaining 55 cases. Compared to 2D fluoroscopy, MvIGS reduced intraoperative fluoroscopy time, radiation exposure, estimated blood loss and length of stay by 53%, 62% 44%, and 21% respectively. Scoliosis curve correction was 4% higher in the MvIGS group, without any increase in operative time.

Conclusion
MvIGS for screw insertion in PSF contributed to a significant reduction in intraoperative radiation exposure and fluoroscopy time, as well as blood loss and length of stay. The real-time feedback and ability to visualize the pedicle in 3D with MvIGS enabled greater curve correction without increasing the operative time.
Exploring nucleation modeling of the voltammetry of solid-to-solid-state redox processes with phase changes
Authors: Doménech-Carbó Antonio 
Published: July 2023

AbstractAn operational description of the linear potential scan voltammetry of solids experiencing a solid-state redox transformation with phase changes is described. The modeling is based on the application of nucleation equations of solid-state reaction kinetics to express the transferred charge/applied potential relationships. The flexible use of Prout-Tompkins and Avrami-Erofe’ev kinetics permits a satisfactory description of the voltammetry of solid-to-solid redox transformations with phase segregation. The model satisfactorily applies to reproduce linear potential scan curves recorded for graphite electrodes modified with several lead compounds in contact with aqueous electrolyte solutions.
Penguins perceive variations of source- and filter-related vocal parameters of species-specific vocalisations
Authors: Terranova Francesca , Baciadonna Luigi , Maccarone Chiara , Isaja Valentina , Gamba Marco , Favaro Livio 
Published: July 2023

AbstractAnimal vocalisations encode a wide range of biological information about the age, sex, body size, and social status of the emitter. Moreover, vocalisations play a significant role in signalling the identity of the emitter to conspecifics. Recent studies have shown that, in the African penguin (Spheniscus demersus), acoustic cues to individual identity are encoded in the fundamental frequency (F0) and resonance frequencies (formants) of the vocal tract. However, although penguins are known to produce vocalisations where F0 and formants vary among individuals, it remains to be tested whether the receivers can perceive and use such information in the individual recognition process. In this study, using the Habituation-Dishabituation (HD) paradigm, we tested the hypothesis that penguins perceive and respond to a shift of ± 20% (corresponding to the natural inter-individual variation observed in ex-situ colonies) of F0 and formant dispersion (ΔF) of species-specific calls. We found that penguins were more likely to look rapidly and for longer at the source of the sound when F0 and formants of the calls were manipulated, indicating that they could perceive variations of these parameters in the vocal signals. Our findings provide the first experimental evidence that, in the African penguin, listeners can perceive changes in F0 and formants, which can be used by the receiver as potential cues for the individual discrimination of the emitter.
Granulocyte-colony stimulating factor ameliorates di-ethylhexyl phthalate-induced cardiac muscle injury via stem cells recruitment, Desmin protein regulation, antifibrotic and antiapoptotic mechanisms
Authors: Abdelrahman Shaimaa A. , Khattab Maha A. , Youssef Marian S. , Mahmoud Abeer A. 
Published: July 2023

AbstractPhthalates are common plasticizers present in medical-grade plastics and other everyday products. Di-ethylhexyl phthalate (DEHP) has been noted as a causative risk factor for the initiation and augmentation of cardiovascular functional disorders. G-CSF is a glycoprotein found in numerous tissues throughout the body and is currently applied in clinical practice and has been tested in congestive heart failure. We aimed to examine in depth the effect of DEHP on the histological and biochemical structure of the cardiac muscle in adult male albino rats and the mechanisms underlying the possible ameliorative effect of G-CSF. Forty-eight adult male albino rats were divided into control group, DEHP group, DEHP+ G-CSF group and DEHP-recovery group. We measured serum levels of aspartate aminotransferase (AST), creatine kinase MB isoenzyme (CK-MB) and lactate dehydrogenase (LDH). Left ventricular sections were processed for light and electron microscope examination, and immunohistochemical staining of Desmin, activated Caspase-3 and CD34. DEHP significantly increased enzyme levels, markedly distorted the normal architecture of cardiac muscle fibers, downregulated Desmin protein levels and enhanced fibrosis, and apoptosis. G-CSF treatment significantly decreased the enzyme levels compared to DEHP group. It enhanced CD34 positive stem cells recruitment to injured cardiac muscle, therefore improved the ultrastructural features of most cardiac muscle fibers via anti-fibrotic and anti-apoptotic effects in addition to increased Desmin protein expression levels. The recovery group showed partial improvement due to persistent DEHP effect. In conclusion, administration of G-CSF effectively corrected the histopathological, immunohistochemical and biochemical alterations in the cardiac muscle after DEHP administration by stem cells recruitment, Desmin protein regulation, antifibrotic and antiapoptotic mechanisms.
Efficacy of ceftiofur N-acyl homoserine lactonase niosome in the treatment of multi-resistant Klebsiella pneumoniae in broilers
Authors: Hosny Reham A. , El-badiea Zeinab A. , Elmasry Dalia M. A. , Fadel Mai A. 
Published: July 2023

AbstractIn this study, the efficiency of the ceftiofur N-acyl homoserine lactonase niosome against multi-resistant Klebsiella pneumoniae in broilers was evaluated. Fifty-six K. pneumoniae isolates previously recovered from different poultry and environmental samples were screened for the ahlK gene. The lactonase enzyme was extracted from eight quorum-quenching isolates. The niosome was formulated, characterized, and tested for minimal inhibitory concentration (MIC) and cytotoxicity. Fourteen-day-old chicks were assigned to six groups: groups Ӏ and П served as negative and positive controls, receiving saline and K. pneumoniae solutions, respectively. In groups Ш and IV, ceftiofur and niosome were administrated intramuscularly at a dose of 10 mg/kg body weight for five consecutive days, while groups V and VI received the injections following the K. pneumoniae challenge. Signs, mortality, and gross lesions were recorded. Tracheal swabs were collected from groups П, V, and VI for counting K. pneumoniae. Pharmacokinetic parameters were evaluated in four treated groups at nine-time points. The niosome was spherical and 56.5 ± 4.41 nm in size. The viability of Vero cells was unaffected up to 5 × MIC (2.4 gml−1). The niosome-treated challenged group showed mild signs and lesions with lower mortality and colony count than the positive control group. The maximum ceftiofur serum concentrations in treated groups were observed 2 h following administration. The elimination half-life in niosome-treated groups was longer than that reported in ceftiofur-treated groups. This is the first report of the administration of N-acyl homoserine lactonase for the control of multi-resistant K. pneumoniae infections in poultry.
Single nucleotide polymorphism analysis in Leptospermum scoparium (Myrtaceae) supports two highly differentiated endemic species in Aotearoa New Zealand and Australia
Authors: Chagné David , Montanari Sara , Kirk Chris , Mitchell Caroline , Heenan Peter , Koot Emily 
Published: July 2023

AbstractLeptospermum scoparium is the basis of a flourishing honey industry in Aotearoa New Zealand (NZ) and Australia. The genetic structure of L. scoparium across its range in NZ and Australia was previously assessed using pooled, whole genome sequencing; however, only one sampling site in Tasmania was included. Here, we used a single nucleotide polymorphism (SNP) array for genotyping samples of L. scoparium collected in natural stands around Tasmania and NZ, to determine the genetic relationship between L. scoparium individuals from the two regions. In total, 2069 high quality, polymorphic SNP markers were applied across the sample set of 504 individuals, revealing that Tasmanian L. scoparium are genetically distinct from NZ mānuka, confirming the observation from the pooled whole genome sequencing project. FST and discriminant analysis of principal components confirmed that the Tasmanian populations are well differentiated genetically from NZ populations, suggesting that they should be recognised as a separate, endemic Australian species. Within NZ, eight geographic groups are distinguished with genotypic variation exhibiting north to south landscape scale patterns with regional genetic clusters. We found support for isolation by distance, and this was reflected in the range of pairwise FST values estimated between NZ genetic clusters (0.056 to 0.356); however, each geographic genetic group exhibits geneflow and is only weakly differentiated from neighbouring clusters as evidenced by low population differentiation (low pairwise FST). These data provide little support for taxonomic revision and subdividing L. scoparium into segregate species within NZ.
Less is more? A novel method for identifying and evaluating non-informative tracers in sediment source mixing models
Authors: Cox Terry , Laceby J. Patrick , Roth Till , Alewell Christine 
Published: July 2023

Abstract
Purpose
Accelerated soil erosion poses a global hazard to soil health. Understanding soil and sediment behaviour through sediment fingerprinting enables the monitoring and identification of areas with high sediment delivery. Land-use specific sediment source apportionment is increasingly determined using the Bayesian mixing model MixSIAR with compound-specific stable isotopes (CSSI). Here, we investigate CSSIs of fatty acid (FA) tracer selection with a novel method to identify and investigate the effect of non-informative tracers on model performance.

Methods
To evaluate CSSI tracer selection, mathematical mixtures were generated using source soils (n = 28) from the Rhine catchment upstream of Basel (Switzerland). Using the continuous ranked probability (CRP) skill score, MixSIAR’s performance was evaluated for 11 combinations of FAs and 15 combinations of FAs with δ15N as a mixing line offset tracer. A novel scaling and discrimination analysis (SDA) was also developed to identify tracers with non-unique mixing spaces.

Results
FA only tracer combinations overestimated pasture contributions while underestimating arable contributions. When compared to models with only FA tracers, utilizing δ15N to offset the mixing line resulted in a 28% improvement in the CRP skill score. δ15N + δ13C FA26 was the optimal tracer set resulting in a 62% model improvement relative to δ15N + all δ13C FAs. The novel SDA method demonstrated how δ13C FA tracers have a non-unique mixing space and thus behave as non-informative tracers. Importantly, the inclusion of non-informative tracers decreased model performance.

Conclusions
These results indicate that MixSIAR did not handle non-informative CSSI tracers effectively. Accordingly, it may be advantageous to remove non-informative tracers, and where feasible, all combinations and permutations of tracers should be assessed to optimize tracer selection. Application of these tracer selection steps can help improve and advance the performance of sediment fingerprinting models and ultimately aid in improving erosion mitigation and management strategies.
A Systematic Review of Positive Psychology Interventions (PPIs) to Improve the Health Behaviours, Psychological Wellbeing and/or Physical Health of Police Staff
Authors: Kukucska Dora , Whitehall Jamie , Shorter Gillian W , Howlett Neil , Wyld Kev , Chater Angel M 
Published: July 2023

AbstractThis review aimed to assess the use of positive psychology interventions (PPIs), such as using positive mantras, expressive writing, or gratitude diaries, to improve the health behaviours, psychological wellbeing and/or physical health of police staff. The review was registered on PROSPERO before 16 electronic databases were searched for published articles between January 1999 and February 2022. Included studies offered PPIs to improve the physical health (body mass index, blood pressure), psychological well-being (stress, anxiety, mood, emotion, depression, self-efficacy), or health behaviours (physical activity, sitting times, dietary habits, alcohol, or tobacco use) of police staff. The mixed methods appraisal tool (MMAT) was used to assess the risk of bias of included papers. The initial search yielded 4560 results; with 3385 papers remaining after duplicates were removed. Of these, 15 studies were included in the final review. Intervention types included mindfulness-based resilience training (n = 11), physical or wellness practice classes (n = 1), role-play and scenario-based interventions (n = 2) and expressive writing (n = 1). Mindfulness-based interventions improved many psychological wellbeing facets such as anxiety, depression, negative affect and quality of life. Limited improvements were observed for some health behaviours such as alcohol consumption and in self-reported general health. Expressive writing and role-play-based interventions were effective in reducing stress and anxiety, however, improvement in depression scores were inconsistent across studies. Positive psychology interventions are promising to support the health and wellbeing of police staff. Future research should investigate their mechanisms of action to support future innovation in support for police wellbeing.
Tracking Biomarker Responses to Exercise in Hypertension
Authors: Trillaud Eric , Klemmer Philip , Malin Steven K. , Erdbrügger Uta 
Published: July 2023

AbstractPurpose of ReviewStrong evidence is evolving that physical exercise prevents hypertension and reduces blood pressure in patients with pre- and manifest HTN. Yet, identifying and confirming the effectiveness of exercise are challenging. Herein, we discuss conventional and novel biomarkers such as extracellular vesicles (EVs) which may track responses to HTN before and after exercise.Recent FindingsEvolving data shows that improved aerobic fitness and vascular function as well as lowered oxidative stress, inflammation, and gluco-lipid toxicity are leading biomarkers considered to promote HTN, but they explain only about a half of the pathophysiology. Novel biomarkers such as EVs or microRNA are providing additional input to understand the complex mechanisms involved in exercise therapy for HTN patients.SummaryConventional and novel biomarkers are needed to fully understand the integrative “cross-talk” between tissues to regulate vasculature physiology for blood pressure control. These biomarker studies will lead to more specific disease markers and the development of even more personalized therapy in this field. However, more systematic approaches and randomized controlled trials in larger cohorts are needed to assess exercise effectiveness across the day and with different exercise types.