bluuebunny/crossref_metadata_2025_split huggingface dataset:
RETRACTED ARTICLE: Childhood obesity risk increases with increased screen time: a systematic review and dose–response meta-analysis
Authors: Ramírez-Coronel Andrés Alexis , Abdu Wamaungo Juma , Alshahrani Shadia Hamoud , Treve Mark , Jalil Abduladheem Turki , Alkhayyat Ameer S. , Singer Nermeen 
Published: January 2023

Abstract
Background
The role of screen time in promoting obesity among children has been reported in previous studies. However, the effects of different screen types and the dose–response association between screen time and obesity among children is not summarized yet. In the current meta-analysis we systematically summarized the association between obesity and screen time of different screen types in a dose–response analysis.

Methods
A systematic search from Scopus, PubMed and Embase electronic databases was performed. Studies that evaluated the association between screen time and obesity up to September 2021 were retrieved. We included 45 individual studies that were drawn from nine qualified studies into meta-analysis.

Results
The results of the two-class meta-analysis showed that those at the highest category of screen time were 1.2 times more likely to develop obesity [odds ratio (OR) = 1.21; confidence interval (CI) = 1.113, 1.317; I2 = 60.4%; P < 0.001). The results of subgrouping identified that setting, obesity status and age group were possible heterogeneity sources. No evidence of non-linear association between increased screen time and obesity risk among children was observed (P-nonlinearity = 0.310).

Conclusion
In the current systematic review and meta-analysis we revealed a positive association between screen time and obesity among children without any evidence of non-linear association. Due to the cross-sectional design of included studies, we suggest further studies with longitudinal or interventional design to better elucidate the observed associations.
Customer-centric product presentations for monoclonal antibodies
Authors: Bittner Beate 
Published: January 2023

AbstractDelivering customer-centric product presentations for biotherapeutics, such as monoclonal antibodies (mAbs), represents a long-standing and paramount area of engagement for pharmaceutical scientists. Activities include improving experience with the dosing procedure, reducing drug administration-related expenditures, and ultimately shifting parenteral treatments outside of a controlled healthcare institutional setting. In times of increasingly cost-constrained markets and reinforced with the coronavirus pandemic, this discipline of “Product Optimization” in healthcare has gained momentum and changed from a nice-to-have into a must.This review summarizes latest trends in the healthcare ecosystem that inform key strategies for developing customer-centric products, including the availability of a wider array of sustainable drug delivery options and treatment management plans that support dosing in a flexible care setting. Three disease area archetypes with varying degree of implementation of customer-centric concepts are introduced to highlight relevant market differences and similarities. Namely, rheumatoid arthritis and inflammatory bowel disease, multiple sclerosis, and oncology have been chosen due to differences in the availability of subcutaneously dosed and ready-to-use self-administration products for mAb medicines and their follow-on biologics.Different launch scenarios are described from a manufacturer’s perspective highlighting the necessity of platform approaches. To unfold the full potential of customer-centric care, value-based healthcare provider reimbursement schemes that incentivize the efficiency of care need to be broadly implemented.
A case of early pulmonary embolism following blunt trauma to chest and a long bone fracture: a case report
Authors: Thivaharan Yalini , Dayapala Asurappulige , Thanushan Muthulingam 
Published: January 2023

Abstract
Background
After substantial trauma, pulmonary embolism (PE) carries a high risk of morbidity and mortality. Early post-traumatic PE in the absence of deep vein thrombosis (DVT) is a distinct entity that might be connected to rare mechanisms or unidentified biochemical processes.

Case presentation
A driver of a car was presented with worsening chest pain and shortness of breath (SOB) following a road traffic accident in which he suffered an impact on the chest against the steering wheel and a closed fracture of the right femur. Radiological investigations revealed a pulmonary embolism in the left posterior segment pulmonary artery, without evidence of internal chest injuries or DVT within 12 h from the incident. D-dimer, troponin I, and creatinine kinase were elevated without evidence of myocardial infarction or myocardial injury. Other parameters were within the normal range.

Conclusions
Possibilities of early PE in the absence of detectable DVT could be due to hyper-coagulability states, clots from the lower extremity completely getting detached and embolizing to the pulmonary circulation, screening errors, and “de novo” thrombi in the pulmonary circulation. Chest trauma is an identified risk factor for early or late pulmonary embolism. Action of the post-traumatic adrenergic response causing vascular endothelial inflammation and the synthesis of circulating adhesion molecules leading to localized thrombosis have also been suggested as causes for this phenomenon. A greater understanding of rare risk factors for early PE and the possibility of rare complications of chest trauma is useful in detecting and treating them in time, reducing morbidity and mortality.
Biological characteristics and parasitization potential of Encarsia formosa Gahan (Hymenoptera: Aphelinidae) on the whitefly, Trialeurodes vaporariorum Westwood (Hemiptera: Aleyrodidae), a pest of greenhouse crops in north-western Indian Himalayas
Authors: Deeksha  , Ghongade Dilip Shriram , Sood Ajay Kumar 
Published: January 2023

Abstract
Background
The greenhouse whitefly, Trialeurodes vaporariorum Westwood (Hemiptera: Aleyrodidae) constitutes key pests of greenhouses and field crops, which have developed pesticide resistance over the years. It has emerged as a difficult pest to manage owing to its indiscriminate exposure to higher dosages of insecticides. The use of natural enemies is environmentally safe alternative management tactic. Efficacy of Encarsia formosa Gahan (Hymenoptera: Aphelinidae) was determined by studying its biological characteristics on T. vaporariorum.

Results
Parasitization by E. formosa was higher on fourth-instar nymphs of the greenhouse whitefly (GHWF) (37.2%), which was at par with that of third instar (36.4%), both differing significantly to the parasitization observed in second instar (19.6%). Total developmental duration of the parasitoid was longer on second instar (33.2 days) than that of fourth instar (29.9 days). Adult longevity was found significantly higher for the adults that emerged from fourth-instar nymphs of GHWF, which was at par to that of third instar and longevity of E. formosa adults was significantly higher in the absence of parasitoid host. The size of parasitoid that emerged from different instars of GHWF varied non-significantly. T. vaporariorum was reared on brinjal, cucumber, French bean, lettuce, tobacco, and tomato plants for mass production of E. formosa. Among them, French bean and tobacco were found to be the best host plants for mass production of E. formosa based on higher parasitization (37.2%). Total developmental period varied from 26.4 to 27.3 days on different host plants, the variations being non-significant. The maximum adult longevity was observed on cucumber (8.0 days) in the absence of host, and the adult size of parasitoid varied non-significantly. Results on host to parasitoid ratio of 5:1, 10:1, 20:1, 40:1 and 80:1 revealed that parasitization rate varied from 61.2 to 95.0% with maximum parasitization recorded in host–parasitoid proportion of 20:1 and minimum in 80:1. The total developmental duration varied non-significantly among all the proportions (15.1–15.4 days). Adult longevity was higher in the proportion of 40:1 (6.5 days), which was at par to the proportion of 5:1 (6.2 days), 20:1 (6.2 days), 80:1 (6.2 days) and 10:1 (6.1 days) in the absence of the host, respectively.

Conclusion
This study suggests that augmentative biological control of T. vaporariorum under polyhouse conditions with E. formosa appears to be an effective strategy for the management of this economic pest.
Phylogenetic analysis and biocontrol potential of entomopathogenic fungi against Tropinota (=Epicometis) hirta (Poda) (Coleoptera: Cetoniidae) and the apple scab disease Ventura inaequalis
Authors: Kutalmış Alperen , Terzioğlu Zeynep , Şen Rabia Hande , Sevim Ali 
Published: January 2023

Abstract
Background
Entomopathogenic fungi have long been used as a biopeptide in the biological control of insect pests in agriculture, forestry and veterinary. At the same time, it is known that these fungi have positive effects on plant growth, health, and the antagonist effect against various plant pathogens. Entomopathogenic fungal isolation was performed from soil samples collected from apple orchards and Tropinota (=Epicometis) hirta (Poda) (Coleoptera: Cetoniidae) adults which is an important pest of fruit trees. The isolated fungi were identified at the species level by phylogenetic analysis based on multi-locus sequence approach using various gene sequences (ITS, rpb1, bloc, EF1-α and β-tubulin). The fungi obtained were tested against T. hirta and the apple scab disease, Ventura inaequalis under laboratory conditions.

Results
Three (Bz isolates) and 15 (AK isolates) entomopathogenic fungi (EPF) were isolated from T. hirta adults and 48 soil samples, respectively. The isolated fungi were identified as Beauveria bassiana (Bz-1, Bz-2, AK-10, AK-14, AK-17, and AK-18), Metarhizium robertsii (Bz-3, AK-4, AK-5, AK-6, AK-7, AK-8, AK-9, AK-11, AK-13, AK-15, and AK-16) and Metarhizium sp. (AK-12). All isolated fungi were tested against T. hirta adults, causing the same mortality but different mycosis values. In addition, the antagonistic effects of fungal isolates against V. inaequalis, the important apple pathogen, were determined and the highest effect was obtained from B. bassiana AK-10 with 69.3%.

Conclusion
This is the first study to determine the effectiveness of EPF against T. hirta and V. inaequalis, and the results obtained are thought to be useful for the biological control of both pests.
Sling technique in microvascular decompression surgery for trigeminal neuralgia: early experience and functional outcomes
Authors: Abougamil Ahmed B. , Metwaly Tamer Ibrahim , Deif Osama Ahmed , Khedr Wael 
Published: January 2023

Abstract
Background
Trigeminal neuralgia (TGN) is a facial pain disorder often caused by arterial compression of the trigeminal nerve. Microvascular decompression (MVD) remains the most definitive treatment for this disorder, with a reported cure rate between 60 and 80%. MVD techniques often involve a retrosigmoid craniotomy with placement of an inert foreign material, such as Gore-Tex or Teflon, between the nerve and the compressing vessel.

Recurrence of TGN after MVD has been associated with vessel migration and adhesion formation. In this study, we tested the use of Gore-Tex sling, fixed in place with fibrin glue to displace the compressing vessel away from the nerve.

Results
This is a retrospective study including 20 patients who had an MVD for treatment of idiopathic TGN where a sling of Gore-Tex was used with the application of fibrin glue to prevent dislocation of the vessel. It showed that sling MVD technique is an effective method for treatment of classic trigeminal neuralgia. Eighteen patients improved within 2 weeks postoperatively. One patient had recurrence of symptoms and was reoperated 1 year later.

Conclusion
Gore-Tex slinging technique is a safe simple technique for preventing re-dislocation of the offending vessel and thus recurrence of symptoms. However, larger series is needed to judge on the long-term efficacy and safety of this technique.
Indigenous use of fire in the paramo ecosystem of southern Ecuador: a case study using remote sensing methods and ancestral knowledge of the Kichwa Saraguro people
Authors: Díaz Sandy Celi , Quezada Liliana Correa , Álvarez Leticia Jiménez , Loján-Córdova Julia , Carrión-Paladines Vinicio 
Published: January 2023

Abstract
Background
The Indigenous Kichwa Saraguro people of southern Ecuador have long relied on traditional burning to manage their environment. However, their traditional use of fire in one of the most important ecosystems in southern Ecuador, the herbaceous paramo, is not well known. This lack of knowledge does not allow for the improvement of local regulations related to integrated fire management, which is a shortcoming compared to other regulations applied in South America. In this context, and to understand the impacts of the Indigenous use of fire, a climatic analysis of the area was carried out, generating a historical climograph (period: years 1981–2021) and four annual climographs that were contrasted with a remote sensing study of fire severity over 4 years (years 2018, 2019, 2020, and 2021). In addition, traditional fire use was determined through the application of semi-structured interview questionnaires applied to 61 women and 89 men, whose data were analyzed with the level of information fidelity (LIF), informant consensus factor (ICF), and principal component analysis (PCA). Therefore, in this study, we argue that it is important to incorporate the concepts of (i) wildfire severity and (ii) cultural burning in wildfire policies and regulations in southern Ecuador.

Results
The results indicate that low-severity fires occur within the Saraguro territory and that fire use knowledge is transmitted to new generations incorporating both how and where to perform traditional burning. They also know when to burn using the burning calendar that is generally applied during the climatic phenomenon known as “Veranillo del Niño” (VdN).

Conclusions
These results can help decision-makers design policies, regulations, and proposals for the correct use of fire as a tool for the management of ecosystems in southern Ecuador affected by wildfires. In addition, the results can be used to improve the National Strategy for Integrated Fire Management 2021–2025 promoted by the Ministry of Environment, Water and Ecological Transition of Ecuador.
Postoperative Risk of Transfusion After Reversal of Residual Neuromuscular Block With Sugammadex Versus Neostigmine: A Retrospective Cohort Study
Authors: Schmidt Marc T. , Paredes Stephania , Rössler Julian , Mukhia Rupashi , Pu Xuan , Mao Guangmei , Turan Alparslan , Ruetzler Kurt 
Published: January 2023

BACKGROUND:
Sugammadex and neostigmine are routinely used to reverse residual neuromuscular blocks at the end of surgery. Sugammadex has been linked with prolongation of laboratory coagulation markers, but clinical relevance on postoperative blood loss and transfusions remains unclear.

METHODS:
In this retrospective, single-center, cohort study, we analyzed medical records of adult patients having noncardiac surgery who were given sugammadex or neostigmine from May 2016 to December 2020. Our primary outcome was the incidence of any postoperative transfusion of red blood cells, and/or fresh-frozen plasma, and/or platelets. Secondary outcomes were duration of hospitalization, need for resurgery, and postoperative intensive care unit (ICU) admission. After propensity score weighting, the odds ratio (OR) for postoperative transfusion was assessed in both groups (sugammadex versus neostigmine) using a generalized estimation equation to count within-subject correlation weighted by the inverse propensity score.

RESULTS:
Out of 39,325 eligible surgeries, 33,903 surgeries in 29,062 patients were included in the analysis; with 4581 patients receiving sugammadex and 29,322 patients receiving neostigmine. The raw incidence of postoperative transfusion was 7.40% in sugammadex and 7.45% in the neostigmine group. After weighting by propensity score, the incidence of postoperative transfusion was 8.01% in the sugammadex and 7.38% in the neostigmine group (OR, 1.11 [95% confidence interval [CI], 0.97–1.26; P = .118]). There was no difference in duration of hospitalization and need for resurgery, but odds of postoperative ICU admission were significantly higher for patients receiving sugammadex than those receiving neostigmine (OR, 1.33 [98.33% CI, 1.17–1.52; P < .0001]). Our a priori planned analysis of coagulation laboratory parameters could not be completed because of a high amount of missing laboratory data.

CONCLUSIONS:
There is no statistically significant nor clinically important difference in the risk of postoperative transfusion in patients receiving sugammadex or neostigmine.
Risk Factors and Management of Incisional Cerebrospinal Fluid Leakage After Craniotomy: A Retrospective International Multicenter Study
Authors: Kinaci Ahmet , Slot Emma M. H. , Kollen Mare , Germans Menno R. , Amin-Hanjani Sepideh , Carlson Andrew P. , Majeed Kashif , Depauw Paul R. A. M. , Robe Pierre A. , Regli Luca , Charbel Fady T. , van Doormaal Tristan P. C. 
Published: January 2023

BACKGROUND:
Incisional cerebrospinal fluid (iCSF) leakage is a serious complication after intradural cranial surgery.

OBJECTIVE:
To determine the incidence and risk factors of iCSF leakage after craniotomy. Secondarily, the complications after iCSF leakage and the success rate of iCSF leakage treatment was studied.

METHODS:
All patients who underwent an intradural cranial surgery from 2017 to 2018 at 5 neurosurgical centers were retrospectively included. Data were retrieved from medical records with 2 months of follow-up. First, univariate regression analyses were performed. Subsequently, identified risk factors were evaluated in a multivariate regression analysis.

RESULTS:
In total 2310 consecutive patients were included. Total iCSF leakage rate was 7.1% (n = 165). Younger age, male, higher body mass index, smoking, infratentorial surgery, and use of a dural substitute were associated with increased iCSF leakage risk, and use of a sealant reduced that risk. The odds for developing a wound infection and/or meningitis were 15 times higher in patients with iCSF leakage compared with patients without leakage. Initial conservative iCSF leakage treatment failed in 48% of patients. In 80% of cases, external cerebrospinal fluid drainage ceased the iCSF leakage. A total of 32% of patients with iCSF leakage required wound revision surgery.

CONCLUSION:
iCSF leakage risk increases by younger age, higher body mass index, smoking, infratentorial craniotomy, and dural substitute use, whereas sealant use reduced the risk for iCSF leakage. The leak increases the risk of postoperative infections. When iCSF leakage occurs, immediate external cerebrospinal fluid drainage or wound revision should be considered.
Development of the dictyostelid Polysphondylium violaceum does not require secreted cAMP
Authors: Kawabe Yoshinori , Schaap Pauline 
Published: January 2023

ABSTRACT
Group 4 Dictyostelia, like Dictyostelium discoideum, self-organize into aggregates and fruiting bodies using propagating waves of the chemoattractant cAMP, which are produced by a network containing the adenylate cyclase AcaA, cAMP receptors (Cars) and the extracellular cAMP phosphodiesterase PdsA. Additionally, AcaA and the adenylate cyclases AcrA and AcgA produce secreted cAMP for induction of aggregative and prespore gene expression and intracellular cAMP for PKA activation, with PKA triggering initiation of development and spore and stalk maturation. Non-group 4 species also use secreted cAMP to coordinate post-aggregative morphogenesis and prespore induction but use other attractants to aggregate. To understand how cAMP's role in aggregation evolved, we deleted the acaA, carA and pdsA genes of Polysphondylium violaceum, a sister species to group 4. acaAˉ fruiting bodies had thinner stalks but otherwise developed normally. Deletion of acrA, which was similarly expressed as acaA, reduced aggregation centre initiation and, as also occurred after D. discoideum acrA deletion, caused spore instability. Double acaAˉacrAˉ mutants failed to form stable aggregates, a defect that was overcome by exposure to the PKA agonist 8Br-cAMP, and therefore likely due to reduced intracellular cAMP. The carAˉ and pdsAˉ mutants showed normal aggregation and fruiting body development. Together, the data showed that P. violaceum development does not critically require secreted cAMP, while roles of intracellular cAMP in initiation of development and spore maturation are conserved. Apparently, cell-cell communication underwent major taxon-group specific innovation in Dictyostelia.
De novo PAM generation to reach initially inaccessible target sites for base editing
Authors: Pakari Kaisa , Wittbrodt Joachim , Thumberger Thomas 
Published: January 2023

ABSTRACT
Base editing by CRISPR crucially depends on the presence of a protospacer adjacent motif (PAM) at the correct distance from the editing site. Here, we present and validate an efficient one-shot approach termed ‘inception’ that expands the editing range. This is achieved by sequential, combinatorial base editing: de novo generated synonymous, non-synonymous or intronic PAM sites facilitate subsequent base editing at nucleotide positions that were initially inaccessible, further opening the targeting range of highly precise editing approaches. We demonstrate the applicability of the inception concept in medaka (Oryzias latipes) in three settings: loss of function, by introducing a pre-termination STOP codon in the open reading frame of oca2; locally confined multi-codon changes to generate allelic variants with different phenotypic severity in kcnh6a; and the removal of a splice acceptor site by targeting intronic sequences of rx3. Using sequentially acting base editors in the described combinatorial approach expands the number of accessible target sites by 65% on average. This allows the use of well-established tools with NGG PAM recognition for the establishment of thus far unreachable disease models, for hypomorphic allele studies and for efficient targeted mechanistic investigations in a precise and predictable manner.