bluuebunny/crossref_metadata_2025_split huggingface dataset:
When strength is a weakness
Authors: Felson Richard B. 
Published: May 2023

AbstractIn general, individuals with low levels of coercive power are at greater risk of victimization than those who are more powerful. However, in some circumstances, superior coercive power increases an individual's vulnerability. In this paper, I show how coercive power can increase vulnerability (offsetting its protective effect) by its effects on targeting and tactics. Individuals with greater coercive power can increase their risk of getting targeted because they tend to be less vigilant and more likely to behave in ways that provoke others. They generate more grievances and have more enemies because they are less compliant and more verbally aggressive and confrontational. Powerful parties are also at greater risk of being targeted by adversaries seeking to gain status. An attack on a strong adversary is more likely to enhance status than an attack on a weaker adversary since it is a greater achievement. Individuals with coercive power are also at greater risk because of the tactics used by their weaker adversaries. Weaker parties are more likely to engage in pre‐emptive attack and use weapons. They are better able to attract and rely on allies because of the norm of social responsibility, that is, the tendency to protect those in need. Finally, they are more likely to attempt to kill more power adversaries in order to incapacitate them and, thereby, avoid retaliation.
Trade‐off between dispersal traits in a heterocarpic plant across its invasion route
Authors: Robinson Dafna , Bogdanova Tatiana , Cohen Oded , Gruntman Michal 
Published: May 2023

AbstractPremiseDispersal ability (i.e., investment in dispersing structures) can vary across plant species or populations, such as between core compared to leading populations of invasive plants. However, in heterocarpic plants, which produce propagules with varying dispersal abilities, dispersal potential can also vary via investment in the proportion of dispersing morphs (termed dispersal rate). Nevertheless, very little is known about the interplay between investment in dispersal ability vs. dispersal rate or how each is affected by varying environmental pressures.MethodsThis study examined the interplay between dispersal ability and dispersal rate across the invasion route of the heterocarpic plant Heterotheca subaxillaris. Capitula of H. subaxillaris were collected from eight populations along its invasion route in the Eastern Mediterranean coastal plain. The dispersal ability of the dispersing pappus‐bearing achenes was measured as the ratio between pappus width and biomass. Dispersal rate was calculated as the ratio between the number of dispersing achenes and total achenes per capitulum.ResultsDispersal ability and dispersal rate were found to be negatively correlated across populations of H. subaxillaris, with a greater investment in pappus width in populations at the leading edge of the invasion compared to a greater proportion of dispersing achenes in core populations.ConclusionsOur results suggest a trade‐off might exist between dispersal ability and dispersal rate, which could change along the invasion route of heterocarpic plants such as H. subaxillaris and contribute to their invasive success. This study highlights the importance of examining both dispersal traits when studying the dispersal potential of heterocarpic species.
Developmental and genetic basis of the androgynophore in Gynandropsis gynandra
Authors: Zenchyzen Brandi , Carey Shane , Antochi‐Crihan Georgiana , Hall Jocelyn C. 
Published: May 2023

AbstractPremiseFlowering plants have evolved a vast array of floral features involved in plant–pollinator interactions. A feature that seemingly increases the chance of pollen transfer is the androgynophore, a stalk‐like structure that raises the reproductive organs of the flower. However, little is known about the developmental and genetic basis of this structure despite its presence in multiple, distantly related taxa. Here, we address this gap by investigating Gynandropsis gynandra (Cleomaceae), a species with a prominent androgynophore.MethodsWe combined morphological and anatomical analyses with a comparative transcriptomic study to provide a detailed description of the androgynophore throughout development, examine global gene expression patterns, and identify candidate genes putatively involved in androgynophore elongation.ResultsThe radially symmetric androgynophore of G. gynandra rapidly lengthens primarily via cell elongation. Despite its structural uniformity, androgynophore development is characterized by complex gene expression patterns including differential expression of floral organ identity genes and genes associated with organ development and growth in Arabidopsis thaliana.ConclusionsOur morphological characterizations and high‐quality transcriptome for G. gynandra suggest that the androgynophore is a novel structure formed via elaboration of both the receptacle and base of reproductive organs because it is structurally like an elongated internode but expresses the genetic repertoire typically associated with the reproductive organs. The drastic increase in cell length and uniform structure elevates the androgynophore as a potentially powerful model for cell elongation.
What do we mean by complex percutaneous coronary intervention? An assessment of agreement amongst interventional cardiologists for defining complexity
Authors: Rjoob Khaled , McGilligan Victoria , McAllister Roisin , Bond Raymond , Doolub Gemina , Leslie Stephen J. , Manktelow Matthew , Knoery Charles , Shand James , Iftikhar Aleeha , McShane Anne , Mamas Mamas A. , Peace Aaron ,   EAPCI Innovation and Digital Cardiology Committee
Published: May 2023

AbstractBackgroundIn the last decade, percutaneous coronary intervention (PCI) has evolved toward the treatment of complex disease in patients with multiple comorbidities. Whilst there are several definitions of complexity, it is unclear whether there is agreement between cardiologists in classifying complexity of cases. Inconsistent identification of complex PCI can lead to significant variation in clinical decision‐making.AimThis study aimed to determine the inter‐rater agreement in rating the complexity and risk of PCI procedures.MethodAn online survey was designed and disseminated amongst interventional cardiologists by the European Association of Percutaneous Cardiovascular Intervention (EAPCI) board. The survey presented four patient vignettes, with study participants assessing these cases to classify their complexity.ResultsFrom 215 respondents, there was poor inter‐rater agreement in classifying the complexity level (k = 0.1) and a fair agreement (k = 0.31) in classifying the risk level. The experience level of participants did not show any significant impact on the inter‐rater agreement of rating the complexity level and the risk level. There was good level of agreement between participants in terms of rating 26 factors for classifying complex PCI. The top five factors were (1) impaired left ventricular function, (2) concomitant severe aortic stenosis, (3) last remaining vessel PCI, (4) requirement fort calcium modification and (5) significant renal impairment.ConclusionAgreement among cardiologists in classifying complexity of PCI is poor, which may lead to suboptimal clinical decision‐making, procedural planning as well as long‐term management. Consensus is needed to define complex PCI, and this requires clear criteria incorporating both lesion and patient characteristics.
Optical coherence tomography‐derived predictors of stent expansion in calcified lesions
Authors: Ziedses des Plantes Annemieke C. , Scoccia Alessandra , Neleman Tara , Groenland Frederik T. W. , van Zandvoort Laurens J. C. , Ligthart Jurgen M. R. , Witberg Karen T. , Liu Shengnan , Boersma Eric , Nuis Rutger‐Jan , den Dekker Wijnand K. , Wilschut Jeroen , Diletti Roberto , Zijlstra Felix , Van Mieghem Nicolas M. , Daemen Joost 
Published: May 2023

AbstractBackgroundSevere coronary artery calcification is associated with stent underexpansion and subsequent stent failure.AimsWe aimed to identify optical coherence tomography (OCT)‐derived predictors of absolute (minimal stent area [MSA]) and relative stent expansion in calcified lesions.MethodsThis retrospective cohort study included patients who underwent percutaneous coronary intervention (PCI) with OCT assessment before and after stent implantation between May 2008 and April 2022. Pre‐PCI OCT was used to assess calcium burden and post‐PCI OCT was used to assess absolute and relative stent expansion.ResultsA total of 361 lesions in 336 patients were analyzed. Target lesion calcification (defined as OCT‐detected maximum calcium angle ≥ 30°) was present in 242 (67.0%) lesions. Following PCI, median MSA was 5.37 mm2 in calcified lesions and 6.24 mm2 in noncalcified lesions (p < 0.001). Median stent expansion was 78% in calcified lesions and 83% in noncalcified lesions (p = 0.325). In the subset of calcified lesions, average stent diameter, preprocedural minimal lumen area, and total calcium length were independent predictors of MSA in multivariable analysis (mean difference 2.69 mm2/mm2, 0.52 mm2/mm, and −0.28 mm2/5 mm, respectively, all p < 0.001). Total stent length was the only independent predictor of relative stent expansion (mean difference −0.465% per mm, p < 0.001). Calcium angle, thickness, and the presence of nodular calcification were not significantly associated with MSA or stent expansion in multivariable analyses.ConclusionCalcium length appeared to be the most important OCT‐derived predictor of MSA, whereas stent expansion was mainly determined by total stent length.
Drug‐coated balloon strategy following orbital atherectomy for calcified coronary artery compared with drug‐eluting stent: One‐year outcomes and optical coherence tomography assessment
Authors: Mitsui Kentaro , Lee Tetsumin , Miyazaki Ryoichi , Hara Nobuhiro , Nagamine Sho , Nakamura Tomofumi , Terui Mao , Okata Shinichiro , Nagase Masashi , Nitta Giichi , Watanabe Keita , Kaneko Masakazu , Nagata Yasutoshi , Nozato Toshihiro , Ashikaga Takashi 
Published: May 2023

AbstractBackgroundPercutaneous coronary intervention (PCI) for calcified coronary artery remains challenging in the drug‐eluting stent (DES) era. While recent studies reported the efficacy of orbital atherectomy (OA) combined with DES for calcified lesion, the effectiveness of drug‐coated balloon (DCB) following OA has not been fully elucidated.MethodsBetween June 2018 and June 2021, 135 patients who received PCI for calcified de novo coronary lesions with OA were enrolled and divided into two groups; OA followed by DCB (n = 43) if the target lesion achieved acceptable preparation, or second‐ or third‐generation DESs (n = 92) if the target lesion showed suboptimal preparation between June 2018 and June 2021. All patients underwent PCI with optical coherence tomography (OCT) imaging. The primary endpoint was 1‐year major adverse cardiac event (MACE), that was a composite of cardiac death, nonfatal myocardial infarction, or target lesion revascularization.ResultsMean age was 73 years and 82% was male. In OCT analysis, maximum calcium plaque was thicker (median: 1050 µm [interquartile range (IQR): 945–1175 µm] vs. 960 µm [808–1100 µm], p = 0.017), calcification arc tended to larger (median: 265° [IQR: 209–360°] vs. 222° [162–305°], p = 0.058) in patients with DCB than in DES, and the postprocedure minimum lumen area was smaller in DCB compared with minimum stent area in DES (median: 3.83 mm2 [IQR: 3.30–4.52 mm2] vs. 4.86 mm2 [4.05–5.82 mm2], p < 0.001). However, 1 year MACE free rate was not significantly different between 2 groups (90.3% in DCB vs. 96.6% in DES, log‐rank p = 0.136). In the subgroup analysis of 14 patients who underwent follow‐up OCT imaging, late lumen area loss was lower in patients with DCB than DES, despite lower lesion expansion rate in DCB than DES.ConclusionsIn calcified coronary artery disease, DCB alone strategy (if acceptable lesion preparation was performed with OA) was feasible compared with DES following OA with respect to 1‐year clinical outcomes. Our finding indicated using DCB with OA might be reduce late lumen area loss for severe calcified lesion.
Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve‐in‐valve implantation
Authors: Ho Cheuk Bong , Vejlstrup Niels G. , De Backer Ole , Søndergaard Lars 
Published: May 2023

AbstractA 70‐year‐old man with history of transcatheter aortic valve‐in‐valve implantation was admitted because of suspected infective endocarditis (IE). Transesophageal echocardiogram did not reveal any vegetations, as the metallic stent frames caused significant artifacts. Position emission tomography was also negative. Intracardiac echocardiogram (ICE) was performed retrogradely through the ascending aorta, which showed clear vegetations over the stent frame of the transcatheter heart valve. Endocarditis after transcatheter aortic valve implantation was not uncommon. With increasing use of valve‐in‐valve procedures, echocardiographic diagnosis of IE would be more challenging. This case demonstrated the advantage of ICE over conventional echocardiography in visualizing the neo‐aortic valve complex for diagnosing IE.
Entamoeba histolytica‐associated proctitis and ileitis mimicking Crohn's disease—A case report
Authors: Griemert Thomas , Siegel Ekkehard , Brandstetter Moritz , Straub Beate K. , Kreft Andreas , Galle Peter R. , Sprinzl Martin F. 
Published: May 2023

AbstractWe report about a proctitis and ileitis terminalis, leading to the misdiagnosis of Chron's disease, in a male patient who has sex with men. Molecular multiplex analysis identified Entamoeba histolytica as the underlying cause. We provide diagnostic images, clues and pitfalls for diagnosis of E. histolytica associated proctitis.
Paraneoplastic acute eosinophilic pneumonia due to carotid angiosarcoma: A rare case
Authors: Paraandavaji Elham , Hadidi Homa , Norouzi Mahtab , Azaddehghan Maryam , Khodaparasti Mohadeseh , Shafiei Sasan , Ghadirzadeh Erfan , Nekooghadam Seyyed Mojtaba , Karimi Hanie 
Published: May 2023

Key Clinical MessageThis case report emphasizes that we should analyze a patient's signs and symptoms as a whole rather than relying exclusively on a common pattern to diagnose the condition and indicates that thorough histological investigation and sample collection are needed to accurately diagnose this malignancy.AbstractAngiosarcoma is a rare, fatal, and poorly understood malignant tumor of vascular endothelial cells which is a challenging disease to diagnose in the clinical settings and requires early diagnosis to achieve a favorable prognosis. Paraneoplastic syndromes associated with angiosarcoma can include hypercoagulability, thrombocytopenia, anemia, fever, weight loss, and night sweats. In some cases, the paraneoplastic syndrome can be the first sign of the underlying malignancy. Here, we present a 47‐year‐old individual with angiosarcoma over the right scapula accompanied by hemoptysis and other pulmonary complaints whom at first was thought to be metastatic polmunary involvement. However, the patient's dramatic response to corticosteroids, in addition to further imaging and paraclinical studies, led us to an acute eosinophilic pneumonia (AEP) diagnosis which is an eosinophilic infiltrations of alveolar spaces. The patient received chemotherapy for angiosarcoma and radiation, since the brachial nerve network was disrupted, leaving the tumor unresectable. After 3 years of continuous follow‐up, the patient is now completely cured.
An unusual cause of chronic diarrhea in a Middle‐Aged adult: A diagnostic challenge
Authors: Reddy Aswanth , Nwankwo Nkolika , Sekar Arjun , Kumar Aswini 
Published: May 2023

Key Clinical MessageDiarrhea is a common symptom in medical practice that often gets overlooked. This article is intended to increase the awareness of physicians and other providers on a subtle but important cause of chronic diarrhea.
Fahr's disease presenting as Parkinson's disease along with dysphagia and dysarthria: A case report
Authors: Sapkota Dilip , Neupane Srijana , Pant Prashant , Shrestha Oshan , Singh Pragyat , Sapkota Diwas 
Published: May 2023

Key Clinical MessageFahr's disease, a rare motor and neurocognitive condition, is characterized by idiopathic calcification of basal ganglia. This article presents such case of 61‐year‐old female, exhibiting movement, speech, and swallowing difficulties with multiple calcifications in brain in NCCT. Early and supportive management can lead to improved outcomes and prevent unnecessary interventions.
Popeye's sign: A diagnostic clue
Authors: Yamada Takayuki 
Published: May 2023

Key Clinical MessageSudden onset bulging of the upper arm may indicate biceps tendon rupture.AbstractWe describe a 72‐year‐old man with Popeye's sign. The patient experienced a sudden shock in his right humerus while mowing grass with his right arm using wide sweeps of a scythe. His right upper arm had an obvious bulging appearance after 3 days, indicating a rupture of the biceps tendon.
Transfusion‐related acute lung injury under general anesthesia successfully treated with extracorporeal membrane oxygenation: A case report
Authors: Ishida Yusuke , Nakazawa Koichi , Itabashi Toshio , Tomino Mikiko 
Published: May 2023

AbstractTransfusion‐related acute lung injury (TRALI) is a serious complication of blood transfusion and can also develop severe hypoxemia. In TRALI cases with difficult blood oxygenation on mechanical ventilation support, temporary veno‐venous extracorporeal membrane oxygenation support appears to maintain oxygen levels.
A rare pancreatic neoplasm in a 40‐year‐old male patient
Authors: Limaiem Faten , Hajri Mohamed 
Published: May 2023

Key Clinical MessageThe differential diagnoses of solid pseudopapillary neoplasm of the pancreas include cystic pancreatic neuroendocrine tumor, acinar cell carcinoma, and pancreatoblastoma.AbstractSolid pseudopapillary neoplasm (SPN) is a low‐grade malignant pancreatic tumor which accounts for 0.9%–2.7% of all exocrine pancreatic neoplasms. It predominantly affects young females (90%) and less frequently occurs in male patients. Its prognosis after surgical resection remains excellent. Herein, we report a case of SPN in a male patient.
Analysis of choroidal thickness on optical coherence tomography in a patient with sudden‐onset bilateral myopia, macular striae, and shallow anterior chamber after topiramate use
Authors: Vatwani Kishore Kumar , Tripathy Koushik , Agarwal Rohit , Bandyopadhyay Gopal 
Published: May 2023

Key Clinical MessageThis patient presented with sudden onset myopia, shallow anterior chamber, and radial macular folds in both eyes after using topiramate. Ocular parameters including increased choroidal thickness normalized after cessation of topiramate.
Delineation of the right ventricular septal activation during a right bundle branch origin accelerated idioventricular rhythm
Authors: Nishimura Takuro , Goya Masahiko , Negishi Miho , Ikenouchi Takashi , Yamamoto Tasuku , Goto Kentaro , Shigeta Takatoshi , Tao Susumu , Takigawa Masateru , Miyazaki Shinsuke , Sasano Tetsuo 
Published: May 2023

AbstractAccelerated idioventricular rhythm (AIVR) originating from the right bundle branch (RBB) (RBB‐AIVR) is a rare ventricular arrhythmia. We delineated RBB and myocardial activation separately during RBB‐AIVR, which revealed the spatial relationship of the AIVR origin, preferential pathway, and breakout site. Radiofrequency ablation to the preferential pathway successfully eliminated this arrhythmia.
Crystal‐storing histiocytosis and associated marginal zone lymphoma with extensive plasmacytic differentiation
Authors: Al‐Qaderi Ayah , Sakhdari Ali 
Published: May 2023

Key Clinical MessageCrystal‐storing histiocytosis (CSH) is a non‐neoplastic histiocytic proliferation that results from the intra‐lysosomal accumulation of immunoglobulins as crystals. CSH is frequently associated with various B‐cell lymphomas or plasma cell neoplasms. CSH can potentially obscure underlying lymphoproliferative neoplasms. This association should always be considered and the tissue should be carefully evaluated.
Previous crop and herbicide timing application effects on weed population growth rate
Authors: Oreja Fernando H. , Hare Andrew T. , Jordan David L. , Leon Ramon G. 
Published: May 2023

AbstractA well‐designed crop rotation can create an unstable environment that disrupts weed population growth rates. In combination with effective herbicide programs, growers may maintain weed populations at levels below competitive and economic thresholds. The objectives of the present study were to evaluate how the preceding rotational crop determines the response of weed populations to in‐season postemergence herbicide programs and the weed population density of the following crop season. The first‐year crop treatments were corn (Zea mays L.), cotton (Gossypium hirsutum L.), peanut (Arachis hypogaea L.), grain sorghum [Sorghum bicolor (L.) Moench.], and soybean [Glycine max (L.) Merr.]. In the second year, all plots were planted with cotton, and herbicide treatments were single applications 2 or 6 weeks after planting (WAP), two sequential applications 2 and 4 or 4 and 6 WAP, three sequential applications 2, 4, and 6 WAP, and a weedy control without herbicides was included. In the absence of herbicides, corn had the lowest population growth rates for broadleaf weeds (λ = 0.8) while peanut and grain sorghum had the highest (λ = 1.7 and 1.3, respectively). The results indicated that herbicide applications focused exclusively on preventing yield loss may not be sufficient to ensure weed population reductions. Thus, the observed population growth rates (λ = 2 for grassy weeds and λ = 1.26 for broadleaved weeds) indicated that weed issues would continue increasing, despite meeting yield goals. Considering population growth rates when assessing weed management strategies is key to determining the sustainability of the crop production operation.