bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maximized internal scattering in heterostack Ti3C2T
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MXene/graphene oxide film for effective electromagnetic interference shielding
Authors: Lee Gang San , Yoon Yeo Hoon , Iqbal Aamir , Kwon Jisung , Yun Taeyeong , Sasikala Suchithra Padmajan , Hassan Tufail , Kim Jin Goo , Kim Jun Tae , Lee Chan Woo , Kim Myung-Ki , Koo Chong Min , Kim Sang Ouk 
Published: May 2023

Abstract
Two-dimensional (2D) MXenes have attracted significant attention in electromagnetic interference (EMI) shielding applications due to their excellent metallic conductivity, high surface area, 2D geometry, tunable surface chemistry, and solution processability. In this study, we present a straightforward way of introducing multiple nanoscale interfaces into Ti3C2T
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MXenes using insulating graphene oxide (GO) intercalants to enhance internal scattering, resulting in improved EMI shielding effectiveness (SE). The amine-functionalized MXene with positive surface charge and negatively charged GO flakes are electrostatically self-assembled to form a 2D/2D heterostack of MXene/GO nanosheets. The resultant 2D/2D alternating heterostack of MXene/GO bearing multiple internal interfaces with significant impedance mismatch enhances the internal scattering of incident electromagnetic (EM) waves. Interestingly, despite their inferior electrical conductivity, the MXene/GO heterostack films exhibit higher EMI SE values than the randomly mixed hybrid films, and even outperform pristine MXene films. These MXene/GO heterostack films with enhanced absorption of EM waves via the strong internal scattering effect suggest a valuable pathway toward practical EMI shielding with thin and lightweight features.
Relative Age Within School Grade, Including Delayed and Accelerated School Start: Associations With Midlife Psychiatric Disorders, Suicide, and Alcohol- and Drug-Related Mortality
Authors: Keyes Katherine M , Kristensen Petter , Undem Karina , Mehlum Ingrid Sivesind 
Published: May 2023

Abstract
Within a school grade, children who are young for grade are at increased risk of psychiatric diagnoses, but the long-term implications remain understudied, and associations with students who delay or accelerate entry underexplored. We used Norwegian birth cohort records (birth years: 1967–1976, n = 626,928) linked to records in midlife. On-time school entry was socially patterned; among those born in December, 23.0% of children in the lowest socioeconomic position (SEP) delayed school entry, compared with 12.2% among the highest SEP. Among those who started school on time, there was no evidence for long-term associations between birth month and psychiatric/behavioral disorders or mortality. Controlling for SEP and other confounders, delayed school entry was associated with increased risk of psychiatric disorders and mortality. Children with delayed school entry were 1.31 times more likely to die by suicide (95% confidence interval: 1.07, 1.61) by midlife, and 1.96 times more likely to die from drug-related death (95% confidence interval: 1.59, 2.40) by midlife than those born late in the year who started school on time. Associations with delayed school entry are likely due to selection, and results thus underscore that long-term health risks can be tracked early in life, including through school entry timing, and are highly socially patterned.
Cytomegalovirus and Cardiovascular Disease: A Hypothetical Role for Viral G-Protein-Coupled Receptors in Hypertension
Authors: Bomfim Gisele F , Priviero Fernanda , Poole Emma , Tostes Rita C , Sinclair John H , Stamou Dimitrios , Uline Mark J , Wills Mark R , Webb R Clinton 
Published: May 2023

Abstract
Cytomegalovirus (CMV) is a member of the β-herpesviruses and is ubiquitous, infecting 50%–99% of the human population depending on ethnic and socioeconomic conditions. CMV establishes lifelong, latent infections in their host. Spontaneous reactivation of CMV is usually asymptomatic, but reactivation events in immunocompromised or immunosuppressed individuals can lead to severe morbidity and mortality. Moreover, herpesvirus infections have been associated with several cardiovascular and post-transplant diseases (stroke, atherosclerosis, post-transplant vasculopathy, and hypertension). Herpesviruses, including CMV, encode viral G-protein-coupled receptors (vGPCRs) that alter the host cell by hijacking signaling pathways that play important roles in the viral life cycle and these cardiovascular diseases. In this brief review, we discuss the pharmacology and signaling properties of these vGPCRs, and their contribution to hypertension. Overall, these vGPCRs can be considered attractive targets moving forward in the development of novel hypertensive therapies.
Textural properties of microglial activation in Alzheimer’s disease as measured by (R)-[11C]PK11195 PET
Authors: Lapo Pais Marta , Jorge Lília , Martins Ricardo , Canário Nádia , Xavier Ana Carolina , Bernardes Rui , Abrunhosa Antero , Santana Isabel , Castelo-Branco Miguel 
Published: May 2023

Abstract
Alzheimer’s disease is the most common form of dementia worldwide, accounting for 60–70% of diagnosed cases. According to the current understanding of molecular pathogenesis, the main hallmarks of this disease are the abnormal accumulation of amyloid plaques and neurofibrillary tangles. Therefore, biomarkers reflecting these underlying biological mechanisms are recognized as valid tools for an early diagnosis of Alzheimer’s disease. Inflammatory mechanisms, such as microglial activation, are known to be involved in Alzheimer’s disease onset and progression. This activated state of the microglia is associated with increased expression of the translocator protein 18 kDa. On that account, PET tracers capable of measuring this signature, such as (R)-[11C]PK11195, might be instrumental in assessing the state and evolution of Alzheimer’s disease. This study aims to investigate the potential of Gray Level Co-occurrence Matrix-based textural parameters as an alternative to conventional quantification using kinetic models in (R)-[11C]PK11195 PET images. To achieve this goal, kinetic and textural parameters were computed on (R)-[11C]PK11195 PET images of 19 patients with an early diagnosis of Alzheimer’s disease and 21 healthy controls and submitted separately to classification using a linear support vector machine. The classifier built using the textural parameters showed no inferior performance compared to the classical kinetic approach, yielding a slightly larger classification accuracy (accuracy of 0.7000, sensitivity of 0.6957, specificity of 0.7059 and balanced accuracy of 0.6967). In conclusion, our results support the notion that textural parameters may be an alternative to conventional quantification using kinetic models in (R)-[11C]PK11195 PET images. The proposed quantification method makes it possible to use simpler scanning procedures, which increase patient comfort and convenience. We further speculate that textural parameters may also provide an alternative to kinetic analysis in (R)-[11C]PK11195 PET neuroimaging studies involving other neurodegenerative disorders. Finally, we recognize that the potential role of this tracer is not in diagnosis but rather in the assessment and progression of the diffuse and dynamic distribution of inflammatory cell density in this disorder as a promising therapeutic target.
Altered directional functional connectivity underlies post-stroke cognitive recovery
Authors: Soleimani Behrad , Dallasta Isabella , Das Proloy , Kulasingham Joshua P , Girgenti Sophia , Simon Jonathan Z , Babadi Behtash , Marsh Elisabeth B 
Published: May 2023

AbstractCortical ischaemic strokes result in cognitive deficits depending on the area of the affected brain. However, we have demonstrated that difficulties with attention and processing speed can occur even with small subcortical infarcts. Symptoms appear independent of lesion location, suggesting they arise from generalized disruption of cognitive networks. Longitudinal studies evaluating directional measures of functional connectivity in this population are lacking. We evaluated six patients with minor stroke exhibiting cognitive impairment 6–8 weeks post-infarct and four age-similar controls. Resting-state magnetoencephalography data were collected. Clinical and imaging evaluations of both groups were repeated 6- and 12 months later. Network Localized Granger Causality was used to determine differences in directional connectivity between groups and across visits, which were correlated with clinical performance. Directional connectivity patterns remained stable across visits for controls. After the stroke, inter-hemispheric connectivity between the frontoparietal cortex and the non-frontoparietal cortex significantly increased between visits 1 and 2, corresponding to uniform improvement in reaction times and cognitive scores. Initially, the majority of functional links originated from non-frontal areas contralateral to the lesion, connecting to ipsilesional brain regions. By visit 2, inter-hemispheric connections, directed from the ipsilesional to the contralesional cortex significantly increased. At visit 3, patients demonstrating continued favourable cognitive recovery showed less reliance on these inter-hemispheric connections. These changes were not observed in those without continued improvement. Our findings provide supporting evidence that the neural basis of early post-stroke cognitive dysfunction occurs at the network level, and continued recovery correlates with the evolution of inter-hemispheric connectivity.
Impact of Mandatory Infectious Disease Specialist Approval on Hospital-Onset Clostridioides difficile Infection Rates and Testing Appropriateness
Authors: Lin Michael Y , Stein Brian D , Kothadia Sonya M , Blank Samantha , Schoeny Michael E , Tomich Alexander , Hayden Mary K , Segreti John 
Published: May 2023

Abstract

Background
Inappropriate Clostridioides difficile testing is common in the hospital setting, leading to potential overdiagnosis of infection when single-step nucleic acid amplification testing is used. The potential role of infectious diseases (ID) specialists in enforcing appropriate C. difficile testing is unclear.

Methods
At a single 697-bed academic hospital, we performed a retrospective study from 1 March 2012 to 31 December 2019 comparing hospital-onset C. difficile infection (HO-CDI) rates during 3 consecutive time periods: baseline 1 (37 months, no decision support), baseline 2 (32 months, computer decision support), and intervention period (25 months, mandatory ID specialist approval for all C. difficile testing on hospital day 4 or later). We used a discontinuous growth model to assess the impact of the intervention on HO-CDI rates.

Results
During the study period, we evaluated C. difficile infections across 331 180 admission and 1 172 015 patient-days. During the intervention period, a median of 1 HO-CDI test approval request per day (range, 0–6 alerts/day) was observed; adherence by providers with obtaining approval was 85%. The HO-CDI rate was 10.2, 10.4, and 4.3 events per 10 000 patient-days for each consecutive time period, respectively. In adjusted analysis, the HO-CDI rate did not differ significantly between the 2 baseline periods (P = .14) but did differ between the baseline 2 period and intervention period (P &lt; .001).

Conclusions
An ID-led C. difficile testing approval process was feasible and was associated with a &gt;50% decrease in HO-CDI rates, due to enforcement of appropriate testing.
A Single Reference Interval for Interpreting Serum Free Light Chains across Patients with Varying Renal Function
Authors: Azimi Vahid , Slade Michael , Fiala Mark , Fortier Julie M , Stockerl-Goldstein Keith , Frater John L , Brestoff Jonathan R , Jackups Ronald , Zaydman Mark A 
Published: May 2023

Abstract

Background
Serum free light chain (sFLC) assays are interpreted using a sFLC-ratio-based reference interval (manufacturer’s interval) that was defined using a cohort of healthy patients. However, renal impairment elevates the sFLC-ratio, leading to a high false positive rate when using the manufacturer’s interval. Prior studies have developed renal-specific reference intervals; however, this approach has not been widely adopted due to practical limitations. Thus, there remains a critical need for a renally robust sFLC interpretation method.

Methods
Retrospective data mining was used to define patient cohorts that reflect the spectrum of renal function seen in clinical practice. Two new reference intervals, one based on the sFLC-ratio and one based on a novel principal component analysis (PCA)-based metric, were developed for the FREELITE assay (Binding Site) on the Roche Cobas c501 instrument (Roche).

Results
Compared to the manufacturer’s reference interval, both new methods exhibited significantly lower false positive rates and greater robustness to renal function while maintaining equivalent sensitivity for monoclonal gammopathy (MG) diagnosis. While not significantly different, the point estimate for sensitivity was highest for the PCA-based approach.

Conclusion
Renally robust sFLC interpretation using a single reference interval is possible given a reference cohort that reflects the variation in renal function observed in practice. Further studies are needed to achieve sufficient power and determine if the novel PCA-based metric offers superior sensitivity for MG diagnosis. These new methods offer the practical advantages of not requiring an estimated glomerular filtration rate result or multiple reference intervals, thereby lowering practical barriers to implementation.
Base-excision restriction enzymes: expanding the world of epigenetic immune systems
Authors: Kojima Kenji K , Kobayashi Ichizo 
Published: May 2023

Abstract
The restriction enzymes examined so far are phosphodiesterases, which cleave DNA strands by hydrolysing phosphodiester bonds. Based on the mobility of restriction-modification systems, recent studies have identified a family of restriction enzymes that excise a base in their recognition sequence to generate an abasic (AP) site unless the base is properly methylated. These restriction glycosylases also show intrinsic but uncoupled AP lyase activity at the AP site, generating an atypical strand break. Action of an AP endonuclease at the AP site may generate another atypical break, rejoining/repairing of which is difficult. This PabI family of restriction enzymes contain a novel fold (HALFPIPE) and show unusual properties, such as non-requirement of divalent cations for cleavage. These enzymes are present in Helicobacteraceae/Campylobacteraceae and in few hyperthermophilic archaeal species. In Helicobacter genomes, their recognition sites are strongly avoided, and the encoding genes are often inactivated by mutations or replacement, indicating that their expression is toxic for the cells. The discovery of restriction glycosylases generalizes the concept of restriction-modification systems to epigenetic immune systems, which may use any mode of damage to DNA that are considered ‘non-self’ based on epigenetic modifications. This concept will add to our understanding of immunity and epigenetics.
Cross-sexual Transfer Revisited
Authors: Anderson Andrew P , Falk Jay Jinsing 
Published: May 2023

Abstract
In her influential book “Developmental Plasticity and Evolution,” Mary Jane West-Eberhard introduced the concept of cross-sexual transfer, where traits expressed in one sex in an ancestral species become expressed in the other sex. Despite its potential ubiquity, we find that cross-sexual transfer has been under-studied and under-cited in the literature, with only a few experimental papers that have invoked the concept. Here, we aim to reintroduce cross-sexual transfer as a powerful framework for explaining sex variation and highlight its relevance in current studies on the evolution of sexual heteromorphism (different means or modes in trait values between the sexes). We discuss several exemplary studies of cross-sexual transfer that have been published in the past two decades, further building on West-Eberhard’s extensive review. We emphasize two scenarios as potential avenues of study, within-sex polymorphic and sex-role reversed species, and discuss the evolutionary and adaptive implications. Lastly, we propose future questions to expand our understanding of cross-sexual transfer, from nonhormonal mechanisms to the identification of broad taxonomic patterns. As evolutionary biologists increasingly recognize the nonbinary and often continuous nature of sexual heteromorphism, the cross-sexual framework has important utility for generating novel insights and perspectives on the evolution of sexual phenotypes across diverse taxa.
Analysis of the ratio of ℓ1 and ℓ2 norms for signal recovery with partial support information
Authors: Ge Huanmin , Chen Wengu , Ng Michael K 
Published: May 2023

Abstract
The ratio of $\ell _{1}$ and $\ell _{2}$ norms, denoted as $\ell _{1}/\ell _{2}$, has presented prominent performance in promoting sparsity. By adding partial support information to the standard $\ell _{1}/\ell _{2}$ minimization, in this paper, we introduce a novel model, i.e. the weighted $\ell _{1}/\ell _{2}$ minimization, to recover sparse signals from the linear measurements. The restricted isometry property based conditions for sparse signal recovery in both noiseless and noisy cases through the weighted $\ell _{1}/\ell _{2}$ minimization are established. And we show that the proposed conditions are weaker than the analogous conditions for standard $\ell _{1}/\ell _{2}$ minimization when the accuracy of the partial support information is at least $50\%$. Moreover, we develop effective algorithms and illustrate our results via extensive numerical experiments on synthetic data in both noiseless and noisy cases.
An update on studies characterizing adaptive immune responses in SARS-CoV-2 infection and COVID-19 vaccination
Authors: da Silva Antunes Ricardo , Grifoni Alba , Frazier April , Weiskopf Daniela , Sette Alessandro 
Published: May 2023

Abstract
In this brief opinion piece, we highlight our studies characterizing adaptive SARS-CoV-2 immune responses in infection and vaccination, and the ability of SARS-CoV-2-specific T cells to recognize emerging variants of concern, and the role of pre-existing cross-reactive T cells. In the context of the debate on correlates of protection, the pandemic’s progression in the past 3 years underlined the need to consider how different adaptive immune responses might differentially contribute to protection from SARS-CoV-2 infection versus COVID-19 disease. Lastly, we discuss how cross-reactive T cell responses may be useful in generating a broad adaptive immunity, recognizing different variants and viral families. Considering vaccines with broadly conserved antigens could improve preparedness for future infectious disease outbreaks.
Leaving the hospital on time: hospital bed utilization and reasons for discharge delay in the Netherlands
Authors: van den Ende Eva , Schouten Bo , Pladet Lara , Merten Hanneke , van Galen Louise , Marinova Milka , Schinkel Michiel , Boerman Anneroos W , Nannan Panday Rishi , Rustemeijer Cees , Dulaimy Muhammad , Bell Derek , Nanayakkara Prabath Wb 
Published: May 2023

Abstract
Inappropriate bed occupancy due to delayed hospital discharge affects both physical and psychological well-being in patients and can disrupt patient flow. The Dutch healthcare system is facing ongoing pressure, especially during the current coronavirus disease pandemic, intensifying the need for optimal use of hospital beds. The aim of this study was to quantify inappropriate patient stays and describe the underlying reasons for the delays in discharge. The Day of Care Survey (DoCS) is a validated tool used to gain information about appropriate and inappropriate bed occupancy in hospitals. Between February 2019 and January 2021, the DoCS was performed five times in three different hospitals within the region of Amsterdam, the Netherlands. All inpatients were screened, using standardized criteria, for their need for in-hospital care at the time of survey and reasons for discharge delay. A total of 782 inpatients were surveyed. Of these patients, 94 (12%) were planned for definite discharge that day. Of all other patients, 145 (21%, ranging from 14% to 35%) were without the need for acute in-hospital care. In 74% (107/145) of patients, the reason for discharge delay was due to issues outside the hospital; most frequently due to a shortage of available places in care homes (26%, 37/145). The most frequent reason for discharge delay inside the hospital was patients awaiting a decision or review by the treating physician (14%, 20/145). Patients who did not meet the criteria for hospital stay were, in general, older [median 75, interquartile range (IQR) 65–84 years, and 67, IQR 55–75 years, respectively, P &lt; .001] and had spent more days in hospital (7, IQR 5–14 days, and 3, IQR 1–8 days respectively, P &lt; .001). Approximately one in five admitted patients occupying hospital beds did not meet the criteria for acute in-hospital stay or care at the time of the survey. Most delays were related to issues outside the immediate control of the hospital. Improvement programmes working with stakeholders focusing on the transfer from hospital to outside areas of care need to be further developed and may offer potential for the greatest gain. The DoCS can be a tool to periodically monitor changes and improvements in patient flow.
‘If you want to go far, go together’—community-based behaviour change interventions to improve antibiotic use: a systematic review of quantitative and qualitative evidence
Authors: Ghiga Ioana , Sidorchuk Anna , Pitchforth Emma , Stålsby Lundborg Cecilia , Machowska Anna 
Published: May 2023

Abstract

Introduction
A large proportion of the burden of infections with antibiotic-resistant bacteria is linked to community-associated infections. This suggests that interventions set in community settings are needed. Currently there is a gap in understanding the potential of such interventions across all geographies. This systematic review aimed to synthesize the evidence on the value of community-based behaviour change interventions to improve antibiotic use. These are any interventions or innovations to services intended to stimulate behaviour changes among the public towards correct antibiotic use, delivered in a community setting and online.

Methods
Systematic searches of studies published after 2001 were performed in several databases. Of 14 319 articles identified, 73 articles comprising quantitative, qualitative and mixed-methods studies met the inclusion criteria.

Results
Findings showed positive emerging evidence of the benefits of community-based behaviour change interventions to improve antibiotic use, with multifaceted interventions offering the highest benefit. Interventions that combine educational aspects with persuasion may be more effective than solely educational interventions. The review uncovered difficulties in assessing this type of research and highlights the need for standardized approaches in study design and outcomes measurements. There is emerging, but limited, indication on these interventions’ cost-effectiveness.

Conclusions
Policy makers should consider the potential of community-based behaviour change interventions to tackle antimicrobial resistance (AMR), complementing the clinical-based approaches. In addition to the direct AMR benefits, these could serve also as a means of (re)building trust, due to their inclusive participation leading to greater public ownership and use of community channels.