bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ultrasound-guided needle positioning for nodal dynamic contrast-enhanced MR lymphangiography
Authors: Wagenpfeil J. , Kupczyk P. A. , Henkel A. , Geiger S. , Köster T. , Luetkens J. A. , Schild H. H. , Attenberger U. I. , Pieper C. C. 
Published: March 2022

AbstractThe aim of the study was to assess injection needle positioning for contrast-enhanced MR-lymphangiography (MRL) by ultrasound-guided injection of saline-solution. 80 patients (33 male, mean age 43.1 years) were referred for MRL. The injection needle position was assessed by injection of saline-solution. Consecutive lymph node distension was observed on sonography followed by MRL. Transpedal MRL was performed when no inguinal lymph nodes could be identified. The inguinal lymph node detection rate was recorded. MR-lymphangiograms were assessed regarding primary (i.e. enhancement of draining lymph vessels) and secondary technical success (i.e. lymph vessel enhancement after repositioning of the needle). MRL was considered as clinically successful if enhancement of the central lymphatic system and/or a lymphatic pathologies were observed. For a total of 92 MRLs 177 groins were evaluated sonographically. In 171/177 groins (96.6%) lymph nodes were identified. After needle placement lymph node distension was observed in 171/171 cases (100%) on saline injection. MR-contrast injection demonstrated enhancement of draining lymph vessels in 163/171 cases (95.3%). In 6/171 cases (3.5%) in-bore needle retraction lead to lymphatic enhancement. In one patient [2/171 nodes (1.1%)] no lymphatic enhancement was seen despite repeated needle repositioning. Overall contrast application was technically successful in 169/171 cases (98.8%). In the 6 groins in which no nodes were identifiable, transpedal MRL was successful. So overall 91/92 MRLs (98.9%) were clinically successful. No complications were recorded. Confirmation of the needle position for nodal MRL by sonographically controlled saline injection is a reliable technique with a high success rate of MRL.
Influence of cerebral microbleeds on mechanical thrombectomy outcomes
Authors: Lee Seong-Joon , Hwang Yang-Ha , Hong Ji Man , Choi Jin Wook , Park Ji Hyun , Park Bumhee , Kang Dong-Hun , Kim Yong-Won , Kim Yong-Sun , Hong Jeong-Ho , Yoo Joonsang , Kim Chang-Hyun , Sohn Sung-Il , Lee Jin Soo 
Published: March 2022

AbstractIn ischemic stroke patients undergoing endovascular treatment (EVT), we aimed to test the hypothesis that cerebral microbleeds (CMBs) are associated with clinical outcomes, while estimating the mediating effects of hemorrhagic transformation (HT), small-vessel disease burden (white matter hyperintensities, WMH), and procedural success. From a multicenter EVT registry, patients who underwent pretreatment MR imaging were analyzed. They were trichotomized according to presence of CMBs (none vs. 1–4 vs. ≥ 5). The association between CMB burden and 3-month mRS was evaluated using multivariable ordinal logistic regression, and mediation analyses were conducted to estimate percent mediation. Of 577 patients, CMBs were present in 91 (15.8%); 67 (11.6%) had 1–4 CMBs, and 24 (4.2%) had ≥ 5. Increases in CMBs were associated with hemorrhagic complications (β = 0.27 [0.06–0.047], p = 0.010) in multivariable analysis. The CMB effect on outcome was partially mediated by post-procedural HT degree (percent mediation, 14% [0–42]), WMH (23% [7–57]) and lower rates of successful reperfusion (6% [0–25]). In conclusion, the influence of CMBs on clinical outcomes is mediated by small-vessel disease burden, post-procedural HT, and lower reperfusion rates, listed in order of percent mediation size.
Optimization of methods for the accurate characterization of whole blood neutrophils
Authors: Connelly Ashley N. , Huijbregts Richard P. H. , Pal Harish C. , Kuznetsova Valeriya , Davis Marcus D. , Ong Krystle L. , Fay Christian X. , Greene Morgan E. , Overton Edgar T. , Hel Zdenek 
Published: March 2022

AbstractNeutrophils are the most abundant circulating leukocyte population with critical roles in immune defense, regulation of innate and adaptive immune systems, and disease pathogenesis. Our progress in understanding precise mechanisms of neutrophil activation, recruitment, and function has been hampered by the lack of optimized and standardized methods for the characterization and phenotyping of this readily activated population. By comparing eight methods of neutrophil characterization, we demonstrate that the level of neutrophil activation and degranulation is associated with specific experimental conditions and the number and type of manipulation steps employed. Staining whole blood at 4 °C and removal of remaining unbound antibodies prior to one-step fixation and red blood cell lysis minimizes neutrophil activation, decreases phenotypic alterations during processing, and prevents nonspecific antibody binding. The effects of anticoagulants used for collection, processing delays, and time and temperature during sample analysis on neutrophil phenotype are addressed. The presented data provide a foundation for higher quality standards of neutrophil characterization improving consistency and reproducibility among studies.
Massive transformation in FeNi nanopowders with nanotwin-assisted nitridation
Authors: Wang Jian , Hirayama Yusuke , Liu Zheng , Suzuki Kazuyuki , Yamaguchi Wataru , Park Kwangjae , Takagi Kenta , Kura Hiroaki , Watanabe Eiji , Ozaki Kimihiro 
Published: March 2022

AbstractL10-ordered FeNi alloy (tetrataenite), a promising candidate for rare-earth-free and low-cost permanent magnet applications, is attracting increasing attention from academic and industrial communities. Highly ordered single-phase L10-FeNi is difficult to synthesis efficiently because of its low chemical order–disorder transition temperature (200–320 °C). A non-equilibrium synthetic route utilizing a nitrogen topotactic reaction has been considered a valid approach, although the phase transformation mechanism is currently unknown. Herein, we investigated the basis of this reaction, namely the formation mechanism of the tetragonal FeNiN precursor phase during the nitridation of FeNi nanopowders. Detailed microstructure analysis revealed that the FeNiN precursor phase could preferentially nucleate at the nanotwinned region during nitridation and subsequently grow following a massive transformation, with high-index irrational orientation relationships and ledgewise growth motion detected at the migrating phase interface. This is the first report of a massive phase transformation detected in an Fe–Ni–N system and provides new insights into the phase transformation during the nitriding process. This work is expected to promote the synthetic optimization of fully ordered FeNi alloys for various magnetic applications.
Spatial occurrence and sources of PAHs in sediments drive the ecological and health risk of Taihu Lake in China
Authors: Lang Xiulu , He Xinghua , Wang Yanhua , Chen Xi , Zhang Mingli , Zhao Zihan , Sun Tian 
Published: March 2022

AbstractTo study the spatial occurrence, sources, and ecological risks of 16 PAHs, surface sediments had been collected from seven major areas of Taihu Lake, China in April 2021. Results showed that the concentrations of ∑16PAHs varied between 1381.48 and 4682.16 ng g−1, and the contents of BghiP in each sample were the highest. The PAHs concentrations in the sediments near the lakeshore were much higher than those in the central area of the lake. The sedimentary ∑16PAHs were mainly composed of molecular-weight monomers and 4-ring PAHs showed superiority (35.69–45.02%). According to the ratio of PAH monomer, the sedimentary PAHs in Taihu Lake were dominantly derived from the combustion. Through the biological toxicity assessment and the BaP equivalent (BaPE), great biological risks of PAHs monomers i.e. DahA and IcdP were found. Both concentrations of ∑16PAHs and dominant 4–6-ring monomers accompanied by carcinogenic risks in many areas of Taihu Lake increased. It is necessary to strengthen monitoring and take measures to control the input of organic pollutants.
Vegetation increases abundances of ground and canopy arthropods in Mediterranean vineyards
Authors: Blaise Chloé , Mazzia Christophe , Bischoff Armin , Millon Alexandre , Ponel Philippe , Blight Olivier 
Published: March 2022

AbstractThe decline of arthropod populations observed in many parts of the world is a major component of the sixth mass extinction with intensive agriculture being one of its main drivers. Biodiversity-friendly farming practices are taking centre stage in the recovery process. In vineyards, vegetation cover is commonly used for production purposes, to reduce soil compaction by machinery use and soil erosion. Here we examined the effects of vegetation cover and soil management on the abundance of ground- (spiders, beetles, Hemiptera and harvestmen) and canopy-dwelling (wild bees, green lacewings, beetles and Hemiptera) arthropods in three categories of vineyards: (i) vineyards with no vegetation, (ii) partially vegetated (every second inter-row is vegetated) and (iii) all inter-rows are vegetated. We recorded a general positive effect of a decrease in soil perturbation intensity and corresponding higher vegetation cover on arthropod abundance. Plant species richness was the most important vegetation parameter, with a positive effect on spiders, harvestmen, hemipterans and beetles (ground and canopy) abundances. Using a path analysis, we also highlighted the central role of inter-row vegetation management in trophic and non-trophic relationships between vegetation and arthropods, and between arthropod groups. Our results demonstrate the benefits of a softer soil management preserving a diverse vegetation cover for the conservation of arthropods in Mediterranean vineyards.
Association between lung function and the risk of atrial fibrillation in a nationwide population cohort study
Authors: Lee Su Nam , Ko Seung-Hyun , Her Sung-Ho , Han Kyungdo , Moon Donggyu , Kim Sung Kyoung , Yoo Ki-Dong , Ahn Yu-Bae 
Published: March 2022

AbstractWe investigated the association between lung function and atrial fibrillation (AF) in 21,349 adults without AF aged ≥ 40 years who underwent spirometry. The study participants were enrolled from the Korean National Health and Nutritional Examination Survey between 2008 and 2016. The primary outcome was new-onset non-valvular AF identified from the National Health Insurance Service database. During the median follow-up of 6.5 years, 2.15% of participants developed new-onset AF. The incidence rate of AF per 1000 person-years was inversely related to the forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and FEV1/FVC quartile. After adjustment for multiple variables, the AF risk in the lowest FEV1 quartile was 1.64-fold higher than that in the highest quartile (hazard ratio (HR) 1.64 (95% confidence interval (CI) 1.26–2.12) for lowest FEV1 quartile). The lowest quartile of FVC had 1.56-fold higher AF risk than the highest quartile (HR 1.56 (95% CI 1.18–2.08) for lowest FVC quartile). Although the lowest FEV1/FVC quartile was associated with an increased risk of AF in the unadjusted model, this increased risk was not statistically significant in the multivariable analysis. Compared to those with normal lung function, participants with restrictive or obstructive lung function had 1.49 and 1.42-fold higher AF risks, respectively. In this large nationwide cohort study, both obstructive and restrictive patterns of reduced lung function were significantly associated with increased AF risk.
Mathematical analysis of a two-strain tuberculosis model in Bangladesh
Authors: Kuddus Md Abdul , McBryde Emma S. , Adekunle Adeshina I. , White Lisa J. , Meehan Michael T. 
Published: March 2022

AbstractTuberculosis (TB) is an airborne infectious disease that causes millions of deaths worldwide each year (1.2 million people died in 2019). Alarmingly, several strains of the causative agent, Mycobacterium tuberculosis (MTB)—including drug-susceptible (DS) and drug-resistant (DR) variants—already circulate throughout most developing and developed countries, particularly in Bangladesh, with totally drug-resistant strains starting to emerge. In this study we develop a two-strain DS and DR TB transmission model and perform an analysis of the system properties and solutions. Both analytical and numerical results show that the prevalence of drug-resistant infection increases with an increasing drug use through amplification. Both analytic results and numerical simulations suggest that if the basic reproduction numbers of both DS ($${\text{R}}_{{0{\text{s}}}}$$

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) and DR ($${\text{R}}_{{0{\text{r}}}}$$

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) TB are less than one, i.e. $$\max \left[ {{\text{R}}_{{0{\text{s}}}} ,{\text{ R}}_{{0{\text{r}}}} } \right] < 1,$$

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the disease-free equilibrium is asymptotically stable, meaning that the disease naturally dies out. Furthermore, if $${\text{R}}_{{0{\text{r}}}} > {\text{max}}\left[ {{\text{R}}_{{0{\text{s}}}} ,1} \right]$$

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, then DS TB dies out but DR TB persists in the population, and if $${\text{R}}_{{0{\text{s}}}} > {\text{max}}\left[ {{\text{R}}_{{0{\text{r}}}} ,1} \right]$$

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both DS TB and DR TB persist in the population. Further, sensitivity analysis of the model parameters found that the transmission rate of both strains had the greatest influence on DS and DR TB prevalence. We also investigated the effect of treatment rates and amplification on both DS and DR TB prevalence; results indicate that inadequate or inappropriate treatment makes co-existence more likely and increases the relative abundance of DR TB infections.
The preoperative geriatric nutritional risk index (GNRI) is an independent prognostic factor in elderly patients underwent curative resection for colorectal cancer
Authors: Hayama Tamuro , Hashiguchi Yojiro , Ozawa Tsuyoshi , Watanabe Makoto , Fukushima Yoshihisa , Shimada Ryu , Nozawa Keijiro , Matsuda Keiji , Fujii Shoichi , Fukagawa Takeo 
Published: March 2022

AbstractThe world is becoming longer-lived, and the number of elderly colorectal cancer patients is increasing. It is very important to identify simple and inexpensive postoperative predictors in elderly colorectal cancer patients. The geriatric nutritional risk index (GNRI) is a marker of systemic nutrition and is associated with poor survival in various kinds of cancers. A few reports have investigated recurrence factors using preoperative GNRI with CRC (colorectal cancer) patients. This study aimed to investigate whether preoperative GNRI is associated with recurrence-free survival (RFS) and overall survival (OS) in elderly patients with CRC. This study retrospectively enrolled 259 patients with Stage I–III CRC who were more than 65 years old and underwent curative surgery at a single institution in 2012–2017. We classified them into low GNRI (RFS: ≤ 90.5, OS ≤ 101.1) group and high GNRI (RFS: > 90.5, OS > 101.1) group. Multivariable analyses showed low GNRI group was an independent risk factor for 3-year RFS (P = 0.006) and OS (P = 0.001) in the patients with CRC. Kaplan–Meier analysis showed 3-year RFS and 3-year OS were significantly worse in the low GNRI group than in high GNRI group (p = 0.001, 0.0037). A low-preoperative GNRI was significantly associated with a poor prognosis in elderly CRC patients.
Standardized evaluation of the quality and persuasiveness of mobile health applications for diabetes management
Authors: Geirhos A. , Stephan M. , Wehrle M. , Mack C. , Messner E.-M. , Schmitt A. , Baumeister H. , Terhorst Y. , Sander L. B. 
Published: March 2022

AbstractThis study evaluates diabetes self-management mobile health applications available from European app stores with respect to quality, concordance with recommended self-management tasks and implementation of persuasive system design principles. The European Play Store and Apple App Store were systematically searched and relevant apps were tested. Two raters independently assessed app quality using the Mobile Application Rating Scale and conducted a content analysis of provided persuasive system design principles and self-management tasks. A total of 2,269 mobile health applications were identified and 120 could be included in the evaluation. The overall quality was rated as moderateM = 3.20 (SD = 0.39, min = 2.31, max = 4.62), with shortcomings in the subcategories of engagement (M = 2.80,SD = 0.67) and information quality (M = 2.26,SD = 0.48). Scientific evidence is available for 8% of the apps. The reviewed apps implemented a median of three persuasive system design principles (range 0–15) and targeted a median of 4.5 (range 1–8) self-management tasks, however, with a lack of information about psychosocial coping strategies. Most available diabetes self-management apps lack a scientific evidence base. Persuasive system design features are underrepresented and may form a promising tool to improve app quality. Furthermore, the interaction of physical and behavioral health should be improved in existing diabetes self-management mobile health applications.
Pretrained transformer framework on pediatric claims data for population specific tasks
Authors: Zeng Xianlong , Linwood Simon L. , Liu Chang 
Published: March 2022

AbstractThe adoption of electronic health records (EHR) has become universal during the past decade, which has afforded in-depth data-based research. By learning from the large amount of healthcare data, various data-driven models have been built to predict future events for different medical tasks, such as auto diagnosis and heart-attack prediction. Although EHR is abundant, the population that satisfies specific criteria for learning population-specific tasks is scarce, making it challenging to train data-hungry deep learning models. This study presents the Claim Pre-Training (Claim-PT) framework, a generic pre-training model that first trains on the entire pediatric claims dataset, followed by a discriminative fine-tuning on each population-specific task. The semantic meaning of medical events can be captured in the pre-training stage, and the effective knowledge transfer is completed through the task-aware fine-tuning stage. The fine-tuning process requires minimal parameter modification without changing the model architecture, which mitigates the data scarcity issue and helps train the deep learning model adequately on small patient cohorts. We conducted experiments on a real-world pediatric dataset with more than one million patient records. Experimental results on two downstream tasks demonstrated the effectiveness of our method: our general task-agnostic pre-training framework outperformed tailored task-specific models, achieving more than 10% higher in model performance as compared to baselines. In addition, our framework showed a potential to transfer learned knowledge from one institution to another, which may pave the way for future healthcare model pre-training across institutions.
A new method of intraoperative pelvic neuromonitoring: a preclinical feasibility study in a porcine model
Authors: Schuler Ramona , Goos Matthias , Langer Andreas , Meisinger Maximilian , Marquardt Christoph , Fritsch Helga , Konschake Marko 
Published: March 2022

AbstractLow anterior resections (LAR) are frequently associated with complications such as urinary and fecal incontinence as well as sexual disorders. Typical risk factors are rectal cancer with low tumor location, preoperative radiotherapy, and surgery-related damage of pelvic autonomic nerves. As preserving the pelvic autonomic nerves without any technical assistance is challenging, the objective of this preclinical study was to investigate the technical feasibility of a new method for intraoperative pelvic neuromonitoring. Twelve female pigs undergoing low anterior resections were involved in a prospective preclinical study. Intraoperative pelvic neuromonitoring included direct pelvic nerve stimulation and tissue impedance measurement on the urinary bladder and the rectum for the identification of efferent pelvic nerves in the surgical area. Immunohistochemistry was used to verify the results. Smooth muscle contraction of the urinary bladder and/or the rectum in response to direct stimulation of the innervating nerves was detectable with impedance measurement. The macroscopic contraction of both the urinary bladder and the rectum correlated with a change in tissue impedance compared to the status before contraction. Thus, it was possible to identify pelvic nerves in the surgical area, which allows the nerves to be preserved. The results indicate a reliable identification of pelvic autonomic nerves, which allows nerve damage to be prevented in the future.
Study on the application and imaging characteristics of optical coherence tomography in vulva lesions
Authors: Xu Lida , Ma Qian , Lin Shaochong , Ju Juan , Feng Shuo , Shi Zhongna , Bai Yang , Song Junzhai , Du Junpeng , Wang Baojin 
Published: March 2022

AbstractIn this study, a prospective study was conducted by using optical coherence tomography (OCT) in the in vivo detection of vulvar diseases. The clinical efficacy of the OCT we investigated in the detection of vulvar diseases, and the characteristics of the OCT images were defined. Overall, this study recruited 63 patients undergoing the colposcopy for vulvar lesions in three Chinese hospitals from December 20th, 2018 and September 24th, 2019. The colposcopy and the OCT examination were performed successively, and the OCT images were compared with the relevant tissue sections to characterize different lesions. The OCT diagnoses where categorized into 7 types, including normal and inflammatory vulva, condyloma acuminata, papilloma, lichen sclerosus, atrophic sclerosing lichen, fibrous epithelial polyp as well as cysts. The structural characteristics of the vulva tissue can be clearly observed in the OCT image, which are consistent with the characteristics of the tissue section. Compared with the pathological results, the sensitivity, specificity and accuracy of the OCT examination reached 83.82% (95% confidence interval, CI 72.5%–91.3%), 57.89% (95% CI 34.0%–78.9%) and 78.16%, respectively. The OCT is found with the advantages of being noninvasive, real-time and sensitive and with high resolution. It is of high significance to screening vulva diseases, and it is expected as one of the methods to clinically diagnose vulva diseases.
UCHL5 controls β-catenin destruction complex function through Axin1 regulation
Authors: Han Wonhee , Koo Youngmu , Chaieb Leila , Keum Byeong-Rak , Han Jin-Kwan 
Published: March 2022

AbstractWnt/β-catenin signaling is crucially involved in many biological processes, from embryogenesis to cancer development. Hence, the complete understanding of its molecular mechanism has been the biggest challenge in the Wnt research field. Here, we identified ubiquitin C-terminal hydrolase like 5 (UCHL5), a deubiquitinating enzyme, as a novel negative regulator of Wnt signaling, upstream of β-catenin. The study further revealed that UCHL5 plays an important role in the β-catenin destruction complex, as it physically interacts with multiple domains of Axin1 protein. Our functional analyses also elucidated that UCHL5 is required for both the stabilization and the polymerization of Axin1 proteins. Interestingly, although these events are governed by deubiquitination in the DIX domain of Axin1 protein, they do not require the deubiquitinating activity of UCHL5. The study proposes a novel molecular mechanism of UCHL5 potentiating the functional activity of Axin1, a scaffolder of the β-catenin destruction complex.