bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing organ-on-chip in a next-generation risk assessment of chemicals: a review
Authors: Nitsche Katharina S. , Müller Iris , Malcomber Sophie , Carmichael Paul L. , Bouwmeester Hans 
Published: February 2022

AbstractOrgan-on-chip (OoC) technology is full of engineering and biological challenges, but it has the potential to revolutionize the Next-Generation Risk Assessment of novel ingredients for consumer products and chemicals. A successful incorporation of OoC technology into the Next-Generation Risk Assessment toolbox depends on the robustness of the microfluidic devices and the organ tissue models used. Recent advances in standardized device manufacturing, organ tissue cultivation and growth protocols offer the ability to bridge the gaps towards the implementation of organ-on-chip technology. Next-Generation Risk Assessment is an exposure-led and hypothesis-driven tiered approach to risk assessment using detailed human exposure information and the application of appropriate new (non-animal) toxicological testing approaches. Organ-on-chip presents a promising in vitro approach by combining human cell culturing with dynamic microfluidics to improve physiological emulation. Here, we critically review commercial organ-on-chip devices, as well as recent tissue culture model studies of the skin, intestinal barrier and liver as the main metabolic organ to be used on-chip for Next-Generation Risk Assessment. Finally, microfluidically linked tissue combinations such as skin–liver and intestine–liver in organ-on-chip devices are reviewed as they form a relevant aspect for advancing toxicokinetic and toxicodynamic studies. We point to recent achievements and challenges to overcome, to advance non-animal, human-relevant safety studies.
Exercise Prescription Enhances Maximal Oxygen Uptake and Anaerobic Threshold in Young Single Ventricle Patients with Fontan Circulation
Authors: Pyykkönen Henri , Rahkonen Otto , Ratia Nadja , Lähteenmäki Sini , Tikkanen Heikki , Piirilä Päivi , Pitkänen-Argillander Olli 
Published: February 2022

AbstractA modified Fontan procedure is performed to palliate single ventricle malformations. This hemodynamic arrangement sets systemic venous pressure unphysiologically high which predisposes the patient to severe long-term complications. As a means of self-care, exercise may ease transpulmonary flow. We investigated the effects of 6-month exercise prescription on pediatric Fontan patients. Eighteen stable Fontan patients (14 ± 2.6 years, 160.4 ± 11.3 cm, and 51.4 ± 14.4 kg) were recruited. Baseline fitness was assessed by physical activity questionnaire, body composition, cardiorespiratory performance, and muscle fitness tests. Exercise prescription was individually tailored for a 6-month training period at home. At entrance to the study, Fontan patients had lower than normal maximal oxygen uptake (VO2max) of 28. ± 5.9 ml/kg/min (61 ± 11% of normal). VO2max significantly correlated with weekly amount of habitual exercise and muscle mass of the lower limbs (p < 0.001 for both). After 6 months of training, the patients had improved their anaerobic threshold of 18 ± 3.5 vs 20 ± 4.8 ml/kg/min, p = 0.007, and workload tolerance of 119 ± 39 vs 132.4 ± 44 W, p = 0.001. At EUROFIT tests, the patient muscle fitness was below age-matched reference, but correlations existed between VO2max and lower limb muscle tests. Our patients with Fontan hemodynamics were able to positively respond to an exercise program by enhancing submaximal performance which should be beneficial for getting through daily activities. Future studies should correlate whether hemodynamic findings at Fontan completion influence physical activity and exercise reserves, and whether these predict predisposition to chronic complications.
Elastic tubes: the ideal equipment for telehealth exercise medicine in the management of prostate cancer?
Authors: Mavropalias Georgios 
Published: February 2022

AbstractProstate cancer (PCa) affects 1 in 8 men, but exercise therapy has been shown to be a very effective intervention not only to induce physiological benefits but to also reduce the side effects of cancer treatments typically administered during PCa. The COVID19 pandemic has restricted access to exercise clinics, a problem which always existed for people living in rural and remote areas. This caused many exercise physiologists and researchers to transition their clinic-based exercise to online, home-based exercise. We would like to propose that researchers and exercise physiologists should consider the use of elastic tubes in both research and the clinical management of PCa, when exercise programs are administered remotely, as their characteristics make them an ideal exercise equipment. In this article, the characteristics, considerations, and information on quantifying exercise dosage when using elastic tubes in remote exercise delivery are discussed.
Using patient experiences to evaluate care and expectations in lung cancer: analysis of the English Cancer Patient Experience Survey linked with the national cancer registry
Authors: Nartey Yvonne , Tata Laila J. , Khakwani Aamir , Beattie Vanessa , Beckett Paul , Hubbard Richard B. , Stewart Iain 
Published: February 2022

Abstract
Purpose
Identification of unmet needs in person centred and supportive care could be limited by differences in experience across specific cancer populations. Using the experiences of people with lung cancer, we assess distinctions according to demographic and clinical characteristics.

Methods
The English Cancer Patient Experience Survey was linked to the national cancer registry. The primary outcome was experience of the lung cancer pathway when assessed in multi-question models developed with item response theory. Secondary outcomes were experience by treatment received and in separate dimensions of the care pathway: up to diagnosis, treatment information, and staff support.

Results
Responses from 15,967 adults with a lung cancer diagnosis between 2009 and 2015 were included. Positive experiences were more likely to be reported by people aged between 65 and 80 (adjusted coefficient 0.08, 95%CI 0.05;0.11), those living in the most deprived areas (adjusted coefficient 0.10, 95%CI 0.05;0.14), diagnosed at lung cancer stage IIA–B (adjusted coefficient 0.09, 95%CI 0.04;0.14), and those diagnosed through inpatient elective admissions (adjusted coefficient 0.17, 95%CI 0.07;0.28). Specific experiences differed across dimensions of care and within lung cancer treatment groups.

Conclusions
Experiences differed according to gender and ethnicity, supporting previous observations in cancer. In contrast to previous studies, people with lung cancer were more likely to report positive pathway experiences at older ages, living in more deprived areas, or diagnosed after stage I, all frequently associated with worse clinical outcomes. The distinct observations in lung cancer specific analyses suggest potential unmet needs, such as in early stage disease and younger age groups.
Fear of cancer recurrence and PSA anxiety in patients with prostate cancer: a systematic review
Authors: James Callum , Brunckhorst Oliver , Eymech Omar , Stewart Robert , Dasgupta Prokar , Ahmed Kamran 
Published: February 2022

Abstract
Purpose
The impact of prostate cancer on the mental wellbeing of patients is increasingly being appreciated. Two important aspects of this include fear of cancer recurrence (FCR) and prostate-specific antigen (PSA) anxiety. However, their prevalence, severity and associating factors remain poorly understood. Therefore, this review aims to evaluate the current evidence for the prevalence, severity and associating features of PSA anxiety and FCR.

Methods
A systematic search of MEDLINE, EMBASE and PsycINFO databases was conducted by two independent reviewers. Observational studies measuring FCR and PSA anxiety in prostate cancer using validated measures were included. Outcome measures were prevalence of significant levels, mean scores and significant correlations of FCR and PSA anxiety scores with patient, disease, treatment or other mental health and quality of life outcomes.

Results
One thousand one hundred forty-eight individual records underwent screening with 32 studies included. Median prevalence of significant FCR and PSA anxiety was 16% and 22% respectively across all studies. Longitudinal studies demonstrated severity of both symptoms peaks at diagnosis, with little variability, even several years following this. Evaluating associating factors revealed younger age, generalised quality of life and mental health symptoms to be important factors for both outcomes. Few studies evaluated associations and differences between other patient, disease and treatment characteristics.

Conclusion
FCR and PSA anxiety are prominent symptoms for prostate cancer patients and importantly when present, are associated with poorer quality of life and mental health symptoms. Screening for these constructs and referral to appropriate services should form part of routine follow-up care.
Intravenous ibuprofen versus diclofenac plus orphenadrine in orthognathic surgery: a prospective, randomized, double-blind, controlled clinical study
Authors: Tomic Josip , Wallner Jürgen , Mischak Irene , Sendlhofer Gerald , Zemann Wolfgang , Schanbacher Monika , Hassanzadeh Hamid , Sandner-Kiesling Andreas , Payer Michael , Zrnc Tomislav A. 
Published: February 2022

Abstract
Objectives
The aim of this prospective, randomized, double-blind, controlled clinical study was to evaluate the analgesic effect of ibuprofen versus diclofenac plus orphenadrine on postoperative pain in orthognathic surgery.

Material and methods
Patients who underwent orthognathic surgery were randomized into two groups to receive intravenously either 600 mg of ibuprofen (I-group) or 75 mg diclofenac plus 30 mg orphenadrine (D-group), both of which were given twice daily. Additionally, both groups were given metamizole 500 mg. Rescue pain medication consisted of acetaminophen 1000 mg and piritramide 7.5 mg as needed. To assess the pain intensity, the primary end point was the numeric rating scale (NRS) recorded over the course of the hospital stay three times daily for 3 days.

Results
One hundred nine patients were enrolled (age range, 18 to 61 years) between May 2019 and November 2020. Forty-eight bilateral sagittal split osteotomies (BSSO) and 51 bimaxillary osteotomies (BIMAX) were performed. Surgical subgroup analysis found a significant higher mean NRS (2.73 vs.1.23) in the BIMAX D-group vs. I-group (p = 0.015) on the third postoperative day. Additionally, as the patient’s body mass index (BMI) increased, the mean NRS (r = 0.517, p = 0.001) also increased. No differences were found between age, gender, length of hospital stay, weight, operating times, number of patients with complete pain relief, acetaminophen or piritramide intake, and NRS values. No adverse events were observed.

Conclusion
The results of this study demonstrate that ibuprofen administration and lower BMI were associated with less pain for patients who underwent bimaxillary osteotomy on the third postoperative day. Therefore, surgeons may prefer ibuprofen for more effective pain relief after orthognathic surgery.

Clinical relevance
Ibuprofen differs from diclofenac plus orphenadrine in class and is a powerful analgetic after orthognathic surgery.
Magnetic bead mixing in a microfluidic chamber induced by an in-plane rotating magnetic field
Authors: Shanko Eriola-Sophia , van Buul Olaf , Wang Ye , van de Burgt Yoeri , Anderson Patrick , den Toonder Jaap 
Published: February 2022

AbstractMagnetic microbeads have been widely used for the capturing of biomarkers, as well as for microfluidic mixing for point-of-care diagnostics. In magnetic micromixing, microbead motion is generated by external electromagnets, inducing fluid kinetics, and consequently mixing. Here, we utilize an in-plane rotating magnetic field to induce magnetic bead mixing in a circular microfluidic chamber that allows better access with (optical) readout than for existing micromixing approaches. We analyze the magnetic bead dynamics, the induced fluid profiles and we quantify the mixing performance of the system. The rotating field causes the combination of (1) a global rotating flow counter to the external field rotation induced by magnetic particles moving along the chamber side wall, with (2) local flow perturbations induced by rotating magnetic bead clusters in the central area of the chamber, rotating in the same direction as the external field. This combination leads to efficient mixing performance within 2 min of actuated magnetic field. We integrate magnetic mushroom-shaped features around the circumference of the chamber to generate significantly higher global fluid velocities compared with the no-mushroom configuration, but this results in less efficient mixing due to the absence of the central rotating bead clusters. To validate and understand the experimental results and to predict further enhancement of mixing, we carry out numerical simulations of induced fluid profiles and their corresponding mixing indices, and we explore the additional effect of integrating geometrical structures. The micromixing method we introduce here is particularly suitable for microfluidic devices in which the biochemical assay happens in a microfluidic chamber under no-flow conditions, i.e., with initially stagnant fluids, and for which the time-to-result is critical, such as in point-of-care diagnostics.
Personalised 3D Assessment of Trochanteric Soft Tissues Improves HIP Fracture Classification Accuracy
Authors: Aldieri Alessandra , Terzini Mara , Audenino Alberto L. , Bignardi Cristina , Paggiosi Margaret , Eastell Richard , Viceconti Marco , Bhattacharya Pinaki 
Published: February 2022

AbstractPassive soft tissues surrounding the trochanteric region attenuate fall impact forces and thereby control hip fracture risk. The degree of attenuation is related to Soft Tissue Thickness (STT). STT at the neutral hip impact orientation, estimated using a regression relation in body mass index (BMI), was previously shown to influence the current absolute risk of hip fracture (ARF0) and its fracture classification accuracy. The present study investigates whether fracture classification using ARF0 improves when STT is determined from the subject’s Computed-Tomography (CT) scans (i.e. personalised) in an orientation-specific (i.e. 3D) manner. STT is calculated as the shortest distance along any impact orientation between a semi-automatically segmented femur surface and an automatically segmented soft tissue/air boundary. For any subject, STT along any of the 33 impact orientations analysed always exceeds the value estimated using BMI. Accuracy of fracture classification using ARF0 improves when using personalised 3D STT estimates (AUC = 0.87) instead of the BMI-based STT estimate (AUC = 0.85). The improvement is smaller (AUC = 0.86) when orientation-specificity of CT-based STT is suppressed and is nil when personalisation is suppressed instead. Thus, fracture classification using ARF0 improves when CT is used to personalise STT estimates and improves further when, in addition, the estimates are orientation specific.
Wetting mechanism and morphological adaptation; leaf rolling enhancing atmospheric water acquisition in wheat crop—a review
Authors: Ali Zulfiqar , Merrium Sabah , Habib-ur-Rahman Muhammad , Hakeem Sadia , Saddique Muhammad Abu Bakar , Sher Muhammad Ali 
Published: February 2022

AbstractSeveral plant species such as grasses are dominant in many habitats including arid and semi-arid areas. These species survive in these regions by developing exclusive structures, which helps in the collection of atmospheric water. Before the collected water evaporates, these structures have unique canopy structure for water transportation that plays an equivalent share in the fog-harvesting mechanism. In this review, the atmospheric gaseous water harvesting mechanisms and their affinity of measurements were discussed. Morphological adaptations and their role in the capturing of atmospheric gaseous water of various species were also discussed. The key factor for the water collection and its conduction in the wheat plant is the information of contact angle hysteresis. In wheat, leaf rolling and its association with wetting property help the plant in water retention. Morphological adaptations, i.e., leaf erectness, grooves, and prickle hairs, also help in the collection and acquisition of water droplets by stem flows in directional guide toward the base of the plant and allow its rapid uptake. Morphological adaptation strengthens the harvesting mechanism by preventing the loss of water through shattering. Thus, wheat canopy architecture can be modified to harvest the atmospheric water and directional movement of water towards the root zone for self-irrigation. Moreover, these morphological adaptations are also linked with drought avoidance and corresponding physiological processes to resist water stress. The combination of these traits together with water use efficiency in wheat contributes to a highly efficient atmospheric water harvesting system that enables the wheat plants to reduce the cost of production. It also increases the yielding potential of the crop in arid and semi-arid environments. Further investigating the ecophysiology and molecular pathways of these morphological adaptations in wheat may have significant applications in varying climatic scenarios.
Periocular Manifestation of Obstructive Sleep Apnea as a Novel Perioperative Screening Tool
Authors: Folsom Megan , Gigantelli James , Timperley Brent , Johnson Kurtis , Bagenda Danstan , Pang Huiling , Ellis Sheila 
Published: February 2022

Abstract
Purpose
Obstructive sleep apnea (OSA) presents perioperative challenges with increased risk for complications. Floppy eyelid syndrome (FES) is associated with OSA yet has not been addressed perioperatively. The current standard for perioperative OSA screening includes assessing patient risk factors or the STOP-BANG tool, which requires an active participant. We aimed to confirm a connection between FES and OSA in presurgical patients and develop a screening method appropriate for patients with perioperative OSA risk.

Materials and Methods
162 presurgical pre-anesthesia clinic patients were enrolled. Screening questions determined eligibility. Those who were pregnant or aged < 19 were excluded. Control group included those with a STOP-BANG score < 3. Experimental group included those with BMI > 35 and OSA diagnosis. Examiners photographed participants’ eyes with vertical and horizontal retraction while two blinded ophthalmologists used a grading scale to review grade of eyelid laxity.

Results
Differences in habitus, ASA score, and hypertension as a comorbidity were significant. Sensitivity of FES screening was 52% (CI 37–66%) and specificity was 56% (CI 46–66%) for reviewer 1. For reviewer 2, sensitivity was 48% (CI 28–69%) and specificity was 72% (CI 60–81%). Negative predictive value was 86% (CI 81–90) for reviewer 1 and 88% (CI 83–92%) for reviewer 2. Inter-rater agreement was moderate.

Conclusion
While specificity and sensitivity were lower than anticipated, negative predictive value was high. Given this strong negative predictive value, our findings indicate using eyelid retraction to screen for FES has perioperative clinical utility. These findings encourage further research addressing the connection of lid laxity/FES to OSA.

Key Points
• Aimed to investigate if a FES screening tool could identify perioperative OSA risk.
• Negative predictive value for FES with OSA was 86%.
• Observing periocular lid laxity has clinical utility; is feasible in any patient.

Graphical abstract
Predictive value of neutrophil to lymphocyte ratio on acute kidney injury after on-pump coronary artery bypass: a retrospective, single-center study
Authors: Guangqing Zhang , Liwei Cheng , Fei Ling , Jianshe Zheng , Guang Zeng , Yan Zhu , Jianjun Cao , Ming Tian , Hao Chen , Wei Liu 
Published: February 2022

Abstract
Objective
To investigate the predictive value of preoperative neutrophil to lymphocyte ratio (NLR) on acute kidney injury (AKI) after on-pump coronary artery bypass (ONCAB).

Methods
Patients who underwent elective ONCAB for coronary heart disease were included. NLR was calculated according to the results of preoperative routine blood test, patients were divided into non-AKI and AKI groups, and the differences in clinical baseline data between the two groups were compared.

Results
A total of 154 patients were included in this study, including 57 (37%) with postoperative AKI and 97 (63%) without AKI. Compared with the patients in non-AKI group, those in AKI group had higher NLR (2.63 (1.83, 3.505) vs. 2.06 (1.7, 2.56), p = 0.002), higher serum creatinine (78 (67, 98.5) vs. 70.9 ± 16.8 umol/L, p < 0.001), longer cardiopulmonary bypass time, and longer aortic cross clamp time. After dividing patient into tertiles based on NLR, those with higher NLR had higher risk of postoperative AKI than those with lower NLR (30% vs. 25% vs. 55.8%, p for trend = 0.003). Patients in Tertile2 and Tertile3 had higher NLR compared to those in Tertile1 (p < 0.05); multivariate logistic regression analysis showed patients with elevated preoperative NLR and blood creatinine had higher risk of postoperative AKI. ROC curve showed that patients’ preoperative NLR combined with blood creatinine had better predictive value for postoperative AKI.

Conclusion
Elevated preoperative NLR is associated with AKI after ONCAB, and had prognostic utility independent of other recognized risk factors.
Effect of Low Bi Content on Reliability of Sn-Bi Alloy Joints Before and After Thermal Aging
Authors: Nishikawa Hiroshi , Hirata Yuki , Yang Chih-han , Lin Shih-kang 
Published: February 2022

AbstractSn-58Bi, an eutectic alloy, has been explored for use as a low-temperature lead-free solder alloy. However, the properties of Sn-Bi alloys as well as those of their joints need to be improved significantly so that these alloys can be applicable for practical use. In particular, two drawbacks need to be addressed: the intrinsic brittleness of Bi and the microstructure coarsening of these alloys during aging. In this study, Sn-Bi-Zn (SBZ) and SBZ-In (SBZI) alloys with low Bi contents were examined to elucidate the effects of the addition of Zn and In to the Sn-45Bi alloy on the interface and shear strengths of Cu/Cu joints before and after aging. In the case of the SBZ/Cu and SBZI/Cu joints, Bi coarsening was not observed either near or at the interfaces of the Cu/Cu joints. The shear strengths of the SBZ and SBZI joints remained unchanged after aging for 1008 h, suggesting that the SBZI alloy demonstrated the highest long-term reliability among all the joints examined.