bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing the stigma surrounding opioid use disorder: evaluating an opioid overdose prevention training program applied to a diverse population
Authors: Bascou Nicholas Alexander , Haslund-Gourley Benjamin , Amber-Monta Katrina , Samson Kyle , Goss Nathaniel , Meredith Dakota , Friedman Andrew , Needleman Andrew , Kumar Vishnu K. , Fischer Bradford D. 
Published: January 2022

Abstract
Background
The opioid epidemic is a rapidly growing public health concern in the USA, as the number of overdose deaths continues to increase each year. One strategy for combating the rising number of overdoses is through opioid overdose prevention programs (OOPPs).

Objective
To evaluate the effectiveness of an innovative OOPP, with changes in knowledge and attitudes serving as the primary outcome measures.

Methods
The OOPP was developed by a group of medical students under guidance from faculty advisors. Training sessions focused on understanding stigmatizing factors of opioid use disorder (OUD), as well as protocols for opioid overdose reversal through naloxone administration. Pre- and post-surveys were partially adapted from the opioid overdose attitudes and knowledge scales and administered to all participants. Paired t-tests were conducted to assess differences between pre- and post-surveys.

Results
A total of 440 individuals participated in the training; 381 completed all or the majority of the survey. Participants came from a diverse set of backgrounds, ages, and experiences. All three knowledge questions showed significant improvements. For attitude questions, significant improvements were found in all three questions evaluating confidence, two of three questions assessing attitudes towards overdose reversal, and four of five questions evaluating stigma and attitudes towards individuals with OUD.

Conclusions
Our innovative OOPP was effective not only in increasing knowledge but also in improving attitudes towards overdose reversal and reducing stigma towards individuals with OUD. Given the strong improvements in attitudes towards those with OUD, efforts should be made to incorporate the unique focus on biopsychosocial and sociohistorical components into future OOPPs.
Comparative effects of EMG-driven robot-assisted therapy versus task-oriented training on motor and daily function in patients with stroke: a randomized cross-over trial
Authors: Chen Yen-Wei , Chiang Wei-Chi , Chang Chia-Ling , Lo Shih-Ming , Wu Ching-Yi 
Published: January 2022

AbstractBackgroundRobot-assisted hand training has shown positive effects on promoting neuromuscular control. Since both robot-assisted therapy and task-oriented training are often used in post-stroke rehabilitation, we raised the question of whether two interventions engender differential effects in different domains.MethodsThe study was conducted using a randomized, two-period crossover design. Twenty-four chronic stroke survivors received a 12-session robot-assisted intervention followed by a 12-session task-oriented intervention or vice versa. A 1-month washout period between each intervention was implemented. Outcome measures were evaluated before the intervention, after the first 12-session intervention, and after the second 12-session intervention. Clinical assessments included Fugl-Meyer Assessment for Upper Extremity, Wolf Motor Function Test, Action Research Arm Test and Motor Activity Log.ResultsOur findings suggested that EMG-driven robot-assisted therapy was as effective as task-oriented training in terms of improving upper limbs functional performance in activity domain, and robot-assisted therapy was more effective in improving movement duration during functional tasks. Task-oriented training showed better improvement in body function domain and activity and participation domain, especially in improving spontaneous use of affected arm during daily activities.ConclusionsBoth intervention protocol had their own advantages in different domains, and robot-assisted therapy may save manpower and be considered as an alternative intervention to task-oriented training. Combining the two approaches could yield results greater than either alone, which awaits further study.Trial registration: ClinicalTrials.gov Identifier: NCT03624153. Registered on 9th August 2018,https://clinicaltrials.gov/ct2/show/NCT03624153.
Cortical reorganization to improve dynamic balance control with error amplification feedback
Authors: Chen Yi-Ching , Tsai Yi-Ying , Chang Gwo-Ching , Hwang Ing-Shiou 
Published: January 2022

Abstract
Background
Error amplification (EA), virtually magnify task errors in visual feedback, is a potential neurocognitive approach to facilitate motor performance. With regional activities and inter-regional connectivity of electroencephalography (EEG), this study investigated underlying cortical mechanisms associated with improvement of postural balance using EA.

Methods
Eighteen healthy young participants maintained postural stability on a stabilometer, guided by two visual feedbacks (error amplification (EA) vs. real error (RE)), while stabilometer plate movement and scalp EEG were recorded. Plate dynamics, including root mean square (RMS), sample entropy (SampEn), and mean frequency (MF) were used to characterize behavioral strategies. Regional cortical activity and inter-regional connectivity of EEG sub-bands were characterized to infer neural control with relative power and phase-lag index (PLI), respectively.

Results
In contrast to RE, EA magnified the errors in the visual feedback to twice its size during stabilometer stance. The results showed that EA led to smaller RMS of postural fluctuations with greater SampEn and MF than RE did. Compared with RE, EA altered cortical organizations with greater regional powers in the mid-frontal cluster (theta, 4–7 Hz), occipital cluster (alpha, 8–12 Hz), and left temporal cluster (beta, 13–35 Hz). In terms of the phase-lag index of EEG between electrode pairs, EA significantly reduced long-range prefrontal-parietal and prefrontal-occipital connectivity of the alpha/beta bands, and the right tempo-parietal connectivity of the theta/alpha bands. Alternatively, EA augmented the fronto-centro-parietal connectivity of the theta/alpha bands, along with the right temporo-frontal and temporo-parietal connectivity of the beta band.

Conclusion
EA alters postural strategies to improve stance stability on a stabilometer with visual feedback, attributable to enhanced error processing and attentional release for target localization. This study provides supporting neural correlates for the use of virtual reality with EA during balance training.
Deep learning approach to estimate foot pressure distribution in walking with application for a cost-effective insole system
Authors: Mun Frederick , Choi Ahnryul 
Published: January 2022

Abstract
Background
Foot pressure distribution can be used as a quantitative parameter for evaluating anatomical deformity of the foot and for diagnosing and treating pathological gait, falling, and pressure sores in diabetes. The objective of this study was to propose a deep learning model that could predict pressure distribution of the whole foot based on information obtained from a small number of pressure sensors in an insole.

Methods
Twenty young and twenty older adults walked a straight pathway at a preferred speed with a Pedar-X system in anti-skid socks. A long short-term memory (LSTM) model was used to predict foot pressure distribution. Pressure values of nine major sensors and the remaining 90 sensors in a Pedar-X system were used as input and output for the model, respectively. The performance of the proposed LSTM structure was compared with that of a traditionally used adaptive neuro-fuzzy interference system (ANFIS). A low-cost insole system consisting of a small number of pressure sensors was fabricated. A gait experiment was additionally performed with five young and five older adults, excluding subjects who were used to construct models. The Pedar-X system placed parallelly on top of the insole prototype developed in this study was in anti-skid socks. Sensor values from a low-cost insole prototype were used as input of the LSTM model. The accuracy of the model was evaluated by applying a leave-one-out cross-validation.

Results
Correlation coefficient and relative root mean square error (RMSE) of the LSTM model were 0.98 (0.92 ~ 0.99) and 7.9 ± 2.3%, respectively, higher than those of the ANFIS model. Additionally, the usefulness of the proposed LSTM model for fabricating a low-cost insole prototype with a small number of sensors was confirmed, showing a correlation coefficient of 0.63 to 0.97 and a relative RMSE of 12.7 ± 7.4%.

Conclusions
This model can be used as an algorithm to develop a low-cost portable smart insole system to monitor age-related physiological and anatomical alterations in foot. This model has the potential to evaluate clinical rehabilitation status of patients with pathological gait, falling, and various foot pathologies when more data of patients with various diseases are accumulated for training.
Initial experience of video-assisted thoracic surgery lobectomy after neoadjuvant chemotherapy plus toripalimab in a patient with locally advanced non-small cell lung cancer: a case report
Authors: Li Wei , Zhai Chunbo , Che Jianpeng , Wang Weiqian , Liu Bingchun 
Published: January 2022

AbstractBackgroundImmune checkpoint inhibitors were used for patients with advanced non-small cell lung cancer (NSCLC) more and more frequently and the effects were thrilling. Toripalimab as a new immune checkpoint inhibitor has been shown to be effective in patients with advanced NSCLC. However, data regarding the safety and feasibility of surgical resection after treatment with toripalimab for NSCLC remain scarce. Here, we present a case with locally advanced NSCLC that received video-assisted thoracic surgery (VATS) lobectomy after treatment with toripalimab in combination with chemotherapy.Case presentationA 62-year-old male patient with a history of coronary artery stenting operation for two times was found a 3.4 × 3.2 cm cavity mass in the upper lobe of the left lung and enlarged left hilar and mediastinal lymph nodes. Pathological results identified squamous cell carcinoma. The patient was diagnosed with a locally advanced NSCLC and received VATS left upper lobectomy and lymph node dissection after neoadjuvant chemotherapy plus toripalimab for 3 cycles. The postoperative pathological results showed complete tumor remission. Short-term follow-up results were excellent, and long-term results remain to be revealed.ConclusionsOur preliminary results showed that the use of neoadjuvant toripalimab and chemotherapy for the locally advanced NSCLC before surgical resection is safe and feasible.
Effect of different storage solutions on oxidative stress in human saphenous vein grafts
Authors: Tekin Ilker , Demir Meltem , Özdem Sebahat 
Published: January 2022

Abstract
Background
Ischemia–reperfusion injury of saphenous vein grafts (SVG) during coronary artery bypass grafting surgery negatively impacts endothelial integrity and functionality and is associated with vein graft failure. The aim of this study was to evaluate the level of oxidative stress in human SVG segments following ischemic storage in three intraoperative graft storage solutions: saline (S), autologous heparinized blood (HB) and DuraGraft (DG).

Methods
3 mm tissue rings derived from surplus SVG segments from 50 patients were stored at room temperature for 30 min in DG, S or HB. Total oxidative status (TOS) and total antioxidant status (TAS) levels were determined from which the oxidative stress index (OSI: TOS/TAS ratio) was calculated. A p-value < 0.017 was considered significant implementing a Bonferroni correction.

Results
TOS values were significantly lower for DG stored samples in comparison to both S and HB; there was no difference between S and HB (DG: 32.6 ± 1.8, S: 39.6 ± 2.8 and HB: 40.6 ± 2.4 µmol H2O2 eqv.; DG vs. S and DG vs. HB p < 0.0001, S vs. HB p = 0.047). TAS was higher for both DG and HB in comparison to S (DG: 8.9 ± 0.9, S: 6.9 ± 1.0 and HB: 8.6 ± 0.9 mmol Trolox eqv.; DG vs S p < 0.0001, DG vs. HB p = 0.263, S vs. HB p < 0.0001). OSI differed between all groups with the lowest value for DG (DG: 3.7 ± 0.2, S: 5.8 ± 0.4 and HB: 4.7 ± 0.2 µmol H2O2 eqv./mmol Trolox eqv.; all p < 0.0001).

Conclusions
Saphenous veins grafts stored in DuraGraft had a lower oxidative level, higher antioxidant level and a lower oxidative stress index in comparison to saphenous vein grafts stored in saline or heparinized blood.
ClinicalTrials.gov Identifier NCT02922088.
Left ventricle reverse remodeling in chronic aortic regurgitation patients with dilated ventricle after aortic valve replacement
Authors: Zhang Ming-Kui , Li Li-Na , Xue Hui , Tang Xiu-Jie , Sun He , Wu Qing-Yu 
Published: January 2022

Abstract
Background
Aortic valve replacement (AVR) for chronic aortic regurgitation (AR) with a severe dilated left ventricle and dysfunction leads to left ventricle remodeling. But there are rarely reports on the left ventricle reverse remodeling (LVRR) after AVR. This study aimed to investigate the LVRR and outcomes in chronic AR patients with severe dilated left ventricle and dysfunction after AVR.

Methods
We retrospectively analyzed the clinical datum of chronic aortic regurgitation patients who underwent isolated AVR. The LVRR was defined as an increase in left ventricular ejection fraction (LVEF) at least 10 points or a follow-up LVEF ≥ 50%, and a decrease in the indexed left ventricular end-diastolic diameter of at least 10%, or an indexed left ventricular end-diastolic diameter ≤ 33 mm/m2. The changes in echocardiographic parameters after AVR, survival analysis, the predictors of major adverse cardiac events (MACE), the association between LVRR and MACE were analyzed.

Results
Sixty-nine patients with severe dilated left ventricle and dysfunction underwent isolated AVR. LV remodeling in 54 patients and no LV remodeling in 15 patients at 6–12 months follow-up. The preoperative left ventricular dimensions and volumes were larger, and the EF was lower in the LV no remodeling group than those in the LV remodeling group (all p < 0.05). The adverse LVRR was the predictor for MACE at follow-up. The mean follow-up period was 47.29 months (range 6 to 173 months). The rate of freedom from MACE was 94.44% at 5 years and 92.59% at 10 years in the remodeling group, 60% at 5 years, and 46.67% at 10 years in the no remodeling group.

Conclusions
The left ventricle remodeling after AVR was the important predictor for MACE. LV no remodeling may not be associated with benefits from AVR for chronic aortic regurgitation patients with severe dilated LV and dysfunction.
The full cohort of 512 patients and the nested controlled trial in 93 patients in the Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC) study raise doubts about the effective size at present claimed
Authors: Treasure Tom , Williams Norman R. , Macbeth Fergus 
Published: January 2022

AbstractA comparison of the relative merits of video-assisted pulmonary metastasectomy versus thoracotomy is predicated on the assumption that removal of asymptomatic lung metastases favourably influences survival and that it does so by a large degree. Recently published but long-awaited evidence from a prospective cohort study and a randomised trial of Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC) challenges that assumption.
Microbial colonization and persistence in deep fractured shales is guided by metabolic exchanges and viral predation
Authors: Amundson Kaela K. , Borton Mikayla A. , Daly Rebecca A. , Hoyt David W. , Wong Allison , Eder Elizabeth , Moore Joseph , Wunch Kenneth , Wrighton Kelly C. , Wilkins Michael J. 
Published: January 2022

AbstractBackgroundMicrobial colonization of subsurface shales following hydraulic fracturing offers the opportunity to study coupled biotic and abiotic factors that impact microbial persistence in engineered deep subsurface ecosystems. Shale formations underly much of the continental USA and display geographically distinct gradients in temperature and salinity. Complementing studies performed in eastern USA shales that contain brine-like fluids, here we coupled metagenomic and metabolomic approaches to develop the first genome-level insights into ecosystem colonization and microbial community interactions in a lower-salinity, but high-temperature western USA shale formation.ResultsWe collected materials used during the hydraulic fracturing process (i.e., chemicals, drill muds) paired with temporal sampling of water produced from three different hydraulically fractured wells in the STACK (SoonerTrendAnadarko Basin,Canadian andKingfisher) shale play in OK, USA. Relative to other shale formations, our metagenomic and metabolomic analyses revealed an expanded taxonomic and metabolic diversity of microorganisms that colonize and persist in fractured shales. Importantly, temporal sampling across all three hydraulic fracturing wells traced the degradation of complex polymers from the hydraulic fracturing process to the production and consumption of organic acids that support sulfate- and thiosulfate-reducing bacteria. Furthermore, we identified 5587 viral genomes and linked many of these to the dominant, colonizing microorganisms, demonstrating the key role that viral predation plays in community dynamics within this closed, engineered system. Lastly, top-side audit sampling of different source materials enabled genome-resolved source tracking, revealing the likely sources of many key colonizing and persisting taxa in these ecosystems.ConclusionsThese findings highlight the importance of resource utilization and resistance to viral predation as key traits that enable specific microbial taxa to persist across fractured shale ecosystems. We also demonstrate the importance of materials used in the hydraulic fracturing process as both a source of persisting shale microorganisms and organic substrates that likely aid in sustaining the microbial community. Moreover, we showed that different physicochemical conditions (i.e., salinity, temperature) can influence the composition and functional potential of persisting microbial communities in shale ecosystems. Together, these results expand our knowledge of microbial life in deep subsurface shales and have important ramifications for management and treatment of microbial biomass in hydraulically fractured wells.
Comparisons of pyrolysis parameters between source rocks and their clay-sized fractions: Implication for source material of hydrocarbon generation
Authors: Zhu Xiaojun , Cai Jingong , Liu Feng , Zhou Qisheng , Zhao Yue , Dong Zhe , Liu Qing , Li Zheng 
Published: January 2022

In natural environments, organic-clay interactions are strong and cause organo-clay composites (a combination between organic matter [OM] and clay minerals) to be one of the predominant forms for OM occurrence, and their interactions greatly influence the hydrocarbon (HC) generation of OM within source rocks. However, despite occurring in nature, dominating the OM occurrence, and having unique HC generation ways, organo-clay composites have rarely been investigated as stand-alone petroleum precursors. To improve this understanding, we have compared the Rock-Eval pyrolysis parameters derived from more than 100 source rocks and their corresponding <2 μm clay-sized fractions (representing organo-clay composites). The results show that all of the Rock-Eval pyrolysis parameters in bulk rocks are closely positively correlated with those in their clay-sized fractions, but in clay-sized fractions the quality of OM for HC generation is poorer, in that the pyrolysable organic carbon levels and hydrogen index values are lower, whereas the residual organic carbon levels are higher than those in bulk rocks. Being integrated with the effects of organic-clay interactions on OM occurrence and HC generation, our results suggest that organo-clay composites are stand-alone petroleum precursors for HC generation occurring in source rocks, even if the source rocks exist in great varieties in their attributes. Our source material for HC generation comprehensively integrates the original OM occurrence and HC generation behavior in natural environments, which differs from kerogen and is much closer to the actual source material of HC generation in source rocks, and it calls for further focus on organic-mineral interactions in studies of petroleum systems.
Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma
Authors: Mehmood Faisal , Murtaza Muhammad Murad , Ali Shehrbano , Ashraf Amna 
Published: January 2022

Thoracic Splenosis (TS) is a rare medical condition, where there is auto-transplantation of the splenic tissue in the thoracic cavity, often leading to pleural based nodules. Our patient is the first ever case of this condition in Pakistan, and underwent extensive diagnostic procedures as well as medical treatments, before receiving the diagnosis of TS. He underwent HRCT for chronic cough that revealed pleural and mediastinal nodules. This coupled with a vague mass in the testes led to the provisional diagnosis of metastasized testicular tumour, and later a diagnosis of pulmonary tuberculosis was made. However, eventually a 99mTc denatured red blood cell scan confirmed the diagnosis of TS. TS is a benign condition, whereas other causes of pleural nodules are relatively malignant, hence its diagnosis is essential in ruling out malignancies. Among the multiple invasive and non-invasive diagnostic modalities, the gold standard remains 99mTc denatured red blood cell scan, which is a sensitive test that provides an accurate diagnosis and bars the need of multiple invasive procedures.
doi: https://doi.org/10.12669/pjms.38.3.4563
How to cite this:Mehmood F, Murtaza MM, Ali S, Ashraf A. Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4563
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.