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  - dataset_size:26147930
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  - loss:MultipleNegativesRankingLoss
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  widget:
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- - source_sentence: '[YEAR_RANGE] 2020-2024 [TEXT] Vitamin B-6 Prevents Heart Failure
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- with Preserved Ejection Fraction Through Downstream of Kinase 3 in a Mouse Model.'
 
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  sentences:
15
- - '[YEAR_RANGE] 2020-2024 [TEXT] Colorectal cancer (CRC) is a complex and genetically
16
- heterogeneous disease presenting a specific metastatic pattern, with the liver
17
- being the most common site of metastasis. Around 20%-25% of patients with CRC
18
- will develop exclusively hepatic metastatic disease throughout their disease history.
19
- With its specific characteristics and therapeutic options, liver-limited disease
20
- (LLD) should be considered as a specific entity. The identification of these patients
21
- is particularly relevant in view of the growing interest in liver transplantation
22
- in selected patients with advanced CRC. Identifying why some patients will develop
23
- only LLD remains a challenge, mainly because of a lack of a systemic understanding
24
- of this complex and interlinked phenomenon given that cancer has traditionally
25
- been investigated according to distinct physiological compartments. Recently,
26
- multidisciplinary efforts and new diagnostic tools have made it possible to study
27
- some of these complex issues in greater depth and may help identify targets and
28
- specific treatment strategies to benefit these patients. In this review we analyze
29
- the underlying biology and available tools to help clinicians better understand
30
- this increasingly common and specific disease.'
31
- - '[YEAR_RANGE] 2020-2024 [TEXT] PURPOSE: Secondary breast cancer is a frequent
32
- late adverse event of mediastinal Hodgkin lymphoma radiotherapy. Secondary breast
33
- cancers overwhelmingly correspond to ductal carcinoma and develop from the glandular
34
- mammary tissue. In addition, during childhood, radiation overexposure of the glandular
35
- tissue may lead to a late breast hypotrophy at adult age. The aim of this study
36
- was to evaluate the radiation exposure to the glandular tissue in patients treated
37
- for mediastinal Hodgkin lymphoma with intensity-modulated proton therapy, in order
38
- to evaluate the potential dosimetric usefulness of its delineation for breast
39
- sparing. MATERIALS AND METHODS: Sixteen consecutive intermediate-risk mediastinal
40
- female patients with Hodgkin lymphoma treated with consolidation radiation with
41
- deep inspiration breath hold intensity-modulated proton therapy to the total dose
42
- of 30Gy were included. Breasts were delineated according to the European Society
43
- for Radiotherapy and Oncology guidelines for treatment optimization ("clinical
44
- organ at risk"). The glandular tissue ("glandular organ at risk") was retrospectively
45
- contoured on the initial simulation CT scans based on Hounsfield unit (HU) values,
46
- using a range between -80HU and 500HU. RESULTS: The mean and maximum doses delivered
47
- to the glandular organ at risk were significantly lower than the mean and maximum
48
- doses delivered to the clinical organ at risk, but were statistically correlated.
49
- Glandular organ at risk volumes were significantly smaller. CONCLUSION: Optimizing
50
- the treatment plans on the clinical breast contours will systematically lead to
51
- overestimation of the dose received to the glandular tissue and, consequently,
52
- to an indistinct and involuntary improved glandular tissue sparing. As such, our
53
- findings do not support the consideration of the glandular tissue as an additional
54
- organ at risk when planning intensity-modulated proton therapy for mediastinal
55
- Hodgkin lymphoma in female patients.'
56
- - '[YEAR_RANGE] 2020-2024 [TEXT] BACKGROUND: There is an urgent need to develop
57
- an efficient therapeutic strategy for heart failure with preserved ejection fraction
58
- (HFpEF), which is mediated by phenotypic changes in cardiac macrophages. We previously
59
- reported that vitamin B-6 inhibits macrophage-mediated inflammasome activation.
60
- OBJECTIVES: We sought to examine whether the prophylactic use of vitamin B-6 prevents
61
- HFpEF. METHODS: HFpEF model was elicited by a combination of high-fat diet and
62
- Nω-nitro-l-arginine methyl ester supplement in mice. Cardiac function was assessed
63
- using conventional echocardiography and Doppler imaging. Immunohistochemistry
64
- and immunoblotting were used to detect changes in the macrophage phenotype and
65
- myocardial remodeling-related molecules. RESULTS: Co-administration of vitamin
66
- B-6 with HFpEF mice mitigated HFpEF phenotypes, including diastolic dysfunction,
67
- cardiac macrophage phenotypic shifts, fibrosis, and hypertrophy. Echocardiographic
68
- improvements were observed, with the E/E'' ratio decreasing from 42.0 to 21.6
69
- and the E/A ratio improving from 2.13 to 1.17. The exercise capacity also increased
70
- from 295.3 to 657.7 min. However, these beneficial effects were negated in downstream
71
- of kinase (DOK) 3-deficient mice. Mechanistically, vitamin B-6 increased DOK3
72
- protein concentrations and inhibited macrophage phenotypic changes, which were
73
- abrogated by an AMP-activated protein kinase inhibitor. CONCLUSIONS: Vitamin B-6
74
- increases DOK3 signaling to lower risk of HFpEF by inhibiting phenotypic changes
75
- in cardiac macrophages.'
76
- - source_sentence: '[YEAR_RANGE] 2020-2024 [TEXT] Resolving phylogenetic relationships
77
- and taxonomic revision in the Pseudogastromyzon (Cypriniformes, Gastromyzonidae)
78
- genus: molecular and morphological evidence for a new genus, Labigastromyzon.'
 
 
 
 
 
 
 
 
 
 
 
 
79
  sentences:
80
- - '[YEAR_RANGE] 2020-2024 [TEXT] Bats contain a diverse spectrum of viral species
81
- in their bodies. The RNA virus family Paramyxoviridae tends to infect several
82
- vertebrate species, which are accountable for a variety of devastating infections
83
- in both humans and animals. Viruses of this kind include measles, mumps, and Hendra.
84
- Some synonymous codons are favoured over others in mRNAs during gene-to-protein
85
- synthesis process. Such phenomenon is termed as codon usage bias (CUB). Our research
86
- emphasized many aspects that shape the CUB of genes in the Paramyxoviridae family
87
- found in bats. Here, the nitrogenous base A occurred the most. AT was found to
88
- be abundant in the coding sequences of the Paramyxoviridae family. RSCU data revealed
89
- that A or T ending codons occurred more frequently than predicted. Furthermore,
90
- 3 overrepresented codons (CAT, AGA, and GCA) and 7 underrepresented codons (CCG,
91
- TCG, CGC, CGG, CGT, GCG and ACG) were detected in the viral genomes. Correspondence
92
- analysis, neutrality plot, and parity plots highlight the combined impact of mutational
93
- pressure and natural selection on CUB. The neutrality plot of GC12 against GC3
94
- yielded a regression coefficient value of 0.366, indicating that natural selection
95
- had a significant (63.4 %) impact. Moreover, RNA editing analysis was done, which
96
- revealed the highest frequency of C to T mutations. The results of our research
97
- revealed the pattern of codon usage and RNA editing sites in Paramyxoviridae genomes.'
98
- - '[YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: The preoperative inclination angle of
99
- mandibular incisors was crucial for surgical and postoperative stability while
100
- the effect of proclined mandibular incisors on skeletal stability has not been
101
- investigated. This study aimed to evaluate the effects of differences in presurgical
102
- mandibular incisor inclination on skeletal stability after orthognathic surgery
103
- in patients with skeletal Class III malocclusion. METHODS: A retrospective cohort
104
- study of 80 consecutive patients with skeletal Class III malocclusion who underwent
105
- bimaxillary orthognathic surgery was conducted. According to incisor mandibular
106
- plane angle (IMPA), patients were divided into 3 groups: retroclined inclination
107
- (IMPA < 87°), normal inclination (87° IMPA < 93°) and proclined inclination
108
- (IMPA 93°). Preoperative characteristics, surgical changes and postoperative
109
- stability were compared based on lateral cephalograms obtained 1 week before surgery
110
- (T0), 1 week after surgery (T1), and at 6 to 12 months postoperatively (T2). RESULTS:
111
- The mandible demonstrated a forward and upward relapse in all three groups. No
112
- significant differences in skeletal relapse were observed in the 3 groups of patients.
113
- However, the proclined inclination group showed a negative overbite tendency postoperatively
114
- compared with the other two groups and a clinically significant mandibular relapse
115
- pattern. Proclined IMPA both pre- and postoperatively was correlated with mandibular
116
- relapse. CONCLUSION: Sufficient presurgical mandibular incisor decompensation
117
- was of crucial importance for the maintenance of skeletal stability in patients
118
- with skeletal Class III malocclusion who subsequently underwent orthognathic surgery.'
119
- - '[YEAR_RANGE] 2020-2024 [TEXT] The Pseudogastromyzon genus, consisting of species
120
- predominantly distributed throughout southeastern China, has garnered increasing
121
- market attention in recent years due to its ornamental appeal. However, the overlapping
122
- diagnostic attributes render the commonly accepted criteria for interspecific
123
- identification unreliable, leaving the phylogenetic relationships among Pseudogastromyzon
124
- species unexplored. In the present study, we undertake molecular phylogenetic
125
- and morphological examinations of the Pseudogastromyzon genus. Our phylogenetic
126
- analysis of mitochondrial genes distinctly segregated Pseudogastromyzon species
127
- into two clades: the Pseudogastromyzon clade and the Labigastromyzon clade. A
128
- subsequent morphological assessment revealed that the primary dermal ridge (specifically,
129
- the second ridge) within the labial adhesive apparatus serves as an effective
130
- and precise interspecific diagnostic characteristic. Moreover, the distributional
131
- ranges of Pseudogastromyzon and Labigastromyzon are markedly distinct, exhibiting
132
- only a narrow area of overlap. Considering the morphological heterogeneity of
133
- the labial adhesive apparatus and the substantial division within the molecular
134
- phylogeny, we advocate for the elevation of the Labigastromyzon subgenus to the
135
- status of a separate genus. Consequently, we have ascertained the validity of
136
- the Pseudogastromyzon and Labigastromyzon species, yielding a total of six valid
137
- species. To facilitate future research, we present comprehensive descriptions
138
- of the redefined species and introduce novel identification keys.'
139
- - source_sentence: '[YEAR_RANGE] 2020-2024 [TEXT] PCa-RadHop: A transparent and lightweight
140
- feed-forward method for clinically significant prostate cancer segmentation.'
 
 
 
 
 
 
 
 
 
 
 
141
  sentences:
142
- - '[YEAR_RANGE] 2020-2024 [TEXT] According to the importance of time in treatment
143
- of thrombosis disorders, faster than current treatments are required. For the
144
- first time, this research discloses a novel strategy for rapid dissolution of
145
- blood clots by encapsulation of a fibrinolytic (Reteplase) into a Thrombin sensitive
146
- shell formed by polymerization of acrylamide monomers and bisacryloylated peptide
147
- as crosslinker. Degradability of the peptide units in exposure to Thrombin, creates
148
- the Thrombin-sensitive Reteplase nanocapsules (TSRNPs) as a triggered release
149
- system. Accelerated thrombolysis was achieved by combining three approaches including:
150
- deep penetration of TSRNPs into the blood clots, changing the clot dissolution
151
- mechanism by altering the distribution pattern of TSRNPs to 3D intra-clot distribution
152
- (based on the distributed intra-clot thrombolysis (DIT) model) instead of peripheral
153
- and unidirectional distribution of unencapsulated fibrinolytics and, enzyme-stimulated
154
- release of the fibrinolytic. Ex-vivo study was carried out by an occluded tube
155
- model that mimics in-vivo brain stroke as an emergency situation where faster
156
- treatment in short time is a golden key. In in vivo, efficacy of the developed
157
- formulation was confirmed by PET scan and laser Doppler flowmetry (LDF). As the
158
- most important achievements, 40.0 ± 0.7 (n = 3) % and 37.0 ± 0.4 (n = 3) % reduction
159
- in the thrombolysis time (faster reperfusion) were observed by ex-vivo and in-vivo
160
- experiments, respectively. Higher blood flow and larger digestion mass of clot
161
- at similar times in comparison to non-encapsulated Reteplase were observed that
162
- means more effective thrombolysis by the developed strategy.'
163
- - '[YEAR_RANGE] 2020-2024 [TEXT] Prostate Cancer is one of the most frequently occurring
164
- cancers in men, with a low survival rate if not early diagnosed. PI-RADS reading
165
- has a high false positive rate, thus increasing the diagnostic incurred costs
166
- and patient discomfort. Deep learning (DL) models achieve a high segmentation
167
- performance, although require a large model size and complexity. Also, DL models
168
- lack of feature interpretability and are perceived as "black-boxes" in the medical
169
- field. PCa-RadHop pipeline is proposed in this work, aiming to provide a more
170
- transparent feature extraction process using a linear model. It adopts the recently
171
- introduced Green Learning (GL) paradigm, which offers a small model size and low
172
- complexity. PCa-RadHop consists of two stages: Stage-1 extracts data-driven radiomics
173
- features from the bi-parametric Magnetic Resonance Imaging (bp-MRI) input and
174
- predicts an initial heatmap. To reduce the false positive rate, a subsequent stage-2
175
- is introduced to refine the predictions by including more contextual information
176
- and radiomics features from each already detected Region of Interest (ROI). Experiments
177
- on the largest publicly available dataset, PI-CAI, show a competitive performance
178
- standing of the proposed method among other deep DL models, achieving an area
179
- under the curve (AUC) of 0.807 among a cohort of 1,000 patients. Moreover, PCa-RadHop
180
- maintains orders of magnitude smaller model size and complexity.'
181
- - '[YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: To evaluate rates of remission, recovery,
182
- relapse, and recurrence in suicidal youth who participated in a clinical trial
183
- comparing Dialectical Behavior Therapy (DBT) and Individual and Group Supportive
184
- Therapy (IGST). METHOD: Participants were 173 youth, aged 12 to 18 years, with
185
- repetitive self-harm (including at least 1 prior suicide attempt [SA]) and elevated
186
- suicidal ideation (SI). Participants received 6 months of DBT or IGST and were
187
- followed for 6 months post-treatment. The sample was 95% female, 56.4% White,
188
- and 27.49% Latina. Remission was defined as absence of SA or nonsuicidal self-injury
189
- (NSSI) across one 3-month interval; recovery was defined across 2 or more consecutive
190
- intervals. Relapse and recurrence were defined as SA or NSSI following remission
191
- or recovery. Cross-tabulation with χ2 was used for between-group contrasts. RESULTS:
192
- Over 70% of the sample reported remission of SA at each treatment and follow-up
193
- interval. There were significantly higher rates of remission and recovery and
194
- lower rates of relapse and recurrence for SA in DBT than for IGST. Across treatments
195
- and time points, SA had higher remission and recovery rates and lower relapse
196
- and recurrence rates than NSSI. There were no significant differences in NSSI
197
- remission between conditions; however, participants receiving DBT had significantly
198
- higher NSSI recovery rates than those receiving IGST for the 3- to 9-month, 3-
199
- to 12-month, and 6- to 12-month intervals. CONCLUSION: Results showed higher percentages
200
- of SA remission and recovery for DBT as compared to IGST. NSSI was less likely
201
- to remit than SA. PLAIN LANGUAGE SUMMARY: This study examined rates of remission,
202
- recovery, relapse, and recurrence of suicide attempts (SA) and nonsuicidal self-injury
203
- (NSSI) among the participants in the CARES Study, a randomized clinical trial
204
- of 6 months of Dialectical Behavior Therapy or Individual and Group Supportive
205
- Therapy. 173 youth aged 12 to 18 years participated in the study and were followed
206
- for 6 months post treatment. Over 70% of the sample reported remission of SA at
207
- each treatment and follow-up interval. There were significantly higher rates of
208
- remission and recovery and lower rates of relapse and recurrence for SA among
209
- participants who received Dialectical Behavioral Therapy. Across both treatments,
210
- remission and recovery rates were lower and relapse and recurrence rates were
211
- higher for NSSI than for SA. These results underscore the value of Dialectical
212
- Behavioral Therapy as a first line treatment for youth at high risk for suicide.
213
- DIVERSITY & INCLUSION STATEMENT: We worked to ensure race, ethnic, and/or other
214
- types of diversity in the recruitment of human participants. CLINICAL TRIAL REGISTRATION
215
- INFORMATION: Collaborative Adolescent Research on Emotions and Suicide (CARES);
216
- https://www. CLINICALTRIALS: gov/; NCT01528020.'
217
- - source_sentence: '[YEAR_RANGE] 2020-2024 [TEXT] Predicting Recovery After Concussion
218
- in Pediatric Patients: A Meta-Analysis.'
 
 
 
 
 
 
 
 
 
 
 
 
 
219
  sentences:
220
- - '[YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: The authors examined licensing requirements
221
- for select children''s behavioral health care providers. METHODS: Statutes and
222
- regulations as of October 2021 were reviewed for licensed clinical social workers,
223
- licensed professional counselors, and licensed marriage and family therapists
224
- for all 50 U.S. states and the District of Columbia. RESULTS: All jurisdictions
225
- had laws regarding postgraduate training and license portability. No jurisdiction
226
- included language about specialized postgraduate training related to serving children
227
- and families or cultural competence. Other policies that related to the structure,
228
- composition, and authority of licensing boards varied across states and licensure
229
- types. CONCLUSIONS: In their efforts to address barriers to licensure, expand
230
- the workforce, and ensure that children have access to high-quality and culturally
231
- responsive care, states could consider their statutes and regulations.'
232
- - '[YEAR_RANGE] 2020-2024 [TEXT] Magnetic Resonance Imaging (MRI) plays a pivotal
233
- role in the accurate measurement of brain subcortical structures in macaques,
234
- which is crucial for unraveling the complexities of brain structure and function,
235
- thereby enhancing our understanding of neurodegenerative diseases and brain development.
236
- However, due to significant differences in brain size, structure, and imaging
237
- characteristics between humans and macaques, computational tools developed for
238
- human neuroimaging studies often encounter obstacles when applied to macaques.
239
- In this context, we propose an Anatomy Attentional Fusion Network (AAF-Net), which
240
- integrates multimodal MRI data with anatomical constraints in a multi-scale framework
241
- to address the challenges posed by the dynamic development, regional heterogeneity,
242
- and age-related size variations of the juvenile macaque brain, thus achieving
243
- precise subcortical segmentation. Specifically, we generate a Signed Distance
244
- Map (SDM) based on the initial rough segmentation of the subcortical region by
245
- a network as an anatomical constraint, providing comprehensive information on
246
- positions, structures, and morphology. Then we construct AAF-Net to fully fuse
247
- the SDM anatomical constraints and multimodal images for refined segmentation.
248
- To thoroughly evaluate the performance of our proposed tool, over 700 macaque
249
- MRIs from 19 datasets were used in this study. Specifically, we employed two manually
250
- labeled longitudinal macaque datasets to develop the tool and complete four-fold
251
- cross-validations. Furthermore, we incorporated various external datasets to demonstrate
252
- the proposed tool''s generalization capabilities and promise in brain development
253
- research. We have made this tool available as an open-source resource at https://github.com/TaoZhong11/Macaque_subcortical_segmentation
254
- for direct application.'
255
- - '[YEAR_RANGE] 2020-2024 [TEXT] CONTEXT: Prognostic prediction models (PPMs) can
256
- help clinicians predict outcomes. OBJECTIVE: To critically examine peer-reviewed
257
- PPMs predicting delayed recovery among pediatric patients with concussion. DATA
258
- SOURCES: Ovid Medline, Embase, Ovid PsycInfo, Web of Science Core Collection,
259
- Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Google
260
- Scholar. STUDY SELECTION: The study had to report a PPM for pediatric patients
261
- to be used within 28 days of injury to estimate risk of delayed recovery at 28
262
- days to 1 year postinjury. Studies had to have at least 30 participants. DATA
263
- EXTRACTION: The Critical Appraisal and Data Extraction for Systematic Reviews
264
- of Prediction Modeling Studies checklist was completed. RESULTS: Six studies of
265
- 13 PPMs were included. These studies primarily reflected male patients in late
266
- childhood or early adolescence presenting to an emergency department meeting the
267
- Concussion in Sport Group concussion criteria. No study authors used the same
268
- outcome definition nor evaluated the clinical utility of a model. All studies
269
- demonstrated high risk of bias. Quality of evidence was best for the Predicting
270
- and Preventing Postconcussive Problems in Pediatrics (5P) clinical risk score.
271
- LIMITATIONS: No formal PPM Grading of Recommendations, Assessment, Development,
272
- and Evaluations (GRADE) process exists. CONCLUSIONS: The 5P clinical risk score
273
- may be considered for clinical use. Rigorous external validations, particularly
274
- in other settings, are needed. The remaining PPMs require external validation.
275
- Lack of consensus regarding delayed recovery criteria limits these PPMs.'
276
- - source_sentence: '[YEAR_RANGE] 2020-2024 [TEXT] Intraoperative Monitoring of the
277
- External Urethral Sphincter Reflex: A Novel Adjunct to Bulbocavernosus Reflex
278
- Neuromonitoring for Protecting the Sacral Neural Pathways Responsible for Urination,
279
- Defecation and Sexual Function.'
 
 
 
 
 
 
 
 
 
 
 
 
280
  sentences:
281
- - '[YEAR_RANGE] 2020-2024 [TEXT] Early menarche has been associated with adverse
282
- health outcomes, such as depressive symptoms. Discovering effect modifiers across
283
- these conditions in the pediatric population is a constant challenge. We tested
284
- whether movement behaviours modified the effect of the association between early
285
- menarche and depression symptoms among adolescents. This cross-sectional study
286
- included 2031 females aged 15-19 years across all Brazilian geographic regions.
287
- Data were collected using a self-administered questionnaire; 30.5% (n = 620) reported
288
- having experienced menarche before age 12 years (that is, early menarche). We
289
- used the Patient Health Questionnaire (PHQ-9) to evaluate depressive symptoms.
290
- Accruing any moderate-vigorous physical activity during leisure time, limited
291
- recreational screen time, and having good sleep quality were the exposures investigated.
292
- Adolescents who experienced early menarche and met one (B: -4.45, 95% CI: (-5.38,
293
- -3.51)), two (B: -6.07 (-7.02, -5.12)), or three (B: -6.49 (-7.76, -5.21)), and
294
- adolescents who experienced not early menarche and met one (B: -5.33 (-6.20; -4.46)),
295
- two (B: -6.12 (-6.99; -5.24)), or three (B: -6.27 (-7.30; -5.24)) of the movement
296
- behaviour targets had lower PHQ-9 scores for depression symptoms than adolescents
297
- who experienced early menarche and did not meet any of the movement behaviours.
298
- The disparities in depressive symptoms among the adolescents (early menarche versus
299
- not early menarche) who adhered to all three target behaviours were not statistically
300
- significant (B: 0.41 (-0.19; 1.01)). Adherence to movement behaviours modified
301
- the effect of the association between early menarche and depression symptoms.'
302
- - '[YEAR_RANGE] 2020-2024 [TEXT] PURPOSE: Intraoperative bulbocavernosus reflex
303
- neuromonitoring has been utilized to protect bowel, bladder, and sexual function,
304
- providing a continuous functional assessment of the somatic sacral nervous system
305
- during surgeries where it is at risk. Bulbocavernosus reflex data may also provide
306
- additional functional insight, including an evaluation for spinal shock, distinguishing
307
- upper versus lower motor neuron injury (conus versus cauda syndromes) and prognosis
308
- for postoperative bowel and bladder function. Continuous intraoperative bulbocavernosus
309
- reflex monitoring has been utilized to provide the surgeon with an ongoing functional
310
- assessment of the anatomical elements involved in the S2-S4 mediated reflex arc
311
- including the conus, cauda equina and pudendal nerves. Intraoperative bulbocavernosus
312
- reflex monitoring typically includes the electrical activation of the dorsal nerves
313
- of the genitals to initiate the afferent component of the reflex, followed by
314
- recording the resulting muscle response using needle electromyography recordings
315
- from the external anal sphincter. METHODS: Herein we describe a complementary
316
- and novel technique that includes recording electromyography responses from the
317
- external urethral sphincter to monitor the external urethral sphincter reflex.
318
- Specialized foley catheters embedded with recording electrodes have recently become
319
- commercially available that provide the ability to perform intraoperative external
320
- urethral sphincter muscle recordings. RESULTS: We describe technical details and
321
- the potential utility of incorporating external urethral sphincter reflex recordings
322
- into existing sacral neuromonitoring paradigms to provide redundant yet complementary
323
- data streams. CONCLUSIONS: We present two illustrative neurosurgical oncology
324
- cases to demonstrate the utility of the external urethral sphincter reflex technique
325
- in the setting of the necessary surgical sacrifice of sacral nerve roots.'
326
- - '[YEAR_RANGE] 2020-2024 [TEXT] BACKGROUND: Limited data are available on the appropriate
327
- choice of blood pressure management strategy for patients with acute basilar artery
328
- occlusion assessed by the standard deviation (SD). Multivariate logistic models
329
- were used to investigate the association between BPV, the primary outcome (futile
330
- recanalization, 90-day modified Rankin Scale score 3-6), and the secondary outcome
331
- (30-day mortality). Subgroup analysis was performed as a sensitivity test. RESULTS:
332
- Futile recanalization occurred in 60 (56 %) patients, while 26 (24 %) patients
333
- died within 30 days. In the fully adjusted model, MAP SD was associated with a
334
- higher risk of futile recanalization (OR adj=1.36, per 1 mmHg increase, 95 % CI:
335
- 1.09-1.69, P=0.006) and 30-day mortality (OR adj=1.56, per 1 mmHg increase, 95
336
- % CI: 1.20-2.04, P=0.001). A significant interaction between MAP SD and the lack
337
- of hypertension history on futile recanalization (P<0.05) was observed. CONCLUSIONS:
338
- Among recanalized acute BAO ischemic patients, higher blood pressure variability
339
- during the first 24 h after MT was associated with worse outcomes. This association
340
- was stronger in patients without a history of hypertension.'
 
 
 
 
 
 
 
 
 
 
 
 
 
 
341
  ---
342
 
343
  # SentenceTransformer
@@ -346,8 +409,6 @@ This is a [sentence-transformers](https://www.SBERT.net) model trained on the pa
346
 
347
  ## Model Details
348
 
349
- **BASE MODEL:** pankajrajdeo/UMLS-ED-Bioformer-16L-V-1.5-SpecialTokensUntrained
350
-
351
  ### Model Description
352
  - **Model Type:** Sentence Transformer
353
  <!-- - **Base model:** [Unknown](https://huggingface.co/unknown) -->
 
9
  - dataset_size:26147930
10
  - loss:MultipleNegativesRankingLoss
11
  widget:
12
+ - source_sentence: >-
13
+ [YEAR_RANGE] 2020-2024 [TEXT] Vitamin B-6 Prevents Heart Failure with
14
+ Preserved Ejection Fraction Through Downstream of Kinase 3 in a Mouse Model.
15
  sentences:
16
+ - >-
17
+ [YEAR_RANGE] 2020-2024 [TEXT] Colorectal cancer (CRC) is a complex and
18
+ genetically heterogeneous disease presenting a specific metastatic pattern,
19
+ with the liver being the most common site of metastasis. Around 20%-25% of
20
+ patients with CRC will develop exclusively hepatic metastatic disease
21
+ throughout their disease history. With its specific characteristics and
22
+ therapeutic options, liver-limited disease (LLD) should be considered as a
23
+ specific entity. The identification of these patients is particularly
24
+ relevant in view of the growing interest in liver transplantation in
25
+ selected patients with advanced CRC. Identifying why some patients will
26
+ develop only LLD remains a challenge, mainly because of a lack of a systemic
27
+ understanding of this complex and interlinked phenomenon given that cancer
28
+ has traditionally been investigated according to distinct physiological
29
+ compartments. Recently, multidisciplinary efforts and new diagnostic tools
30
+ have made it possible to study some of these complex issues in greater depth
31
+ and may help identify targets and specific treatment strategies to benefit
32
+ these patients. In this review we analyze the underlying biology and
33
+ available tools to help clinicians better understand this increasingly
34
+ common and specific disease.
35
+ - >-
36
+ [YEAR_RANGE] 2020-2024 [TEXT] PURPOSE: Secondary breast cancer is a frequent
37
+ late adverse event of mediastinal Hodgkin lymphoma radiotherapy. Secondary
38
+ breast cancers overwhelmingly correspond to ductal carcinoma and develop
39
+ from the glandular mammary tissue. In addition, during childhood, radiation
40
+ overexposure of the glandular tissue may lead to a late breast hypotrophy at
41
+ adult age. The aim of this study was to evaluate the radiation exposure to
42
+ the glandular tissue in patients treated for mediastinal Hodgkin lymphoma
43
+ with intensity-modulated proton therapy, in order to evaluate the potential
44
+ dosimetric usefulness of its delineation for breast sparing. MATERIALS AND
45
+ METHODS: Sixteen consecutive intermediate-risk mediastinal female patients
46
+ with Hodgkin lymphoma treated with consolidation radiation with deep
47
+ inspiration breath hold intensity-modulated proton therapy to the total dose
48
+ of 30Gy were included. Breasts were delineated according to the European
49
+ Society for Radiotherapy and Oncology guidelines for treatment optimization
50
+ ("clinical organ at risk"). The glandular tissue ("glandular organ at risk")
51
+ was retrospectively contoured on the initial simulation CT scans based on
52
+ Hounsfield unit (HU) values, using a range between -80HU and 500HU. RESULTS:
53
+ The mean and maximum doses delivered to the glandular organ at risk were
54
+ significantly lower than the mean and maximum doses delivered to the
55
+ clinical organ at risk, but were statistically correlated. Glandular organ
56
+ at risk volumes were significantly smaller. CONCLUSION: Optimizing the
57
+ treatment plans on the clinical breast contours will systematically lead to
58
+ overestimation of the dose received to the glandular tissue and,
59
+ consequently, to an indistinct and involuntary improved glandular tissue
60
+ sparing. As such, our findings do not support the consideration of the
61
+ glandular tissue as an additional organ at risk when planning
62
+ intensity-modulated proton therapy for mediastinal Hodgkin lymphoma in
63
+ female patients.
64
+ - >-
65
+ [YEAR_RANGE] 2020-2024 [TEXT] BACKGROUND: There is an urgent need to develop
66
+ an efficient therapeutic strategy for heart failure with preserved ejection
67
+ fraction (HFpEF), which is mediated by phenotypic changes in cardiac
68
+ macrophages. We previously reported that vitamin B-6 inhibits
69
+ macrophage-mediated inflammasome activation. OBJECTIVES: We sought to
70
+ examine whether the prophylactic use of vitamin B-6 prevents HFpEF. METHODS:
71
+ HFpEF model was elicited by a combination of high-fat diet and
72
+ Nω-nitro-l-arginine methyl ester supplement in mice. Cardiac function was
73
+ assessed using conventional echocardiography and Doppler imaging.
74
+ Immunohistochemistry and immunoblotting were used to detect changes in the
75
+ macrophage phenotype and myocardial remodeling-related molecules. RESULTS:
76
+ Co-administration of vitamin B-6 with HFpEF mice mitigated HFpEF phenotypes,
77
+ including diastolic dysfunction, cardiac macrophage phenotypic shifts,
78
+ fibrosis, and hypertrophy. Echocardiographic improvements were observed,
79
+ with the E/E' ratio decreasing from 42.0 to 21.6 and the E/A ratio improving
80
+ from 2.13 to 1.17. The exercise capacity also increased from 295.3 to 657.7
81
+ min. However, these beneficial effects were negated in downstream of kinase
82
+ (DOK) 3-deficient mice. Mechanistically, vitamin B-6 increased DOK3 protein
83
+ concentrations and inhibited macrophage phenotypic changes, which were
84
+ abrogated by an AMP-activated protein kinase inhibitor. CONCLUSIONS: Vitamin
85
+ B-6 increases DOK3 signaling to lower risk of HFpEF by inhibiting phenotypic
86
+ changes in cardiac macrophages.
87
+ - source_sentence: >-
88
+ [YEAR_RANGE] 2020-2024 [TEXT] Resolving phylogenetic relationships and
89
+ taxonomic revision in the Pseudogastromyzon (Cypriniformes, Gastromyzonidae)
90
+ genus: molecular and morphological evidence for a new genus,
91
+ Labigastromyzon.
92
  sentences:
93
+ - >-
94
+ [YEAR_RANGE] 2020-2024 [TEXT] Bats contain a diverse spectrum of viral
95
+ species in their bodies. The RNA virus family Paramyxoviridae tends to
96
+ infect several vertebrate species, which are accountable for a variety of
97
+ devastating infections in both humans and animals. Viruses of this kind
98
+ include measles, mumps, and Hendra. Some synonymous codons are favoured over
99
+ others in mRNAs during gene-to-protein synthesis process. Such phenomenon is
100
+ termed as codon usage bias (CUB). Our research emphasized many aspects that
101
+ shape the CUB of genes in the Paramyxoviridae family found in bats. Here,
102
+ the nitrogenous base A occurred the most. AT was found to be abundant in the
103
+ coding sequences of the Paramyxoviridae family. RSCU data revealed that A or
104
+ T ending codons occurred more frequently than predicted. Furthermore, 3
105
+ overrepresented codons (CAT, AGA, and GCA) and 7 underrepresented codons
106
+ (CCG, TCG, CGC, CGG, CGT, GCG and ACG) were detected in the viral genomes.
107
+ Correspondence analysis, neutrality plot, and parity plots highlight the
108
+ combined impact of mutational pressure and natural selection on CUB. The
109
+ neutrality plot of GC12 against GC3 yielded a regression coefficient value
110
+ of 0.366, indicating that natural selection had a significant (63.4 %)
111
+ impact. Moreover, RNA editing analysis was done, which revealed the highest
112
+ frequency of C to T mutations. The results of our research revealed the
113
+ pattern of codon usage and RNA editing sites in Paramyxoviridae genomes.
114
+ - >-
115
+ [YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: The preoperative inclination angle
116
+ of mandibular incisors was crucial for surgical and postoperative stability
117
+ while the effect of proclined mandibular incisors on skeletal stability has
118
+ not been investigated. This study aimed to evaluate the effects of
119
+ differences in presurgical mandibular incisor inclination on skeletal
120
+ stability after orthognathic surgery in patients with skeletal Class III
121
+ malocclusion. METHODS: A retrospective cohort study of 80 consecutive
122
+ patients with skeletal Class III malocclusion who underwent bimaxillary
123
+ orthognathic surgery was conducted. According to incisor mandibular plane
124
+ angle (IMPA), patients were divided into 3 groups: retroclined inclination
125
+ (IMPA < 87°), normal inclination (87° IMPA < 93°) and proclined
126
+ inclination (IMPA 93°). Preoperative characteristics, surgical changes and
127
+ postoperative stability were compared based on lateral cephalograms obtained
128
+ 1 week before surgery (T0), 1 week after surgery (T1), and at 6 to 12 months
129
+ postoperatively (T2). RESULTS: The mandible demonstrated a forward and
130
+ upward relapse in all three groups. No significant differences in skeletal
131
+ relapse were observed in the 3 groups of patients. However, the proclined
132
+ inclination group showed a negative overbite tendency postoperatively
133
+ compared with the other two groups and a clinically significant mandibular
134
+ relapse pattern. Proclined IMPA both pre- and postoperatively was correlated
135
+ with mandibular relapse. CONCLUSION: Sufficient presurgical mandibular
136
+ incisor decompensation was of crucial importance for the maintenance of
137
+ skeletal stability in patients with skeletal Class III malocclusion who
138
+ subsequently underwent orthognathic surgery.
139
+ - >-
140
+ [YEAR_RANGE] 2020-2024 [TEXT] The Pseudogastromyzon genus, consisting of
141
+ species predominantly distributed throughout southeastern China, has
142
+ garnered increasing market attention in recent years due to its ornamental
143
+ appeal. However, the overlapping diagnostic attributes render the commonly
144
+ accepted criteria for interspecific identification unreliable, leaving the
145
+ phylogenetic relationships among Pseudogastromyzon species unexplored. In
146
+ the present study, we undertake molecular phylogenetic and morphological
147
+ examinations of the Pseudogastromyzon genus. Our phylogenetic analysis of
148
+ mitochondrial genes distinctly segregated Pseudogastromyzon species into two
149
+ clades: the Pseudogastromyzon clade and the Labigastromyzon clade. A
150
+ subsequent morphological assessment revealed that the primary dermal ridge
151
+ (specifically, the second ridge) within the labial adhesive apparatus serves
152
+ as an effective and precise interspecific diagnostic characteristic.
153
+ Moreover, the distributional ranges of Pseudogastromyzon and Labigastromyzon
154
+ are markedly distinct, exhibiting only a narrow area of overlap. Considering
155
+ the morphological heterogeneity of the labial adhesive apparatus and the
156
+ substantial division within the molecular phylogeny, we advocate for the
157
+ elevation of the Labigastromyzon subgenus to the status of a separate genus.
158
+ Consequently, we have ascertained the validity of the Pseudogastromyzon and
159
+ Labigastromyzon species, yielding a total of six valid species. To
160
+ facilitate future research, we present comprehensive descriptions of the
161
+ redefined species and introduce novel identification keys.
162
+ - source_sentence: >-
163
+ [YEAR_RANGE] 2020-2024 [TEXT] PCa-RadHop: A transparent and lightweight
164
+ feed-forward method for clinically significant prostate cancer segmentation.
165
  sentences:
166
+ - >-
167
+ [YEAR_RANGE] 2020-2024 [TEXT] According to the importance of time in
168
+ treatment of thrombosis disorders, faster than current treatments are
169
+ required. For the first time, this research discloses a novel strategy for
170
+ rapid dissolution of blood clots by encapsulation of a fibrinolytic
171
+ (Reteplase) into a Thrombin sensitive shell formed by polymerization of
172
+ acrylamide monomers and bisacryloylated peptide as crosslinker.
173
+ Degradability of the peptide units in exposure to Thrombin, creates the
174
+ Thrombin-sensitive Reteplase nanocapsules (TSRNPs) as a triggered release
175
+ system. Accelerated thrombolysis was achieved by combining three approaches
176
+ including: deep penetration of TSRNPs into the blood clots, changing the
177
+ clot dissolution mechanism by altering the distribution pattern of TSRNPs to
178
+ 3D intra-clot distribution (based on the distributed intra-clot thrombolysis
179
+ (DIT) model) instead of peripheral and unidirectional distribution of
180
+ unencapsulated fibrinolytics and, enzyme-stimulated release of the
181
+ fibrinolytic. Ex-vivo study was carried out by an occluded tube model that
182
+ mimics in-vivo brain stroke as an emergency situation where faster treatment
183
+ in short time is a golden key. In in vivo, efficacy of the developed
184
+ formulation was confirmed by PET scan and laser Doppler flowmetry (LDF). As
185
+ the most important achievements, 40.0 ± 0.7 (n = 3) % and 37.0 ± 0.4 (n = 3)
186
+ % reduction in the thrombolysis time (faster reperfusion) were observed by
187
+ ex-vivo and in-vivo experiments, respectively. Higher blood flow and larger
188
+ digestion mass of clot at similar times in comparison to non-encapsulated
189
+ Reteplase were observed that means more effective thrombolysis by the
190
+ developed strategy.
191
+ - >-
192
+ [YEAR_RANGE] 2020-2024 [TEXT] Prostate Cancer is one of the most frequently
193
+ occurring cancers in men, with a low survival rate if not early diagnosed.
194
+ PI-RADS reading has a high false positive rate, thus increasing the
195
+ diagnostic incurred costs and patient discomfort. Deep learning (DL) models
196
+ achieve a high segmentation performance, although require a large model size
197
+ and complexity. Also, DL models lack of feature interpretability and are
198
+ perceived as "black-boxes" in the medical field. PCa-RadHop pipeline is
199
+ proposed in this work, aiming to provide a more transparent feature
200
+ extraction process using a linear model. It adopts the recently introduced
201
+ Green Learning (GL) paradigm, which offers a small model size and low
202
+ complexity. PCa-RadHop consists of two stages: Stage-1 extracts data-driven
203
+ radiomics features from the bi-parametric Magnetic Resonance Imaging
204
+ (bp-MRI) input and predicts an initial heatmap. To reduce the false positive
205
+ rate, a subsequent stage-2 is introduced to refine the predictions by
206
+ including more contextual information and radiomics features from each
207
+ already detected Region of Interest (ROI). Experiments on the largest
208
+ publicly available dataset, PI-CAI, show a competitive performance standing
209
+ of the proposed method among other deep DL models, achieving an area under
210
+ the curve (AUC) of 0.807 among a cohort of 1,000 patients. Moreover,
211
+ PCa-RadHop maintains orders of magnitude smaller model size and complexity.
212
+ - >-
213
+ [YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: To evaluate rates of remission,
214
+ recovery, relapse, and recurrence in suicidal youth who participated in a
215
+ clinical trial comparing Dialectical Behavior Therapy (DBT) and Individual
216
+ and Group Supportive Therapy (IGST). METHOD: Participants were 173 youth,
217
+ aged 12 to 18 years, with repetitive self-harm (including at least 1 prior
218
+ suicide attempt [SA]) and elevated suicidal ideation (SI). Participants
219
+ received 6 months of DBT or IGST and were followed for 6 months
220
+ post-treatment. The sample was 95% female, 56.4% White, and 27.49% Latina.
221
+ Remission was defined as absence of SA or nonsuicidal self-injury (NSSI)
222
+ across one 3-month interval; recovery was defined across 2 or more
223
+ consecutive intervals. Relapse and recurrence were defined as SA or NSSI
224
+ following remission or recovery. Cross-tabulation with χ2 was used for
225
+ between-group contrasts. RESULTS: Over 70% of the sample reported remission
226
+ of SA at each treatment and follow-up interval. There were significantly
227
+ higher rates of remission and recovery and lower rates of relapse and
228
+ recurrence for SA in DBT than for IGST. Across treatments and time points,
229
+ SA had higher remission and recovery rates and lower relapse and recurrence
230
+ rates than NSSI. There were no significant differences in NSSI remission
231
+ between conditions; however, participants receiving DBT had significantly
232
+ higher NSSI recovery rates than those receiving IGST for the 3- to 9-month,
233
+ 3- to 12-month, and 6- to 12-month intervals. CONCLUSION: Results showed
234
+ higher percentages of SA remission and recovery for DBT as compared to IGST.
235
+ NSSI was less likely to remit than SA. PLAIN LANGUAGE SUMMARY: This study
236
+ examined rates of remission, recovery, relapse, and recurrence of suicide
237
+ attempts (SA) and nonsuicidal self-injury (NSSI) among the participants in
238
+ the CARES Study, a randomized clinical trial of 6 months of Dialectical
239
+ Behavior Therapy or Individual and Group Supportive Therapy. 173 youth aged
240
+ 12 to 18 years participated in the study and were followed for 6 months post
241
+ treatment. Over 70% of the sample reported remission of SA at each treatment
242
+ and follow-up interval. There were significantly higher rates of remission
243
+ and recovery and lower rates of relapse and recurrence for SA among
244
+ participants who received Dialectical Behavioral Therapy. Across both
245
+ treatments, remission and recovery rates were lower and relapse and
246
+ recurrence rates were higher for NSSI than for SA. These results underscore
247
+ the value of Dialectical Behavioral Therapy as a first line treatment for
248
+ youth at high risk for suicide. DIVERSITY & INCLUSION STATEMENT: We worked
249
+ to ensure race, ethnic, and/or other types of diversity in the recruitment
250
+ of human participants. CLINICAL TRIAL REGISTRATION INFORMATION:
251
+ Collaborative Adolescent Research on Emotions and Suicide (CARES);
252
+ https://www. CLINICALTRIALS: gov/; NCT01528020.
253
+ - source_sentence: >-
254
+ [YEAR_RANGE] 2020-2024 [TEXT] Predicting Recovery After Concussion in
255
+ Pediatric Patients: A Meta-Analysis.
256
  sentences:
257
+ - >-
258
+ [YEAR_RANGE] 2020-2024 [TEXT] OBJECTIVE: The authors examined licensing
259
+ requirements for select children's behavioral health care providers.
260
+ METHODS: Statutes and regulations as of October 2021 were reviewed for
261
+ licensed clinical social workers, licensed professional counselors, and
262
+ licensed marriage and family therapists for all 50 U.S. states and the
263
+ District of Columbia. RESULTS: All jurisdictions had laws regarding
264
+ postgraduate training and license portability. No jurisdiction included
265
+ language about specialized postgraduate training related to serving children
266
+ and families or cultural competence. Other policies that related to the
267
+ structure, composition, and authority of licensing boards varied across
268
+ states and licensure types. CONCLUSIONS: In their efforts to address
269
+ barriers to licensure, expand the workforce, and ensure that children have
270
+ access to high-quality and culturally responsive care, states could consider
271
+ their statutes and regulations.
272
+ - >-
273
+ [YEAR_RANGE] 2020-2024 [TEXT] Magnetic Resonance Imaging (MRI) plays a
274
+ pivotal role in the accurate measurement of brain subcortical structures in
275
+ macaques, which is crucial for unraveling the complexities of brain
276
+ structure and function, thereby enhancing our understanding of
277
+ neurodegenerative diseases and brain development. However, due to
278
+ significant differences in brain size, structure, and imaging
279
+ characteristics between humans and macaques, computational tools developed
280
+ for human neuroimaging studies often encounter obstacles when applied to
281
+ macaques. In this context, we propose an Anatomy Attentional Fusion Network
282
+ (AAF-Net), which integrates multimodal MRI data with anatomical constraints
283
+ in a multi-scale framework to address the challenges posed by the dynamic
284
+ development, regional heterogeneity, and age-related size variations of the
285
+ juvenile macaque brain, thus achieving precise subcortical segmentation.
286
+ Specifically, we generate a Signed Distance Map (SDM) based on the initial
287
+ rough segmentation of the subcortical region by a network as an anatomical
288
+ constraint, providing comprehensive information on positions, structures,
289
+ and morphology. Then we construct AAF-Net to fully fuse the SDM anatomical
290
+ constraints and multimodal images for refined segmentation. To thoroughly
291
+ evaluate the performance of our proposed tool, over 700 macaque MRIs from 19
292
+ datasets were used in this study. Specifically, we employed two manually
293
+ labeled longitudinal macaque datasets to develop the tool and complete
294
+ four-fold cross-validations. Furthermore, we incorporated various external
295
+ datasets to demonstrate the proposed tool's generalization capabilities and
296
+ promise in brain development research. We have made this tool available as
297
+ an open-source resource at
298
+ https://github.com/TaoZhong11/Macaque_subcortical_segmentation for direct
299
+ application.
300
+ - >-
301
+ [YEAR_RANGE] 2020-2024 [TEXT] CONTEXT: Prognostic prediction models (PPMs)
302
+ can help clinicians predict outcomes. OBJECTIVE: To critically examine
303
+ peer-reviewed PPMs predicting delayed recovery among pediatric patients with
304
+ concussion. DATA SOURCES: Ovid Medline, Embase, Ovid PsycInfo, Web of
305
+ Science Core Collection, Cumulative Index to Nursing and Allied Health
306
+ Literature, Cochrane Library, Google Scholar. STUDY SELECTION: The study had
307
+ to report a PPM for pediatric patients to be used within 28 days of injury
308
+ to estimate risk of delayed recovery at 28 days to 1 year postinjury.
309
+ Studies had to have at least 30 participants. DATA EXTRACTION: The Critical
310
+ Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling
311
+ Studies checklist was completed. RESULTS: Six studies of 13 PPMs were
312
+ included. These studies primarily reflected male patients in late childhood
313
+ or early adolescence presenting to an emergency department meeting the
314
+ Concussion in Sport Group concussion criteria. No study authors used the
315
+ same outcome definition nor evaluated the clinical utility of a model. All
316
+ studies demonstrated high risk of bias. Quality of evidence was best for the
317
+ Predicting and Preventing Postconcussive Problems in Pediatrics (5P)
318
+ clinical risk score. LIMITATIONS: No formal PPM Grading of Recommendations,
319
+ Assessment, Development, and Evaluations (GRADE) process exists.
320
+ CONCLUSIONS: The 5P clinical risk score may be considered for clinical use.
321
+ Rigorous external validations, particularly in other settings, are needed.
322
+ The remaining PPMs require external validation. Lack of consensus regarding
323
+ delayed recovery criteria limits these PPMs.
324
+ - source_sentence: >-
325
+ [YEAR_RANGE] 2020-2024 [TEXT] Intraoperative Monitoring of the External
326
+ Urethral Sphincter Reflex: A Novel Adjunct to Bulbocavernosus Reflex
327
+ Neuromonitoring for Protecting the Sacral Neural Pathways Responsible for
328
+ Urination, Defecation and Sexual Function.
329
  sentences:
330
+ - >-
331
+ [YEAR_RANGE] 2020-2024 [TEXT] Early menarche has been associated with
332
+ adverse health outcomes, such as depressive symptoms. Discovering effect
333
+ modifiers across these conditions in the pediatric population is a constant
334
+ challenge. We tested whether movement behaviours modified the effect of the
335
+ association between early menarche and depression symptoms among
336
+ adolescents. This cross-sectional study included 2031 females aged 15-19
337
+ years across all Brazilian geographic regions. Data were collected using a
338
+ self-administered questionnaire; 30.5% (n = 620) reported having experienced
339
+ menarche before age 12 years (that is, early menarche). We used the Patient
340
+ Health Questionnaire (PHQ-9) to evaluate depressive symptoms. Accruing any
341
+ moderate-vigorous physical activity during leisure time, limited
342
+ recreational screen time, and having good sleep quality were the exposures
343
+ investigated. Adolescents who experienced early menarche and met one (B:
344
+ -4.45, 95% CI: (-5.38, -3.51)), two (B: -6.07 (-7.02, -5.12)), or three (B:
345
+ -6.49 (-7.76, -5.21)), and adolescents who experienced not early menarche
346
+ and met one (B: -5.33 (-6.20; -4.46)), two (B: -6.12 (-6.99; -5.24)), or
347
+ three (B: -6.27 (-7.30; -5.24)) of the movement behaviour targets had lower
348
+ PHQ-9 scores for depression symptoms than adolescents who experienced early
349
+ menarche and did not meet any of the movement behaviours. The disparities in
350
+ depressive symptoms among the adolescents (early menarche versus not early
351
+ menarche) who adhered to all three target behaviours were not statistically
352
+ significant (B: 0.41 (-0.19; 1.01)). Adherence to movement behaviours
353
+ modified the effect of the association between early menarche and depression
354
+ symptoms.
355
+ - >-
356
+ [YEAR_RANGE] 2020-2024 [TEXT] PURPOSE: Intraoperative bulbocavernosus reflex
357
+ neuromonitoring has been utilized to protect bowel, bladder, and sexual
358
+ function, providing a continuous functional assessment of the somatic sacral
359
+ nervous system during surgeries where it is at risk. Bulbocavernosus reflex
360
+ data may also provide additional functional insight, including an evaluation
361
+ for spinal shock, distinguishing upper versus lower motor neuron injury
362
+ (conus versus cauda syndromes) and prognosis for postoperative bowel and
363
+ bladder function. Continuous intraoperative bulbocavernosus reflex
364
+ monitoring has been utilized to provide the surgeon with an ongoing
365
+ functional assessment of the anatomical elements involved in the S2-S4
366
+ mediated reflex arc including the conus, cauda equina and pudendal nerves.
367
+ Intraoperative bulbocavernosus reflex monitoring typically includes the
368
+ electrical activation of the dorsal nerves of the genitals to initiate the
369
+ afferent component of the reflex, followed by recording the resulting muscle
370
+ response using needle electromyography recordings from the external anal
371
+ sphincter. METHODS: Herein we describe a complementary and novel technique
372
+ that includes recording electromyography responses from the external
373
+ urethral sphincter to monitor the external urethral sphincter reflex.
374
+ Specialized foley catheters embedded with recording electrodes have recently
375
+ become commercially available that provide the ability to perform
376
+ intraoperative external urethral sphincter muscle recordings. RESULTS: We
377
+ describe technical details and the potential utility of incorporating
378
+ external urethral sphincter reflex recordings into existing sacral
379
+ neuromonitoring paradigms to provide redundant yet complementary data
380
+ streams. CONCLUSIONS: We present two illustrative neurosurgical oncology
381
+ cases to demonstrate the utility of the external urethral sphincter reflex
382
+ technique in the setting of the necessary surgical sacrifice of sacral nerve
383
+ roots.
384
+ - >-
385
+ [YEAR_RANGE] 2020-2024 [TEXT] BACKGROUND: Limited data are available on the
386
+ appropriate choice of blood pressure management strategy for patients with
387
+ acute basilar artery occlusion assessed by the standard deviation (SD).
388
+ Multivariate logistic models were used to investigate the association
389
+ between BPV, the primary outcome (futile recanalization, 90-day modified
390
+ Rankin Scale score 3-6), and the secondary outcome (30-day mortality).
391
+ Subgroup analysis was performed as a sensitivity test. RESULTS: Futile
392
+ recanalization occurred in 60 (56 %) patients, while 26 (24 %) patients died
393
+ within 30 days. In the fully adjusted model, MAP SD was associated with a
394
+ higher risk of futile recanalization (OR adj=1.36, per 1 mmHg increase, 95 %
395
+ CI: 1.09-1.69, P=0.006) and 30-day mortality (OR adj=1.56, per 1 mmHg
396
+ increase, 95 % CI: 1.20-2.04, P=0.001). A significant interaction between
397
+ MAP SD and the lack of hypertension history on futile recanalization
398
+ (P<0.05) was observed. CONCLUSIONS: Among recanalized acute BAO ischemic
399
+ patients, higher blood pressure variability during the first 24 h after MT
400
+ was associated with worse outcomes. This association was stronger in
401
+ patients without a history of hypertension.
402
+ base_model:
403
+ - pankajrajdeo/UMLS-ED-Bioformer-16L-V-1.25-SpecialTokensUntrained
404
  ---
405
 
406
  # SentenceTransformer
 
409
 
410
  ## Model Details
411
 
 
 
412
  ### Model Description
413
  - **Model Type:** Sentence Transformer
414
  <!-- - **Base model:** [Unknown](https://huggingface.co/unknown) -->