bluuebunny/crossref_metadata_2025 huggingface dataset:
Case Report: Giant cholesterol granuloma in the anterior mediastinum
Authors: Ludoski Milica , Zivkovic Igor , Milacic Petar , Boricic Novica , Micovic Slobodan , Bojic Milovan , Tabakovic Zoran
Published: April 2024

Cholesterol granuloma is a rare entity, which can develop in many regions of the body, accounting at most 1% of all mediastinal tumors. Etiology of this granuloma is still not clearly understood. The gold standard choice of treatment for cholesterol granuloma is total surgical resection. Symptomatic mediastinum granuloma can be easily diagnosed, but if mass effect is not evident then diagnosis of this tumor is really challenging. We present a rare case of huge cholesterol granuloma in the anterior mediastinum of the patient who underwent on elective coronary artery graft bypass surgery.
Preemptive treatment in the acute and early subacute phase of uncomplicated type B aortic dissections with poor prognosis factors
Authors: Sachs Charlotte , Vecchini Fabien , Corniquet Marie , Bartoli Michel , Barral Pierre-Antoine , De Masi Mariangela , Omnes Virgile , Piquet Philippe , Alsac Jean-Marc , Gaudry Marine
Published: April 2024

Objective

Due to its favorable outcome regarding late morbidity and mortality, thoracic endovascular repair (TEVAR) is becoming more popular for uncomplicated type B aortic dissection (TBAD). This study aimed to compare preemptive endovascular treatment and optimal medical treatment (OMT) and OMT alone in patients presenting uncomplicated TBAD with predictors of aortic progression.

Design

Retrospective multicenter study

Methods

We analyzed patients with uncomplicated TBAD and risk factors of progression in two French academic centers. Aortic events [defined as aortic-related (re)intervention or aortic-related death after initial hospitalization], postoperative complications, non-aortic events, and radiologic aortic progression and remodeling were recorded and analyzed. Analysis was performed on an intention-to-treat basis.

Results

Between 2011 and 2021, preemptive endovascular procedures at the acute and early subacute phase (<30 days) were performed on 24 patients (group 1) and OMT alone on 26 patients (group 2). With a mean follow-up of 38.08 ± 24.53 months, aortic events occurred in 20.83% of patients from group 1 and 61.54% of patients from group 2 (p < .001). No patient presented aortic-related death during follow-up. There were no differences in postoperative events (p = 1.00) and non-aortic events (p = 1.00). OMT patients had significantly more aneurysmal progression of the thoracic aorta (p < .001) and maximal aortic diameter (p < .001). Aortic remodeling was found in 91.67% of patients in group 1 and 42.31% of patients in group 2 (p < .001). A subgroup analysis of patients in group 1 showed that patients treated with preemptive TEVAR and STABILISE had reduced maximum aortic diameters at the 1-year (p = .010) and last follow-up (p = .030) compared to those in patients treated with preemptive TEVAR alone.

Conclusion

Preemptive treatment of uncomplicated TBAD with risk factors of progression reduces the risk of long-term aortic events. Over 60% of medically treated patients will require intervention during follow-up, with no benefit in terms of postoperative events. Even after surgical treatment, patients in the OMT group had significantly more aneurysmal progression, along with poorer aortic remodeling.
Clinical characteristics of lower extremity deep vein thrombosis in young vs. middle-aged adults: a single-center retrospective study
Authors: Zhang Yaqiu , Wei Haijun , Liu Yang , Wang Qiqi , He Chunshui
Published: April 2024

Background

The incidence of deep vein thrombosis (DVT) in the lower extremities is increasing in the younger population. However, there are fewer reported comparisons in the literature for lower extremity DVT.

Methods

Patients aged <40 years admitted with lower-extremity DVT between January 2018 and December 2023 were retrospectively analyzed and followed up for 1 year.

Results

A total of 61 patients were included in the study and divided into two groups: 33 patients over 30 years of age (middle-aged group) and 28 patients under 30 years of age (young group). A significant gender difference was observed, with a higher proportion of males in the young group compared to the middle-aged group (P < 0.001). Five patients in the young group were treated with anticoagulation alone, whereas all patients in the middle-aged group underwent endovascular therapy. A higher prevalence of inferior vena cava thrombosis in the young group compared to the middle-aged group (60.71% vs. 33.3%, P = 0.032). The proportion of iliac vein stenosis was significantly higher in the middle-aged groups than in the young group (P = 0.002). There was no statistically significant difference in venous function scores (Villalta and rVCSS) between the two groups during both the preoperative period and the postoperative follow-up (P > 0.05). The incidence of lower-extremity DVT post-thrombotic syndrome and thrombus recurrence was higher in the young group than in the middle-aged group at 1 year postoperatively (PTS: 78.57% vs. 33.3%, P < 0.001, and thrombus recurrence: 28.57% vs. 9.09%, P < 0.05). Univariate and multivariate analyses revealed that inferior vena cava thrombosis was an independent risk factor for severe DVT post-thrombotic syndrome and recurrent DVT (P < 0.05), whereas gender was an independent risk factor for recurrent DVT (P < 0.05).

Conclusions

This study suggests differences in the clinical characteristics and prognosis of lower-extremity DVT.
How AI drives innovation in cardiovascular medicine
Authors: Cerrato Paul L. , Halamka John D.
Published: April 2024

Medicine is entering a new era in which artificial intelligence (AI) and deep learning have a measurable impact on patient care. This impact is especially evident in cardiovascular medicine. While the purpose of this short opinion paper is not to provide an in-depth review of the many applications of AI in cardiovascular medicine, we summarize some of the important advances that have taken place in this domain.
Late Glacial and Holocene vegetation and lake changes in SW Yakutia, Siberia, inferred from sedaDNA, pollen, and XRF data
Authors: Baisheva Izabella , Biskaborn Boris K. , Stoof-Leichsenring Kathleen R. , Andreev Andrei , Heim Birgit , Meucci Stefano , Ushnitskaya Lena A. , Zakharov Evgenii S. , Dietze Elisabeth , Glückler Ramesh , Pestryakova Luidmila A. , Herzschuh Ulrike
Published: April 2024

Only a few palaeo-records extend beyond the Holocene in Yakutia, eastern Siberia, since most of the lakes in the region are of Holocene thermokarst origin. Thus, we have a poor understanding of the long-term interactions between terrestrial and aquatic ecosystems and their response to climate change. The Lake Khamra region in southwestern Yakutia is of particular interest because it is in the transition zones from discontinuous to sporadic permafrost and from summergreen to evergreen boreal forests. Our multiproxy study of Lake Khamra sediments reaching back to the Last Glacial Maximum 21 cal ka BP, includes analyses of organic carbon, nitrogen, XRF-derived elements, sedimentary ancient DNA amplicon sequencing of aquatic and terrestrial plants and diatoms, as well as classical counting of pollen and non-pollen palynomorphs (NPP). The palaeogenetic approach revealed 45 diatom, 191 terrestrial plant, and 65 aquatic macrophyte taxa. Pollen analyses identified 34 pollen taxa and 28 NPP taxa. The inferred terrestrial ecosystem of the Last Glacial comprises tundra vegetation dominated by forbs and grasses, likely inhabited by megaherbivores. By 18.4 cal ka BP a lake had developed with a high abundance of macrophytes and dominant fragilarioid diatoms, while shrubs expanded around the lake. In the Bølling-Allerød at 14.7 cal ka BP both the terrestrial and aquatic systems reflect climate amelioration, alongside lake water-level rise and woodland establishment, which was curbed by the Younger Dryas cooling. In the Early Holocene warmer and wetter climate led to taiga development and lake water-level rise, reflected by diatom composition turnover from only epiphytic to planktonic diatoms. In the Mid-Holocene the lake water level decreased at ca. 8.2 cal ka BP and increased again at ca. 6.5 cal ka BP. At the same time mixed evergreen-summergreen forest expanded. In the Late Holocene, at ca. 4 cal ka BP, vegetation cover similar to modern conditions established. This study reveals the long-term shifts in aquatic and terrestrial ecosystems and a comprehensive understanding of lake development and catchment history of the Lake Khamra region.
iINVENT pathways and practices: prizing the process over the product
Authors: Rowe Susan R. M. , Talamantes Adam , Well Jay , O'Neill Renee , Nicholson Emily , Rowe Shawn
Published: April 2024

Rural communities need skilled innovators who engage as community members, support economic opportunities, and develop novel ways to solve local problems. Through innovation, Invention Education (IvE) is one way to promote the creativity and problem-solving needed to restore economic vitality to regions of the rural US. IvE pathways support a skilled workforce that communities can draw upon to solve complex problems. Introductory IvE experiences can begin to bolster rural recovery and open prime grounds for innovative solutions. The Office of Precollege Programs at Oregon State University established the iINVENT Program for upper elementary, middle, and high school learners to engage in IvE and act as inventors. In this study, we describe the iINVENT pathways resulting from 8 years of curriculum design and iteration guided by engaged scholarship practices and robust evaluation. Program data from 2019–2023 was collected via learner, educator, community partner, and parent surveys, as well as through observations conducted by program staff and partner instructors. Results from qualitative content and thematic analysis demonstrate the value of introducing learners to IvE and how iINVENT practices support invention educators in impacting youth learners. The findings demonstrate essential practices, successes, and challenges that have shaped the iINVENT pathways and IvE curriculum delivered. Based on these findings and current discourse unfolding throughout the IvE professional community, the authors suggest that a process-oriented invention framework focused on inventiveness and the ways learners can act as inventors is pivotal to broaden access and participation in IvE, providing learners with a more applicable and relatable learning experience to cultivate inventiveness mindsets and skills transferable to all parts of life.
The association between circadian syndrome and chronic kidney disease in an aging population: a 4-year follow-up study
Authors: Xiong Yang , Zhong Qian , Zhang Yangchang , Liu Zhihong , Wang Xianding
Published: April 2024

Introduction

Circadian syndrome (CircS) is proposed as a novel risk cluster based on reduced sleep duration, abdominal obesity, depression, hypertension, dyslipidemia and hyperglycemia. However, the association between CircS and chronic kidney disease (CKD) remains unclear. To investigate the cross-sectional and longitudinal association between CircS and CKD, this study was performed.

Methods

A national prospective cohort (China Health and Retirement Longitudinal Study, CHARLS) was used in this study. To define CKD, the estimated glomerular filtration rate (eGFR) was calculated based on the 2012 CKD-EPI creatinine-cystatin C equation. Participants with eGFR <60 mL.min-1/1.73/m2 were diagnosed with CKD. Multivariate binary logistic regression was used to assess the cross-sectional association between CircS and CKD. Subgroup and interactive analyses were performed to determine the interactive effects of covariates. In the sensitivity analysis, the obese population was excluded and another method for calculating the eGFR was used to verify the robustness of previous findings. In addition, participants without CKD at baseline were followed up for four years to investigate the longitudinal relationship between CircS and CKD.

Results

A total of 6355 participants were included in this study. In the full model, CircS was positively associated with CKD (OR = 1.28, 95% CI = 1.04-1.59, P < 0.05). As per one increase of CircS components, there was a 1.11-fold (95% CI = 1.04-1.18, P < 0.05) risk of prevalent CKD in the full model. A significant interactive effect of hyperuricemia in the CircS-CKD association (P for interaction < 0.01) was observed. Sensitivity analyses excluding the obese population and using the 2009 CKD-EPI creatinine equation to diagnose CKD supported the positive correlation between CircS and CKD. In the 2011-2015 follow-up cohort, the CircS group had a 2.18-fold risk of incident CKD (95% CI = 1.33-3.58, P < 0.01) in the full model. The OR was 1.29 (95% CI = 1.10-1.51, P < 0.001) with per one increase of CircS components.

Conclusion

CircS is a risk factor for CKD and may serve as a predictor of CKD for early identification and intervention.
A mixed behavioural and data-driven method for assessing the shift potential to electric micromobility: evidence from Rome
Authors: Nigro Marialisa , Comi Antonio , De Vincentis Rosita , Castiglione Marisdea
Published: April 2024

Electric micromobility, both as a private option and as a shared service, can represent an alternative to cars, particularly for given user groups (market segments) and specific classes of travel distance. The paper explores the potential for shifting from cars to electric micromobility (specifically, e-bikes and e-scooters) for commuting trips, investigated through floating car data (FCD). The methodology combines the calibration of random utility models (RUMs) and the subsequent simulation through the adoption of FCD spanning the entire city of Rome (Italy). The data used for the calibration of RUM models have been sourced from an online revealed preferences and stated preferences survey carried out between November 2020 and January 2021. Socioeconomic factors, along with transport features (travel time, access time, monetary costs, and perceived safety levels), enter into the definition of the mode choice probability. The first results showed that in Rome, the potential demand for electric micromobility could range between 14% of the FCD sample in the best case (low cost, high accessibility, and road infrastructures with a high perceived level of safety) and about 2% in the worst case (high cost, low accessibility, and a low perceived level of safety).
Screening and validation of atherosclerosis PAN-apoptotic immune-related genes based on single-cell sequencing
Authors: Song Yamin , Lou Bo , Wang Huiting , Zhang Guifeng , Xia Yitong , Ban Ru , Zhao Xin , Sun Hao , Wang Jingru , Lin Jie , Guo Tingting , Zhou Jing , Xia Zhangyong
Published: April 2024

Background

Carotid atherosclerosis (CAS) is a complication of atherosclerosis (AS). PAN-optosome is an inflammatory programmed cell death pathway event regulated by the PAN-optosome complex. CAS’s PAN-optosome-related genes (PORGs) have yet to be studied. Hence, screening the PAN-optosome-related diagnostic genes for treating CAS was vital.

Methods

We introduced transcriptome data to screen out differentially expressed genes (DEGs) in CAS. Subsequently, WGCNA analysis was utilized to mine module genes about PANoptosis score. We performed differential expression analysis (CAS samples vs. standard samples) to obtain CAS-related differentially expressed genes at the single-cell level. Venn diagram was executed to identify PAN-optosome-related differential genes (POR-DEGs) associated with CAS. Further, LASSO regression and RF algorithm were implemented to were executed to build a diagnostic model. We additionally performed immune infiltration and gene set enrichment analysis (GSEA) based on diagnostic genes. We verified the accuracy of the model genes by single-cell nuclear sequencing and RT-qPCR validation of clinical samples, as well as in vitro cellular experiments.

Results

We identified 785 DEGs associated with CAS. Then, 4296 module genes about PANoptosis score were obtained. We obtained the 7365 and 1631 CAS-related DEGs at the single-cell level, respectively. 67 POR-DEGs were retained Venn diagram. Subsequently, 4 PAN-optosome-related diagnostic genes (CNTN4, FILIP1, PHGDH, and TFPI2) were identified via machine learning. Cellular function tests on four genes showed that these genes have essential roles in maintaining arterial cell viability and resisting cellular senescence.

Conclusion

We obtained four PANoptosis-related diagnostic genes (CNTN4, FILIP1, PHGDH, and TFPI2) associated with CAS, laying a theoretical foundation for treating CAS.
Deciphering the role of alternative splicing in neoplastic diseases for immune-oncological therapies
Authors: Bauer Marcus , Schöbel Chiara-Maria , Wickenhauser Claudia , Seliger Barbara , Jasinski-Bergner Simon
Published: April 2024

Alternative splicing (AS) is an important molecular biological mechanism regulated by complex mechanisms involving a plethora of cis and trans-acting elements. Furthermore, AS is tissue specific and altered in various pathologies, including infectious, inflammatory, and neoplastic diseases. Recently developed immuno-oncological therapies include monoclonal antibodies (mAbs) and chimeric antigen receptor (CAR) T cells targeting, among others, immune checkpoint (ICP) molecules. Despite therapeutic successes have been demonstrated, only a limited number of patients showed long-term benefit from these therapies with tumor entity-related differential response rates were observed. Interestingly, splice variants of common immunotherapeutic targets generated by AS are able to completely escape and/or reduce the efficacy of mAb- and/or CAR-based tumor immunotherapies. Therefore, the analyses of splicing patterns of targeted molecules in tumor specimens prior to therapy might help correct stratification, thereby increasing therapy success by antibody panel selection and antibody dosages. In addition, the expression of certain splicing factors has been linked with the patients’ outcome, thereby highlighting their putative prognostic potential. Outstanding questions are addressed to translate the findings into clinical application. This review article provides an overview of the role of AS in (tumor) diseases, its molecular mechanisms, clinical relevance, and therapy response.
Alternative splicing and its regulation in the malaria vector Anopheles gambiae
Authors: Díaz-Terenti Bárbara , Ruiz José Luis , Gómez-Díaz Elena
Published: April 2024

Introduction

Alternative splicing (AS) is a highly conserved mechanism that allows for the expansion of the coding capacity of the genome, through modifications of the way that multiple isoforms are expressed or used to generate different phenotypes. Despite its importance in physiology and disease, genome-wide studies of AS are lacking in most insects, including mosquitoes. Even for model organisms, chromatin associated processes involved in the regulation AS are poorly known.

Methods

In this study, we investigated AS in the mosquito Anopheles gambiae in the context of tissue-specific gene expression and mosquito responses to a Plasmodium falciparum infection, as well as the relationship between patterns of differential isoform expression and usage with chromatin accessibility changes. For this, we combined RNA-seq and ATAC-seq data from A. gambiae midguts and salivary glands, infected and non-infected.

Results

We report differences between tissues in the expression of 392 isoforms and in the use of 247 isoforms. Secondly, we find a clear and significant association between chromatin accessibility states and tissue-specific patterns of AS. The analysis of differential accessible regions located at splicing sites led to the identification of several motifs resembling the binding sites of Drosophila transcription factors. Finally, the genome-wide analysis of tissue-dependent enhancer activity revealed that approximately 20% of A. gambiae transcriptional enhancers annotate to a differentially expressed or used isoform, and that their activation status is linked to AS differences between tissues.

Conclusion

This research elucidates the role of AS in mosquito vector gene expression and identifies regulatory regions potentially involved in AS regulation, which could be important in the development of novel strategies for vector control.
Antarctic sonobuoy surveys for blue whales from 2006-2021 reveal contemporary distribution, changes over time, and paths to further our understanding of their distribution and biology
Authors: Miller Brian S. , Andrews-Goff Virginia , Barlow Jay , Bell Elanor , Calderan Susannah , Double Michael C. , Gedamke Jason , Kelly Nat , Laverick Sarah , Leaper Russell , Miller Elanor J. , Reeve Kym , Širović Ana , Stafford Kathleen M.
Published: April 2024

Seven passive acoustic surveys for marine mammal sounds were conducted by deploying sonobuoys along ship tracks during Antarctic voyages spanning years 2006-2021. These surveys included nearly 330° of longitude throughout Antarctic (south of 60°S) and sub-Antarctic (between 50-60°S) latitudes. Here, we summarise the presence of calls from critically endangered Antarctic blue whales (Balaenoptera musculus intermedia) detected on all seven of these surveys. We describe and compare the spatial distribution of detections of three different types of Antarctic blue whale calls: unit-A, Z-calls, and D-calls. Three sets of voyages partially overlapped spatially but in different years, providing three regions (Indian Sector, Dumont d’Urville Sea, Ross Sea) to investigate differences over time for these three different call types. The proportion of sonobuoys with calls present was significantly higher in the more recent years for seven of the 15 combinations of years, regions, and call type. The proportion of sonobuoys with calls present was significantly lower only for one of the 15 combinations (unit A in the Ross Sea between 2015 vs 2017), and not significantly different for the remaining seven pairwise comparisons. We discuss possible explanations for these observations including: differences in probability of detection, whale behaviour, whale distribution, and abundance. These explanations are not mutually exclusive and cannot yet be resolved without application of complex analytical methods and collection of additional data. Lastly, we discuss future work that could help clarify the contributions of each of these potential drivers of acoustic detection. We propose continued acoustic data collection, application of new analytical methods, and collection of other synergistic data from Antarctic blue whales on their feeding grounds as a basis for future work on this species. This could provide a cost effective and holistic means of monitoring their status after the effects of 20th century industrial whaling, as well as their responses to natural and anthropogenic changes to their main prey, Antarctic krill, and a changing climate.
A nomogram to predict severe COVID-19 patients with increased pulmonary lesions in early days
Authors: Chen Lina , Li Min , Wu Zhenghong , Liu Sibin , Huang Yuanyi
Published: April 2024

Objectives

This study aimed to predict severe coronavirus disease 2019 (COVID-19) progression in patients with increased pneumonia lesions in the early days. A simplified nomogram was developed utilizing artificial intelligence (AI)-based quantified computed tomography (CT).

Methods

From 17 December 2019 to 20 February 2020, a total of 246 patients were confirmed COVID-19 infected in Jingzhou Central Hospital, Hubei Province, China. Of these patients, 93 were mildly ill and had follow-up examinations in 7 days, and 61 of them had enlarged lesions on CT scans. We collected the neutrophil-to-lymphocyte ratio (NLR) and three quantitative CT features from two examinations within 7 days. The three quantitative CT features of pneumonia lesions, including ground-glass opacity volume (GV), semi-consolidation volume (SV), and consolidation volume (CV), were automatically calculated using AI. Additionally, the variation volumes of the lesions were also computed. Finally, a nomogram was developed using a multivariable logistic regression model. To simplify the model, we classified all the lesion volumes based on quartiles and curve fitting results.

Results

Among the 93 patients, 61 patients showed enlarged lesions on CT within 7 days, of whom 19 (31.1%) developed any severe illness. The multivariable logistic regression model included age, NLR on the second time, an increase in lesion volume, and changes in SV and CV in 7 days. The personalized prediction nomogram demonstrated strong discrimination in the sample, with an area under curve (AUC) and the receiver operating characteristic curve (ROC) of 0.961 and a 95% confidence interval (CI) of 0.917–1.000. Decision curve analysis illustrated that a nomogram based on quantitative AI was clinically useful.

Conclusion

The integration of CT quantitative changes, NLR, and age in this model exhibits promising performance in predicting the progression to severe illness in COVID-19 patients with early-stage pneumonia lesions. This comprehensive approach holds the potential to assist clinical decision-making.
Impact of ankylosing spondylitis on foot health and quality of life: an observational case–control study
Authors: Cortes-Rodríguez Antonio , Alves-Gomes Lisa , Losa-Iglesias Marta Elena , Gómez-Salgado Juan , Becerro-de-Bengoa-Vallejo Ricardo , Saavedra-García Miguel Ángel , Montiel-Luque Alonso , López-López Daniel , Jiménez-Cebrián Ana María
Published: April 2024

Background

Ankylosing spondylitis (AS) is a chronic, inflammatory, and autoimmune disease. This condition primarily affects the axial skeleton and presents direct foot involvement, such as Achilles enthesitis or plantar fascia involvement.

Objective

This study aimed to investigate the impact of foot health on the quality of life of individuals with AS compared to a control group without AS.

Materials and methods

A sample of 112 subjects was recruited, with a mean age of 46.80 ± 10.49 years, divided into two groups: 56 individuals with AS (cases) and 56 individuals without AS (controls). Demographic data were collected, and the scores obtained in the Foot Health Status Questionnaire domains were recorded.

Results

Of the participants, 27.79% (N = 30) were men and 73.21% (N = 82) were women. The mean age in the group was 46.80 ± 10.49. Significant differences (p < 0.05) were found in the domains of foot function, foot pain, footwear, overall foot health, general health-related physical activity, and social capacity between the AS group and the control group.

Conclusion

Individuals with AS exhibited a decreased quality of life, as indicated by their Foot Health Status Questionnaire scores.
Spontaneous pregnancy after thread-embedding therapy treatment with premature ovarian insufficiency after unilateral oophorectomy: a case report
Authors: Zhang Ziniu , Yuan Jingxue , Zhao Jingjing , Song Yue , Ni Jinxia
Published: April 2024

Premature ovarian insufficiency (POI) is a condition characterized by menstrual disturbance, subfertility, and estrogen deficiency symptoms. Women with POI have a small chance of natural conception, which may be even smaller when complicated with unilateral ovarian due to reduction of the ovarian follicular reserve. In China, acupuncture has been widely used to treat POI and POI-induced infertility, and studies have shown that acupuncture is helpful for improving ovarian function. Thread-embedding therapy is a method of acupuncture treatment development and extension, which can make the acupuncture effect last. In this article, we report a patient diagnosed with POI after unilateral oophorectomy (UO) who spontaneously conceived after thread-embedding therapy. Thread-embedding therapy may improve ovarian function in patients with POI, thereby providing a treatment strategy for infertility in patients with POI. This case report was written in accordance with the CARE guidelines.
Health professionals’ involvement in volunteering their professional skills: a scoping review
Authors: Strkljevic Ima , Tiedemann Anne , Souza de Oliveira Juliana , Haynes Abby , Sherrington Cathie
Published: April 2024

Background

Volunteering positively affects overall health of both volunteers and recipients through social interaction, support and physical activity. Health professionals’ volunteering has considerable potential to improve health outcomes in communities.

Objectives

This study aimed to summarize published scientific literature regarding volunteering by health professionals.

Method

Medine, Embase, Scopus, PsycINFO and CINAHLdatabases were searched to identify eligible studies published between 2010 and 2023. Data on study methods and findings were extracted and synthesized.

Results

Of the 144 eligible studies, 80 (56%) used quantitative methods, 46 (32%) used qualitative, 18 (12%) used mixed methods and 8 (6%) were interventional. Doctors (74 studies, 51%) and nurses (n = 40, 28%) were the professions with most reports of volunteering. Half the studies were from USA (n = 77, 53%), followed by UK (n = 19, 13%), Canada (n = 12, 8%), and Australia/New Zealand (n = 11, 8%). International volunteering in low-to-middle-income countries was reported in 64 studies (44%). Providing service and training were the dominant types of activities (n = 90, 62.5%), with health promotion reported in only 4 studies (3%). Studies reported positive impact from volunteering, both professionally and personally. Time and family commitments were the main barriers. Enablers, barriers and impact were summarized in a socio-ecological map.

Conclusion

Health professionals volunteer in diverse activities and report multifaceted benefits. Studies of volunteering interventions could enable new, sustainable approaches to health promotion.
A prospective study on using shear wave elastography to predict the ypT0 stage of rectal cancer after neoadjuvant therapy: a new support for the watch-and-wait approach?
Authors: Liu Mengjia , Cui Ningyi , Sun Chao , Gong Xuantong , Wang Bo , Yang Di , Wang Yong
Published: April 2024

Introduction:

The diagnostic accuracy of traditional imaging examination in predicting ypT stage of rectal cancer after neoadjuvant therapy is significantly reduced, which would affect patients’ subsequent treatment choices. This study aimed to investigate the use of endorectal shear wave elastography (SWE) for diagnosing ypT0 stage of rectal cancer after neoadjuvant chemoradiotherapy (nCRT).

Methods:

Sixty patients with rectal cancer were prospectively recruited in this study. Data on endorectal ultrasound (ERUS) and SWE parameters were collected before nCRT and 6–8 weeks after nCRT. Postoperative pathological results were the gold standard for evaluating the diagnostic accuracy of SWE and ERUS in predicting the ypT0 stage of rectal cancer after nCRT. Receiver operating characteristic (ROC) curve analysis was used to determine the cut-off values of the SWE parameters that best corresponded to the ypT0 stage and analyze the sensitivity, specificity, and accuracy.

Results:

The diagnostic accuracies of using ERUS to predict the ypT and ypT0 stages of rectal cancer after nCRT were 58.1% (18/31) and 64.3% (9/14), respectively. The ROC curve was constructed with the lesion’s Emean, Emean corrected (EC), Emean difference (ED), Emean corrected differencede (ECD), Emean descendding rate (EDR) and Emean corrected descendding rate (ECDR) values after nCRT, the cut-off values of diagnosing the ypT0 stage were 64.40 kPa, 55.45 kPa, 72.55 kPa, 73.75 kPa, 50.15%, and 55.93%, respectively; the area under the curve (AUC) for diagnosing the ypT0 stage was 0.924, 0.933, 0.748, 0.729, 0.857 and 0.861, respectively. The EC value showed the best diagnostic performance.

Conclusion:

SWE could improve the accuracy of conventional ERUS in diagnosing the ypT0 stage of rectal cancer after nCRT. It is expected to become a new method to help predict pathological complete responses in clinical practice and provide new evidence for the watch-and-wait approach.
Non-pharmacological therapies for treating non-motor symptoms in patients with Parkinson’s disease: a systematic review and meta-analysis
Authors: Zhang Yu , Liu Shuang , Xu Ke , Zhou Yan , Shen Yiwei , Liu Zhengnan , Bai Yan , Wang Shun
Published: April 2024

Objective

The non-motor symptoms of Parkinson’s disease (PD) are an important part of PD. In recent years, more and more non-drug interventions have been applied to alleviate the non-motor symptoms of PD, but the relevant evidence is limited. This systematic review and meta-analysis was designed to evaluate the efficacy of non-drug interventions in patients with non-motor symptoms in patients with PD.

Methods

Seven databases, including Pubmed, Embease, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang database (WANFANG), VIP database (VIP), and China Biomedical Literature Service System (CBM) were searched from the establishment of the database to December 2023. Non-drug interventions such as acupuncture, cognitive behavioral therapy (CBT), exercise, repetitive transcranial magnetic stimulation (rTMS), and non-motor symptoms of Parkinson’s disease were selected as search words, and two independent evaluators evaluated the included literature’s bias risk and data extraction. The therapeutic efficacy was evaluated by the Parkinson’s Disease Sleep Scale (PDSS), Hamilton Depression Scale (HAMD), Beck Depression Inventory (BDI), Hamilton Anxiety Scale (HAMA), Montreal Cognitive Assessment (MoCA), Minimum Mental State Examination (MMSE), and Parkinson’s Disease Questionnaire-39 (PDQ-39). RevMan 5.4.1 (Reviewer Manager Software 5.4.1). Cochrane Collaboration, Oxford, United Kingdom analyzed the data and estimated the average effect and the 95% confidence interval (CI). A heterogeneity test is used to assess differences in the efficacy of different non-drug treatments.

Results

We selected 36 from 4,027 articles to participate in this meta-analysis, involving 2,158 participants. Our combined results show that: PDSS: [mean difference (MD) = −19.35, 95% CI (−30.4 to −8.28), p < 0.0006]; HAMD: [MD = −2.98, 95% CI (−4.29 to −1.67), p < 0.00001]; BDI: [MD = −2.69, 95% CI (−4.24 to 4.80), p = 0.006]; HAMA: [MD = -2.00, 95% CI (−2.83 to −1.17), p < 0.00001]; MMSE: [MD = 1.20, 95% CI (0.71 to 1.68), p < 0.00001]; CoMA: [MD = 2.10, 95% CI (−0.97 to 3.23), p = 0.0003]; PDQ-39: [MD = −4.03, 95% CI (−5.96 to −1.57), p < 0.00001].

Conclusion

The four non-drug measures used in our review showed significant improvements in sleep, depression, anxiety, cognition, constipation, and quality of life compared with the control group, and no serious adverse events were reported in the included research evidence, and we found that there were some differences among the subgroups of different intervention methods, but due to the less literature included in the subgroup, and the comparison was more indirect. So, we should interpret these results carefully.

Systematic review registration

www.crd.york.ac.uk/PROSPERO, identifier CRD42023486897.
Navigating the complex terrain of motivated behavior: a bibliometric and neuroscientific perspective
Authors: Helou Ammir Y. , Bittencourt Jackson C.
Published: April 2024

Over several decades, motivated behavior has emerged as a crucial study area within neuroscience. Understanding the neural substrates and mechanisms driving behaviors related to reward, addiction, and other motivation forms is pivotal for novel therapeutic interventions. This review provides a bibliometric analysis of the literature, highlighting the main trends, influential authors, and the potential future direction of the field. Utilizing a dataset comprised by 3,150 publications from the Web of Science and Scopus databases (“motivated behavior as query), we delve into key metrics like publication trends, keyword prevalence, author collaborations, citation impacts, and employed an unsupervised natural language processing technique – Latent Dirichlet Allocation – for topic modeling. From early investigations focusing on basic neural mechanism and behaviors in animal models to more recent studies exploring the complex interplay of neurobiological, psychological, and social factors in humans, the field had undergone a remarkable transformation. The last century has seen a proliferation of research dedicated to uncovering the intricacies of motivation, significantly enriching our understanding of its myriad implications for human behavior and mental health. This bibliometric analysis aims to offer comprehensive insights into this dynamic research area, highlighting the field’s key contributions and potential future directions, thereby serving as a valuable resource for researchers, and hopefully give a more thorough understanding of the research area.
Prognosis and distribution of ischemic stroke with negative diffusion-weighted imaging: a systematic review and meta-analysis
Authors: Alkhiri Ahmed , Alturki Fahad , Alansari Nayef M. , Almaghrabi Ahmed A. , Alghamdi Basil A. , Alamri Aser F. , Alghamdi Saeed , Makkawi Seraj
Published: April 2024

Background

Magnetic resonance diffusion-weighted imaging (DWI) is the most sensitive modality for ischemic stroke diagnosis. However, DWI may fail to detect ischemic lesions in a proportion of patients.

Methods

Following PRISMA statement, a systematic search of Medline, Embase, and Web of Science was conducted until January 3, 2024. The inclusion was confined to English literature with sufficient reporting. Proportions of DWI-negative ischemic stroke were pooled. For binary variables, odds ratios (ORs) were computed using the random-effects model.

Results

Fourteen studies constituting 16,268 patients with a clinical diagnosis of ischemic stroke and available DWI findings were included. Intravenous thrombolysis (IVT) was administered to 19.6% of the DWI-negative group and 15.3% of the DWI-positive group. DWI-negative ischemic stroke was reported in 16% (95% CI: 10–24%; after sensitivity analysis: 11% [95% CI: 8–15%]) of stroke patients. Among minor stroke patients (National Institutes of Health Stroke scale [NIHSS] of 5 or less), 24% (95% CI 12–42%) had negative DWI findings. Predictors of DWI-negative scans included posterior circulation stroke, history of ischemic heart disease, prior stroke, or prior transient ischemic attack. Cardioembolic stroke (OR, 0.62, 95% CI: 0.41–0.93) and history of atrial fibrillation increased the likelihood of positive DWI findings (OR, 0.56, 95% CI: 0.45–0.71). Patients with DWI-negative ischemic stroke had higher odds of good functional outcomes (modified Rankin scale [mRS] of 0–1) (OR, 2.26; 95% CI: 1.03–4.92), lower odds of stroke recurrence (OR, 0.68; 95% CI: 0.48–0.96), and lower odds of severe disability or mortality (mRS of 3–6) (OR, 0.44; 95% CI: 0.34–0.57) compared to patients with positive DWI. Rates of symptomatic intracerebral hemorrhage after IVT were comparable between groups.

Conclusion

DWI-negative findings were present in a significant proportion of ischemic stroke patients and may be utilized as a marker for favorable prognosis.
Imagination vs. routines: festive time, weekly time, and the predictive brain
Authors: Bortolotti Alessandro , Conti Alice , Romagnoli Angelo , Sacco Pier Luigi
Published: April 2024

This paper examines the relationship between societal structures shaped by traditions, norms, laws, and customs, and creative expressions in arts and media through the lens of the predictive coding framework in cognitive science. The article proposes that both dimensions of culture can be viewed as adaptations designed to enhance and train the brain’s predictive abilities in the social domain. Traditions, norms, laws, and customs foster shared predictions and expectations among individuals, thereby reducing uncertainty in social environments. On the other hand, arts and media expose us to simulated experiences that explore alternative social realities, allowing the predictive machinery of the brain to hone its skills through exposure to a wider array of potentially relevant social circumstances and scenarios. We first review key principles of predictive coding and active inference, and then explore the rationale of cultural traditions and artistic culture in this perspective. Finally, we draw parallels between institutionalized normative habits that stabilize social worlds and creative and imaginative acts that temporarily subvert established conventions to inject variability.
Laying the foundations for a theory of consciousness: the significance of critical brain dynamics for the formation of conscious states
Authors: Keppler Joachim
Published: April 2024

Empirical evidence indicates that conscious states, distinguished by the presence of phenomenal qualities, are closely linked to synchronized neural activity patterns whose dynamical characteristics can be attributed to self-organized criticality and phase transitions. These findings imply that insight into the mechanism by which the brain controls phase transitions will provide a deeper understanding of the fundamental mechanism by which the brain manages to transcend the threshold of consciousness. This article aims to show that the initiation of phase transitions and the formation of synchronized activity patterns is due to the coupling of the brain to the zero-point field (ZPF), which plays a central role in quantum electrodynamics (QED). The ZPF stands for the presence of ubiquitous vacuum fluctuations of the electromagnetic field, represented by a spectrum of normal modes. With reference to QED-based model calculations, the details of the coupling mechanism are revealed, suggesting that critical brain dynamics is governed by the resonant interaction of the ZPF with the most abundant neurotransmitter glutamate. The pyramidal neurons in the cortical microcolumns turn out to be ideally suited to control this interaction. A direct consequence of resonant glutamate-ZPF coupling is the amplification of specific ZPF modes, which leads us to conclude that the ZPF is the key to the understanding of consciousness and that the distinctive feature of neurophysiological processes associated with conscious experience consists in modulating the ZPF. Postulating that the ZPF is an inherently sentient field and assuming that the spectrum of phenomenal qualities is represented by the normal modes of the ZPF, the significance of resonant glutamate-ZPF interaction for the formation of conscious states becomes apparent in that the amplification of specific ZPF modes is inextricably linked with the excitation of specific phenomenal qualities. This theory of consciousness, according to which phenomenal states arise through resonant amplification of zero-point modes, is given the acronym TRAZE. An experimental setup is specified that can be used to test a corollary of the theory, namely, the prediction that normally occurring conscious perceptions are absent under experimental conditions in which resonant glutamate-ZPF coupling is disrupted.
Comparison of brain gray matter volume changes in peritoneal dialysis and hemodialysis patients with chronic kidney disease: a VBM study
Authors: Xiao Fenglin , Zhou Lili , Li Yan , Zhang Chaoyang , Liu Ying , Yu Huan , Li Xiaoping , Wang Chunyu , Yin Xinxin , Gao Xin
Published: April 2024

Objective

This study aims to compare gray matter volume changes in patients with chronic kidney disease (CKD) undergoing peritoneal dialysis (PD) and hemodialysis (HD) using voxel-based morphometry (VBM).

Methods

A total of 27 PD patients, 25 HD patients, and 42 healthy controls were included. VBM analysis was performed, and cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment Scale (MoCA). The correlation between cognitive function and changes in brain gray matter volume was analyzed.

Results

Both peritoneal dialysis and hemodialysis patients had partial gray matter volume reduction compared to the controls, but the affected brain regions were not uniform. The hemodialysis patients had greater volume reduction in certain brain regions than the PD patients. The MMSE and MoCA scores were positively correlated with gray matter volume changes.

Conclusion

Different dialysis modalities cause damage to specific areas of the brain, which can be detected using VBM. VBM, combined with cognitive function assessment, can help detect structural brain changes and cognitive impairment in patients with different dialysis modalities. The comprehensive application of VBM in the field of neurological function deserves further exploration.
Piloting a brief assessment to capture consumption of whole plant food and water: version 1.0 of the American College of Lifestyle Medicine Diet Screener (ACLM Diet Screener)
Authors: Karlsen Micaela C. , Staffier Kara L. , Pollard Kathryn J. , Cara Kelly C. , Hulit Sarah M. , Campbell Erin K. , Friedman Susan M.
Published: April 2024

Background

Despite the availability of various dietary assessment tools, there is a need for a tool aligned with the needs of lifestyle medicine (LM) physicians. Such a tool would be brief, aimed at use in a clinical setting, and focused on a “food as medicine” approach consistent with recommendations for a diet based predominately on whole plant foods. The objective of this study is to describe the development and initial pilot testing of a brief, dietary screener to assess the proportion of whole, unrefined plant foods and water relative to total food and beverage intake.

Methods

A multidisciplinary study team led the screener development, providing input on the design and food/beverage items included, and existing published dietary assessment tools were reviewed for relevance. Feedback was solicited from LM practitioners in the form of a cross-sectional survey that captured information on medical practice, barriers, and needs in assessing patients’ diets, in addition to an opportunity to complete the screener and provide feedback on its utility. The study team assessed feedback and revised the screener accordingly, which included seeking and incorporating feedback on additional food items to be included from subject matter experts in specific cultural and ethnic groups in the United States. The final screener was submitted for professional design, and scoring was developed.

Results

Of 539 total participants, the majority reported assessing diet either informally (62%) or formally (26%) during patient encounters, and 73% reported discussing diet with all or most of their patients. Participants also reported facing barriers (80%) to assessing diet. Eighty-eight percent believed the screener was quick enough to use in a clinical setting, and 68% reported they would use it.

Conclusion

The ACLM Diet Screener was developed through iterative review and pilot testing. The screener is a brief, 27-item diet assessment tool that can be successfully used in clinical settings to track patient dietary intakes, guide clinical conversations, and support nutrition prescriptions. Pilot testing of the screener found strong alignment with clinician needs for assessing a patient’s intake of whole plant food and water relative to the overall diet. Future research will involve pilot testing the screener in clinical interventions and conducting a validation study to establish construct validity.
A case report of secondary B-cell acute lymphoblastic leukemia treated with a combination of FLT3 inhibitor and decitabine
Authors: Hu Mengci , Li Wenzhe , Li Pan , Tan Jie , Wang Ya
Published: April 2024

Secondary acute lymphoblastic leukemia (s-ALL) refers to acute lymphoblastic leukemia that occurs after a previous malignant tumor, including therapy-related acute lymphoblastic leukemia (t-ALL) and prior malignant tumor acute lymphoblastic leukemia (pm-ALL). We report a case of a 51-year-old female patient who developed acute lymphoblastic leukemia 14 years after being diagnosed with diffuse large B-cell lymphoma (DLBCL). The patient was unresponsive to conventional chemotherapy for acute lymphoblastic leukemia (ALL) and achieved remission with a combination of sorafenib and decitabine based on the molecular biology characteristics of her B-ALL.