bluuebunny/crossref_metadata_2025 huggingface dataset:
Kirkpatrick-Baez mirrors commissioning for coherent scattering and imaging endstation at SXFEL
Authors: Tong Yajun , Fan Jiadong , Nie Yonggan , Guo Zhi , Gao Zichen , Yuan Xinye , He Bo , Chen Jiahua , Zhang Difei , Luan Hui , Zhang Jianhua , Lu Donghao , Xie Minghan , Cheng Peng , Feng Chao , Liu Tao , Deng Haixiao , Liu Bo , Liu Zhi , Jiang Huaidong
Published: August 2022

Shanghai Soft X-ray Free-Electron Laser (SXFEL) is the first X-ray free-electron laser facility in China. The initial commissioning of the beamline was carried out in May 2021. Herein, we present a status report and the first experimental results obtained during the early commissioning of Kirkpatrick-Baez (KB) mirrors for the Coherent Scattering and Imaging (CSI) endstation, including three types of diagnostics. A bright X-ray focal spot of less than 3 μm was achieved by using edge-scan and silicon ablation imprint measurements. In order to confirm the spot size, the attenuated beam and full beam are used respectively for the two measurement methods.
Inhibition of peripheral chemoreceptors improves ventilatory efficiency during exercise in heart failure with preserved ejection fraction − a role of tonic activity and acute reflex response
Authors: Kulej-Lyko Katarzyna , Niewinski Piotr , Tubek Stanislaw , Krawczyk Magdalena , Kosmala Wojciech , Ponikowski Piotr
Published: August 2022

Peripheral chemoreceptors (PChRs) play a significant role in maintaining adequate oxygenation in the bloodstream. PChRs functionality comprises two components: tonic activity (PChT) which regulates ventilation during normoxia and acute reflex response (peripheral chemosensitivity, PChS), which increases ventilation following a specific stimulus. There is a clear link between augmented PChS and exercise intolerance in patients with heart failure with reduced ejection fraction. It has been also shown that inhibition of PChRs leads to the improvement in exercise capacity. However, it has not been established yet: 1) whether similar mechanisms take part in heart failure with preserved ejection fraction (HFpEF) and 2) which component of PChRs functionality (PChT vs. PChS) is responsible for the benefit seen after the acute experimental blockade. To answer those questions we enrolled 12 stable patients with HFpEF. All participants underwent an assessment of PChT (attenuation of minute ventilation in response to low-dose dopamine infusion), PChS (enhancement of minute ventilation in response to hypoxia) and a symptom-limited cardiopulmonary exercise test on cycle ergometer. All tests were placebo-controlled, double-blinded and performed in a randomized order. Under resting conditions and at normoxia dopamine attenuated minute ventilation and systemic vascular resistance (p = 0.03 for both). These changes were not seen with placebo. Dopamine also decreased ventilatory and mean arterial pressure responses to hypoxia (p < 0.05 for both). Inhibition of PChRs led to a decrease in V˙E/V˙CO2 comparing to placebo (36 ± 3.6 vs. 34.3 ± 3.7, p = 0.04), with no effect on peak oxygen consumption. We found a significant relationship between PChT and the relative decrement of V˙E/V˙CO2 on dopamine comparing to placebo (R = 0.76, p = 0.005). There was a trend for correlation between PChS (on placebo) and V˙E/V˙CO2 during placebo infusion (R = 0.56, p = 0.059), but the relative improvement in V˙E/V˙CO2 was not related to the change in PChS (dopamine vs. placebo). We did not find a significant relationship between PChT and PChS. In conclusion, inhibition of PChRs in HFpEF population improves ventilatory efficiency during exercise. Increased PChS is associated with worse (higher) V˙E/V˙CO2, whereas PChT predicts an improvement in V˙E/V˙CO2 after PChRs inhibition. This results may be meaningful for patient selection in further clinical trials involving PChRs modulation.
Low-density lipoprotein particles in atherosclerosis
Authors: Qiao Ya-Nan , Zou Yan-Li , Guo Shou-Dong
Published: August 2022

Among the diseases causing human death, cardiovascular disease (CVD) remains number one according to the World Health Organization report in 2021. It is known that atherosclerosis is the pathological basis of CVD. Low-density lipoprotein (LDL) plays a pivotal role in the initiation and progression of atherosclerotic CVD (ASCVD). LDL cholesterol (LDL-C) is the traditional biological marker of LDL. However, large numbers of patients who have achieved the recommended LDL-C goals still have ASCVD risk. In multiple prospective studies, LDL particle (LDL-P) is reported to be more accurate in predicting CVD risk than LDL-C. LDL-Ps differ in size, density and chemical composition. Numerous clinical studies have proved that the atherogenic mechanisms of LDL-Ps are determined not only by LDL number and size but also by LDL modifications. Of note, small dense LDL (sdLDL) particles possess stronger atherogenic ability compared with large and intermediate LDL subfractions. Besides, oxidized LDL (ox-LDL) is another risk factor in atherosclerosis. Among the traditional lipid-lowering drugs, statins induce dramatic reductions in LDL-C and LDL-P to a lesser extend. Recently, proprotein convertase subtilsin/kexin type 9 inhibitors (PCSK9i) have been demonstrated to be effective in lowering the levels of LDL-C, LDL-P, as well as CVD events. In this article, we will make a short review of LDL metabolism, discuss the discordance between LDL-C and LDL-P, outline the atherogenic mechanisms of action of LDL by focusing on sdLDL and ox-LDL, summarize the methods used for measurement of LDL subclasses, and conclude the advances in LDL-lowering therapies using statins and PCSK9i.
Exercise fatigue diagnosis method based on short-time Fourier transform and convolutional neural network
Authors: Zhu Haiyan , Ji Yuelong , Wang Baiyang , Kang Yuyun
Published: August 2022

Reasonable exercise is beneficial to human health. However, it is difficult for ordinary athletes to judge whether they are already in a state of fatigue that is not suitable for exercise. In this case, it is easy to cause physical damage or even life-threatening. Therefore, to health sports, protecting the human body in sports not be injured by unreasonable sports, this study proposes an exercise fatigue diagnosis method based on short-time Fourier transform (STFT) and convolutional neural network (CNN). The method analyzes and diagnoses the real-time electrocardiogram, and obtains whether the current exerciser has exercise fatigue according to the electrocardiogram. The algorithm first performs short-time Fourier transform on the electrocardiogram (ECG) signal to obtain the time spectrum of the signal, which is divided into training set and validation set. The training set is then fed into the convolutional neural network for learning, and the network parameters are adjusted. Finally, the trained convolutional neural network model is applied to the test set, and the recognition result of fatigue level is output. The validity and feasibility of the method are verified by the ECG experiment of exercise fatigue degree. The experimental recognition accuracy rate can reach 97.70%, which proves that the constructed sports fatigue diagnosis model has high diagnostic accuracy and is feasible for practical application.
Molecular characterization of adenosine monophosphate deaminase 1 and its regulatory mechanism for inosine monophosphate formation in triploid crucian carp
Authors: Zhou Yonghua , Zuo Anli , Li Yingjie , Zhang Yu , Yi Zilin , Zhao Dafang , Tang Jianzhou , Qu Fufa , Cao Shenping , Mao Zhuangwen , Jin Junyan , Liu Zhen
Published: August 2022

Inosine monophosphate (IMP) is the main flavoring substance in aquatic animal, and adenosine monophosphate deaminase1 (AMPD1) gene is a key gene in IMP formation. At present, the research on the mechanism of AMPD1 regulating IMP formation in aquatic animal is still blank. In this study, in order to study the mechanism of AMPD1 regulating IMP formation in fish, the full open reading frame (ORF) of AMPD1 which was 2160bp was obtained for the first time in triploid crucian carp (Carassius auratus). It encoded 719 amino acids with a molecular mass of 82.97 kDa, and the theoretical isoelectric point value was 6.31. The homology analysis showed that the homology of triploid crucian carp and diploid Carassius auratus was the highest, up to 99%. And the phylogenetic tree showed that triploid crucian carp was grouped with diploid Carassius auratus, Culter alburnus, and Danio rerio. And real-time fluorescence quantitative results showed that AMPD1 was expressed specifically in muscle of triploid crucian carp (p < 0.05). The results of detection the localization of AMPD1 in cells indicated that the AMPD1 was mainly localized in cytoplasm and cell membrane. Further, we examined the effects of glutamate which was the promotor of IMP formation on the expression of AMPD1 and the formation of IMP in vivo and in vitro experiments, the results showed that 3% glutamate and 2 mg/ml glutamate could significantly promote AMPD1 expression and IMP formation in triploid crucian carp muscle tissue and muscle cells (p < 0.05). Then we inhibited the expression of AMPD1 in vivo and in vitro experiments, we found the formation of IMP in muscle tissue and muscle cells of triploid crucian carp all were inhibited and they affected the gene expression of AMPK-mTOR signaling pathway. The all results showed that AMPD1 mediated glutamate through AMPK-mTOR signaling pathway to regulate the formation of fish IMP.
A deep learning-based automatic staging method for early endometrial cancer on MRI images
Authors: Mao Wei , Chen Chunxia , Gao Huachao , Xiong Liu , Lin Yongping
Published: August 2022

Early treatment increases the 5-year survival rate of patients with endometrial cancer (EC). Deep learning (DL) as a new computer-aided diagnosis method has been widely used in medical image processing which can reduce the misdiagnosis by radiologists. An automatic staging method based on DL for the early diagnosis of EC will benefit both radiologists and patients. To develop an effective and automatic prediction model for early EC diagnosis on magnetic resonance imaging (MRI) images, we retrospectively enrolled 117 patients (73 of stage IA, 44 of stage IB) with a pathological diagnosis of early EC confirmed by postoperative biopsy at our institution from 1 January 2018, to 31 December 2020. Axial T2-weighted image (T2WI), axial diffusion-weighted image (DWI) and sagittal T2WI images from 117 patients have been classified into stage IA and stage IB according to the patient’s pathological diagnosis. Firstly, a semantic segmentation model based on the U-net network is trained to segment the uterine region and the tumor region on the MRI images. Then, the area ratio of the tumor region to the uterine region (TUR) in the segmentation map is calculated. Finally, the receiver operating characteristic curves (ROCs) are plotted by the TUR and the results of the patient’s pathological diagnosis in the test set to find the optimal staging thresholds for stage IA and stage IB. In the test sets, the trained semantic segmentation model yields the average Dice similarity coefficients of uterus and tumor on axial T2WI, axial DWI, and sagittal T2WI were 0.958 and 0.917, 0.956 and 0.941, 0.972 and 0.910 respectively. With pathological diagnostic results as the gold standard, the classification model on axial T2WI, axial DWI, and sagittal T2WI yielded an area under the curve (AUC) of 0.86, 0.85 and 0.94, respectively. In this study, an automatic DL-based segmentation model combining the ROC analysis of TUR on MRI images presents an effective early EC staging method.
Metabolic detoxification and ace-1 target site mutations associated with acetamiprid resistance in Aedes aegypti L
Authors: Samal Roopa Rani , Panmei Kungreiliu , Lanbiliu P. , Kumar Sarita
Published: August 2022

Despite the continuous use of chemical interventions, Aedes-borne diseases remain on the rise. Neonicotinoids are new, safer, and relatively effective pharmacological interventions against mosquitoes. Neonicotinoids interact with the postsynaptic nicotinic acetylcholine receptors (nAChRs) of the insect central nervous system, but the absence of nAChR polymorphism in resistant phenotypes makes their involvement in neonicotinoid resistance uncertain. Thus, an investigation was carried out to understand the role of metabolic detoxification and target site insensitivity in imparting acetamiprid resistance in Aedes aegypti larvae. Studies were conducted on the parent susceptible strain (PS), acetamiprid-larval selected strain for five generations (ACSF-5; 8.83-fold resistance) and 10 generations (ACSF-10; 19.74-fold resistance) of Ae. aegypti. The larval selection raised α-esterase and β-esterase activities by 1.32-fold and 1.34-fold, respectively, in ACSF-10 as compared to PS, while the corresponding glutathione-S-transferase and acetylcholinesterase activity increased by 22.5 and 2%. The ace-1 gene in PS and ACSF-10 showed four mismatches in the 1312—1511 bp region due to mutations in the Y455C codon (tyrosine to cysteine) at the 1367th position (TAC→TGC); I457V codon (isoleucine to valine) at 1372 bp and 1374 bp (ATA→GTG); and R494M codon (arginine to methionine) at 1484 bp (AGG→ATG). The R494M mutation was the novel and dominant type, observed in 70% ACSF-10 population, and has not been reported so far. The studies evidenced the combination of metabolic detoxification and target site mutation in imparting acetamiprid resistance in Ae. aegypti.
Wheat yield and nitrogen use efficiency enhancement through poly(aspartic acid)-coated urea in clay loam soil based on a 5-year field trial
Authors: Yan Peng , Dong Xuerui , Lu Lin , Fang Mengying , Ma Zhengbo , Du Jialin , Dong Zhiqiang
Published: August 2022

The innovation of N fertilizer and N management practices is essential to maximize crop yield with fewer N inputs. A long-term field fertilization experiment was established in 2015 on the North China Plain (NCP) to determine the effects of a control treatment (CN) and the eco-friendly material poly(aspartic acid)-coated urea (PN), applied as a one-time basal application method, on winter wheat yield and N use efficiency at four N application rates: 0 (N0), 63 (N63), 125 (N125), and 188 (N188) kg N ha–1. The results indicated that compared to CN, PN resulted in a significant increase in wheat yield by 9.6% and 9.2% at N63 and N125, respectively, across the three experimental years, whereas no significant (p < 0.05) difference was detected at N188. Leaf area duration (LAD), crop growth rate (CGR), and dry matter accumulation (DMA) increased with increasing N rates, while PN significantly increased LAD and CGR by 5.1%–16.4% and 5.4%–64.3%, respectively, during the anthesis-ripening growth stage and DMA by 13.7% and 10.1% at N63 and N125, respectively, after the anthesis stage compared to CN. During the grain-filling stage, PN significantly increased the kernel maximum grain-filling rate (Gmax) by 21.7% and the kernel weight at the maximum grain-filling rate (Wmax) by 6.7% at N125 compared to CN. Additionally, compared to CN, PN significantly improved the stover and grain N content at harvest and increased NUT, NPFP, and NAE by 5.7%–40.1%, 2.5%–23.3%, and 3.9%–42.8%, respectively, at N63–N125. Therefore, PN applied using a single basal nitrogen fertilizer application method showed promising potential in maintaining a stable wheat yield and increasing N use efficiency with a 33% urea cut (approximately 63 kg N ha–1) compared to CN at the current wheat yield level on the NCP.
Anatomical structure interpretation of the effect of soil environment on fine root function
Authors: Li Tianyi , Ren Jingjing , He Wenchun , Wang Yu , Wen Xiaochen , Wang Xiao , Ye Mengting , Chen Gang , Zhao Kuangji , Hou Guirong , Li Xianwei , Fan Chuan
Published: August 2022

Fine root anatomy plays an important role in understanding the relationship between fine root function and soil environment. However, in different soil environments, the variation of fine root anatomical structure in different root sequences is not well studied. We measured the soil conditions and anatomical structure characteristics (root diameter, cortical tissue, vascular tissue and xylem) of fine roots of Cupressus funebris in four experimental sites, and analyzed each level of fine roots separately. We link these data to understand the relationship between fine root anatomy and soil conditions. We found that the anatomical structure of fine roots is closely related to soil environmental factors. The fine roots of lower root order are mainly affected by soil nutrients. Among them, the cortical tissue of first-order fine roots was positively correlated with potassium and phosphorus, but negatively correlated with nitrogen, while second- and third-order fine roots was positively correlated with soil total potassium and negatively correlated with nitrogen and phosphorus. For the fine roots of high root order, the cortical tissue disappeared, and the secondary vascular tissue was mainly affected by soil moisture. In addition, we also found that the division of fine root functional groups is not fixed. On the one hand, the function of third-order fine roots will slip. For example, the decrease of soil moisture will promote the transformation of third-order fine roots into transport roots, and the reduction of nitrogen will promote the transformation of third-order fine roots into absorption roots to fix nitrogen. This transformation strategy can effectively prevent the restriction of soil nutrients on plant growth. On the other hand, with the change of habitat, the first- and second-order fine roots are still the absorbing root, and the fourth- and fifth-order fine roots are still the transport root, but the efficiency of absorption and transport will be affected. In conclusion, our findings emphasize the fine roots in different soil environment to show high levels of plasticity, shows that fine root anatomical structure changes may make plants, and reveals that the fine is just order of reaction and its mechanism in the soil environment.
Inter-Individual Differences in Executive Functions Predict Multitasking Performance – Implications for the Central Attentional Bottleneck
Authors: Szameitat André J. ,   Brunel Students
Published: August 2022

Human multitasking suffers from a central attentional bottleneck preventing parallel performance of central mental operations, leading to profound deferments in task performance. While previous research assumed that the deferment is caused by a mere waiting time (refractory period), we show that the bottleneck requires executive functions (EF; active scheduling account) accounting for a profound part of the deferment. Three participant groups with EF impairments (dyslexics, highly neurotics, deprived smokers) showed worse multitasking performance than respective control groups. Three further groups with EF improvements (video-gamers, bilinguals, coffee consumers) showed improved multitasking. Finally, three groups performed a dual-task and different measures of EF (reading span, rotation span, symmetry span) and showed significant correlations between multitasking performance and working memory capacity. Demands on EF during multitasking may cause more errors, mental fatigue and stress, with parts of the population being considerably more prone to this.
The role of age and business coaching in the relationship of lean startup approach and innovative work behavior of women entrepreneurs during COVID-19
Authors: Na Cui , Khalid Rimsha , Raza Mohsin , Ramirez-Asis Edwin , Huerta-Soto Rosario , Jahanger Atif
Published: August 2022

The purpose of the startup approach is to find an appropriate course of action that adds value to the economy’s development. This study is aimed to determine the effect of the lean startup approach with mediating effect of business coaching to foster innovative work behavior in women entrepreneurs. Additionally, the study also examines the moderating effect of age on the lean startup approach and innovative work behavior. A quantitative approach was employed. The findings show that the relationship between the lean startup approach and innovative work behavior is significant. Moreover, the findings also revealed a significant mediating effect of business coaching and moderating effect of age. This research encourages practitioners and scholars to deal with women entrepreneurship incubation initiatives in the lean startup methodology. Furthermore, this study also leads to a deeper understanding of women’s ideas for business exploration, growth, and implementation. The study contends that guidelines and directives are critical for creative entrepreneurial behavior.
Increased anxiety from fear of Omicron in China as compared to North America and Western Europe: A cross-sectional Kendall’s tau-b analysis using the generalized anxiety disorder 7-item questionnaire
Authors: Shan Dan , Liu Chang , Li Shaoyang , Zheng Yuandian
Published: August 2022

Background

Policies dealing with the Coronavirus Disease 2019 (COVID-19) pandemic vary across the globe, the different governmental responses then affect the public perception of COVID-19. Many unofficial Chinese media outlets frequently spread misinformation about COVID-19 and exaggerated reports of rare sequelae of Omicron for monetization and attention seeking, leading to panics in the Chinese public. In comparison the attitudes toward Omicron in other countries around the world, especially in North America and Western Europe have shifted to a more relaxed stance.

Objective

This article primarily aims to investigate the association between Chinese people’s attitudes toward the potential after-effects of Omicron and their anxiety status, as compared to these of people living in North America or Western Europe.

Methods

We conducted a questionnaire survey via the Credamo and collected valid data from 500 Chinese (not living in Shanghai), another 500 Chinese (living in Shanghai) and 500 people living in North America or Western Europe in June 2022. Kendall’s coefficient of rank correlation tau-sub-b was used to examine this association.

Results

The results suggested that subjective attitudes of Chinese participants toward the sequelae of Omicron were positively and significantly associated with their anxiety status [i.e., the Generalized Anxiety Disorder 7-item (GAD-7) scores] in Shanghai (China) (Tb = 0.44, p < 0.01) and other parts of China outside Shanghai (Tb = 0.37, p < 0.01). However, no such significant correlation was found in North America & Western Europe (Tb = -0.01, p > 0.05).

Conclusion

Our findings showed that Chinese participants who were more worried about the after-effects of Omicron had higher levels of anxiety. Although it is true that Long COVID-19 should be a concern, exaggerated media reporting can impact negatively on an individual’s mental wellbeing. Only through the dissemination of robust scientific studies, the misinformation and the fears that follow it can be put to rest.
Effects of pandemics uncertainty on fertility
Authors: Wang Yonglong , Gozgor Giray , Lau Chi Keung Marco
Published: August 2022

The COVID-19 pandemic has affected various dimensions of the economies and societies. At this juncture, this paper examines the effects of pandemics-related uncertainty on fertility in the panel dataset of 126 countries from 1996 to 2019. For this purpose, the World Pandemics Uncertainty Indices are used to measure the pandemics-related uncertainty. The novel empirical evidence is that pandemics-related uncertainty decreases fertility rates. These results are robust to estimate different models and include various controls. We also try to explain why the rise in uncertainty during the COVID-19 pandemic has resulted in the fertility decline.
Animal hoarding cases in England: Implications for public health services
Authors: Wilkinson Justine , Schoultz Mariyana , King Helen M. , Neave Nick , Bailey Catherine
Published: August 2022

Hoarding disorder is characterized by an accumulation of possessions due to excessive acquisition of or difficulty discarding possessions, regardless of their actual value and is estimated to affect 2–6% of the population. Animal hoarding, a distinct subset of hoarding disorder, has a significant public health impact on the humans involved, as well as animal welfare. Individuals exhibit self-neglect, apathy, social withdrawal and object hoarding; living within squalid, deteriorated, structurally unsafe and uninhabitable premises, alongside neglected animals. Cases are complex, costly and impact on a range of responding service providers. Effective case management is poorly understood and researched, with published literature in England particularly sparse. Improving understanding of the characteristics of these cases is the first step in informed case management. This research is the first exploration of the characteristics of animal hoarders in England and the areas where cases were located. Information about prosecutions involving large numbers of animals that were reported in the media was systematically obtained. This identified 66 cases between January 2015 and December 2020. Geospatial analysis exploring characteristics of locations where animal hoarding cases are also reported. Findings were broadly consistent with the international literature in that females (64%), those living alone (71%) and those with a mean age of 49 were well represented. Cats (61.5%) and dogs (60%) were the most commonly hoarded species. There was a mean of 44 animals per case and dead or animals requiring euthanasia found in 53% of cases. Key characteristics of the areas where cases were found highlight urban, densely populated, and high levels of deprivation being the most represented. Evidence of recidivism was evident in 39% of cases, suggesting that prosecution is not an effective rehabilitator. Animal hoarding raises serious implications for Public Health Services, and the lack of current effective case management strategies are discussed.
Global burden and trends of firearm violence in 204 countries/territories from 1990 to 2019
Authors: Ou Zejin , Ren Yixian , Duan Danping , Tang Shihao , Zhu Shaofang , Feng Kexin , Zhang Jinwei , Liang Jiabin , Su Yiwei , Zhang Yuxia , Cui Jiaxin , Chen Yuquan , Zhou Xueqiong , Mao Chen , Wang Zhi
Published: August 2022

Background

Gaps remained in the updated information of the firearm violence (FV) burden from a global landscape. Understanding the global burden of FV could contribute to decision-making.

Methods

Data on the FV burden, including physical violence by firearm (PVF), self-harm by firearm (SHF), and unintentional firearm injuries (UFI), were extracted from the Global Burden of Disease 2019. The temporal trends of age-standardized rate (ASR) were estimated using estimated annual percentage change (EAPC).

Results

In 2019, PVF, SHF, and UFI reported 710.64 × 103, 335.25 × 103, and 2,133.88 × 103, respectively, incident cases worldwide. Their ASR (/100,000 people-years) were 9.31, 4.05, and 28.07. During 1990–2019, the overall incident ASRs of PVF presented an increasing trend (EAPC = 0.61, 95% confidence interval [CI]: 0.48 to 0.75). Notably, pronounced increasing trends were observed in Tropical Latin America, and North Africa and Middle East. However, incident trends of SHF and UFI declined globally, with the respective EAPCs being −0.68 (95% CI: −0.83 to −0.54) and −0.98 (95% CI: −1.19 to −0.77). In 2019, the ASR of death due to PVF, SHF, and UFI were 2.23, 0.65, and 0.26, and that of DALYs were 127.56, 28.10, and 17.64, respectively. Decreasing trends in the ASRs of FV were observed in most regions and countries worldwide over the past three decades, particularly that of PVF in Estonia.

Conclusion

The FV burden was heterogeneous across regions and countries, which was deeply subjected to socioeconomic factors. The findings highlighted that specific prevention strategies and interventions were required, particularly in the high prevalent settings.
Workplace violence against doctors in China: A case analysis of the Civil Aviation General Hospital incident
Authors: Xiao Yu , Du Na , Chen Jia , Li Ya-lan , Qiu Qin-ming , Zhu Shao-yi
Published: August 2022

Background

Violence against health professionals is a global public health problem. In 2019, a doctor was killed in Civil Aviation General Hospital (CAGH), which triggered national discussion about hospital violence. Sina Weibo, the Chinese version of Twitter, played an important role in this public discussion. The CAGH incident provides us with an opportunity to explore how social media was used in the discussion on violence against doctors.

Methods

Using the built-in search engine of Sina Weibo, a data set containing 542 Chinese micro-blogs was established. Three keywords: Civil Aviation General Hospital, doctor, and knife were used to search for related posts between December 24th, 2019 and January 19th, 2020. We made a content analysis of the posts to investigate: Weibo users' demographics, views about the incident of CAGH, and measures to prevent hospital violence.

Results

Overall, 89.3% of the posts were sent by individual Weibo users, and 10.7% by organizations. Among the individual users, doctors accounted for 27.4%, but only 1.0% came from the legal profession. In addition, 86.7% of the micro-blogs expressed sympathy for the attacked doctor, and 23.1% of the micro-blogs thought that the imperfect medical system was the main cause of the accident. Nearly half of the posts described their disappointment with the government and the society, and 58.6% of medical staff users expressed regret for engaging in medical work. Only 14.2% of micro-blogs put forward some constructive strategies to prevent hospital violence.

Conclusion

Weibo users played an important role in spreading and discussing the CAGH incident. However, constructive measures to protect doctors were rarely mentioned, and legal opinions were not reflected in time. Hospital violence has caused public dissatisfaction with the government and weakened the professional confidence of medical staff. Occupational health and public health stakeholders must take effective measures to solve workplace violence against doctors.
Automated quantification of penile curvature using artificial intelligence
Authors: Abbas Tariq O. , AbdelMoniem Mohamed , Chowdhury Muhammad E. H.
Published: August 2022

Objective

To develop and validate an artificial intelligence (AI)-based algorithm for capturing automated measurements of Penile curvature (PC) based on 2-dimensional images.

Materials and methods

Nine 3D-printed penile models with differing curvature angles (ranging from 18 to 88°) were used to compile a 900-image dataset featuring multiple camera positions, inclination angles, and background/lighting conditions. The proposed framework of PC angle estimation consisted of three stages: automatic penile area localization, shaft segmentation, and curvature angle estimation. The penile model images were captured using a smartphone camera and used to train and test a Yolov5 model that automatically cropped the penile area from each image. Next, an Unet-based segmentation model was trained, validated, and tested to segment the penile shaft, before a custom Hough-Transform-based angle estimation technique was used to evaluate degree of PC.

Results

The proposed framework displayed robust performance in cropping the penile area [mean average precision (mAP) 99.4%] and segmenting the shaft [Dice Similarity Coefficient (DSC) 98.4%]. Curvature angle estimation technique generally demonstrated excellent performance, with a mean absolute error (MAE) of just 8.5 when compared with ground truth curvature angles.

Conclusions

Considering current intra- and inter-surgeon variability of PC assessments, the framework reported here could significantly improve precision of PC measurements by surgeons and hypospadiology researchers.
Sustaining a nursing best practice guideline in an acute care setting over 10 years: A mixed methods case study
Authors: Nadalin Penno Letitia , Graham Ian D. , Backman Chantal , Fuentes-Plough Jessica , Davies Barbara , Squires Janet
Published: August 2022

Background

To improve patient outcomes many healthcare organizations have undertaken a number of steps to enhance the quality of care, including the use of evidence-based practices (EBPs) such as clinical practice guidelines. However, there is little empirical understanding of the longer-term use of guideline-based practices and how to ensure their ongoing use. The aim of this study was to identify the determinants and knowledge translation interventions (KTIs) influencing ongoing use of selected recommendations of an institutional pain policy and protocol over time from an organizational perspective and 10 years post implementation on two units within an acute care setting.

Methods

We conducted a mixed methods case study guided by the Dynamic Sustainability Framework of an EBP 10 years post implementation. We examined protocol sustainability at the nursing department and unit levels of a multi-site tertiary center in Canada. Data sources included document review (n = 29), chart audits (n = 200), and semi-structured interviews with nurses at the department (n = 3) and unit (n = 16) level.

Results

We identified 32 sustainability determinants and 29 KTIs influencing ongoing use of an EBP in acute care. Three determinants and eight KTIs had a continuous influence in all three time periods: implementation phase (0–2 yrs), sustained phase (>2–10 yrs.), and at the 10-year mark. Implementation of KTIs evolved with the level of application (e.g., department vs. unit) to fit the EBP within the context highlighting the need to focus on determinants influencing ongoing use. Sustainability was associated with continual efforts of monitoring and providing timely feedback regarding adherence to recommendations. KTIs used to embed recommendations into routine practices/processes positively influenced high adherence rates. Use of a participatory approach for implementation and sustainment and linking KTIs designed to incrementally address low adherence rates facilitated sustainment.

Conclusion

This research provides insight into the relationship between implementation and sustainability determinants and related KTIs during implementation and sustained use phases. Unique determinants identified by department and unit nurses reflect their different perspectives toward the innovation based on their respective roles and responsibilities. KTIs fostered changed behaviors and facilitated EBP sustainment in acute care. Findings confirm the concept of sustainability is a dynamic “ongoing process.”
Temporal Trends and Effects of Noise on Upsweep Calls of Eastern South Pacific Southern Right Whales
Authors: Jacobs Ellen Rose , Landea-Briones Rafaela , Sayigh Laela
Published: August 2022

Eastern South Pacific southern right whales (ESPSRW) are a subpopulation of southern right whales (Eubalaena australis) off the coasts of Peru and Chile recognized by the International Union for the Conservation of Nature (IUCN) as critically endangered as a result of heavy whaling efforts in the late 18th to 20th centuries. Most recent population estimates put their numbers around 50 individuals. To test for the efficacy of passive acoustic monitoring of this population, we recorded 5 months of continuous acoustic data (January 2012-June 2012) off the southwestern tip of Isla de Chiloé. To test for trends in occurrence, we identified 11,313 individual ESPSRW upsweep calls, which have been associated with maintaining contact with conspecifics. Call occurrence increased over the course of the deployment and peaked between April and June, indicating an increase in use of this area. A clear diel pattern in which upsweep calls were predominately detected during dusk and night hours was identified, indicating ESPSRW are likely foraging during daylight hours, as upsweep calls are inversely related to foraging behavior. We quantified noise levels in the frequency range of their communication (100 Hz third octave) to understand the change in active space whales may be experiencing. We measured noise levels from 90 dB re 1 μPa to 111 dB re 1 µPa (5th and 95th percentile), a 21 dB fluctuation that results in an order-of-magnitude decrease in active space area. We identified sources of high noise at or above the 75th percentile as predominately blue whale calls (occurring in 71.6% of total sampled minutes) and ship noise (occurring in 69.4% of total sampled minutes). Ship noise was responsible for outliers in excess of 140 dB re 1 µPa. In a population as diminished as ESPSRW, such disruptions of their communication range could result in significant barriers to maintaining contact with conspecifics. Passive acoustic monitoring is a powerful tool for monitoring populations as rarely sighted as ESPSRW. Understanding trends in presence and behavior as well as potential sources of disruption to their calling behavior is vital to determining conservation measures that will be most effective toward helping this critically endangered population.
Comparing the social signaling behavior of humpback whales in three group types on the Hawaiian breeding grounds using acoustic tags
Authors: Carvalho Jessica , Lammers Marc O. , Indeck Katherine L. , Pack Adam A. , Castilho Rita
Published: August 2022

Humpback whales (Megaptera novaeangliae) are exceptionally vocal among baleen whale species. While extensive research has been conducted on humpback whale songs, gaps remain in our understanding of other forms of communication, particularly non-song calls. Here, we compare the spectral features and temporal parameters of non-song calls recorded from AcousondeTM tagged humpback whales in three commonly observed group types in the breeding grounds: adult dyads (N = 3), singly escorted mother-calf pairs (N = 4), and competitive groups (N = 4). Recordings were collected off Maui, Hawai’i during the winter breeding seasons of 2019–2021. Individual calls were identified based on visual and aural inspection of spectrograms using Raven Pro 1.6 software, with a total of 842 calls isolated from 47.6 h of acoustic recordings. Competitive groups produced the most calls (N = 358); however, after adjusting for the differences in recording hours and the number of individuals, the call rate (calls/hour/whale) was not significantly different between group compositions. The temporal parameters and frequency measures of calls did not vary significantly across the groups. However, interesting patterns of calling behavior were observed (e.g., competitive groups had the shortest inter-call intervals and the highest frequency calls, and escorted mother-calf pairs had the longest inter-call intervals) and it is possible the lack of statistical significance could be attributed to the small sample size of tag deployments. This study provides new insights into humpback whale vocal communication behavior in the Hawaiian Islands breeding grounds.
Ultrasound-guided paravertebral blockade reduced perioperative opioids requirement in pancreatic resection: A randomized controlled trial
Authors: Han Ye , Dai Yuanqiang , Shi Yaping , Zhang Xiaoxiu , Xia Boyang , Ji Qiufang , Yu Xiya , Bian Jinjun , Xu Tao
Published: August 2022

Background

Perioperative opioid use for pain control has been found to be associated with side effects and adverse prognosis. In this study, we hypothesized that paravertebral block could reduce the consumption of opioids during pancreatic resection surgery.

Methods

We conducted a prospective, randomized trial. Patients with resectable pancreatic cancer were randomly assigned to one of the two groups: those who received bilateral paravertebral block combined with general anesthesia [bilateral paravertebral blockade (PTB) group] or those who received only general anesthesia (Control group). The primary endpoint was the perioperative consumption of opioids (sufentanil and remifentanil). The main secondary endpoints were pain scores, complications, and serum cytokine levels.

Results

A total of 153 patients were enrolled in the study and 119 cases were analyzed. Compared to the control group, patients in PTB patients had significantly lower perioperative (30.81 vs. 56.17 µg), and intraoperative (9.58 vs. 33.67 µg) doses of sufentanil (both p < 0.001). Numerical rating scale scores of pain were comparable between the two groups. No statistical differences in complications were detected.

Conclusion

Bilateral paravertebral block combined with general anesthesia reduced the perioperative consumption of opioids by 45%.

Registration number

ChiCTR1800020291 (available on http://www.chictr.org.cn/).
Interventional treatment of basilar trunk artery aneurysms associated with situs inversus totalis: A case report
Authors: Long Tianlin , Xu Quanhua , Chen Xu , Ma Yan , He Yuanjian , Rao Jia
Published: August 2022

Basilar trunk artery aneurysm (BTAA) has an overall low incidence in intracranial aneurysm, but its rupture is associated with high morbidity and mortality in older people. Situs inversus totalis (SIT) is a rare congenital abnormality characterized by visceral rotation and vascular abnormalities. It has been described in several uncommonly clinical cases, along with middle cerebral artery aneurysms and large carotid cavernous aneurysms. However, the association between interventional embolization for BTAA and SIT has not been reported. We described the angiography findings and interventional treatment of the association of BTAA with SIT.
Extensive resection improves overall and disease-specific survival in localized anorectal melanoma: A SEER-based study
Authors: Liu Chang , Tang Cuiping , Zhang Jianbo , Zhu Peng
Published: August 2022

Background

Anorectal melanoma is a rare tumor with a dismal prognosis. The only promising treatment for anorectal melanoma is surgery, either extensive resection (ER) or local excision (LE). However, the optimal extent of resection is still controversial. The purpose of this study was to investigate whether the survival outcomes of anorectal melanoma at different stages are influenced by the surgical approaches (LE or ER) using the National Institute of Health's Surveillance, Epidemiology, and End Results Program (SEER) database.

Methods

The Surveillance, Epidemiology and End Results (SEER) database was queried to identify patients treated for anorectal melanoma (2000–2018). Overall survival (OS) and disease-specific survival (DSS) outcomes were compared for the two surgical approaches (ER or LE) stratified by stage (localized, regional and distant).

Results

A total of 736 patients were included in the study. Details of previous surgical procedures were available for 548 of the study patients: 360 (65.7%) underwent LE, and 188 (34.3%) underwent ER. In localized cases, 199 underwent LE, and 48 underwent ER. The OS (median 45 vs. 29 months, 5-year rate 41.7% vs. 23.4%) and DSS (median 66 vs. 34 months, 5-year rate 51% vs. 30.7%) of patients undergoing ER were significantly better (p = 0.009 and 0.041, respectively) than those who received LE. Multivariate analysis showed that the type of surgery was an independent prognostic factor for both OS and DSS. Among the regional cases, 89 cases had LE, and 96 cases had ER. Patients with regional disease who underwent ER had no significant differences in OS (23 vs. 21 months; p = 0.866) or DSS (24 vs. 24 months; p = 0. 907) compared to patients who underwent LE. In distant cases, 72 cases had LE, and 44 cases had ER. Patients with metastatic disease who had ER also had similar OS (median 11 vs. 8 months; p = 0.36) and DSS (median 11 vs. 8 months; p = 0.593) to those who underwent LE.

Conclusion

Extensive resection can improve the long-term prognosis of localized anorectal melanoma compared to local excision, but the prognosis of the two surgical techniques is comparable in both regional patients and distant patients.
IL-33 Participates in the Development of Esophageal Adenocarcinoma
Authors: Liu Jia , Liu Lei , Su Yang , Wang Yi , Zhu Yuchun , Sun Xiaobin , Guo Yuanbiao , Shan Jing
Published: August 2022

Background: The progression from chronic gastroesophageal reflux disease (GERD) to Barrett esophagus (BE) and esophageal adenocarcinoma (EAC) is an inflammatory-driven neoplastic change. Interleukin-33 (IL-33) has identified as a crucial factor in several inflammatory disorders and malignancies.

Methods: The high-density tissue microarray of the human EAC was analyzed with IL-33 immunohistochemistry staining (IHC). By anastomosing the jejunum with the esophagus, the rat model of EAC with mixed gastroduodenal reflux was established. The expression of IL-33 was determined using quantitative real-time polymerase chain reaction (RT-qPCR), western blot (WB), IHC and enzyme-linked immunosorbent assay (ELISA). Esophageal adenocarcinoma cells (OE19 and OE33) and human esophageal epithelial cells (HEECs) were used.

Results: In the cytoplasm of human EAC tissue, IL-33 expression was substantially greater than in adjacent normal tissue. In rat model, the expression of IL-33 in the EAC group was considerably greater than in the control group, and this expression increased with the upgrade of pathological stage. In in vitro experiment, the mRNA and protein levels of IL-33 were considerably greater in OE19 and OE33 than in HEECs. The stimulation of IL-33 enhanced the proliferation, migration, invasion, and epithelial-mesenchymal transition (EMT) of OE19 and OE33, but soluble ST2 (sST2) inhibited these effects. IL-33 stimulated the release of IL-6 by OE19 and OE33 cells.

Conclusion: This study demonstrated the overexpression of IL-33 in the transition from GERD to EAC and that IL-33 promoted carcinogenesis in EAC cells through ST2. IL-33 might be a possible preventive target for EAC.
O-Glycosylating Enzyme GALNT2 Predicts Worse Prognosis in Cervical Cancer
Authors: Zhou Lixia , Wu Huiqin , Bai Xingli , Min Shuyun , Zhang Jiawen , Li Cunli
Published: August 2022

Identification of novel biomarkers is helpful for the diagnosis and treatment of cervical cancer. Mucin glycosylating enzyme GALNT2 modulates mucin O-glycosylation, and has been revealed as a regulator of tumorigenesis in various cancers. However, the expression pattern of GALNT2 in cervical cancer is still unclear. In this study, we demonstrated that the mRNA expression and protein level of GALNT2 were increased in cervical high-grade intraepithelial neoplasia and tumor tissues compared with normal cervix tissues. Kaplan-Meier plotter showed that overexpression of GALNT2 was associated with worse overall survival in TCGA cohort (p < 0.001, HR = 2.65, 95% CI = 1.62–4.34) and poor disease free survival in GSE44001 cohort (p = 0.0218, HR = 2.15, 95% CI = 1.14–4.06). In addition, GSEA analysis showed that various immune-related pathways were closely related to the expression of GALNT2 in cervical cancer. Moreover, co-expression of GALNT2 and IL1A, IL1B, IL11, CXCL1, CXCL2, CXCL5, CXCL6, CXCR1, or CCR3 predicted poor overall survival, and the expression of GALNT2 also affected the prognostic value of CD47, CD274, CD276, CSF1R, TNFSF9, and TNFSF11 in cervical cancer patients. These findings suggest that GALNT2 might be used as a prognostic biomarker in cervical cancer.