bluuebunny/crossref_metadata_2025 huggingface dataset:
Identification of Populations at Risk for “Choosing Un-Wisely”: A SEER Population-Based Study
Authors: Hong Michelle J. , Lum Sharon S. , Ji Liang , Namm Jukes P. , Solomon Naveenraj L. , Garberoglio Carlos , Vora Halley
Published: June 2023

Background

Since 2016, the Choosing Wisely campaign has recommended against routine axillary surgery in elderly patients with early stage, hormone receptor positive (ER+) breast cancer. The objective was to evaluate factors associated with axillary surgery in breast cancer patients meeting criteria for sentinel lymph node biopsy (SLNB) omission and identify potential disparities.

Methods

Female patients age ≥70 years with cT1-2N0M0, ER+, HER2-negative breast cancer diagnosed after publication of the Choosing Wisely recommendations, between 2016 and 2019, were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Patient demographics and tumor characteristics associated with axillary surgery were analyzed.

Results

Of the 31 756 patients meeting omission criteria, 25 771 (81.2%) underwent axillary surgery. Hispanic ethnicity, median household income between $35,000 and $70,000, treatment in rural areas, poor differentiation, lobular and mixed lobular with ductal histology, T2 tumors, radiation therapy, and systemic therapy were factors associated with receiving axillary surgery on multivariable analysis. In the axillary surgery cohort, a median of 2 (IQR = 2) nodes were examined and 529 (2.1%) patients were found to have 1 or more positive lymph nodes.

Discussion

Among elderly patients meeting Choosing Wisely criteria for SLNB omission, particular racial, ethnic, socioeconomic, and geographic populations may be at increased risk for potential over treatment. Identification of these factors provides specific opportunities for education and implementation of de-escalation of unnecessary procedures.
The Effects of Open-Ended Probes on Closed Survey Questions in Web Surveys
Authors: Hadler Patricia
Published: June 2023

Probes are follow-ups to survey questions used to gain insights on respondents’ understanding of and responses to these questions. They are usually administered as open-ended questions, primarily in the context of questionnaire pretesting. Due to the decreased cost of data collection for open-ended questions in web surveys, researchers have argued for embedding more open-ended probes in large-scale web surveys. However, there are concerns that this may cause reactivity and impact survey data. The study presents a randomized experiment in which identical survey questions were run with and without open-ended probes. Embedding open-ended probes resulted in higher levels of survey break off, as well as increased backtracking and answer changes to previous questions. In most cases, there was no impact of open-ended probes on the cognitive processing of and response to survey questions. Implications for embedding open-ended probes into web surveys are discussed.
Protective Effect of Nicorandil on Contrast-Induced Acute Kidney Injury After Emergency Percutaneous Coronary Intervention
Authors: Yu Zuo-zhong , Xu Zheng-xiong , Ruan Yue-hua , Hu Long-long , Wen Ming-hua , Huang Tie-qiu , You Zhi-gang , Wu Yan-qing , Yang Ren-qiang
Published: June 2023

Objective: To investigate the protective effect of nicorandil on contrast-induced acute kidney injury (CIAKI) in patients with acute ST-segment elevation myocardial infarction (STEMI) after emergency percutaneous coronary intervention (PCI). Methods: This is a single-center, retrospective control study. A total of 156 patients with STEMI were divided into the nicorandil group (n  =  55) and the control group (n  =  101). The incidence of CIAKI, defined as an increase of >25% or absolute values > 44.2 μmol/L in serum creatinine (Scr) from baseline within 72 h of exposure to a contrast agent after exclusion of other causes, was the primary endpoint. The secondary endpoints were: (1) changes of Scr, estimated glomerular filtration rate (eGFR), uric acid, and β2-microglobulin at 24/48/72 h and 5 to 7 days after PCI; (2) the peak value difference of creatine kinase isoenzymes (CK-MB) after PCI; (3) adverse events within 6 months after PCI. Results: The overall incidence of CIAKI was 21.8%; the incidence of CIAKI in the nicorandil group was significantly lower (12.7% [7/55]) than in the control group (26.7% [27/101]) ( P  =  .043). Compared with the control group, Scr, uric acid, and β2-microglobulin levels were lower, and the level of eGFR was higher in nicorandil group ( P all < .05). The peak value of CK-MB in the nicorandil group was lower than that in the control group (105.30 [56.61, 232.04] vs 178.00 [77.08, 271.91]U/L, P  =  .042). There was no significant difference in adverse events between the 2 groups within 6 months after PCI. Moreover, multivariate logistic regression analysis showed that hypertension and diabetes were independent risk factors for CIAKI, while nicorandil treatment was a protective factor. Conclusion: Our data suggest that intravenous nicorandil after emergency PCI has a protective effect on the occurrence of CIAKI in STEMI patients.
Metallurgical, erosion, and sensitization performance of TiAlN monolayer and TiAlN/TiN multilayer ceramic coatings on AISI 304 boiler steel
Authors: Kumar Arun , Malhotra Dikshant , Grewal Jasmaninder Singh
Published: June 2023

In the present work, TiAlN monolayer and TiAlN/TiN multilayer ceramic coatings were deposited on AISI 304 austenitic stainless steel by plasma arc physical vapor deposition (PAPVD) process. The metallurgical, erosion, and sensitization performance of these coatings were compared with uncoated 304 boiler steel. Metallurgical studies depicted formation of Al and Ti nitrides on monolayer and multilayer coated steel surfaces, which resulted into higher nitriding at the surface and dense coating formation on boiler steel substrate. Multilayer film exhibited comparatively lesser porosity, lower surface roughness, and higher hardness than monolayer coated and uncoated steel. The erosion performance was evaluated at 30° and 90° besides 2 g/min and 3 g/min flow rates of Al2O3 erodent material for coated and uncoated steel substrate. Multilayer coated 304 steel possessed lower erosion wear rate as evaluated through lesser weight loss before and after erosive wear, smaller crater formation, and minimal adherence of erodent material along with lesser Fe content on eroded surface relative to monolayer coated and uncoated steel. Multilayer coated steel thermally aged at 750° for 24 h had least degree of sensitization (DOS) compared to monolayer coated and uncoated aged boiler steel. Although monolayer coated steel performed better than uncoated one in erosion and sensitization performance but multilayer coating performance was best among all coated and uncoated steel used for present study. Thus, it was established that TiAlN/TiN multilayer coating on AISI 304 boiler steel has improved its metallurgical, erosion, and sensitization performance.
Researching Without “Methods”: An Experiment in Socio-Ecological Sustainability Research With Rural Communities
Authors: Bananuka Twine , Perry Mia , Kadoma Anthony
Published: June 2023

This article describes an improvisatory or ‘no method’ research approach in socio-ecological sustainability in two rural Ugandan communities. A team of multidisciplinary researchers purposed to understand how rural community members make sense of their role in, and relationship with, the environment. In addition, they sought to unsettle pre-existing assumptions, categories of knowledge, and methods of knowledge generation, through a practical and conceptual exploration of community-academy collaboration in research. The authors present an account of the research process as an experiment towards a decolonial, context-specific, and post-qualitative practice of inquiry and collaboration. The paper describes the context of the Ugandan communities involved and the socio-ecological issues that impact their lives. Related methodological practices are discussed to support the description and discussion of the improvised methods employed in this study. The methodological findings that conclude this paper have implications for global sustainability research, partnership, and action.
A diabetes prediction model based on Boruta feature selection and ensemble learning
Authors: Zhou Hongfang , Xin Yinbo , Li Suli
Published: June 2023

Background and objective

As a common chronic disease, diabetes is called the “second killer” among modern diseases. Currently, there is no medical cure for diabetes. We can only rely on medication for auxiliary treatment. However, many diabetic patients still die each year. In addition, a considerable number of people do not pay attention to their physical health or opt out of treatment due to lack of money, which eventually leads to various complications. Therefore, diagnosing diabetes at an early stage and intervening early is necessary; thus, developing an early detection method for diabetes is essential.

Methods

In this study, a diabetes prediction model based on Boruta feature selection and ensemble learning is proposed. The model contains the use of Boruta feature selection, the extraction of salient features from datasets, the use of the K-Means++ algorithm for unsupervised clustering of data and stacking of an ensemble learning method for classification. It has been validated on a diabetes dataset.

Results

The experiments were performed on the PIMA Indian diabetes dataset. The model was evaluated by accuracy, precision and F1 index. The obtained results show that the accuracy rate of the model reaches 98% and achieves good results.

Conclusion

Compared with other diabetes prediction models, this model achieved better results, and the obtained results indicate that this model is superior to other models in diabetes prediction and has better performance.
An N6-methyladenosine regulation- and mRNAsi-related prognostic index reveals the distinct immune microenvironment and immunotherapy responses in lower-grade glioma
Authors: Tang Guihua , Peng Jianqiao , Huo Longwei , Yin Wen
Published: June 2023

Background

N6-methyladenosine (m6A) modification is involved in tumorigenesis and progression as well as closely correlated with stem cell differentiation and pluripotency. Moreover, tumor progression includes the acquisition of stemness characteristics and accumulating loss of differentiation phenotype. Therefore, we integrated m6A modification and stemness indicator mRNAsi to classify patients and predict prognosis for LGG.

Methods

We performed consensus clustering, weighted gene co-expression network analysis, and least absolute shrinkage and selection operator Cox regression analysis to identify an m6A regulation- and mRNAsi-related prognostic index (MRMRPI). Based on this prognostic index, we also explored the differences in immune microenvironments between high- and low-risk populations. Next, immunotherapy responses were also predicted. Moreover, single-cell RNA sequencing data was further used to verify the expression of these genes in MRMRPI. At last, the tumor-promoting and tumor-associated macrophage polarization roles of TIMP1 in LGG were validated by in vitro experiments.

Results

Ten genes (DGCR10, CYP2E1, CSMD3, HOXB3, CABP4, AVIL, PTCRA, TIMP1, CLEC18A, and SAMD9) were identified to construct the MRMRPI, which was able to successfully classify patients into high- and low-risk group. Significant differences in prognosis, immune microenvironment, and immunotherapy responses were found between distinct groups. A nomogram integrating the MRMRPI and other prognostic factors were also developed to accurately predict prognosis. Moreover, in vitro experiments illustrated that inhibition of TIMP1 could inhibit the proliferation, migration, and invasion of LGG cells and also inhibit the polarization of tumor-associated macrophages.

Conclusion

These findings provide novel insights into understanding the interactions of m6A methylation regulation and tumor stemness on LGG development and contribute to guiding more precise immunotherapy strategies.
Combined transcriptomic and metabolomic analyses of high temperature stress response of quinoa seedlings
Authors: Xie Heng , Zhang Ping , Jiang Chunhe , Wang Qianchao , Guo Yirui , Zhang Xuesong , Huang Tingzhi , Liu Junna , Li Li , Li Hanxue , Wang Hongxin , Qin Peng
Published: June 2023

Background

Quinoa (Chenopodium quinoa Willd.) originates in high altitude areas, such as the Andes, and has some inherent characteristics of cold, drought, and salinity tolerance, but is sensitive to high temperature.

Results

To gain insight into the response mechanism of quinoa to high temperature stress, we conducted an extensive targeted metabolomic study of two cultivars, Dianli-3101 and Dianli-3051, along with a combined transcriptome analysis. A total of 794 metabolites and 54,200 genes were detected, in which the genes related to photosynthesis were found down-regulated at high temperatures, and two metabolites, lipids and flavonoids, showed the largest changes in differential accumulation. Further analysis of the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway and transcription factors revealed that quinoa inhibits photosynthesis at high temperatures, and the possible strategies being used for high temperature stress management are regulation of heat stress transcription factors (HSFs) to obtain heat tolerance, and regulation of purine metabolism to enhance stress signals for rapid response to high temperature stress. The tolerant genotype could have an enhanced response through lower purine levels. The induction of the stress response could be mediated by HSF transcription factors. The results of this study may provide theoretical references for understanding the response mechanism of quinoa to high temperature stress, and for screening potential high temperature tolerant target genes and high temperature tolerant strains.

Conclusions

These findings reveal the regulation of the transcription factor family HSF and the purinergic pathway in response to high temperature stress to improve quinoa varieties with high temperature tolerance.
Deep venous thrombosis and hyponatremia associated with citalopram use for behavioral symptoms in Parkinson’s disease: a case report
Authors: Albalawi Afaf
Published: June 2023

Background

Evidence is limited regarding the optimal therapeutic approach for neuropsychiatric symptoms associated with Parkinson’s disease dementia (PDD). Selective serotonin reuptake inhibitors (SSRIs) are widely used for mood disorders and behavioral symptoms in older adults with cognitive impairment, but they have limited efficacy in patients with PDD. The effect of SSRIs on hemostasis is also unclear. This report describes a patient with PDD who developed deep venous thrombosis (DVT) and hyponatremia after initiating citalopram treatment.

Case presentation

An 86-year-old woman with PDD presented to our emergency department with altered mental status, generalized weakness, and left lower leg swelling. Citalopram was begun 4 weeks previously for behavioral changes and was discontinued 2 days before presentation because of excessive fatigue. At presentation, her plasma sodium level was 123 mg/dL. Brain computed tomography showed age-related changes. Doppler ultrasound revealed a DVT in the left lower leg. The patient was treated with hypertonic saline and intravenous heparin. After normalization of her sodium, she was discharged on donepezil and apixaban. At follow-up, her sodium remained normal, and her cognition and behavior were noticeably improved.

Conclusion

Older adults with Parkinson’s disease are sensitive to adverse effects of psychotropic agents, including SSRIs, which are not recommended first-line agents for behavioral symptoms in PDD. Upon initiating SSRIs in older patients with functional decline and multiple comorbidities, physicians need to evaluate the patient’s risk factors for bleeding or thrombosis. Physical activities should also be maintained as much as possible.
Pharmacological inhibition of neuropeptide Y receptors Y1 and Y5 reduces hypoxic breast cancer migration, proliferation, and signaling
Authors: Pascetta Sydney A. , Kirsh Sarah M. , Cameron Makenna , Uniacke James
Published: June 2023

Background

Neuropeptide Y (NPY) is an abundant neurohormone in human breast carcinomas that acts on a class of G-protein coupled receptors, of which NPY1R and NPY5R are the most highly expressed. This abundance is exploited for cancer imaging, but there is interest in pharmacological inhibition of the NPYRs to interrogate their functional relevance in breast cancer. We previously reported that NPY1R and NPY5R mRNA abundance is increased by hypoxia inducible factors, which sensitizes these receptors to NPY stimulation leading to enhanced migration and proliferation.

Methods/Results

Here, we measured the effects of NPY1R and NPY5R antagonists in normoxia and hypoxia on migration, proliferation, invasion, and signaling in 2D and 3D models of breast cancer cell lines MDA-MB-231 and MCF7. Antagonizing NPY1R and/or NPY5R in hypoxia compared to normoxia more greatly reduced MAPK signaling, cell proliferation, cell migration and invasion, and spheroid growth and invasion. The estrogen receptor positive MCF7 cells were significantly less invasive in 3D spheres when NPY5R was specifically inhibited. There were some discrepancies in the responses of each cell line to the isoform-specific antagonists and oxygen availability, therefore further investigations are required to dissect the intricacies of NPYR signaling dynamics. In human breast tumor tissue, we show via immunofluorescence that NPY5R protein levels and colocalization with hypoxia correlate with advanced cancer, and NPY1R protein correlates with adverse outcomes.

Conclusions

Antagonizing the NPYRs has been implicated as a treatment for a wide variety of diseases. Therefore, these antagonists may aid in the development of novel cancer therapeutics and patient-based treatment plans.
Magnitude of paternal postpartum psychological distress and associated factors in Addis Ababa, Ethiopia: a facility-based cross-sectional study
Authors: Tuji Addisu , Yesuf Subah Abderehim , Birhanu Ribka , Milkias Barkot
Published: June 2023

Background

The psychological distress of fathers in the postpartum period can have adverse effects on the well-being of the family and the newborn’s development in particular. However, fathers’ mental health throughout the postpartum has remained understudied and clinically overlooked in many developing countries, including Ethiopia. This study aims to assess the prevalence of psychological distress among fathers in the postpartum period and to examine the associated factors in an Ethiopian population.

Methods

A facility-based, cross-sectional study was conducted at Tikur Anbessa Specialized Hospital (TASH) and Gandhi Memorial Hospital (GMH) in Addis Ababa, Ethiopia. A systematic sampling method was employed to include 280 fathers whose partners gave birth 6 to 8 weeks before the interview. Psychological distress was assessed using a validated Amharic version of the Kessler Psychological Distress Scale (K10) through a telephone interview. The collected data was analyzed using SPSS version 26. Descriptive statistics were used to summarize the data. Multivariable logistic regression was run to determine the variables associated with paternal postpartum psychological distress (K10 total score ≥ 7, a validated cut-off score in an urban Ethiopian setting), and odds ratio with 95% confidence intervals were obtained. A two-tailed p-value < 0.05 was considered for statistical significance.

Results

About one-fifth of the fathers endorsed having distress symptoms during the postpartum period. Those with lower income (AOR = 11.31, 95% CI:  4.10, 31.15), unintended pregnancy (AOR = 3.96, 95% CI: 1.02, 15.46), poor social support (AOR =3.28 95% CI: 1.43, 7.50), poor infantile health (AOR = 8.20, 95% CI: 2.35, 28.66)  and maternal postpartum distress (AOR = 12.10,  95% CI: 3.15, 46.48) had significantly higher odds of having paternal postpartum distress.

Conclusions

Paternal postpartum distress was present in one-fifth of the fathers included in this study. This calls for due attention and efforts for early detection of those at risk of paternal distress and the development of interventions that consider their specific needs.
Deep learning diagnostic and severity-stratification for interstitial lung diseases and chronic obstructive pulmonary disease in digital lung auscultations and ultrasonography: clinical protocol for an observational case–control study
Authors: Siebert Johan N. , Hartley Mary-Anne , Courvoisier Delphine S. , Salamin Marlène , Robotham Laura , Doenz Jonathan , Barazzone-Argiroffo Constance , Gervaix Alain , Bridevaux Pierre-Olivier
Published: June 2023

Background

Interstitial lung diseases (ILD), such as idiopathic pulmonary fibrosis (IPF) and non-specific interstitial pneumonia (NSIP), and chronic obstructive pulmonary disease (COPD) are severe, progressive pulmonary disorders with a poor prognosis. Prompt and accurate diagnosis is important to enable patients to receive appropriate care at the earliest possible stage to delay disease progression and prolong survival. Artificial intelligence-assisted lung auscultation and ultrasound (LUS) could constitute an alternative to conventional, subjective, operator-related methods for the accurate and earlier diagnosis of these diseases. This protocol describes the standardised collection of digitally-acquired lung sounds and LUS images of adult outpatients with IPF, NSIP or COPD and a deep learning diagnostic and severity-stratification approach.

Methods

A total of 120 consecutive patients (≥ 18 years) meeting international criteria for IPF, NSIP or COPD and 40 age-matched controls will be recruited in a Swiss pulmonology outpatient clinic, starting from August 2022. At inclusion, demographic and clinical data will be collected. Lung auscultation will be recorded with a digital stethoscope at 10 thoracic sites in each patient and LUS images using a standard point-of-care device will be acquired at the same sites. A deep learning algorithm (DeepBreath) using convolutional neural networks, long short-term memory models, and transformer architectures will be trained on these audio recordings and LUS images to derive an automated diagnostic tool. The primary outcome is the diagnosis of ILD versus control subjects or COPD. Secondary outcomes are the clinical, functional and radiological characteristics of IPF, NSIP and COPD diagnosis. Quality of life will be measured with dedicated questionnaires. Based on previous work to distinguish normal and pathological lung sounds, we estimate to achieve convergence with an area under the receiver operating characteristic curve of > 80% using 40 patients in each category, yielding a sample size calculation of 80 ILD (40 IPF, 40 NSIP), 40 COPD, and 40 controls.

Discussion

This approach has a broad potential to better guide care management by exploring the synergistic value of several point-of-care-tests for the automated detection and differential diagnosis of ILD and COPD and to estimate severity.

Trial registrationRegistration: August 8, 2022. ClinicalTrials.gov Identifier: NCT05318599.
Development and accuracy validation of a fat fraction imaging biomarker for sialadenitis in the parotid gland
Authors: Lee Ari , Choi Yoon Joo , Jeon Kug Jin , Han Sang-Sun , Lee Chena
Published: June 2023

Background

The diagnosis of sialadenitis, the most frequent disease of the salivary glands, is challenging when the symptoms are mild. In such cases, biomarkers can be used as definitive diagnostic indicators. Recently, biomarkers have been developed by extracting and analyzing pathological and morphological features from medical imaging. This study aimed to establish a diagnostic reference for sialadenitis based on the quantitative magnetic resonance imaging (MRI) biomarker IDEAL-IQ and assess its accuracy.

Methods

Patients with sialadenitis (n = 46) and control subjects (n = 90) that underwent MRI were selected. Considering that the IDEAL-IQ value is a sensitive fat fractional marker to the body mass index (BMI), all subjects were also categorized as under-, normal-, and overweight. The fat fraction of parotid gland in the control and sialadenitis groups were obtained using IDEAL-IQ map. The values from the subjects in the control and sialadenitis groups were compared in each BMI category. For comparison, t-tests and receiver operating characteristic (ROC) curve analyses were performed.

Results

The IDEAL-IQ fat faction of the control and sialadenitis glands were 38.57% and 23.69%, respectively, and the differences were significant. The values were significantly lower in the sialadenitis group (P), regardless of the BMI types. The area under the ROC curve (AUC) was 0.83 (cut-off value: 28.72) in patients with sialadenitis. The AUC for under-, normal-, and overweight individuals were 0.78, 0.81, and 0.92, respectively.

Conclusions

The fat fraction marker based on the IDEAL-IQ method was useful as an objective indicator for diagnosing sialadenitis. This marker would aid less-experienced clinicians in diagnosing sialadenitis.
Water, Sanitation, and Hygiene (WaSH) insecurity in unhoused communities of Los Angeles, California
Authors: Avelar Portillo Lourdes Johanna , Kayser Georgia L. , Ko Charlene , Vasquez Angelica , Gonzalez Jimena , Avelar Diego Jose , Alvarenga Nayib , Franklin Meredith , Chiang Yao-Yi
Published: June 2023

Background

Access to water and sanitation is a basic human right; however, in many parts of the world, communities experience water, sanitation, and hygiene (WaSH) insecurity. While WaSH insecurity is prevalent in many low and middle-income countries, it is also a problem in high-income countries, like the United States, as is evident in vulnerable populations, including people experiencing homelessness. Limited knowledge exists about the coping strategies unhoused people use to access WaSH services. This study, therefore, examines WaSH access among unhoused communities in Los Angeles, California, a city with the second-highest count of unhoused people across the nation.

Methods

We conducted a cross-sectional study using a snowball sampling technique with 263 unhoused people living in Skid Row, Los Angeles. We calculated frequencies and used multivariable models to describe (1) how unhoused communities cope and gain access to WaSH services in different places, and (2) what individual-level factors contribute to unhoused people’s ability to access WaSH services.

Results

Our findings reveal that access to WaSH services for unhoused communities in Los Angeles is most difficult at night. Reduced access to overnight sanitation resulted in 19% of the sample population using buckets inside their tents and 28% openly defecating in public spaces. Bottled water and public taps are the primary drinking water source, but 6% of the sample reported obtaining water from fire hydrants, and 50% of the population stores water for night use. Unhoused people also had limited access to water and soap for hand hygiene throughout the day, with 17% of the sample relying on hand sanitizer to clean their hands. Shower and laundry access were among the most limited services available, and reduced people’s ability to maintain body hygiene practices and limited employment opportunities. Our regression models suggest that WaSH access is not homogenous among the unhoused. Community differences exist; the odds of having difficulty accessing sanitation services is two times greater for those living outside of Skid Row (Adj OR: 2.52; 95% CI: 1.08–6.37) and three times greater for people who have been unhoused for more than six years compared to people who have been unhoused for less than a year (Adj OR: 3.26; 95% CI: 1.36–8.07).

Conclusion

Overall, this study suggests a need for more permanent, 24-h access to WaSH services for unhoused communities living in Skid Row, including toilets, drinking water, water and soap for hand hygiene, showers, and laundry services.
Identification and validation of biomarkers related to Th1 cell infiltration in neuropathic pain
Authors: Zhang Xiangsheng , Cheng Jiurong , Deng Yingdong , Guo Caiyun , Cao Yu , Wang Suo , Zhou Chenxi , Lin Ziqiang , Tang Simin , Zhou Jun
Published: June 2023

Neuropathic pain (NP) is a widespread chronic pain with a prevalence of 6.9–10% in the general population, severely affecting patients’ physical and mental health. Accumulating evidence indicated that the immune environment is an essential factor causing NP. However, the mechanism is unclear. This study attempted to analyze NP-related immune infiltration patterns. We downloaded the expression profiles from the Gene Expression Omnibus (GEO) database. The novel method of single-sample gene set enrichment analysis (ssGSEA) algorithm and weighted gene co-expression network analysis (WGCNA) was applied to identify immune-related genes and verified in vitro and in vivo experiments. The spared nerve injury (SNI) group was closely related to type1 T helper cells (Th1 cells), and two key genes (Abca1 and Fyb) positively correlated with Th1 cell infiltration. At the single-cell level, Abca1 and Fyb were significantly expressed in macrophages. In addition, we verified that Abca1 could affect the function of macrophages. Finally, we hypothesized that Abca1 is involved in the infiltration of Th1 cells into dorsal root ganglion (DRG) tissues and induces NP via immunoinflammatory response. Hence, the present study aimed to elucidate the correlation between NP and neuroinflammation and identify a new therapeutic target for treating NP.
Efficacy and safety of apatinib combined with radiotherapy in the treatment of advanced pancreatic cancer: a meta-analysis
Authors: Ma Yongli , Li Jinghui , Wen Liang , Zhang Guosheng , Yao Xueqing
Published: June 2023

Objective

At present, pancreatic cancer (PC) has a high morbidity and mortality rate and a poor prognosis. The aim of this article was to study the efficacy and safety of apatinib combined with radiotherapy in the treatment of advanced PC.

Methods

The PubMed, Cochrane Library, Embase, Wanfang, CNKI, VIP, and CBM databases were searched by computer to identify studies on the application of apatinib in patients with advanced PC. The patients in the included study were divided into an observation group (apatinib combined with radiotherapy) and a control group (radiotherapy only), and meta-analysis was performed for each outcome with Revman 5.4 software. This study was successfully registered on the PROSPERO website, and the registration number is CRD: 42,022,384,056 (available at https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=384056).

Results

A total of 7 randomized controlled trials (RCTs) with 428 patients were included, including 215 in the observation group and 213 in the control group. Compared with the control group, the observation group showed a greater objective response rate [OR = 3.26, 95% CI (2.18, 4.87), P < 0.0001], disease control rate [OR = 5.04, 95% CI (3.12, 8.12), P < 0.0001], complete response rate [OR = 3.87, 95% CI (1.51, 9.88), P = 0.005], and partial response rate [OR = 2.43, 95% CI (1.63, 3.61), P < 0.001], The 1-year survival rate [OR = 2.39, 95% CI (1.15, 4.96), P < 0.05], 2-year survival rate [OR = 2.41, 95% CI (1.03, 5.61), P < 0.05], progression-free survival time [MD = 1.17, 95% CI (0.37, 1.96), P < 0.05], overall survival time [MD = 1.47, 95% CI (0.13, 2.80), P < 0.05], while the stability rate [OR = 1.14, 95% CI (0.72, 1.81), P = 0.58] and various complications were not significantly different between the two groups.

Conclusion

Apatinib combined with radiotherapy was more effective than radiotherapy alone in the treatment of advanced pancreatic cancer (PC), and apatinib had acceptable safety. However, since our study was limited by the quantity and quality of the included studies, we look forward to more large-sample, multicentre, and high-quality RCTs in the future to verify the conclusions.
A new paradigm for musculoskeletal pain care: moving beyond structural impairments. Conclusion of a chiropractic and manual therapies thematic series
Authors: Fritz Julie M. , Kongsted Alice
Published: June 2023

This commentary closes the thematic series “A new paradigm for musculoskeletal pain care: moving beyond structural impairments”. The papers published in the series point to key aspects of shifting the paradigm of musculoskeletal care from clinician-led management often focused on addressing presumed structural anomalies to partnering with patients to find individual strategies that empower patients towards self-management. Several papers in the series highlighted the need for developing patient-centred models of care that respect individual patient’s needs and preferences. Also, the series pointed to different options for modes of delivery including mHealth and the challenges and opportunities they present for developing person-centred strategies. For health care to provide effective support for people with musculoskeletal pain conditions, there is a need to recognise that contextual factors, including a strong patient-provider alliance, clearly play an important, perhaps primary, role. Health care professions dealing with musculoskeletal pain conditions should engage in research to investigate effective ways to move this understanding into practice including how to train providers. We hope the work collected in this series will stimulate further questions and more research as musculoskeletal pain providers seek to make their care more person-centred.
Association between muscle strength and mass and bone mineral density in the US general population: data from NHANES 1999–2002
Authors: Han Huawei , Chen Shuai , Wang Xinzhe , Jin Jie , Li Xianghui , Li Zhiwei
Published: June 2023

Purpose

It is known that muscle strength and muscle mass play a crucial role in maintaining bone mineral density (BMD). Despite this, there are uncertainties about how muscle mass, lower extremity muscular strength, and BMD are related. We examined the impact of lower extremity muscle strength and mass on BMD in the general American population using cross-sectional analysis.

Methods

In the study, we extracted 2165 individuals from the National Health and Nutrition Examination Survey 1999–2002. Multivariate logistic regression models were used to examine the association between muscle strength, muscle mass, and BMD. Fitted smoothing curves and generalized additive models were also performed. To ensure data stability and avoid confounding factors, subgroup analysis was also conducted on gender and race/ethnicity.

Results

After full adjustment for potential confounders, significant positive associations were detected between peak force (PF) [0.167 (0.084, 0.249) P < 0.001], appendicular skeletal muscle index (ASMI) [0.029 (0.022, 0.036) P < 0.001], and lumbar spine BMD. A positive correlation was also found between PF, ASMI, and pelvis and total BMD. Following stratification by gender and race/ethnicity, our analyses illustrated a significant correlation between PF and lumbar spine BMD in both men [0.232 (0.130, 0.333) P < 0.001] and women [0.281 (0.142, 0.420) P < 0.001]. This was also seen in non-Hispanic white [0.178 (0.068, 0.288) P = 0.002], but not in non-Hispanic black, Mexican American and other race–ethnicity. Additionally, there was a positive link between ASMI and BMD in both genders in non-Hispanic whites, and non-Hispanic blacks, but not in any other racial group.

Conclusion

PF and ASMI were positively associated with BMD in American adults. In the future, the findings reported here may have profound implications for public health in terms of osteopenia and osteoporosis prevention, early diagnosis, and treatment.
Feasibility of mobilisation in ICU: a multi-centre point prevalence study of mobility practices in the UK
Authors: Black Claire , Sanger Helen , Battle Ceri , Eden Allaina , Corner Evelyn
Published: June 2023

Background

Early mobilisation in critical care is recommended within clinical guidance; however, mobilisation prevalence across the UK is unknown. The study aimed to determine the proportion of patients mobilised out of bed within 48–72 h, to describe their physiological status, and to compare this to published consensus safety recommendations for out-of-bed activity.

Methods

A UK cross-sectional, multi-centre, observational study of adult critical care mobility practices was conducted. Demographic, physiological and organ support data, mobility level, and rationale for not mobilising out of bed, were collected for all patients on 3rd March 2022. Patients were categorised as: Group 1—mobilised ICU Mobility Scale (IMS) ≥ 3; Group 2—not-mobilised IMS < 3 with physiological reasons; or Group 3—not-mobilised IMS < 3 with non-physiological barriers to mobilisation. Rationale for the decision to not mobilise was collected qualitatively. Regression analysis was used to compare the physiological parameters of Group 1 (mobilised) versus Group 2 (not-mobilised with physiological reasons). Patients were stratified as ‘low-risk’, ‘potential-risk’ or ‘high-risk’ using published risk of adverse event ratings.

Results

Data were collected for 960 patients across 84 UK critical care units. Of these 393 (41%) mobilised, 416 (43%) were not-mobilised due to physiological reasons and 151 (16%) were not mobilised with non-physiological reasons. A total of 371 patients had been admitted for ≤ 3 days, of whom 180 (48%) were mobilised, 140 (38%) were not mobilised with physiological reasons, and 51 (14%) were not mobilised with non-physiological reasons. Of the 809 without non-physiological barriers to mobilisation, 367 (45%) had a low risk of adverse event rating and 120 (15%) a potential risk, of whom 309 (84%) and 78 (65%) mobilised, respectively. Mobility was associated with a Richmond Agitation-Sedation Scale of − 1 to + 1, lower doses of vasoactive agents, a lower inspired oxygen requirement.

Conclusion

Although only 40% of patients mobilised out of bed, 89% of those defined ‘low-risk’ did so. There is significant overlap in physiological parameters for mobilisation versus non-mobilisation groups, suggesting a comprehensive physiological assessment is vital in decision making rather than relying on arbitrary time points.

Clinical Trials registration: NCT05281705 Registered March 16, 2022. Retrospectively registered.
A survey of mapping algorithms in the long-reads era
Authors: Sahlin Kristoffer , Baudeau Thomas , Cazaux Bastien , Marchet Camille
Published: June 2023

It has been over a decade since the first publication of a method dedicated entirely to mapping long-reads. The distinctive characteristics of long reads resulted in methods moving from the seed-and-extend framework used for short reads to a seed-and-chain framework due to the seed abundance in each read. The main novelties are based on alternative seed constructs or chaining formulations. Dozens of tools now exist, whose heuristics have evolved considerably. We provide an overview of the methods used in long-read mappers. Since they are driven by implementation-specific parameters, we develop an original visualization tool to understand the parameter settings (http://bcazaux.polytech-lille.net/Minimap2/).
Vertical dispersal of Aedes albopictus within multi-story buildings in downtown Shanghai, China
Authors: Jin Shuqing , Fan Jian , Cao Hui , Zhang Zhendong , Leng Peien , Gao Qiang
Published: June 2023

Background

Shanghai has numerous high-rise apartment and office buildings, but the effects of these high-rise spaces on the vertical dispersal, oviposition and blood feeding behavior of Aedes albopictus are unknown.

Methods

In six multi-story building blocks in downtown Shanghai, 174 mosq-ovitraps (MOT) were placed both indoors and outdoors for Ae. albopictus collection at different vertical heights from the 1st to 6th floors and a terrace on the 8th floor. Collections were made for 4 months. The human landing catch (HLC) method for Ae. albopictus monitoring was also conducted on 6 consecutive days on six floors of two of the six buildings to study the feeding behavior of Ae. albopictus at different heights.

Results

Both MOTs and HLCs collected Ae. albopictus at all monitored heights. The vertical distribution, oviposition pattern and biting behavior varied significantly among the seven heights (1st–6th floors and 8th floor) (mosq-ovitrap index (MOI): X2 = 140.616, df = 6, P < 0.001; HLC: F (5, 138) = 15.111, P < 0.001). The MOI at low heights (1st + 2nd floors) was significantly higher than that at medium (3rd + 4th floor, P < 0.001) and high heights (5th + 6th floors, P < 0.001), and there was no significant difference in the MOI for the 3rd–6th floors. The outdoor MOIs were significantly higher than indoor MOIs at all heights (outdoor 23.09% vs. indoor 9.58%, X2 = 74.121, df = 1, P < 0.001). Aedes albopictus HLC density on the ground floor was significantly higher than that on all other heights (5.04 vs. 0.13, 0.29, 0.58, 0.79 and 1.50 per half hour, P < 0.05), while no difference was detected among the heights above the ground floor (P > 0.05).

Conclusions

Aedes albopictus is more common near the ground level, but it can easily disperse to higher floors in the multi-story buildings of urban Shanghai. No significant differences in Ae. albopictus density were detected within the 3rd–6th floors using MOT or HLC. This suggests that Ae. albopictus might also disperse to areas above the 6th floor and seek hosts there. Aedes albopictus prefers to oviposit outdoors; however, Ae. albopictus was also able to inhabit, oviposit and engage in blood-feeding behavior indoors on different floors. The three-dimensional dispersal pattern of Ae. albopictus in urban areas could facilitate arbovirus transmission and increase the difficulty of dengue control.

Graphical abstract
Development and validation of a point-based scoring system for predicting axillary lymph node metastasis and disease outcome in breast cancer using clinicopathological and multiparametric MRI features
Authors: Chen Xiaofeng , Yang Zhiqi , Huang Ruibin , Li Yue , Liao Yuting , Li Guijin , Wang Mengzhu , Chen Xiangguang , Dai Zhuozhi , Fan Weixiong
Published: June 2023

Background

Axillary lymph node (ALN) metastasis is used to select treatment strategies and define the prognosis in breast cancer (BC) patients and is typically assessed using an invasive procedure. Noninvasive, simple, and reliable tools to accurately predict ALN status are desirable. We aimed to develop and validate a point-based scoring system (PSS) for stratifying the ALN metastasis risk of BC based on clinicopathological and quantitative MRI features and to explore its prognostic significance.

Methods

A total of 219 BC patients were evaluated. The clinicopathological and quantitative MRI features of the tumors were collected. A multivariate logistic regression analysis was used to create the PSS. The performance of the models was evaluated using receiver operating characteristic curves, and the area under the curve (AUC) of the models was calculated. Kaplan–Meier curves were used to analyze the survival outcomes.

Results

Clinical features, including the American Joint Committee on Cancer (AJCC) stage, T stage, human epidermal growth factor receptor-2, estrogen receptor, and quantitative MRI features, including maximum tumor diameter, Kep, Ve, and TTP, were identified as risk factors for ALN metastasis and were assigned scores for the PSS. The PSS achieved an AUC of 0.799 in the primary cohort and 0.713 in the validation cohort. The recurrence-free survival (RFS) and overall survival (OS) of the high-risk (> 19.5 points) groups were significantly shorter than those of the low-risk (≤ 19.5 points) groups in the PSS.

Conclusion

PSS could predict the ALN metastasis risk of BC. A PSS greater than 19.5 was demonstrated to be a predictor of short RFS and OS.
Elastic full-waveform inversion on Caesar-Tonga — Case study
Authors: Richardson Joshua , Fu Kun , Lu Shaoming , Bai Bing , Cheng Xin , Vigh Denes
Published: June 2023

Full-waveform inversion (FWI) has been widely used on 3D data sets to build detailed velocity models over the past 10 years. Most of these projects used pressure data and an acoustic approximation, with the assumption that the field data were dominated with P-waves. This approach of FWI can determine parameters related to the acoustic wave equation. It focuses on updating velocities by minimizing the misfit between observed and model data. Acoustic FWI, using the pressure component of collected data, has shown tremendous potential in simple geologic settings. Successful FWI projects, using wide-azimuth streamer, ocean bottom, and land survey geometries, have convinced the oil industry to pursue the next step by involving more physical properties. However, questions remain on how far we can properly describe field data with the acoustic approximation and at what point we need to switch to a much more expensive elastic wave equation implementation. In a complicated geologic region such as the Gulf of Mexico (GoM), the seismic wavefield can be complex and elastic FWI is needed to achieve a better velocity model, even when using mostly pressure data alone. We demonstrate the application of elastic FWI on sparse-node ocean-bottom-node data from the GoM and show comparisons to the acoustic solution. The comparisons demonstrate the benefits of the elastic FWI implementation when applied to image steeply dipping Miocene sands beneath a complex salt canopy, despite the increased computational expense. Furthermore, we demonstrate that when elastic FWI is applied to sufficiently high frequencies, the FWI-derived reflectivity product and velocity model are reliable interpretation products.
Mismatch Repair Deficiency and Lynch Syndrome Among Adult Patients With Glioma
Authors: Benusiglio Patrick R. , Elder Fikret , Touat Mehdi , Perrier Alexandre , Sanson Marc , Colas Chrystelle , Guerrini-Rousseau Lea , Tran Duy Thanh , Trabelsi Nesrine , Carpentier Catherine , Marie Yannick , Adam Clovis , Bernier Michèle , Cazals-Hatem Dominique , Mokhtari Karima , Tran Suzanne , Mathon Bertrand , Capelle Laurent , Dhooge Marion , Idbaih Ahmed , Alentorn Agusti , Houillier Caroline , Dehais Caroline , Hoang-Xuan Khe , Cuzzubbo Stefania , Carpentier Antoine , Duval Alex , Coulet Florence , Bielle Franck
Published: June 2023

PURPOSE

The Lynch syndrome (LS)-glioma association is poorly documented. As for mismatch repair deficiency (MMRd) in glioma, a hallmark of LS-associated tumors, there are only limited data available. We determined MMRd and LS prevalence in a large series of unselected gliomas, and explored the associated characteristics. Both have major implications in terms of treatment, screening, and prevention.

METHODS

Somatic next-generation sequencing was performed on 1,225 treatment-naive adult gliomas referred between 2017 and June 2022. For gliomas with ≥1 MMR pathogenic variant (PV), MMR immunohistochemistry (IHC) was done. Gliomas with ≥1 PV and protein expression loss were considered MMRd. Eligible patients had germline testing. To further explore MMRd specifically in glioblastomas, isocitrate dehydrogenase (IDH)-wild type (wt), we performed IHC, and complementary sequencing when indicated, in a series of tumors diagnosed over the 2007-2021 period.

RESULTS

Nine gliomas were MMRd (9/1,225; 0.73%). Age at glioma diagnosis was <50 years for all but one case. Eight were glioblastomas, IDH-wt, and one was an astrocytoma, IDH-mutant. ATRX (n = 5) and TP53 (n = 8) PV were common. There was no TERT promoter PV or EGFR amplification. LS prevalence was 5/1,225 (0.41%). One 77-year-old patient was a known LS case. Four cases had a novel LS diagnosis, with germline PV in MSH2 (n = 3) and MLH1 (n = 1). One additional patient had PMS2-associated constitutional mismatch repair deficiency. Germline testing was negative in three MSH6-deficient tumors. In the second series of glioblastomas, IDH-wt, MMRd prevalence was 12.5% in the <40-year age group, 2.6% in the 40-49 year age group, and 1.6% the ≥50 year age group.

CONCLUSION

Screening for MMRd and LS should be systematic in glioblastomas, IDH-wt, diagnosed under age 50 years.