bluuebunny/crossref_metadata_2025 huggingface dataset:
Artificial intelligence in liver cancer research: a scientometrics analysis of trends and topics
Authors: Rezaee-Zavareh Mohammad Saeid , Kim Naomy , Yeo Yee Hui , Kim Hyunseok , Lee Jeong Min , Sirlin Claude B. , Taouli Bachir , Saouaf Rola , Wachsman Ashley M. , Noureddin Mazen , Wang Zhiping , Moore Jason , Li Debiao , Singal Amit G. , Yang Ju Dong
Published: February 2024

Background and aims

With the rapid growth of artificial intelligence (AI) applications in various fields, understanding its impact on liver cancer research is paramount. This scientometrics project aims to investigate publication trends and topics in AI-related publications in liver cancer.

Materials and Methods

We employed a search strategy to identify AI-related publications in liver cancer using Scopus database. We analyzed the number of publications, author affiliations, and journals that publish AI-related publications in liver cancer. Finally, the publications were grouped based on intended application.

Results

We identified 3950 eligible publications (2695 articles, 366 reviews, and 889 other document types) from 1968 to August 3, 2023. There was a 12.7-fold increase in AI-related publications from 2013 to 2022. By comparison, the number of total publications on liver cancer increased by 1.7-fold. Our analysis revealed a significant shift in trends of AI-related publications on liver cancer in 2019. We also found a statistically significant consistent increase in numbers of AI-related publications over time (tau = 0.756, p < 0.0001). Eight (53%) of the top 15 journals with the most publications were radiology journals. The largest number of publications were from China (n=1156), the US (n=719), and Germany (n=236). The three most common publication categories were “medical image analysis for diagnosis” (37%), “diagnostic or prognostic biomarkers modeling & bioinformatics” (19%), and “genomic or molecular analysis” (18%).

Conclusion

Our study reveals increasing interest in AI for liver cancer research, evidenced by a 12.7-fold growth in related publications over the past decade. A common application of AI is in medical imaging analysis for various purposes. China, the US, and Germany are leading contributors.
Characterizing PALB2 intragenic duplication breakpoints in a triple-negative breast cancer case using long-read sequencing
Authors: Ban Iulian O. , Chabert Alice , Guignard Thomas , Puechberty Jacques , Cabello-Aguilar Simon , Pujol Pascal , Vendrell Julie A. , Solassol Jérôme
Published: February 2024

Introduction

Accurate identification and characterization of Large Genomic Rearrangements (LGR), especially duplications, are crucial for precise diagnosis and risk assessment. In this report, we characterized an intragenic duplication breakpoint of PALB2 to determine its pathogenicity significance.

Methods

A 52-year-old female with triple-negative breast cancer was diagnosed with a novel PALB2 LGR. An efficient and accurate methodology was applied, combining long-read sequencing and transcript analysis for the rapid characterization of the duplication.

Results

Duplication of exons 5 and 6 of PALB2 was validated by transcript analysis. Long-read sequencing enabled the localization of breakpoints within Alu elements, providing insights into the mechanism of duplication via non-allelic homologous recombination.

Conclusion

Using our combined methodology, we reclassified the PALB2 duplication as a pathogenic variant. This reclassification suggests a possible causative link between this specific genetic alteration and the aggressive phenotype of the patient.
Early cataract surgery and affordable Sinskey hook goniotomy in Black and Afro-Latino glaucoma patients: a 6-month retrospective study
Authors: Laroche Daniel , Adebayo Ayobami , Brown Aaron , Ng Chester , Sakkari Soheil
Published: February 2024

Aim

The purpose of this study was to determine the real-world efficacy of early phacoemulsification cataract surgery and goniotomy with a Sinskey hook in patients with glaucoma.

Methods

This study was conducted at Advanced Eye Care of New York, a private practice located in Manhattan, NY. This was a single-center, retrospective study of predominantly Black and Afro-Latino patients with glaucoma. These patients underwent early phacoemulsification cataract surgery and goniotomy using an affordable and reusable straight Sinskey hook (Ambler 200-μm tip). Patients who underwent the aforementioned procedure with 6 months of follow-up were included in this study. Investigated parameters were intraocular pressure, number of medications, mean deviation on visual field test, visual acuity, adverse events, and pre/postoperative spherical refractive error.

Results

Among all 38 eyes that were enrolled in the study and underwent surgery (goniotomy using a Sinskey hook with phacoemulsification), mean intraocular pressure was reduced from 16.45 mmHg at baseline to 13.24 mmHg at month 6, a 19.5% reduction. The mean number of topical intraocular pressure-lowering medications used was reduced from 1.81 at baseline to 0.52 at month 6, a 71% reduction in topical medications.

Conclusion

Combined early cataract surgery and goniotomy performed with a Sinskey hook is an affordable microinvasive surgery and an effective way to reduce intraocular pressure and the number of ocular hypertensive medications used in Black and Afro-Latino patients with primary open-angle glaucoma.
Prenatal maternal inactivated COVID-19 vaccination: the maternal and neonatal outcomes, a retrospective cohort study
Authors: Cai Yaoyao , Wu Shenghao , Zhang Sisi , Xu Xinxin , Xie Fengfeng , Gao Lijun , Xia Weiting
Published: February 2024

Background: Despite the widespread adoption of COVID-19 vaccination, a comprehensive understanding of potential vaccine-induced adverse effects, particularly in the context of pregnancy, remains a critical area of investigation. Elevated concerns surround the maternal and neonatal outcomes subsequent to prenatal maternal COVID-19 vaccination. While existing studies have provided insights into the safety profile of COVID-19 mRNA vaccines, the extrapolation of these conclusions to inactivated COVID-19 vaccines poses uncertainties. Notably, limited data are available regarding the maternal and neonatal effects associated with inactivated COVID-19 vaccines.

Objective: To evaluate the prenatal maternal inactivated COVID-19 vaccination and the impact on maternal and neonatal outcomes.

Methods: This was a retrospective cohort study of women who delivered between January and June 2022 at a single university-affiliated hospital. Those who have completed at least one dose of inactivated vaccine before or during pregnancy were included in “vaccinated group,” and those who were not vaccinated were included in “unvaccinated group,” the maternal, pregnancy and neonatal outcomes were evaluated. Propensity score matching (PSM) was performed to balance the baseline parameters of the two groups.

Results: A total of 1926 women were enrolled in this study, 827 (42.94%) women were prenatally vaccinated, and 1099 (57.06%) unvaccinated. The gestational week of delivery were slightly lower in the vaccinated group, 38.61 ± 1.89 weeks in the vaccinated group and 38.93 ± 1.49 weeks in the unvaccinated group. There was a higher rate of overall preterm delivery in the vaccinated group (aOR 1.61, 95% CI 1.07–2.42; p = 0.02), however, the probability of delivery before 34 weeks and before 32 weeks (early preterm delivery) were similar (p > 0.05). A total of 2009 infants were born, 851 in the vaccinated group and 1158 in the unvaccinated group. There were similar neonatal outcomes in the two groups.

Conclusion: Although we found a slightly lower gestational week of delivery and a possible increased rate of late preterm birth in the vaccination group, there was no difference in mean neonatal weight, incidence of low birth weight infants and other neonatal adverse complications. Meanwhile, there was no difference in pregnancy and maternal outcomes between the two groups.
Mechanisms of endometrial aging: lessons from natural conceptions and assisted reproductive technology cycles
Authors: Chemerinski Anat , Garcia de Paredes Jessica , Blackledge Kristin , Douglas Nataki C. , Morelli Sara S.
Published: February 2024

Until recently, the study of age-related decline in fertility has focused primarily on the ovary; depletion of the finite pool of oocytes and increases in meiotic errors leading to oocyte aneuploidy are well-established mechanisms by which fertility declines with advancing age. Comparatively little is known about the impact of age on endometrial function. The endometrium is a complex tissue comprised of many cell types, including epithelial, stromal, vascular, immune and stem cells. The capacity of this tissue for rapid, cyclic regeneration is unique to this tissue, undergoing repeated cycles of growth and shedding (in the absence of an embryo) in response to ovarian hormones. Furthermore, the endometrium has been shown to be capable of supporting pregnancies beyond the established boundaries of the reproductive lifespan. Despite its longevity, molecular studies have established age-related changes in individual cell populations within the endometrium. Human clinical studies have attempted to isolate the effect of aging on the endometrium by analyzing pregnancies conceived with euploid, high quality embryos. In this review, we explore the existing literature on endometrial aging and its impact on pregnancy outcomes. We begin with an overview of the principles of endometrial physiology and function. We then explore the mechanisms behind endometrial aging in its individual cellular compartments. Finally, we highlight lessons about endometrial aging gleaned from rodent and human clinical studies and propose opportunities for future study to better understand the contribution of the endometrium to age-related decline in fertility.
Genetic basis and selection of glyceollin elicitation in wild soybean
Authors: Yasmin Farida , Zhang Hengyou , Leamy Larry , Wang Baosheng , Winnike Jason , Reid Robert W. , Brouwer Cory R. , Song Bao-Hua
Published: February 2024

Glyceollins, a family of phytoalexins elicited in legume species, play crucial roles in environmental stress response (e.g., defending against pathogens) and human health. However, little is known about the genetic basis of glyceollin elicitation. In the present study, we employed a metabolite-based genome-wide association (mGWA) approach to identify candidate genes involved in glyceollin elicitation in genetically diverse and understudied wild soybeans subjected to soybean cyst nematode. In total, eight SNPs on chromosomes 3, 9, 13, 15, and 20 showed significant associations with glyceollin elicitation. Six genes fell into two gene clusters that encode glycosyltransferases in the phenylpropanoid pathway and were physically close to one of the significant SNPs (ss715603454) on chromosome 9. Additionally, transcription factors (TFs) genes such as MYB and WRKY were also found as promising candidate genes within close linkage to significant SNPs on chromosome 9. Notably, four significant SNPs on chromosome 9 show epistasis and a strong signal for selection. The findings describe the genetic foundation of glyceollin biosynthesis in wild soybeans; the identified genes are predicted to play a significant role in glyceollin elicitation regulation in wild soybeans. Additionally, how the epistatic interactions and selection influence glyceollin variation in natural populations deserves further investigation to elucidate the molecular mechanism of glyceollin biosynthesis.
Enhancing drought tolerance in cauliflower (Brassica oleracea var. botrytis) by targeting LFY transcription factor modulation via the ethylene precursor, ACCA: an innovative computational approach
Authors: Debnath Sandip , Elgorban Abdallah M. , Bahkali Ali H. , Eswaramoorthy Rajalakshmanan , Verma Meenakshi , Syed Asad , Subramaniyan Vetriselvan , Kamaraj Chinnaperumal , Wong Ling Shing , Kumarasamy Vinoth
Published: February 2024

Background

Brassica oleracea var. botrytis is an annual or biennial herbaceous vegetable plant in the Brassicaceae family notable for its edible blossom head. A lot of effort has gone into finding defense-associated proteins in order to better understand how cauliflower and pathogens interact. Endophytes are organisms that live within the host plant and reproduce. Endophytes are bacteria and fungi that reside in plant tissues and can either help or harm the plant. Several species have aided molecular biologists and plant biotechnologists in various ways. Water is essential for a healthy cauliflower bloom. When the weather is hot, this plant dries up, and nitrogen scarcity can be detrimental to cauliflower growth.

Objective

The study sought to discern plant growth promoting (PGP) compounds that can amplify drought resilience and boost productivity in cauliflower.

Methods

Investigations were centered on endophytes, microorganisms existing within plant tissues. The dual role of beneficial and detrimental Agrobacterium was scrutinized, particularly emphasizing the ethylene precursor compound, 1-amino-cyclopropane-1-carboxylic acid (ACCA).

Results

ACCA possessed salient PGP traits, particularly demonstrating a pronounced enhancement of drought resistance in cauliflower plants. Specifically, during the pivotal marketable curd maturity phase, which necessitates defense against various threats, ACCA showcased a binding energy of −8.74 kcal/mol.

Conclusion

ACCA holds a significant promise in agricultural productivity, with its potential to boost drought resistance and cauliflower yield. This could be particularly impactful for regions grappling with high temperatures and possible nitrogen shortages. Future research should explore ACCA’s performance under diverse environmental settings and its applicability in other crops.
The influence of experience and modality of presentation (online vs. offline) on hypnotizability
Authors: Rasch Björn , Cordi Maren Jasmin
Published: February 2024

Introduction

Hypnotizability is conceptualized as a stable personality trait describing the ability to respond to suggestions given under hypnosis. Hypnotizability is a key factor in explaining variance in the effects of hypnotic suggestions on behavior and neural correlates, revealing robust changes mostly in high hypnotizable participants. However, repeated experience and training have been discussed as possible ways to increase willingness, motivation, and ability to follow hypnotic suggestions, although their direct influence on hypnotizability are still unclear. Additionally, it is important whether hypnotizability can be assessed reliably online.

Methods

We investigated the influence of the degree of experience with hypnosis and the presentation mode (online versus live) on the stability of hypnotizability in two groups of 77 and 102 young, healthy students, respectively. The first group was tested twice with the Harvard Group Scale of Hypnotic Susceptibility (HGSHS) after two weeks. During this period, participants either repeatedly listened to a hypnosis or trained on a progressive muscle relaxation or served as waitlist control group. In the secondgroup, participants performed both an online or offline version of the HGSHS, with varying time intervals (1–6 weeks).

Results

Contrary to our expectations, hypnotizability declined from the first to second assessment in the first group. The reductionwas most prominent in initially highly hypnotizable subjects and independent of the experience intervention. We observed a similar reduction of hypnotizability in the second group, independent of presentation modality. The reduction was again driven by initially highly hypnotizable subjects, while the scores of low hypnotizable subjects remained stable. The presentation modality (online vs. offline) did not influence HGSHS scores, but the test–retest reliability was low to moderate (rtt = 0.44).

Discussion

Our results favor the conclusion that generally, hypnotizability is a relatively stable personality trait which shows no major influence of preexperience or modality of assessment. However, particularly highly hypnotizable subjects are likely to experience a decline in hypnotizability in a retest. The role of the concrete assessment tool, psychological factors, and interval length are discussed. Future studies should replicate the experiments in a clinical sample which might have higher intrinsic motivation of increasing responsiveness toward hypnotic interventions or be more sensitive to presentation mode.
Effects of short-term exercise and endurance training on skeletal muscle mitochondria damage induced by particular matter, atmospherically relevant artificial PM2.5
Authors: Liu Wenduo , Wang Zilin , Gu Yu , So Han-Sol , Kook Sung-Ho , Park Yoonjung , Kim Sang Hyun
Published: February 2024

Introduction

This study aimed to investigate the potential of short-term aerobic exercise to mitigate skeletal muscle mitochondrial damage following ambient PM2.5 exposure, and how 12 weeks of endurance training can enhance aerobic fitness to protect against such damage.

Methods

Twenty-four male C57BL/6 J mice were split into sedentary (SED, n = 12) and endurance training (ETR, n = 12) groups. The ETR group underwent 12 weeks of training (10–15 m/min, 60 min/day, 4 times/week), confirmed by an Endurance Exercise Capacity (EEC) test. Post-initial training, the SED group was further divided into SSED (SED and sedentary, n = 6) and SPE (SED and PM2.5 + Exercise, n = 6). Similarly, the ETR group was divided into EEX (ETR and Exercise, n = 6) and EPE (ETR and PM2.5 + Exercise, n = 6). These groups underwent 1 week of atmospherically relevant artificial PM2.5 exposure and treadmill running (3 times/week). Following treatments, an EEC test was conducted, and mice were sacrificed for blood and skeletal muscle extraction. Blood samples were analyzed for oxidative stress indicators, while skeletal muscles were assessed for mitochondrial oxidative metabolism, antioxidant capacity, and mitochondrial damage using western blot and transmission electron microscopy (TEM).

Results

After 12 weeks of endurance training, the EEC significantly increased (p < 0.000) in the ETR group compared to the SED group. Following a one-week comparison among the four groups with atmospherically relevant artificial PM2.5 exposure and exercise treatment post-endurance training, the EEX group showed improvements in EEC, oxidative metabolism, mitochondrial dynamics, and antioxidant functions. Conversely, these factors decreased in the EPE group compared to the EEX. Additionally, within the SPE group, exercise effects were evident in HK2, LDH, SOD2, and GPX4, while no impact of short-term exercise was observed in all other factors. TEM images revealed no evidence of mitochondrial damage in both the SED and EEX groups, while the majority of mitochondria were damaged in the SPE group. The EPE group also exhibited damaged mitochondria, although significantly less than the SPE group.

Conclusion

Atmospherically relevant artificial PM2.5 exposure can elevate oxidative stress, potentially disrupting the benefits of short-term endurance exercise and leading to mitochondrial damage. Nonetheless, increased aerobic fitness through endurance training can mitigate PM2.5-induced mitochondrial damage.
Barriers and facilitators to feeling safe for inpatients: a model based on a qualitative meta-synthesis
Authors: Yan Lupei , Liu Li , Wang Fang , Zhao Fanyu , Hu Xiuying
Published: February 2024

Objectives

To review and synthesize qualitative research exploring patients’ safe experience and construct a model to present barriers and facilitators to feeling safe for inpatients.

Design

A qualitative met-synthesis.

Methods

We conducted a systematic electronic search of articles published in English with no date limitation across five databases (Ovid MEDLINE, EMBASE, Web of Science, CINAIL via EBSCO, and PsyINFO) in May 2023. Qualitative research focused on the safe experiences of inpatients was considered. Systematic searches yielded 8,132 studies, of which 16 articles were included. Two reviewers independently extracted and analyzed data. Qualitative meta-synthesis was performed through line-by-line coding of original texts, organizing codes into descriptive themes, and generating analytical themes.

Results

We identified four themes and 11 sub-themes. Across the four themes, control included a barrier (Uncertainty) and two facilitators (Patient participation and safe care); responsible included three facilitators (Confidence in the profession, care for, and responsive); dignity included two barriers (Privacy and Neglect); stability included a barrier (Potential risk), and two facilitators (Harmonious and safe culture). We constructed a model to present the logical connection between these themes and related barriers and facilitators.

Conclusion

Feeling safe for inpatients is a complex perception, including four themes: control, responsible, dignity, and stability. Surrounding four themes and related barriers and facilitators, we outline principles for creating a safe environment and present strategies for improving patients’ hospitalization experience and ensuring patient safety.

Clinical relevance

This review provides valuable insight into the clinical practice and health policy and helps medical staff to identify and overcome the potential barriers to implementing interventions in safe care. In addition, the model comprehensively describes the nature and dimensions of feeling safe, informing high-quality care service and related research.

Systematic review registration

Identifier, CRD42023435489.
Fact vs. fiction: naloxone in the treatment of opioid-induced respiratory depression in the current era of synthetic opioids
Authors: Dahan Albert , Franko Thomas S. , Carroll James W. , Craig David S. , Crow Callie , Galinkin Jeffrey L. , Garrity Justin C. , Peterson Joanne , Rausch David B.
Published: February 2024

Opioid-induced respiratory depression (OIRD) deaths are ~80,000 a year in the US and are a major public health issue. Approximately 90% of fatal opioid-related deaths are due to synthetic opioids such as fentanyl, most of which is illicitly manufactured and distributed either on its own or as an adulterant to other drugs of abuse such as cocaine or methamphetamine. Other potent opioids such as nitazenes are also increasingly present in the illicit drug supply, and xylazine, a veterinary tranquilizer, is a prevalent additive to opioids and other drugs of abuse. Naloxone is the main treatment used to reverse OIRD and is available as nasal sprays, prefilled naloxone injection devices, and generic naloxone for injection. An overdose needs to be treated as soon as possible to avoid death, and synthetic opioids such as fentanyl are up to 50 times more potent than heroin, so the availability of new, higher-dose, 5-mg prefilled injection or 8-mg intranasal spray naloxone preparations are important additions for emergency treatment of OIRDs, especially by lay people in the community. Higher naloxone doses are expected to reverse a synthetic overdose more rapidly and the current formulations are ideal for use by untrained lay people in the community. There are potential concerns about severe withdrawal symptoms, or pulmonary edema from treatment with high-dose naloxone. However, from the perspective of first responders, the balance of risks would point to administration of naloxone at the dose required to combat the overdose where the risk of death is very high. The presence of xylazines as an adulterant complicates the treatment of OIRDs, as naloxone is probably ineffective, although it will reverse the respiratory depression due to the opioid. For these patients, hospitalization is particularly vital. Education about the benefits of naloxone remains important not only in informing people about how to treat emergency OIRDs but also how to obtain naloxone. A call to emergency services is also essential after administering naloxone because, although the patient may revive, they may overdose again later because of the short half-life of naloxone and the long-lasting potency of fentanyl and its analogs.
Smart match: revolutionizing organ allocation through artificial intelligence
Authors: Deshpande Rajkiran
Published: February 2024

In this transformative era of organ transplantation, integrating Smart Match and artificial intelligence (AI) emerges as a pivotal advancement, revolutionizing organ allocation processes. Smart Match employs AI algorithms, enhancing organ matching precision and optimizing transplantation outcomes. Leveraging machine learning addresses complexities in donor-recipient pairing, immunosuppression management, and post-operative care, promising to minimize waitlist mortality and improve patient wellbeing. The multifaceted potential of Smart Match lies in its ability to not only streamline current practices but also pave the way for future innovations in solid organ transplantation. As technology continues to evolve, the collaboration between Smart Match and AI exemplifies a beacon of progress, promising increased efficiency, equitable organ distribution, and improved patient care. This article delves into the paradigm shift facilitated by Smart Match and AI, emphasizing their transformative impact on the landscape of organ allocation and patient outcomes.
Towards in-field assessment of humeral and scapular kinematics: a comparison between laboratory and field settings using inertial sensors
Authors: Lordall Jackson , Akinluyi Opeyemi Vincent , Lang Angelica E.
Published: February 2024

Introduction

Inertial measurement units allow for quantitative assessment of body motion in many environments. Determining the ability to measure upper limb motion with inertial measurement units, leveraging procedures traditionally used in the lab such as scapular calibration procedures and humeral axial rotation calculation, would expand the opportunities to assess upper limb function in externally valid environments. This study examined if humeral and scapular motion measured in different field settings is consistent with motion measured in a lab setting in similar tasks.

Methods

Twenty-eight adults participated in the study (14 field setting, 14 lab setting). Three different types of field settings were included: home (n = 5), work (n = 4), and sports (n = 5). Field participants were matched to lab participants based on sex and body height. All participants were equipped with five inertial and magnetic measurement units (Xsens Awinda, Xsens Technlogies, NL, Fs = 100 Hz) on the torso, humeri, and scapulae. Humeral and scapular angles were measured during a functional task protocol consisting of seven tasks. Data from all three field settings were combined. Statistical parametric mapping (α = .05) was used to assess differences in waveforms between the lab and field data.

Results and discussion

Five out of seven tasks displayed no differences for humeral elevation and humeral axial rotation, while scapular upward rotation and tilt were not statistically different for any tasks. Scapular internal rotation variability was very high for the field setting, but not for the lab setting. Task-based differences in humeral elevation and humeral axial rotation may be related to equipment modifications for the field protocol and between subjects' variability in task performance. Data indicate that humeral elevation, humeral axial rotation, and scapular upward rotation can be measured in externally valid field settings, which is promising for the evaluation of upper limb movement in natural environments.
A study of the impact of digital financial inclusion on multidimensional food security in China
Authors: Tan Yunshu , Cheng Qiuwang , Ren Xiaojin , Huang Xiang , Chen Qin , Zhang Qiuyi
Published: February 2024

With frequent occurrences of global public events, the prices of national grains continue to soar. As one of the countries with the largest populations globally, China has always regarded food security as a fundamental cornerstone of its development. However, with the continuous emergence of factors such as urbanization, scarcity of land resources, and climate change, China’s food security faces unprecedented challenges. Hence, this study empirically examines the impact of digital inclusive finance on multi-dimensional food security based on panel data from 30 provinces in China from 2011–2020. The research found that China’s multi-dimensional food security level from 2011–2020 showed a stable yet rising trend, with the spatial pattern of each location generally consistent with the overall trend. The Theil index for China’s multi-dimensional food security showed an upward trend from 2011–2020. Digital inclusive finance can promote multi-dimensional food security. The breadth of coverage and depth of use of digital inclusive finance have a significant promoting effect on safeguarding multi-dimensional food security, while the degree of digitization has not played a promoting role. Digital inclusive finance mainly ensures multi-dimensional food security through two pathways: promoting urbanization levels and enhancing marketization levels.
Evaluating postoperative recovery in uniportal versus needlescopic video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: a comparable study
Authors: Chuang Jen-Hao , Hsu Hsao-Hsun , Lin Mong-Wei , Huang Pei-Ming , Kuo Shuenn-Wen , Chen Ke-Cheng , Chen Jin-Shing
Published: February 2024

Objectives

Primary spontaneous pneumothorax (PSP) is a common disease in young and thin male. Operation has been regarded as definitive treatment for it. However, the operative methods for those patients are under dispute. This study aims to directly compare the outcomes of uniportal VATS vs. needlescopic VATS in the treatment of PSP, focusing on postoperative pain and safety outcomes.

Methods

From July 2013 to December 2017, the patients who underwent video-assisted thoracic surgery for pneumothorax in National Taiwan University Hospital were retrospectively collected. The preoperative condition, surgical results, and postoperative outcomes was analyzed.

Results

There were 60 patients undergoing needlescopic VATS and 91 undergoing uniportal VATS during the study period. There was no significant difference between the patients who underwent needlescopic VATS and those who underwent uniportal VATS in their demographic and clinical characteristics. The post-operative pain score was significantly lower in the uniportal VATS group compared to the needlescopic VATS group at day 1 (2.65 ± 1.59 vs. 1.74 ± 1.35, p = 0.001).

Conclusion

Uniportal VATS offers an effective, safe alternative for PSP treatment, with benefits including reduced post-operative pain. Our findings support the use of uniportal VATS, supplemented by a wound protector, as a viable option for PSP patients.
Setting clinically relevant thresholds for the notification of canine disease outbreaks to veterinary practitioners: an exploratory qualitative interview study
Authors: Tamayo Cuartero Carmen , Szilassy Eszter , Radford Alan D. , Newton J. Richard , Sánchez-Vizcaíno Fernando
Published: February 2024

Introduction

The Small Animal Veterinary Surveillance Network (SAVSNET) has developed mathematical models to analyse the veterinary practice and diagnostic laboratory data to detect genuine outbreaks of canine disease in the United Kingdom. There are, however, no validated methods available to establish the clinical relevance of these genuine statistical outbreaks before their formal investigation is conducted. This study aimed to gain an actionable understanding of a veterinary practitioner’s preferences regarding which outbreak scenarios have a substantial impact on veterinary practice for six priority canine diseases in the United Kingdom.

Methodology

An intensity sampling approach was followed to recruit veterinary practitioners according to their years of experience and the size of their practice. In-depth semi-structured and structured interviews were conducted to describe an outbreak notification and outbreak response thresholds for six canine endemic diseases, exotic diseases, and syndromes. These thresholds reflected participants’ preferred balance between the levels of excess case incidence and predictive certainty of the detection system. Interviews were transcribed, and a thematic analysis was performed using NVivo 12.

Results

Seven interviews were completed. The findings indicate higher preferred levels of predictive certainty for endemic diseases than for exotic diseases, ranging from 95 to 99% and 80 to 90%, respectively. The levels of excess case incidence were considered clinically relevant at values representing an increase of two to four times in the normal case incidence expectancy for endemic agents, such as parvovirus, and where they indicated a single case in the practice’s catchment area for exotic diseases such as leishmaniosis and babesiosis.

Conclusion

This study’s innovative methodology uses veterinary practitioners’ opinions to inform the selection of a notification threshold value in real-world applications of stochastic canine outbreak detection models. The clinically relevant thresholds derived from participants’ needs will be used by SAVSNET to inform its outbreak detection system and to improve its response to canine disease outbreaks in the United Kingdom.
A comparison between veterinary small animal general practitioners and emergency practitioners in Australia. Part 2: client-related, work-related, and personal burnout
Authors: Li Kun , Mooney Erin , McArthur Michelle , Hall Evelyn , Quain Anne
Published: February 2024

Burnout is reported to be common among veterinarians. However, there is limited research investigating the relationship between specific types of veterinary practice and burnout. A previous study found significant differences in work exposures between veterinary general practitioners (GPs) and emergency practitioners (EPs). The primary aim of this study was to investigate whether Australian veterinary EPs suffer from a higher level of burnout compared to veterinary GPs. The secondary aim of this study was to explore if the previously reported differences between GP and EP groups were positively associated with burnout. An anonymous, online survey incorporating the Copenhagen Burnout Inventory (CBI) was administered to veterinary GPs and EPs practicing in metropolitan regions of Australia. In total, 320 responses were analysed (n = 237, 74.2% GPs and n = 83, 25.9% EPs). Both groups suffered from moderate levels of burnout, but there were no significant differences in the severity of CBI burnout scores between the two groups. From the multivariable analysis four investigated factors were found to be significantly associated (p < 0.05) with the work-related CBI subscale: frequency of finishing work on time; adequate staffing; work satisfaction and seriously considering leaving their principal area of practice. Five factors were significantly associated (p < 0.05) with the client-related CBI subscale: position in practice; frequency of client adherence; work satisfaction; frequency of interacting with emotionally distressed clients and seriously considering leaving their principal area of practice. Four factors were significantly associated (p < 0.05) with the personal burnout CBI subscale: gender; seriously considering leaving their principal area of practice; frequency of interacting with emotionally distressed clients and the workplace environment. The total burnout score was also significantly associated (p < 0.05) with four factors: position in practice, workplace environment, appropriate staffing in the past week and client adherence. Future studies should focus on investigating effective strategies to mitigate these risk factors for both GPs and EPs, to reduce career attrition.
Evaluating the Use of Web-Based Technologies for Self-Management among Arabic-Speaking Immigrants Living with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Saudi Arabia
Authors: Althubyani Anwar , Tang Clarice , Thomas Jency , Gupta Sabrina
Published: February 2024

This study aimed to investigate the use of and willingness to adopt web-based technology for self-management of type 2 diabetes among Arabic-speaking immigrants in Saudi Arabia. Conducted in Taif in 2022, it involved participants with type 2 diabetes mellitus, utilizing a study-specific questionnaire to gather data on demographics, disease specifics, and attitudes towards using this technology for diabetes management. Out of the 109 individuals who responded, 91 completed the survey and reported accessing web-based technology and an average usage of two hours per day. The primary use was for social media (90.1%) and information searching (73.6%). The study found a high willingness to use web-based technology for dietary planning (85.7%), physical activity monitoring (94.5%), and communication with healthcare providers (93.41%). Notably, younger participants, those with higher education, and married individuals showed more inclination towards using such technology, as indicated by significant correlations (p < 0.001, CI = 0.03–0.38; p < 0.039, CI = 1.06–10.26; p = 0.024, CI = 1.23–19.74). Over half of the participants (56%) considered web-based technology beneficial for diabetes management, with many finding it time-saving (61.5%). In conclusion, a significant proportion of participants demonstrated a strong preference for integrating web-based technology into their diabetes self-management routines. This preference was particularly evident in key areas such as diet, physical activity, and glucose monitoring. These findings underscore the potential of web-based technologies in supporting effective diabetes management among Arabic-speaking immigrants, highlighting the need for targeted interventions that leverage these digital tools.
Bitcoin Money Laundering Detection via Subgraph Contrastive Learning
Authors: Ouyang Shiyu , Bai Qianlan , Feng Hui , Hu Bo
Published: February 2024

The rapid development of cryptocurrencies has led to an increasing severity of money laundering activities. In recent years, leveraging graph neural networks for cryptocurrency fraud detection has yielded promising results. However, many existing methods predominantly focus on node classification, i.e., detecting individual illicit transactions, rather than uncovering behavioral pattern differences among money laundering groups. In this paper, we tackle the challenges presented by the organized, heterogeneous, and noisy nature of Bitcoin money laundering. We propose a novel subgraph-based contrastive learning algorithm for heterogeneous graphs, named Bit-CHetG, to perform money laundering group detection. Specifically, we employ predefined metapaths to construct the homogeneous subgraphs of wallet addresses and transaction records from the address–transaction heterogeneous graph, enhancing our ability to capture heterogeneity. Subsequently, we utilize graph neural networks to separately extract the topological embedding representations of transaction subgraphs and associated address representations of transaction nodes. Lastly, supervised contrastive learning is introduced to reduce the effect of noise, which pulls together the transaction subgraphs with the same class while pushing apart the subgraphs with different classes. By conducting experiments on two real-world datasets with homogeneous and heterogeneous graphs, the Micro F1 Score of our proposed Bit-CHetG is improved by at least 5% compared to others.
Information Geometry Theoretic Measures for Characterizing Neural Information Processing from Simulated EEG Signals
Authors: Hua Jia-Chen , Kim Eun-jin , He Fei
Published: February 2024

In this work, we explore information geometry theoretic measures for characterizing neural information processing from EEG signals simulated by stochastic nonlinear coupled oscillator models for both healthy subjects and Alzheimer’s disease (AD) patients with both eyes-closed and eyes-open conditions. In particular, we employ information rates to quantify the time evolution of probability density functions of simulated EEG signals, and employ causal information rates to quantify one signal’s instantaneous influence on another signal’s information rate. These two measures help us find significant and interesting distinctions between healthy subjects and AD patients when they open or close their eyes. These distinctions may be further related to differences in neural information processing activities of the corresponding brain regions, and to differences in connectivities among these brain regions. Our results show that information rate and causal information rate are superior to their more traditional or established information-theoretic counterparts, i.e., differential entropy and transfer entropy, respectively. Since these novel, information geometry theoretic measures can be applied to experimental EEG signals in a model-free manner, and they are capable of quantifying non-stationary time-varying effects, nonlinearity, and non-Gaussian stochasticity presented in real-world EEG signals, we believe that they can form an important and powerful tool-set for both understanding neural information processing in the brain and the diagnosis of neurological disorders, such as Alzheimer’s disease as presented in this work.
No End in Sight; Assessing the Impact of Internet Gaming Disorder on Digital Eye Strain Symptoms and Academic Success
Authors: Floros Georgios D. , Glynatsis Mikes N. , Mylona Ioanna
Published: February 2024

Background: Internet Gaming Disorder (IGD) has been associated with symptoms of Digital Eye Strain (DES) and poor academic performance among adolescent students. The purpose of this study is to assess whether a student’s achievement of a specific academic goal within a short period of time can be directly predicted by symptoms of IGD and DES. Methods: This is a cross-sectional survey of 140 high school graduates who received an examination of visual acuity as a pre-requisite for entering the written admission examinations of law enforcement and military academies. The students completed the Digital Eye Strain Questionnaire (DESQ) and the Ten-Item Internet Gaming Disorder Test (IGDT-10) and stated their own evaluation of their chances for success. They were contacted following their admission examinations, and their success or failure to be admitted was recorded. Results: The students with IGD symptomatology were more likely to present with symptoms of DES. They were also more pessimistic about their chances of success in the subsequent written admission examinations; none succeeded, while the rest of the students recorded an expected rate of success. A combination of IGD and complaints related to the prolonged fixation of the upper body in a specific viewing position was the best predictor variable set for future success in admission examinations. Conclusions: IGD is associated with a failure to achieve academic success. Combining a factor for physical discomfort during prolonged sessions of gaming with the typical criteria for IGD may expand the predictive validity of the construct of gaming disorder.
AFL++: A Vulnerability Discovery and Reproduction Framework
Authors: He Guofeng , Xin Yichen , Cheng Xiuchuan , Yin Guangqiang
Published: February 2024

Directed greybox fuzzing can mainly be used for vulnerability mining and vulnerability replication. However, there are still some issues with existing directional fuzzing tools. One is that after providing problematic changes or patches, it is not possible to quickly target and discover the problem. Secondly, it is difficult to break through the magic byte path, making it difficult to mine deep vulnerabilities. This article proposes a new vulnerability mining and repair framework: American Fuzz Lop Plus (AFL++). Firstly, we utilize alias analysis to enhance inter-procedural control flow graphs and redefine the distance calculation formula to obtain more accurate distances. Secondly, the Newton interpolation method is used for the energy initialization of each seed to prevent test cases from being filtered out due to low energy. A heuristic energy scheduling algorithm is proposed to judiciously schedule the energy of seeds. During the path exploration phase, by adjusting the seed energy, shorter-distance seeds quickly reach the target; with increasing time, seeds tend to explore deeper paths. We then represent the symbolic distance by the number of instructions passed to reach the target and investigate the shortest path search strategy to achieve path pruning, alleviating the problem of path explosion. Finally, based on the above methods, we implement the AFL++ prototype system, integrating directed greybox fuzzing with symbolic execution technology for vulnerability discovery. By interleaving directed symbolic execution and directed greybox fuzzing, the efficiency of vulnerability discovery and reproduction is effectively enhanced.
The Mechanism of Elizabethkingia miricola Infection of the Black Spotted Frog as Revealed by Multi-Omics Analysis
Authors: Wei Qingcong , Wang Dan , Wei Kaijin , Xu Bin , Xu Jin
Published: February 2024

Elizabethkingia miricola (E. miricola) is a significant pathogen that causes the crooked head disease in black spotted frogs. This disease has plagued numerous frog farms in China and has resulted in substantial losses to the frog farming industry. Nonetheless, the exact mechanism that causes the disease in frogs remains unknown. In this study, transcriptomic and microbiomic analyses were conducted to analyze frog samples infected with E. miricola to reveal the infection mechanism of the pathogen. Liver transcriptomic analysis indicated that the livers of infected frogs had 1469 differentially expressed genes when compared with an uninfected group. These DEGs are mainly involved in immunity and metabolism, including neutrophil extracellular trap formation, the NOD-like receptor signaling pathway, leukocyte transendothelial migration, chemokine signaling pathway, Fc gamma R-mediated phagocytosis, and “metabolism”-related pathways such as the pentose phosphate pathway, carbon metabolism, glycerophospholipid metabolism, and glycerolipid metabolism. Similarly, 4737 DEGs were found in the kidney of infected frogs. These DEGs are mainly involved in immunity, including neutrophil extracellular trap formation, the NOD-like receptor signaling pathway, B cell receptor signaling pathway, C-type lectin receptor signaling pathway, complement and coagulation cascade, and Toll-like receptor signaling pathway. Ten immune-associated DEGs were screened in liver and kidney DEGs, respectively. And it was hypothesized that E. miricola infection could influence the host immune response. Microbiome analysis results showed that some opportunistic pathogens such as Citrobacter, Shigella, and Providencia were significantly elevated (p < 0.05) in infected frogs. Additionally, functional prediction confirmed that most of the microbiota in infected frogs were linked to metabolism-related KEGG pathways. In this study, the screened genes linked to immunity showed an association with the gut microbiome. The majority of these genes were found to be linked with the abundance of opportunistic pathogens. The results showed that E. miricola infection led to the downregulation of immune and metabolic-related genes, which led to the inhibition of immune function and metabolic disorder, and then increased the abundance of opportunistic pathogens in the gut microbiota. The findings of this study offer a preliminary foundation for comprehending the pathogenic processes of E. miricola infection in black spotted frogs.