bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Weight-Bearing on Tibiofemoral, Patellofemoral, and Patellar Tendon Kinematics in Older Adults
Authors: Kefala Vasiliki , Ali Azhar A. , Hamilton Landon D. , Mannen Erin M. , Shelburne Kevin B.
Published: April 2022

Quantification of natural knee kinematics is essential for the assessment of joint function in the diagnosis of pathologies. Combined measurements of tibiofemoral and patellofemoral joint kinematics are necessary because knee pathologies, such as progression of osteoarthritis and patellar instability, are a frequent concern in both articulations. Combined measurement of tibiofemoral and patellofemoral kinematics also enables calculation of important quantities, specifically patellar tendon angle, which partly determines the loading vector at the tibiofemoral joint and patellar tendon moment arm. The goals of this research were to measure the differences in tibiofemoral and patellofemoral kinematics, patellar tendon angle (PTA), and patellar tendon moment arm (PTMA) that occur during non-weight-bearing and weight-bearing activities in older adults. Methods: High-speed stereo radiography was used to measure the kinematics of the tibiofemoral and patellofemoral joints in subjects as they performed seated, non-weight-bearing knee extension and two weight-bearing activities: lunge and chair rise. PTA and PTMA were extracted from the subject’s patellofemoral and tibiofemoral kinematics. Kinematics and the root mean square difference (RMSD) between non-weight-bearing and weight-bearing activities were compared across subjects and activities. Results: Internal rotation increased with weight-bearing (mean RMSD from knee extension was 4.2 ± 2.4° for lunge and 3.6 ± 1.8° for chair rise), and anterior translation was also greater (mean RMSD from knee extension was 2.2 ± 1.2 mm for lunge and 2.3 ± 1.4 mm for chair rise). Patellar tilt and medial–lateral translation changed from non-weight-bearing to weight-bearing. Changes of the patellar tendon from non-weight-bearing to weight-bearing were significant only for PTMA. Conclusions: While weight-bearing elicited changes in knee kinematics, in most degrees of freedoms, these differences were exceeded by intersubject differences. These results provide comparative kinematics for the evaluation of knee pathology and treatment in older adults.
Three Characteristics of Cheetah Galloping Improve Running Performance Through Spinal Movement: A Modeling Study
Authors: Kamimura Tomoya , Sato Kaho , Aoi Shinya , Higurashi Yasuo , Wada Naomi , Tsuchiya Kazuo , Sano Akihito , Matsuno Fumitoshi
Published: April 2022

Cheetahs are the fastest land animal. Their galloping shows three characteristics: small vertical movement of their center of mass, small whole-body pitching movement, and large spine bending movement. We hypothesize that these characteristics lead to enhanced gait performance in cheetahs, including higher gait speed. In this study, we used a simple model with a spine joint and torsional spring, which emulate the body flexibility, to verify our hypothesis from a dynamic perspective. Specifically, we numerically searched periodic solutions and evaluated what extent each solution shows the three characteristics. We then evaluated the gait performance and found that the solutions with the characteristics achieve high performances. This result supports our hypothesis. Furthermore, we revealed the mechanism for the high performances through the dynamics of the spine movement. These findings extend the current understanding of the dynamic mechanisms underlying high-speed locomotion in cheetahs.
Triggering Immune System With Nanomaterials for Cancer Immunotherapy
Authors: Li Qiyan , Liu Yulin , Huang Zihua , Guo Yajie , Li Qingjiao
Published: April 2022

Cancer is a major cause of incidence rate and mortality worldwide. In recent years, cancer immunotherapy has made great progress in the preclinical and clinical treatment of advanced malignant tumors. However, cancer patients will have transient cancer suppression reaction and serious immune related adverse reactions when receiving immunotherapy. In recent years, nanoparticle-based immunotherapy, which can accurately deliver immunogens, activate antigen presenting cells (APCs) and effector cells, provides a new insight to solve the above problems. In this review, we discuss the research progress of nanomaterials in immunotherapy including nanoparticle-based delivery systems, nanoparticle-based photothermal and photodynamic immunotherapy, nanovaccines, nanoparticle-based T cell cancer immunotherapy and nanoparticle-based bacteria cancer immunotherapy. We also put forward the current challenges and prospects of immunomodulatory therapy.
An Injectable Platform of Engineered Cartilage Gel and Gelatin Methacrylate to Promote Cartilage Regeneration
Authors: Xu Wei , Wang Tao , Wang Yahui , Wu Xiaodi , Chen Yujie , Song Daiying , Ci Zheng , Cao Yilin , Hua Yujie , Zhou Guangdong , Liu Yu
Published: April 2022

Cell–hydrogel constructs are frequently used as injectable platforms for irregular cartilage regeneration. However, cell–hydrogel constructs have obvious disadvantages, such as long culture times, high probability of infection, and poor cartilage formation capacity, significantly limiting their clinical translation. In this study, we aimed to develop a novel injectable platform comprising engineered cartilage gel (ECG) and gelatin methacrylate (GelMA) to improve cartilage regeneration. We first prepared an ECG by cutting the in vitro engineered cartilage sheet into pieces. The chondrocytes and ECG were evenly encapsulated into GelMA to form Cell-GelMA and ECG-GelMA constructs. The ECG-GelMA construct exhibited preferred gel characteristics and superior biocompatibility compared with the Cell-GelMA construct counterpart. After subcutaneous implantation in nude mice and goat, both gross views and histological evaluations showed that the ECG-GelMA construct achieved more homogenous, stable, and mature cartilage regeneration than the Cell-GelMA construct. Immunological evaluations showed that ECG-GelMA had a mitigatory immunologic reaction than the Cell-GelMA construct. Overall, the results suggest that the ECG-GelMA is a promising injectable platform for cartilage regeneration that may advance clinical translation.
CCN2/CTGF—A Modulator of the Optic Nerve Head Astrocyte
Authors: Dillinger Andrea E. , Weber Gregor R. , Mayer Matthias , Schneider Magdalena , Göppner Corinna , Ohlmann Andreas , Shamonin Mikhail , Monkman Gareth J. , Fuchshofer Rudolf
Published: April 2022

In primary open-angle glaucoma (POAG), a neurodegenerative disease of the optic nerve (ON) and leading cause of blindness, the optic nerve head (ONH) undergoes marked structural extracellular matrix (ECM) changes, which contribute to its permanent deformation and to degeneration of ON axons. The remodeling process of the ECM causes changes in the biomechanical properties of the ONH and the peripapillary sclera, which is accompanied by an increased reactivity of the resident astrocytes. The molecular factors involved in the remodeling process belong to the Transforming growth factor (TGF)-β superfamily, especially TGF-β2. In previous publications we showed that TGF-β2 induced ECM alterations are mediated by Cellular Communication Network Factor (CCN)2/Connective Tissue Growth Factor (CTGF) and recently we showed that CCN2/CTGF is expressed by astrocytes of the ON under normal conditions. In this study we wanted to get a better understanding of the function of CCN2/CTGF under normal and pathologic conditions. To this end, we analyzed the glial lamina and peripapillary sclera of CCN2/CTGF overexpressing mice and studied the effect of CCN2/CTGF and increasing substratum stiffness on murine ON astrocytes in vitro. We observed enhanced astrocyte reactivity in the ONH, increased ECM protein synthesis in the peripapillary sclera and increased Ccn2/Ctgf expression in the ONH during the pathologic development in situ. CCN2/CTGF treatment of primary murine ON astrocytes induced a higher migration rate, and increase of ECM proteins including fibronectin, elastin and collagen type III. Furthermore, the astrocytes responded to stiffer substratum with increased glial fibrillary acidic protein, vimentin, actin and CCN2/CTGF synthesis. Finally, we observed the reinforced appearance of CCN2/CTGF in the lamina cribrosa of glaucomatous patients. We conclude that reactive changes in ONH astrocytes, induced by the altered biomechanical characteristics of the region, give rise to a self-amplifying process that includes increased TGF-β2/CCN2/CTGF signaling and leads to the synthesis of ECM molecules and cytoskeleton proteins, a process that in turn augments the stiffness at the ONH. Such a scenario may finally result in a vicious circle in the pathogenesis of POAG. The transgenic CTGF-overexpressing mouse model might be an optimal model to study the chronic pathological POAG changes in the ONH.
Patterning and Development of Photoreceptors in the Human Retina
Authors: Hussey Katarzyna A. , Hadyniak Sarah E. , Johnston Robert J.
Published: April 2022

Humans rely on visual cues to navigate the world around them. Vision begins with the detection of light by photoreceptor cells in the retina, a light-sensitive tissue located at the back of the eye. Photoreceptor types are defined by morphology, gene expression, light sensitivity, and function. Rod photoreceptors function in low-light vision and motion detection, and cone photoreceptors are responsible for high-acuity daytime and trichromatic color vision. In this review, we discuss the generation, development, and patterning of photoreceptors in the human retina. We describe our current understanding of how photoreceptors are patterned in concentric regions. We conclude with insights into mechanisms of photoreceptor differentiation drawn from studies of model organisms and human retinal organoids.
A Review of Recent Advances in Spent Coffee Grounds Upcycle Technologies and Practices
Authors: Johnson Kevin , Liu Yang , Lu Mingming
Published: April 2022

Coffee is the world’s second largest beverage only next to water. After coffee consumption, spent coffee grounds (SCGs) are usually thrown away and eventually end up in landfills. In recent years, technologies and policies are actively under development to change this century old practice, and develop SCGs into value added energy and materials. In this paper, technologies and practices are classified into two categories, those reuses SCGs entirely, and those breakdown SCGs and reuse by components. This article provided a brief review of various ways to reuse SCGs published after 2017, and provided more information on SCG quantity, SCG biochar development for pollutant removal and using SCG upcycle cases for education. SCG upcycle efforts align the best with the UN Sustainable Development Goals (SDG) #12 “ensure sustainable consumption and production patterns,” the resultant fuel products contribute to SDG #7 “affordable and clean energy,” and the resultant biochar products contribute to SDG #6, “clean water and sanitation.”
Enhanced Heterogeneous Fenton Degradation of Organic Pollutants by CRC/Fe3O4 Catalyst at Neutral pH
Authors: Wang Chuan , Jiang Rui , Yang Jingxin , Wang Pingshan
Published: April 2022

Fe3O4-based heterogeneous Fenton catalysts have been widely employed for degrading organic pollutants, however it is challenging to use them in highly efficient and recyclable application in wastewater treatment. In this work, carboxylate-rich carbon (CRC)-modified Fe3O4 magnetic particles are prepared by the sol-gel self-combustion method, where CRC is obtained from the carbonization of sodium gluconate. The CRC/Fe3O4 catalyst exhibits high heterogeneous Fenton degradation performance. The complete 10 mg L−1 methylene blue (MB) removal is achieved in 180 min under conditions of 10 mM H2O2 and 1.00 g of L−1 CRC/Fe3O4 at neutral pH. After five cycles, the structure and morphology of CRC/Fe3O4 composites remained unchanged and the catalytic activity also remained unaltered. Moreover, phenol, benzoic acid (BA), sulfamethazine (SMT), and tetracycline (TC) were also degraded in the heterogeneous Fenton reaction using CRC/Fe3O4 as a catalyst. The strong coordinating ability of –COOH/ –COO– functionalities of CRC formed strong bonds with Fe(II/III) ions on the surfaces of Fe3O4 particles, which was conducive to adsorption of organic matter on the surface of the catalyst and promoted the occurrence of heterogeneous Fenton reactions. It was found that CRC/Fe3O4 had higher removal rates for the adsorptive exclusions of pollutants, such as TC and MB, whereas there were lower removal rates for phenol, BA, and SMT. This work brings potential insights for development of a novel adsorption-enhanced heterogeneous Fenton reaction for wastewater treatment.
Impacts of MicroRNAs Induced by the Gut Microbiome on Regulating the Development of Colorectal Cancer
Authors: Xing Juan , Liao Yiqun , Zhang Huan , Zhang Wenjie , Zhang Zhilin , Zhang Jie , Wang Daorong , Tang Dong
Published: April 2022

Although a dysfunctional gut microbiome is strongly linked to colorectal cancer (CRC), our knowledge of the mediators between CRC and the microbiome is limited. MicroRNAs (miRNAs) affect critical cellular processes, such as apoptosis, proliferation, and differentiation, and contribute to the regulation of CRC progression. Increasingly, studies found that miRNAs can significantly mediate bidirectional interactions between the host and the microbiome. Notably, miRNA expression is regulated by the gut microbiome, which subsequently affects the host transcriptome, thereby influencing the development of CRC. This study typically focuses on the specific functions of the microbiome in CRC and their effect on CRC-related miRNA production and reviews the role of several bacteria on miRNA, including Fusobacterium nucleatum, Escherichia coli, enterotoxigenic Bacteroides fragilis, and Faecalibacterium prausnitzii. Based on the important roles of miRNAs and the gut microbiome in CRC, strategies for modulating miRNA expression and regulating the gut microbiome composition need to be applied, such as bioactive dietary components and fecal microorganism transplantation.
Synergy Between Pseudomonas aeruginosa Filtrates And Voriconazole Against Aspergillus fumigatus Biofilm Is Less for Mucoid Isolates From Persons With Cystic Fibrosis
Authors: Sass Gabriele , Marsh Julianne J. , Shrestha Pallabi , Sabino Raquel , Stevens David A.
Published: April 2022

Persons with cystic fibrosis (CF) frequently suffer from Pseudomonas aeruginosa and Aspergillus fumigatus co-infections. There is evidence that co-infections with these interacting pathogens cause airway inflammation and aggravate deterioration of lung function. We recently showed that P. aeruginosa laboratory isolates synergistically interact with the anti-fungal azole voriconazole (VCZ), inhibiting biofilm metabolism of several A. fumigatus laboratory strains. Interaction was usually mediated via pyoverdine, but also via pyocyanin or pyochelin. Here we used planktonic filtrates of 7 mucoid and 9 non-mucoid P. aeruginosa isolates from CF patients, as well as 8 isolates without CF origin, and found that all of these isolates interacted with VCZ synergistically at their IC50 as well as higher dilutions. CF mucoid isolates showed the weakest interactive effects. Four non-mucoid P. aeruginosa CF isolates produced no or very low levels of pyoverdine and did not reach an IC50 against forming A. fumigatus biofilm; interaction with VCZ still was synergistic. A VCZ-resistant A. fumigatus strain showed the same level of susceptibility for P. aeruginosa anti-fungal activity as a VCZ-susceptible reference strain. Filtrates of most Pseudomonas isolates were able to increase anti-fungal activity of VCZ on a susceptible A. fumigatus strain. This was also possible for the VCZ-resistant strain. In summary these data show that clinical P. aeruginosa isolates, at varying degrees, synergistically interact with VCZ, and that pyoverdine is not the only molecule responsible. These data also strengthen the idea that during co-infections of A. fumigatus and P. aeruginosa lower concentrations of VCZ might be sufficient to control fungal growth.
12-Month Post-Discharge Liver Function Test Abnormalities Among Patients With COVID-19: A Single-Center Prospective Cohort Study
Authors: Liao Xuejiao , Li Dapeng , Ma Zhenghua , Zhang Lina , Zheng Baoqi , Li Zhiyan , Li Guobao , Liu Lei , Zhang Zheng
Published: April 2022

Objective

The longitudinal effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on the liver are unknown. This study aimed to characterize dynamic changes in liver function test abnormalities in patients with COVID-19 at the acute phase and recovery phase.

Methods

A prospective cohort study involved patients with COVID-19 who were admitted to Shenzhen Third People’s Hospital between January 11, 2020, and April 27, 2020. Patients underwent liver function tests at hospitalization and at the outpatient visit at the 1-month, 3-month, 6-month, and 12-month follow-ups.

Results

Among 461 patients, 28.4% of patients had any kind of liver function tests abnormality at admission, manifested as elevated ALT (13.0%), AST (17.6%), and GGT (15.8%) levels. The trajectory analysis indicated a marked improvement in liver function after discharge, with any kind of liver function test abnormalities of 25.1% at 1 month, 13.2% at 3 months, 16.7% at 6 months, and 13.2% at 12 months after discharge. Persistent liver function abnormalities were observed in patients with pre-existing conditions during follow-up. A significantly higher prevalence of ultrasound determined fatty liver disease was found in those patients with more frequent LFT abnormalities at follow-up.

Conclusion

In this study of patients with COVID-19, liver damage in COVID-19 was usually temporary and could return to normal at the end of the 12-month follow-up.
Integration of DNA Repair, Antigenic Variation, Cytoadhesion, and Chance in Babesia Survival: A Perspective
Authors: Allred David R.
Published: April 2022

Apicomplexan parasites live in hostile environments in which they are challenged chemically and their hosts attempt in many ways to kill them. In response, the parasites have evolved multiple mechanisms that take advantage of these challenges to enhance their survival. Perhaps the most impressive example is the evolutionary co-option of DNA repair mechanisms by the parasites as a means to rapidly manipulate the structure, antigenicity, and expression of the products of specific multigene families. The purpose of variant proteins that mediate cytoadhesion has long been thought to be primarily the avoidance of splenic clearance. Based upon known biology, I present an alternative perspective in which it is survival of the oxidative environment within which Babesia spp. parasites live that has driven integration of DNA repair, antigenic variation, and cytoadhesion, and speculate on how genome organization affects that integration. This perspective has ramifications for the development of parasite control strategies.
Adapting Technology Learning Curves for Prospective Techno-Economic and Life Cycle Assessments of Emerging Carbon Capture and Utilization Pathways
Authors: Faber Grant , Ruttinger Andrew , Strunge Till , Langhorst Tim , Zimmermann Arno , van der Hulst Mitchell , Bensebaa Farid , Moni Sheikh , Tao Ling
Published: April 2022

Comparisons of emerging carbon capture and utilization (CCU) technologies with equivalent incumbent technologies are necessary to support technology developers and to help policy-makers design appropriate long-term incentives to mitigate climate change through the deployment of CCU. In particular, early-stage CCU technologies must prove their economic viability and environmental reduction potential compared to already-deployed technologies. These comparisons can be misleading, as emerging technologies typically experience a drastic increase in performance and decrease in cost and greenhouse gas emissions as they develop from research to mass-market deployment due to various forms of learning. These changes complicate the interpretation of early techno-economic assessments (TEAs) and life cycle assessments (LCAs) of emerging CCU technologies. The effects of learning over time or cumulative production themselves can be quantitatively described using technology learning curves (TLCs). While learning curve approaches have been developed for various technologies, a harmonized methodology for using TLCs in TEA and LCA for CCU in particular is required. To address this, we describe a methodology that incorporates TLCs into TEA and LCA to forecast the environmental and economic performance of emerging CCU technologies. This methodology is based on both an evaluation of the state of the art of learning curve assessment and a literature review of TLC approaches developed in various manufacturing and energy generation sectors. Additionally, we demonstrate how to implement this methodology using a case study on a CO2 mineralization pathway. Finally, commentary is provided on how researchers, technology developers, and LCA and TEA practitioners can advance the use of TLCs to allow for consistent, high-resolution modeling of technological learning for CCU going forward and enable holistic assessments and fairer comparisons with other climate technologies.
Impacts of Interannual Variations of Chlorophyll on Seasonal Predictions of the Tropical Pacific
Authors: Doi Takeshi , Behera Swadhin
Published: April 2022

In this study, we explored impacts of interannual variations of chlorophyll on seasonal predictions of the tropical Pacific by the SINTEX-F2 dynamical climate prediction system, which is highly skillful at predicting El Niño/Southern Oscillation (ENSO) and other tropical climate phenomena. We conducted twin re-forecast experiments; one system used the observed climatology of chlorophyll to compute the shortwave absorption in the upper ocean, while the other used the observed chlorophyll with year-to-year variations. Although the chlorophyll impacts on predictions of the Niño 3.4 index were limited, improvements are noticed in the predictions of sea surface temperature over the eastern edge of the Western Pacific Warm Pool. This region corresponds to the separation between warm, low-salinity waters of the warm Pool and cold, high-salinity upwelled waters of the Pacific cold tongue in the central-eastern equatorial Pacific. The improvement was very striking in the 2015 case, when a super El Nino occurred.
Identification of HMOX1 as a Critical Ferroptosis-Related Gene in Atherosclerosis
Authors: Wu Daiqian , Hu Qian , Wang Yuqing , Jin Mengying , Tao Ziqi , Wan Jing
Published: April 2022

Ferroptosis is a novel form of programmed iron-dependent cell death. The ferroptosis-related genes (FRGs) have been recognized as biomarkers for cancers. Increasing evidence has indicated that ferroptosis is involved in the process of atherosclerosis. However, the potential FRGs used for the diagnosis, prognosis and therapy for atherosclerosis are still unclear. We aimed to identify the ferroptosis-related differentially expressed genes (DEGs) of atherosclerosis. We downloaded the mRNA-sequencing data of patients with atherosclerosis from the Gene Expression Omnibus (GEO) database. HMOX1 was identified as an essential ferroptosis-related DEG by bioinformatic analysis of the GSE28829 and GSE43292 datasets. The pro-ferroptotic effect of HMOX1 was validated through cell experiments. Then we conducted a single-gene analysis of HMOX1 and found that high-expression of HMOX1 in atherosclerotic plaques was accompanied by matrix metalloproteinases (MMPs) producing and M0 macrophages infiltration. Taken together, our present study suggested HMOX1 as a potential diagnostic biomarker for atherosclerosis and provided more evidence about the vital role of ferroptosis in atherosclerosis progression.
Comparison of Risk of Target Organ Damage in Different Phenotypes of Arterial Stiffness and Central Aortic Blood Pressure
Authors: Bai Yaya , Wang Qian , Cheng Di , Hu Yueliang , Chao Huijuan , Avolio Alberto , Tang Biwen , Zuo Junli
Published: April 2022

Objectives

The aim of this study was to explore the risk of target organ damage (TOD) in different groups based on carotid-femoral pulse wave velocity (cfPWV) and central aortic blood pressure (CBP) in different populations.

Methods

The study cohort was divided into four groups according to the status of cfPWV and CBP [Group (cfPWV/CBP): high cfPWV and high CBP; Group (cfPWV): high cfPWV and normal CBP; Group (CBP): normal cfPWV and high CBP; Group (control): normal cfPWV and normal CBP]. TOD was determined by the assessment of carotid intima-media thickness (CIMT) abnormality, chronic kidney disease (CKD), microalbuminuria, and left ventricular hypertrophy (LVH).

Results

A total of 1,280 patients (mean age 53.14 ± 12.76 years, 64.1% male patients) were recruited in this study. Regarding Group (control) as reference, LVH was significantly higher in Group (cfPWV) and Group (CBP) [OR 2.406, 95% CI (1.301–4.452), P < 0.05; OR 2.007, 95% CI (1.335–3.017), P < 0.05]; microalbuminuria was significantly higher in Group (cfPWV/CBP) and Group (CBP) [OR 3.219, 95% CI (1.630–6.359), P < 0.05; OR 3.156, 95% CI (1.961–5.079), P < 0.05]. With age stratified by 60 years, the risk of CKD was significantly higher in Group (cfPWV/CBP) [OR 4.019, 95% CI (1.439–11.229), P < 0.05].

Conclusion

Different phenotypes based on the status of cfPWV and CBP were associated with different TOD. Individuals with both cfPWV and CBP elevated have a higher risk of microalbuminuria.
Testosterone Level Reduction Increases the 10-Year Risk of Cardiovascular Diseases: A Retrospective Cohort Study in a Taiwanese Young Male Population
Authors: Yang Han-Hsuan , Tu Shih-Kai , Chen Hsin-Hung , Hung Chia-Lien , Kuo Chia-Wen , Tsan Yu-Tse , Chu Wei-Min , Lee Meng-Chih , Liao Chun-Cheng
Published: April 2022

Low testosterone levels are associated with increased risk of cardiovascular disease; however, most previous studies assessed the relationship of testosterone levels with a history of cardiovascular (CV) events rather than with CV risk prediction scores consequently neglecting the effect of testosterone on CV risk in healthy young individuals. The aim of this study was to investigate the relationship between testosterone levels and predict the 10-year risk of cardiovascular disease. This retrospective cohort study was conducted through a large medical health examination system in four metropolises in Taiwan. Two risk scores were used to predict the 10-year cardiovascular risk of participants: the Framingham Risk Score (FRS) (2008) and the Atherosclerotic Cardiovascular Disease (ASCVD) Risk Estimator (2013). Multivariate-adjusted logistic regression was used to calculate odds ratios (ORs) for the correlation of testosterone level reduction with the increase in predicted CV risk. We used the MJ Health Research Foundation database to collect reports of 125,414 individuals who underwent medical checkups between 2007 and 2016. The final sample size included 1,253 male participants. A reduction in testosterone level between two subsequent medical checkups was associated with higher CV risk estimated by the FRS and ASCVD Risk Estimator in young participants aged 30–49 years (OR = 0.804, 95% CI: 0.711–0.909, p < 0.01 and OR = 0.841, 95% CI: 0.742–0.953, p < 0.01, respectively). Reduction in total testosterone levels increases CV risk in men aged 30 to 49 years, while the CV risk is not influenced by low testosterone levels at baseline.
Age-Related Differences for Cardiorespiratory Fitness Improvement in Patients Undergoing Cardiac Rehabilitation
Authors: Taylor Jenna L. , Medina-Inojosa Jose R. , Chacin-Suarez Audry , Smith Joshua R. , Squires Ray W. , Thomas Randal J. , Johnson Bruce D. , Olson Thomas P. , Bonikowske Amanda R.
Published: April 2022

Objective

We investigated age-related differences for peak oxygen uptake (peak VO2) improvement with exercise training during cardiac rehabilitation (CR).

Patients and Methods

This was a retrospective cohort study of the Mayo Clinic Rochester CR program including adult patients who attended CR (≥1 session) for any eligible indication between 1999 and 2017 and who had a cardiopulmonary exercise test pre and post CR with VO2 data (peak respiratory exchange ratio ≥1.0). Younger (20–49 yrs), midlife (50–64 yrs), and older adults (≥65 yrs) were compared using ANOVA for delta and percent change in peak VO2; and percentage of peak VO2 responders (>0% change).

Results

708 patients (age: 60.8 ± 12.1 years; 24% female) met inclusion criteria. Delta and percent change in peak VO2 was lower for older adults (1.6 ± 3.2 mL.kg.min−1; 12 ± 27%) compared with younger (3.7 ± 4.0 mL.kg.min−1, p < 0.001; 23 ± 28%, p = 0.002) and midlife adults (2.8 ± 3.8 mL.kg.min−1, p < 0.001; 17 ± 28%, p = 0.04). For midlife, delta change, but not percent change in peak VO2 was significantly lower (p = 0.02) compared with younger. Percentage of responders was only different between older and younger (72 vs. 86%; p = 0.008). Sensitivity analyses in non-surgical patients showed similar differences for delta change, and differences in percent change remained significant between older and younger adults (10 ± 20% vs. 16 ± 18%; p = 0.04).

Conclusions

In CR patients, older adults had lower improvement in cardiorespiratory fitness than younger and midlife adults. While excluding surgical patients reduced age-related differences, older adults still had lower cardiorespiratory fitness improvement during CR. These findings may have implications for individualizing CR programming in aging populations to reduce future cardiovascular risk.
Levels of Anxiety and Fear Related to Non-Surgical Root Canal Treatment Performed by Endodontic Residents and Endodontists
Authors: Alghofaily Maha , Alsalleeh Fahd
Published: April 2022

Objectives

Despite advances in endodontic treatment procedures, root canal treatment is still associated with anxiety and fear. This may cause care avoidance and subsequent oral complications due to untreated endodontic infections. Anxiety and fear levels in response to non-surgical root canal treatment performed by endodontic residents and endodontists were analyzed.

Methods

A descriptive, cross-sectional survey was conducted among patients visiting the endodontic clinics at the University Dental Hospital. The questions addressed the participant's demographics, previous root canal treatment visits, clinician's level of training, and post-treatment experience.

Results

Demographics play a role in anxiety and dental fear in root canal treatment. Men scored significantly lower in the high-anxiety category than women, and patients treated by endodontic residents expressed lower levels of anxiety. Post-treatment experience of an endodontist or endodontic resident was a significant factor in reducing dental fear and anxiety.

Conclusion

The level of anxiety and fear related to root canal experience of endodontists or endodontic residents is very low. Most of the patients expressed willingness to undergo further root canal treatment to save a tooth.
The Characteristics and Main Controlling Factors of the Upper Paleozoic Sandstone Reservoirs in Dongpu Depression, Bohai Bay Basin
Authors: Yu Jifeng , Zhao Xiangguang , Peng Jun , Yang Ziqun , Zhang Hongjun
Published: April 2022

Based on the existing core and logging data, as well as previous research achievements, various experimental data were obtained by means of thin section, casting thin section, scanning electron microscopy, X-ray diffraction analyses, and cathodoluminescence. These data were used for the purposes of examining the features, diagenetic characteristics, and diagenetic evolution sequences of the Upper Paleozoic reservoirs of the Dongpu Depression, and analyzing the main controlling factors. The research results showed that the reservoir lithology was mainly subarkose, sublitharenite, feldspathic litharenite, and lithic arkose. The reservoir was generally characterized by ultra-low porosity and ultra-low permeability, with low porosity and low permeability in some areas. The pore types mainly include primary intergranular residual pores, dissolution pores, intercrystalline micropores, and microfractures. The pore throats are small and the throat channels are poorly sorted. The diagenetic processes mainly include compaction, pressure dissolution, cementation, metasomatism, and dissolution features of the research area. The diagenetic stages were determined to be mainly the middle diagenetic stages (Stage A and Stage B). The delta distributary channel and distributary bay of the Upper and Lower Shihezi Formation, along with the river channel sub-facies of the Shiqianfeng Formation, were considered to be the strata with good reservoir conditions. Moreover, the sand grains are dominated by medium-to-good sorting properties, sub-roundness and sub-angular, which provided a good spatial basis for the development of the primary pores. The calcite and kaolinite in the interstitial materials were corroded, which played a constructive role in the generation of the secondary pores. The results of the compaction, pressure dissolution, and cementation analyses indicate destructive diagenesis, which potentially reduced the porosity and permeability values. However, the dissolution, metasomatism, and chlorite lining cementation indicate improved diagenesis, which potentially increased the porosity and permeability values.
Effect of Freeze-Thaw Cycles on Mechanical Properties of an Embankment Clay: Laboratory Tests and Model Evaluations
Authors: Zhang Anshun , Zhang Junhui , Peng Junhui , Huang Chao , Zhou Chao
Published: April 2022

Freeze-thaw (FT) cycling is a crucial issue in seasonal frozen regions and it will influence the mechanical properties of soils, which must be strictly considered for embankment engineering. This study conducted a series of unconsolidated and undrained triaxial tests under various closed-system FT cycles to investigate the mechanical properties of a typical embankment clay from China. Results indicated that the stress-strain curves changed from strain hardening or stabilization to softening during FT cycles. The elastic modulus was obviously weakened by FT cycles and declined sharply after the first FT action. The failure strength gradually reduced with the accumulation of FT cycles and eventually tended to be stable when the FT cycles reached 10, and the attenuation range was approximately 6–22% compared with the condition before FT cycles. Moreover, a phenomenological model on the failure strength was established by results of the tested clay in this study and validated to be robust through multiple sets of different clays data from other published literatures. Based on that, combined with the Mohr stress circle equation and envelope theory, an innovative method for rapidly obtaining the shear strength was proposed. The ensuing discoveries were that the cohesion was damaged in the course of the first few FT cycles and then kept basically constant after 10 cycles, while the internal friction angle was not sensitive to FT cycles. The normalized empirical formula was deduced and can simultaneously apply to the strain hardening, stabilization, and softening curves given the effect of FT cycles.
Burden of Type 2 Diabetes and Associated Cardiometabolic Traits and Their Heritability Estimates in Endogamous Ethnic Groups of India: Findings From the INDIGENIUS Consortium
Authors: Venkatesan Vettriselvi , Lopez-Alvarenga Juan Carlos , Arya Rector , Ramu Deepika , Koshy Teena , Ravichandran Umarani , Ponnala Amaresh Reddy , Sharma Surendra K. , Lodha Sailesh , Sharma Krishna K. , Shaik Mahaboob Vali , Resendez Roy G. , Venugopal Priyanka , R Parthasarathy , Saju Noelta , Ezeilo Juliet A. , Bejar Cynthia , Wander Gurpreet S. , Ralhan Sarju , Singh Jai Rup , Mehra Narinder K. , Vadlamudi Raghavendra Rao , Almeida Marcio , Mummidi Srinivas , Natesan Chidambaram , Blangero John , Medicherla Krishna M. , Thanikachalam Sadagopan , Panchatcharam Thyagarajan Sadras , Kandregula Dileep Kumar , Gupta Rajeev , Sanghera Dharambir K. , Duggirala Ravindranath , Paul Solomon F. D.
Published: April 2022

To assess the burden of type 2 diabetes (T2D) and its genetic profile in endogamous populations of India given the paucity of data, we aimed to determine the prevalence of T2D and estimate its heritability using family-based cohorts from three distinct Endogamous Ethnic Groups (EEGs) representing Northern (Rajasthan [Agarwals: AG]) and Southern (Tamil Nadu [Chettiars: CH] and Andhra Pradesh [Reddys: RE]) states of India. For comparison, family-based data collected previously from another North Indian Punjabi Sikh (SI) EEG was used. In addition, we examined various T2D-related cardiometabolic traits and determined their heritabilities. These studies were conducted as part of the Indian Diabetes Genetic Studies in collaboration with US (INDIGENIUS) Consortium. The pedigree, demographic, phenotypic, covariate data and samples were collected from the CH, AG, and RE EEGs. The status of T2D was defined by ADA guidelines (fasting glucose ≥ 126 mg/dl or HbA1c ≥ 6.5% and/or use of diabetes medication/history). The prevalence of T2D in CH (N = 517, families = 21, mean age = 47y, mean BMI = 27), AG (N = 530, Families = 25, mean age = 43y, mean BMI = 27), and RE (N = 500, Families = 22, mean age = 46y, mean BMI = 27) was found to be 33%, 37%, and 36%, respectively, Also, the study participants from these EEGs were found to be at increased cardiometabolic risk (e.g., obesity and prediabetes). Similar characteristics for the SI EEG (N = 1,260, Families = 324, Age = 51y, BMI = 27, T2D = 75%) were obtained previously. We used the variance components approach to carry out genetic analyses after adjusting for covariate effects. The heritability (h2) estimates of T2D in the CH, RE, SI, and AG were found to be 30%, 46%, 54%, and 82% respectively, and statistically significant (P ≤ 0.05). Other T2D related traits (e.g., BMI, lipids, blood pressure) in AG, CH, and RE EEGs exhibited strong additive genetic influences (h2 range: 17% [triglycerides/AG and hs-CRP/RE] - 86% [glucose/non-T2D/AG]). Our findings highlight the high burden of T2D in Indian EEGs with significant and differential additive genetic influences on T2D and related traits.
Largest Amplitude of Glycemic Excursion Calculating from Self-Monitoring Blood Glucose Predicted the Episodes of Nocturnal Asymptomatic Hypoglycemia Detecting by Continuous Glucose Monitoring in Outpatients with Type 2 Diabetes
Authors: Wang Shoubi , Tan Zhenhua , Wu Ting , Shen Qingbao , Huang Peiying , Wang Liying , Liu Wei , Song Haiqu , Lin Mingzhu , Shi Xiulin , Li Xuejun
Published: April 2022

Aims

Nocturnal asymptomatic hypoglycemia (NAH) is a serious complication of diabetes, but it is difficult to be detected clinically. This study was conducted to determine the largest amplitude of glycemic excursion (LAGE) to predict the episodes of NAH in outpatients with type 2 diabetes.

Methods

Data were obtained from 313 outpatients with type 2 diabetes. All subjects received continuous glucose monitoring (CGM) for consecutive 72 hours. The episodes of NAH and glycemic variability indices (glucose standard deviation [SD], mean amplitude of plasma glucose excursion [MAGE], mean blood glucose [MBG]) were accessed via CGM. LAGE was calculated from self-monitoring blood glucose (SMBG).

Results

A total of 76 people (24.3%) had NAH. Compared to patients without NAH, patients with NAH showed higher levels of glucose SD (2.4 ± 0.9 mmol/L vs 1.7 ± 0.9 mmol/L, p <0.001), MAGE (5.2 ± 2.1 mmol/L vs 3.7 ± 2.0, p<0.001) and LAGE (4.6 ± 2.3 mmol/L vs 3.8 ± 1.9 mmol/L, p=0.007), and lower level of MBG (7.5 ± 1.5 mmol/L vs 8.4 ± 2.2 mmol/L, p=0.002). LAGE was significantly associated with the incidence of NAH and time below rang (TBR) in model 1 [NAH: 1.189 (1.027-1.378), p=0.021; TBR: 0.008 (0.002-0.014), p=0.013] with adjustment for age, BMI, sex, work, hyperlipidemia, complication and medication, and in model 2 [NAH: 1.177 (1.013-1.367), p=0.033; TBR: 0.008 (0.002-0.014), p=0.012] after adjusting for diabetes duration based on model 1, as well as in model 3 [NAH: 1.244 (1.057-1.464), p=0.009; TBR: 0.009 (0.002-0.016), p=0.007] with further adjustment for HbA1c based on model 2. In addition, no significant interactions were found between LAGE and sex, age, HbA1c, duration of diabetes, BMI and insulin therapy on the risk of NAH. The receiver operator characteristic (ROC) curve shows the ideal cutoff value of LAGE for the prediction of NAH was 3.48 mmol/L with 66.7% sensitivity, 50% specificity and 0.587 (95% CI: 0.509-0.665) of area under the ROC curve.

Conclusions

High glycemic variability is strongly associated with the risk of NAH. The LAGE based on SMBG could be an independent predictor of NAH for outpatients with type 2 diabetes, and LAGE greater than 3.48 mmol/L could act as a warning alarm for high risk of NAH in daily life.
The Internal Cranial Anatomy of a Female With Endocrine Disorders From a Mediaeval Population
Authors: Kubicka Anna Maria , Charlier Philippe , Balzeau Antoine
Published: April 2022

Gigantism and acromegaly have been observed in past populations; however, analyses usually focus on the morphological features of the post-cranial skeleton. The aim of this study is to characterize the internal anatomical features of the skull (brain endocast anatomy and asymmetry, frontal pneumatization, cranial thickness, sella turcica size) of an adult individual from the 11-14th centuries with these two diseases, in comparison with non-pathological individuals from the same population. The material consisted of 33 adult skulls from a mediaeval population, one of them belonging to an adult female with endocrine disorders (OL-23/77). Based on the CT scans, the internal cranial anatomy was analysed. The sella turcica of OL-23/77 is much larger than in the comparative sample. The endocast of the individual OL-23/77 shows a left frontal/left occipital petalia, while the comparative population mostly had right frontal/left occipital petalias. The asymmetry in petalia location in OL-23/77 comes within the range of variation observed in the comparative population. The individual has high values for cranial thickness. The frontal sinuses of the specimen analysed are similar in size and shape to the comparative sample only for data scaled to the skull length. Enlarged sella turcica is typical for individuals with acromegaly/gigantism. The pattern of the left frontal/left occipital petalia in the specimen OL-23/77 is quite rare. The position of the endocranial petalias has not influenced the degree of asymmetry in the specimen. Despite the large bone thickness values, skull of OL-23/77 does not show any abnormal features. The skull/endocast relationship in this individual shows some peculiarities in relation to its large size, while other internal anatomical features are within the normal range of variation of the comparative sample.
Nomogram for Predicting Persistent Organ Failure With Acute Pancreatitis in Pregnancy
Authors: Sheng Chengcheng , Xu Zongxu , Wang Jun
Published: April 2022

Background

Acute pancreatitis in pregnancy (APIP) with persistent organ failure (POF) poses a high risk of death for mother and fetus. This study sought to create a nomogram model for early prediction of POF with APIP patients.

Methods

We conducted a cross-sectional study on APIP patients with organ failure (OF) between January 2012 and March 2021. 131 patients were collected. Their clinical courses and pregnancy outcomes were obtained. Risk factors for POF were identified by univariate and multivariate logistic regression analysis. Prediction models with POF were built and nomogram was plotted. The performance of the nomogram was evaluated by using a bootstrapped-concordance index and calibration plots.

Results

Hypertriglyceridemia was the most common etiology in this group of APIP patients, which accounted for 50% of transient organ failure (TOF) and 72.3% of POF. All in-hospital maternal death was in the POF group (P<0.05), which also had a significantly higher perinatal mortality rate than the TOF group (P<0.05). Univariate and multivariate logistic regression analysis determined that lactate dehydrogenase, triglycerides, serum creatinine, and procalcitonin were independent risk factors for predicting POF in APIP. A nomogram for POF was created by using the four indicators. The area under the curve was 0.875 (95%CI: 0.80–0.95). The nomogram had a bootstrapped-concordance index of 0.85 and was well-calibrated.

Conclusions

Hypertriglyceridemia was the leading cause of organ failure-related APIP. Lactate dehydrogenase, triglycerides, serum creatinine, and procalcitonin were the independent risk factors of POF in APIP. Our nomogram model showed an effective prediction of POF with the four indicators in APIP patients.
A Conservative Approach for the Fast Deflagration Analysis in the Containment With GASFLOW-MPI
Authors: Yabing Li , Xianghui Lu , Peng Chen , Deyang Xu
Published: April 2022

The nuclear regulation authorities of many countries require that the containment remains its integrity for a local hydrogen risk during any possible accident conditions. Therefore, the combustion consequence should be analyzed to demonstrate that the containment integrity is not being challenged for the hydrogen risk when the flame acceleration risk cannot be safely ruled out. Considering the uncertainties of both the combustion model and severe accident analysis, the criteria and experimentally based combustion (CREBCOM) model is adopted to provide a conservative result for pressure and the thermal load for combustion analyses in this study. Firstly, the CREBCOM is developed in the GASFLOW-MPI code and validated with the RUT experiment. The result shows that the CREBCOM model can provide a reliable overpressure for the choking regime combustion. Then, this model is adopted for the hydrogen safety analysis for the Advanced Pressurized Water Reactor (PWR) 1000. The hydrogen distribution is calculated with the mass and energy release obtained from severe accident analysis, from which, the most unfavorable ignition time and location is selected. The result of the CREBCOM model is compared with that of the turbulent flame closure model, which is a commonly used model for combustion analysis in containment safety. The results show that the CREBCOM model can provide a conservative prediction for the pressure and thermal load of combustion. Therefore, the CREBCOM model with the sonic flame assumption is applicable for the FA risk analysis in a local compartment for nuclear containments where a sonic deflagration cannot be safely excluded and manages to obtain a conservative pressure and thermal load for further evaluation on the containment integrity.