bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrin αVβ6: Autoantigen and Driver of Epithelial Remodeling in Colon and Bile Ducts in Primary Sclerosing Cholangitis and Inflammatory Bowel Disease
Authors: Roth Dominik , Düll Miriam M , Horst Ludwig J , Lindemann Aylin , Malzer Xenia , Koop Kristina , Zundler Sebastian , Vetter Marcel , Jefremow André , Atreya Raja , Geppert Carol , Weidemann Sören , Waldner Maximilian J , Dietrich Peter , Günther Claudia , Munoz Luis E , Herrmann Martin , Scheffold Alexander , Neurath Markus F , Siebler Jürgen , Schramm Christoph , Kremer Andreas E , Leppkes Moritz
Published: August 2024

Background

Recently, autoantibodies directed against the epithelial adhesion protein integrin αVβ6 have been identified that are strongly associated with ulcerative colitis (UC). We aimed to elucidate whether anti-integrin αVβ6 (anti-αVβ6) is present in primary sclerosing cholangitis (PSC), its associated inflammatory bowel disease, or other cholestatic liver diseases and their persistence after proctocolectomy.

Methods

We detected anti-αVβ6 by an enzyme-linked immunosorbent assay in sera collected at 2 German tertiary centers, including healthy controls (N = 62), UC (N = 36), Crohn’s disease (CD, N = 65), PSC-inflammatory bowel diseases (IBD) (78 samples from N = 41 patients), PSC without IBD (PSC, 41 samples from N = 18 patients), primary biliary cholangitis (PBC, N = 24), autoimmune hepatitis (AIH, N = 32), secondary sclerosing cholangitis (SSC, N = 12), and metabolic dysfunction-associated steatotic liver disease (MASLD, N = 24). In addition, sera after proctocolectomy were studied (44 samples/N = 10 patients). Immunofluorescent analyses were performed in tissue samples from liver, large bile duct from surgical resections, and colon of PSC patients.

Results

Anti-αVβ6 occurred in 91% of UC, 17% of CD, 73% of PSC-IBD, 39% of PSC, 4% of PBC, 14% of AIH, and 0% of healthy controls, SSC, or MASLD. Integrin αVβ6 is selectively expressed in disease-associated epithelia of both bile duct and colon. Anti-αVβ6 levels correlate moderately with intestinal disease activity in PSC-IBD, but only weakly with biliary disease.

Conclusions

Anti-αVβ6 frequently occurs in patients suffering from PSC, especially in PSC-IBD. Anti-αVβ6 levels positively correlate to IBD activity in PSC-IBD, but may also occur in the absence of clinically manifest IBD in PSC.
Experimental evolution for improved postinfection survival selects for increased disease resistance inDrosophila melanogaster
Authors: Basu Aabeer , Tekade Kimaya , Singh Aparajita , Das Paresh Nath , Prasad Nagaraj Guru
Published: August 2024

Disease resistance (defined as the host capacity to limit systemic infection intensity) and disease tolerance (defined as the host capacity to limit infection-induced damage) are 2 complementary defense strategies that help the hosts maximize their survival and fitness when infected with pathogens and parasites. In addition to the underlying physiological mechanisms, the existing theory postulates that these 2 strategies differ in terms of the conditions under which each strategy evolves in the host populations, their evolutionary dynamics, and the ecological and epidemiological consequences of their evolution. Here, we explored if one or both of these strategies evolve when host populations are subjected to selection for increased postinfection survival. We experimentally evolved Drosophila melanogaster populations, selecting for the flies that survived an infection with the entomopathogen Enterococcus faecalis. We found that the host populations evolved increased disease resistance in response to selection for increased survival. This was despite the physiological costs associated with increased resistance, the expression of which varied with the phase of infection. We did not find evidence of any change in disease tolerance in the evolved host populations.
Genetic Variability for Clonal Propagation of Acacia mearnsii
Authors: de Sá Larissa França , Lohmann Gabriele Taís , Bandeira Peres Fabiana Schmidt , Tambarussi Evandro Vagner
Published: August 2024

Plantations of Acacia mearnsii established from seeds often exhibit low levels of productivity due to significant differences in plant growth. Therefore, the aim of this study was to assess the genetic control associated with clonal propagation of A. mearnsii and use a selection index to quantify gains for traits related to vegetative propagation. Data collected from nurseries for 2 years included mini-cutting productivity per mini-stump (PD), percentage of adventitious rooting (ENR), and ramet productivity index (PI). For clone production traits, PD (r = 0.36) and PI (r = 0.24) demonstrated moderate repeatability, whereas ENR (r = 0.06) exhibited low repeatability. Tree height (H2 = 0.20), and diameter at breast height (H2 = 0.13) showed moderate and low heritability, respectively. Genotype selection for vegetative propagation supported by PI-generated selection gains of over 50%, suggesting the efficacy of using this criterion in early evaluation and selection of genotypes for nursery propagation. The additive selection index considering PI and Ht traits can be used for early selection of superior A. mearnsii genotypes, promoting estimated gains of up to 2.5%. Given the importance of these parameters, these findings provide crucial insights for A. mearnsii breeders, addressing a notable gap in the literature concerning these traits.

Study Implications: The moderate heritability of traits such as mini-cutting productivity, propagule productivity index (PI), height, and diameter at breast height, except for the percentage of adventitious rooting, which showed low heritability, suggests that these traits are influenced by genetic factors to a considerable extent. The study suggests that the selection of genotypes based on PI can significantly improve vegetative propagation outcomes, with potential selection gains of more than 50%. This indicates that nurseries can achieve higher productivity and efficiency by implementing genotype selection processes based on this criterion.
Saline-alkali stress affects the accumulation of proanthocyanidins and sesquiterpenoids via the MYB5-ANR/TPS31 cascades in the rose petals
Authors: Wang Qiao , Du Baoquan , Bai Yujing , Chen Yan , Li Feng , Du Jinzhe , Wu Xiuwen , Yan Liping , Bai Yue , Chai Guohua
Published: August 2024

Rose (Rosa rugosa) petals are rich in diverse secondary metabolites, which have important physiological functions as well as great economic values. Currently, it remains unclear how saline and/or alkaline stress(es) influence the accumulation of secondary metabolites in rose. In this study, we analyzed the transcriptome and metabolite profiles of rose petals under aline–alkali stress and uncovered the induction mechanism underlying major metabolites. Dramatic changes were observed in the expression of 1363 genes and the abundances of 196 metabolites in petals in response to saline–alkali stress. These differentially expressed genes (DEGs) and differentially accumulated metabolites (DAMs) are mainly associated with flavonoid and terpenoid metabolism and the reconstruction of cell walls. Of them, TERPENE SYNTHASE 31 (TPS31) overexpression in tobacco leaves driven by its own promoter resulted in significant alterations in the levels of diverse terpenoids, which were differentially influenced by saline–alkali stress. An integrated analysis of metabolomic and transcriptomic data revealed a high correlation between the abundances of flavonoids/terpenoids and the expression of the transcription factor MYB5. MYB5 may orchestrate the biosynthesis of sesquiterpenoids and proanthocyanidins through direct regulation of TPS31 and ANR expression under aline–alkali stress. Our finding facilitates improving the bioactive substance accumulation of rose petals by metabolic engineering.
The circulation of methicillin-resistant Staphylococcus aureus between humans, horses and the environment at the equine clinic
Authors: Papouskova Aneta , Drabkova Zuzana , Brajerova Marie , Krutova Marcela , Cizek Alois , Tkadlec Jan
Published: August 2024

Objectives

We performed a retrospective analysis of MRSA isolates collected at the university equine clinic including clinical isolates from 2008 to 2021 and screening environmental, equine and personnel isolates from 2016.

Methods

Screening and clinical samples were cultured on Brilliance MRSA 2 and Columbia agar (Oxoid), respectively, with enrichment for environmental samples. Antimicrobial susceptibility was assessed by disc diffusion. All the isolates were characterized by spa typing. Eighteen selected isolates were subjected to WGS with subsequent wgMLST clonal analysis.

Results

Among 75 MRSA isolates, five spa types were identified, the majority (n = 67; 89.33%) was t011. All isolates were resistant to cefoxitin and ampicillin and carried the mecA gene. In addition, the isolates were resistant to tetracycline (n = 74; 98.67%), gentamicin (n = 70; 93.33%), enrofloxacin (n = 54; 72.00%), sulfamethoxazole-trimethoprim (n = 5; 6.67%) and lincomycin (n = 3; 4.00%) with corresponding genetic markers for the resistance detected in the sequenced isolates. All 18 sequenced isolates belonged to ST398, 16 carried SCCmec type IVa and two carried SCCmec type Vc (5C2&5). Further, isolates carried aur, hlgA, hlgB and hlgC virulence genes, and five isolates carried sak and scn genes, which are part of the immune evasion cluster. Close genetic relatedness was found between isolates from the staff of the clinic and clinical samples of horses.

Conclusions

Repeated introduction and long-term persistence of the equine LA-MRSA subclone (ST398-MRSA-IVa/Vc(5C2&5), t011) among the infected horses at the equine clinic with the colonization of personnel, and the environment contamination that might contribute to transmission were observed.
In silico analysis of polyphenols modulate bovine PPARγ to increase milk fat synthesis in dairy cattle via the MAPK signaling pathways
Authors: Safdar Muhammad , Hassan Faizul , Khan Muhammad Sajjad , Khan Aneeb Hassan , Junejo Yasmeen , Ozaslan Mehmet , Arain Muhammad Asif , Behan Atique Ahmed
Published: August 2024

This study investigates the potential phytochemicals that modulate bovine peroxisome proliferator-activated receptor gamma (PPARγ) and the mitogen-activated protein kinase (MAPK) pathways to enhance milk fat production in dairy animals. Bovine PPARγ, a key member of the nuclear hormone receptor superfamily, plays a vital role in regulating metabolic, cellular differentiation, apoptosis, and anti-inflammatory responses in livestock, while the MAPK pathway is contributory in cellular processes that impact milk fat synthesis. This approach involved an all-inclusive molecular docking analysis of 10,000 polyphenols to identify potential PPARγ ligands. From this extensive screening, top 10 compounds were selected that exhibited the highest binding affinities to bovine PPARγ. Particularly, curcumin sulfate, isoflavone, and quercetin emerged as the most promising candidates. These compounds demonstrated superior docking scores (−9.28 kcal/mol, −9.27 kcal/mol, and −7.31 kcal/mol, respectively) and lower RMSD values compared to the synthetic bovine PPARγ agonist, 2,4-thiazolidinedione (−4.12 kcal/mol), indicating a strong potential for modulating the receptor. Molecular dynamics simulations (MDS) further affirmed the stability of these polyphenols–bovine PPARγ complexes, suggesting their effective and sustained interactions. These polyphenols, known as fatty acid synthase inhibitors, are suggested to influence lipid metabolism pathways crucial to milk fat production, possibly through the downregulation of the MAPK pathway. The screened compounds showed favorable pharmacokinetic profiles, including nontoxicity, carcinogenicity, and high gastrointestinal absorption, positioning them as viable candidates for enhancing dairy cattle health and milk production. These findings may open new possibilities for the use of phytochemicals as feed additives in dairy animals, suggesting a novel approach to improve milk fat synthesis through the dual modulation of bovine PPARγ and MAPK pathways.
An improved understanding of pediatric chronic nonbacterial osteomyelitis pathophysiology informs current and future treatment
Authors: Roberts Eve , Charras Amandine , Hahn Gabriele , Hedrich Christian M
Published: August 2024

Chronic nonbacterial osteomyelitis (CNO) is an autoinflammatory bone disease that primarily affects children and young people. It can cause significant pain, reduced function, bone swelling, and even (vertebral body) fractures. Because of a limited understanding of its pathophysiology, the treatment of CNO remains empiric and is based on relatively small case series, expert opinion, and personal experience. Several studies have linked pathological NOD-kike receptor (NLR) family pyrin domain containing 3 (NLRP3) inflammasome activation and the resulting imbalance between pro- and anti-inflammatory cytokine expression with CNO. This agrees with elevated pro-inflammatory (mostly) monocyte-derived protein signatures in the blood of CNO patients that may be used as future diagnostic and/or prognostic biomarkers. Recently, rare variants in the P2RX7 gene, encoding for an ATP-dependent transmembrane channel, were linked with increased NLRP3 inflammasome assembly and prolonged monocyte/macrophage survival in CNO. Although the exact molecular mechanisms remain unclear, this will inform future target-directed and individualized treatment. This manuscript reviews most recent developments and their impact on diagnostic and therapeutic strategies in CNO.
Effect of temperature and humidity on insect DNA integrity evaluated by real-time PCR
Authors: Fowler Elizabeth V , Starkie Melissa L , Blacket Mark J , Mayer David G , Schutze Mark K
Published: August 2024

Insects collected in dry traps can degrade rapidly, especially in warm, humid environments where many biodiversity and biosecurity surveillance activities are undertaken. Degradation can severely impact diagnostics, as trap catches can become difficult to identify to species level using morphological characters or, of increasing importance, molecular approaches. This is especially problematic for biosecurity surveillance of exotic tephritid fruit flies, where diagnostics are heavily reliant on morphological characters. We tested the effects of differing temperature and humidity conditions on mock samples of tephritid fruit flies in a controlled environment and compared our results to field trap catches. DNA degradation was quantified using real-time PCR assays, including one assay newly developed and tested here. We observed a correlation between increasing DNA degradation and increasing temperature and humidity. The greatest DNA degradation occurred under combined high humidity (90% relative humidity) and constant high temperature (35 °C). Unexpectedly, fluctuating temperature did not have a significant impact on DNA. Other factors, such as trap design, time in the field, and rainfall, did not significantly correlate with DNA quality across the field samples tested. When plotted against mock samples, field samples clustered together, with no clear pattern or predictability regarding the quantity of DNA preserved, indicating other untested environmental variables may be at play. Predictably, increased exposure time was found to have a detrimental effect on DNA quality for all treatments. These findings will improve the delivery of surveillance activities through the implementation of shorter trap clearance timeframes and improved trap designs and procedures.
Difference in activated partial thromboplastin time values with two different reagents according to C-reactive protein values
Authors: Ishihara Yuya , Doi Hiroki , Sato Seiko , Ito Hiroyasu
Published: August 2024

Background

Activated partial thromboplastin time (APTT) is susceptible to reagent composition. This study aimed to investigate a large number of specimens and determine the cause of discrepancies.

Method

This study included 18,994 subjects who underwent coagulation tests at our hospital from May 2020 to December 2020. Measuring reagents included HemosIL SynthASil APTT (APTT-SS, Instrumentation Laboratory) and Coagpia APTT-N (APTT-N, Sekisui Medical).

Results

A total of 451 patients demonstrated APTT-N of >39 seconds and an APTT-N/SS ratio of >1.3. A C-reactive protein (CRP) level of ≥1.4 mg/L demonstrated a significant positive correlation, with a higher APTT-N/SS indicating higher CRP levels. All 28 subjects receiving no anticoagulants and who had remaining specimens underwent a cross-mixing test (CMT). Of them, 17 were suspected for lupus anticoagulant (LA) by both the waveform shape and the index of circulating anticoagulant (ICA) value, 6 by the ICA value, and 5 were difficult to determine.

Conclusion

This study revealed that the APTT-N prolongation correlated with CRP degree and the transient involvement of LA in CMT results due to CRP. This study indicated various reactivities depending on the assay reagents used. Further testing is warranted if LA is suspected, considering the patient’s background.
Analysis of HER2 expression changes from breast primary to brain metastases and the impact of HER2-low expression on overall survival
Authors: Pereslete Alyssa M , Hughes Melissa E , Martin Alyssa R , Files Janet , Nguyen Kyleen , Buckley Lauren , Patel Ashka , Moore Abigail , Winer Eric P , Dillon Deborah , Li Tianyu , Tolaney Sara M , Lin Nancy U , Sammons Sarah L
Published: August 2024

Background

There are limited data regarding HER2-low expression dynamics between matched primary tumors and brain metastases (BrMs) in breast cancer. HER2-low expression has emerged as a new therapeutic biomarker for highly active antibody-drug conjugates with emerging intracranial activity.

Methods

Patients with metastatic breast cancer and BrMs seen at an NCI-designated center between 2003 and 2023 were identified. HER2 expression was defined as HER2-positive (3+, 2+/ISH amplified), HER2-low (1+, 2+/ISH negative), or HER2–0 by ASCO-CAP guidelines. Estrogen receptor (ER) status was defined as ER ≥1%. Multivariate survival analyses by Cox proportional hazard models were determined from the time of BrM resection to death or last follow-up between the 3 subtypes, controlling for ER and age.

Results

Among 197 matched primary and resected BrMs, 81% exhibited HER2 expression in the brain: 61% HER2-positive, 20% HER2-low, and 19% HER2–0. Concordance was high in HER2-positive primary tumors with 100% retaining HER2 expression (97% retained HER2-positive expression and 2.7% switched to HER2-low). HER2–0 primaries frequently showed HER2 gain in BrMs to HER2-low (35%) or HER2-positive (5.4%) status. Among 48 HER2-low primary tumors, 52% were discordant for HER2 status in the brain with 21% testing HER2-positive and 31% testing HER2–0. In adjusted analyses, patients with HER2-positive BrMs had significantly lower death risk than patients with HER2-low BrMs (HR = 0.41, P = .0006); no difference was observed between HER2–0 and HER2-low.

Conclusions

In this retrospective analysis, HER2 expression is common in breast cancer BrMs, emphasizing the need for improved, noninvasive diagnostics. Patients with HER2-low and HER2–0 BrMs face inferior survival, presenting an unmet clinical need.
Ecology and conservation of cavity-nesting birds in the Neotropics: Recent advances, future directions, and contributions to ornithology
Authors: Bonaparte Eugenia Bianca , Cuatianquiz Lima Cecilia , Ferreira-Xavier Hipólito D , da Hora Jéssica S , Di Sallo Facundo G , López Fernando G , Cockle Kristina L , Núñez Montellano María Gabriela
Published: August 2024

About 35% of tree-cavity-nesting bird species inhabit the Neotropics, a region crucial to understanding their breeding ecology, conservation, and roles in social-ecological systems. Sixteen years ago, Cornelius et al. (2008) reviewed published knowledge and identified research priorities for Neotropical cavity-nesting birds. Advances since 2008 have not been synthesized and many remain excluded from dominant ornithology because of barriers that disproportionately affect people and ideas from the Global South. Here, we review recent advances in knowledge about Neotropical cavity-nesting birds, introduce the Special Feature series “Ecology and conservation of cavity nesters in the Neotropics,” and outline possible directions for future research. Research in the Neotropics has advanced knowledge of breeding biology, demonstrated that nest sites are limited and birds compete for cavities (mainly in humid forests), identified non-excavated cavities (formed by wood decay) as the main source of cavities and demonstrated the importance of understanding Indigenous and local community relationships to birds. With field studies across the Neotropics, the Special Feature series shows how environment, people’s common imaginaries, vegetation management, and behavior of avian excavators can interact to influence cavity availability, with ecological consequences for many cavity-using organisms. In the future, researchers should center ethno-knowledge and natural history to create an accurate list of cavity-nesting birds in the Neotropics, and integrate this knowledge into studies of population and community ecology. It is also important to study factors that influence cavity dynamics, especially using a social-ecological systems framework and especially in arid and semi-arid regions. We recommend expanding the concept of nest webs (ecological networks of cavity nesters) to incorporate additional cavity substrates (e.g., termitaria, cliffs), cavity alternatives (e.g., bulky enclosed stick nests of many Furnariidae), and cavity-using taxa beyond birds and mammals (e.g., social insects, snakes), which abound in the Neotropics but were not contemplated in the original nest web formulation. Translated versions of this article are available in Supplementary Material 1 (Spanish) and Supplementary Material 2 (Portuguese).
Assessment of safety culture in radiotherapy facilities using safety performance indicators
Authors: Sharma Smriti , Sivaramakrishnan Mahalakshmi , Tripathi Arti , Dixit Pramod Kumar , Krishnakumar Namitha , Sahani Ghanshyam , Dash Sharma Pankaj Kumar , Sharma Sunil Dutt
Published: August 2024

This paper describes the development of the Safety Performance Indicators (SPIs), the methodology for assessment of the safety culture of radiotherapy institutions using SPIs and common strengths and common areas for improvement. SPIs were categorized into eight sections which all together contain 23 attributes and each attribute has scoring criteria from 0 to 2 (in steps of 0.5). The maximum absolute cumulative score of SPIs was 46. A relative cumulative SPIs score of >80% indicates an institution strong commitment towards safety while score <50% indicates need for additional guidance to enhance safety culture. The assessment using SPIs was conducted for 17 radiotherapy institutions. The methodology of assessment includes interactive discussion, direct observations and document analysis. The relative cumulative SPIs score of seven institutions was found to be >80% while it was found in the range of 67.0% to 80% for the remaining ten institutions. Institutions were communicated about the cumulative SPIs score, areas of strengths, and areas for improvement. SPIs were found to be a good tool for safety culture assessment and can be utilized by the radiotherapy institutes for self-assessment to identify the areas of improvement. Based on SPIs score, regulatory body can grade the institutions from a radiation safety compliance point of view.
Perineural Spread of Head and Neck Neoplasms Along Cranial Nerves
Authors: Moore Megan , Lima Carol , Krishnan Anant , Haidar Mehdy , Kashat Sylvia , Li Maxwell , Noujaim Samir
Published: August 2024

Perineural tumor growth involves tumors infiltrating local nerves, either through perineural tumor invasion or perineural tumor spread (PNS). Knowledge of cranial nerves and skull base anatomy is essential for identifying affected nerve pathways. Various cancers like squamous cell carcinoma, adenoid cystic carcinoma, and lymphoma, among others, can progress with PNS. Imaging techniques such as MRI and CT are pivotal for detecting PNS and its signs and symptoms. PNS typically indicates a worse prognosis, increased recurrence rate, and lower survival. Understanding PNS patterns, behaviors, and imaging characteristics is vital for accurate diagnosis and optimal treatment planning in patients with head and neck tumors.
Self-Compassion and Mindfulness-Based Training Willingness in Preoperative Bariatric Surgery Patients
Authors: Wilkinson Samantha
Published: August 2024

The aim of this study is to assess the knowledge and willingness of preoperative bariatric surgery patients to participate in self-compassion- and mindfulness-based attention training to modify their eating behaviors. Patients received feasibility questionnaires including sociodemographic and willingness questions. Based on these results, it was determined that participants had a high degree of knowledge related to self-compassion and mindfulness with confidence to perform mindfulness and self-compassion exercises without many perceived barriers. Self-compassion and mindfulness are holistic modalities that could easily be integrated into bariatric programs, and this study affirms that patients may accept noninvasive tools that encourage preoperative weight loss and postoperative maintenance of weight loss.
The Effects of Auricular Acupressure Therapy on Obesity and Sleep in Korean Middle-Aged Women
Authors: Lee Jinyoung , Kim Bomi , Park Hyojung
Published: August 2024

This study aimed to evaluate the impact of auricular acupressure therapy on obesity and sleep quality in middle-aged Korean women. The single-blind, randomized, sham-controlled trial included participants aged 40–65 years with a Body Mass Index (BMI) of 25–34 kg/m2, divided into an experimental group (n = 30) and a control group (n = 29). The intervention involved 8 weeks of auricular acupressure using ear seeds on five acupoints associated with obesity and sleep. Obesity outcomes were assessed using anthropometric indices (body weight, BMI, waist circumference, body fat mass, body fat percentage), while sleep outcomes were evaluated using the Pittsburgh Sleep Quality Index and actigraphy. Measurements were taken thrice: before the intervention, and at 4 and 8 weeks post-intervention start. The experimental group demonstrated a significant reduction in obesity measures and improvement in sleep quality over time compared to the control group. The findings suggest that auricular acupressure may serve as an alternative nursing intervention for managing obesity and improving sleep quality in middle-aged women.
Clinical Outcomes of Descemet Membrane Endothelial Keratoplasty for Iridocorneal Endothelial Syndrome With a Glaucoma Drainage Device
Authors: Ouyang Chen , Dong Xiaojuan , Ye Qinying , Wu Jing , Xu Chenjia , Fu Lingling , Ma Minglu , Peng Jiayin , Huang Ting
Published: August 2024

Purpose:

The purpose of this study was to evaluate the feasibility and clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) for treating iridocorneal endothelial (ICE) syndrome with a glaucoma drainage device (GDD).

Methods:

In this retrospective, interventional case series, data of ICE eyes with a GDD treated with DMEK were collected at the Zhongshan Ophthalmic Center. A total of 24 patients (24 eyes) with mild-to-moderate ocular anterior segment anomalies together with good intraocular pressure (IOP) control preoperatively were included between March 10, 2014, and November 11, 2021. Cases were performed DMEK with concomitantly procedures, such as goniosynechialysis, an entire recipient's Descemet stripping, trimming of glaucoma tubes, and an inferiorly peripheral iridotomy. Graft survival, corrected distance visual acuity (CDVA), endothelial cell loss, IOP, and surgical complications were documented.

Results:

The mean length of follow-up after surgery was 30.8 ± 7.8 months. Postoperative CDVA improved significantly. At 1 and 2 years postoperatively, 10 (50%) of 20 eyes and 7 (47%) of 15 eyes achieved a CDVA of 20/32 or better, cumulative graft success rates by Kaplan–Meier survival analysis were 89% and 67%, and endothelial cell loss were (59 ± 10)% and (71 ± 7)%, respectively. Within the follow-up period, IOP elevation and progressive peripheral anterior synechiae occurred in 7 (29%) and 5 (21%) of 24 eyes, respectively.

Conclusions:

With specific technical modifications, DMEK had not increased the risk of postoperative complications and provided comparable clinical outcomes in the treatment of ICE eyes with a GDD with those observed in the treatment of ICE eyes without a GDD.
Point of care ultrasound and shock: The value in bedside diagnosis and hemodynamic assessment in undifferentiated shock patients
Authors: Nguyen Catherine , Parfianowicz Dominic , Bennett Courtney
Published: August 2024

Point of care ultrasound (POCUS) was introduced as a tool for critical care assessment in the 1990s and has since grown to be a tool for quantitative and qualitative data. Adopted initially by the emergency medicine community, it has recently been integrated into medical education for numerous specialties. It remains a valuable adjunct in the initial evaluation of patients as a widely available portable resource and provides real-time imaging. In patients who present in undifferentiated shock, visualization of the heart and lungs using POCUS can help delineate the cause of the clinical decompensation. Cardiac evaluation can look for right and left ventricular dysfunction, estimate left ventricle ejection fraction, evaluate for cardiac tamponade, and detect new wall motion abnormalities. Assessment of the lungs can add additional insight into underlying pathology. In patients who suffer cardiac arrest, POCUS can help identify any potentially reversible causes. It can also be used for hemodynamic assessment to aid in the resuscitation of patients with shock by evaluating of the inferior vena cava, hepatic, and renal veins. Here we provide a resource to describe not only the numerous benefits of POCUS in assessing and monitoring critically ill patients, but also the imaging findings of life-threatening diagnoses.
Identification of cuproptosis-related genes related to the progression of ankylosing spondylitis by integrated bioinformatics analysis
Authors: Fan Junyi , Liu Qihua , Chen Ting , Chen Yongbin , Wu Junzhe
Published: August 2024

Ankylosing spondylitis (AS) is an autoimmune disease, and the relationship between copper death and AS is not clear. The aim of this study was to analyze and identify potential cuprosis-related genes associated with the onset of AS by bioinformatics methods. We obtained the AS gene expression profile GSE25101 from the Gene Expression Omnibus (GEO) database, which consists of blood samples from 16 active AS patients and 16 sex-and age-matched controls. After analyzing the data, we utilized the WGCNA method to identify genes that exhibited significant differential expression. In order to assess the prognostic and predictive power of these genes, we constructed receiver operating characteristic (ROC) curves. To further validate our predictions, we employed nomograms, calibration curves, decision curve analysis, and external datasets. Lastly, we conducted an analysis on immune infiltration and explored the correlation between key genes and immune response. Three genes, namely INPP5E, CYB5R1, and HGD, have been identified through analysis to be associated with AS. The diagnosis of patients using these genes has been found to possess a high level of accuracy. The area under the ROC curve is reported to be 0.816 for INPP5E, 0.879 for CYB5R1, and also 0.879 for HGD. Furthermore, the nomogram demonstrates an excellent predictive power, and it has been calibrated using a Calibration curve. Its clinical usefulness and net benefit have been thoroughly analyzed and estimated through the use of a DCA curve. Moreover, INPP5E, CYB5R1, and HGD are found to be associated with various types of immune cells. In conclusion, the systematic analysis of cuprosis-related genes may aid in the identification of mechanisms related to copper-induced cell death in AS and offer valuable biomarkers for the diagnosis and treatment of AS.
Identifying authorial roles in research: A Kano model-based bibliometric analysis for the Journal of Medicine (Baltimore) 2023
Authors: Chou Willy , Chow Julie Chi
Published: August 2024

The landscape of research roles within academic journals often remains uncharted territory, with authorial contributions frequently reduced to linear hierarchies (e.g., professor and assistant professor). The Kano model, traditionally used in customer satisfaction research, offers a nuanced framework for identifying the multifaceted roles of authors in scholarly publications. This study utilizes the Kano model to dissect and categorize the roles of authors in the medicine field. To conform to the hypothesis, China is the research leader while the US is the research collaborator, as reflected in the publications of the journal of Medicine (Baltimore) in the year 2023. We conducted a comprehensive bibliometric analysis of all research articles published in the journal of Medicine (Baltimore) in 2023. The Kano model was applied to classify authors into 5 categories reflective of their research roles: followers, leaders, partners, contributors, and collaborators. Data on author publications and co-authorship networks with multi-author rates (MARs) were analyzed to assign Kano categories based on the authorship positions of first and corresponding authors. Descriptive statistics and network analysis tools were used to interpret the data, including radar plots, geographical maps, and Kano diagrams. The analysis covered 1976 articles, uncovering a complex network of author roles that extends beyond the conventional binary distinction of lead and supporting authors (i.e., leading, and following researchers). A research leader in China and a collaborator in the US were conformed to support the hypothesis, based on their publications (1148 vs 51) and MARs (12.20% vs 19.61%). The Kano classification was visually adapted to classify authors (or entities) into 5 categories. The combined choropleth and geographical network maps were illustrated to identify author roles in research briefly. The Kano model serves as an effective tool for uncovering the diverse contributions of authors in medical research. By moving beyond the lead and follower dichotomy, this study highlights the intricate ecosystem of authorial roles, emphasizing the importance of each in advancing knowledge within the field of medicine. Future application of the Kano model could foster a more collaborative and inclusive recognition of contributions across various disciplines.
A systematic review of the predictive value of radiomics for nasopharyngeal carcinoma prognosis
Authors: Deng Qicheng , Hou Yijun , Zhang Xi , Zan Hongyu
Published: August 2024

Background:

Radiomics has been widely used in the study of tumours, which has predictive and prognostic value in nasopharyngeal carcinoma (NPC). Therefore, we collected relevant literature to explore the role of current radiomics in predicting the prognosis of NPC.

Methods:

We performed a systematic literature review and meta-analysis in accordance with the preferred reporting items in the systematic evaluation and meta-analysis guidelines. We included papers on radiomics published before May 5, 2024, to evaluate the predictive ability of radiomics for the prognosis of NPC. The methodological quality of the included articles was evaluated using the radiomics quality score. The area under the curve (AUC), combined sensitivity and combined specificity were used to evaluate the ability of radiomics models to predict the prognosis of NPC.

Results:

A total of 20 studies met the inclusion criteria for the current systematic review, and 13 papers were included in the meta-analysis. The radiomics quality score ranged from 7 to 20 (maximum score: 36). The diagnostic test forest plots showed that the diagnostic OR of radiology was 11.04 (95% CI: 5.11–23.87), while the ORs for sensitivity and 1-specificity were 0.75 (95% CI: 0.73–0.78) and 0.74 (95% CI: 0.72–0.76), respectively. It cannot be determined whether the combined model was superior to the radiomics model for predicting the prognosis of NPC. It is unclear whether the fact that the radiomics model was composed of features extracted from MRI is due to CT. The AUC of PFS was larger than that of disease-free survival (P < .05). The overall AUC value is 0.8265.

Conclusion:

This study summarized all the studies that examined the predictive value of radiomics for NPC prognosis. Based on the summarized AUC values, as well as sensitivity and 1-specificity, it can be concluded that radiomics has good performance in predicting the prognosis of NPC. Radiomics models have certain advantages in predicting the effectiveness of PFS compared to predicting disease-free survival. It cannot be determined whether the combination model is superior to the radiomics model in predicting NPC prognosis, nor can it be determined whether imaging methods have differences in predictive ability. The findings confirmed and provided further evidence supporting the effectiveness of radiomics for the prediction of cancer prognosis.
Clinical efficacy and pharmacological mechanism analysis of Xubi Capsule in the treatment of patients with liver and kidney deficiency osteoarthritis
Authors: Guo Zhi-Hui , Ni Hui-Ying , Tang Meng-Ya
Published: August 2024

To explore the clinical efficacy and pharmacological mechanism analysis of Xubi capsule in the treatment of patients with liver and kidney deficiency osteoarthritis (OA). In this single-center retrospective study, 120 patients with liver and kidney deficiency OA admitted to the Hangzhou Fuyang Hospital of TCM Orthopedics and Traumatology from January 2020 to May 2022 were included, and patients were divided into the intervention group (n = 60) and the control group (n = 60) according to their treatment. The control group was treated with Ibuprofen, while the intervention group was treated with Xubi capsule combined with Ibuprofen. According to the network pharmacology method, the mechanism of the Xubi capsule in the treatment of patients with liver and kidney deficiency OA was analyzed. After the treatment, the total effective rate in the intervention group was 93.33%, which was significantly higher than that in the control group (P < .001). After treatment, compared with the control group, the degree of joint swelling and tenderness in the intervention group were lighter, the muscle strength was better, the level of erythrocyte sedimentation rate was lower, and the pain visual score was lower (P < .05), while the C-reactive protein level was significantly lower (P < .001). The effective chemical composition of Xubi capsules is 176, with quercetin and palmitoleic acid being the most associated with diseases. There are 209 intersection targets between drugs and diseases. A total of 119 gene ontology cellular components were significantly enriched. The combination of traditional Chinese medicine and Western medicine adopted in this study can effectively treat patients with liver and kidney deficiency OA and relieve the joint pain of patients. In a multicomponent and multitarget approach, the Xubi capsule breaks through the limitations of traditional nonsteroidal anti-inflammatory drugs and has good clinical application value.
Psychological intervention based on cognitive behavioral therapy for patients with orthopedic surgical anxiety
Authors: Han Hui , Chen Chunhua , Sheng Rong , Wang Shiying
Published: August 2024

To develop a set of cognitive behavioral therapies (CBTs) to alleviate anxiety in orthopedic surgery (OS) patients, to explore the intervention effects of CBTs on the indicators of anxiety, sleep quality, and pain sensation in OS patients, and to promote them. A total of 68 qualified subjects were selected from among the 103 patients with orthopedic diseases who were hospitalized in the orthopedic department of the hospital between June 2022 and November 2023. According to the different nursing methods, they were divided into a psychological intervention (PI) group and a control intervention group. Among them, 34 patients received hospital-developed CBT for OS in the PI group, and 34 patients received standard orders from the medical staff in the control intervention group. Tools such as self-assessment of anxiety, Athens insomnia scale, state anxiety scale, visual analog pain method, and self-management level scale were utilized to assess the change in anxiety levels, sleep quality, pain perception, and self-management level of the 2 groups of patients before and after the surgery. Following the CBT intervention, patients in the PI group had significantly lower Athens insomnia scale (5.32 ± 0.42), state anxiety scale (38.21 ± 1.12), and visual analog pain method (3.93 ± 1.24) scores than those in the control intervention group. This difference was statistically significant (P < .05). In the meantime, patients in the PI group had a substantially higher correct rate of illness cognition assessment (98.21%) than patients in the control intervention group (65.12%), and this difference was statistically significant (P < .05). The study collated the factors affecting anxiety in OS patients through questionnaire survey and statistical analysis experiment and then formulated a detailed CBT strategy for specific problems. Finally, CBT is a valuable tool for reducing anxiety in OS patients. As such, it deserves to be promoted and used in clinical settings.
A cross-sectional study of perception toward university social responsibility and environmental sustainability practices in medical university students under promotion of sustainable thinking within the university
Authors: Li Chia-Ing , Lin Hsiao-Chuan , Hsu Chin-Yun , Hsiao Chih-Yi , Lin Cheng-Chieh , Li Tsai-Chung
Published: August 2024

This study aims to assess the associations among students’ perceptions of climate change, university social responsibility (USR), and environmental sustainability practices at a medical university. It also aims to identify the factors associated with these elements. A cross-sectional self-report study was conducted with a total sample of 416 undergraduate students from a medical university in Taiwan during October 2019. Data gathered comprised sociodemographic characteristics, perceptions of climate change issues, environmental sustainability practices, measure for perception toward USR, and transportation modes. Chi-square test, Fisher’s exact test, two-sample t test, and multiple linear regression models were used. Results of multiple linear regression demonstrated that the level of certainty in climate change existence (extremely and mostly certain vs somewhat or not certain at all, 1.45 [0.68]), score for usage of nonpublic transportation (per 1-point increase, 0.52 [0.25]), and students’ perception toward USR (per 1-point increase, 0.14 [0.04]) were associated with the total score of environmental sustainability practice (R-square = 11.47%). In addition, school year (non-freshmen vs freshmen, −1.64 [0.65]) and environmental sustainability practices (per 1-point increase, 0.23 [0.06]) were associated with the total score of students’ perception of USR (R-square = 6.57%). Promoting environmental sustainability among university students can be achieved by implementing USR-oriented courses or activities. Our research is pioneering in investigating and discussing the perceived USR and environmental sustainability practices among university students in Taiwan.
Causality between Celiac disease and kidney disease: A Mendelian Randomization Study
Authors: Ge Ya-mei , Peng Shuang-li , Wang Qiong , Yuan Jun
Published: August 2024

Celiac disease, characterized as an autoimmune disorder, possesses the capacity to affect multiple organs and systems. Earlier research has indicated an increased risk of kidney diseases associated with celiac disease. However, the potential causal relationship between genetic susceptibility to celiac disease and the risk of kidney diseases remains uncertain. We conducted Mendelian randomization analysis using nonoverlapping European population data, examining the link between celiac disease and 10 kidney traits in whole-genome association studies. We employed the inverse variance-weighted method to enhance statistical robustness, and results’ reliability was reinforced through rigorous sensitivity analysis. Mendelian randomization analysis revealed a genetic susceptibility of celiac disease to an increased risk of immunoglobulin A nephropathy (OR = 1.44; 95% confidence interval [CI] = 1.17–1.78; P = 5.7 × 10−4), chronic glomerulonephritis (OR = 1.15; 95% CI = 1.08–1.22; P = 2.58 × 10−5), and a decline in estimated glomerular filtration rate (beta = −0.001; P = 2.99 × 10−4). Additionally, a potential positive trend in the causal relationship between celiac disease and membranous nephropathy (OR = 1.37; 95% CI = 1.08–1.74; P = 0.01) was observed. Sensitivity analysis indicated the absence of pleiotropy. This study contributes novel evidence establishing a causal link between celiac disease and kidney traits, indicating a potential association between celiac disease and an elevated risk of kidney diseases. The findings provide fresh perspectives for advancing mechanistic and clinical research into kidney diseases associated with celiac disease.
Normal sperm quality despite partial deletion of sY84 in the AZFa region: A case report
Authors: Li Derong , Luo Bowen , Luo Yudi , Feng Keng , Li Xiang , Zhu Lingling , Ruan Luhai , Cai Fuman , Liao Yujuan , Li Ling
Published: August 2024

Background:

The complete absence of the azoospermia factor A (AZFa) region typically results in nonobstructive azoospermia. Partial deletions of the AZFa region are particularly noteworthy due to the limited and enigmatic reports of partial deletions in the AZFa region. Here, we present a rare case report of partial deletion of sY84 in the AZFa region but exhibiting normal sperm quality. The aim of this case report is to gain a deeper insight into the impact of AZFa region deletion on male fertility and to guide future clinical decisions and treatment strategies.

Methods and Results:

A 25-year-old man presented to the hospital with his 25-year-old wife due to recurrent spontaneous abortions. Routine semen analysis, sperm morphology analysis, acrosomal enzyme analysis, sperm DNA fragmentation indexed, and peripheral blood karyotype analysis revealed no abnormalities. Y chromosome microdeletion was detected by real-time fluorescence polymerase chain reaction, which showed that sY84 could not be amplified and sY86 was amplified nonspecifically. The man was diagnosed with partial deletions in the AZFa region. The wife underwent in vitro fertilization treatment for tubal infertility and recurrent spontaneous abortions. The couple successfully delivered a healthy daughter weighing 2.7 kg at 39 weeks of gestation, following 2 assisted reproductive pregnancies.

Conclusion:

Our findings contribute to expanding our knowledge of the AZFa region. A sY84 deficiency in the AZFa region may not lead to spermatogenesis failure and may potentially be one of the factors causing recurrent miscarriages, which needs to be confirmed by further data.