bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypergraphs with edge-dependent vertex weights: p-Laplacians and spectral clustering
Authors: Zhu Yu , Segarra Santiago
Published: February 2023

We study p-Laplacians and spectral clustering for a recently proposed hypergraph model that incorporates edge-dependent vertex weights (EDVW). These weights can reflect different importance of vertices within a hyperedge, thus conferring the hypergraph model higher expressivity and flexibility. By constructing submodular EDVW-based splitting functions, we convert hypergraphs with EDVW into submodular hypergraphs for which the spectral theory is better developed. In this way, existing concepts and theorems such as p-Laplacians and Cheeger inequalities proposed under the submodular hypergraph setting can be directly extended to hypergraphs with EDVW. For submodular hypergraphs with EDVW-based splitting functions, we propose an efficient algorithm to compute the eigenvector associated with the second smallest eigenvalue of the hypergraph 1-Laplacian. We then utilize this eigenvector to cluster the vertices, achieving higher clustering accuracy than traditional spectral clustering based on the 2-Laplacian. More broadly, the proposed algorithm works for all submodular hypergraphs that are graph reducible. Numerical experiments using real-world data demonstrate the effectiveness of combining spectral clustering based on the 1-Laplacian and EDVW.
Strengths and limitations of relative wealth indices derived from big data in Indonesia
Authors: Sartirano Daniele , Kalimeri Kyriaki , Cattuto Ciro , Delamónica Enrique , Garcia-Herranz Manuel , Mockler Anthony , Paolotti Daniela , Schifanella Rossano
Published: February 2023

Accurate relative wealth estimates in Low and Middle-Income Countries (LMICS) are crucial to help policymakers address socio-demographic inequalities under the guidance of the Sustainable Development Goals set by the United Nations. Survey-based approaches have traditionally been employed to collect highly granular data about income, consumption, or household material goods to create index-based poverty estimates. However, these methods are only capture persons in households (i.e., in the household sample framework) and they do not include migrant populations or unhoused citizens. Novel approaches combining frontier data, computer vision, and machine learning have been proposed to complement these existing approaches. However, the strengths and limitations of these big-data-derived indices have yet to be sufficiently studied. In this paper, we focus on the case of Indonesia and examine one frontier-data derived Relative Wealth Index (RWI), created by the Facebook Data for Good initiative, that utilizes connectivity data from the Facebook Platform and satellite imagery data to produce a high-resolution estimate of relative wealth for 135 countries. We examine it concerning asset-based relative wealth indices estimated from existing high-quality national-level traditional survey instruments, the USAID-developed Demographic Health Survey (DHS), and the Indonesian National Socio-economic survey (SUSENAS). In this work, we aim to understand how the frontier-data derived index can be used to inform anti-poverty programs in Indonesia and the Asia Pacific region. First, we unveil key features that affect the comparison between the traditional and non-traditional sources, such as the publishing time and authority and the granularity of the spatial aggregation of the data. Second, to provide operational input, we hypothesize how a re-distribution of resources based on the RWI map would impact a current social program, the Social Protection Card (KPS) of Indonesia and assess impact. In this hypothetical scenario, we estimate the percentage of Indonesians eligible for the program, which would have been incorrectly excluded from a social protection payment had the RWI been used in place of the survey-based wealth index. The exclusion error in that case would be 32.82%. Within the context of the KPS program targeting, we noted significant differences between the RWI map's predictions and the SUSENAS ground truth index estimates.
Changes of serum uric acid level during acute gout flare and related factors
Authors: Zhang Jie , Sun Wenyan , Gao Fei , Lu Jie , Li Kelei , Xu Yijun , Li Yushuang , Li Changgui , Chen Ying
Published: February 2023

Objective

By studying the changes of serum uric acid (SUA) in acute stage and remission stage of gouty arthritis, we aimed to explore the relationship between the changes of SUA level and free glucocorticoids and inflammatory factors.

Methods

A prospective, longitudinal study was conducted on 50 acute gout patients in the dedicated gout clinic of the Affiliated Hospital of Qingdao University. Blood and 24-hour urine samples were collected during the acute phase and two weeks after the initial visit. Patients with acute gouty arthritis were treated primarily with colchicine and nonsteroidal anti-inflammatory drugs.

Results

A total of 32 patients completed the two-week follow-up trial. SUA levels were significantly downregulated during the acute flare than after the flare (464.14 ± 90.97 vs. 527.36 ± 86.90 μmol/L, p < 0.001). The 24-hour fractional excretion of uric acid (24 h FEur) (5.54 ± 2.82% vs. 4.68 ± 2.83%, p < 0.001) and 24-hour urinary uric acid excretion (24 h Uur) (663.08 ± 249.48 μmol/L vs. 540.87 ± 263.18 μmol/L, p = 0.001) increased significantly in patients during the acute phase. The percent change in SUA was associated with those in 24 h FEur and C-reactive protein. Meanwhile, the percent change in 24 h Uur was associated with those in 24-hour urinary free cortisol, percent change in interleukin 1β and interleukin 6.

Conclusion

Decreased SUA level during the acute gout flare was associated with increased excretion of urinary uric acid. Inflammatory factors and bioactive free glucocorticoids may play significant roles in this process.
Serum anti-Müllerian hormone levels are associated with perinatal outcomes in women undergoing IVF/ICSI: A multicenter retrospective cohort study
Authors: He Yi-Chen , Su Kai-Zhen , Cai Jie , Meng Qing-Xia , Wu Yan-Ting , Huang He-Feng
Published: February 2023

Introduction

Anti-Müllerian hormone (AMH) level has long been considered as a serum biomarker of ovarian reserve clinically, while emerging data suggest that serum AMH level may also predict pregnancy outcomes. However, whether pregestational serum AMH levels are related to perinatal outcomes among women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) cycles is unknown.

Objective

To explore the association between different AMH levels and perinatal outcomes in women with live births in IVF/ICSI.

Methods

This multicenter retrospective cohort study was conducted among three different provinces in China, from January 2014 to October 2019. A total of 13,763 IVF/ICSI cycles with 5657 live-delivery pregnant women and 6797 newborns were recruited. Participants were categorized into three groups according to the <25th (low), 25 to 75th (average), and >75th (high) percentile of serum AMH concentration. Perinatal outcomes were compared among groups. Subgroup analyses were conducted based on the number of live births.

Results

Among women with singleton deliveries, low and high AMH levels increased the risk of intrahepatic cholestasis of pregnancy (ICP) (aOR1 = 6.02, 95%CI: 2.10-17.22; aOR2 = 3.65, 95%CI:1.32-10.08) and decreased the risk of macrosomia (aOR1 = 0.65, 95%CI:0.48-0.89; aOR2 = 0.72, 95%CI:0.57-0.96), while low AMH reduced the risk of large for gestational age (LGA, aOR=0.74, 95%CI:0.59-0.93) and premature rupture of membrane (PROM, aOR=0.50, 95%CI:0.31-0.79)compared with the average AMH group. In women with multiple deliveries, high AMH levels increased the risks of gestational diabetes mellitus (GDM, aOR=2.40, 95%CI:1.48-3.91) and pregnancy-induced hypertension (PIH, aOR=2.26, 95%CI:1.20-4.22) compared with the average AMH group, while low AMH levels increased the risk of ICP (aOR=14.83, 95%CI:1.92-54.30). However, there was no evidence of differences in preterm birth, congenital anomaly, and other perinatal outcomes among the three groups in both singleton and multiple deliveries.

Conclusions

Abnormal AMH levels increased the risk of ICP regardless of the number of live births for women undergoing IVF/ICSI, while high AMH levels increased the risks of GDM and PIH in multiple deliveries. However, serum AMH levels were not associated with adverse neonatal outcomes in IVF/ICSI. The underlying mechanism warrants further investigation.
Evaluating the influence of sleep quality and quantity on glycemic control in adults with type 1 diabetes
Authors: Botella-Serrano Marta , Velasco Jose Manuel , Sánchez-Sánchez Almudena , Garnica Oscar , Hidalgo J. Ignacio
Published: February 2023

Background

Sleep quality disturbances are frequent in adults with type 1 diabetes. However, the possible influence of sleep problems on glycemic variability has yet to be studied in depth. This study aims to assess the influence of sleep quality on glycemic control.

Materials and methods

An observational study of 25 adults with type 1 diabetes, with simultaneous recording, for 14 days, of continuous glucose monitoring (Abbott FreeStyle Libre system) and a sleep study by wrist actigraphy (Fitbit Ionic device). The study analyzes, using artificial intelligence techniques, the relationship between the quality and structure of sleep with time in normo-, hypo-, and hyperglycemia ranges and with glycemic variability. The patients were also studied as a group, comparing patients with good and poor sleep quality.

Results

A total of 243 days/nights were analyzed, of which 77% (n = 189) were categorized as poor quality and 33% (n = 54) as good quality. Linear regression methods were used to find a correlation (r =0.8) between the variability of sleep efficiency and the variability of mean blood glucose. With clustering techniques, patients were grouped according to their sleep structure (characterizing this structure by the number of transitions between the different sleep phases). These clusters showed a relationship between time in range and sleep structure.

Conclusions

This study suggests that poor sleep quality is associated with lower time in range and greater glycemic variability, so improving sleep quality in patients with type 1 diabetes could improve their glycemic control.
Cold sintering-enabled interface engineering of composites for solid-state batteries
Authors: Nie Bo , Liu Tengxiao , Alcoutlabi Mataz , Basu Saurabh , Kumara Soundar , Li Mingxin , Lian Jie , Sun Hongtao
Published: February 2023

The cold sintering process (CSP) is a low-temperature consolidation method used to fabricate materials and their composites by applying transient solvents and external pressure. In this mechano-chemical process, the local dissolution, solvent evaporation, and supersaturation of the solute lead to “solution-precipitation” for consolidating various materials to nearly full densification, mimicking the natural pressure solution creep. Because of the low processing temperature (<300°C), it can bridge the temperature gap between ceramics, metals, and polymers for co-sintering composites. Therefore, CSP provides a promising strategy of interface engineering to readily integrate high-processing temperature ceramic materials (e.g., active electrode materials, ceramic solid-state electrolytes) as “grains” and low-melting-point additives (e.g., polymer binders, lithium salts, or solid-state polymer electrolytes) as “grain boundaries.” In this minireview, the mechanisms of geomimetics CSP and energy dissipations are discussed and compared to other sintering technologies. Specifically, the sintering dynamics and various sintering aids/conditions methods are reviewed to assist the low energy consumption processes. We also discuss the CSP-enabled consolidation and interface engineering for composite electrodes, composite solid-state electrolytes, and multi-component laminated structure battery devices for high-performance solid-state batteries. We then conclude the present review with a perspective on future opportunities and challenges.
Variation in microbial CAZyme families across degradation severity in a steppe grassland in northern China
Authors: Zhang Qian , Xu Xiaoqing , Duan Junguang , Koide Roger T. , Xu Lei , Chu Jianmin
Published: February 2023

Little is known about the effects of grassland degradation on the carbohydrate-active enzyme (CAZYme) genes responsible for C cycling. Here we used a metagenomic approach to reveal variation in abundance and composition of CAZyme genes in grassland experiencing a range of degradation severity (i.e., non-, light, moderately, and severely degraded) in two soil layers (0–10 cm, 10–20 cm) in a steppe grassland in northern China. We observed a higher CAZyme abundance in severely degraded grassland compared with the other three degradation severities. Glycoside hydrolase (GH) and glycosyltransferase (GT) were identified as the most abundant gene families. The Mantel test and variation partitioning suggested an interactive effect of degradation severity and soil depth with respect to CAZyme gene composition. Structural equation modeling indicated that total soil carbon, microbial biomass carbon and organic carbon were the three soil characteristics most important to CAZyme abundance, which suggests an interaction between degradation and soil carbon fractions in determining CAZyme gene composition. Both above- and below-ground factors linked to soil organic matter play a central role in determining the abundance of CAZyme gene families.
How does lake primary production scale with lake size?
Authors: Cael B. B. , Seekell David A.
Published: February 2023

Kleiber’s 3/4-scaling law for metabolism with mass is one of the most striking regularities in biological sciences. Kleiber’s law has been shown to apply not only to individual organisms but also to communities and even the whole-ecosystem properties such as the productivity of estuaries. Might Kleiber’s law also then apply to lake ecosystems? Here, we show that for a collection of whole-lake primary production measurements, production scales to the 3/4 power of lake volume, consistent with Kleiber’s law. However, this relationship is not explicable by analogy to theories developed for individual organisms. Instead, we argue that dimensional analysis offers a simple explanation. After accounting for latitudinal gradients in temperature and insolation, whole-lake primary production scales isometrically with lake area. Because Earth’s topography is self-affine, meaning there are global-scale differences between vertical and horizontal scaling of topography, lake volume scales super-linearly with lake surface area. 3/4 scaling for primary production by volume then results from these other two scaling relationships. The identified relationship between the primary production and temperature- and insolation-adjusted area may be useful for constraining lakes’ global annual productivity and photosynthetic efficiency. More generally, this suggests that there are multiple paths to realizing the 3/4 scaling of metabolism rather than a single unifying law, at least when comparing across levels of biological organization.
Low frequency of Plasmodium falciparum hrp2/3 deletions from symptomatic infections at a primary healthcare facility in Kilifi, Kenya
Authors: Okanda Dorcas , Ndwiga Leonard , Osoti Victor , Achieng Nicole , Wambua Juliana , Ngetsa Caroline , Lubell-Doughtie Peter , Shankar Anuraj , Bejon Philip , Ochola-Oyier Lynette Isabella
Published: February 2023

There is a growing concern for malaria control in the Horn of Africa region due to the spread and rise in the frequency of Plasmodium falciparum Histidine-rich Protein (hrp) 2 and 3 deletions. Parasites containing these gene deletions escape detection by the major PfHRP2-based rapid diagnostic test. In this study, the presence of Pfhrp2/3 deletions was examined in uncomplicated malaria patients in Kilifi County, from a region of moderate-high malaria transmission. 345 samples were collected from the Pingilikani dispensary in 2019/2020 during routine malaria care for patients attending this primary health care facility. The Carestart™ RDT and microscopy were used to test for malaria. In addition, qPCR was used to confirm the presence of parasites. In total, 249 individuals tested positive for malaria by RDT, 242 by qPCR, and 170 by microscopy. 11 samples that were RDT-negative and microscopy positive and 25 samples that were qPCR-positive and RDT-negative were considered false negative tests and were examined further for Pfhrp2/3 deletions. Pfhrp2/3-negative PCR samples were further genotyped at the dihydrofolate reductase (Pfdhfr) gene which served to further confirm that parasite DNA was present in the samples. The 242 qPCR-positive samples (confirmed the presence of DNA) were also selected for Pfhrp2/3 genotyping. To determine the frequency of false negative results in low parasitemia samples, the RDT- and qPCR-negative samples were genotyped for Pfdhfr before testing for Pfhrp2/3. There were no Pfhrp2 and Pfhrp3 negative but positive for dhfr parasites in the 11 (RDT negative and microscopy positive) and 25 samples (qPCR-positive and RDT-negative). In the larger qPCR-positive sample set, only 5 samples (2.1%) were negative for both hrp2 and hrp3, but positive for dhfr. Of the 5 samples, there were 4 with more than 100 parasites/µl, suggesting true hrp2/3 deletions. These findings revealed that there is currently a low prevalence of Pfhrp2 and Pfhrp3 deletions in the health facility in Kilifi. However, routine monitoring in other primary health care facilities across the different malaria endemicities in Kenya is urgently required to ensure appropriate use of malaria RDTs.
A response of biomass and nutrient allocation to the combined effects of soil nutrient, arbuscular mycorrhizal, and root-knot nematode in cherry tomato
Authors: Wang Lei , Chen Xin , Yan Xingfu , Wang Congli , Guan Pingting , Tang Zhanhui
Published: February 2023

Introduction

The biomass and nutrient allocation strategies in plants are fundamental for predicting carbon storage and mineral and nutrient cycles in terrestrial ecosystems. However, our knowledge regarding the effects of multiple environmental factors on biomass and nutrient allocation remains limited.

Methods

Here we manipulated soil composition (three levels), arbuscular mycorrhizal fungi inoculation (AMF, five levels), and root-knot nematode inoculation (RKN, two levels) using random block design to reveal the effects of these factors on biomass and nutrient allocation strategies of cherry tomato.

Results and Discussion

Our results showed that biomass and nutrient allocation were affected by soil composition, AMF and RKN individually or interactively. The biomass and nutrient allocation in cherry tomato shows different adaptation strategies responded to the joint action of three factors. The reduction of soil nutrients increased belowground biomass allocation, and aboveground nitrogen and phosphorus concentration. AMF colonization increased aboveground biomass allocation and reproductive investment and promoted aboveground nitrogen and phosphorus inputs. Cherry tomato can mitigate the stress of RKN infection by investing more biomass and nutrients into belowground organs. Our study showed that plants can adjust their survival strategies by changing biomass and nutrient allocation to adapt to variation in soil abiotic and biotic factors. These findings contribute to our understanding of the adaptive processes of plant biomass and nutrient allocation strategies under multiple environmental factors.
Sentinel-2 time series analysis for monitoring multi-taxon biodiversity in mountain beech forests
Authors: Parisi Francesco , Vangi Elia , Francini Saverio , D’Amico Giovanni , Chirici Gherardo , Marchetti Marco , Lombardi Fabio , Travaglini Davide , Ravera Sonia , De Santis Elena , Tognetti Roberto
Published: February 2023

Biodiversity monitoring represents a major challenge to supporting proper forest ecosystem management and biodiversity conservation. The latter is indeed shifting in recent years from single-species to multi-taxon approaches. However, multi-taxonomic studies are quite rare due to the effort required for performing field surveys. In this context, remote sensing is a powerful tool, continuously providing consistent and open access data at a different range of spatial and temporal scales. In particular, the Sentinel-2 (S2) mission has great potential to produce reliable proxies for biological diversity. In beech forests of two Italian National Parks, we sampled the beetle fauna, breeding birds, and epiphytic lichens. First, we calculated Shannon’s entropy and Simpson’s diversity. Then, to produce variables for biodiversity assessment, we exploited S2 data acquired in the 4 years 2017–2021. S2 images were used to construct spectral bands and photosynthetic indices time series, from which 91 harmonic metrics were derived. For each taxon and multi-taxon community, we assessed the correlation with S2 harmonic metrics, biodiversity indices, and forest structural variables. Then, to assess the potential of the harmonic metrics in predicting species diversity in terms of Shannon’s and Simpson’s biodiversity indices, we also fit a random forests model between each diversity index and the best 10 harmonic metrics (in terms of absolute correlation, that is, the magnitude of the correlation) for each taxon. The models’ performance was evaluated via the relative root mean squared error (RMSE%). Overall, 241 beetle, 27 bird, and 59 lichen species were recorded. The diversity indices were higher for the multi-taxon community than for the single taxa. They were generally higher in the CVDA site than in GSML, except for the bird community. The highest correlation values between S2 data and biodiversity indices were recorded in CVDA for multi-taxon and beetle communities (| r| = 0.52 and 0.38, respectively), and in GSML for lichen and beetle communities (| r| = 0.34 and 0.26, respectively). RMSE% ranged between 2.53 and 9.99, and between 8.1 and 16.8 for the Simpson and Shannon index, respectively. The most important variables are phase and RMSE of red-Edge bands for bird and lichen communities, while RMSE and time of tassel cap and from EVI indices for beetles and multi-taxon diversity. Our results demonstrate that S2 data can be used for identifying potential biodiversity hotspots, showing that the herein presented harmonic metrics are informative for several taxa inhabiting wood, giving concrete support to cost-effective biodiversity monitoring and nature-based forest management in complex mountain systems.
The potential regulatory role of the lncRNA-miRNA-mRNA axis in teleost fish
Authors: Zhou Zhixia , Leng Cuibo , Wang Zhan , Long Linhai , Lv Yiju , Gao Ziru , Wang Yin , Wang Shoushi , Li Peifeng
Published: February 2023

Research over the past two decades has confirmed that noncoding RNAs (ncRNAs), which are abundant in cells from yeast to vertebrates, are no longer “junk” transcripts but functional regulators that can mediate various cellular and physiological processes. The dysregulation of ncRNAs is closely related to the imbalance of cellular homeostasis and the occurrence and development of various diseases. In mammals, ncRNAs, such as long noncoding RNAs (lncRNAs) and microRNAs (miRNAs), have been shown to serve as biomarkers and intervention targets in growth, development, immunity, and disease progression. The regulatory functions of lncRNAs on gene expression are usually mediated by crosstalk with miRNAs. The most predominant mode of lncRNA-miRNA crosstalk is the lncRNA-miRNA-mRNA axis, in which lncRNAs act as competing endogenous RNAs (ceRNAs). Compared to mammals, little attention has been given to the role and mechanism of the lncRNA-miRNA-mRNA axis in teleost species. In this review, we provide current knowledge about the teleost lncRNA-miRNA-mRNA axis, focusing on its physiological and pathological regulation in growth and development, reproduction, skeletal muscle, immunity to bacterial and viral infections, and other stress-related immune responses. Herein, we also explored the potential application of the lncRNA-miRNA-mRNA axis in the aquaculture industry. These findings contribute to an enhanced understanding of ncRNA and ncRNA-ncRNA crosstalk in fish biology to improve aquaculture productivity, fish health and quality.
The effect of Abi3 locus deletion on the progression of Alzheimer’s disease-related pathologies
Authors: Karahan Hande , Smith Daniel C. , Kim Byungwook , McCord Brianne , Mantor Jordan , John Sutha K. , Al-Amin Md Mamun , Dabin Luke C. , Kim Jungsu
Published: February 2023

Human genetics studies of Alzheimer’s disease (AD) have identified the ABI3 gene as a candidate risk gene for AD. Because ABI3 is highly expressed in microglia, the brain’s immune cells, it was suggested that ABI3 might impact AD pathogenesis by regulating the immune response. Recent studies suggest that microglia have multifaceted roles in AD. Their immune response and phagocytosis functions can have beneficial effects in the early stages of AD by clearing up amyloid-beta (Aβ) plaques. However, they can be harmful at later stages due to their continuous inflammatory response. Therefore, it is important to understand the role of genes in microglia functions and their impact on AD pathologies along the progression of the disease. To determine the role of ABI3 at the early stage of amyloid pathology, we crossed Abi3 knock-out mice with the 5XFAD Aβ-amyloidosis mouse model and aged them until 4.5-month-old. Here, we demonstrate that deletion of the Abi3 locus increased Aβ plaque deposition, while there was no significant change in microgliosis and astrogliosis. Transcriptomic analysis indicates alterations in the expression of immune genes, such as Tyrobp, Fcer1g, and C1qa. In addition to the transcriptomic changes, we found elevated cytokine protein levels in Abi3 knock-out mouse brains, strengthening the role of ABI3 in neuroinflammation. These findings suggest that loss of ABI3 function may exacerbate AD progression by increasing Aβ accumulation and inflammation starting from earlier stages of the pathology.
Emerging role for interferons in respiratory viral infections and childhood asthma
Authors: Bosco Anthony
Published: February 2023

Respiratory syncytial virus (RSV) and Rhinovirus (RV) infections are major triggers of severe lower respiratory illnesses (sLRI) in infants and children and are strongly associated with the subsequent development of asthma. Decades of research has focused on the role of type I interferons in antiviral immunity and ensuing airway diseases, however, recent findings have highlighted several novel aspects of the interferon response that merit further investigation. In this perspective, we discuss emerging roles of type I interferons in the pathogenesis of sLRI in children. We propose that variations in interferon response patterns exist as discrete endotypes, which operate locally in the airways and systemically through a lung-blood-bone marrow axis. We discuss new insights into the role of interferons in immune training, bacterial lysate immunotherapy, and allergen-specific immunotherapy. Interferons play complex and diverse roles in the pathogenesis of sLRI and later asthma, providing new directions for mechanistic studies and drug development.
Association between the systemic immune-inflammation index and kidney stone: A cross-sectional study of NHANES 2007-2018
Authors: Di Xingpeng , Liu Shaozhuang , Xiang Liyuan , Jin Xi
Published: February 2023

Background

The incidence rate of kidney stones increased over the past decades globally, which brought medical expenditure and social burden. The systemic immune-inflammatory index (SII) was initially identified as a prognosis of multiple diseases. We performed an updated analysis on the impact of SII on kidney stones.

Methods

This compensatory cross-sectional study enrolled participants from the National Health and Nutrition Examination Survey 2007-2018. Univariate and multivariate logistic regression analyses were performed to investigate the association between SII and kidney stones.

Results

Of the 22220 participants, the mean (SD) age was 49.45 ± 17.36 years old, with a 9.87% incidence rate of kidney stones. A fully adjusted model showed that SII higher than 330 x 109/L was parallel associated with kidney stones (Odds ratio [OR] = 1.282, 95% Confidence interval [CI] = 1.023 to 1.608, P = 0.034) in adults aged 20-50. However, no difference was found in the elderly subgroup. Multiple imputation analyses confirmed the robustness of our results.

Conclusions

Our findings suggested SII was positively associated with a high risk of kidney stones in US adults aged less than 50. The outcome compensated for previous studies that still needed more large-scale prospective cohorts for validation.
Interactions between particulate organic matter and dissolved organic matter in a weak dynamic bay revealed by stable isotopes and optical properties
Authors: Lu Xuan , Wang Chao , Lao Qibin , Jin Guangzhe , Chen Fajin , Zhou Xin , Chen Chunqing
Published: February 2023

Few studies have incorporated the tools of stable isotopes and optical properties to study the biogeochemical process of organic matter (OM), including particulate organic matter (POM) and dissolved organic matter (DOM), which prevents our comprehension of the interactions between POM and DOM in the marine environment. In this study, the origin, distribution, and fate of POM and DOM in Tieshangang Bay, a weak dynamic bay were investigated by measuring δ13C and δ15N of POM, dissolved organic carbon (DOC), and absorption and fluorescence of DOM (CDOM and FDOM). In the upper bay, POM source was mainly originated from terrestrial discharge, whereas the high fluorescence index (FI) indicated that external aquatic organism activity dominated DOM sources. In contrast, in the outer bay, the slightly increased δ13C and enriched δ15N of POM and enhanced fluorescence intensities of protein-like DOM components indicated the considerable contributions of the in situ biological activities to OM. A net addition of DOC and optical components of DOM occurred in both the upper and outer bays. The decomposition of terrestrial POM was responsible for the addition of DOM due to the weak dynamics in the upper bay, whereas the enhanced primary production and the strong decomposition of freshly produced POM jointly contributed to the addition of DOM in the outer bay. Our study suggests that hydrodynamics regulate the biogeochemistry and interactions of POM and DOM in the weak dynamic bay.
Design of artificial vascular devices: Hemodynamic evaluation of shear-induced thrombogenicity
Authors: Feaugas Thomas , Newman Gwenyth , Calzuola Silvia Tea , Domingues Alison , Arditi William , Porrini Constance , Roy Emmanuel , Perrault Cecile M.
Published: February 2023

Blood-circulating devices such as oxygenators have offered life-saving opportunities for advanced cardiovascular and pulmonary failures. However, such systems are limited in the mimicking of the native vascular environment (architecture, mechanical forces, operating flow rates and scaffold compositions). Complications involving thrombosis considerably reduce their implementation time and require intensive anticoagulant treatment. Variations in the hemodynamic forces and fluid-mediated interactions between the different blood components determine the risk of thrombosis and are generally not taken sufficiently into consideration in the design of new blood-circulating devices. In this Review article, we examine the tools and investigations around hemodynamics employed in the development of artificial vascular devices, and especially with advanced microfluidics techniques. Firstly, the architecture of the human vascular system will be discussed, with regards to achieving physiological functions while maintaining antithrombotic conditions for the blood. The aim is to highlight that blood circulation in native vessels is a finely controlled balance between architecture, rheology and mechanical forces, altogether providing valuable biomimetics concepts. Later, we summarize the current numerical and experimental methodologies to assess the risk of thrombogenicity of flow patterns in blood circulating devices. We show that the leveraging of both local hemodynamic analysis and nature-inspired architectures can greatly contribute to the development of predictive models of device thrombogenicity. When integrated in the early phase of the design, such evaluation would pave the way for optimised blood circulating systems with effective thromboresistance performances, long-term implantation prospects and a reduced burden for patients.
Clinical significance and related factors of rectal hyposensitivity in patients with functional defecation disorder
Authors: Jiang Ya , Wang Yan , Wang Meifeng , Lin Lin , Tang Yurong
Published: February 2023

Background

Rectal hyposensitivity (RH) is not uncommon in patients with functional defecation disorder (FDD). FDD patients with RH are usually unsatisfied with their treatment.

Aims

The aim of this study was to find the significance of RH in patients with FDD and the related factors of RH.

Methods

Patients with FDD first completed clinical questionnaires regarding constipation symptoms, mental state, and quality of life. Then anorectal physiologic tests (anorectal manometry and balloon expulsion test) were performed. Rectal sensory testing (assessing rectal response to balloon distension using anorectal manometry) was applied to obtain three sensory thresholds. Patients were separated into three groups (non-RH, borderline RH, and RH) based on the London Classification. The associations between RH and clinical symptoms, mental state, quality of life, and rectal/anal motility were investigated.

Results

Of 331 included patients with FDD, 87 patients (26.3%) had at least one abnormally elevated rectal sensory threshold and 50 patients (15.1%) were diagnosed with RH. Patients with RH were older and mostly men. Defecation symptoms were more severe (p = 0.013), and hard stool (p < 0.001) and manual maneuver (p = 0.003) were more frequently seen in the RH group. No difference in rectal/anal pressure was found among the three groups. Elevated defecatory desire volume (DDV) existed in all patients with RH. With the number of elevated sensory thresholds increasing, defecation symptoms got more severe (r = 0.35, p = 0.001). Gender (male) (6.78 [3.07–15.00], p < 0.001) and hard stool (5.92 [2.28–15.33], p < 0.001) were main related factors of RH.

Conclusion

Rectal hyposensitivity plays an important role in the occurrence of FDD and is associated with defecation symptom severity. Older male FDD patients with hard stool are prone to suffer from RH and need more care.
Enhanced phosphatidylserine exposure and erythropoiesis in Babesia microti-infected mice
Authors: Song Peng , Cai Yu-Chun , Chen Mu-Xin , Chen Shao-Hong , Chen Jia-Xu
Published: February 2023

Introduction

Babesia microti (B. microti) is the dominant species responsible for human babesiosis, which is associated with severe hemolytic anemia and splenomegaly because it infects mammalian erythrocytes. The actual prevalence of B. microti is thought to have been substantially underestimated.

Methods

In this study, Bagg’s albino/c (BALB/c) mice were intraperitoneally injected with B. microti-infected erythrocytes, and parasitemia was subsequently measured by calculating the proportion of infected erythrocytes. The ultrastructure of infected erythrocytes was observed using scanning and transmission electron microscopes. Quantifying phosphatidylserine (PS) exposure, oxidative stress, intracellular Ca2+, and erythropoiesis of erythrocytes were done using flow cytometry. The physiological indicators were analyzed using a Mindray BC-5000 Vet automatic hematology analyzer.

Results

Of note, 40.7 ± 5.9% of erythrocytes changed their structure and shrunk in the B. microti-infected group. The percentage of annexin V-positive erythrocytes and the levels of reactive oxygen species (ROS) in the erythrocytes were higher in the B. microti-infected group than in the control group at 10 dpi. Significant splenomegaly and severe anemia were also observed following B. microti infection. The parasitemia level in the B. microti-infected splenectomized group was higher than that of the B. microti-infected sham group. The population of early erythroblasts increased, and the late erythroblasts decreased in both the bone marrow and spleen tissues of the B. microti-infected group at 10 dpi.

Discussion

PS exposure and elevated ROS activities were hallmarks of eryptosis in the B. microti-infected group. This study revealed for the first time that B. microti could also induce eryptosis. At the higher parasitemia phase, the occurrence of severe anemia and significant changes in the abundance of erythroblasts in B. microti-infected mice group were established. The spleen plays a critical protective role in controlling B. microti infection and preventing anemia. B. microti infection could cause a massive loss of late erythroblasts and induce erythropoiesis.
The Key Roles of Mycobacterium tuberculosis FadD23 C-terminal Domain in Catalytic Mechanisms
Authors: Yan Mengrong , Cao Lin , Zhao Li , Zhou Weihong , Liu Xiang , Zhang Wei , Rao Zihe
Published: February 2023

Sulfolipid-1 (SL-1) is located in the Mycobacterium tuberculosis (M. tb) cell wall, and is essential for pathogen virulence and intracellular growth. Multiple proteins (e.g., Pks2, FadD23, PapA1, and MmpL8) in the SL-1 synthesis pathway can be treated as drug targets, but, to date, their structures have not been solved. The crystal structures of FadD23 bound to ATP or hexadecanoyl adenylate was determined in this study. We have also investigated long-chain saturated fatty acids as biological substrates of FadD23 through structural, biological, and chemical analyses. The mutation at the active site of FadD23 greatly influences enzymatic activity. Meanwhile, the FadD23 N-terminal domain alone cannot bind palmitic acid without C-terminal domain facilitation since it is almost inactive after removing the C-terminal domain. FadD23 is the first protein in the SL-1 synthesis pathway whose structure has been solved. These results reveal the importance of the C-terminal domain in the catalytic mechanism.
A progression analysis of motor features in Parkinson's disease based on the mapper algorithm
Authors: Ma Ling-Yan , Feng Tao , He Chengzhang , Li Mujing , Ren Kang , Tu Junwu
Published: February 2023

Background

Parkinson's disease (PD) is a neurodegenerative disease with a broad spectrum of motor and non-motor symptoms. The great heterogeneity of clinical symptoms, biomarkers, and neuroimaging and lack of reliable progression markers present a significant challenge in predicting disease progression and prognoses.

Methods

We propose a new approach to disease progression analysis based on the mapper algorithm, a tool from topological data analysis. In this paper, we apply this method to the data from the Parkinson's Progression Markers Initiative (PPMI). We then construct a Markov chain on the mapper output graphs.

Results

The resulting progression model yields a quantitative comparison of patients' disease progression under different usage of medications. We also obtain an algorithm to predict patients' UPDRS III scores.

Conclusions

By using mapper algorithm and routinely gathered clinical assessments, we developed a new dynamic models to predict the following year's motor progression in the early stage of PD. The use of this model can predict motor evaluations at the individual level, assisting clinicians to adjust intervention strategy for each patient and identifying at-risk patients for future disease-modifying therapy clinical trials.
The development of neurocritical care in China from the perspective of evaluation and treatment of critical neurological diseases
Authors: Su Yingying , Teng Junfang , Tian Fei , Jing Jing , Huang Huijin , Pan Suyue , Jiang Wen , Wang Furong , Zhang Le , Zhang Yan , Zhang Meng , Liu Liping , Cao Jie , Hu Huaiqiang , Li Wei , Liang Cheng , Ma Liansheng , Meng Xuegang , Tian Linyu , Wang Changqing , Wang Lihua , Wang Yan , Wang Zhenhai , Wang Zhiqiang , Xie Zunchun , You Mingyao , Yuan Jun , Zeng Chaosheng , Zeng Li , Zhang Lei , Zhang Xin , Zhang Yongwei , Zhao Bin , Zhou Saijun , Zhou Zhonghe
Published: February 2023

Objective

To understand the varieties, evaluation, treatment, and prognosis of severe neurological diseases using the third NCU survey in China.

Design

A cross-sectional questionnaire study. The study was completed in three main steps: filling in the questionnaire, sorting out the survey data, and analyzing the survey data.

Results

Of 206 NCUs, 165 (80%) provided relatively complete information. It was estimated that 96,201 patients with severe neurological diseases were diagnosed and treated throughout the year, with an average fatality rate of 4.1%. The most prevalent severe neurological disease was cerebrovascular disease (55.2%). The most prevalent comorbidity was hypertension (56.7%). The most prevalent complication was hypoproteinemia (24.2%). The most common nosocomial infection was hospital-acquired pneumonia (10.6%). The GCS, APACHE II, EEG, and TCD were the most commonly used (62.4–95.2%). The implementation rate of the five nursing evaluation techniques reached 55.8–90.9%. Routinely raising the head of the bed by 30°, endotracheal intubation and central venous catheterization were the mostprevalent treatment strategies (97.6, 94.5, and 90.3%, respectively). Traditional tracheotomy, invasive mechanical ventilation and nasogastric tube feeding (75.8, 95.8, and 95.8%, respectively) were more common than percutaneous tracheotomy, non-invasive mechanical ventilation and nasogastric tube insertion (57.6, 57.6, and 66.7%, respectively). Body surface hypothermia brain protection technology was more commonly used than intravascular hypothermia technology (67.3 > 6.1%). The rates of minimally invasive hematoma removal and ventricular puncture were only 40.0 and 45.5%, respectively.

Conclusion

In addition to traditional recognized basic life assessment and support technology, it is necessary to the use of promote specialized technology for neurological diseases, according to the characteristics of critical neurological diseases.
Case series: Immune checkpoint inhibitor-induced transverse myelitis
Authors: Chatterton Sophie , Xi Shuo , Jia Jessica Xi , Krause Martin , Long Georgina V. , Atkinson Victoria , Menzies Alexander M. , Fernando Suran L. , Boyle Thérèse , Kwok Samuel , Duggins Andrew , Karikios Deme , Parratt John D. E.
Published: February 2023

Introduction

Increasing implementation of the highly efficacious immune checkpoint inhibitors (ICIs) has raised awareness of their various complications in the form of immune-related adverse events (irAEs). Transverse myelitis following ICIs is thought to be a rare but serious neurologic irAE and knowledge is limited about this distinct clinical entity.

Cases

We describe four patients across three tertiary centers in Australia with ICI-induced transverse myelitis. Three patients had a diagnosis of stage III–IV melanoma treated with nivolumab and one patient had stage IV non-small cell lung cancer treated with pembrolizumab. All patients had longitudinally extensive transverse myelitis on magnetic resonance imaging (MRI) spine and clinical presentation was accompanied by inflammatory cerebrospinal fluid (CSF) findings. Half of our cohort had received spinal radiotherapy, with the areas of transverse myelitis extending beyond the level of previous radiation field. Inflammatory changes on neuroimaging did not extend to the brain parenchyma or caudal nerve roots, except for one case involving the conus medullaris. All patients received high dose glucocorticoids as first-line therapy, however the majority relapsed or had a refractory state (3/4) despite this, requiring escalation of their immunomodulation, with either induction intravenous immunoglobulin (IVIg) or plasmapheresis. Patients in our cohort who relapsed had a poorer outcome with more severe disability and reduced functional independence following resolution of their myelitis. Two patients had no progression of their malignancy and two patients had malignancy progression. Of the three patients who survived, two had resolution of their neurological symptoms and one remained symptomatic.

Conclusion

We propose that prompt intensive immunomodulation is favored for patients with ICI-transverse myelitis in an attempt to reduce associated significant morbidity and mortality. Furthermore, there is a significant risk of relapse following cessation of immunomodulatory therapy. We suggest one treatment approach of IVMP and induction IVIg for all patients presenting with ICI-induced transverse myelitis based on such findings. With the increasing use of ICIs across oncology, further studies are required to explore this neurological phenomenon in greater detail to help establish management consensus guidelines.
Nutritional interventions in adult fibrostenotic Crohn’s disease: A systematic review
Authors: Cooper Jared L. , Rosentreter Ryan E. , Filyk Alexis , Premji Zahra A. , Shen Hua , Ingram Richard , Kaplan Gilaad G. , Ma Christopher , Novak Kerri , Panaccione Remo , Seow Cynthia H. , Rieder Florian , Raman Maitreyi , Lu Cathy
Published: February 2023

Background

Management of Crohn’s disease (CD) using dietary interventions has become an area of increased research interest. There is a lack of specific research exploring if diet and nutrition interventions are beneficial in patients with strictures, as current dietary recommendations in fibrostenotic CD are often based on clinical judgment. The aim of this systematic review was to assess the impact of dietary interventions in fibrostenotic CD on medical and surgical outcomes.

Methods

A systematic search of MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCO), and Cochrane Central Register of Controlled Trials (Ovid) was conducted. Studies reporting dietary interventions or nutritional factors in fibrostenotic CD were included. Outcomes for studies assessing dietary interventions such as enteral nutrition were evaluated as changes in (1) CD symptoms (CD Activity Index), (2) stricture parameters on diagnostic imaging, and (3) rates of surgical or medical intervention following dietary interventions.

Results

Five studies were included in this review. Three studies assessed exclusive enteral nutrition (EEN), one evaluated total parenteral nutrition (TPN), and one studied a liquid diet. All included studies evaluated symptoms as an outcome, while diagnostic imaging parameters and surgical outcomes in the studies were either absent or too heterogeneous to appraise improvement post dietary intervention. Included EEN studies displayed similar efficacy, with approximately 60% of patients having symptom improvement. The included TPN study also reported 75% of patients with symptom improvement, while the liquid diet did not.

Conclusion

Exclusive enteral nutrition and total parental nutrition may provide benefit for use as a dietary intervention for fibrostenotic CD. There remains a need for high-quality controlled trials which utilize standardized definitions of strictures.