bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of policy synergy in coastal ocean pollution prevention and control: The case from China
Authors: Yao Chengyan , Sun Mengge , Liu Lin
Published: March 2023

In recent years, the Chinese central government and coastal provincial governments have promulgated a series of Coastal Ocean Pollution Prevention and Control Programs (COPPCP). Whether the government’s COPPCP can achieve policy synergy will affect the level of marine pollution governance. This study constructs a two-dimensional assessment framework of policy “subject department”–”content theme” and conducts a comprehensive evolution of policy synergy from objective, process, and state perspectives. From the subject department dimension, the study used social network analysis to find that interdepartmental collaboration was not done well overall. The policy synergy process is difficult to be guaranteed. Meanwhile, the structure of departmental synergy networks in different provinces shows differences and can be divided into three types of governments with single-core, multi-core, and vertical synergy. In the content synergy dimension, it was found by the Chinese Bidirectional Encoder Representations from Transformers-Whole Word Masking (BERT-WWM) model that the policy content is mainly focused on four themes of marine ecological protection (MEP), marine pollution control (MPC), land-based pollution reduction (LPR), and safeguard measures (SAM). The three types of governments show different performances on the four theme synergies. The governments perform well in the objective synergy; however, it is difficult for them to agree on the policy tool synergy, and the status of policy synergy is difficult to maintain. This paper adopts the BERT-WWM model instead of the manual coding method in the previous policy content analysis, enhancing the evaluation’s objectivity. The study results will provide a reference for further improving marine pollution governance systems in developing countries.
Analysis of port pollutant emission characteristics in United States based on multiscale geographically weighted regression
Authors: Xiao Guangnian , Wang Tian , Luo Yuhang , Yang Daoqi
Published: March 2023

The huge fuel consumption of shipping activities has a great impact on the ecological environment, port city environment, air quality, and residents’ health. This paper uses Automatic Identification System (AIS) data records and ship-related data in 2021 coastal waters of the United States to calculate pollutant emissions from ships in 30 ports of the United States in 2021. After calculating the pollutant emissions from ships at each port, the multiscale geographically weighted regression (MGWR) model is used to analyze the factors affecting the ship pollutant emissions. Geographically weighted regression (GWR) model is used to investigate the spatial heterogeneity of various factors affecting the characteristics of ship pollutant emissions at different scales. This paper mainly compares the effect of models of GWR and MGWR. MGWR may truly reveal the scale difference between different variables. While controlling the social and economic attributes, the coastline length, container throughput, and population are used to describe the spatial effects of ship pollutant emissions in the United States. The results denote that the distribution trend of ship pollutant emissions has a gap based on various ship types and ports. NOx accounts for the highest proportion of pollutant emissions from port ships, followed by SO₂ and CO. The impact coefficients of coastline length and population on pollutant emissions in port areas are mostly positive, indicating that the growth of coastline length and population will increase pollutant emissions in port areas, while the effect of container throughput is opposite. Relevant departments should put forward effective measures to curb NOx emission. Port managers should reasonably plan the number of ship transactions according to the coastline length of the port.
Quality of vision and outcomes after bilateral implantation of pseudo-non diffracting beam IOL
Authors: Pedrotti Emilio , Bonacci Erika , Kilian Raphael , Pagnacco Camilla , Anastasi Marco , Ventura Mariacarmela , Marchini Giorgio
Published: March 2023

Purpose

To analyze the objective and subjective visual performances of a new hybrid refractive/aspheric extended depth of focus (EDOF) intraocular lens (IOL).

Methods

In this monocentric prospective study patients with bilateral cataracts underwent cataract surgery and were implanted with a Lucidis IOL (SAV-IOL SA, Neuchâtel, Switzerland) in both eyes, 1 week apart from each other. At 3 months from implantation postoperative evaluations included monocular and binocular uncorrected and distance-corrected distant (4 m), intermediate (80 cm, 67 cm) and near (40 cm) visual acuities (UDVA/DCVA, UI80-67VA/DCI80-67VA, UNVA/DCNVA), binocular defocus curves, halometry, contrast sensitivity and objective quality-of-vision measurements. Also, patients were also asked to complete the national eye institute refractive error quality of life (NEI-RQL-42) questionnaire.

Results

Twenty-five patients (50 eyes) were included. The mean postoperative binocular UDVA, UI80VA, UI67VA and UNVA were-0.02 ± 0.13, 0.05 ± 0.09, 0.05 ± 0.08 and 0.03 ± 0.1 LogMar, and did not significantly differ from their corrected counterparts. On binocular defocus curves a VA ≥0.05LogMar was found between +0.50 and − 2.50 D of vergence, whereas the mean distance from the central stimulus on halometry was 1.23 ± 0.01. Mean ocular and corneal radical mean square at 4 mm were 0.31 ± 0.28 and 0.19 ± 0.07, respectively; whereas the mean Strehl ratio was 0.2 ± 0.09.

Conclusion

Lucidis IOLs demonstrated excellent visual performances, especially at close distances while maintain good quality of vision, contrast sensitivity, and overall patient-satisfaction.
Compared effectiveness of sodium zirconium cyclosilicate and calcium polystyrene sulfonate on hyperkalemia in patients with chronic kidney disease
Authors: Nakayama Takashin , Yamaguchi Shintaro , Hayashi Kaori , Uchiyama Kiyotaka , Tajima Takaya , Azegami Tatsuhiko , Morimoto Kohkichi , Yoshida Tadashi , Yoshino Jun , Monkawa Toshiaki , Kanda Takeshi , Itoh Hiroshi
Published: March 2023

Hyperkalemia is a well-recognized electrolyte abnormality in patients with chronic kidney disease (CKD). Potassium binders are often used to prevent and treat hyperkalemia. However, few studies have evaluated the difference in serum potassium (K+) level-lowering effect during the post-acute phase between the novel potassium binder, sodium zirconium cyclosilicate (ZSC), and conventional agents. This retrospective study included patients who received potassium binders (either ZSC or calcium polystyrene sulfonate [CPS]) in our hospital between May 2020 and July 2022. The patients were divided into the ZSC and CPS groups. After propensity score matching, we compared changes from baseline to the first follow-up point, at least 4 weeks after initiating potassium binders, in electrolytes including K+ level between the two groups. Of the 132 patients, ZSC and CPS were administered in 48 and 84 patients, respectively. After matching, 38 patients were allocated to each group. The ZSC group showed greater reduction in K+ levels than did the CPS group (P < 0.05). Moreover, a significant increase in serum sodium minus chloride levels, a surrogate marker for metabolic acidosis, was observed in the ZSC group (P < 0.05). Our results demonstrated that ZSC could potentially improve hyperkalemia and metabolic acidosis in patients with CKD.
Habitat and tree species identity shape aboveground and belowground fungal communities in central European forests
Authors: Hofmann Benjamin , Dreyling Lukas , Dal Grande Francesco , Otte Jürgen , Schmitt Imke
Published: March 2023

Introduction

Trees interact with fungi in mutualistic, saprotrophic, and pathogenic relationships. With their extensive aboveground and belowground structures, trees provide diverse habitats for fungi. Thus, tree species identity is an important driver of fungal community composition in forests.

Methods

Here we investigate how forest habitat (bark surface vs. soil) and tree species identity (deciduous vs. coniferous) affect fungal communities in two Central European forests. We assess differences and interactions between fungal communities associated with bark surfaces and soil, in forest plots dominated either by Fagus sylvatica, Picea abies, or Pinus sylvestris in two study regions in southwestern and northeastern Germany.

Results

ITS metabarcoding yielded 3,357 fungal amplicon sequence variants (ASVs) in the northern and 6,088 in the southern region. Overall, soil communities were 4.7 times more diverse than bark communities. Habitat type explained 48–69% of the variation in alpha diversity, while tree species identity explained >1–3%. NMDS ordinations showed that habitat type and host tree species structured the fungal communities. Overall, few fungal taxa were shared between habitats, or between tree species, but the shared taxa were highly abundant. Network analyses, based on co-occurrence patterns, indicate that aboveground and belowground communities form distinct subnetworks.

Discussion

Our study suggests that habitat (bark versus soil) and tree species identity are important factors structuring fungal communities in temperate European forests. The aboveground (bark-associated) fungal community is currently poorly known, including a high proportion of reads assigned to “unknown Ascomycota” or “unknown Dothideomycetes.” The role of bark as a habitat and reservoir of unique fungal diversity in forests has been underestimated.
Formate and hydrogen in hydrothermal vents and their use by extremely thermophilic methanogens and heterotrophs
Authors: Holden James F. , Sistu Harita
Published: March 2023

Extremely thermophilic methanogens in the Methanococci and heterotrophs in the Thermococci are common in deep-sea hydrothermal vents. All Methanococci use H2 as an electron donor, and a few species can also use formate. Most Methanococci have a coenzyme F420-reducing formate dehydrogenase. All Thermococci reduce S0 but have hydrogenases and produce H2 in the absence of S0. Some Thermococci have formate hydrogenlyase (Fhl) that reversibly converts H2 and CO2 to formate or an NAD(P)+-reducing formate dehydrogenase (Nfd). Questions remain if Methanococci or Thermococci use or produce formate in nature, why only certain species can grow on or produce formate, and what the physiological role of formate is? Formate forms abiotically in hydrothermal fluids through chemical equilibrium with primarily H2, CO2, and CO and is strongly dependent upon H2 concentration, pH, and temperature. Formate concentrations are highest in hydrothermal fluids where H2 concentrations are also high, such as in ultramafic systems where serpentinization reactions occur. In nature, Methanococci are likely to use formate as an electron donor when H2 is limiting. Thermococci with Fhl likely convert H2 and CO2 to formate when H2 concentrations become inhibitory for growth. They are unlikely to grow on formate in nature unless formate is more abundant than H2 in the environment. Nearly all Methanococci and Thermococci have a gene for at least one formate dehydrogenase catalytic subunit, which may be used to provide free formate for de novo purine biosynthesis. However, only species with a membrane-bound formate transporter can grow on or secrete formate. Interspecies H2 transfer occurs between Thermococci and Methanococci. This and putative interspecies formate transfer may support Methanococci in low H2 environments, which in turn may prevent growth inhibition of Thermococci by its own H2. Future research directions include understanding when, where, and how formate is used and produced by these organisms in nature, and how transcription of Thermococci genes encoding formate-related enzymes are regulated.
Winter dynamics of functional diversity and redundancy of riffle and pool macroinvertebrates after defoliation in a temperate forest stream
Authors: Wang Lu , Xia Lixian , Li Jiaxu , Wan Linglin , Yang Haijun
Published: March 2023

Headwater streams are highly heterogenous and characterized by a sequence of riffles and pools, which are identified as distinct habitats. That higher species richness and density in riffles than in pools is considered a general pattern for macroinvertebrates. As temperate winters can last long up to half a year, however, macroinvertebrate communities of riffles and pools may assemble differently under ices or snows. Particularly, defoliation concentrating in autumn can largely change habitats in both riffles and pools by litter patching. According to the absence or presence of litter patches, there exist four types of subhabitats, i.e., riffle stones, riffle litters, and pool sediments, pool litters, which are selectively colonized by macroinvertebrates. To study the spatial pattern and temporal dynamics of colonization, macroinvertebrates were surveyed in a warmer temperate forest headwater stream in Northeast China during four periods: autumn, pre-freezing, freezing, and thawing periods. Our study focused on functional trait composition, functional diversity and functional redundancy of macroinvertebrate communities. The colonization of macroinvertebrates was found to be significantly different in these subhabitats. Riffle stones supported higher taxonomic and functional diversities than pool sediments; litter patches supported higher total macroinvertebrate abundance and higher functional redundancy than riffle stones or pool sediments. The functional trait composition changed significantly with seasonal freeze-thaw in both riffle stones and pool sediments, but not in litter patches. Macroinvertebrate community in litter patches showed seasonal stability in taxonomic and functional diversities and functional redundancy. Thus, this study strongly highlights that litter patches play an important role structuring macroinvertebrate community over winter, supporting high abundance and maintaining functional stability.
Co-occurrence of OXA-232, RmtF-encoding plasmids, and pLVPK-like virulence plasmid contributed to the generation of ST15-KL112 hypervirulent multidrug-resistant Klebsiella pneumoniae
Authors: Wu Chunyang , Zhou Ying , Ai Wenxiu , Guo Yinjuan , Wu Xiaocui , Wang Bingjie , Zhao Huilin , Rao Lulin , Wang Xinyi , Zhang Jiao , Yu Fangyou , Wang Liangxing
Published: March 2023

The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) strains and restricted therapeutic options pose a global threat to public health. Aminoglycosides are a wise choice, which can effectively reduce the mortality rate when combined with β-lactam drugs. However, in this study, we identified a ST15-KL112 CRKP FK3006 which not only exhibited resistance to carbapenems, but also exhibited high level resistance to aminoglycosides. In addition to the multidrug resistant phenotype, FK3006 also owned typical pathogenic characteristic, including hypermucoviscosity and hypervirulence phenotypes. According to the whole-genome sequencing, one pLVPK-like virulence plasmid, and three key resistant plasmids (blaOXA-232, blaCTX-M-15, and rmtF) were observed in FK3006. Compared to other typical ST15 CRKP, the presence of pLVPK-like virulence plasmid (p3006-2) endowed the FK3006 with high virulence features. High siderophore production, more cell invasive and more resistant to serum killing was observed in FK3006. The Galleria mellonella infection model also further confirmed the hypervirulent phenotype of FK3006 in vivo. Moreover, according to the conjugation assay, p3006-2 virulence plasmid also could be induced transfer with the help of conjugative IncFIIK p3006-11 plasmid (blaCTX-M-15). In addition to the transmissible plasmid, several insertion sequences and transposons were found around blaCTX-M-15, and rmtF to generate the mobile antimicrobial resistance island (ARI), which also make a significant contribution to the dissemination of resistant determinants. Overall, we reported the uncommon co-existence of blaOXA-232, rmtF-encoding plasmids, and pLVPK-like virulence plasmid in ST15-KL112 K. pneumoniae. The dissemination threatens of these high-risk elements in K. pneumoniae indicated that future studies are necessary to evaluate the prevalence of such isolates.
Red ginseng dietary fiber promotes probiotic properties of Lactiplantibacillus plantarum and alters bacterial metabolism
Authors: Jeon Hyeon Ji , You Seung-Hwan , Nam Eoun Ho , Truong Van-Long , Bang Ji-Hong , Bae Yeon-Ji , Rarison Razanamanana H. G. , Kim Sang-Kyu , Jeong Woo-Sik , Jung Young Hoon , Shin Minhye
Published: March 2023

Korean red ginseng has been widely used as an herbal medicine. Red ginseng dietary fiber (RGDF) is a residue of the processed ginseng product but still contains bioactive constituents that can be applied as prebiotics. In this study, we evaluated changes on fermentation profiles and probiotic properties of strains that belong to family Lactobacillaceae with RGDF supplementation. Metabolomic analyses were performed to understand specific mechanisms on the metabolic alteration by RGDF and to discover novel bioactive compounds secreted by the RGDF-supplemented probiotic strain. RGDF supplementation promoted short-chain fatty acid (SCFA) production, carbon source utilization, and gut epithelial adhesion of Lactiplantibacillus plantarum and inhibited attachment of enteropathogens. Intracellular and extracellular metabolome analyses revealed that RGDF induced metabolic alteration, especially associated with central carbon metabolism, and produced RGDF-specific metabolites secreted by L. plantarum, respectively. Specifically, L. plantarum showed decreases in intracellular metabolites of oleic acid, nicotinic acid, uracil, and glyceric acid, while extracellular secretion of several metabolites including oleic acid, 2-hydroxybutanoic acid, hexanol, and butyl acetate increased. RGDF supplementation had distinct effects on L. plantarum metabolism compared with fructooligosaccharide supplementation. These findings present potential applications of RGDF as prebiotics and bioactive compounds produced by RGDF-supplemented L. plantarum as novel postbiotic metabolites for human disease prevention and treatment.
Characterization and role exploration of ferroptosis-related genes in osteoarthritis
Authors: Wang Xinyu , Liu Tianyi , Qiu Cheng , Yu Shunan , Zhang Yanzhuo , Sheng Yueyang , Wu Chengai
Published: March 2023

Osteoarthritis (OA), viewing as a degenerative aseptic inflammatory disease, is characterized by joint pain and inflammation that significantly affects the quality of patients’ life, especially for the elder. Although rapid progress has been achieved in elucidating the underlying mechanisms of OA occurrence and progression, there is still a lack of effective clinical therapeutics for OA patients. Currently the most common treatments including drug therapy and surgical operations are not very satisfactory in majority of cases, so it is worthy to explore new remedies. During the past few decades, a number of novel forms of regulated cell death have been reported widely, typified by ferroptosis, with its prominent features including reactive oxygen species (ROS) elevation, lipid peroxidation, iron accumulation and glutathione deprivation. Our study was designed to identify the functional roles of differentially expressed ferroptosis-related genes in OA, which were screened out by referring to GEO database via bioinformatics analyses. Human chondrocytes were applied to validate the above findings in the scenario of ferroptosis inhibitors administration. Results partially proved the consistency with bioinformatics analyses that ATF3 and TFRC were highly expressed in interleukin-1β (IL-1β)-stimulated chondrocytes whereas CXCL2 and JUN were downregulated. Besides, TFRC was firstly validated to be upregulated in IL-1β-stimulated chondrocytes, which could be reversed by ferroptosis inhibitors. In conclusion, our study reported two prominent ferroptosis-related genes, ATF3 and TFRC are upregulated in IL-1β-stimulated chondrocytes while CXCL2 and JUN are downregulated. And preliminary results demonstrated that TFRC might serve as an accomplice of ferroptosis process in IL-1β-stimulated chondrocytes and ferroptosis inhibitors have the potential to inhibit ROS in IL-1β-stimulated chondrocytes.
Aging-related changes in reward-based decision-making depend on punishment frequency: An fMRI study
Authors: Ren Ping , Luo Guozhi , Huang Jiayin , Tan Meiling , Wu Donghui , Rong Han
Published: March 2023

Introduction

Aging is often accompanied by significant cognitive decline and altered decision making. Previous studies have found that older adults have difficulty in processing reward/risk information, leading to suboptimal decision strategy. However, it is still under investigated about the neural substrates of risky decision-making under ambiguity in aging.

Methods

Using the Iowa Gambling Task, the current study investigated inter-individual differences of risk-taking behaviors in healthy older adults with task-related functional magnetic resonance imaging.

Results

It was found that participants were able to improve their decisions in advantageous decks, but failed to avoid disadvantageous decks during task performance. The task-related activations within multiple brain regions were observed significantly different across the four decks, and showed negative correlations with age in disadvantageous decks but not in advantageous decks. Consistently, age-related whole brain analyses confirmed the negative age-effect on brain activations in disadvantageous decks, especially in high punishment frequency. In addition, the relationship between age and task performance in high punishment frequency was mediated by activation in the frontal subregions such as the middle frontal cortex and superior medial frontal cortex.

Discussion

Our findings shed light on the neural substrates of altered risk-taking behaviors in aging, suggesting a greater sensitivity to high punishment frequency in older adults.
Energy-efficient and noise-tolerant neuromorphic computing based on memristors and domino logic
Authors: Hendy Hagar , Merkel Cory
Published: March 2023

The growing scale and complexity of artificial intelligence (AI) models has prompted several new research efforts in the area of neuromorphic computing. A key aim of neuromorphic computing is to enable advanced AI algorithms to run on energy-constrained hardware. In this work, we propose a novel energy-efficient neuromorphic architecture based on memristors and domino logic. The design uses the delay of memristor RC circuits to represent synaptic computations and a simple binary neuron activation function. Synchronization schemes are proposed for communicating information between neural network layers, and a simple linear power model is developed to estimate the design’s energy efficiency for a particular network size. Results indicate that the proposed architecture can achieve 1.26 fJ per classification per synapse and achieves high accuracy on image classification even in the presence of large noise.
Generalization of navigation memory in honeybees
Authors: Bullinger Eric , Greggers Uwe , Menzel Randolf
Published: March 2023

Flying insects like the honeybee learn multiple features of the environment for efficient navigation. Here we introduce a novel paradigm in the natural habitat, and ask whether the memory of such features is generalized to novel test conditions. Foraging bees from colonies located in 5 different home areas were tested in a common area for their search flights. The home areas differed in the arrangements of rising natural objects or their lack, and in the existence or lack of elongated ground structures. The test area resembled partly or not at all the layout of landmarks in the respective home areas. In particular, the test area lacked rising objects. The search flights were tracked with harmonic radar and quantified by multiples procedures, extracting their differences on an individual basis. Random search as the only guide for searching was excluded by two model calculations. The frequencies of directions of flight sectors differed from both model calculations and between the home areas in a graded fashion. Densities of search flight fixes were used to create heat maps and classified by a partial least squares regression analysis. Classification was performed with a support vector machine in order to account for optimal hyperplanes. A rank order of well separated clusters was found that partly resemble the graded differences between the ground structures of the home areas and the test area. The guiding effect of elongated ground structures was quantified with respect to the sequence, angle and distance from these ground structures. We conclude that foragers generalize their specific landscape memory in a graded way to the landscape features in the test area, and argue that both the existence and absences of landmarks are taken into account. The conclusion is discussed in the context of the learning and generalization process in an insect, the honeybee, with an emphasis on exploratory learning in the context of navigation.
Predictive neuromodulation of cingulo-frontal neural dynamics in major depressive disorder using a brain-computer interface system: A simulation study
Authors: Fang Hao , Yang Yuxiao
Published: March 2023

Introduction

Deep brain stimulation (DBS) is a promising therapy for treatment-resistant major depressive disorder (MDD). MDD involves the dysfunction of a brain network that can exhibit complex nonlinear neural dynamics in multiple frequency bands. However, current open-loop and responsive DBS methods cannot track the complex multiband neural dynamics in MDD, leading to imprecise regulation of symptoms, variable treatment effects among patients, and high battery power consumption.

Methods

Here, we develop a closed-loop brain-computer interface (BCI) system of predictive neuromodulation for treating MDD. We first use a biophysically plausible ventral anterior cingulate cortex (vACC)-dorsolateral prefrontal cortex (dlPFC) neural mass model of MDD to simulate nonlinear and multiband neural dynamics in response to DBS. We then use offline system identification to build a dynamic model that predicts the DBS effect on neural activity. We next use the offline identified model to design an online BCI system of predictive neuromodulation. The online BCI system consists of a dynamic brain state estimator and a model predictive controller. The brain state estimator estimates the MDD brain state from the history of neural activity and previously delivered DBS patterns. The predictive controller takes the estimated MDD brain state as the feedback signal and optimally adjusts DBS to regulate the MDD neural dynamics to therapeutic targets. We use the vACC-dlPFC neural mass model as a simulation testbed to test the BCI system and compare it with state-of-the-art open-loop and responsive DBS treatments of MDD.

Results

We demonstrate that our dynamic model accurately predicts nonlinear and multiband neural activity. Consequently, the predictive neuromodulation system accurately regulates the neural dynamics in MDD, resulting in significantly smaller control errors and lower DBS battery power consumption than open-loop and responsive DBS.

Discussion

Our results have implications for developing future precisely-tailored clinical closed-loop DBS treatments for MDD.
Case report: Anti-neurexin-3α-associated autoimmune encephalitis secondary to contrast-induced encephalopathy
Authors: Zhu Lin , Shang Qunzhu , Zhao Charlie Weige , Dai Shujuan , Wu Qian
Published: March 2023

A 54-year-old man complained of episodic stinging in his left eye along with weakness and numbness in his right upper and lower extremities for 1 month. The neurological examination was negative. MRI showed bilateral paraventricular demyelination. CTA showed significant stenosis of the left internal carotid (60%) and vertebral arteries (70%). He underwent left internal carotid stenting and was intubated during the procedure. After the procedure, he did not wake up from anesthesia, and he developed flexion and spasticity in the right arm immediately. Thereafter, he was sent to the neurocritical unit (NCU). Anti-seizure treatment was adopted due to recurrent general tonic-clonic seizures. Two days later (day 15 of hospitalization), brain edema and meningitis appeared in MRI, and contrast-induced encephalopathy (CIE) was mainly considered, with the support of CSF results. After 18 days (day 21 of hospitalization), serum anti-neurexin-3α IgG was detected at a dilution of 1:10. Anti-neurexin-3α-associated encephalitis was diagnosed. The patient was fully recovered 7 months after taking immunoglobulin, steroids, mortimycophenate, and cyclophosphamide. Meanwhile, anti-neurexin-3α antibody IgG was negative in both CSF and serum. MRI was also normal. Although scarce evidence clarified the relationship between CIE and anti-neurexin-3α-associated encephalitis, we inferred that the BBB damaged by CIE may result in the anti-neurexin-3α antibody entrance into the CSF from serum, which led to autoimmune encephalitis (AIE).
Progress of autonomic disturbances in narcolepsy type 1
Authors: Wang Ying , Sun Qingqing , Tang Qi , Zhang Yanan , Tang Mingyang , Wang Dong , Wang Zan
Published: March 2023

Narcolepsy type 1 is a kind of sleep disorder characterized by a specific loss of hypocretin neurons in the lateral hypothalamus and reduced levels of hypocretin-1 in the cerebrospinal fluid. Hypocretin deficiency is associated with autonomic disorders. This article summarizes the autonomic disorders and possible mechanisms associated with narcolepsy type 1. Patients with narcolepsy type 1 often have various systemic autonomic symptoms, including non-dipping blood pressure, reduced heart rate variability, dynamic cerebral autoregulation impairment, reduced gastric motility and emptying, sleep-related erectile dysfunction, skin temperature abnormalities, and blunted pupillary light reflex. Similar findings should strengthen the recognition and intervention of these disturbances in clinical practice. In addition to hypocretin deficiency, current evidence also indicates that pharmacological therapy (including psychostimulants and anti-cataplectic drugs) and comorbidities may contribute to the alterations of autonomic system observed in narcolepsy type 1.
An improved saliency model of visual attention dependent on image content
Authors: Novin Shabnam , Fallah Ali , Rashidi Saeid , Daliri Mohammad Reza
Published: March 2023

Many visual attention models have been presented to obtain the saliency of a scene, i.e., the visually significant parts of a scene. However, some mechanisms are still not taken into account in these models, and the models do not fit the human data accurately. These mechanisms include which visual features are informative enough to be incorporated into the model, how the conspicuity of different features and scales of an image may integrate to obtain the saliency map of the image, and how the structure of an image affects the strategy of our attention system. We integrate such mechanisms in the presented model more efficiently compared to previous models. First, besides low-level features commonly employed in state-of-the-art models, we also apply medium-level features as the combination of orientations and colors based on the visual system behavior. Second, we use a variable number of center-surround difference maps instead of the fixed number used in the other models, suggesting that human visual attention operates differently for diverse images with different structures. Third, we integrate the information of different scales and different features based on their weighted sum, defining the weights according to each component's contribution, and presenting both the local and global saliency of the image. To test the model's performance in fitting human data, we compared it to other models using the CAT2000 dataset and the Area Under Curve (AUC) metric. Our results show that the model has high performance compared to the other models (AUC = 0.79 and sAUC = 0.58) and suggest that the proposed mechanisms can be applied to the existing models to improve them.
Evaluating drug distribution in children and young adults with diffuse midline glioma of the pons (DIPG) treated with convection-enhanced drug delivery
Authors: Szychot Elwira , Bhagawati Dolin , Sokolska Magdalena Joanna , Walker David , Gill Steven , Hyare Harpreet
Published: March 2023

Aims

To determine an imaging protocol that can be used to assess the distribution of infusate in children with DIPG treated with CED.

Methods

13 children diagnosed with DIPG received between 3.8 and 5.7 ml of infusate, through two pairs of catheters to encompass tumor volume on day 1 of cycle one of treatment. Volumetric T2-weighted (T2W) and diffusion-weighted MRI imaging (DWI) were performed before and after day 1 of CED. Apparent diffusion coefficient (ADC) maps were calculated. The tumor volume pre and post CED was automatically segmented on T2W and ADC on the basis of signal intensity. The ADC maps pre and post infusion were aligned and subtracted to visualize the infusate distribution.

Results

There was a significant increase (p < 0.001) in mean ADC and T2W signal intensity (SI) ratio and a significant (p < 0.001) increase in mean tumor volume defined by ADC and T2W SI post infusion (mean ADC volume pre: 19.8 ml, post: 24.4 ml; mean T2W volume pre: 19.4 ml, post: 23.4 ml). A significant correlation (p < 0.001) between infusate volume and difference in ADC/T2W SI defined tumor volume was observed (ADC, r = 0.76; T2W, r = 0.70). Finally, pixel-by-pixel subtraction of the ADC maps pre and post infusion demonstrated a volume of high signal intensity, presumed infusate distribution.

Conclusions

ADC and T2W MRI are proposed as a combined parameter method for evaluation of CED infusate distribution in brainstem tumors in future clinical trials.
Analysis of risk factors and treatment strategies for lumbar cistern blockage after craniocerebral surgery
Authors: Zheng Min , Tian Qilong , Wang Xuejiao , Liu Liqin , Deng Xiurui , Qu Yan , Cai Qing
Published: March 2023

Objective

Lumbar cistern blockage is a common complication of continuous lumbar cistern drainage. This paper analyzes the risk factors for lumbar cistern blockage drainage due to various causes and proposes a series of prevention and intervention measures to reduce blockage or improve recanalization after blockage.

Methods

The clinical data of 637 patients with various lesions who underwent lumbar cistern drainage in our hospital were retrospectively collected and analyzed. Perioperative clinical and imaging data were assessed. Variates were analyzed using univariate and multivariate logistic regression analyses.

Results

A total of 13.7% (87/637) of patients had lumbar cistern blockage. Multivariate analysis revealed that drainage time (≥7 days), CSF volume <200 (mL/d), CSF leakage, and abnormal CSF properties were predictors of lumbar cistern blockage. Reducing the probability of lumbar cistern blockage can be achieved by repeatedly flushing, increasing the drainage flow and shortening the drainage time. The recanalization rate after blockage was 67.8% (59/87). After the drainage tube was removed, no complications related to the drainage tube occurred during the 1-week follow-up.

Conclusion

Lumbar cistern blockage is the main reason for poor drainage. Prevention or early intervention can effectively reduce the probability of blockage and achieve the purpose of drainage of cerebrospinal fluid.
Effects of glycogen synthase kinase-3β activity inhibition on cognitive, behavioral, and hippocampal ultrastructural deficits in adulthood associated with adolescent methamphetamine exposure
Authors: Yan Peng , Liu Jincen , Ma Haotian , Feng Yue , Cui Jingjing , Bai Yuying , Huang Xin , Zhu Yongsheng , Wei Shuguang , Lai Jianghua
Published: March 2023

Objective

Glycogen synthase kinase-3β (GSK3β) has been implicated in the maintenance of synaptic plasticity, memory process, and psychostimulant-induced behavioral effects. Hyperactive GSK3β in the Cornu Ammonis 1 (CA1) subregion of the dorsal hippocampus (DHP) was associated with adolescent methamphetamine (METH) exposure-induced behavioral and cognitive deficits in adulthood. This study aimed to evaluate the possible therapeutic effects of GSK3β inhibition in adulthood on adolescent METH exposure-induced long-term neurobiological deficits.

Methods

Adolescent male mice were treated with METH from postnatal day (PND) 45–51. In adulthood, three intervention protocols (acute lithium chloride systemic administration, chronic lithium chloride systemic administration, and chronic SB216763 administration within CA1) were used for GSK3β activity inhibition. The effect of GSK3β intervention on cognition, behavior, and GSK3β activity and synaptic ultrastructure in the DHP CA1 subregion were detected in adulthood.

Results

In adulthood, all three interventions reduced adolescent METH exposure-induced hyperactivity (PND97), while only chronic systemic and chronic within CA1 administration ameliorated the induced impairments in spatial (PND99), social (PND101) and object (PND103) recognition memory. In addition, although three interventions reversed the aberrant GSK3β activity in the DHP CA1 subregion (PND104), only chronic systemic and chronic within CA1 administration rescued adolescent METH exposure-induced synaptic ultrastructure changes in the DHP CA1 subregion (PND104) in adulthood.

Conclusion

Rescuing synaptic ultrastructural abnormalities in the dHIP CA1 subregion by chronic administration of a GSK3β inhibitor may be a suitable therapeutic strategy for the treatment of behavioral and cognitive deficits in adulthood associated with adolescent METH abuse.
Extravasation of radiopharmaceuticals: Why report?
Authors: Morgan Thomas L.
Published: March 2023

In this essay, I wish to discuss extravasation in the context of medical imaging and therapy with radiopharmaceuticals. Central to this discussion are two facts. First, they are easily identified, but the frequency of significant extravasations is unclear because there is no generally accepted definition of such an event. And second, there appears to be few reports of injuries from these events. The central thesis of this essay is that these events should be reported and followed so that agreement can be reached on the definition of a “significant” event which should be classified as a medical event in accordance with US Nuclear Regulatory Commission (NRC) regulations. I will also outline steps that can be taken to reduce the risk of extravasations.
Helicobacter pylori infection increase the risk of subclinical hyperthyroidism in middle-aged and elderly women independent of dietary factors: Results from the Tianjin chronic low-grade systemic inflammation and health cohort study in China
Authors: Zhang Juanjuan , Hai Xinghua , Wang Siyu , Zhu Fan , Gu Yeqing , Meng Ge , Zhang Qing , Liu Li , Wu Hongmei , Zhang Shunming , Zhang Tingjing , Wang Xing , Sun Shaomei , Zhou Ming , Jia Qiyu , Song Kun , Niu Kaijun
Published: March 2023

Background

Prospective studies on the association between Helicobacter pylori (H. pylori) infection and subclinical hyperthyroidism are limited. We, therefore, designed a large-scale cohort study to explore the association between H. pylori infection and the risk of subclinical hyperthyroidism in women.

Methods

This prospective cohort study investigated 2,713 participants. H. pylori infection was diagnosed with the carbon 13 breath test. Subclinical hyperthyroidism was defined as serum thyroid-stimulating hormone levels are low or undetectable but free thyroxine and tri-iodothyronine concentrations are normal. Propensity score matching (PSM) analyses and Cox proportional hazards regression models were used to estimate the association between H. pylori infection and subclinical hyperthyroidism.

Results

A total of 1,025 PS-matched pairs of H. pylori infection women were generated after PSM. During 6 years of follow-up, the incidence rate of subclinical hyperthyroidism was 7.35/1,000 person-years. After adjusting potential confounding factors (including iodine intake in food and three main dietary patterns score), the multivariable hazard ratio (HR; 95% confidence intervals) of subclinical hyperthyroidism by H. pylori infection was 2.49 (1.36, 4.56). Stratified analyses suggested a potential effect modification by age, the multivariable HR (95% confidence intervals) was 2.85 (1.45, 5.61) in participants aged ≥ 40 years and 0.70 (0.08, 6.00) in participants aged < 40 years (P for interaction = 0.048).

Conclusion

Our prospective study first indicates that H. pylori infection is significantly associated with the risk of subclinical hyperthyroidism independent of dietary factors among Chinese women, especially in middle-aged and older individuals.

Clinical Trial Registration:https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031137, identifier UMIN000027174.
Pesticides as a risk factor for cognitive impairment: Natural substances are expected to become alternative measures to prevent and improve cognitive impairment
Authors: Wen Liankui , Miao Xiwen , Ding Jia , Tong Xuewen , Wu Yuzhu , He Yang , Zheng Fei
Published: March 2023

Pesticides are the most effective way to control diseases, insects, weeds, and fungi. The central nervous system (CNS) is damaged by pesticide residues in various ways. By consulting relevant databases, the systemic relationships between the possible mechanisms of pesticides damage to the CNS causing cognitive impairment and related learning and memory pathways networks, as well as the structure–activity relationships between some natural substances (such as polyphenols and vitamins) and the improvement were summarized in this article. The mechanisms of cognitive impairment caused by pesticides are closely related. For example, oxidative stress, mitochondrial dysfunction, and neuroinflammation can constitute three feedback loops that interact and restrict each other. The mechanisms of neurotransmitter abnormalities and intestinal dysfunction also play an important role. The connection between pathways is complex. NMDAR, PI3K/Akt, MAPK, Keap1/Nrf2/ARE, and NF-κB pathways can be connected into a pathway network by targets such as Ras, Akt, and IKK. The reasons for the improvement of natural substances are related to their specific structure, such as polyphenols with different hydroxyl groups. This review’s purpose is to lay a foundation for exploring and developing more natural substances that can effectively improve the cognitive impairment caused by pesticides.
Association between sarcopenia and kidney stones in United States adult population between 2011 and 2018
Authors: Zhang Yifan , Tian Changxiu , Wang Yidi , Zhang Houliang , Ni Jinliang , Song Wei , Shi Huajuan , Zhang Tao , Xu Changbao , Wang Keyi , Peng Bo
Published: March 2023

Purpose

To investigate the relationship between kidney stones and sarcopenia in United States adult population between 2011 and 2018.

Materials and methods

We conducted a cross-section study based on the National Health and Nutrition Examination Survey (NHANES) including 39,156 individuals. Sarcopenia was assessed by the sarcopenia index. Association between kidney stones and sarcopenia verified by multiple logistic regression analysis and dose–response curves analysis using restricted cubic spline (RCS) regression. Meanwhile, propensity score matching (PSM) was performed to exclude the effect of confounding variables.

Results

There were 9,472 participants in the study by our accurate enrollment screening process. The odds of kidney stones decreased significantly with the increase of sarcopenia index. Logistic regression analysis showed that sarcopenia expressed significant differences in the participants which suffered kidney stone before PSM (p < 0.001). In model 4, adjusting all relevant covariates shown that adjusted odds ratio (aOR) of the 95% confidence intervals for kidney stones in all participants, age <39 years and age ≥40 years, were, respectively, 1.286 (1.006–1,643), 1.697 (1.065–2.702), and 0.965 (0.700–1.330) for sarcopenia, and p values were 0.044, 0.026, and 0.827. After performing PSM, the aOR of the 95% in modal 4 for kidney stones in all participants and age <40 year were 2.365 (1.598–3.500) and 6.793 (2.619–17.6180), respectively (p < 0.01), and especially the aOR in participants (age ≥40) was 1.771(1.138–2.757) with p value being 0.011.

Conclusion

Sarcopenia was positively related to the potential risk of kidney stones in the United States adult population.
Analysis of growth resistance mechanisms and causes in tea plants (Camellia sinensis) in high-pH regions of Northern China
Authors: Li Chun-Lei , Xu Jing , Xu Hong-Mei , Liu Jie , Zhang Long-Xiang , Wang Zi-Kai
Published: March 2023

Background

In tea plantations with high-pH (pH > 6.5) in Northern China, tea plants are prone to yellowing disease, albinism, and reductions in components that contribute to plant quality, which affect the scale and rate of tea plantation development in Northern China.

Methods

To investigate the potential causes of these issues, Camellia sinensis cv. Pingyang Tezao and Camellia sinensis cv. Ruixue were planted in Shouguang city (a high-pH area, soil pH > 6.5) and Rizhao city (a normal-pH area, soil pH is 4.5–5.5), respectively; differences in growth morphology, pigment content, cell structure, quality-determining components, and element content of the two varieties in the two areas were analyzed.

Results

The results showed that tea leaves planted in Shouguang had varying degrees of yellowing disease and albinism; the pigment content in both varieties was significantly lower when planted in Shouguang compared with Rizhao. The cell structure was severely damaged and the main quality-determining components were decreased. Nitrogen (N), phosphorus (P), potassium (K), zinc (Zn), copper (Cu) and manganese (Mn) contents in the leaves of the two tea plant varieties were significantly lower when planted in Shouguang compared with those in Rizhao; the levels of these elements in Shouguang soil were significantly higher than in Rizhao soil. Calcium (Ca) contents in Shouguang soil was 9.90 times higher than that of Rizhao soil.

Conclusions

We conclude that the soil in high-pH areas hindered tea plant uptake of N, Zn, Cu, and Mn, which had a detrimental effect on chloroplasts and reductions in chlorophyll synthesis, contributing to yellowing disease and albinism. In addition, excessive calcium (Ca) in Shouguang soil was also an important contributor to these negative effects. High-pH soil hindered tea plant uptake of P and K, resulting in reductions in tea polyphenols, amino acids, and other major quality components.
A case report of adult juvenile polyposis syndrome with SMAD4 pathogenic variant
Authors: Liu Yutong , Wang Zeyu , Zhang Zhongyu , Sun Yuanyuan , Zhang Yanyan , Yang Jiamei
Published: March 2023

Background

Juvenile polyposis syndrome (JPS) is a rare autosomal dominant disorder that is a type of hamartomatous polyp syndrome, and its incidence rate is approximately 1/100000. The main clinical feature is the presence of multiple juvenile polyps in the gastrointestinal tract, most often in the colorectal tract. We present a case of juvenile polyposis syndrome with massive gastric polyposis.

Case presentation

A 50-year-old male was admitted to the hospital due to abdominal distension and poor appetite. Gastroscopy revealed a large number of gastric polyps. Pathological findings revealed gastric juvenile polyps. Genetic testing revealed that he and his brother both carried SMAD4: c.266_269del germline pathogenic variant. The final diagnosis was juvenile polyposis syndrome of the stomach. He once suffered from colon cancer and bladder cancer. One of his brothers died of colon cancer, and the other brother suffered from colon polyps.

Conclusions

Gastric involvement in juvenile polyposis syndrome is relatively rare. When massive gastric polyposis is found, gene detection should be carried out as soon as possible, so that rapid diagnosis and treatment can be obtained.