bluuebunny/crossref_metadata_2025 huggingface dataset:
Comprehensive circular RNA expression profile of lung adenocarcinoma with bone metastasis: Identification of potential biomarkers
Authors: Cai Ying , Zhu Chunlan , Wang Yanfei , Jiang Yiqian , Zhu Zhongxin
Published: August 2022

Background: Lung adenocarcinoma (LUAD) has a significant tendency to metastasize to the bone, with severe comorbidities. Recent studies have reported that circular RNAs (circRNAs) are involved in various cancer metastasis-related physiological cellular processes. However, their role in LUAD with bone metastasis (LUAD-BM) remains unknown.

Methods: Bone metastasis (BM) circRNAs were identified using high-throughput sequencing and validated by quantitative reverse transcription-PCR (qRT-PCR). Bioinformatic analyses were used to predict the potential functions of the differentially expressed circRNAs. The effects of circ_0096442 on the growth and metastasis of A549 cells were detected in a co-culture system of A549 and bone marrow-derived cells.

Results: There were 598 (238 upregulated and 360 downregulated) 390 (187 upregulated and 203 downregulated) and 644 (336 upregulated and 308 downregulated) differentially expressed circRNAs between LUAD-BM and LUAD, LUAD-BM and healthy individuals, and LUAD and healthy individuals, respectively. These differentially expressed circRNAs play important roles in cellular components, biological processes, and molecular functions. Moreover, they map several pathways related to BM, including DNA repair, DNA damage, and osteoclast differentiation. The results validated by qRT-PCR for the five most dysregulated circRNAs are consistent with the sequencing data. Additionally, circ_0096442 was found to promote the growth and metastasis of LUAD in a bone microenvironment.

Conclusion: Our findings provide a novel and important circRNA expression profile of LUAD-BM and suggest that circ_0096442 may be a biomarker for LUAD-BM.
Dissecting the dynamic transcriptional landscape of early T helper cell differentiation into Th1, Th2, and Th1/2 hybrid cells
Authors: Burt Philipp , Peine Michael , Peine Caroline , Borek Zuzanna , Serve Sebastian , Floßdorf Michael , Hegazy Ahmed N. , Höfer Thomas , Löhning Max , Thurley Kevin
Published: August 2022

Selective differentiation of CD4+ T helper (Th) cells into specialized subsets such as Th1 and Th2 cells is a key element of the adaptive immune system driving appropriate immune responses. Besides those canonical Th-cell lineages, hybrid phenotypes such as Th1/2 cells arise in vivo, and their generation could be reproduced in vitro. While master-regulator transcription factors like T-bet for Th1 and GATA-3 for Th2 cells drive and maintain differentiation into the canonical lineages, the transcriptional architecture of hybrid phenotypes is less well understood. In particular, it has remained unclear whether a hybrid phenotype implies a mixture of the effects of several canonical lineages for each gene, or rather a bimodal behavior across genes. Th-cell differentiation is a dynamic process in which the regulatory factors are modulated over time, but longitudinal studies of Th-cell differentiation are sparse. Here, we present a dynamic transcriptome analysis following Th-cell differentiation into Th1, Th2, and Th1/2 hybrid cells at 3-h time intervals in the first hours after stimulation. We identified an early bifurcation point in gene expression programs, and we found that only a minority of ~20% of Th cell-specific genes showed mixed effects from both Th1 and Th2 cells on Th1/2 hybrid cells. While most genes followed either Th1- or Th2-cell gene expression, another fraction of ~20% of genes followed a Th1 and Th2 cell-independent transcriptional program associated with the transcription factors STAT1 and STAT4. Overall, our results emphasize the key role of high-resolution longitudinal data for the characterization of cellular phenotypes.
Myeloid checkpoint blockade improves killing of T-acute lymphoblastic leukemia cells by an IgA2 variant of daratumumab
Authors: Baumann Niklas , Arndt Christian , Petersen Judith , Lustig Marta , Rösner Thies , Klausz Katja , Kellner Christian , Bultmann Miriam , Bastian Lorenz , Vogiatzi Fotini , Leusen Jeanette H. W. , Burger Renate , Schewe Denis M. , Peipp Matthias , Valerius Thomas
Published: August 2022

Antibody-based immunotherapy is increasingly employed to treat acute lymphoblastic leukemia (ALL) patients. Many T-ALL cells express CD38 on their surface, which can be targeted by the CD38 antibody daratumumab (DARA), approved for the treatment of multiple myeloma. Tumor cell killing by myeloid cells is relevant for the efficacy of many therapeutic antibodies and can be more efficacious with human IgA than with IgG antibodies. This is demonstrated here by investigating antibody-dependent cellular phagocytosis (ADCP) by macrophages and antibody-dependent cell-mediated cytotoxicity (ADCC) by polymorphonuclear (PMN) cells using DARA (human IgG1) and an IgA2 isotype switch variant (DARA-IgA2) against T-ALL cell lines and primary patient-derived tumor cells. ADCP and ADCC are negatively regulated by interactions between CD47 on tumor cells and signal regulatory protein alpha (SIRPα) on effector cells. In order to investigate the impact of this myeloid checkpoint on T-ALL cell killing, CD47 and glutaminyl-peptide cyclotransferase like (QPCTL) knock-out T-ALL cells were employed. QPTCL is an enzymatic posttranslational modifier of CD47 activity, which can be targeted by small molecule inhibitors. Additionally, we used an IgG2σ variant of the CD47 blocking antibody magrolimab, which is in advanced clinical development. Moreover, treatment of T-ALL cells with all-trans retinoic acid (ATRA) increased CD38 expression leading to further enhanced ADCP and ADCC, particularly when DARA-IgA2 was applied. These studies demonstrate that myeloid checkpoint blockade in combination with IgA2 variants of CD38 antibodies deserves further evaluation for T-ALL immunotherapy.
A diversified role for γδT cells in vector-borne diseases
Authors: Chen Chen , Chen Aibao , Yang Yanan
Published: August 2022

Vector-borne diseases have high morbidity and mortality and are major health threats worldwide. γδT cells represent a small but essential subpopulation of T cells. They reside in most human tissues and exert important functions in both natural and adaptive immune responses. Emerging evidence have shown that the activation and expansion of γδT cells invoked by pathogens play a diversified role in the regulation of host-pathogen interactions and disease progression. A better understanding of such a role for γδT cells may contribute significantly to developing novel preventative and therapeutic strategies. Herein, we summarize recent exciting findings in the field, with a focus on the role of γδT cells in the infection of vector-borne pathogens.
The relevance of complement in pemphigoid diseases: A critical appraisal
Authors: Papara Cristian , Karsten Christian M. , Ujiie Hideyuki , Schmidt Enno , Schmidt-Jiménez Leon F. , Baican Adrian , Freire Patricia C. , Izumi Kentaro , Bieber Katja , Peipp Matthias , Verschoor Admar , Ludwig Ralf J. , Köhl Jörg , Zillikens Detlef , Hammers Christoph M.
Published: August 2022

Pemphigoid diseases are autoimmune chronic inflammatory skin diseases, which are characterized by blistering of the skin and/or mucous membranes, and circulating and tissue-bound autoantibodies. The well-established pathomechanisms comprise autoantibodies targeting various structural proteins located at the dermal-epidermal junction, leading to complement factor binding and activation. Several effector cells are thus attracted and activated, which in turn inflict characteristic tissue damage and subepidermal blistering. Moreover, the detection of linear complement deposits in the skin is a diagnostic hallmark of all pemphigoid diseases. However, recent studies showed that blistering might also occur independently of complement. This review reassesses the importance of complement in pemphigoid diseases based on current research by contrasting and contextualizing data from in vitro, murine and human studies.
Nivolumab plus ipilimumab induced endocrinopathy and acute interstitial nephritis in metastatic sarcomatoid renal-cell carcinoma: A case report and review of literature
Authors: Hino Christopher , Nishino Kevin , Pham Bryan , Jeon Won Jin , Nguyen Michael , Cao Huynh
Published: August 2022

The prognosis of sarcomatoid renal cell carcinoma has changed dramatically with the emergence of immune checkpoint inhibitors. Notably the use of nivolumab and ipilimumab combination therapy has demonstrated promising durable therapeutic response for patients with treatment-naïve sarcomatoid renal-cell carcinoma. We present a case of 45-year-old man with a history of metastatic sarcomatoid renal cell carcinoma treated with nivolumab plus ipilimumab who developed type 1 diabetes mellitus, adrenal insufficiency, thyroiditis/hypothyroidism, and acute interstitial nephritis as a result of immunotherapy.
Biodegradability of bioplastic blown film in a marine environment
Authors: Phosri Santi , Kunjiek Tikumporn , Mukkhakang Chaninta , Suebthep Sililuck , Sinsup Wannisa , Phornsirigarn Sasithorn , Charoeythornkhajhornchai Pollawat
Published: August 2022

The waste created by single-use plastics is an important global issue, especially in marine environments, because they do not degrade in nature. This work aimed to study the biodegradability of bioplastic blown film, which may pose a solution to this problem. Polybutylene succinate (PBS) and polylactic acid (PLA) blown films were chosen for examination of their biodegradability when submerged in sand under the seawater and when floated on the seawater surface of our experimental setup. Bioplastics were observed in comparison with low-density polyethylene (LDPE), which is a petroleum-based plastic. PBS blown film exhibited a faster degradation rate than PLA blown film, while LDPE blown film did not degrade in the marine environment. The biodegradability of bioplastic blown film was confirmed by physical observation, a change in the chemical functional group measured by Fourier-transform infrared spectroscopy, and a test of the biochemical oxygen demand of the seawater after bioplastic degradation due to ingestion by bacteria in seawater.
The use of a medical application improves the diagnosis of acute kidney injury: A pre-post study
Authors: Gaspar Andrea , Iturricha-Cáceres Maria F. , Macedo Etienne , Mehta Ravindra L. , Claure-Del Granado Rolando
Published: August 2022

The use of mobile devices by healthcare providers has transformed many aspects of clinical practice. Mobile devices and medical applications provide many benefits, perhaps most significantly increased access to point-of-care (POC) tools, which has been shown to support better clinical decision making and improved patient outcomes. In LMICs, where computer-based technology is limited, the use of mobile technology has the potential to immensely increase access to point of care tools. In this study, we conducted an interventional, pre-post study to determine whether the use of a medical application could help healthcare providers accurately recognize and diagnose AKI. After preparing 20 clinical vignettes based on AKI cases from our center Global Snapshot study report, we asked 50 last year medical students to identify the presence and stage of AKI first without and then with the use of the IRA SLANH App (IRA SLANH app, Island of the Moon® V.1, 2014; Cochabamba-Bolivia), which was designed specifically for this study. Before the IRA SLANH app was introduced, the mean number of correctly identified cases of AKI was 14.7 ± 4.7 with a minimum of 3 and a maximum of 20. The stage of AKI was correctly identified in only 6.7 ± 4.4 of the cases. After the app was introduced, the number of correctly identified and staged cases of AKI was 20. Medical applications are useful point-of-care tools in the practice of evidence-based medicine. Their use has the potential to play a very important role in early identification and classification of AKI, particularly in LMICs potentially allowing for earlier intervention with preventive and treatment strategies to reverse kidney injury and improve recovery.
Effect of macular vascular density on visual quality in young myopic adults
Authors: Wang Xueqing , Xia Likun
Published: August 2022

Objective

To evaluate macular vascular density using optical coherence tomography angiography (OCTA) and to investigate its impact on best-corrected visual acuity (BCVA), contrast sensitivity function (CSF), and higher-order aberrations (HOAs) in young myopic adults.

Methods

This cross-sectional study included 109 eyes with axial length (AL) between 22 and 26 mm in the medium AL group and 90 eyes with AL > 26 mm in the long AL group. OCTA was used to obtain 3 × 3 mm en face images, and the vessel length density (VLD), perfusion density (PD), and fovea avascular zone (FAZ) of the superficial layer were evaluated. Visual quality was assessed using the CSF and HOAs.

Results

Significant differences were found in the inferior VLD, parafoveal PD, and FAZ areas between the groups. AL and macular vascular density showed negative correlations in the inferior and nasal areas. The spherical correction (SE) also showed a positive correlation with vascular density in these two areas. FAZ area and perimeter had a significant negative association with AL, and FAZ circularity was correlated with SE. CSF with bright around 6 and 12 spatial frequencies showed positive correlations with nasal PD. The parafoveal PD showed a significant correlation with BCVA after adjusting for other factors.

Conclusion

The superficial macular vascular density of young myopic adults decreased with lower SE and longer AL in the parafovea area. An eye with a long AL has a smaller FAZ, and myopia decreases the FAZ circularity index. The decrease in vessel density could contribute to worse BCVA and may be correlated with lower CSF, but not with HOAs.
Fetoplacental transmission and placental response to SARS-CoV-2: Evidence from the literature
Authors: Ezechukwu Henry C. , Shi Jiahua , Fowora Muinah A. , Diya Cornelius A. , Elfaki Faiz , Adegboye Oyelola A.
Published: August 2022

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a dreadful novel coronavirus with global health concerns among pregnant women. To date, the vertical transmission of SARS-CoV-2 during pregnancy remains controversial. We briefly report recent findings of placental response to SARS-CoV-2 infection and updates on vertical transmission. We systematically searched PubMed and Google Scholar databases according to PRISMA guidelines for studies reporting the effects of SARS-CoV-2 infection on the placenta and possibility of vertical transmission. We identified 45 studies reporting 1,280 human placentas that were analyzed by molecular pathology methods and 11,112 placenta-derived cells from a publicly available database that was analyzed using bioinformatics tools. The main finding of this study is that the SARS-CoV-2 canonical entry receptors (ACE2 and TMPRSS2) are abundantly expressed on the placenta during the first trimester, and this expression diminishes across gestational age. Out of 45 eligible studies identified, 24 (53.34%) showed no evidence of vertical transmission, 15 (33.33%) supported the hypothesis of very rare, low possibility of vertical transmission and 6 (13.33%) were indecisive and had no comment on vertical transmission. Furthermore, 433 placentas from 12 studies were also identified for placental pathology investigation. There was evidence of at least one form of maternal vascular malperfusion (MVM), 57/433 (13.1%), fetal vascular malperfusion (FVM), 81/433 (18.7%) and placental inflammation with excessive infiltration of CD3+ CD8+ lymphocytes, CD68+ macrophages and CD20+ lymphocytes in most of the eligible studies. Decidual vasculopathy (3.2%), infarction (3.2%), chronic histiocytic intervillositis (6.0%), thrombi vasculopathy (5.1%) were also observed in most of the MVM and FVM reported cases. The results indicated that SARS-CoV-2 induces placenta inflammation, and placenta susceptibility to SARS-CoV-2 decreases across the pregnancy window. Thus, SARS-CoV-2 infection in early pregnancy may adversely affect the developing fetus.
Perspectives and mechanisms for targeting ferroptosis in the treatment of hepatocellular carcinoma
Authors: Li Lanqing , Wang Xiaoqiang , Xu Haiying , Liu Xianqiong , Xu Kang
Published: August 2022

Ferroptosis is a novel process of regulated cell death discovered in recent years, mainly caused by intracellular lipid peroxidation. It is morphologically manifested as shrinking of mitochondria, swelling of cytoplasm and organelles, rupture of plasma membrane, and formation of double-membrane vesicles. Work done in the past 5 years indicates that induction of ferroptosis is a promising strategy in the treatment of hepatocellular carcinoma (HCC). System xc-/GSH/GPX4, iron metabolism, p53 and lipid peroxidation pathways are the main focus areas in ferroptosis research. In this paper, we analyze the ferroptosis-inducing drugs and experimental agents that have been used in the last 5 years in the treatment of HCC. We summarize four different key molecular mechanisms that induce ferroptosis, i.e., system xc-/GSH/GPX4, iron metabolism, p53 and lipid peroxidation. Finally, we outline the prognostic analysis associated with ferroptosis in HCC. The findings summarized suggest that ferroptosis induction can serve as a promising new therapeutic approach for HCC and can provide a basis for clinical diagnosis and prevention of this disease.
Motivational disturbances in rodent models of neuropsychiatric disorders
Authors: Canonica Tara , Zalachoras Ioannis
Published: August 2022

Motivated behavior is integral to the survival of individuals, continuously directing actions toward rewards or away from punishments. The orchestration of motivated behavior depends on interactions among different brain circuits, primarily within the dopaminergic system, that subserve the analysis of factors such as the effort necessary for obtaining the reward and the desirability of the reward. Impairments in motivated behavior accompany a wide range of neuropsychiatric disorders, decreasing the patients’ quality of life. Despite its importance, motivation is often overlooked as a parameter in neuropsychiatric disorders. Here, we review motivational impairments in rodent models of schizophrenia, depression, and Parkinson’s disease, focusing on studies investigating effort-related behavior in operant conditioning tasks and on pharmacological interventions targeting the dopaminergic system. Similar motivational disturbances accompany these conditions, suggesting that treatments aimed at ameliorating motivation levels may be beneficial for various neuropsychiatric disorders.
Galanin analogs prevent mortality from seizure-induced respiratory arrest in mice
Authors: Collard Ryley , Aziz Miriam C. , Rapp Kevin , Cutshall Connor , Duyvesteyn Evalien , Metcalf Cameron S.
Published: August 2022

Objective

Sudden Unexpected Death in Epilepsy (SUDEP) accounts for 20% of mortality in those with recurrent seizures. While risk factors, monitoring systems, and standard practices are in place, the pathophysiology of SUDEP is still not well understood. Better knowledge of SUDEP and its potential mechanisms of action is crucial to reducing risk in this patient population and developing potential treatment options. Clinical studies and animal models of SUDEP suggest that diminished post-ictal respiratory control may be the dominant mechanism contributing to mortality. Recently, it was demonstrated that the depletion of the neuropeptide galanin in the amygdala occurs in human SUDEP. The amygdala plays a key role in the central integration of respiratory signaling; the depletion of galanin may represent a critical change that predisposes individuals to SUDEP.

Materials and methods

To evaluate the impact of enhancing galaninergic signaling to potentially protect against SUDEP, we studied seizure-induced respiratory arrest (S-IRA) following central (intracerebroventricular, intra-amygdala) and systemic (intraperitoneal, subcutaneous) administration of galanin analogs. Seizure naïve and seizure experienced (fully kindled) mice were tested.

Results

Central and systemically administered galanin analogs protect against S-IRA in naïve C57Bl/6J mice. Differential efficacy between receptor subtype-selective analogs varied based on the route of administration. Sub-chronic systemic administration at doses that reduced 6 Hz seizures also protected against S-IRA. Acute treatment benefits also extended to fully kindled mice experiencing tonic extension.

Significance

These data demonstrate that galanin analogs may be protective against post-ictal respiratory collapse.
The effect of denture-wearing on physical activity is associated with cognitive impairment in the elderly: A cross-sectional study based on the CHARLS database
Authors: Chen Yisheng , Luo Zhiwen , Sun Yaying , Zhou Yifan , Han Zhihua , Yang Xiaojie , Kang Xueran , Lin Jinrong , Qi Beijie , Lin Wei-Wei , Guo Haoran , Guo Chenyang , Go Ken , Sun Chenyu , Li Xiubin , Chen Jiwu , Chen Shiyi
Published: August 2022

Background

Currently, only a few studies have examined the link between dental health, cognitive impairment, and physical activity. The current study examined the relationship between denture use and physical activity in elderly patients with different cognitive abilities.

Methods

The study data was sourced from the 2018 China Health and Retirement Longitudinal Study (CHARLS) database, which included information on denture use and amount of daily physical activity undertaken by older persons. Physical activity was categorized into three levels using the International Physical Activity General Questionnaire and the International Physical Activity Scale (IPAQ) rubric. The relationship between denture use and physical activity in middle-aged and older persons with varying degrees of cognitive functioning was studied using logistic regression models.

Results

A total of 5,892 older people with varying cognitive abilities were included. Denture use was linked to physical activity in the cognitively healthy 60 + age group (p = 0.004). Denture use was positively related with moderate physical activity in the population (odds ratio, OR: 1.336, 95% confidence interval: 1.173–1.520, p < 0.001), according to a multivariate logistic regression analysis, a finding that was supported by the calibration curve. Furthermore, the moderate physical activity group was more likely to wear dentures than the mild physical activity group among age-adjusted cognitively unimpaired middle-aged and older persons (OR: 1.213, 95% CI: 1.053–1.397, p < 0.01). In a fully adjusted logistic regression model, moderate physical activity population had increased ORs of 1.163 (95% CI: 1.008–1.341, p < 0.05) of dentures and vigorous physical activity population had not increased ORs of 1.016 (95% CI: 0.853–1.210, p > 0.05), compared with mild physical activity population.

Conclusion

This findings revealed that wearing dentures affects physical activity differently in older persons with different cognitive conditions. In cognitively unimpaired older adults, wearing dentures was associated with an active and appropriate physical activity status.
Unsupervised layer-wise feature extraction algorithm for surface electromyography based on information theory
Authors: Li Mingqiang , Liu Ziwen , Tang Siqi , Ge Jianjun , Zhang Feng
Published: August 2022

Feature extraction is a key task in the processing of surface electromyography (SEMG) signals. Currently, most of the approaches tend to extract features with deep learning methods, and show great performance. And with the development of deep learning, in which supervised learning is limited by the excessive expense incurred due to the reliance on labels. Therefore, unsupervised methods are gaining more and more attention. In this study, to better understand the different attribute information in the signal data, we propose an information-based method to learn disentangled feature representation of SEMG signals in an unsupervised manner, named Layer-wise Feature Extraction Algorithm (LFEA). Furthermore, due to the difference in the level of attribute abstraction, we specifically designed the layer-wise network structure. In TC score and MIG metric, our method shows the best performance in disentanglement, which is 6.2 lower and 0.11 higher than the second place, respectively. And LFEA also get at least 5.8% accuracy lead than other models in classifying motions. All experiments demonstrate the effectiveness of LEFA.
Driver's turning intent recognition model based on brain activation and contextual information
Authors: Trende Alexander , Unni Anirudh , Jablonski Mischa , Biebl Bianca , Lüdtke Andreas , Fränzle Martin , Rieger Jochem W.
Published: August 2022

Traffic situations like turning at intersections are destined for safety-critical situations and accidents. Human errors are one of the main reasons for accidents in these situations. A model that recognizes the driver's turning intent could help to reduce accidents by warning the driver or stopping the vehicle before a dangerous turning maneuver. Most models that aim at predicting the probability of a driver's turning intent use only contextual information, such as gap size or waiting time. The objective of this study is to investigate whether the combination of context information and brain activation measurements enhances the recognition of turning intent. We conducted a driving simulator study while simultaneously measuring brain activation using high-density fNIRS. A neural network model for turning intent recognition was trained on the fNIRS and contextual data. The input variables were analyzed using SHAP (SHapley Additive exPlanations) feature importance analysis to show the positive effect of the inclusion of brain activation data. Both the model's evaluation and the feature importance analysis suggest that the combination of context information and brain activation leads to an improved turning intent recognition. The fNIRS results showed increased brain activation differences during the “turn” decision-making phase before turning execution in parts of the left motor cortices, such as the primary motor cortex (PMC; putative BA 4), premotor area (PMA; putative BA 6), and supplementary motor area (SMA; putative BA 8). Furthermore, we also observed increased activation differences in the left prefrontal areas, potentially in the left middle frontal gyrus (putative BA 9), which has been associated with the control of executive functions, such as decision-making and action planning. We hypothesize that brain activation measurements could be a more direct indicator with potentially high specificity for the turning behavior and thus help to increase the recognition model's performance.
Identification of PLAUR-related ceRNA and immune prognostic signature for kidney renal clear cell carcinoma
Authors: Wang Yu , Sun Zhuolun , Lu Shuo , Zhang Xu , Xiao Chutian , Li Tengcheng , Wu Jieying
Published: August 2022

Kidney renal clear cell carcinoma (KIRC) represents one of the most fatal cancers, usually showing malignant progression and a high tumor recurrence rate. The urokinase-type plasminogen activator receptor (PLAUR) plays a critical role in the initiation and progression of several cancers, including KIRC. However, the function and mechanism of PLAUR in patients with KIRC are still unclear and require further investigation. In the present study, we first explored the expression profile and prognostic values of PLAUR in pan-cancer based on The Cancer Genome Atlas and Genotype-Tissue Expression databases. PLAUR was upregulated in multiple cancers and was significantly associated with poor overall survival and disease-free survival only in patients with KIRC. Subsequently, the PVT1/SNHG15-hsa-miR-532-3p axis was identified as the most potential upstream regulatory network of PLAUR in KIRC. In addition, PLAUR expression was closely associated with tumor-infiltrating immune cells, tumor immunity biomarkers, and immunomodulator expression. Furthermore, we constructed a multiple-gene risk prediction signature according to the PLAUR-related immunomodulators (PRIs). A prognostic nomogram was then developed to predict the 1-, 3-, and 5-year survival probabilities of individuals. In conclusion, our study identified the PVT1/SNHG15-hsa-miR-532-3p-PLAUR axis and a prognostic signature of PRIs, which could be a reference for future clinical research.
Applications of diffusion tensor imaging integrated with neuronavigation to prevent visual damage during tumor resection in the optic radiation area
Authors: Shi Jianwei , Lu Dafeng , Pan Ruihan , Chen Hairong , Teng Hong , Xu Yang , Bo Fuduo , Zhou Qi , Zhang Yansong
Published: August 2022

Background

Intracranial tumors involving the temporo-occipital lobe often compress or destroy the optic radiation (OpR), resulting in decreased visual function. The aim of this study is to explore the value of diffusion tensor imaging (DTI) tractography integrated with neuronavigation to prevent visual damage when resecting tumors involving the OpR and find potential factors affecting patients’ visual function and quality of life (QOL).

Methods

Our study is a cross-sectional study that included 28 patients with intracranial tumors in close morphological relationship with the OpR recruited between January 2020 and February 2022. The surgical incision and approach were preoperatively designed and adjusted according to the DTI tractography results and visual function scores. All patients underwent examinations of visual acuity (VA) and visual field index (VFI) and completed visual function and QOL scales at admission and 2 months after discharge. Logistic regression and linear regression analysis were conducted to evaluate clinical factors potentially affecting pre/postoperative OpR morphology, VA, VFI, visual function, and QOL.

Results

Lesion size was the main factor found to affect visual function (β = -0.74, 95%CI: -1.12~-0.36, P = 0.05), VA (left: β = -0.11, 95%CI: -0.14~-0.08, P < 0.001; right: β = -0.15, 95%CI: -0.17~-0.13, P < 0.001), and VFI (left: β = -0.11, 95%CI: -0.14~-0.08, P < 0.001; right: β = -0.14, 95%CI: -0.16~-0.12, P < 0.001). Lesion size, edema, and involvement of the lateral ventricle temporal horn were factors affecting OpR morphology and QOL. The 28 patients showed significantly improved VA, VFI, visual function, and QOL results (P < 0.05) 2 months after discharge.

Conclusions

Combining DTI of OpR mapping and microscopic-based neuronavigation aided precise mapping and thus preservation of visual function in patients undergoing tumor resection. Potential clinical factors affecting patients’ visual function and QOL scores were identified which are useful for assessing a patient’s condition and predicting prognosis.
Prognostic value of pretreatment serum albumin−globulin ratio in urothelial carcinoma: A systematic review and meta-analysis
Authors: Xia Zhongyou , Fu Xueqin , Li Jinze , Wu Ji , Niu Chao , Xu Yulai , Wang Hao , Yuan Xinzhu , Tang Lingtong
Published: August 2022

Objective

To evaluate whether pretreatment albumin−globulin ratio (AGR) can be used as a biomarker for predicting the prognosis of patients with urothelial carcinoma (UC).

Methods

We systematically searched PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), Google Scholar and Cochrane Library; the search time was up to May 2022. Stata 16.0 was used for data processing and statistical analysis.

Results

We identified 12 studies with 5,727 patients from 317 unique citations during the meta-analysis. Our results suggested that a low AGR before treatment was significantly associated with poor overall survival (OS) [hazard ratio (HR) = 1.99, 95% confidence interval (CI) = 1.45-2.75, P < 0.001], cancer-specific survival (CSS) [HR=2.01, 95% CI = 1.50-2.69, P < 0.001] and recurrence-free survival (RFS) [HR=1.39, 95% CI = 1.12-1.72, P = 0.002]. Furthermore, we defined different subgroups according to ethnicity, cancer type, cut-off value, sample size and stage. Similar prognostic outcomes for OS and CSS were observed in most subgroups. However, for subgroup of stage, the low pretreatment AGR only predicted the poor survival of patients with non-metastatic UC.

Conclusion

Our meta-analysis revealed that the AGR before treatment could be used as a predictive biomarker to indicate the prognosis of UC patients during clinical practice, especially in patients with non-metastatic UC.
Discharge against medical advice among infants with 24–31 weeks’ gestation admitted to Chinese neonatal intensive care units: A multicenter cohort study
Authors: Xiu Wenlong , Bai Ruimiao , Gu Xinyue , Jiang Siyuan , Zhang Baoquan , Ding Ya , Wang Yanchen , Liu Ling , Sun Jianhua , Cao Yun , Zhou Wenhao , Lee Shoo K. , Li Zhankui , Yang Changyi
Published: August 2022

Background

Previous studies demonstrated high rates of discharge against medical advice (DAMA) among very preterm infants (VPIs) in China.

Objectives

The aim of this study was to investigate the concurrent incidence, variation, and predictors of DAMA, along with the effect of DAMA on mortality of VPIs in China using data from the Chinese Neonatal Network (CHNN).

Methods

All infants born at 24–31 completed weeks’ gestation and admitted to 57 CHNN neonatal intensive care units (NICUs) in 2019 were included for this cohort study, excluding infants with major congenital anomalies. Patient information was prospectively collected using the CHNN database. Multivariable log-linear regression analysis was used to assess the association of perinatal factors and DAMA.

Results

A total of 9,442 infants born at 24–31 completed weeks’ gestation and admitted to 57 CHNN participating sites in 2019 were included in the study. Overall, 1,341 infants (14.2%) were discharged against medical advice. Rates of DAMA decreased with increasing gestational age (GA), and infants with lower GA were discharged earlier. DAMA infants had significantly higher rates of necrotizing enterocolitis, severe brain impairment, and bronchopulmonary dysplasia than non-DAMA infants. A total of 58.2% DAMA infants were predicted to die after discharge. The attributable risk percentage of mortality among DAMA infants was 92.4%. Younger maternal age, lower gestational age, small for gestational age, and Apgar score ≤3 at 5 min were independently associated with an increased risk of DAMA, while infants with antenatal steroids were less likely to be DAMA.

Conclusion

The rate of DAMA in preterm infants between 24 and 31 weeks’ gestation remained high in China with a significant impact on the mortality rates. Continuous efforts to reduce DAMA would result in substantial improvement of outcomes for VPIs in China.
Photosynthetic activity in both algae and cyanobacteria changes in response to cues of predation
Authors: Grzesiuk Małgorzata , Pietrzak Barbara , Wacker Alexander , Pijanowska Joanna
Published: August 2022

A plethora of adaptive responses to predation has been described in microscopic aquatic producers. Although the energetic costs of these responses are expected, with their consequences going far beyond an individual, their underlying molecular and metabolic mechanisms are not fully known. One, so far hardly considered, is if and how the photosynthetic efficiency of phytoplankton might change in response to the predation cues. Our main aim was to identify such responses in phytoplankton and to detect if they are taxon-specific. We exposed seven algae and seven cyanobacteria species to the chemical cues of an efficient consumer, Daphnia magna, which was fed either a green alga, Acutodesmus obliquus, or a cyanobacterium, Synechococcus elongatus (kairomone and alarm cues), or was not fed (kairomone alone). In most algal and cyanobacterial species studied, the quantum yield of photosystem II increased in response to predator fed cyanobacterium, whereas in most of these species the yield did not change in response to predator fed alga. Also, cyanobacteria tended not to respond to a non-feeding predator. The modal qualitative responses of the electron transport rate were similar to those of the quantum yield. To our best knowledge, the results presented here are the broadest scan of photosystem II responses in the predation context so far.
The effects of fermentation of Qu on the digestibility and structure of waxy maize starch
Authors: Wu Wenhao , Zhang Xudong , Qu Jianzhou , Xu Renyuan , Liu Na , Zhu Chuanhao , Li Huanhuan , Liu Xingxun , Zhong Yuyue , Guo Dongwei
Published: August 2022

The fermentation of Qu (FQ) could efficiently produce enzymatically modified starch at a low cost. However, it is poorly understood that how FQ influences the waxy maize starch (WMS) structure and the digestion behavior. In this study, WMS was fermented by Qu at different time and starches were isolated at each time point, and its physico-chemical properties and structural parameters were determined. Results showed that the resistant starch (RS), amylose content (AC), the average particle size [D(4,3)] the ratio of peaks at 1,022/995 cm–1, and the onset temperature of gelatinization (To) were increased significantly after 36 h. Conversely, the crystallinity, the values of peak viscosity (PV), breakdown (BD), gelatinization enthalpy (ΔH), and the phase transition temperature range (ΔT) were declined significantly after 36 h. It is noteworthy that smaller starch granules were appeared at 36 h, with wrinkles on the surface, and the particle size distribution was also changed from one sharp peak to bimodal. We suggested that the formation of smaller rearranged starch granules was the main reason for the pronounced increase of RS during the FQ process.
The retail brand personality—Behavioral outcomes framework: Applications to identity and social identity theories
Authors: Kuo Ya-Hui
Published: August 2022

This study applies identity and social identity theories to develop and test a framework in which retail brand personality influences consumer outcomes [i.e., positive word-of-mouth (WOM) about and patronage intention toward the retailer] through public and/or private self-congruity, strengthened by shopping conspicuousness situation, and retail brand identification (RBI). This is the first study to include social shopping situations to study brand personality and self-congruity. A questionnaire with a 2 (retailer image format) × 2 (shopping situation conspicuousness) between-subjects design was conducted on a sample of US consumers. Structural equation modeling was used to test the hypotheses. The findings suggest a framework in which Genuine, the most influential dimension of retail brand personality, predicted outcome behaviors both directly and indirectly through self-congruities and RBI. The high shopping conspicuousness situation strengthened the relationship between public self-congruity and the overall RBI. The concept of RBI provides an additional theoretical perspective for guiding future research on shopper–brand relationships. In addition, this framework provides practical implications for retail environment design and customer-brand relationship management.
A Self-Determination Theory and Acceptance and Commitment Therapy-based intervention aimed at increasing adherence to physical activity
Authors: Lev Arey Dalit , Blatt Asaf , Gutman Tomer
Published: August 2022

The purpose of the present study was to evaluate the effectiveness of a physical activity (PA) intervention program designed to enhance levels of engagement in PA. Despite robust evidence supporting the beneficial effects of PA on overall health, only about 22% of individuals engage in the recommended minimum amount of PA. Recent surveys suggested that most individuals express intentions to be physically active, though the psychological state of amotivation dismissed these struggles. In the current study, we pilot-tested a new intervention program, aimed at enhancing engagement in PA among sedentary individuals. The intervention was based on two behavioral change and motivational psychological frameworks: Self-Determination Theory (SDT) and Acceptance and Commitment Therapy (ACT). During a 14-week intervention program, 94 sedentary Israeli college students (Mage = 24.4, SD = 1.42, Females = 89) were randomly assigned into one of three groups: SDT and ACT-based intervention, traditional intervention, and a non-treatment group. Prior to and following the intervention, participants completed the Behavioral Regulation in Exercise Questionnaire-3 (BREQ-3) to examine motivation to exercise and the International Physical Activity Measurement IPAQ to evaluate their training frequency. Results showed that the SDT and ACT-based intervention group exhibited a significant increase in motivation to exercise between time 1 and time 2, while the other two groups (i.e., the traditional intervention program and the non-treatment group) showed insignificant differences in motivation to exercise. Furthermore, neither of the groups showed significant differences in their training frequency per week. However, those in the SDT and ACT-based groups reported an increase in activity intensity from time 1 to time 2 compared to the two other groups. Further, exercise psychology consultants and scholars can use the intervention protocol and utilize these findings to improve PA behaviors and promote health in the general population. Limitations, future directions, and implications are discussed in detail.
Case report: A fatal outcome from co-infection of COVID-19 and dengue in the western region of Jeddah, Saudi Arabia
Authors: Al-Nazawi Ashwaq M. , Al-Zahrani Ali A. , Qadir Anjum , Alghamdi Rana , Tambo Ernest , Alsahafi Abdullah
Published: August 2022

Introduction

Co-infection of coronavirus disease 2019 (COVID-19) and dengue may coexist, as both viruses share similar laboratory and clinical features, making diagnosis and treatment challenging for health care professionals to prescribe, negatively impacting patient prognosis, and outcomes.

Results and discussions

Both cases were positive for PCR and X-ray laboratory investigation at clinical examination, confirming COVID-19 and dengue co-infection, admission, and better management in referral hospitals are presented and discussed. The timeline provides detailed cases of situational analysis and the medical actions taken, as well as the outcomes.

Conclusion

Both co-infection cases' (patients) health conditions had a poor prognosis and diagnosis and ended with undesired outcomes. Scaling up dual mosquito-vector linked viral diseases surveillance in understanding the transmission dynamics, early diagnosis, and the timely and safe monitoring of case management in clinical and hospital settings nationwide is paramount in curbing preventable co-infections and mortality.
Attributional retraining: Promoting psychological wellbeing in older adults with compromised health
Authors: Parker Patti C. , Chipperfield Judith G. , Hamm Jeremy M. , Perry Raymond P. , Krylova Masha V. , Chuchmach Loring M. , Hladkyj Steve
Published: August 2022

Older adults make up the largest portion of the population of physically inactive individuals. Health challenges, and psychological barriers (e.g., maladaptive causal attributions), contribute to reduced activity engagement and low perceived control. This pilot study tested an attributional retraining (AR) intervention designed to increase control-related outcomes in a physical activity context for older adults with compromised health. Using a randomized treatment design, we examined treatment effects on a sample of older adults attending a day hospital (N = 37, Mage = 80). We employed ANCOVAs, controlling for age, sex, and morbidity, to assess differences in post-treatment outcomes between AR and No-AR conditions. AR recipients (vs. No-AR) reported lower post-treatment helplessness and more perceived control over their health. Our study offers evidence for AR to increase control-related outcomes and lays the groundwork for further research into supporting older adult populations with compromised health.
ViTFER: Facial Emotion Recognition with Vision Transformers
Authors: Chaudhari Aayushi , Bhatt Chintan , Krishna Achyut , Mazzeo Pier Luigi
Published: August 2022

In several fields nowadays, automated emotion recognition has been shown to be a highly powerful tool. Mapping different facial expressions to their respective emotional states is the main objective of facial emotion recognition (FER). In this study, facial expression recognition (FER) was classified using the ResNet-18 model and transformers. This study examines the performance of the Vision Transformer in this task and contrasts our model with cutting-edge models on hybrid datasets. The pipeline and associated procedures for face detection, cropping, and feature extraction using the most recent deep learning model, fine-tuned transformer, are described in this study. The experimental findings demonstrate that our proposed emotion recognition system is capable of being successfully used in practical settings.
Influence of Fluoroethylene Carbonate in the Composition of an Aprotic Electrolyte on the Electrochemical Characteristics of LIB’s Anodes Based on Carbonized Nanosilicon
Authors: Parfeneva Alesya V. , Rumyantsev Aleksander M. , Lozhkina Darina A. , Maximov Maxim Yu. , Astrova Ekaterina V.
Published: August 2022

Here, we study an effect of FEC addition to TC-E918 electrolyte on the electrochemical performance of Si/C negative electrodes. The anodes were fabricated from nanosilicon powder coated with a carbon shell by means of a standard slurry technique. The low-temperature reduction of fluorocarbon on the surface of Si nanoparticles was used to form the shell. It was shown that the presence of FEC in the electrolyte increases the cyclic stability of the electrodes and maintains a 1.5-fold higher discharge capacity during 300 cycles. Impedance measurements were used to study changes in the electrode parameters during long-term cycling with and without FEC additives.
A Novel Synchronized Multiple Output DC-DC Converter Based on Hybrid Flyback-Cuk Topologies
Authors: Mahafzah Khaled A. , Obeidat Mohammad A. , Al-Shetwi Ali Q. , Ustun Taha Selim
Published: August 2022

This paper proposes a new hybrid flyback-Cuk (HFC) converter. The new converter consists of a single switch, a single isolated input, and dual output based on flyback and Cuk topologies. The new HFC topology is proposed to reduce switching losses and improve the duty cycle range over which voltage can be stepped down, which would ultimately lead to an increase in efficiency. For step-down capability, the traditional single topologies (flyback or Cuk) require a less than 50% duty cycle. The low duty cycle of conventional converters leads to low operational efficiency. Therefore, the developed HFC can operate at a duty cycle of up to 85% for the same capability. The analysis, derivations, design, and simulation of the proposed HFC are thoroughly discussed for two different applications at two different power levels. The simulation results are obtained using MATLAB 2020a. The developed HFC’s efficiency as a function of the duty cycle is plotted, which reaches 89%, representing a significant efficiency improvement. The proposed converter can supply and absorb power simultaneously, giving it a significant edge over other converters. It is suitable for energy conversion and storage systems, such as renewable energy systems and electric vehicles (EV). To show the effectiveness and validate the new topology proposed, an EV along with battery energy storage (BES), is applied to charge (EV) and recharge (BES) simultaneously. The simulation results of 1.5 kW of HFC-PFC over the universal voltage range show that the proposed HFC can achieve a high power factor up to 97.5% at 260 Vrms. Moreover, the total harmonics distortion is measured between 36.25 and 27.69%. Thus, the results can achieve all required functions efficiently with minimum losses at a high range of duty cycles.