bluuebunny/crossref_metadata_2025_split huggingface dataset:
IgG4-related aortitis/periaortitis and periarteritis: a distinct spectrum of IgG4-related disease
Authors: Peng Linyi , Zhang Panpan , Li Jieqiong , Liu Zheng , Lu Hui , Zhu Liang , Wang Xiaorong , Teng Fei , Li Xuemei , Guo Huifang , Fei Yunyun , Zhang Wen , Zhao Yan , Zeng Xiaofeng , Zhang Fengchun 
Published: April 2020

Abstract
Background: Large vessels could be involved in immunoglobulin (Ig)-G4-related disease (IgG4-RD). This study aimed to clarify the clinical features and evaluate the treatment efficacy for IgG4-RD with aortitis/periaortitis and periarteritis (PAO/PA).Methods: This study prospectively enrolled 587 patients with IgG4-RD with a follow-up time of more than 6 months. The distribution of IgG4-related PAO/PA was classified into four types: type 1, thoracic aorta; type 2a, abdominal aorta; type 2b, abdominal aorta and iliac artery; type 2c, iliac artery; type 3, thoracic and abdominal aorta; type 4, other arteries. Patient’s demographic data, clinical characteristics, laboratory parameters, and treatment efficacy were analyzed.Results: Of 587 IgG4-RD patients, 89 (15.2%) had PAO/PA. The average age was 58.3±11.1 years, with male predominance (85.4%). Vessels affected were as follows: abdominal aorta (83.1%), iliac artery (70.8%), thoracic aorta (13.5%), and other vessels (13.5%). The most prevalent distribution type of IgG4-related PAO/PA was type 2b, with 74 (83.1%) patients, followed by type 2a, type 2c, type 3, and type 1. Fifty-five (61.8%) PAO/PA patients had hydronephrosis, with renal insufficiency occurring in 43 (48.3%), and 31 (34.8%) PAO/PA patients had D-J stent drainage due to severe ureteral obstruction. After treatment with a glucocorticoid and immunosuppressants, 82% patients achieved remission with shrinking of the perivascular mass by more than 30%.Conclusions: IgG4-RD with PAO/PA was distinct from non-PAO/PA in demographic features, organ involvement distribution, inflammatory markers, and serum IgG4 and IgE. The most common affected vessel was the abdominal aorta, and most patients responded well with treatment.
High expression of Wnt7a protein predicts a poor survival in patients with colorectal carcinoma
Authors: Li Congcong , Cui Peilin , Dou Xiaowei , Li Hongli , Sun Jiahuan , Xie Min 
Published: April 2020

Abstract
Background: Colorectal cancer is one of the most common malignant tumors in China, and the number of new cases and the number of cases of deaths has increased annually. However, its pathogenesis is still unclear. Wnt7a is a member of the wingless-type MMTV integration site family, and it plays an important role in tumorigenesis and development by controlling cell proliferation and differentiation as a secreted glycoprotein. Whether Wnt7a has the properties of an oncogene or not is an important focus for future research as this target has diverse roles in different tumors.Methods: Wnt7a protein expression in normal colorectal mucosa and colorectal tumors was detected via immunohistochemistry and Western blot analysis. Univariate and multivariate analyses were used to explore the associations between Wnt7a staining score and various clinical parameters.Results: Wnt7a was strongly expressed in colorectal cancer tissues but weakly expressed in adjacent normal mucosa and colorectal adenomas. The level of Wnt7a expression was correlated with lymph node involvement (P < 0.001), Duke stage (P < 0.001), and cell differentiation (P < 0.001). Knockdown of Wnt7a inhibits proliferation of colon cancer cells and inhibits the ability of both colon cancer cell lines to migrate.Conclusions: Collectively, our results present evidence that Wnt7a is associated with an unfavorable prognosis of colorectal cancer.
Hemiarthroplasty for the Management of unstable femoral intertrochanteric fractures in elderly patients over 75 years old: a retrospective matched comparative study
Authors: Ge Juncheng , Ma Jinhui , Wang Bailiang , Zhou Yu , Yue Debo , Sun Wei , Guo Wanshou , Wang Weiguo , Zhang Qidong 
Published: April 2020

Abstract
Background

To compare and analyze the therapeutic effect of Proximal Femoral Nail Antirotation and hemiarthroplasty on intertrochanteric fracture.
Methods

45 patients with intertrochanteric fractures (17 males and 28 females) admitted to our hospital from January 2016 to January 2018 were collected. The mean age was 84.82 ± 0.73 years. All injuries were caused by falls during daily activities. Patients were divided into two groups according to the surgical method: the first group was the hemiarthroplasty group, referred to as the hemiarthroplasty group, with a total of 22 patients, and the average length of hospital stay was 13.09 ± 5.03 days. According to the improved Evans-Jensen classification [5], there were 1 cases of III, 9 cases of IV, and 12 cases of V12.The second group was the Proximal Femoral Nail Antirotation group, and the average length of hospital stay was 13.09 ± 6.97 days. According to the Evans-Jensen classification, 1 patient was III, 16 patients were IV, and 6 patients were V.
Results

Intraoperative blood loss was higher in the The Proximal Femoral Nail Antirotation group than in the hemiarthroplasty group(P=0.034).In the postoperative recovery of the two groups, the time from operation to partial weight-bearing of the hemiarthroplasty group was shorter than that of the PFNA group༈p༝0.000༉, and the postoperative HHS of the hemiarthroplasty group was also better than the latter (p ༝0.0005). In terms of total cost during hospitalization, the Hemiarthroplasty group was less than the PFN group(p ༝ 0.017). One year after surgery, the mortality rate increased to 34% in the PNFA group and 9% in the hemiarthroplasty group( P = 0.038), which was statistically significant.
Conclusion

Hemiarthroplasty for intertrochanteric fractures in the elderly can reduce intraoperative blood loss, achieve early recovery, improve survival rates, and reduce the economic burden on patients
Evaluation of a lateral flow assay for rapid and simple detection of IFN-γ for the diagnosis of Mycobacterium tuberculosis infection
Authors: Kim Jeong-Ran , Kang Hae Yeong , Seong Su-Bin , Kim Nari , Shim Tae Sun , Chung Sooyeon 
Published: April 2020

Abstract
Background: Interferon-gamma (IFN-γ) release assays (IGRAs) are useful for the diagnosis of Mycobacterium tuberculosis infection. Current IGRAs use either enzyme-linked immunosorbent assay (ELISA) or enzyme-linked immunospot assay, which require complex procedures and techniques to determine IFN-γ secretion. We aimed to compare the usefulness of the easy-to-use lateral flow assay (LFA) with that of the QuantiFERON-TB Gold In-Tube (QFT-GIT) or QuantiFERON-TB Gold Plus (QFT-plus) ELISAs for detecting IFN-γ, produced by the blood T cells stimulated by tuberculosis (TB) antigen. Methods: Following informed consent, 176 participants, including health care workers such as TB laboratory workers and radiologists, were enrolled for the study from June 2017 to June 2018. Blood samples were collected and tested using QFT-GIT and QFT-plus. The secreted IFN-γ was quantified by LFA, which took approximately 15 min, and ELISA, which took approximately 3 h. Results: A total of 176 blood samples were screened. The positive rates of QFT-GIT and QFT-plus were 34.1% and 37.5%, respectively. Overall agreement between QFT-GIT and QFT-plus was 93.1% ( κ = 0.86). The positive rates of LFA with QFT-GIT tube and QFT-plus tube were 25.6% and 31.3%, respectively, overall agreement of LFA being 90.3% ( κ = 0.78) and 89.2% ( κ = 0.77), respectively, compared to the QFT-GIT and QFT-plus ELISA. Conclusion: The ability of LFA to measure IFN-γ was similar to that of ELISA. The current findings suggested that the new LFA could be more conveniently utilized for diagnosing TB infection.
Comparison of periodontal status between middle-aged human and the Macaca fascicularis
Authors: bingpeng Lin , Mei Zhong , Hongbin Gao , Zijun Zhou , Hooi-leng Ser , Lihong Wu , Learn-han Lee , Jianming Chen , Linhu Ge , Lijing Wang 
Published: April 2020

Abstract
Background

Having an adverse impact on systemic health, periodontitis is an inflammatory disease which is characterized by the loss of integrity in tooth-supporting tissues. Middle-aged human (MAH) have been reported to have a higher incidence of periodontitis and a greater extent of bone loss. Although middle-aged monkey (MAM) shares similar dental anatomy and physiology with humans, it is still unclear whether they both display same disease phenotype or not, given that literature comparing the periodontal status between MAH and MAM is limited. CBCT examination and histological analysis were performed to characterize the periodontal condition, while 16 s rRNA sequencing was carried out to evaluate the possible mechanism that may explain the difference between these two primates.
Results

The present study revealed a more severe disease phenotype in MAH than in MAM, along with significantly higher levels of alveolar bone loss accompanied with increased blood vessels and inflammatory cells infiltration. High-throughput gene sequencing based on 16S rRNA gene demonstrated that the diversity of salivary microorganisms in MAH was lower than that of MAM. In addition, at the phylum level, the relative abundance of Proteobacteria in the MAH was higher than MAM, while Bacteroidetes showed a totally opposite trend. At the genus level, the relative abundances of Alloprevotell, Aggregatibacter, Haemophilus, Gemella and Porphyromonas in the MAH group were significantly less than that of the MAM group. One of the possible factor that may explains for this observation would be the dietary factors, affecting the oral microbial composition and diversity, and subsequently contributing to the alterations of periodontal status.
Conclusions

Altogether, these results demonstrated a potential link that may explain for the difference in inflammatory status in the oral cavity of MAH and MAM – the oral microbiota, prompting further investigation to explore specific roles of these bacterial population in the maintenance of oral health.
High insecticide resistances levels in Anopheles gambiaes s.l in northern Uganda and its relevance for future malaria control
Authors: Echodu Richard , Iga Julius , Oyet William Sam , Mireji Paul , Anena Juliet , Onanyang David , Iwiru Tereza , Lutwama Julius Julian , Opiyo Elizabeth Auma 
Published: April 2020

Abstract
Objective The aim of the study was to determine the level of insecticide resistance and diversity in Anopheles mosquitoes in northern Uganda. Standard WHO insecticide susceptibility test assays were used to test for susceptibility to 0.5% malathion, 0.1% bendiocarb, 0.05% deltamethrin and 0.75% permethrin on 3–5 day old generation one progeny. We also screened for species diversity and knockdown resistance using PCR assay.Results Anopheles gambiae s.s is the predominant malaria vector in northern Uganda followed by An. arabiensis. An. gambiae s.s. was susceptible to malathion and bendiocarb with the observed mortality rate of 100% and 98–100% observed respectively while very high resistance was observed with deltamethrin and permethrin. Minimal KDR-eastern variant homozygous forms of 8.3% in An. gambiae s.s were detected in Oyam district. In conclusion, this study confirms that An. gambiae s.s. females are susceptible to malathion and bendiocarb while high intensity of resistance was observed with deltamethrin and permethrin in the same area. Use of carbamate and organophosphate insecticides bendiocarb and malathion for indoor residual spraying activities in northern Uganda is highly recommended since high levels of pyrethroids resistance (deltamethrin & permethrin) was detected in the area.
Conspiracy beliefs are associated with lower knowledge and higher anxiety levels regarding COVID-19 among students at the University of Jordan
Authors: Sallam Malik , Dababseh Deema , Yaseen Alaa' , Al-Haidar Ayat , Ababneh Nidaa A. , Bakri Faris G. , Mahafzah Azmi 
Published: April 2020

Abstract

Background
The world has been afflicted heavily by the burden of coronavirus disease 2019 (COVID-19) that overwhelmed health care systems and caused severe economic and educational deficits, in addition to anxiety among the public. The main aim of this study was to evaluate the mutual effects of belief that the pandemic was the result of a global conspiracy on knowledge and anxiety levels among students at the University of Jordan (UJ).
Methods
An electronic-based survey was conducted between March 29th 2020 and March 31st 2020. The targeted population involved all undergraduate and postgraduate students from Health, Scientific and Humanities Schools at UJ. Survey sections included 26 items on: socio-demographic information, knowledge and sources of information about the disease, attitude towards the false notion that COVID-19 stemmed from a global conspiracy and items to assess the anxiety level among students during the quarantine period.
Results
The total number of participants was 1540 students. The majority of participants perceived the disease as moderately dangerous (n = 1079, 70.1%), with males, Jordanians and participants with lower income being more inclined to feel that the disease is very dangerous (p < 0.001, 0.020, and < 0.001, respectively). Lower level of knowledge and higher level of anxiety about COVID-19 were associated with the belief that the disease is part of a global conspiracy (p < 0.001 and p = 0.004, respectively). Females and participants with lower income were more likely to believe that the disease is related to conspiracy (p = 0.001 and p < 0.001, respectively). Belief in global conspiracy regarding the origin of COVID-19 was associated with misinformation about the availability of vaccine and the therapeutic use of antibiotics for COVID-19 treatment (p = 0.001 and p < 0.001, respectively). Ministry of Health in Jordan was the most common source of information about COVID-19 reported by the participants (n = 1018).
Conclusions
The false belief that COVID-19 was the result of a global conspiracy could be the consequence of lower level of knowledge about the virus and could lead to higher level of anxiety, which should be considered in the awareness tools of various media platforms about the current pandemic.
Surgical Management and Prognostic Factors Based on 50 Tectal Plate Gliomas
Authors: Kang Jie , Li Chuzhong , Zhao Peng , Liu Chunhui , Cao Lei , Bai Jiwei , Wang Xinsheng , Gui Songbai 
Published: April 2020

Abstract
BackgroundThe management and prognostic factors of tectal glioma (TG) remain ambiguous, because it is an extremely rare neoplasm that occurs predominantly in the pediatric population. The objective of this study was to evaluate the risk factors for progression-free survival (PFS) in TG patients after ETV operation, elucidate the radiological features of TG, and propose a treatment protocol.MethodsFrom 2002 to 2018, 50 patients that preoperative imaging manifestations were low-grade TGs were treated at our institute. Clinical features, treatments, radiologic findings, biopsies, and pertinent risk factors were evaluated.ResultsA total of 50 patients with a diagnosis of TG were identified. Twenty-six (52%) patients were males. The median age at diagnosis was 11.5 years (range 0.5–19 years). All patients had symptoms related to obstructive hydrocephalus and were treated with endoscopic third ventriculostomy (ETV). After a median follow-up duration of 59 months (range 11.0–208.0 months), progression occurred in six patients (12%), with a median PFS time of 18.0 months (range 4.0–56.0 months). Twelve patients (24%) underwent a biopsy, one patient (8.3%) was diagnosed with anaplastic oligodendroglioma, one patient (8.3%) was diagnosed with astrocytoma (WHO grade II-III), five patients (41.7%) were diagnosed with pilocytic astrocytoma, and the type of tumor could not be confirmed in five patients (41.7%) due to the small amount of tumor sample, thus, these patients were diagnosed with gliosis. PFS rates at 1 and 5 years were 91.2% ± 4.2% and 84.9% ± 5.9%, respectively. A multivariate model demonstrated that a large tumor size and cystic changes are risk factors for progression.ConclusionETV has been uniformly successful in the management of hydrocephalus caused by TG. A large tumor size and cystic changes are risk factors for progression. Under the condition of safety, a biopsy should be performed. For patients with low-grade TG, ETV is often the only surgical procedure that most patients require.HighlightsTectal gliomas are generally low-grade gliomas with a favorable prognosis.The only surgical procedure that most patients with tectal glioma require is ETV.Under the condition of safety, neuroendoscopy for a pathological diagnosis should be performed.A large tumor size and cystic changes are risk factors for progression.
Predictors of poor outcome in cervical spondylotic myelopathy patients underwent anterior hybrid approach: focusing on change of local kyphosis
Authors: Cheng XingJian , Jin Lin , Wang Xin , Zhang Wen , Shen Yong 
Published: April 2020

Abstract
Object: This study was a retrospective multivariable analysis for risk factors of poor outcome in patients underwent anterior hybrid approach, and discussed the causes of worsening of postoperative local alignment. Methods: A total of 86 patients with progressive spinal cord compression and local kyphosis underwent an anterior hybrid approach (ACDF + ACCF), between June 2011 and June 2017. We evaluated clinical outcome by the Japanese Orthopaedic Association (JOA) score and recovery rate. Patients were divided into two groups according to worsening and improving of postoperative local alignment. Multivariate logistic regression analysis and receiver operating characteristic (ROC) curve were applied to the evaluation of risk factors. Mann–Whitney U-test, Independent t-test and Chi-squared test was performed for the comparison of local kyphosis between postoperative and last follow-up. Results: There were twenty patients who had a recovery rate of less than 50%. Advance age, longer duration of symptoms, bigger T1 slope angle and lower change of local kyphosis angle was significantly associated with a poor clinical outcome by multivariate logistic regression analysis. The ROC curve showed that the cutoff values of change of local angle between preoperative and last follow-up was 10.2 angle. The cause of worsening of postoperative local alignment had T1 slope, C2-7 SVA, adjacent segment degeneration (ASD), and implant subsidence. Conclusions: The change of local kyphosis was a predictor of clinical outcome after the hybrid approach. Furthermore, postoperative ASD, implant subsidence, T1 slope and C2-7 Cobb were associated with recurrence of postoperative cervical kyphosis.
Establishment of human esophageal cancer xenograft model in immunocompetent mice and explorations of related immunological changes
Authors: Hu Ruirui , Zhang Hongmei , Bi Yanzhen , Yao Xiaoying , Jin Guiyuan , Wang Quanyi , Wei Haixiang , Qin Yufen , Zhang Hairong , Hong Feng 
Published: April 2020

Abstract
[Background]To combine the primary cells of human esophageal cancer with a new type of three dimensional (3D) microcarrier 6, and then to inoculate the complex subcutaneously into immunocompetent mice. To establish a new animal xenograft tumor model of human esophageal cancer, and to explore the changes in the immune indicators of mice during tumor formation. [Methods] 1. Isolate and extract the primary cells of human esophageal squamous cell carcinoma (SCC); mix them well with the 3D microcarriers and fully incubate them. Then, inoculate the complex into the armpits of immunocompetent mice, and record the tumor formation rate and the pathological characteristics of xenograft tumors. 2. Isolate cells in the blood, bone marrow, and spleen of the experimental mice and the control mice, and detect changes in CD3+, CD4+, CD8+, myeloid-derived suppressor cells (MDSCs), and dendritic cells (DCs) by flow cytometry. [Results] The microcarrier 6-based model subcutaneously transplanted primary cells of human esophageal cancer, which further successfully grew into xenograft tumors in immunocompetent mice; the tumor formation rate was 80%. The hematoxylin-eosin (HE) staining and immunohistochemistry (IHC) characteristics indicated consistencies with the human esophageal cancer cells. The flow cytometry analysis showed that CD3+ and CD4+ cells in the peripheral blood and bone marrow of the tumor-formed mice were significantly reduced (P < 0.05). The cell counts of MDSCs and DCs in the blood, bone marrow, and spleen were elevated as compared with the control group, and with the MDSCs increased the most dramatically and statistically significant increase (P < 0.05). [Conclusion] The new type of 3D microcarriers were combined with human esophageal SCC cells; this model could be used to successfully construct an immunocompetent mouse xenograft model of human esophageal cancer. We further found that during tumor formation, the tumor cells may inhibit cellular immunity by regulating MDSCs, leading to tumor immunity escape and promoting tumor development.
Clinical characteristics of non-pneuminia COVID-19 infection adults in Shanghai, China
Authors: Li Tao , Gong Linjing , Hu Lijuan , Ji Haiying , Jiang Zhilong , Zhu Lei 
Published: April 2020

Abstract
Background Adult patients diagnosed as COVID-19 in Shanghai were accepted in Shanghai Public Health Clinical Center. We found around 4.91% of cases showed non-pneumonia on CT imaging when they were confirmed. Understanding the characteristics of non-pneumonia cases is of great significance to guide clinical treatment and improve prevention and control measures.Methods All dataset of demography, epidemiology, clinical manifestation, laboratory test, diagnosis, classification, condition change, treatment and outcome were obtained by retrospective investigation.Results 16 cases were confirmed COVID-19 with non-pneumonia with clear epidemiological history. The median age of patients was 37 years old and 81.25% were female. The median incubation period was 15.25 days. 75% patients were familial clusters. These patients were presented with mild clinical manifestations, such as bronchitis, common cold and asymptomatic infection with or without laboratory abnormalities. 4(25%)cases had underlying diseases. 3 of them had mild pneumonia on chest CT imaging during hospitalization. All of the cases were cured and discharged after support treatment.Conclusions A few of adult patients after COVID-19 infection had non-pneumonia, with mild clinical manifestations and long incubation time. It usually occurred in young women and history of family aggregation. The mild clinical symptom may be caused by the decreasing pathogenicity after multiple generation of virus replication. However, we should be on alert that the virus is still contagious to human. Therefore, an intensive attention should be paid to these patients to avoid misdiagnosis and overlook, because these patients are potential viral source in infection of other people.