bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Utility of Neoadjuvant MRI in Early-Stage Breast Cancer Patients
Authors: Corke Lauren , Luzhna Lidiya , Willemsma Kaylie , Illmann Caroline , Mcdermott Miranda , Wilson Christine , Simmons Christine , LeVasseur Nathalie 
Published: November 2021

Abstract
Background

With the increasing use of neoadjuvant treatment (NAT) for patients with early-stage breast cancer (ESBC), adequate clinical staging is essential to inform treatment. While the use of MRI with NAT has been proposed to help with accuracy of pre-treatment clinical staging, its impact in clinical practice remains controversial.
Methods

A prospective institutional database of patients with ESBC treated with NAT between May 2012 and December 2020 was analyzed in order to compare the management of patients who received an MRI prior to NAT to those who did not. The indications for MRI and correlation of MRI findings to conventional breast imaging were evaluated. The impact of MRI on management was compared between the MRI and non-MRI groups.
Results

A total of 530 patients met inclusion criteria. Of these, 186 (35.1%) had an MRI and 344 (64.9%) did not. The most frequent indication for MRI was the determination of disease extent (54.5%). Patients who had an MRI prior to neoadjuvant treatment were significantly more likely to be younger (47 years versus 57 years; p<0.001) and have multifocal disease (32.3% versus 22.1%; p<0.05). When compared to conventional imaging, MRI reported a greater extent of disease in the breast (37.6%), more nodal involvement (18.8%) and multifocal disease (15.1%). Additional diagnostic interventions were advised in 52.2% of patients. who underwent MRI. Rates of mastectomies were greater in the MRI group (80.0% versus 58.9%; p<0.05) in addition to more axillary dissections (28.0% versus 17.4%; p<0.01). Rates of locoregional recurrences were low in both groups, with similar disease-free survival outcomes at 5 years.
Conclusions

MRI identified significantly more disease in contrast to conventional imaging and lead to more aggressive surgical management. Prospective studies evaluating the role of neoadjuvant MRI and its impact on long term outcomes are needed.
Diverse Response Diversity in Pollinators: Implications to the Resilience of Pollination Services in Buckwheat
Authors: Miyashita Tadashi , Hayashi Shota , Taki Hisatomo 
Published: November 2021

Abstract
Response diversity to environmental change among species is important for the maintenance of ecosystem services, but response diversity to changes in multiple environmental parameters is largely unexplored. Here, we examined how insect visitations to buckwheat flowers differ among species groups in response to changes in multiple weather variables and landscape structures.We found differences in responses to changes in weather conditions among insect taxonomic groups visiting buckwheat flowers. Specifically, beetles, butterflies, and wasps were more active in sunny and/or high-temperature conditions, whereas ants and flies showed the opposite pattern. Furthermore, responses to weather conditions differed between large and small insects, which agreed with the expectation that optimal temperature for insect activity has a positive association with body size. Response diversity per se was also diverse. For instance, large insects were responsive to temperatures more than small insects while smaller insects were responsive to sunshine duration more than large insects. Responses to spatial variables also differed; large insects were more abundant in fields with surrounding forests and mosaic habitats, whereas small insects were not. We suggest that the “diversity” in “response diversity,” which is a higher-order response diversity, should be a focus of future studies of the biodiversity–ecosystem service relationships.
Effect of the trends of estradiol level on the outcome of in vitro fertilization-embryo transfer with antagonist regimens: a single center retrospective cohort study
Authors: Wei Chun-Xiao , zhang liang , Pang Cong-Hui , qi Ying-Hua , Zhang Jian-Wei 
Published: November 2021

Abstract
BackgroundThe outcome of in vitro fertilization-embryo transfer is often determined according to follicles and estradiol levels following gonadotropin stimulation. However, there is no accurate indicator to predict pregnancy outcome, and it has not been determined how to choose subsequent drugs and dosage based on the ovarian response. This study aimed to make timely adjustments to follow-up medication to improve clinical outcomes based on the potential value of estradiol growth rate. MethodsSerum estradiol levels were measured on the day of gonadotrophin treatment (Gn0), four days later (Gn4), seven days later (Gn7), and on the trigger day (HCG). The ratio was used to determine the increase in estradiol levels. According to the ratio of estradiol increase, the patients were divided into four groups: group A1 (Gn4/Gn0≤6.44), group A2 (6.44˂Gn4/Gn0≤10.62), group A3 (10.62˂Gn4/Gn0 ≤21.33), and group A4 (Gn4/Gn0>21.33); group B1 (Gn7/Gn4≤2.39), group B2 (2.39˂Gn7/Gn4≤3.03), group B3 (3.03˂Gn7/Gn4≤3.84), and group B4 (Gn7/Gn4>3.84). We analyzed and compared the relationship between data in each group and pregnancy outcome. ResultsIn the statistical analysis, the estradiol levels of Gn4 (P = 0.029, P = 0.042), Gn7 (P< 0.001, P = 0.001), and HCG (P< 0.001, P = 0.002), as well as the ratios of Gn4/Gn0 (P = 0.004, P = 0.006), Gn7/Gn4 (P = 0.001, P = 0.002), and HCG/Gn0 (P< 0.001, P< 0.001) both had clinical guiding significance, and the lower one significantly reduced the pregnancy rate. The outcomes were positively linked to groups A (P = 0.040, P = 0.041) and B (P = 0.015, P = 0.017). The logistical regression analysis revealed that group A1 (OR = 0.440 [0.223–0.865]; P = 0.017, OR = 0.368 [0.169–0.804]; P = 0.012) and B1 (OR = 0.261 [0.126–0.541]; P< 0.001, OR = 0.299 [0.142–0.629]; P = 0.001) had opposite influence on outcomes. ConclusionMaintaining a serum estradiol increase ratio at least above 2.39 on Gn7/Gn4 may result in a higher pregnancy rate. When estradiol growth is not ideal, gonadotrophin dosage should be adjusted appropriately to ensure the desired outcome.
Animal Study of a Newly Designed Metal Airway Brachytherapy Stent Loaded with Radioactive 125I Seeds
Authors: Jiao Dechao , Lei Qinyu , Xu Kaihao , Liu Yiming , Han Xinwei 
Published: November 2021

Abstract
Aim: To evaluate dynamic tissue changes after airway stenting (AS) with a newly designed metal brachytherapy stent (BS) loaded with radioactive 125I seeds in normal rabbits.Method: Forty-five normal New Zealand white rabbits were divided into three groups (Group A: stent without seeds; Group B: stent with 0.4 mCi active seeds; Group C: stent with 0.8 mCi active seeds) and underwent AS under C-arm guidance. Then, 5 rabbits were sacrificed from each group at 2, 4, and 8 weeks for further examination. Laboratory tests (including routine blood tests, liver function, kidney function, electrolytes and ROS levels), gross observations, and tissue changes of Masson/hematoxylin-eosin staining, plus immunohistochemistry of α-SMA, NOX4, and TGF-β were performed at each time point.Result: All animals underwent AS successfully without procedure-related death, but one animal died at 6 weeks due to severe pulmonary infection in Group C. Apart from a transient increase in white blood cells (P < 0.05) and a gradual increase in ROS levels (P < 0.05), other blood test items showed no significant changes (P > 0.05). The brachytherapy injury score increased with irradiation dose accumulation (P < 0.05), but tissue hyperplasia at the stent end in Group C was less severe than that in Groups A and B (P < 0.05). Airway lateral fibrosis was observed in all groups by histopathologic analysis; however, fibrosis in Group C was more severe than that in Groups A and B (P < 0.05).Conclusion: The brachytherapy injury score increased with irradiation dose accumulation, while granulation tissue hyperplasia at the stent end was inhibited by 125I brachytherapy within 8 weeks.
Excel Template for Identifying Mouse Myeloid Cell-Types in the Central Nervous System Based on Single-Cell RNA Sequencing Data
Authors: Lü He-zuo , Lyu Xin-Yi , Li Jing-Lu , Ding Shu-Qin , Hu Jian-Guo 
Published: November 2021

Abstract
Background

The myeloid cells play a vital role in health and disease of central nervous system (CNS). However, how to clearly distinguish them is still a knotty problem. At present, single-cell RNA Sequencing (scRNA-Seq) technology can sequence thousands of cells at the single-cell level, and then divide the cells into different clusters according to the similarity of gene expression, but it is still difficult to further identity these cell clusters. Generally, there are some specific marker genes for cell-type identities. However, it is difficult to distinguish a variety of myeloid cells in the CNS, because these cells often have the same or cross gene markers, and some markers will change significantly in different pathological states. Therefore, establishing a simple and practical method to distinguish these cell populations is of great significance for the analysis of scRNA-Seq data.
Methods
Referring to CellMarker (http://biocc.hrbmu.edu.cn/CellMarker/), PanglaoDB (https://panglaodb.se/) and Mouse Cell Atlas (http://bis.zju.edu.cn/MCA/gallery.html), combining with the recent literatures, a simple Excel template was designed, in which a panel of gene makers corresponding to the myeloid cells were included. The 83 cell clusters from several recently reported single-cell data were used to verify the accuracy of this template.
Results

This template could easily distinguish myeloid cell-subtypes and non-myeloid cells. Comparing with literatures, the overall consistency rate was 93.98%. There was no statistically significant difference between the two groups (Bowker’s test, P >0.05). Kappa symmetric measures showed that the Kappa value = 0.642 (P < 0.01).
Conclusions

The cell identities of scRNA-Seq cluster data could be performed using our simple Excel formulae, a panel of gene markers and ideal cell clustering data are the basis for accurate identification of CNS myeloid cell-subtypes.
Synthesis and Evaluation of the Ability of Poly(Methacrylic Acid-co-acrylamide)/nanoclay Composite Hydrogel in the Adsorption of Methylene Blue Dye
Authors: Safarzadeh Hamid , Peighambardoust Seyed Jamaleddin , Mousavi Seyed Hamed , Mohammadi Reza , Foroutan Rauf , Peighambardoust Seyed Hadi 
Published: November 2021

Abstract
The performance of poly(methacrylic acid-co-acrylamide/nanoclay composite (poly(MAA-co-AAm)/NCC) hydrogel to adsorb methylene blue (MB) dye from aqueous solutions was investigated and the adsorption efficiency was improved by incorporating Cloisite 30B nanoclays in the adsorbent structure. The hydrogels were analyzed using FTIR, XRD, TGA, and SEM analysis. The effect of adsorbent dose, temperature, initial dye concentration, contact time, and pH on the efficiency of the adsorption process was investigated. Adsorption efficiencies of 98.57 and 97.65% were obtained for poly(MAA-co-AAm)/NCC and poly(MAA-co-AAm) hydrogels, respectively. Kinetic study revealed that the adsorption process followed pseudo-first-order kinetic model and α-parameter values of 6.558 and 1.113 mg/g.min were obtained for poly(MAA-co-AAm)/NCC and poly(MAA-co-AAm) hydrogels, respectively indicating a higher ability of nanocomposite hydrogel in adsorbing MB-dye. In addition, the results of the intra-particle diffusion model showed that various mechanisms such as intra-particle diffusion and liquid film penetration are important in the adsorption. The Gibbs free energy parameter of adsorption process showed negative values of -256.52 and -84.071 J/mol.K for poly(MAA-co-AAm)/NCC and poly(MAA-co-AAm) hydrogels indicating spontaneous nature of the adsorption. The results of enthalpy and entropy showed that the adsorption process was exothermic and random collisions were reduced during the adsorption. The equilibrium data for the adsorption process using poly(MAA-co-AAm)/NCC and poly(MAA-co-AAm) hydrogels followed Freundlich and Langmuir isotherm models, respectively. The maximum adsorption capacity values of 32.83 and 21.92 mg/g were obtained for poly(MAA-co-AAm)/NCC and poly(MAA-co-AAm) hydrogels, respectively. Higher adsorption capacity of nanocomposite hydrogel was attributed to the presence of Cloisite 30B clay nanoparticles in its structure. In addition, results of RL, n, and E parameters showed that the adsorption process was performed optimally and physically.
A Feasibility Pilot Trial of a Peer-support Educational Behavioral Intervention to Improve Diabetes Medication Adherence in African Americans
Authors: Shiyanbola Olayinka , Maurer Martha , Mott Mattigan , Schwerer Luke , Sarkarati Nassim , Sharp Lisa K , Ward Earlise 
Published: November 2021

Abstract
BackgroundAfrican Americans are twice as likely to die from diabetes, compared to other racial and ethnic groups in the United States. Poor adherence to diabetes medications is common among African Americans and contributes to these disproportionally worse outcomes. A pilot study was conducted to determine the feasibility and acceptability of a peer-supported intervention targeting diabetes and medication beliefs, communication, and self-efficacy skills to enhance medication adherence among African Americans with type 2 diabetes. MethodsBased on the extended self-regulatory model and information-motivation-behavioral skills model, this intervention was piloted using a single group pre/post-intervention study design at two sites. Seventeen African Americans who self-reported as adherent to diabetes medicines (ambassadors), were paired with 22 African Americans with self-reported poor medication adherence (buddies). Measures assessed at baseline and one-month post-intervention included glycemic control (hemoglobin A1c), self-reported medication adherence, diabetes beliefs, concerns about diabetes medicines, and diabetes self-efficacy. Wilcoxon signed rank tests assessed for differences in mean scores of outcome variables at baseline compared with 3-months follow-up. Semi-structured 60-minute interviews were conducted with each buddy to explore their acceptability of the intervention. To ensure the rigor of the qualitative data, we focused on analytic criteria such as credibility, confirmability, and transferability.ResultsMost buddies and ambassadors were female and about 56 years old. Feasibility outcomes included recruitment success rates of 73% for buddies and 85% for ambassadors relative to our goals. Retention rate for hemoglobin A1c and medication adherence outcome assessment was 95% for buddies. Both buddies and ambassadors had excellent intervention adherence, with buddies having a mean attendance of 7.76 out of 8 sessions/phone calls and ambassadors completing > 99% of the 105 intervention calls with Buddies. Results showed a signal of change in hemoglobin A1c (effect size = 0.14) and medication adherence (effect size = 0.35) among buddies, reduction in buddies’ negative beliefs about diabetes and an increase in necessity beliefs of diabetes medicines. Summative interviews with buddies showed they valued ambassador’s encouragement of self-management behaviors. ConclusionsResults support conduct of an efficacy trial to address medication adherence for African Americans with type 2 diabetes using a peer-supported tailored intervention.
CircRNA circ_0075796 is downregulated in breast cancer and suppresses cell proliferation, migration and invasion
Authors: Xu Yao , Wang Ya-Wen , Chen Xu , Liu Can , Chen Yan-Duo , Yang Bin , Qiao Zhong-Qi , Gao Hai-Dong , Ma Rong , Tian Ya-Ru , Zhang Kai 
Published: November 2021

Abstract
Background
Emerging evidence shows that circular RNAs (circRNAs) play crucial parts in tumorigenesis and progression. In this work, the expression, clinical significance, function and potential mechanism of circ_0075796 in breast cancer were explored.
Methods
The expression of circ_0075796 in 189 pairs of breast cancer tissues and adjacent normal tissues was detected by quantitative real-time PCR (qRT-PCR). Cell Counting Kit-8 (CCK-8) assay, methyl thiazolyl tetrazolium (MTT) assay and colony formation assay were conducted for cell proliferation. Transwell assay and wound healing assay were used for cell migration and invasion. Flow cytometry analysis was adopted for cell cycle and cell apoptosis. The cellular localization of circ_0075796 was determined by fluorescence in situ hybridization (FISH). The circ_0075796/miR-452-3p/SAMD5 axis was screened out by bioinformatics analysis and verified by qRT-PCR. Methylated RNA Immunoprecipitation (MeRIP) was used to detect the N6-methyladenosine (m6A) modification levels of circ_0075796. QRT-PCR was used to detect the expression of RNA binding protein Quaking (QKI) in breast cancer tissues and adjacent normal tissues.
Results
circ_0075796 was downregulated in breast cancer tissues compared with adjacent normal tissues. In addition, circ_0075796 showed satisfactory diagnostic value to discriminate breast cancer and normal controls. Downregulated circ_0075796 expression was correlated with lymph node metastasis, HER2 expression, larger tumor size, high Ki-67 expression, advanced histological grade, aggressive molecular subtypes and advanced clinical stages. Overexpression of circ_0075796 inhibited cell proliferation, migration and invasion in vitro. FISH showed that circ_0075796 was localized in the cytoplasm and nucleus of breast cancer cells. Bioinformatics analysis and qRT-PCR revealed the potential circ_0075796/miR-452-3p/SAMD5 axis. Moreover, circ_0075796 showed lower m6A modification levels in breast cancer tissues compared to adjacent normal tissues. QKI was predicted to contain binding sites of circ_0075796 and was downregulated in breast cancer tissues compared to adjacent normal controls.
Conclusions
circ_0075796 was downregulated in breast cancer compared to normal controls, and showed potential diagnostic value for breast cancer. Downregulation of circ_0075796 was correlated with aggressive clinical features of breast cancer and overexpression of circ_0075796 inhibited the progression of breast cancer in vitro, indicating that circ_0075796 may be related to tumorigenesis and development of breast cancer.
Biomechanical Evaluation of Oblique Lateral Locking Plate System for Oblique Lumbar Interbody Fusion: A Finite Element Analysis
Authors: Wang Yinge , Wang Jiajia , Tu Sha , Li Shuang , Yi Jiangpu , Zhao Haien , Qiao Huanhuan , Yan Kang , Liao Bo 
Published: November 2021

Abstract
Objective: Oblique lateral locking plate system (OLLPS) with the locking and reverse pedicle track screw configuration is a novel internal fixation designed for oblique lumbar interbody fusion(OLIF). It is placed in a single-position through the oblique lateral surgical corridor to reduce operative time and subsequent complications of prolonged anesthesia and prone positioning. The purpose of this study was to verify the biomechanical effect of OLLPS.Methods: The intact finite element model of L1–S1（Intact） was established based on CT images of a healthy male volunteer. The L4-L5 intervertebral space was selected as the surgical segment. The surgical models were established separately according to the OLIF surgical procedures and the different internal fixations: (1) stand-alone OLIF (SA); (2) OLIF with 2-screw lateral plate (LP-2); (3) OLIF with 4-screw lateral plate (LP-4); (4) OLIF with OLLPS (OLLPS); and (5) OLIF with bilateral pedicle screw fixation (BPS). After validating the intact model, the physiological loading was applied to the superior surface of L1 to simulate flexion, extension, left bending, right bending, left rotation, and right rotation motions. The evaluation indexes included the L4/5 range of motion (ROM), the L4 maximum displacement, and the maximum stress of the superior and inferior endplate, cage, and supplemental fixation.Results: In OLIF surgery, OLLPS provided multiplanar stability which was similar to that of BPS. Compared with LP-2 and LP-4, OLLPS had the better biomechanical properties in enhancing the instant stability of the surgical segment, reducing the stress of the superior and inferior endplates of the surgical segment, and reducing the risk of cage subsidence.Conclsions: With the minimally invasive background, OLLPS can be an alternative to BPS in OLIF and has a better prospect of clinical promotion and application.
Plant Nutrients Appears Decoupled from Soil: Increasing Influences from Changing Climate in the Grassland’s of Inner Mongolia, China
Authors: Li Xiang , Deng Qiang , Chen Lili , Liu Guiyao , Shi Xinrong , Lock Thomas Ryan , Kallenbach Robert L. , Yuan Zhiyou 
Published: November 2021

Abstract
Extremes in weather episodes seem to be the new normal. We need to better understand how changing climatic conditions alter plant growth in grasslands, especially macro nutrient uptake and stoichiometry. However, few studies have examined how warmer/colder or wetter/drier climates influence the nutrient decoupling between plants and soils at the ecosystem level. Here, we investigated the changes in carbon (C), nitrogen (N), and phosphorus (P) concentrations and their stoichiometric ratios in plants and soils from 65 grassland sites along a geographic gradient of temperature and aridity in northern China. Often, we saw inverse responses between plant and soil nutrients with respect to temperature and aridity. Soil C and N were negatively correlated with temperature and aridity. Soil P was negatively correlated with aridity. Plant N was positively correlated with aridity and plant P was negatively correlated with temperature, while plant C had no relationship with either. Temperature and aridity were positively correlated with C:N and negatively correlated with C:P and N:P ratios in soils. However, aridity was negatively correlated with plant C:N ratios. Plant N:P ratios were positively correlated with temperature and aridity, whereas plant C:P ratios had no relationship with either. Our findings suggest at a broad geographic scale, plant nutrients do not always reflect soil nutrient availability. It is conceivable that rapid climate shifts and the resulting changes in element availability, turnover rates, absorption, and use efficiency might cause decoupling of C, N, and P cycles between plants and soils.
Melatonin Inhibits Japanese Encephalitis Virus Replication And Neurotoxicity Via Calcineurin-Autophagy Pathways
Authors: Park Sang-Youel , Moon Ji-Hong , Hong Jeong-Min , Seol Jae-Won , Eo Seong Kug 
Published: November 2021

Abstract
BackgroundJapanese encephalitis is a mosquito-borne flavivirus and has no specific treatment excepting a few supportive medical care. JEV is a neurotropic virus that affects the nervous system and triggers inflammation of the brain. Melatonin has been used as a sleep-inducing agent in neurophysiology and has a potential role as a protective agent against neurological and neurodegenerative diseases. MethodsThe effect of JEV-induced calcineurin (CaN) activation on the progression of Japanese encephalitis was evaluated using the SK-N-SH neuroblastoma cell cultures of JEV infection. A CaN inhibitor FK-506 and melatonin were employed to assess the activity of CaN and autophagy flux in vitro. The subsequent impact of CaN blockade was assessed by examining the autophagy flux, neuronal cell death and inflammatory cytokine production.ResultsThe critical role of CaN was examined in JEV propagation. CaN was activated as a result of JEV infection in SK-N-SH neuroblastoma cells. When treated with melatonin, CaN became down-regulated and decreased JEV replication and neurotoxicity. Melatonin decreased JEV-mediated neuroinflammation in neuronal cells. Further experiments indicated that melatonin attenuated JEV-induced autophagy impairment via CaN regulation. ConclusionCaN plays an imperative role in regulating the JEV-induced neuronal cell damage and neuroinflammation. Thus, our results suggest that CaN performs a critical role in JEV-infected neuronal cells and melatonin is a novel target in the development of anti-JEV agents.