bluuebunny/crossref_metadata_2025_split huggingface dataset:
Auricular Acupressure for Adverse Events Following Immunization Related To COVID-19 Vaccine Injection: Study Protocol for a Multicenter, Three-Arm, Blinded Randomized Controlled Trial
Authors: Fu Qinwei , Xie Hui , Zhou Li , Li Xinrong , Liu Yang , Liu Min , Wang Chaoyu , Wang Xiaocen , Wang Zhiqiao , Tang Jinfan , Xiao Huan , Xiao Zhiyong , Zhou Jing , Feng Chengzhi , Wang Li , Ao Zhimin , Chen Xi , Su Chang , Wu Xuanyu , Zhao Maolan , Hu Sihan , Lin Hanwen , Huang Jiali , Xu Guo , Zhang Qinxiu , Jiang Luyun 
Published: October 2021

Abstract
Background
Some pain, fatigue, and gastrointestinal adverse reactions were observed in potential association with injection of COVID-19 vaccines. However, there were no preventive intervention for it. We aim to investigate efficacy of auricular acupressure (AA) therapy in preventing and (or) relieving AEFI after injection of COVID-19 vaccine.
Methods/design:
The study design is a randomized controlled, multicentre, three-arm, single-blind trial. Participants meeting the inclusion criteria will be advertised and enrolled, and assigned randomly in the medical institutions for post-injection observation. No less than 360 participants will be randomized into one of three groups: auricular acupressure group, sham auricular acupressure group and wait-list group. Interventions will be performed immediately, and will happen 4 to 5 times per day for 5 days. The primary clinical outcomes will be quality and quantity evaluation among participants who reported any AEFI and who reported local pain at injection site. Secondary outcomes will concern headache, muscle and (or) joint pain, fatigue, nausea, vomiting, diarrhoea, and other potential events. All the outcomes will be assessed at baseline, 1, 3, 5, 7, and 14 days after the injection. Both intention-to-treat and per-protocol analyses will be performed, with significance level determined at the 5 % level.
Discussion
Results of this trial will help clarify the value of auricular acupressure therapy in preventing and (or) relieving overall and certain adverse events following immunization after injection of COVID-19 vaccine.
Trial registration:
This trial was registered in the China Clinical Trial Registry (ChiCTR) (ChiCTR2100043210) on 8th February, 2021.
The Association of Pericardial Fat and Peri-Aortic Fat With Severity of Nonalcoholic Fatty Liver Disease
Authors: Lee Chun-Wei , Yun Chun-Ho , Huang Wen-Hung , Hung Ta-Chuan , Tsai Cheng-Ting , Kuo Jen-Yuan , Su Cheng-Huang , Cheng Han-En , Hung Chung-Lieh , Hou Charles 
Published: October 2021

Abstract
Background: Visceral adipose tissue (VAT) is associated with central obesity, insulin resistance and metabolic syndrome. However, the association of body-site specific adiposity and non-alcoholic fatty liver disease (NAFLD) has not been well characterized. Methods: We studies 704 consecutive subjects who underwent annual health survey in Taiwan. All subjects have been divided into three groups including normal (341), mild (227) and moderate (136) NAFLD according to ultrasound finding. Pericardial (PCF) and thoracic peri-aortic adipose tissue (TAT) burden was assessed using a non-contrast 16-slice multi-detector computed tomography (MDCT) dataset with off-line measurement (Aquarius 3DWorkstation, TeraRecon, SanMateo, CA, USA). We explored the relationship between PCF/TAT, NAFLD and cardiometabolic risk profiles.Result: Patients with moderate and mild NAFLD have greater volume of PCF (100.7±26.3vs. 77.1±21.3 vs. 61.7±21.6ml, P < 0.001) and TAT (11.2±4.1 vs. 7.6±2.6 vs. 5.5±2.6ml, P < 0.001) when compared to the normal groups. Both PCF and TAT remained independently associated with NAFLD after counting for age, sex, triglyceride, cholesterol and other cardiometabolic risk factors. In addition, both PCF and TAT provided incremental prediction value for NAFLD diagnosis. (AUROC: 0.85 and 0.87, 95%, confidence interval: 0.82-0.89 and 0.84-0.90). Conclusion: Both visceral adipose tissues strongly correlated with the severity of NAFLD. Compared to PCF, TAT is more tightly associated with NAFLD diagnosis in a large Asian population.
Moderate Hypothermia Attenuates Pro-Arrhythmic Electromechanical Relations in the Left Ventricle – A Clinical Study
Authors: Wisløff-Aase Kristin , Skulstad Helge , Haugaa Kristina , Lingaas Per Snorre , Beitnes Jan Otto , Halvorsen Per Steinar , Espinoza Andreas 
Published: October 2021

Abstract
BackgroundTargeted temperature management is recommended after cardiac arrest, but the beneficial effects are controversial. The recently published TTM2 study reports that arrhythmias causing hemodynamic compromise are more common during moderate hypothermia. The causation is not explored. Experimentally, moderate hypothermia attenuates electromechanical relations with pro-arrhythmic impact. Mechanical systole outlasts the electrical systole to a greater extent giving increased electromechanical window positivity, and dispersion of electrical and mechanical activity are unaltered. In this prospective clinical study, we explored the effect of moderate hypothermia on electromechanical relations in un-insulted left ventricles. We hypothesized that during moderate hypothermia, prolongation of systolic duration would exceed electrical duration without dispersed electrical- or mechanical activity. Methods20 patients with normal left ventricular function, undergoing surgery on the ascending aorta and connected to cardiopulmonary bypass, were included. Measurements were obtained at 36 °C and 32 °C prior to aortic-repair, and at 36 °C after repair at spontaneous and paced heart rate 90 bpm. Comparable loading conditions were ensured and cardiopulmonary bypass was reduced to 20% of estimated maximum during the measurements. Global cardiac function was measured invasively and with echocardiography. Electromechanical window, dispersion of repolarization by ECG and mechanical dispersion by echocardiography, were calculated. ResultsAt moderate hypothermia (32°C), mechanical systolic prolongation exceeded electrical prolongation so that electromechanical window increased (29 ± 30 to 86 ± 50 ms, p <0.001). Dispersion of repolarization and mechanical dispersion remained unchanged. Myocardial function was preserved with maintained strain, fractional shortening and stroke volume. Similar electromechanical relations were present also at comparable increased heart rate during moderate hypothermia. After rewarming to 36°C, electromechanical alterations were reversed. ConclusionModerate hypothermia increased electromechanical window positivity. Dispersion of repolarisation, mechanical dispersion, and myocardial function were unchanged. Moderate hypothermia did not induce adverse electromechanical changes in the left ventricle during standardized conditions, but rather an attenuation of pro-arrhythmic electromechanical relations.
Focused Versus Conventional Radiotherapy in Spinal Oncology: Is There any Difference in Fusion Rates and Pseudoarthrosis?
Authors: Akinduro Oluwaseun , DeBiase Geatano , Goyal Anshit , Meyer Jenna H , Kowalchuk Roman O , Sandhu Sukhwinder S , Trifiletti Daniel M , Sheehan Jason , Merrell Kenneth W , Vora Sujay A , Broderick Daniel F , Clarke  , Bydon Mohamad , McClendon Jamal , Kalani Maziyar A , Quinones-Hinojosa Alfredo , Abode-Iyamah Kingsley 
Published: October 2021

Abstract
IntroductionRadiotherapy is considered standard of care for adjuvant peri-operative treatment of many spinal tumors, including those with instrumented fusion. Unfortunately, radiation treatment has been linked to increased risk of pseudoarthrosis. Newerfocused radiotherapy strategies with enhanced conformalitycould offer improved fusion rates for these patients, but this has not been confirmed.MethodsWe performed a retrospective analysis of patients at three tertiary care academic institutions withprimary and secondary spinal malignancies that underwent resection, instrumented fusion, and peri-operative radiotherapy. Two board certified neuro-radiologists used theLenke fusion score to grade fusion status at6 and 12-months after surgery. Secondary outcomes includedclinical pseudoarthrosis, wound complications, and the effect of radiation timing, radiobiological dose delivered, the use of photons versus protons, tumor type, tumor location,and use of autograft on fusion outcomes.ResultsAfter reviewof 1252 spinal tumor patients, there were 60 patients with at least 6 months follow-up that were included in our analyses. Twenty-five of these patients received focused radiotherapy,20 patients received conventional radiotherapy, and 15 patients were treated with protons. There was no significant difference between the groups for covariates such assmoking status,obesity, diabetes, intraoperative use of autograft, and use of peri-operative chemotherapy. There was a significantly higher rate of fusion for patients treated with focused radiotherapy compared to those treated with conventional radiotherapy at 6-months (64.0% versus 30.0%, Odds ratio: 4.15, p=0.036) and 12-months (80.0% versus 42.1%, OR: 5.50, p=0.022). There was a significantly higher rate of clinical pseudoarthrosis in the conventional radiotherapy cohortcompared to patients in the focused radiotherapy cohort (19.1% versus 0%,p=0.037). There was no difference in fusion outcomes for any of the secondary outcomes except for use of autograft. The use ofintra-operative autograft was associated with an improved fusion at 12-months (66.7% versus 37.5%, OR: 3.33, p=0.043). ConclusionFocused radiotherapy may be associated withan improved rate of fusion and clinical pseudoarthrosis when compared to conventional radiation delivery strategiesin patients with spinal tumors.Use of autograft at the time of surgery may be associated with improved 12-month fusion rates.Further large-scale prospective and randomized controlled studies are needed to better stratify the effects of radiation delivery modality in these patients.
Analysis of Multiple Pesticides Residues in Market Samples of Okra and Associated Dietary Risk Assessment for Consumers
Authors: Ali Syeda Nazish , Rafique Nazia , Akhtar Shazia , Taj Touqeer , Mehboob Farrakh 
Published: October 2021

Abstract
European Union Reference Laboratory method for Fruits and Vegetable (EURL-FV-2010-M1) for the quantification of pesticide residues was verified for the determination of multiple pesticides residues in okra. The targeted pesticides were extracted using acetonitrile with citrate buffer salts followed by cleanup with primary secondary amine (PSA) and analyzed on LC-MS/MS. The recoveries for all the targeted pesticides were within an acceptable range of 70.1 - 116.6% and precision in terms of RSD was 0.3 - 18.1%, respectively. The limit of quantification ranged from 0.002 mg/kg for carbofuran to 0.5 mg/kg for α-cypermethrin. The status of pesticide residues in okra (n= 21) available to consumers in the main markets of Pakistan has been determined by using this verified method. Sixty-two percent of the tested samples were contaminated out of which three samples were non-compliant with European Union Maximum residue limits (EU-MRL). The pesticides violating the EU-MRL were bifenthrin, thiamethoxam, and triazophos. For all the detected pesticides, estimated daily intake (EDI) ranged between 7.39×10−6 and 1.78×10−4 mg/kg of body weight while the values of Health Index (HI) fluctuated between 8.9×10−5 and 1.8×10−2. Although, residues of some pesticides were reported to be non-compliant with EU-MRLs, yet the risk posed by these pesticides to human health was insignificant.
Correlation of neck circumference with abdominal circumference and body mass index in patients with metabolic syndrome in a hospital from northern Peru: a cross-sectional study
Authors: Failoc-Rojas Virgilio E , Díaz-Guevara Eduardo , Chambergo-Michilot Diego , Zeña-Ñañez Sandra , Sánchez-Sánchez Karoline , Valladares-Garrido Mario J 
Published: October 2021

Abstract
Background
We aimed to evaluate the correlation of neck circumference with abdominal circumference and body mass index in patients with metabolic syndrome in Chocope, Trujillo.
Methods
This cross-sectional study included patients with untreated metabolic syndrome. Health professionals measured the anthropometric parameters of participants as per the international guidelines. Pearson’s correlation coefficients and single and multiple regression models were used for analysis.
Results
Data from 250 participants showed homogeneous distribution with respect to age, comorbidities, and biochemical properties according to sex. The mean age was 53.6 years. A positive correlation of neck circumference with abdominal circumference (r = 0.6 and 0.74 for females and males, respectively) and body mass index (r = 0.51 and 0.65 for females and males, respectively) was observed. The linear correlation model showed that a 1-cm increase in neck circumference increased the abdominal circumference by 2.20 cm (p < 0.001) and 2.27 cm (p < 0.001) and body mass index by 0.72 kg/m2 (p < 0.001) and 0.94 kg/m2 (p < 0.001) in males and females, respectively, independent of other variables.
Conclusions
In participants with metabolic syndrome in this study, neck circumference showed a strong correlation with abdominal circumference and body mass index. This anthropometric parameter can be extremely useful for evaluating obesity among patients with metabolic syndrome.
Exosomes Derived from Dental Pulp Stem Cells Accelerate Cutaneous wound Healing by Enhancing Angiogenesis via Cdc42/p38 MAPK Pathway
Authors: Zhou Ziyu , Zheng Jianmao , Lin Danle , Chen Yanan , Hu Xiaoli 
Published: October 2021

Abstract
Background: Skin wound healing is a common challenging clinical problem and need advanced treatment strategies. Here, we investigated the therapeutic effects of exosomes derived from dental pulp stem cells (DPSC-Exos) on cutaneous wound healing and the underlying mechanisms. Methods: The effects of DPSC-Exos on cutaneous wound healing in mice were examined by measuring wound closure rates, histological and immunohistochemical analysis. A series of functional assays were performed to evaluate the effects of DPSC-Exos on the angiogenic activities of human umbilical vein endothelial cells (HUVECs) in vitro. TMT-based quantitative proteomic analysis of DPSCs and DPSC-Exos was performed. Gene ontology (GO) and KEGG pathway enrichment analysis were used to evaluate biological functions and pathways for the differentially expressed proteins in DPSC-Exos. Western blot was used to assess the protein levels of Cdc42 and p38 in DPSC-Exos-induced angiogenesis of HUVECs. SB203580, a p38 MAPK signaling pathway inhibitor, was employed to verify the role of p38 MAPK pathway in these processes.Results: Histological and immunohistochemical staining revealed that DPSC-Exos accelerated wound healing by improving neovascularization. DPSC-Exos augmented the migration, proliferation, and capillary formation capacity of HUVECs. Proteomic data demonstrated that proteins contained in DPSC-Exos regulated vasculature development and angiogenesis. Pathway analysis showed that proteins expressed in DPSC-Exos were involved in several pathways including MAPK pathway. Western blotting demonstrated that DPSC-Exos increased the protein levels of Cdc42 and phosphorylation of p38 in HUVECs. SB203580 suppressed the angiogenesis of HUVECs induced by DPSC-Exos.Conclusions: DPSC-Exos could accelerate cutaneous wound healing by enhancing the angiogenic properties of HUVECs via Cdc42/p38 MAPK signaling pathway.
A Retrospective Analysis of Pulmonary Cryptococcosis Following Kidney Transplantation: Clinical Presentation, Treatment and Effectiveness
Authors: CHEN Shuyang , CHEN Meiyan , GU Lei , WANG Qing , YOU Yanjing , WANG Huijuan , LAI Guoxiang , YU Zongyang , WEN Wen 
Published: October 2021

Abstract
Background: The use of immunosuppressors and a relatively weaken cell-mediated immunity make organ transplant recipients particularly vulnerable to cryptococcosis infection. Patients infected usually present only nonspecific symptoms, making it extremely possible for misdiagnosis and inappropriate choice of therapeutic approach. Methods: We compiled and analysed data of patients received kidney transplant in our hospital between April 2006 to January 2021. Results: 18 patients were enrolled into the study, ranging between 27-68 years old. The median time from kidney transplantation to pathologically-confirmed infection was 4.09 years. All patient’s respiratory system was affected, showing symptoms including sputum-producing cough and fever. 3 patients (16.67%) also developed central nervous system (CNS) infections. Nodule-shaped infectious sites were frequently observed (10, 58.82%) in chest CT. Blood works showed no specific changes. 7 patients received thoracoscopic lobectomy in suspicion of lung cancer. 3 patients first received antifungal therapy for a period of time and then underwent thoracoscopic lobectomy. No recurrence whatsoever was observed in all 10 surgically-intervened patients. 8 patients received only antifungal therapy, 7 of them showed a substantial reduction in the size of the infectious site. Fluconazole was most frequently prescribed for antifungal therapy. Conclusion: Most patients developed pulmonary cryptococcosis 2 years after transplantation. Patients usually demonstrate symptoms like fever and sputum-producing cough. The possibility of cryptococcal meningitis shouldn’t be ruled out if corresponding symptoms occur. CT presentation may be confused with lung cancer. Fluconazole is commonly prescribed for treatment and can usually yield satisfied outcome. In patients received unsatisfactory antifungal therapy, surgical therapy should be considered a possibility.
Greater local adaptation to temperature in the ocean than on land
Authors: Sasaki Matthew , Barley Jordanna , Gignoux-Wolfsohn Sarah , Hays Cynthia , Kelly Morgan , Putnam Alysha , Sheth Seema , Villeneuve Andrew , Cheng Brian 
Published: October 2021

Abstract
Warming threatens biodiversity but there is considerable uncertainty in which species and ecosystems are most vulnerable. Moreover, our understanding of organismal sensitivity is largely centered on species level assessments, which do not consider variation across populations. Here, we used meta-analysis to quantify differentiation in thermal tolerance across 413 populations from 105 species living in terrestrial, marine, and freshwater realms. Strikingly, we found strong differentiation in heat tolerance across populations in marine and intertidal taxa but not terrestrial or freshwater taxa. This is counter to the expectation that increased dispersal potential in the ocean should reduce intraspecific variation. Our findings are consistent with the “Bogert effect” operating in terrestrial but not marine ecosystems, which predicts that behavioral thermoregulation constrains evolution. Such adaptive differentiation in the ocean suggests that there may be standing genetic variation at the species level to buffer climate impacts. Assessments of organismal vulnerability to warming, especially in marine species, should account for variation in thermal tolerance among populations or risk under- or overestimating climate vulnerability.
Removal of Cd2+ from Water Containing Ca2+, Mg2+ using Titanate Nanotubes Modified by Carbon
Authors: Wu Mingda , Lu Linghong , Zhou Tao , Ma Yi , Weng Zhengsong 
Published: October 2021

Abstract
Ca2+ and Mg2+ usually exist in natural water. When Cd2+ is removed from water by adsorption, it will be inhibited by these two ions. Titanate nanotubes (TNTs) have an effective adsorption capacity for Cd2+ due to extraordinary ion-exchange property. However, TNTs also adsorb Ca2+ and Mg2+ in water. In this study, carbon-modified TNT (TNT/C or TNT/HC) was synthesized by hydrothermal synthesis. The transmission electron microscope (TEM) images show that TNT/C or TNT/HC still keep nanotube morphology. The experimental results show the order of adsorption amount to Cd2+ is TNT > TNT/C > TNT/HC when there is no Ca2+ or Mg2+. But when there is Ca2+ or Mg2+ in the water, the order of Cd2+ adsorption capacity becomes TNT/HC > TNT/C > TNT. It indicates that the surface carbon-modification can alleviate the hindrance of Ca2+ or Mg2+ to Cd2+ removal. This is because the carbon on the surface of TNT captured part of Ca2+ or Mg2+, it made more Cd2+ be successfully absorbed by TNT through ion exchange. This mechanism was confirmed by XPS spectra analysis. The results of this paper can provide ideas for the adsorption and removal of Cd2+ in water in the presence of Ca2+ or Mg2+.
A Predictive Model for Postoperative Progressive Haemorrhagic Injury in Traumatic Brain Injuries
Authors: Chen Tiange , Chen Siming , Chen Yilei , Wang Lei , Wu Yun , Liu Jinfang 
Published: October 2021

Abstract
Background Progressive haemorrhagic injury after surgery in patients with traumatic brain injury often results in poor patient outcomes. This study aimed to develop and validate a practical predictive tool that can reliably estimate the risk of postoperative progressive haemorrhagic injury (PHI) in patients with traumatic brain injury (TBI). Methods Data from 645 patients who underwent surgery for TBI between March 2018 and December 2020 were collected. The outcome was postoperative intracranial PHI, which was assessed on postoperative computed tomography. The least absolute shrinkage and selection operator (LASSO) regression model, univariate analysis, and Delphi method were applied to select the most relevant prognostic predictors. We combined conventional coagulation test (CCT) data, thromboelastography (TEG) variables, and several predictors to develop a predictive model using binary logistic regression and then presented the results as a nomogram. The predictive performance of the model was assessed with calibration and discrimination. Internal validation was assessed. ResultsThe signature, which consisted of 11 selected features, was significantly associated with intracranial PHI (p < 0.05, for both primary and validation cohorts). Predictors in the prediction nomogram included age, S-pressure, D-pressure, pulse, temperature, reaction time, PLT, prothrombin time, activated partial thromboplastin time, FIB, and kinetics values. The model showed good discrimination, with an area under the curve of 0.8694 (95% CI, 0.8083–0.9304), and good 3 calibration. ConclusionThis model is based on a nomogram incorporating CCT and TEG variables, which can be conveniently derived at hospital admission. It allows determination of this individual risk for postoperative intracranial PHI and will facilitate a timely intervention to improve outcomes.