bluuebunny/crossref_metadata_2025_split huggingface dataset:
How to Predict Cancer-Specific Death of Patients with Chondrosarcoma: A Prognostic Model Based on Competing Risk
Authors: Zhu Binxiang , Dong Yinmin , Zhu Hongyu , Dong Zijian , Li Feng 
Published: September 2021

Abstract
Background. As chondrosarcoma is the second highest primary malignant tumor of bone, it is necessary to find a way to predict the prognosis of chondrosarcoma. But the current model rarely involves the study of competing risk. This is a retrospective study with the aim of establishing a prognostic model and a nomogram based on competing risk to predict the probability of cancer-specific death (CSD) at 3 and 5 years. The Fine and Gray regression is a targeted statistical method, which makes the results more authentic and reliable.Methods. A total of 1674 chondrosarcoma patients were identified from the SEER database, and they were divided into training cohort and validation cohort by year of diagnosis. These two cohorts were used to develop and validate the prognostic model to predict the 3-year and 5-year probabilities of CSD, with non-CSD as the competing risk. Model accuracy made use of some verification functions, such as C-index, receiver operating characteristic curve (ROC), calibration plot, area under curve (AUC) and Brier score.Results. According to the outcomes of the model: older age (subdistribution hazards ratio(95%CI): 1.02 (1.01-1.03); P<0.001), dedifferentiated CHS (SHR(95%CI): 2.16 (1.30-3.59); P=0.003), high grade (SHR(95%CI): 2.60 (1.83-3.68); P<0.001), Regional involvement (SHR(95%CI): 3.15 (2.01-4.93); P<0.001), Distant metastasis (SHR(95%CI): 11.56 (6.82-19.59); P<0.001), tumor excision (SHR(95%CI): 0.47 (0.25-0.87); P=0.02) and Radical resection (SHR(95%CI): 0.54 (0.32-0.90); P=0.02) were significantly. They obviously promoted the increase of CSD.Conclusion. This prognostic model considered the competing risks of chondrosarcoma, and the nomogram can effectively predict the probability of CSD in patients with chondrosarcoma, which is suitable for clinical application.
Modified Vein Clamping Technique for Renal Cell Carcinoma Complicated With Level I-II IVC Thrombus: A Study At A Single Center
Authors: Ma Jiaxing , Sun Wei , Qian Weiwei , Min Jie , Zhang Tao , Yu Dexin 
Published: September 2021

Abstract
Objectives

To share our initial experience with modified vein clamping technique for the treatment of renal cell carcinoma complicated with the level I-II IVC thrombus
Methods

From March 2018 to April 2021, 11 patients with renal cell carcinoma (RCC) involving the IVC tumor thrombus were admitted to our hospital. Then, they all underwent laparoscopic radical nephrectomy and IVC thrombectomy (LRN-IVCTE) using modified vein clamping technique.
Results

All procedures were successfully completed without conversion to open surgery. The median operative time was 185 min (range 125–229 min); the median estimated blood loss was 200 ml (range 150–300 ml), and four patients received an intraoperative transfusion. Besides, the median IVC clamping time was 18 min (range 10–24 min); the median postoperative hospital stay was 6 days (range 4–8 days), while the median follow-up period was 28 months (range 2–36 months).
Conclusions

Modified vein clamping technique for the treatment of renal cell carcinoma complicated with the level I-II IVC thrombus may be a safe and technically feasible alternative technic.
Warwick Edinburgh Mental Well-Being Scale (WEMWBS): Measurement Invariance Across Genders And Item Response Theory Examination
Authors: Marmara Joshua , Zarate Daniel , Vassallo Jeremy , Patten Rhiannon , Stavropoulos Vasileios 
Published: September 2021

Abstract
Background: The Warwick Edinburgh Mental Well-Being Scale (WEMWBS) is a measure of subjective well-being and assesses eudemonic and hedonic aspects of well-being. However, differential scoring of the WEMWBS across gender and its precision of measurement has not been examined. The present study assesses the psychometric properties of the WEMWBS using Measurement Invariance (MI) between males and females and Item Response Theory (IRT) analyses. Method: A community sample of 386 adults from the United States of America (USA), United Kingdom, Ireland, Australia, New Zealand, and Canada were assessed online (N = 394, 54.8% men, 43.1% women, Mage = 27.48, SD = 5.57). Results: MI analyses observed invariance across males and females at the configural level and metric level but non-invariance at the scalar level. The graded response model conducted to observe item properties indicated that all items demonstrated, although variable, sufficient discrimination capacity.Conclusions: Gender comparisons based on WEMWBS scores should be cautiously interpreted for specific items that demonstrate different scalar scales and similar scores indicate different severity. The items showed increased reliability for latent levels of ∓ 2 SD from the mean level of SWB. The WEMWBS may also not perform well for clinically low and high levels of SWB. Including assessments for clinical cases may optimise the use of the WEMWBS.
Proximity to sex work sites is not associated with higher HIV prevalence in the general population in Zimbabwe
Authors: Kloek Mariëlle , Bulstra Caroline , Chabata Sungai , Fearon Elizabeth , Taramusi Isaac , de Vlas Sake J. , Cowan Frances , Hontelez Jan 
Published: September 2021

Abstract
In Zimbabwe, as in other East and Southern African countries, HIV prevalence is largely geographically heterogeneous. We determined if, and to what extent, this heterogeneity is associated with proximity to sex work sites by type of site (city, economic growth point, international, seasonal, or transport), using Demographic and Health Surveys location-specific HIV prevalence data—including 16,121 individuals (aged 15-49 years) from 400 sample locations—and Centre for Sexual Health and HIV/AIDS Research data on locations of 56 sex work sites throughout Zimbabwe. We conducted univariate and multivariate multilevel logistic regression to determine the association between sex work proximity—calculated as the shortest distance by road from each survey sample location to the nearest sex work site—and HIV seropositivity. We found no association between locations of sex work and heterogeneity in HIV prevalence in the general population, possibly explained by the mobile nature of both female sex workers and their clients as individual-level indicators of sex work were still significantly associated with HIV.
The Roles of S100B , IL-1β and IL-2 as Neuroinflammation Biomarkers in Generalized Anxiety Disorder
Authors: Shen Zhongxia , Cui Lijun , Ren Lie , Qian Mincai , Yuan Yonggui , Shen Xinhua 
Published: September 2021

Abstract
Introduction: S100B is a neurotrophic factor regulates neuronal growth and plasticity via activating astrocytes and microglia through production of neuro-inflammatory molecules like interleukin (IL)-1β involved in many mental disorders, few studies have combined S100B and cytokines to explore their roles as neuro-inflammatory biomarkers in Generalized Anxiety Disorder (GAD). Methods: Serum S100B and cytokines (IL-1β , IL-2, IL-4 and IL-10) of 108 untreated GAD cases and 123 healthy controls were determined by enzyme linked-immuno-sorbent assay (ELISA) and then compared, while Hamilton Anxiety Rating Scale (HAMA) scores were measured to evaluate anxiety severity. Results: The serum S100B and IL-1β, IL-2 levels of GAD cases were lower than HC significantly (P<0.001), the IL-4 level of GAD were higher than HC (P<0.001), while IL-10 had no significant difference between two groups (P=0.215). The ROC area of S100B, IL-1β, IL-2 and IL-4 in diagnosis of GAD was (0.740 ± 0.032) , (0.900 ± 0.021) , (0.920 ± 0.018) and (0.696 ± 0.037) , all of them suggested a good predicting value (P < 0.001) , while the ROC area of IL-10 was (0.544 ± 0.038) (P = 0.251). The sensitivity of S-100B, IL-1β, IL-2 in diagnosis of GAD was 73.1%, 80.6%, 85.2%, while the specificity was 61.0%, 86.2%, 80.5%. The combination ROC area of S100B, IL-1β , IL-2 and IL-4 was (0.985 ± 0.006)(P < 0.001). Serum S100B was positively correlated with IL-2 and IL-4 (P <0.05)., while was negatively with HAMA scores (P <0.001). Conclusion: The serum S-100B, IL-1β, IL-2 levels of GAD were down-regulated while IL-4 was up-regulated, both IL-2 and IL-4 had a good diagnosis value in GAD separately while the combination of S100B and cytokines had a better diagnosis value which means the neuro-inflammation in GAD is a network regulated by many factors.
Correlation Analysis of Nodular Sonographic Parameters with Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma
Authors: Zhou Liuhua , Zhu Qiaodan , Yao Jincao , Yang Chen , Xu Dong 
Published: September 2021

Abstract
Objective

Papillary thyroid carcinoma (PTC) is the most common thyroid carcinoma, and is prone to cervical lymph node metastasis (CLNM). We aim to analyze the correlation between clinical information, ultrasonic parameters of PTC and CLNM.
Methods

1335 patients who had pathologically confirmed unifocal PTC were enrolled. Univariate and multivariate logistic analysis were performed to predict CLNM in PTC patients. The receiver operating characteristic (ROC) curve was used to evaluate the diagnostic performance.
Results

Univariate analysis showed that gender, age, maximum tumor diameter and volume, cross-sectional and longitudinal aspect ratio were related to CLNM (P < 0.05). Multivariate logistic analysis showed that gender, age, maximum tumor diameter and volume were independent correlative factors, cross-sectional aspect ratio had significant difference for PTC patients excluding PTMC to predict CLNM. The area under the curve (AUC) of the maximum tumor diameter and volume was 0.738 and 0.733, respectively. Maximum tumor diameter and volume, and cross-sectional and longitudinal aspect ratio were statistically significant following analysis of variance (P < 0.05).
Conclusions

Younger age, male, and larger tumor were high risk factors for CLNM in patients with unifocal PTC. Cross-sectional aspect ratio had a more effective predictive value for CLNM in patients with larger thyroid tumors.
Regional and Age Epidemiological Analysis of Hepatitis A Viral in China, 2004-2017
Authors: Xu Yan , Tang Ruiti , Li Weiming 
Published: September 2021

Abstract
Background: To describe the prevalence features, including age, regions, morbidity and mortality of hepatitis A viral in China from 2004 to 2017 by searching the China Public Health Sciences Data Center with the keyword “Hepatitis A virus (HAV)”.Methods: In this study, HAV morbidity and mortality data were retrieved from China Public Health Science Data Center (CPHSD) using HAV as a keyword. HAV infection data from 2004 to 2017, HAV cases and HAV-related deaths were retrieved from 31 regions in China, except Taiwan, Hong Kong and Macau. SPSS 18 is used for statistical analysis. GraphPad Prism 5 is used to draw line graphs and histograms. Microsoft PowerPoint 2016 and Adobe Illustrator CS 6 are used for drawing geographically distributed China maps.Results: From 2004 to 2017, the rates of hepatitis A viral morbidity and mortality in China were keeping decrease annually (7.1997 and 3.0772 in 2004; 2.6430 and 0.2997 in 2010; 1.3679 and 0.2899 in 2017, respectively, 1/100,000) (p<0.001). The HAV infection rate of children (0-10 years old) was higher than that of the elderly (>50 years old) (p<0.001). The geographical distribution of HAV prevalence showed significant regional differences which showed that hepatitis A patients were more prevalent in Sichuan and Xinjiang provinces (averaged number >4,000/ year). HAV-related death does not differ much between regions (averaged number 0~2.1/ year)Conclusions: Our analysis of viral hepatitis A prevalence features over past 14 years suggests that the incidence and mortality of HAV are decreased annually in China.
Incidence and Immunomic Features of Apyretic COVID-19 in Patients Affected by Solid Tumors: A Prospective Cohort Study.
Authors: Ravera Francesco , Borea Roberto , Cirmena Gabriella , Dameri Martina , Ferrando Lorenzo , Gallo Maurizio , Casini Cecilia , Fallani Neri , Barbero Valentina , Murialdo Roberto , Tixi Lucia , Cappuccio Margherita , Cuboni Andrea , Sivieri Irene , Fornarini Giuseppe , De Maria Andrea , Ballestrero Alberto , Zoppoli Gabriele 
Published: September 2021

Abstract
Background and rationale: Little is known about SARS-CoV-2 seroconversion in asymptomatic patients affected by solid cancer, and whether it is associated with specific transcriptomics changes in peripheral blood mononuclear cells (PBMC).Methods: patients affected by solid cancer treated in a top comprehensive cancer center in Italy during the first COVID-19 pandemic wave, and negative for COVID-19-symptoms since the first detection of COVID-19 in Italy, were prospectively evaluated by SARS-CoV-2 serology in the period between April 14th and June 23rd 2020. Follow-up serologies were performed, every 21-28 days, until August 23rd, 2020. All SARS-CoV-2 IgM+ patients underwent confirmatory nasopharyngeal swab (NPS). PBMCs from a subset of SARS-CoV-2 IgM+ patients were collected at baseline, at 2 months, and at 7 months for transcriptome sequencing.Results: SARS-CoV-2 serology was performed on 446 of the 466 recruited patients. A total of 14 patients (3.14 %) tested positive for at least one SARS-CoV-2 immunoglobulin in the period between April 14th and August 23rd 2020. Viral RNA could not be detected in any of the NPS. PBMC serial transcriptomic analysis showed progressive downregulation of interleukin 6 upregulated signatures, chemokine-mediated signaling and chemokine-chemokine receptor KEGG pathways. B- and T-cell receptor pathways (p-values = 0.0002 and 0.017 respectively) were progressively upregulated.Conclusions: SARS-CoV-2 seroconversion rate in asymptomatic patients affected by solid cancer is consistent with that of asymptomatic COVID-19 assessed in the general population through NPS at the peak of the first wave. Transcriptomic features over time in IgM+ asymptomatic cases are strongly indicative of previous viral exposure.
A Single Session of Exercise Reduces Blood Pressure Reactivity to Stress: a Systematic Review With Meta-analysis
Authors: Mariano Igor M. , Amaral Ana Luiza , Ribeiro Paula A. B. , Puga Guilherme M. 
Published: September 2021

Abstract
Stressful situations are common in everyday life and disturb homeostasis. So, an exercise session is a strategy to mitigate blood pressure (BP) peaks in response to stress (i.e., BP reactivity), decreasing the cardiovascular risk of these individuals. This is a systematic review with a meta-analysis that aims to verify the effects of a single session of physical exercises on BP reactivity to stress. The searches were realized in digital databases (PUBMED, LILACS, EMBASE and PsycInfo) and 28 studies were included, totaling 846 individuals (meta-analysis stage: k = 24, n = 710). As for exercise characteristics, 23 of the 28 studies focused on aerobic exercises, and 24 studies focused on low to moderate intensities. Favorable metanalytic results (standardized mean differences through random-effects approach) for the exercises were found, with attenuated reactivity in systolic BP (pooled effect size = -0.35 [-0.46; -0.23], representing average reductions of 3.8 ± 3.5 mmHg), diastolic BP (pooled effect size = -0.49 [-0.68; -0.30], representing average reductions of 3.1 ± 3.6 mmHg), and mean BP (pooled effect size = -0.48 [-0.70; -0.26], representing average reductions of 4.1 ± 3.0 mmHg). So, acute physical exercise lowers systolic, diastolic, and mean blood pressure reactivity in response to stressor tasks.
Value of Cardiac Cine MRI in Comparison to Contrast Transcranial Doppler Sonography for Patent Foramen Ovale Assessment in Patients with Cerebral Disorders
Authors: Li Zhiming , Liu Shunli , Yan Tingfei , Hu Yabin , Zhang Chuanyu , Ju Zhiguo , Zhao Hongqin , Liu Guangzhen 
Published: September 2021

Abstract
Purpose: To investigate the clinical feasibility of diagnosing and classifying patent foramen ovale (PFO) in patients with cerebral disorders by cardiac cine MRI (CCMRI) without contrast.Materials and Methods: Forty-four patients (24 males and 20 females; mean age, 41.3 years; range, 21–64 years) with cerebral disorders underwent contrast transcranial Doppler sonography (cTCD) and non-enhanced CCMRI examinations between October 2019 and March 2020. CCMRI was performed with a 3.0T magnetic resonance (MR) scanner using the OBL FIESTA CINE 4CH sequence. The scanning direction was perpendicular to the interatrial septum (IAS). The obtained MR images were analyzed by AW station 4.4. Pseudo-color coding was performed based on the different phases. The blood shunt condition was observed and recorded, noting the PFO length and width and whether it was complicated by IAS aneurysm or secondary septum thickening.Results: Thirty-nine of the 44 patients with cerebral disorders were confirmed to have right-to-left shunt by cTCD, and 37 of them were diagnosed with PFO by CCMRI. Two of the five remaining patients were also diagnosed with PFO by CCMRI. Compared with cTCD as a standard, CCMRI assessment resulted in the following: sensitivity, 94.9%; specificity, 60.0%; accuracy, 90.9%; positive predictive value, 94.9%; negative predictive value, 60.0%; area under the curve, 0.774. Using pseudo-color coding, a right-to-left color jet was observed in 34 patients, and a two-way shunt was found in five. IAS aneurysm and secondary septum thickening were found in five and three patients (11.4% and 6.8%), respectively. The maximum PFO diameters ranged from 1.7 to 16.8 mm, and the mean diameter was 5.4 ± 3.4 mm.Conclusion: The noninvasive CCMRI without contrast proved an excellent method for PFO identification, evaluation, and classification, with high sensibility (92.85%) and concordance (90.9%) compared to cTCD.
Analysis of Deformation Characteristics of Reverse Slope Under The Influence of Reservoir Water Based On Community Detection
Authors: Xie Liangfu , cui jianbin , Qin Yongjun , Qiu Liewang 
Published: September 2021

Abstract
In order to study the deformation characteristics of reverse slope, this paper took the slope of Xiaodongcao as the research object, applied the Louvain community detection algorithm, considered the influence of reservoir water level change, partitioned the slope deformation characteristics. The deformation characteristic zoning result was superimposed with the slope displacement cloud map and three types of geological geometric characteristic factor zoning map obtained by ArcGIS. The results show that：Community detection can quickly identify the closely connected part of slope network, and the specific location of this part is affected by reservoir water. After the community detection result is superimposed with the displacement cloud map, the areas with large deformation and close connection in the slope can be identified. It is found that the community with severe deformation have at least 5% more displacement and up to 21% more displacement than that with slow deformation. In addition, the location of leader nodes can be identified, and the number of leader nodes does not exceed 20% of the total nodes in the community, and its average displacement is at least 10% more than that of ordinary nodes, up to 36%. After the community detection result is superimposed with the zoning map of slope grade, it can be concluded that the slope grade within the community with severe deformation is greater than 60°, indicating that the larger slope grade is more sensitive to the bank slope deformation.
Eight-Year Longitudinal Associations of the Onset of Prediabetes and Diabetes with Cognitive Function Decline Among Chinese Adults Aged 45 Years or Older
Authors: Wang Xiaojie , Li Xiuwen , Wang Wanxin , Shi Guangduoji , Wu Ruipeng , Guo Lan , Lu Ciyong 
Published: September 2021

Abstract
Background

With the population aging, diabetes and cognitive function decline are increasingly common among older adults worldwide. However, the evidence about the effects and mechanism of prediabetes and diabetes on cognitive function is still limited. The purposes of this longitudinal study were to estimate the longitudinal associations of the onset of prediabetes and diabetes status with cognitive function among Chinese adults aged 45 years or older during an 8-year period; to estimate the clinical risk factors associated with cognitive function among patients with prediabetes and diabetes.
Methods

Participants were enrolled between 2011 and 2012, and followed up between 2018 and 2019 in the China Health and Retirement Longitudinal Study. In this study, we focused on newly diagnosed diabetic status, and those diagnosed with diabetes before or not providing fasting blood samples were excluded. Diabetic status was assessed according to the 2010 American Diabetes Association (ADA) guidelines. The general cognitive function, demographic characteristics, and clinical and biochemical factors were also measured.
Results

At baseline, 849 (21.3%) participants were first diagnosed with prediabetes, and 444 (11.1%) were diabetes patients. After adjusting for age, gender, marital status, education level, ever smoking, ever drinking, self-comment about health, hypertension, dyslipidemia, depressive symptoms, cognitive function, and clinical and biochemical measurements at baseline, diabetes status was a significant risk factor for subsequent cognitive decline (unstandardized β estimate=-0.47, 95% CI=-0.91~-0.04). Further stratification analyses found that only triglyceride concentrations were negatively associated with cognitive function among prediabetes patients (unstandardized β estimate=-0.004, 95% CI=-0.007~-0.001), and only creatine reactive protein was significantly associated with cognitive decline among diabetes patients (unstandardized β estimate=-0.065, 95% CI=-0.122~-0.009).
Conclusions

There is a positive longitudinal association between the onset of diabetes and cognitive decline among middle-aged and elderly Chinese. The management of triglycerides through lifestyle modification for prediabetes and specific adjunctive anti-inflammatory therapy for diabetes could benefit cognitive performance.