bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying Clinical Phenotypes in Extremely Low Birth Weight Infants – A Machine Learning Approach
Authors: Matsushita Felipe Yu , Krebs Vera Lucia Jornada , de Carvalho Werther Brunow 
Published: September 2021

Abstract
There is increasing evidence that patient heterogeneity significantly hinders advancement in clinical trials and individualized care. This study aimed to identify distinct phenotypes in extremely low birth weight infants. We performed an agglomerative hierarchical clustering on principal components. Cluster validation was performed by cluster stability assessment with bootstrapping method. A total of 215 newborns (median gestational age 27 [26–29] weeks) were included in the final analysis. Six clusters with different clinical and laboratory characteristics were identified: the “Mature” (Cluster 1; n = 60, 27.9%), the mechanically ventilated with “adequate ventilation” (Cluster 2; n = 40, 18.6%), the mechanically ventilated with “poor ventilation” (Cluster 3; n = 39, 18.1%), the “extremely immature” (Cluster 4; n = 39, 18.1%%), the neonates requiring “Intensive Resuscitation” in the delivery room (Cluster 5; n = 20, 9.3%), and the “Early septic” group (Cluster 6; n = 17, 7.9%). In-hospital mortality rates were 11.7%, 25%, 56.4%, 61.5%, 45%, and 52.9%, while severe intraventricular hemorrhage rates were 1.7%, 5.3%, 29.7%, 47.2%, 44.4%, and 28.6% in clusters 1,2,3,4,5, and 6, respectively (p < 0.001). Conclusions: Our cluster analysis in extremely preterm infants was able to characterize six distinct phenotypes. Future research should explore how better phenotypic characterization of neonates might improve care and prognosis.
Neuroprotective Effects of Propylgallate Against Oxidative Stress in Retinal Ganglion Cells
Authors: Lu Zhanjun , Xiao Qin , Lu Jinsong , Tao Chun , Ma Ruitong , Wang Eerdun 
Published: September 2021

Abstract
Background: Diabetic retinopathy is a group of eye diseases which result in damage to the optic nerve and vision loss, it has seriously affect peoples' health. The purpose of this study is to contrast the neuroprotective effects of curcumin, gastrodin, propylgallate, adenosine. At the same time, we preliminarily explore the molecular mechanism of protective drugs.Methods: In this study, we used 500μM H2O2 treated RGC-5 cells to induce a cellular oxidative stress model. We treated this cell model with four drug monomers: Propylgallate, Curcumin, Gastrodin and Adenosine to find drug monomers with neuroprotective effect. We used apoptosis PCR array to obtain apoptosis related genes regulated by neuroprotective drugs.Results: We found the Propylgallate treated RGC-5 cells had highest survival rate when compared to Curcumin, Gastrodin, Adenosine treated RGC-5 cells.In addition, it had lowest cell cytotoxicity and apoptotic rate when compared to Curcumin, Gastrodin, Adenosine treated RGC-5 cells.Moreover, the expression of ROS in Propylgallate treated RGC-5 cells was lowest when compared to Curcumin, Gastrodin, Adenosine treated RGC-5 cells. We found that Caspase-3, Caspase-8, and Caspase-9 are the main target genes of Propylgallate which can preliminarily explain the neuroprotective mechanism of Propylgallate against apoptosis..Conclusion: The present study revealed that the propylgallate has best neuroprotective effects, it may provide a promissing drug to prevent and improve the damage of optic nerve. In this article, we also preliminarily expounded the neuroprotective molecular mechanism of Propylgallate.
Influencing Trend and Extent of Combined Exposure Levels of Total Arsenic and Inorganic Arsenic on Arsenic Methylation Capacity Among University Students: Findings from Bayesian Analysis Using Kernel Machine Regression
Authors: Jiang Rui , Zhang Qing , Ji Dongmei , Jiang Tingting , Hu Yuan , He Shitao , Tao Long , Shen Juan , Zhang Wei , Song Yuxiang , Ma Yicheng , Tong Shilu , Tao Fangbiao , Yao Yuyou , Liang Chunmei 
Published: September 2021

Abstract
The arsenic (As) methylation capacity is an important determinant of the susceptibility to arsenic-related diseases. Total As (TAs) or inorganic As (iAs) was reported to associate with As methylation capacity individually, however, influencing trend and extent of their combined exposure levels on methylation capacity remains poorly understood. We measured urinary concentrations of iAs, monomethylarsonic (MMA), and dimethylarsinic (DMA) acids using HPLC-HG-AFS, and calculated the primary (PMI: (MMA+DMA)/TAs) and secondary (SMI: DMA/(MMA+DMA)) methylation capacity indexes in 209 university students in Hefei, China, a non-As endemic area. Subjects were given with a standardized questionnaire to inquire their sociodemographic characteristics. Bayesian kernal machine regression (BKMR) analysis was used to estimate the association of lnTAs and lniAs levels with methylation indices (ln%MMA, ln%DMA, lnPMI, lnSMI). The median concentration of iAs, MMA and DMA was 1.22, 0.92 and 12.17 μg/L, respectively; the proportions of iAs, MMA and DMA were 8.76%, 6.13% and 84.84%, respectively. Females had higher %DMA and lower %MMA, while males had lower %DMA and higher %MMA. The combined levels of lnTAs and lniAs showed monotonic decrease in change of ln%DMA and lnSMI other than ln%MMA, additionally, change in ln%PMI was decreased only when levels of lnTAs and lniAs were larger than their 60th percentiles compared to they were at 50th percentile. With regard to single exposure level, the lnTAs showed positive correlation with ln%DMA, lnPMI, lnSMI when lniAs was set at a specific level; while lniAs showed negative correlation with ln%DMA, lnPMI, lnSMI when lnTAs was set at a specific level; and all the dose-response relationships were nonlinear. Our results suggested that combined levels of TAs and iAs played an important role in reducing As methylation capacity, expecially iAs; and the reduction only occured when TAs and iAs were up to a certain combined level.
Possible Health Assessment For Heavy Metal Concentration in Water, Sediment, and Fish Species and Pregnant Women’s Biomonitoring in Miankaleh Peninsula, Iran
Authors: Esmaili-sari Abbas , Shaabani Zahra , Moradi Ali Mashinchian , Taghavi Lobat , Farsad Forough 
Published: September 2021

Abstract
A human bio monitoring study, investigating most consumed fish species exposure to heavy metals was done in northern part of Iran, Miankale Peninsula, in winter 2019. Metals levels were evaluated in various tissues of fish, as well as Turkmen pregnant women’s biological indicators. For this purpose, 20 water and sediment, 14 fish and 16 human samples were collected. Concentration of Cr, Co, Cu, As, Hg and Pb metals were determined by ICP-MS device. The highest mean concentration of Cu and Cr in water (93.35 and 80.91 µg/l respectively), Hg and Pb in sediment (7.4 µg/g for both), Cu and Pb in liver (27 and18.9 µg/g for C.carpio; 1414 and 31.7 µg/g for L.auratus), muscle (10 and 18.8 for C.carpio; 37.2 and 8.27 µg/g for L.auratus), and skin (26.4 and 9.9 for C.carpio; 10.8 and 11.74 µg/g for L.auratus) of both fish species, and Cu in blood (2.53 mg/l), hair (8.87 µg/g), fingernail (36.46 µg/g), and toenail (29.04 µg/g) samples were observed, while Co had the lowest concentration in all samples. Liver in fish samples and fingernail in pregnant women were the tissues with the highest heavy metals accumulation, whereas the lowest concentrations of heavy metals were observed in the muscles of fish species and pregnant women’s blood sample. Hg concentration in water and sediments, the muscle of fish, and pregnant women’s blood and hair samples were higher than the values suggested by various organizations. This study showed that the level of heavy metals, especially Hg, in water, sediments and fish is a threat to human health. Therefore, it is recommended that the necessary information about the consumption of seafood with high amounts of Hg should be provided in this area.
Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review
Authors: Anselmo Alessandro , Vinci Danilo , Siragusa Leandro , Vita Giuseppe , Pellicciaro Marco , Tisone Giuseppe 
Published: September 2021

Abstract
Laparoscopic approach in patients presenting caudate lobe lesions has always been considered prohibitive as technically demanding, so that the role of minimally invasive surgery for this posterior and deep location is still debated. Recently some studies presented cases of laparoscopic caudate lobectomy discussing how to manage technical challenges and providing excellent results. Innovative technologies for laparoscopic liver surgery are likely to improve the feasibility and reproducibility of laparoscopic liver resections in the near future especially for lesions located in the so called “difficult segments”.Still, laparoscopic caudate lobectomy remains unfamiliar to many surgeons and there are relatively few reports in the literature on this subject. For this reason, we conducted a comprehensive review of the literature to understand the safety and feasibility of LCL resections and discuss current and future perspectives.
Histopathological Effects and Micronucleus Assay of Glyphosate-Based Herbicides on Cultured African Catfish (Clarias Gariepinus, Burchell 1822)
Authors: Alarape Selim Adewale , Adebiyi Oyindamola Emmanuel , Adeyemo Olanike Kudirat 
Published: September 2021

Abstract
Background: Glyphosate, a brand of agricultural herbicides which intensive use has led to widespread contamination of different ecosystems. This study was designed to determine both organotoxicity and genotoxicity of glyphosate on African Catfish (Clarias gariepinus) exposed to different concentrations for 96 hours.Methods: Questionnaires were administered (physically and online) to determine the type of glyphosate-based herbicides mostly used by fish farmers. Seventy-five apparently healthy adult Clarias gariepinus (300g) were sourced from a local farmer, transported in a plastic keg to Fish and Wildlife Laboratory at the Department of Veterinary Public Health and Preventive medicine for two (2) weeks of acclimatization. After acclimatization, they were further divided into four (4) groups (T0 (Control), T1 (0.003ml/L), T2 (0.0045ml/L) and T3 (0.006ml/L)) by simple randomization and each group replicated into three (3) treatments. At the expiration of 96 hours of exposure, blood samples and organs (Gills, Kidney, and Liver) were collected for mononuclear assay and histopathological lesions respectively.Results: Exposed groups showed erratic swimming, splashing, and restlessness. Mortalities rate was dose-dependent (two (2) mortalities at 0.0045ml/L concentration (T2) and five (5) mortalities 0.006ml/L concentration (T3)). Observed histopathological lesions occurred at higher dose treatment (0.0045ml/L (T2) and (0.006ml/L) T3)) concentrations. The gills showed diffuse stunted and eroded secondary lamellae and severe congestion of the blood channel at the core of the primary lamellae. Lesions in the Liver include severe diffuse vacuolation of the hepatocytes, moderate to severe portal congestion and mild diffuse vacuolation of hepatocytes and moderate diffuse vacuolation of hepatocytes, and severe portal congestion. In the kidney, there was mild to moderate congestion of the interstitium and focus of interstitial oedema within the parenchyma. There was presence of micronucleus in the fish nucleated red blood cells at higher dose concentrations.Conclusion: This study showed that Glyphosate-based herbicides are highly toxic to Clarias gariepinus, therefore their use near the fish farm or in areas close to the aquatic environment should be discouraged. The agricultural community should also be conscious of the potentially adverse effects of pesticides. This is to prevent the water body from the residue of herbicides that would have washed down to the water.
WITHDRAWN: Effect of Nalbuphine Combined With Intravenous Propofol for Anesthesia During Intestinal Endoscopic Submucosal Dissection in the Elderly
Authors: Liu Jingjing , Zhan Biwei , Zeng Yongjun 
Published: September 2021

Abstract
Objective: To investigate the effects of different doses of nalbuphine combined with an intravenous propofol pump for anesthesia during intestinal endoscopic submucosal dissection (ESD) in the elderly.Methods: A total of 85 elderly patients attending the Hanchuan People's Hospital from January 2016 to January 2018 were divided into low, medium, and high dose groups according to the intravenous dosing of nalbuphine given with a continuous propofol pump.The heart rate (HR), mean arterial pressure (MAP), and blood oxygen saturation (SaO2) were evaluated at five different time points (T1-T2).The levels of norepinephrine (NE), cortisol and blood glucose were intervals recorded. The occurrence of adverse reactions, hospitalization days, visual analogue scale (VAS) score, Ramsay sedation, and wake score after waking from anesthesia were assessed. Neurocognitive function was assessed at discharge and after surgery using the Montreal Cognitive Assessment (MoCA). Results: MR, MAP and SaO2 decreased significantly at T0-T4 in tested groups. The levels of NE, Cor, and Glu were significantly increased in three groups at T1-T3 and decreased among the medium-dose group. There was no statistically significant difference between the three groups in the total duration of anesthesia and the operative duration. The medium-dose group was performing significantly better than the low and high dose groups in clinical indicators. The postoperative VAS and Ramsay scores were higher in the low dose group (P＜0.05). There was a significant difference in neurocognitive function scores and no significant differences in postoperative anesthesia satisfaction and hospitalization days were observed amongst the three groups (P>0.05).Conclusions: The use of nalbuphine (0.1 mg/kg) combined with propofol for anesthesia during intestinal ESD in the elderly can shorten recovery times and reduce the incidence of postoperative adverse events and neurocognitive disorders.
Thiamine Alleviates Cognitive Impairment and Epileptogenesis by Relieving Brain Inflammation in PTZ-induced Kindling Rat Model
Authors: KARABULUT SEBAHATTİN , Filiz Ahmet Kemal , Akkaya Recep 
Published: September 2021

Abstract
Epileptogenesis, the process by which the brain becomes epileptic, is related to neuroinflammation, hyperexcitability, and as a result cognitive deficits. Evidence suggests that therapeutic strategies targeting pathologic brain inflammation have emerged as a promising approach that prevents or disease-modifying therapy for epileptogenesis. Therefore, the PTZ kindling model of epilepsy was utilized to assess the neuroprotective role of thiamine in epileptogenesis. Male rats were exposed to PTZ-induced kindling and pretreated with low thiamine (25 mg/kg) or high thiamine (50 mg/kg). Cyclooxygenase (COX-1 and COX-2), interleukin 1-beta (IL-1β), tumor necrosis factor-alpha (TNF-α), and nuclear factor-κB (NF-κB) concentrations in the brain were analyzed using biochemical assays. Cognitive function was evaluated using the passive avoidance test. Thiamine ameliorated epileptogenesis and enhanced the rats' performance in the passive avoidance test. Also, thiamine significantly decreased the level of neuroinflammatory mediators in the brain induced by PTZ. These results provide evidence that thiamine alleviates PTZ-induced neuroinflammation and cognitive impairments.
Hippocampal Metabolic Subregions and Networks: Behavioral, Molecular and Pathological Aging Profiles
Authors: Balajoo Somayeh Maleki , Eickhoff Simon B. , Masouleh Shahrzad Kharabian , Plachti Anna , Waite Laura , Hoffstaedter Felix , Palomero-Gallagher Nicola , Genon Sarah 
Published: September 2021

Abstract
Purpose: Hippocampal dysfunction happens across many neuropsychiatric disorders and is the hallmark of Alzheimer’s disease with evidenced metabolic alterations. However, while metabolic changes are a key aspect of Alzheimer’s disease, hippocampal metabolic networks, as defined by metabolic covariance, haven’t been identified in healthy populations. As the hippocampus portrays cytoarchitectural, connectional, and functional heterogeneity, heterogeneous patterns of metabolic covariance could be expected. Methods: We first characterized this heterogeneity with a data-driven approach by identifying the spatial pattern of hippocampus differentiation based on metabolic covariance with the rest of the brain in FDG-PET data of large healthy elderly cohort (n=362). Then, we characterized the metabolic networks of the robustly defined subregions. In the following, we characterized the disentangled hippocampal metabolic networks with regards to behavioral and neurotransmitter systems using quantitative decoding. Finally, we examined how the local metabolism in the hippocampal subregions is influenced by Alzheimer’s disease pathology in a cohort of ADNI participants (n = 580). Results: Based on hippocampal-brain metabolic covariance in a healthy elderly cohort, we found a differentiation into primarily anterior vs. posterior and secondarily Cornu Ammonis (CA) vs. subiculum subregions. Characterizing the associated metabolic networks revealed that the anterior-subiculum network including temporal-pole and orbitofrontal regions relates to self, motivation and mentalizing behavior and is influenced by dopaminergic systems. In contrast, the posterior-subiculum shows a wide cortical network engaged in action- and world-oriented cognition targeted by serotoninergic systems. The anterior- and posterior-CA, connected respectively to amygdala and broader subcortical networks, are associated to several transporters release. Local metabolism comparison between Alzheimer’s disease-related diagnosis groups revealed early CA’s alterations while posterior subicular alterations appear at advanced stages in line with broader cortical atrophy and behavioral dysfunctions.Conclusion: Future studies should delineate patients’ individual profiles according to hippocampal subregions and networks.
Metformin Inhibits the Phenotypic Transformation of Aortic Vascular Smooth Muscle Cells Induced by Hyperglycemia Through Regulation of the Mir-21-mediated PTEN/pAKT/Egr-1 Pathway
Authors: Zheng Hui , Liu Ying , Sun Xiaoyue , Li Xiaochen , Liu Le , Meng Cheng , Li Yongmei , Zhao Shujun , Chang Baocheng , Yang Juhong 
Published: September 2021

Abstract
Background The phenotypic transformation of arterial vascular smooth muscle cells (VSMC) is one of the key mechanisms in the formation of atherosclerotic plaque. It is unclear whether metformin can inhibit the phenotypic transformation of VSMC. In this study, we observed the effect of metformin on the phenotypic transformation of VSMC in vivo and in vitro and its mechanism.Methods Patients who underwent simple coronary artery bypass grafting (CABG) were divided into non-diabetic(non-DM) group and diabetes (DM) group according to whether diabetes was combined. The miR-21 and VSMC contractile marker protein, smooth muscle contractile protein (αSMA) and synthetic marker protein osteopontin (OPN) were isolated from the internal mammary artery.30 male, clean, and 6 week old wild type C57/BL6J mice were randomly divided into 3 groups:the control group (NC), the diabetes mellitus group (DM) and the metformin intervention group(DM+MET).Diabetic mice model was established by high-fat diet combined with low-dose streptozotocin. Metformin was given by gavage for 8 weeks.The aortic tissue from aortic root to renal artery was retained, miR-21 was determined by real-time PCR, and SMC and OPN were determined by Western Blotting (WB). In vitro, human aortic smooth muscle cells (HA-SMC) were divided into three groups: control group, HG group and HG+ group. The content of miR-21/PTEN/pAKT/Egr-1 protein was determined by WB, the migration ability was determined by MTT and scratch method.Results 1.In vivo, the expression of miR-21 and OPN in the aortic VSMC of DM petients and diabetic mice increased and the intima media thickness increased. Metformin treatment reduced the expression of miR-21 and OPN in the aorta and decreased the thickness of intima media. 2.In vitro, glucose concentration dependently upregulates the expression of miR-21 and osteopontin in HA-SMC.Conclusion Metformin can inhibit the phenotype transformation of VSMC induced by HG, which may inhibit the migration of VSMC through miR-21/PTEN/pAkt/Egr-1.
DOK1/3/6 Serve as Potential Prognostic Biomarkers and Immunotherapy Targets for Pancreatic Cancer
Authors: deng dawei , zeng lijuan , zhou qi , pan chen , guo fangyue , xiang hong , shang dong 
Published: September 2021

Abstract
Background: Downstream of kinase (DOKs), a family of adapter proteins, are frequently depicted as pivotal components of immune regulation complexes involved in the tumor progression in a wide range of cancers. Regrettably, little is known about the expression patterns and exact roles of 7 identified DOKs in pancreatic cancer (PC). Methods: In this study, we investigated the distinct expression and biological function of DOKs in PC using multiple public databases, including ONCOMINE, GEPIA, cBioPortal, and Kaplan-Meier plotter. The correlations between DOKs and cancer immune infiltrates was investigated via TIMER. In addition, we subsequently verified those in an independent cohort. Results: The expression levels of DOKs were found to be significantly upregulated in PC, interestingly higher DOK1/3/6 expressions were correlated with shorter overall survival (OS). Moreover, DOK1/2/3/5/6 had a dramatical positive correlation with the immune infiltration of PC and programmed cell death-ligand 1 (PD-L1). Conclusion: DOK1/3/6 may function as potential prognostic biomarkers and even promising immune checkpoints for PC immunotherapy.
Rep PCR Characterization of Lactic Acid Bacteria Isolated From Raw Cows’ Milk in Algeria.
Authors: LOMANI Akil , Nielsen Dennis S , Amine Larbi Ahmed , Ahmed Tahri , Ahmed Mediani 
Published: September 2021

Abstract
Milk and indigenous fermented, milk based products are a rich source of lactic acid bacteria (LAB) and may serve as a source of potential probiotics. In the present study LAB were isolated from raw cows’ milk sampled at five different Algerian farms. A total of 24 Gram positive, catalase negative isolates where identified to species level using a combination of (GTG) 5-based rep-PCR fingerprinting and 16S rRNA gene sequencing. All isolates were identified as Enterococcus faecium and all isolates had highly similar rep-PCR profiles. Four representative isolates were screened for acid tolerance, bile salts tolerance, antimicrobial susceptibility, antibacterial activity and haemolysis. The four selected strains all exhibited good tolerance to low pH (2, 3, and 4), and to bile salts (concentrations of 0.5%, 1%, and 2%) and were sensitive to chloramphenicol, vancomycin, tetracycline, gentamicine and peniciline G, but were resistant to oxaciline. Cell-free supernatants of the four tested strains all inhibited Staphylococcus aureus, Escherichia coli and Listeria monocytogenes but not Salmonella Typhi. No haemolytic activity was observed.