bluuebunny/crossref_metadata_2025_split huggingface dataset:
Statins Mitigate Stress-Related Vascular Aging and Atherosclerosis in apoE-Deficient Mice Fed High Fat-Diet: The Role of Glucagon-Like Peptide-1/Adiponectin Axis
Authors: Lei Yanna , Cui Qingsong , Yang Guang , Piao Limei , Inoue Aiko , Wu Hongxian , Li Xiang , Kuzuya Masafumi , Cheng Xian Wu 
Published: July 2021

ObjectivesExposure to chronic psychosocial stress is a risk factor for atherosclerotic cardiovascular diseases. Given that the 3-hydroxy-3-methylglutaryl-coenzyme reductase inhibitor statins prevent atherogenesis, we evaluated whether pitavastatin prevents chronic stress- and high fat diet-induced vascular senescence and atherogenesis in apolipoprotein E-deficient (ApoE–/–) mice, with a special focus on glucagon-like peptide-1 (GLP-1)/adiponectin (APN) axis.Methods and Results6-week-old ApoE–/– mice loaded a high-fat diet were randomly assigned into non-stress (n = 12) and stress (n = 13) groups for 12 weeks. Non-stress control mice were left undisturbed. Chronic stress accelerated high fat diet-induce arterial senescence and atherosclerotic plaque growth. The chronic stress lowered the levels of circulating GLP-1 as well as adipose and plasma APN. As compared with the stress alone mice, the pitavastatin-treated mice had reduced macrophage infiltration, elastin fragments, and increased plaque collagen volume, and lowered levels of osteopontin, toll-like receptor-2/-4, macrophage chemoattractant protein-1, C-X-C chemokine receptor-4, p47phox, p47phox, gp91phox, cathepsins S, p16, and p21, mRNAs and/or proteins. Pitavastatin increased plasma GLP-1 and APN levels and suppressed matrix metalloproteinase-2/-9 gene expressions and activities in the aortas. Finally, the protective effect of pitavastatin was abrogated by APN blocking.ConclusionThese findings suggested that the pitavastatin-mediated pleiotropic vasculoprotective effects are likely attributable, at least in part, to the elevation of GLP-1 and APN levels and the inhibition of diet-induced plaque inflammation, oxidative stress, and proteolysis in ApoE–/– mice received chronic stress conditions.
Predictive Value of the Triglyceride to High-Density Lipoprotein Cholesterol Ratio for All-Cause Mortality and Cardiovascular Death in Diabetic Patients With Coronary Artery Disease Treated With Statins
Authors: Wang Le , Cong Hongliang , Zhang Jingxia , Hu Yuecheng , Wei Ao , Zhang Yingyi , Yang Hua , Ren Libin , Qi Wei , Li Wenyu 
Published: July 2021

Background and Aims: Studies have highlighted the role of the triglyceride to high-density lipoprotein cholesterol (TG/HDL-C) ratio on subsequent cardiovascular events. However, the association of the TG/HDL-C ratio with survival outcomes in diabetic patients with coronary artery disease (CAD) treated with statins remains unknown. This study aimed to assess the predictive value of the TG/HDL-C ratio for all-cause mortality and cardiovascular death in diabetic patients with CAD treated with statins.Methods: The data of patients with type 2 diabetes and angiographically-confirmed CAD who were undergoing statin therapy and visited Tianjin Chest Hospital between January 2016 and September 2016 were retrospectively collected. The patients were categorized based on the baseline TG/HDL-C ratio tertile. Kaplan-Meier analysis and multivariate Cox proportional hazard regression were applied to assess the role of the TG/HDL-C ratio in predicting all-cause mortality and cardiovascular death.Results: A total of 2,080 patients were included. During the 4-year follow-up, 209 patients died, 136 of whom from cardiovascular death. The Kaplan-Meier analyses showed that an increased TG/HDL-C ratio was associated with an increased risk of all-cause mortality (P &lt; 0.001) and cardiovascular death (P &lt; 0.001). The multivariate cox hazard regression analysis revealed a similar effect of the TG/HDL-C ratio on the risk of all-cause mortality (P = 0.046) and cardiovascular death (P = 0.009). The role of the TG/HDL-C ratio in predicting all-cause mortality and cardiovascular death was similar among all subgroups (P &gt; 0.050). For all-cause mortality, the TG/HDL-C ratio significantly improved the C-statistic from 0.799 to 0.812 (P = 0.018), and the net reclassification index (NRI) and integrated discrimination index (IDI) were 0.252 (95% CI: 0.112–0.392; P &lt; 0.001) and 0.012 (95% CI: 0.003–0.022; P = 0.012), respectively. Similarly, for cardiovascular death, the TG/HDL-C ratio significantly improved the C-statistic from 0.771 to 0.804 (P &lt; 0.001), and the NRI and IDI were 0.508 (95% CI: 0.335–0.680; P &lt; 0.001) and 0.033 (95% CI: 0.015–0.050; P &lt; 0.001).Conclusion: TG/HDL-C ratio might be useful for predicting all-cause mortality and cardiovascular death in diabetic patients with CAD treated with statins.
Approximating Soil Organic Carbon Stock in the Eastern Plains of Colombia
Authors: Rainford Shauna-kay , Martín-López Javier M. , Da Silva Mayesse 
Published: July 2021

In Colombia, the rise of agricultural and pastureland expansion continues to exert increasing pressure on the structure and ecological processes of savannahs in the Eastern Plains. However, the effect of land use change on soil properties is often unknown due to poor access to remote areas. Effective management and conservation of soils requires the development spatial approaches that measure and predict dynamic soil properties such as soil organic carbon (SOC). This study estimates the SOC stock in the Eastern Plains of Colombia, with validation and uncertainty analyses, using legacy data of 653 soil samples. A random forest model of nine environmental covariate layers was used to develop predictions of SOC content. Model validation was determined using the Taylor series method, and root-mean-squared error (RMSE) and mean error (ME) were calculated to assess model performance. We found that the model explained 50.28% of the variation within digital SOC content map. Raster layers of SOC content, bulk density, and coarse rock fragment within the Eastern Plains were used to calculate SOC stock within the region. With uncertainty, SOC stock in the topsoil of the Eastern Plains was 1.2 G t ha−1. We found that SOC content contributed nearly all the uncertainty in the SOC stock predictions, although better determinations of SOC stock can be obtained with the use of a more geomorphological diverse dataset. The digital soil maps developed in this study provide predictions of extant SOC content and stock in the topsoil of the Eastern Plains, important soil information that may provide insight into the development of research, regulatory, and legislative initiatives to conserve and manage this evolving ecosystem.
Construction of the Mean Sea Surface Model Combined HY-2A With DTU18 MSS in the Antarctic Ocean
Authors: Sun Weikang , Zhou Xinghua , Yang Lei , Zhou Dongxu , Li Feng 
Published: July 2021

A new Mean Sea Surface (MSS) model called Shandong University of Science and Technology Antarctic Mean Sea Surface model (SDUST_ANT MSS) in the Antarctic Ocean is presented and validated in this paper. The SDUST_ANT MSS updates the DTU18 MSS with 6 years of Exact Repeat Mission (ERM) and Geodetic Mission (GM) data from HY-2A. Collinear adjustment was applied to all the ERM data to obtain the along-track mean sea surface height. Oceanic variability has been removed from the GM data. Crossover adjustment was applied to both the ERM and GM data. We constructed the HY-2A_MSS using HY-2A altimetry data based on optimal interpolation method. Several types of errors (such as white noise, residual effect of oceanic variability, and long wavelength bias) have been taken into account for the determination of MSS using optimal interpolation method. The SDUST_ANT MSS was constructed by mapping HY-2A_MSS onto the DTU18 MSS. The SDUST_ANT MSS was compared with DTU18 MSS and CNES_CLS15 MSS. At wavelengths below 150 km, differences between models are consistent with seafloor topographic gradient. At wavelengths above 150 km, differences are affected by the mesoscale activities and the altimetry errors in coastal areas. The errors of the three models, as indicated by their power spectral densities (PSDs), are of similar orders of magnitude. The absolute error is slightly smaller in SDUST_ANT than in CNES_CLS15 or DTU18.
Depletion of Soil Water-Extractable Organic Matter With Long-Term Coverage by Impervious Surfaces
Authors: Wang Yinghui , Zhang Qiang , Majidzadeh Hamed , He Chen , Shi Quan , Kong Sifang , Yang Zhibing , Wang Junjian 
Published: July 2021

Water-extractable organic matter (WEOM) in soil is the critical substrate that fuels microbial-driven biogeochemical cycles. However, questions remain regarding whether and how expanding impervious surface area under global urbanization may alter soil WEOM cycling. Based on absorbance and fluorescence spectroscopy and Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS), we compared the content and chemical signatures of soil WEOM under impervious surfaces with those in adjoining open areas and evaluated the impacts of types (complete sealing by concrete and partial sealing by house structures) and durations (1.5, 27, and 114 years) of impervious surface coverage. The content of soil WEOM and its chromophoric and fluorescent fractions were not significantly changed (less than 20%) after 1.5 years of coverage by concrete and house structures. However, these parameters decreased by more than 30% with 27 and 114 years of coverage by the residential home structures. The microbial-humic-like and protein-like fluorescent WEOM persisted preferentially over the terrestrial-humic-like and nonfluorescent WEOM. FT-ICR MS results suggest various degrees of depletion of biochemical groups in WEOM. While the water-extractable lipid-like compounds increased with 1.5 years of coverage, all studied biochemical groups were depleted with long-term coverage, which might reduce the microbial processing of suberin-derived compounds. This study highlights the remarkable impacts of soil sealing on reducing substrate availability for microbial carbon processing in urban environments.
Circular RNA Circ_0013958 Functions as a Tumor Promoter in Ovarian Cancer by Regulating miR-637/PLXNB2 Axis
Authors: Liang Yanfei , Meng Kaiyi , Qiu Rui 
Published: July 2021

Background: Circular RNAs (circRNAs) have emerged as important regulators in diverse human malignancies, including ovarian cancer (OC). This study was performed to explore the function and regulatory mechanism underlying circ_0013958 in OC progression.Methods: Quantitative real-time polymerase chain reaction (qRT-PCR) or Western blot assay was applied to examine the expression of circ_0013958, microRNA-637 (miR-637), and Plexin B2 (PLXNB2). The target relationship between miR-637 and circ_0013958 or PLXNB2 was verified by dual-luciferase reporter assay or RNA immunoprecipitation (RIP) assay. Cell Counting Kit-8 (CCK-8) and colony formation assays were employed to detect cell viability and clonogenicity ability, respectively. Cell migration and invasion were analyzed by Transwell assay. Cell apoptosis was monitored by flow cytometry. The role of circ_0013958 in vivo was determined by xenograft tumor assay.Results: Circ_0013958 and PLXNB2 were upregulated, while miR-637 was downregulated in OC tissues and cells. Circ_0013958 acted as a sponge for miR-637 to regulate the expression of PLXNB2 in OC cells. The repression effects of circ_0013958 knockdown on cell proliferation, migration, invasion, and apoptosis in OC cells were partly attenuated by the miR-637 inhibitor. And miR-637 targeted PLXNB2 to suppress OC cell proliferation, migration, and invasion. Moreover, circ_0013958 silencing blocked OC tumor growth in vivo.Conclusion: Circ_0013958 knockdown impeded OC development through modulating the miR-637/PLXNB2 axis, highlighting a therapeutic target for OC.
Comparing Multimorbidity Patterns Among Discharged Middle-Aged and Older Inpatients Between Hong Kong and Zurich: A Hierarchical Agglomerative Clustering Analysis of Routine Hospital Records
Authors: Lai Francisco T. T. , Beeler Patrick E. , Yip Benjamin H. K. , Cheetham Marcus , Chau Patsy Y. K. , Chung Roger Y. , Wong Eliza L. Y. , Yeoh Eng-Kiong , Battegay Edouard , Wong Samuel Y. S. 
Published: July 2021

Background: Multimorbidity, defined as the co-occurrence of ≥2 chronic conditions, is clinically diverse. Such complexity hinders the development of integrated/collaborative care for multimorbid patients. In addition, the universality of multimorbidity patterns is unclear given scarce research comparing multimorbidity profiles across populations. This study aims to derive and compare multimorbidity profiles in Hong Kong (HK, PRC) and Zurich (ZH, Switzerland).Methods: Stratified by sites, hierarchical agglomerative clustering analysis (dissimilarity measured by Jaccard index) was conducted with the objective of grouping inpatients into clinically meaningful clusters based on age, sex, and 30 chronic conditions among 20,000 randomly selected discharged multimorbid inpatients (10,000 from each site) aged ≥ 45 years. The elbow point method based on average within-cluster dissimilarity, complemented with a qualitative clinical examination of disease prevalence, was used to determine the number of clusters.Results: Nine clusters were derived for each site. Both similarities and dissimilarities of multimorbidity patterns were observed. There was one stroke-oriented cluster (3.9% in HK; 6.5% in ZH) and one chronic kidney disease-oriented cluster (13.1% in HK; 11.5% ZH) in each site. Examples of site-specific multimorbidity patterns, on the other hand, included a myocardial infarction-oriented cluster in ZH (2.3%) and several clusters in HK with high prevalence of heart failure (&gt;65%) and chronic pain (&gt;20%).Conclusion: This is the first study using hierarchical agglomerative clustering analysis to profile multimorbid inpatients from two different populations to identify universalities and differences of multimorbidity patterns. Our findings may inform the coordination of integrated/collaborative healthcare services.
Diagnosing Diabetic Retinopathy With Artificial Intelligence: What Information Should Be Included to Ensure Ethical Informed Consent?
Authors: Ursin Frank , Timmermann Cristian , Orzechowski Marcin , Steger Florian 
Published: July 2021

Purpose: The method of diagnosing diabetic retinopathy (DR) through artificial intelligence (AI)-based systems has been commercially available since 2018. This introduces new ethical challenges with regard to obtaining informed consent from patients. The purpose of this work is to develop a checklist of items to be disclosed when diagnosing DR with AI systems in a primary care setting.Methods: Two systematic literature searches were conducted in PubMed and Web of Science databases: a narrow search focusing on DR and a broad search on general issues of AI-based diagnosis. An ethics content analysis was conducted inductively to extract two features of included publications: (1) novel information content for AI-aided diagnosis and (2) the ethical justification for its disclosure.Results: The narrow search yielded n = 537 records of which n = 4 met the inclusion criteria. The information process was scarcely addressed for primary care setting. The broad search yielded n = 60 records of which n = 11 were included. In total, eight novel elements were identified to be included in the information process for ethical reasons, all of which stem from the technical specifics of medical AI.Conclusions: Implications for the general practitioner are two-fold: First, doctors need to be better informed about the ethical implications of novel technologies and must understand them to properly inform patients. Second, patient's overconfidence or fears can be countered by communicating the risks, limitations, and potential benefits of diagnostic AI systems. If patients accept and are aware of the limitations of AI-aided diagnosis, they increase their chances of being diagnosed and treated in time.
Case Report: Visual Rehabilitation in Hemianopia Patients. Home-Based Visual Rehabilitation in Patients With Hemianopia Consecutive to Brain Tumor Treatment: Feasibility and Potential Effectiveness
Authors: Daibert-Nido Monica , Pyatova Yulia , Cheung Kyle , Nayomi Camilus , Markowitz Samuel N. , Bouffet Eric , Reber Michael 
Published: July 2021

Background/Objectives: Visual field loss is frequent in patients with brain tumors, worsening their daily life and exacerbating the burden of disease, and no supportive care strategies exist. In this case series, we sought to characterize the feasibility and potential effectiveness of a home-based visual rehabilitation program in hemianopia patients using immersive virtual-reality stimulation.Subjects/Methods: Two patients, one with homonymous hemianopia and the other with bitemporal hemianopia, consecutive to pediatric brain tumors, with no prior visual rehabilitation performed 15 min of home-based audiovisual stimulation every 2 days for 6 weeks (case 2) and 7 weeks (case 1) between February and August 2020. Patients used a virtual-reality, stand-alone, and remotely controlled device loaded with a non-commercial audiovisual stimulation program managed in real time from the laboratory. Standard visual outcomes assessed in usual care in visual rehabilitation were measured at the clinic. Following a mixed method approach in this pragmatic study of two cases, we collected quantitative and qualitative data on feasibility and potential effectiveness and compared the results pre- and post-treatment.Results: Implementation and wireless delivery of the audiovisual stimulation, remote data collection, and analysis for cases 1 and 2 who completed 19/20 and 20/20 audiovisual stimulation sessions at home, respectively, altogether indicated feasibility. Contrast sensitivity increased in both eyes for cases 1 and 2. Visual fields, measured by binocular Esterman and monocular Humphrey full-field analyses, improved in case 1. A minor increase was observed in case 2. Cases 1 and 2 enhanced reading speed. Case 2 strongly improved quality of life scores.Conclusion: This is the first report of a home-based virtual-reality visual rehabilitation program for adult patients with hemianopia consecutive to a pediatric brain tumor. We show the feasibility in real-world conditions and potential effectiveness of such technology on visual perception and quality of life.
Eye-Neck Integrated Ultrasound in Idiopathic Intracranial Hypertension and Cerebral Venous Sinus Thrombosis
Authors: Liu Li , Xing Yingqi , Chen Ying , Ji Xiaorui , Ge Jiaojiao , Wang Lijuan 
Published: July 2021

Background: The clinical presentation of cerebral venous sinus thrombosis (CVST) overlaps with that of idiopathic intracranial hypertension (IIH), but no screening tool exists. We investigated the role of eye-neck integrated ultrasound in the diagnosis and differentiation of IIH and CVST.Methods: Twenty IIH patients, 30 CVST patients, and 40 healthy controls were retrospectively analyzed. The ultrasonographic optic nerve sheath diameter (ONSD) and hemodynamic characteristics of the internal jugular veins (IJVs) were recorded. The cerebrospinal fluid opening pressure was measured after ultrasonic examination.Results: The ONSD was significantly larger in IIH patients than in controls (4.71 ± 0.41 vs. 3.93 ± 0.24 mm, p &lt; 0.001). The ONSD cut-off for IIH diagnosis was 4.25 mm (AUC = 0.978; 95% CI: 0.95–1.0, p &lt; 0.001, sensitivity: 90%, specificity: 93%). In the CVST group, 22 (73.3%) patients had elevated intracranial pressure (ICP); the mean ONSD was significantly higher in patients with increased ICP than in those without (4.43 ± 0.33 vs. 3.95 ± 0.17 mm, p &lt; 0.001). The mean blood flow volume (BFV) was significantly reduced in CVST patients (425.17 ± 349.83 mL/min) compared to that in controls (680.37 ± 233.03 mL/min, p &lt; 0.001) and IIH patients (617.67 ± 282.96 mL/min, p = 0.008). The optimal BFV cut-off for predicting CVST was 527.28 mL/min (AUC = 0.804, 95% CI: 0.68–0.93, p &lt; 0.001, sensitivity: 80%, specificity: 78%). The velocity of the unilateral IJVs-J3 segment decreased or remained constant during deep inspiration (abnormal respiratory modulate blood flow test, ARMT) in 32.5% of controls, with no bilateral ARMT. The prevalence of bilateral ARMT was 25% in IIH patients (χ2 = 12.9, p = 0.005) and 27% in CVST patients (χ2 = 17.6, p = 0.001).Conclusion: Eye-neck integrated ultrasound is an easily available bedside technique to assess ICP and hemodynamic characteristics of IJVs. ONSD measurement can identify patients with increased ICP, and reduced IJV BFV may aid the differentiation of CVST and IIH.
Nivolumab in Non-Small Cell Lung Cancer: Real World Long-Term Survival Results and Blood-Based Efficacy Biomarkers
Authors: Daher Sameh , Lawrence Yaacov R. , Dudnik Elizabeth , Hanovich Ekaterina , Urban Damien , Peled Nir , Navon Rossie , Leibowitz Raya , Hammerman Ariel , Battat Erez , Gottfried Teodor , Onn Amir , Bar Jair 
Published: July 2021

ObjectivesWe aimed to examine clinical data and baseline blood test results as potential predictive biomarkers for benefit from nivolumab, in advanced non-small cell lung cancer patients (NSCLC).Materials and MethodsA chart review was performed of 108 advanced NSCLC patients who commenced treatment with nivolumab between 2015-6 at three Israeli cancer centers, and for whom laboratory tests results were available. Data collected included sex, age, ECOG-PS, histology and number of previous lines of treatment. Baseline blood test results collected: absolute lymphocyte and neutrophil count (ANC), white blood cells (WBC), hemoglobin, platelets, albumin and lactate dehydrogenase (LDH). Neutrophil to Lymphocyte Ratio and ‘derived NLR’ (dNLR = (ANC/[WBC-ANC])) were calculated. Disease control at six months (DC6) was defined as any tumor shrinkage or stable disease during the first six months of nivolumab treatment. The association between clinical/laboratory variables and survival was tested with a Cox proportional hazard model. Data cut-off occurred in November 2019.Results35 patients (32.4%) achieved DC6. Median overall survival (OS) of entire study population was 5.4 months. Four year survival rate was 16%. Achievement of DC6 strongly correlated with longer OS (HR 0.12, 95% C.I. 0.07-0.21, p&lt;0.001). In univariate and multivariate analysis, dNLR, albumin and LDH correlated significantly with OS. No variables correlated significantly with DC6 in multivariate analysis. Based on albumin and LDH, we produced a score called CLAS (combined LDH and albumin score), including four prognostic groups of patients. Patients having low albumin and high LDH had the worst prognosis.ConclusionIn real-life setting, long-term efficacy of nivolumab in advanced line treatment of NSCLC is consistent with clinical trials. Response or stability of disease during first six months of treatment is associated with prolonged survival. We propose a novel score (CLAS) that may be useful for predicting outcome in nivolumab-treated NSCLC patients, but further validation is required.