bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Impact of Sarcopenia Screening on Long‐Term Mortality in Patients Undergoing Coronary Bypass Grafting
Authors: Lee Seung Hun , Jo Jinhwan , Yang Jeong Hoon , Kim Sung Mok , Choi Ki Hong , Song Young Bin , Jeong Dong Seop , Lee Joo Myung , Park Taek Kyu , Hahn Joo‐Yong , Choi Seung‐Hyuk , Chung Su Ryeun , Cho Yang Hyun , Sung Kiick , Kim Wook Sung , Gwon Hyeon‐Cheol , Lee Young Tak 
Published: November 2024

ABSTRACTBackgroundSarcopenia is an aging‐related condition characterized by loss of skeletal muscle mass and is an indicator of subclinical atherosclerosis. The relationship between reduced muscle mass and long‐term clinical outcomes in patients with advanced coronary artery disease who have undergone coronary artery bypass grafting (CABG) is not fully understood. This study is sought to evaluate the prognostic implications of sarcopenia screening in patients undergoing CABG.MethodsA total of 2810 patients who underwent CABG were analysed and classified according to presence of reduced muscle mass. The skeletal muscle index (SMI) was calculated as L3 muscle area (cm2)/height (m)2 on computed tomography. Reduced SMI was defined as SMI ≤ 45 cm2/m2 in male and ≤ 38 cm2/m2 in female. The primary outcome was all‐cause mortality, and survival analysis was performed using the Kaplan–Meier method and compared with the log‐rank test.ResultsThe median follow‐up was 8.7 years, and 924 patients (32.9%) had reduced SMI. Patients with reduced SMI were older (67.7 ± 8.8 vs. 62.2 ± 9.8 years; p < 0.001) and less frequently male (69.8% vs. 81.1%; p < 0.001). SMI was significantly associated with risk of death on a restricted cubic spline curve (HR = 1.04 per‐1 decrease; 95% CI 1.03–1.05; p < 0.001). Patients with reduced SMI had a higher incidence of long‐term mortality than those with preserved SMI (survival rate 41.4% vs. 62.8%; HRadj = 1.18, 95% CI 1.03–1.36, p = 0.020). Subgroup analysis showed that the prognostic implication of reduced SMI on long‐term survival was more evident in male (HRadj = 2.01, 95% CI 1.72–2.35) than female (HRadj = 1.28, 95% CI 0.98–1.68) (interaction p = 0.006).ConclusionsReduced muscle mass, defined by SMI on computed tomography, was associated with long‐term mortality after CABG. These results provide contemporary data to allow the evaluation of physical frailty in patients with advanced coronary artery disease before surgery.Trial Registration: Long‐Term Outcomes and Prognostic Factors in Patients Undergoing CABG or PCI: NCT03870815
GABA Prevents Sarcopenia by Regulation of Muscle Protein Degradation and Inflammaging in 23‐ to 25‐Month‐Old Female Mice
Authors: Song Gunju , Oh Hyun‐Ji , Jin Heegu , Han Hyein , Lee Boo‐Yong 
Published: November 2024

ABSTRACTBackgroundSarcopenia is the gradual decrease in skeletal muscle mass, strength and function in elderly individuals. Gamma‐aminobutyric acid (GABA) is a neurotransmitter naturally produced from glutamate by the enzyme glutamic acid decarboxylase. Age‐related decline in GABA is linked to age‐related motor and sensory decline and seems to affect sarcopenia, yet no detailed study has been conducted. In this study, we aimed to investigate the effect of GABA on improving sarcopenia by suppressing muscle protein degradation through supplementing decreased GABA in old mice.MethodsGABA (10 or 30 mg/kg/day) was orally administered daily to young (3 months) and old (21–23 months) C57BL/6 mice for 7 weeks. The body weight and grip strength of the mice were measured weekly at the same time. After sacrificing the mice, the quadriceps and gastrocnemius muscles were excised from their hind limbs, and the spleen and serum were collected. Histological, biochemical and molecular analyses were conducted in various experiments.ResultsThe administration of GABA increased muscle strength (+41%, +70% compared to the aged mouse control group, GABA at doses of 10 or 30 mg/kg/day respectively, p < 0.05) and muscle mass (quadriceps: +28%, +46%; gastrocnemius: +12%, +19%, p < 0.05) in old mice. This increase was accompanied by a cross‐sectional area (CSA) increase in the quadriceps and gastrocnemius muscle (p < 0.05). The administration of GABA increased IGF‐1 levels in serum (p < 0.05), leading to the activation of muscle protein synthesis. We found that GABA inhibits sarcopenia by regulating muscle protein degradation through the activation of Akt/mTOR/FoxO3a signalling pathways. GABA also regulates inflammaging, which is a hallmark of age‐related muscle atrophy. There was a significant increase in the F4/80 + CD11b + total macrophage ratio in gastrocnemius and spleen, especially the M1 macrophage ratio increased in old mice. However, GABA administration was effective in suppressing M1 macrophages (gastrocnemius: −40%, − 53%; spleen: −22%, −26%, p < 0.05). Pro‐inflammatory cytokines such as TNF‐α and IL‐6, primarily secreted by M1 macrophages, are also decreased by treatment with GABA (TNF‐α: −24%, −27%; IL‐6: −45%, −59%, p < 0.05).ConclusionsTogether, this study demonstrates the importance of GABA in maintaining muscle and low‐chronic inflammation during ageing. We suggest that GABA shows potential as a substance that can effectively address sarcopenia and enhance the overall lifespan and well‐being of older individuals.
Learning on a Limb: An outreach module to engage high school students in orthopaedics
Authors: Panebianco Christopher J. , Azar Tala F. , Duffy Michael P. , Nijsure Madhura P. , Sharp Emily , Tamburro Margaret K. , Hast Michael , Shore Eileen M. , Mauck Robert L. , Soslowsky Louis J. , Shuda Jamie R. , Gullbrand Sarah E. 
Published: November 2024

AbstractOrthopaedic researchers need new strategies for engaging underrepresented minority (URM) students. Our field has demonstrated noticeable gaps in racial, ethnic, and gender diversity, which inhibit our ability to innovate and combat the severe socioeconomic burden of musculoskeletal disorders. Towards this goal, we designed, implemented, and evaluated Learning on a Limb (LoaL), an orthopaedic research outreach module to teach URM high school students about orthopaedic research. During the 4‐h module, students completed hands‐on activities to learn how biomechanical testing, microcomputed tomography, cell culture, and histology are used in orthopaedic research. Over 3 years, we recruited 32 high school students from the Greater Philadelphia Area to participate in LoaL. Most participants identified as racial/ethnic or gender minorities in orthopaedic research. Using pre/post‐tests, we found that students experienced significant learning gains of 51 percentage points from completing LoaL. In addition to teaching students about orthopaedic research, post‐survey data demonstrated that participating in LoaL strongly influenced students' interest in orthopaedic research and scientific confidence. Several students acted on this interest by completing summer research experiences in the McKay Orthopaedic Research Laboratory at the University of Pennsylvania. LoaL instructors also benefited by having the opportunity to “pay it forward” to the next generation of students and build community within their department. Empowering institutions to host modules like LoaL would synergistically inspire URM high school students and strengthen community within orthopaedic departments to ultimately enhance orthopaedic research innovations.
Synthesis of Functionalized Pyridine Modified Magnetic Nanoparticles for Utilization in Magnetic Solid‐Phase Extraction of Tebuconazole and Propiconazole Followed by Quantification via High‐Performance Liquid Chromatography‐Ultraviolet Detection
Authors: Nikbakhsh Naghmeh , Ghani Milad , Maleki Behrooz 
Published: November 2024

ABSTRACTIn the current study, a new magnetic sorbent (Fe3O4@2,6‐diamino‐4‐(3,4‐dihydroxyphenyl) pyridine‐3,5‐dicarbonitrile) was prepared as a new and efficient sorbent to be used in the magnetic solid‐phase extraction method to extract tebuconazole and propiconazole as model compounds. In this regard, effective parameters such as pH of the sample solution, desorption volume, ionic strength, extraction time, desorption time, and amount of the magnetic sorbent were optimized using experimental design. In the optimal condition, the linear dynamic ranges for tebuconazole and propiconazole were between 0.5 and 200.0 µg/L. Also, the limits of detection, limits of quantification, and relative standard deviations were 0.21–0.14 µg/L, 0.49–0.45 µg/L, and 1.3%–4.6%, respectively. The estimated enrichment factors for tebuconazole and propiconazole were 22 and 28, respectively. The absolute recovery (AR%) values for tebuconazole and propiconazole were also 67% and 84%, respectively. Finally, the proposed method was used for determination of tebuconazole and propiconazole in cucumber, tomato, orange, and lemon fruits. The obtained result confirmed that the presented method is capable for the analysis of the selected analytes in complicated matrices. In addition, the ARs% were in the range of 67%–84%. The result proved that the presented method can be an alternative to the extraction process of various pesticides.
Cranial Tremors in Essential Tremor: Prevalence, Anatomic Distribution and Predictors of Occurrence
Authors: Louis Elan D. 
Published: November 2024

AbstractBackgroundThere are few published data on the prevalence, pattern of anatomic distribution and predictors of various cranial tremors (eg, head, voice, jaw) in essential tremor (ET). Given the high levels of diagnostic misclassification in ET, data on observed clinical patterns would be valuable.ObjectivesTo assess the prevalence, pattern of anatomic distribution and predictors of occurrence of cranial tremors in ET.MethodsET cases who enrolled in two studies (respective n's = 301 and 175, total n = 476) underwent a detailed clinical assessment, which included a videotaped neurological examination. A senior movement disorders neurologist reviewed the examination and coded a range of cranial tremors as present or absent.ResultsThe proportion of cases with any cranial tremor was 57.1% (Study 1) and 73.7% (Study 2). The following patterns emerged: (1) Head only and head + voice were the most commonly observed anatomical distribution of tremor. (2) Jaw tremors were rare, and face and tongue tremors, exceedingly rare. (3) There was a general layering‐on of tremor from head to head + voice to head + voice + jaw in more advanced cases. (4) Women were more likely to have head tremors than men, although there was no sex predilection tremor in other locations. (5) The likelihood of cranial tremor increased with greater tremor severity and age but was unrelated to tremor duration.ConclusionWe observed and quantified several patterns in the expression of cranial tremors in ET. Data on such patterns may assist clinicians and researchers in assigning diagnoses.
Vali@mPEG‐TK‐COS: A Dual‐Function Nano‐Pesticide for Fungicidal Action and Plant Immune Modulation
Authors: Li Ruixin , Jia Xiaochen , Xie Hongguo , Wang Xueran , Wen Jinxuan , Yu Guanglu , Zhang Chunlai , Sun Yeqing , Yin Heng 
Published: November 2024

ABSTRACTPesticides play a crucial role in safeguarding crops against pathogens and pests, yet the limited bioavailability of conventional formulations leads to excessive usage, causing environmental and health concerns. In this study, we developed a novel intelligent response‐controlled release nano‐pesticide, Vali@mPEG‐TK‐COS, by coupling chitosan oligosaccharide (COS), a plant immunity regulator, and methoxy polyethylene glycols (mPEG) at either end of thioketal (TK), a material responsive to reactive oxygen species (ROS), and incorporating validamycin (Vali) for controlled release. Vali@mPEG‐TK‐COS exhibits ROS‐responsive behaviour, releasing Vali and COS in response to plant ROS bursts, exhibiting dual capabilities in pathogen control and plant immunity induction during pathogenic attacks. Plant disease experiments confirmed the superior efficacy of Vali@mPEG‐TK‐COS against Rhizoctonia solani, surpassing the control effects of Vali or COS alone. This study presents a sophisticated ROS‐responsive controlled‐release nano‐pesticide with dual fungicidal and plant immunomodulatory properties, offering an advanced strategy to enhance the efficiency of existing pesticides and promote sustainable crop production by reducing overall pesticide usage.
Deep learning based apparent diffusion coefficient map generation from multi‐parametric MR images for patients with diffuse gliomas
Authors: Eidex Zach , Safari Mojtaba , Wynne Jacob , Qiu Richard L. J. , Wang Tonghe , Viar‐Hernandez David , Shu Hui‐Kuo , Mao Hui , Yang Xiaofeng 
Published: November 2024

AbstractPurposeApparent diffusion coefficient (ADC) maps derived from diffusion weighted magnetic resonance imaging (DWI MRI) provides functional measurements about the water molecules in tissues. However, DWI is time consuming and very susceptible to image artifacts, leading to inaccurate ADC measurements. This study aims to develop a deep learning framework to synthesize ADC maps from multi‐parametric MR images.MethodsWe proposed the multiparametric residual vision transformer model (MPR‐ViT) that leverages the long‐range context of vision transformer (ViT) layers along with the precision of convolutional operators. Residual blocks throughout the network significantly increasing the representational power of the model. The MPR‐ViT model was applied to T1w and T2‐fluid attenuated inversion recovery images of 501 glioma cases from a publicly available dataset including preprocessed ADC maps. Selected patients were divided into training (N = 400), validation (N = 50), and test (N = 51) sets, respectively. Using the preprocessed ADC maps as ground truth, model performance was evaluated and compared against the Vision Convolutional Transformer (VCT) and residual vision transformer (ResViT) models with the peak signal‐to‐noise ratio (PSNR), structural similarity index measure (SSIM), and mean squared error (MSE).ResultsThe results are as follows using T1w + T2‐FLAIR MRI as inputs: MPR‐ViT—PSNR: 31.0 ± 2.1, MSE: 0.009 ± 0.0005, SSIM: 0.950 ± 0.015. In addition, ablation studies showed the relative impact on performance of each input sequence. Both qualitative and quantitative results indicate that the proposed MR‐ViT model performs favorably against the ground truth data.ConclusionWe show that high‐quality ADC maps can be synthesized from structural MRI using a MPR‐ViT model. Our predicted images show better conformality to the ground truth volume than ResViT and VCT predictions. These high‐quality synthetic ADC maps would be particularly useful for disease diagnosis and intervention, especially when ADC maps have artifacts or are unavailable.
The strength of associations between ultrasound measures of upper limb muscle morphology and isometric muscle strength: An exploratory study
Authors: Whang Christina Q. Y. , Debenham Mathew I. B. , Ogalo Emmanuel , Ro Hannah J. , Wu Harvey , Berger Michael J. 
Published: November 2024

AbstractIntroduction/AimsAssessing upper limb muscle strength is important for understanding health outcomes, such as daily function and mortality. Ultrasound (US) is increasingly used to evaluate muscle health, but the relationship between its measures of morphology and isometric strength has not been thoroughly explored in upper limb muscles. The aim of this study was to evaluate the associations between US morphological measures and isometric strength in functionally relevant upper limb muscles in healthy adults.MethodsTwenty‐four healthy volunteers (30.0 ± 10.8 years) underwent B‐mode, axial US scans of the first dorsal interosseus (FDI), flexor pollicis longus (FPL), biceps brachii (BB), brachialis (BR), and triceps brachii lateral head (TB). Participants performed corresponding maximal voluntary contractions (MVC), including first digit distal phalanx flexion, second digit abduction, and elbow flexion and extension. US images were segmented to obtain maximal muscle thickness (MT) and cross‐sectional area (CSA).ResultsStrong positive correlations were found between muscle strength and BB MT (r = .83; p < .001), BR CSA (r = .84; p < .001), and TB MT (r = .70; p < .001). Moderate positive correlations were found for strength and FDI CSA (r = .67; p < .001), FDI MT (r = .47; p < .05), FPL CSA (r = .54; p < .01), and FPL MT (r = .42; p < .05). No significant correlation was found between strength and BR MT (r = .16; p > .05).DiscussionOur data showed moderate‐to‐strong associations between US muscle morphology and strength, suggesting that US is likely a good biomarker for strength. However, its use is not “one size fits all.” Future investigations should continue to assess this relationship in different muscles and expand the generalizability to clinical populations.
Numerical Strategy on the Grid Orientation Effect in the Simulation for Two‐Phase Flow in Porous Media by Using the Adaptive Artificial Viscosity Method
Authors: Wang Xiao‐Hong , Yue Meng‐Chen , Liu Zhi‐Feng , Cao Wei‐Dong , Wang Yong , Hu Jun , Xiao Chang‐Hao , Li Yao‐Yong 
Published: November 2024

ABSTRACTIn the context of numerical simulators for multiphase flow in porous media, there exists a long‐standing issue known as the grid orientation effect (GOE), wherein different numerical solutions can be obtained when considering grids with different orientations under certain unfavorable conditions. The GOE is relevant to the instability near displacement fronts. If numerical oscillations accompanied by sharp fronts are not adequately suppressed, the GOE occurs. To reduce or even eliminate the GOE, we propose augmenting adaptive artificial viscosity in the process of solving the saturation equation. It has been demonstrated that appropriate artificial viscosity can effectively reduce or even eliminate the GOE. The proposed numerical method can be easily applied in practical engineering problems.
Fully aminated p‐polyaramid effectively strengthen and toughen Bisphenol A epoxy resin and its warp‐knitted carbon fiber composites
Authors: Wang Zhenwei , Liu Yu , Tang Ning , Wang Weitao 
Published: November 2024

AbstractStemming from the cost‐effectiveness and broad applicability, many modification researches on Bisphenol A epoxy resin (DGEBA) and its carbon fiber composites have been done extensively. Here, following the concept of molecular composite, we prepared fully aminated p‐polyaramid with reactive amino side groups by polycondensation and reduction reaction, aiming to construct a molecular distribution of the reinforcement within the resin matrix and achieve a satisfactory enhancement effect. Among them, after adding 1 wt% fully aminated p‐polyaramid, Young's modulus and tensile toughness of the DGEBA epoxy resin (EP) increased significantly to 2.34 ± 0.03 GPa (+68.3%) and 4402 ± 213 kJ/m3 (+30.5%), the flexural modulus and toughness reached 4.14 ± 0.04 GPa (+42.8%) and 0.44 ± 0.01 J (+83.3%). Moreover, the Tg of EP was only decreased by 2.7°C. In addition, their warp‐knitted bidirectional carbon fiber composites also have enhancements in both flexural properties and interlaminar shear strength (all improved by more than 20%). What is noticeable is that the preparation and blending of fully aminated p‐polyaramid are simpler and more effective than most other micro‐ or nanofillers, and the dispersion is more uniform. Thus, it can act as a highly effective reinforcement and strengthen the properties of DGEBA and its carbon fiber composite materials significantly.Highlights
Fully aminated p‐polyaramid is uniformly dispersed in EP by chemical bonds.
DGEBA is strengthened and toughened without a significant decrease in Tg.
The tensile and flexural modulus of EP is increased by 68.3% and 42.8%.
Fully aminated p‐polyaramid can reinforce warp‐knitted carbon fiber composite.
Tribologically enhanced self‐healing hybrid laminates for wind turbine applications
Authors: Hasirci Kemal , Ergene Berkay , Irez Alaeddin Burak 
Published: November 2024

AbstractWind turbines are subjected to extreme weather and load conditions; hence, high strength and impact resistance are required. Furthermore, wind turbine blades can be subjected to impact loads such as bird strikes, resulting in the formation of microcracks. Self‐healing capsules can be used to mend turbine blades for microscale damage. The incorporation of self‐healing capsules may cause a decrease in the mechanical characteristics of the composites prior to impact resistance, which can be compensated for with efficient fillers such as silicon carbide whiskers (SiCw). Thus, a novel hybrid composite structure is examined with the advantage of using a self‐healing mechanism and SiCw reinforcement. Tensile, tribological, and Charpy impact tests were performed to characterize the mechanical and tribological properties, which were supported with microscopic observations. Multiple experimental characterizations were performed to investigate the impact, and the ultimate tensile strength (UTS) and energy absorption capacity of the structure were shown to increase by 32% and 45%, respectively, with the addition of SiCw. The presence of self‐healing agents provides a 5% rise in UTS after enough time for healing following the collision. The structure's tribological performance is improved by 10% in wear resistance and 20% in friction coefficient.Highlights
Hybrid laminated composite structure with silicon carbide whisker and self‐healing capsules.
Tensile and Charpy impact tests conducted with microscopic observations
Increased ultimate tensile strength and energy absorption capacity by 32% and 45%.
Tribological improvement by 10% in wear resistance and 20% in friction coefficient.
Plasma‐Activated Hydrogel Synergies With Paclitaxel to Enhance the Anticancer Efficacy
Authors: Wang Zewei , Jing Xixi , Wu Zijin , Xu Shengduo , Wu Tong , Wang Shiyao , Zhang Jishen , Wang Zifeng , Liu Dingxin , Zhang Hao , Rong Mingzhe 
Published: November 2024

ABSTRACTCold atmospheric plasma‐activated hydrogel (PAH) exhibits excellent loading and slow‐release capacity for plasma‐generated reactive species. In this study, plasma‐activated pluronic F127 hydrogel (PAH‐PF127) was obtained using surface dielectric barrier discharge (SDBD), and the anticancer effects of PAH‐F127 synergies with the clinical drug paclitaxel (PTX) were investigated. The results indicated that PAH‐PF127 could load plasma‐generated long‐lived reactive species efficiently, and in vitro research revealed that PAH‐PF127 exerts significant anticancer effects by inducing intracellular oxidative stress, and synergies with 50 μg/mL (low‐dose) PTX could easily replace 200 μg/mL (high‐dose) PTX alone. These results suggested that PAH‐PF127 has the potential to address the toxic side effects of high‐dose drugs and expand the application of plasma technology in anticancer treatment.