bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk factors affecting relapse after discontinuation of biologics in children with Crohn's disease who maintained deep remission
Authors: Kim Hansol , Kim Yoon Zi , Kim Seon Young , Choe Yon Ho , Kim Mi Jin 
Published: October 2024

ObjectivesBiologics are important therapeutic agents for pediatric Crohn's disease. Discontinuation of biologics is known to increase the relapse rate up to 71.4% in these patients; however, their long-term use increases the risk of opportunistic infections and causes economic burden and psychological fatigue. Therefore, taking a drug holiday is meaningful, even if the biologics cannot be completely discontinued. This study aimed to analyze the risk factors affecting relapse after discontinuation of biologics in children with Crohn's disease.MethodsWe retrospectively reviewed the data of 435 children with Crohn's disease who visited a single health center between March 2013 and March 2021. Subsequently, we analyzed data from the patients who discontinued biologics after deep remission.ResultsAmong the enrolled patients, 388 were followed up for ≥2 years, and of these, 357 were administered biologics. A total of 103 patients discontinued biologics after deep remission, subsequently 31 maintained remission and 72 relapsed. The shorter the duration of biologic treatment (odds ratio of 0.444, P = 0.029), the higher the ESR (odds ratio of 1.294, P = 0.009) and fecal calprotectin (odds ratio of 1.010, P = 0.032), and the less histological remission at the time of discontinuation of biologics (odds ratio of 0.119, P = 0.026), the greater the risk of relapse after discontinuation of biologics.ConclusionsWe identified factors associated with relapse after discontinuation of biologics. The results suggest that biologics can be discontinued in the absence of these factors after deep remission. However, because the relapse rate may increase after the discontinuation of biologics, close monitoring is important, and if necessary, re-administration of biologics should be actively considered.
Inhibition of HCN1 currents by norquetiapine, an active metabolite of the atypical anti-psychotic drug quetiapine
Authors: Jean Jacques Amélie , D’Avanzo Nazzareno 
Published: October 2024

Quetiapine is a second-generation atypical antipsychotic drug that has been commonly prescribed for the treatment of schizophrenia, major depressive disorder (depression), and other psychological disorders. Targeted inhibition of hyperpolarization-activated cyclic-nucleotide gated (HCN) channels, which generate Ih, may provide effective resistance against schizophrenia and depression. We investigated if HCN channels could contribute to the therapeutic effect of quetiapine, and its major active metabolite norquetiapine. Two-electrode voltage clamp recordings were used to assess the effects of quetiapine and its active metabolites 7-hydroxyquetiapine and norquetiapine on currents from HCN1 channels expressed in Xenopus laevis oocytes. Norquetiapine, but not quetiapine nor 7-hydroxyquetiapine, has an inhibitory effect on HCN1 channels. Norquetiapine selectively inhibited HCN1 currents by shifting the voltage-dependence of activation to more hyperpolarized potentials in a concentration-dependent manner with an IC50 of 13.9 ± 0.8 μM for HCN1 and slowing channel opening, without changing the kinetics of closing. Inhibition by norquetiapine primarily occurs from in the closed state. Norquetiapine inhibition is not sensitive to the external potassium concentration, and therefore, likely does not block the pore. Norquetiapine inhibition also does not dependent on the cyclic-nucleotide binding domain. Norquetiapine also inhibited HCN4 channels with reduced efficacy than HCN1 and had no effect on HCN2 channels. Therefore, HCN channels are key targets of norquetiapine, the primary active metabolite of quetiapine. These data help to explain the therapeutic mechanisms by which quetiapine aids in the treatment of anxiety, major depressive disorder, bipolar disorder, and schizophrenia, and may represent a novel structure for future drug design of HCN inhibitors.
The association between pan-immune-inflammation value and chronic obstructive pulmonary disease: data from NHANES 1999–2018
Authors: Qiu Shuhui , Jiang Qi , Li Yang 
Published: October 2024

BackgroundThe pan-immune-inflammation value (PIV) is an emerging biomarker quantitatively reflecting the systemic immune-inflammatory status. The predictive value of PIV has been well-established across various clinical settings. However, its role in chronic obstructive pulmonary disease (COPD) remains unclear and necessitates further investigation.MethodsData from NHANES 1999–2018 were filtered. Logistic regression analyses were used to assess the correlation between COPD prevalence and PIV in all participants. COX regression analyses and Kaplan-Meier survival curves were used to investigate the relationship between COPD all-cause mortality and PIV in COPD patients. Restricted cubic spline (RCS) analyses and piecewise linear regression analyses were additionally employed to explore the correlation between PIV and COPD. Subgroup analyses were performed to further clarify the effects of other covariates on the associations. Sensitivity analyses were employed to assess the robustness of the results.ResultsA total of 28,485 participants aged 40 years and older were recruited for this study. After fully adjusting for covariates, higher PIV levels were independently associated with increased COPD prevalence (OR = 1.67; 95% CI: 1.39–2.01) and all-cause mortality (HR = 2.04; 95% CI: 1.41–2.95). The COPD prevalence curve exhibited an inflection point at Log10-PIV of 2.24, showing no significant correlation on the left side (OR = 0.86; 95% CI: 0.45–1.64) but a positive correlation on the right side (OR = 2.00; 95% CI: 1.57–2.55). The COPD all-cause mortality curve displayed an inflection point at Log10-PIV of 2.38, indicating a negative correlation on the left side (HR = 0.23; 95% CI: 0.12–0.44) and a positive correlation on the right side (HR = 4.12; 95% CI: 2.62–6.48). Subgroup analyses with interaction tests showed that the strength of the correlation between PIV and COPD prevalence was influenced by race, smoking status, and BMI (all p for interaction &lt;0.05). The relationship between PIV and COPD all-cause mortality was unaffected by any covariates (all p for interaction &gt;0.05).ConclusionElevated PIV levels are associated with increased COPD prevalence. COPD patients with either elevated or reduced PIV levels experience higher all-cause mortality. Further large-scale, longitudinal studies are required to corroborate these findings.
Multi-gene analysis of the Russula crown clade (Russulales, Basidiomycota) revealed six new species and Alboflavinae subsect. nov. from Fagaceae forests in China
Authors: Niu Caiyun , Liu Tiezhi , Zhao Shiyi , Ren Jing , Zhao Yi , Kang Xia , Qin Weiqiang , Xie Xuejiao , Zhang Xu , Wei Tiezheng , Tian Jinghua , Li Xiao , Li Ming , Li Shoumian , Li Guojie 
Published: October 2024

IntroductionThe crown clade is one of two major groups in the Russula subg. Russula.Methods/materialAn analysis of Chinese samples was performed based on the morphology, internal transcribed spacer (ITS) sequences, and multi-gene phylogenies of 28S nrLSU, 16S mtSSU, rpb1, rpb2, and tef1-α.ResultsThe results supported the independence of six new species: Russula alboflava (sect. Amethystinae), R. chrysantha (subsect. Chamaeleontinae), R. liyui (subsect. Laricinae), R. lutescens (subsect. Olivaceinae), R. paraxerampelina, and R. prunicolor (subsect. Xerampelinae) from Fagaceae forest habitats. Subsect. Alboflavinae was newly proposed in sect. Amethystinae. Members of the new subsection include R. alboflava, R. burlinghamiae, and possibly R. ballouii.DiscussionOur analyses also supported the claim that two species of R. fulvograminea (subsect. Laricinae) and R. subrubens (subsect. Xerampelinae) have a Eurasian distribution. The habitat and primary hosts of the main phylogenetic clades within related subsections were summarized and discussed.
The interaction effect of water deficit stress and seaweed extract on phytochemical characteristics and antioxidant activity of licorice (Glycyrrhiza glabra L.)
Authors: Fozi Vahid , Esmaeili Hassan , Alizadeh Abouzar , Eghlima Ghasem , Mirjalili Mohammad Hossein 
Published: October 2024

IntroductionWith increasing drought stress due to climate change and water scarcity, the agricultural sector has sought innovative strategies to mitigate the detrimental effects on crop productivity. One approach that has received significant attention is the use of fertilizers and biostimulants as potential means of alleviating drought stress.MethodsIn this study, five different irrigation levels including 100% (control), 80% (slight stress), 60% (mild stress), 40% (moderate stress), and 20% (severe stress) of field capacity (FC) and seaweed extract (SWE) at three concentrations (0, 5, and 10 g/L) were applied to the pots containing one-year-old licorice (Glycyrrhiza glabra L.) plants in a factorial completely randomized design experiment with three replications for eight weeks.Results and discussionThe glycyrrhizic acid content increased with water stress intensity without the application of SWE until severe (20% FC) water stress treatment. The application of 10 g/L SWE under 100% FC led to a significant increase in the glycyrrhizic acid value (32.5±0.889 mg/g DW) compared with non-SWE application (30.0±1.040 mg/g DW). The maximum glabridin content (0.270±0.010 mg/g DW) was obtained under irrigation of 20% field capacity with 10 g/L SWE application. In addition, the activity of the all studied enzymes such as APX (ascorbate peroxidase), CAT (catalase), POD (peroxidase), and SOD (superoxide dismutase) were boosted by increasing the water stress levels. The use of SWE further enhanced the increase of some of these metabolites and enzymes, which, in turn, helped the plant to tolerate stress conditions through the scavenging of more ROS (Reactive oxygen species), wherein for this purpose, the SWE 10 g/L was more effective than other concentration. The plants efficiently eliminated ROS driven from drought stress by both non-enzymatic and enzymatic systems.
Comparative effects of open-skill and closed-skill sports on executive function in university students: a 16-week quasi-experimental study
Authors: Li Yu-fan , Gao Tianyu , Luo Li-peng , He Shan 
Published: October 2024

IntroductionPrevious reviews have often concluded that open-skill sports are more effective at enhancing executive function (EF) than closed-skill sports. However, this conclusion may not hold for closed-skill sports with high cognitive demands, such as golf. This study aimed to compare the effects of football (open-skill) and golf (closed-skill) training on enhancing EF in university students.MethodUsing a quasi-experimental, pre-post test design, 63 male participants were assigned to three groups: football (n = 21), golf (n = 21), and a sedentary control group (n = 21). Over 16 weeks of training, the intervention groups engaged in four 90-min training sessions per week, while the control group attended one 80-min physical education class per week. Assessments were conducted before and after the intervention. EFs, including inhibition control and working memory, were assessed using the Flanker task and Corsi-block tapping task, respectively. Cardiovascular fitness (CRF) was measured by the multi-stage fitness test.ResultsThe golf group showed significant improvements in inhibition control from pre- to post-intervention (p = 0.02, d = 0.26), while the football and control groups did not exhibit significant changes. Post-intervention comparisons indicated no significant differences in EF performance between the golf and football groups; however, both outperformed the control group (golf, p = 0.002, d = 0.99; football, p = 0.01, d = 0.67). No significant improvement was observed in working memory for any group. Additionally, changes in CRF were not significantly correlated with EF performance.ConclusionThis study provides preliminary evidence that golf, a closed-skill sport with high cognitive demands, can effectively improve inhibitory control after 16 weeks of training. This improvement is comparable to that observed in football, an open-skill sport. The findings also suggest that the cognitive demands of the sports, rather than improvements in physical fitness, may be primarily responsible for the enhancements in EF.
Who has the greatest influence on adolescent gaming disorder: parents, teachers, or peers? An interpersonal relationships network model of gaming disorder
Authors: Tan Xinjie , Liu Chunlin , Yang WanJun , Hui Xiao , Zhang Ling , Chen Shuanghong , He Ying 
Published: October 2024

IntroductionGaming disorder (GD) in adolescents is associated with impaired interpersonal relationships, including those with parents, teachers and peers. However, the interpersonal relationships most strongly associated with GD-related maladaptive behaviors are not well established. This study aimed to investigate the associations between these three types of relationships and the manifestation of GD in adolescents.MethodsIn this cross-sectional study, 1920 Chinese adolescents participated in a survey that assessed interpersonal relationships (parent−child, teacher−student, and peer relationships) and demographic variables (e.g., gender, grade, duration of gaming), and 1414 participants were ultimately included. A network analysis approach was utilized to evaluate the key network metrics of edge weight and node centrality.ResultsThe findings revealed that peer fear and inferiority (r = 0.12) and teacher−student conflict were most strongly correlated with GD, followed by parent−child conflict (r = 0.09). Peer fear and inferiority exhibited the highest strength centrality (0.84), followed by teacher−student conflict (0.83) and parent−child conflict (0.35). Moreover, the duration of gaming was significantly and positively correlated with GD (r = 0.19).ConclusionsThe present study underscores the significant role of conflict and rejection within interpersonal relationships, particularly among peers, in the manifestation of GD-related behaviors in Chinese adolescents.
Magnitude of enteric pathogens associated with diarrhea and antibiotic resistance of enteric bacterial pathogens isolated among children under 5 years of age in Bule Hora town, West Guji, Ethiopia
Authors: Ashenafi Girma , Tilahun Dagnamyelew , Aliyo Alqeer , Sisay Biruk 
Published: October 2024

BackgroundDiarrhea is the second leading cause of morbidity and mortality worldwide among all ages, and one of the leading causes of poor health and premature death in the developing world. Microorganisms, such as viruses, bacteria, and parasites, are responsible for enteric infections among children. Excessive and inappropriate use of antimicrobial drugs and poor infection control practices have transformed antimicrobial resistance into a serious threat to public health worldwide. Therefore, it is essential to investigate the prevalence of enteric pathogens and the antimicrobial susceptibility patterns of bacterial pathogens.ObjectiveAssess the prevalence of enteric pathogens associated with diarrhea in children under 5 years at the Bule Hora Health Facility in 2021.MethodsAn institution-based cross-sectional study was conducted from May 2021 to July 2021 in a Bule Hora Health Centre and Hospital. A total of 422 children with diarrhea were included in the study in the outpatient department. Sociodemographic and associated factors were evaluated using a pre-tested questionnaire. A sufficient amount of stool specimens was collected following standard microbiological procedures. An antigen detection kit was used to diagnose rotaviruses, parasites were examined using microscopy, and bacterial identification was carried out by culture and biochemical tests. The antibiotic susceptibility test of the bacterial isolates was performed using the Kirby-Bauer disc diffusion method. The data were analyzed using SPSS version 20. The p-value less than 0.05 was declared statistically significant.ResultsThe overall prevalence of enteropathogens in children under 5 years of age was 17%, with no mixed infections detected. Of this, 7.8% of the children’s stool samples contained bacterial pathogens, 5% tested positive for rotavirus, and 4.2% contained intestinal parasites. Unprotected drinking water sources, poor carrier hand washing practices, and poor cleaning of utensils for child feeding were factors significantly associated with the prevalence of enteropathogens. Bacterial isolates have shown a high prevalence of resistance to amoxicillin.ConclusionTherefore, it is important to take steps to reduce the spread of enteric pathogens among children under 5 years practicing good hygiene, ensuring sanitation, and providing clean drinking water. We recommend performing antimicrobial susceptibility tests before prescribing treatment to children with diarrhea.
Knowledge, attitudes, and practices among medical students toward depression management: a cross-sectional study in China
Authors: Zhang Wei , Wu Xiaolin , Li Mi , Wang Guoli , Liu Yan , Zhang Xin , Zhang Linxuan 
Published: October 2024

BackgroundThe prevalence of depression among university and college students in China is nearly one-quarter. This study aimed to investigate the knowledge, attitudes and practices (KAP) among medical students toward depression management. Depression, a significant public health issue, has a substantial impact on students, with a reported prevalence of 23.8% among university and college students in China.MethodsThis web-based cross-sectional study was conducted between January 2023 and October 2023 at three medical universities in China. A self-administered questionnaire collected demographic information and assessed medical students’ KAP on depression management.ResultsA total of 632 participants were enrolled in this study from three medical universities. Among them, 383 (60.60%) were female, and the participants were aged 20.17 years on average (SD ± 1.80). Most of their family members (521, 82.44%) were not in the medical profession. Using a validated 15-point knowledge scale, a 50-point attitude scale, and a 30-point practice scale, which covered areas such as symptom recognition, treatment approaches, and stigma related to depression, the mean knowledge, attitudes and practices scores were 10.55 ± 3.36 (possible range: 0–15), 41.72 ± 4.45 (possible range: 10–50) and 19.79 ± 5.44 (possible range: 6–30), respectively. Males had lower knowledge (p = 0.003). Only children had higher practice (p = 0.034). Urban residents had higher attitudes (p = 0.046). Higher income linked to better practice (p = 0.047). Freshmen scored higher across all KAP (p &lt; 0.05). Medical family background linked to better knowledge (p = 0.005). The attitude scores were correlated with the practice scores (r = 0.403, p = 0.004). The structural equation model demonstrated that knowledge had direct effects on attitude and practice, as indicated by a path coefficient of 0.725 (p &lt; 0.001) and 0.370 (p = 0.001), respectively. Furthermore, attitude had direct effects on practices, with a path coefficient of 0.509 (p &lt; 0.001).ConclusionThe study revealed that medical students possessed sufficient knowledge and demonstrated active attitudes but exhibited limited practical skills in managing depression. In investigating the KAP of medical students, it is essential to integrate specific practical applications, such as role-playing scenarios and case studies, into the curriculum. These methods will emphasize the importance of knowledge, foster positive attitudes, and promote peer collaboration to enhance practical skills in depression management.
From Geometry of Hamiltonian Dynamics to Topology of Phase Transitions: A Review
Authors: Pettini Giulio , Gori Matteo , Pettini Marco 
Published: October 2024

In this review work, we outline a conceptual path that, starting from the numerical investigation of the transition between weak chaos and strong chaos in Hamiltonian systems with many degrees of freedom, comes to highlight how, at the basis of equilibrium phase transitions, there must be major changes in the topology of submanifolds of the phase space of Hamiltonian systems that describe systems that exhibit phase transitions. In fact, the numerical investigation of Hamiltonian flows of a large number of degrees of freedom that undergo a thermodynamic phase transition has revealed peculiar dynamical signatures detected through the energy dependence of the largest Lyapunov exponent, that is, of the degree of chaoticity of the dynamics at the phase transition point. The geometrization of Hamiltonian flows in terms of geodesic flows on suitably defined Riemannian manifolds, used to explain the origin of deterministic chaos, combined with the investigation of the dynamical counterpart of phase transitions unveils peculiar geometrical changes of the mechanical manifolds in correspondence to the peculiar dynamical changes at the phase transition point. Then, it turns out that these peculiar geometrical changes are the effect of deeper topological changes of the configuration space hypersurfaces ∑v=VN−1(v) as well as of the manifolds {Mv=VN−1((−∞,v])}v∈R bounded by the ∑v. In other words, denoting by vc the critical value of the average potential energy density at which the phase transition takes place, the members of the family {∑v}v<vc are not diffeomorphic to those of the family {∑v}v>vc; additionally, the members of the family {Mv}v>vc are not diffeomorphic to those of {Mv}v>vc. The topological theory of the deep origin of phase transitions allows a unifying framework to tackle phase transitions that may or may not be due to a symmetry-breaking phenomenon (that is, with or without an order parameter) and to finite/small N systems.
Impact of Acoustic and Optical Phonons on the Anisotropic Heat Conduction in Novel C-Based Superlattices
Authors: Talwar Devki N. , Becla Piotr 
Published: October 2024

C-based XC binary materials and their (XC)m/(YC)n (X, Y ≡ Si, Ge and Sn) superlattices (SLs) have recently gained considerable interest as valuable alternatives to Si for designing and/or exploiting nanostructured electronic devices (NEDs) in the growing high-power application needs. In commercial NEDs, heat dissipation and thermal management have been and still are crucial issues. The concept of phonon engineering is important for manipulating thermal transport in low-dimensional heterostructures to study their lattice dynamical features. By adopting a realistic rigid-ion-model, we reported results of phonon dispersions ωjSLk→ of novel short−period XCm/(YC)n001 SLs, for m, n = 2, 3, 4 by varying phonon wavevectors k→SL along the growth k|| ([001]), and in-plane k⊥ ([100], [010]) directions. The SL phonon dispersions displayed flattening of modes, especially at high-symmetry critical points Γ, Z and M. Miniband formation and anti-crossings in ωjSLk→ lead to the reduction in phonon conductivity κz along the growth direction by an order of magnitude relative to the bulk materials. Due to zone-folding effects, the in-plane phonons in SLs exhibited a strong mixture of XC-like and YC-like low-energy ωTA, ωLA modes with the emergence of stop bands at certain k→SL. For thermal transport applications, the results demonstrate modifications in thermal conductivities via changes in group velocities, specific heat, and density of states.