bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of clinical and echocardiographic outcomes between mini-thoracotomy transatrial LuX-Valve transcatheter and surgical tricuspid valve replacement
Authors: Huang Lei , Sun Zhenxing , Cai Yu , Xie Yuji , Zhang Ziming , Sun Wei , Li He , Fang Lingyun , He Lin , Zhang Li , Yang Yali , Wang Jing , Lv Qing , Li Yuman , Xie Mingxing 
Published: August 2024

Background and aimsTranscatheter tricuspid valve replacement (TTVR) has recently emerged as a novel therapeutic approach for managing severe tricuspid regurgitation (TR). However, surgical tricuspid valve replacement (STVR) continues to be the predominant treatment modality. There are limited comparative data on both procedures. This study aimed to compare clinical and echocardiographic outcomes between patients who underwent mini-thoracotomy transatrial LuX-Valve TTVR and those who underwent STVR.MethodsThis study prospectively collected patients with severe TR who underwent TTVR (n = 29) or isolated STVR (n = 59) at Wuhan Union Hospital from 2019 to 2022. All TTVR patients received the LuX-Valve via a mini-thoracotomy and transatrial approach. The clinical and echocardiographic outcomes were compared at 30-day and one-year follow-ups.ResultsAt baseline, patients with LuX-Valve TTVR had higher surgical risk scores and a greater proportion of right ventricular dysfunction compared with STVR. In the early postoperative period, the STVR group had a greater decrease in right ventricular function. Hospital length of stay (LOS), intensive care unit LOS, total procedure time, and tracheal intubation time were shorter in the TTVR than in the STVR group. The incidence of postoperative paravalvular leaks was higher among patients who underwent TTVR. Compared to the STVR group, the pacemaker implantation rate was lower in the TTVR group. During follow-up, the peak tricuspid valve velocity and mean gradient in the TTVR group were consistently lower than those in the STVR group. There was similar mortality between TTVR and STVR at 30-day and one-year follow-ups.ConclusionsThe mini-thoracotomy transatria LuX-Valve TTVR has a higher incidence of paravalvular leaks and a lower rate of pacemaker implantation than STVR, with similar 30-day and one-year mortality rates. In some respects, mini-thoracotomy transatrial LuX-Valve TTVR may be a feasible and safe treatment option for specific populations, or it could potentially serve as an alternative therapy to supplement conventional STVR. Further follow-up is required to assess differences in long-term clinical outcomes and valve durability.
The function of phytogenic mounds in the accumulation and conservation of soil seed banks in semiarid areas with water erosion
Authors: Nie W. J. , Du H. D. , Xie S. S. , Bi Y. L. 
Published: August 2024

BackgroundPhytogenic mounds are a type of microtopography formed under perennial plants canopies in water erosion areas. However, the function of phytogenic mounds in seed assemblages and their ecological consequences remain poorly understood in semiarid areas with water erosion. Thus, understanding the characteristics of seed banks on mounds is crucial for ecosystem conservation and management in water-eroded areas.MethodsWe compared the quantity and composition of soil seed banks on the upslope and downslope parts of mounds and intercanopy surfaces along four slope gradients. We also explored the relationships among the soil seed bank, aboveground vegetation, and environmental factors. Furthermore, the species similarity between the soil seed bank and aboveground vegetation was analyzed to clarify the important ecological consequences of phytogenic mounds for plant community construction in serious soil erosion area.ResultsFor slopes with α ≤ 46.6%, the intercanopy surfaces had greater soil seed bank species composition, density, and diversity than did the phytogenic mounds, and these characteristics showed no significant differences between the upslope and downslope parts of the mounds. As the slope increased, the soil seed bank density and species composition increased on the upslope part of the mound, and reached a maximum for slopes with α &gt; 70%, while the downslope part of the mound negatively effected on seed aggregation. The sediment accumulation rate, soil moisture, particle size distribution, pH, organic matter carbon, and hardness were significantly correlated with the soil seed bank density and diversity in the study area. For slopes with 0 &lt; α ≤ 26.8%, the species similarity coefficient between the soil seed bank and aboveground vegetation was the highest for the intercanopy surface. This species similarity on the upslope part of the mound showed an increasing trend with increasing slope gradient, while the downslope part of the mound had the opposite trend. For slopes with α &gt; 70%, the upslope part of the mound did not only have more species in the soil seed bank but also had more species in aboveground vegetation than did the downslope part of the mound and intercanopy surface.ConclusionFor slopes with α ≤ 46.6%, phytogenic mounds had barely impact soil seed bank accumulation and conservation in semiarid and eroded areas. For slopes with α &gt; 46.6%, the mounds (particularly on the upslope part of the mound) showed seed assemblage functions, which are coupled with improving edaphic conditions and decreasing microhabitat stress; thus, phytogenic mounds, or areas of microtopography, can be used to promote restoration success in semiarid eroded areas.
Influence of bundled care treatment on functional outcome in patients with intracerebral hemorrhage
Authors: Mrochen Anne , Song Yu , Harders Verena , Sembill Jochen A. , Sprügel Maximilian I. , Hock Stefan , Lang Stefan , Engelhorn Tobias , Kallmünzer Bernd , Volbers Bastian , Kuramatsu Joji B. 
Published: August 2024

Background and aimsGeneral guideline recommendations in patients with intracerebral hemorrhage (ICH) include blood pressure-, temperature- and glucose management. The therapeutic effect of such a “care bundle” (blood pressure lowering, glycemic control, and treatment of pyrexia) on clinical outcomes becomes increasingly established. For the present study, we aimed to investigate associations of strict bundled care treatment (BCT) with clinical outcomes and characterize associations with key outcome effectors such as hematoma enlargement (HE) and peak perihemorrhagic edema (PHE).MethodsWe screened consecutive ICH patients (n = 1,322) from the prospective UKER-ICH cohort study. BCT was defined as achieving and maintaining therapeutic ranges for systolic blood pressure (110–160 mmHg), glucose (80–180 mg/dL), and body temperature (35.5–37.5°C) over the first 72 h. The primary outcome was the functional outcome at 12 months (modified Rankin Scale (mRS) 0–3). Secondary outcomes included mortality at 12 months, the occurrence of hematoma enlargement, and the development of peak perihemorrhagic edema. Confounding was addressed by a doubly robust methodology to calculate the absolute treatment effect (ATE) and by calculating e-values.ResultsA total of 681 patients remained for analysis, and 182 patients fulfilled all three BCT criteria and were compared to 499 controls. The ATE of BCT to achieve the primary outcome was 9.3%, 95% CI (1.7 to 16.9), p &lt; 0.001; e-value: 3.1, CI (1.8). Mortality at 12 months was significantly reduced by BCT [ATE: −12.8%, 95% CI (−19.8 to −5.7), p &lt; 0.001; e-value: 3.8, CI (2.2)], and no association was observed for HE or peak PHE. Significant drivers of BCT effect on the primary outcome were systolic blood pressure control (ATE: 15.9%) and maintenance of normothermia (ATE: 10.9%).ConclusionStrict adherence to this “care bundle” over the first 72 h during acute hospital care in patients with ICH was independently associated with improved functional long-term outcome, driven by systolic blood pressure control and maintenance of normothermia. Our findings strongly warrant prospective validation to determine the generalizability especially in Western countries.Clinical trial registration:ClinicalTrials.gov, identifier [ID: NCT03183167].
Bidirectional two-sample Mendelian randomization analysis identifies causal associations between migraine and five psychiatric disorders
Authors: Li Wen-Wei , Zhang Jia-Xin , Wang Jia , Chen Ya-qing , Lai Sha , Qiu Zhi-Kun 
Published: August 2024

BackgroundThe question of whether a correlation exists between migraine and five psychiatric disorders, including posttraumatic stress disorder (PTSD), major depressive disorder (MDD), anorexia nervosa (AN), bipolar disorder (BIP), and schizophrenia (SCZ), remains a matter of controversy. Hence, this research aims to investigate whether there is a possible association between migraine and five psychiatric disorders.MethodsWe performed a bidirectional 2-sample Mendelian randomization (MR) analysis to assess the causality between migraine and five psychiatric disorders. Genetic associations of PTSD, MDD, AN, BIP, and SCZ were obtained from the Psychiatric Genomics Consortium (PGC) database and genetic associations of migraine with aura and migraine without aura were obtained from the FinnGen dataset. We used the inverse-variance weighted (IVW), weighted median, weighted mode, MR Pleiotropy RESidual Sum and Outlier (MR-PRESSO), and MR Egger regression methods to evaluate the association of genetically predicted exposure with the risk of outcome.ResultsMR demonstrated that MDD was associated with a high risk of migraine without aura (OR = 1.930578, 95% confidence interview (CI): 1.224510, 3.043550, p &lt; 0.05), but BIP was related to a low risk of migraine without aura (OR = 0.758650, 95%CI: 0.639601, 0.899858, p &lt; 0.05). According to the results of reverse MR, migraine with aura was associated with a high risk of BIP (OR = 1.019100, 95%CI: 1.002538, 1.035935, p &lt; 0.05), and migraine without aura was associated with an increased risk of AN (OR = 1.055634, 95%CI: 1.023859, 1.088394, p &lt; 0.05).ConclusionOur results provide evidence of the potential causal association between migraine and some psychiatric disorders. It may contribute to the prevention of migraine and some psychiatric disorders.
Tracing the evolving dynamics and research hotspots of spinal cord injury and surgical decompression from 1975 to 2024: a bibliometric analysis
Authors: Wang Siqiao , Xu Wei , Wang Jianjie , Hu Xiao , Wu Zhourui , Li Chen , Xiao Zhihui , Ma Bei , Cheng Liming 
Published: August 2024

BackgroundExploration of the benefits and timing of surgical decompression in spinal cord injury (SCI) has been a research hotspot. However, despite the higher volume and increasing emphasis on quality there remains no bibliometric view on SCI and surgical decompression. In this study, we aimed to perform bibliometric analysis to reveal the core countries, affiliations, journals, authors, and developmental trends in SCI and surgical decompression across the past 50 years.MethodsArticles and reviews were retrieved from web of science core collection between 1975 and 2024. The bibliometrix package in R was used for data analysis and visualizing.ResultsA total of 8,688 documents were investigated, indicating an ascending trend in annual publications. The USA and China played as the leaders in scientific productivity. The University of Toronto led in institutional productions. Core authors, such as Michael G. Fehlings, showed high productivity, and occasional authors showed widespread interests. Core journals like Spine and Spinal Cord served as beacons in this field. The interaction of core authors and international collaboration accentuated the cross-disciplinary feature of the field. Prominent documents emphasized the clinical significance of early decompression in 24 h post SCI.ConclusionBased on comprehensive bibliometric analysis and literature review, we identified the hotspots and future directions of this field: (1) further investigation into the molecular and cellular mechanisms to provide pre-clinical evidence for biological effects of early surgical decompression in SCI animal models; (2) further evaluation and validation of the optimal time window of surgical decompression based on large cohort, considering the inherent heterogeneity of subpopulations in complicated immune responses post SCI; (3) further exploration on the benefits of early decompression on the neurological, functional, and clinical outcomes in acute SCI; (4) evaluation of the optimal surgical methods and related outcomes; (5) applications of artificial intelligence-based technologies in spinal surgical decompression.
The use of matrine to inhibit osteosarcoma cell proliferation via the regulation of the MAPK/ERK signaling pathway
Authors: Huang Xincheng , Zeng Jun , Ruan Siyuan , Lei Zhuolin , Zhang Jingyuan , Cao Hong 
Published: August 2024

BackgroundMatrine is an alkaloid extracted from Sophorus beans of the legume family, and it has significant effects and a variety of pharmacological activities. Osteosarcoma(OS) is a common malignant bone tumor that is characterized by high incidence and rapid progression. There have been some preliminary studies on the therapeutic effect of matrine on OS, but the specific mechanism remains unclear.ObjectiveThe aim of this study was to investigate the antitumor effect of matrine on HOS cells and the underlying molecular mechanism.MethodsThe effects of matrine on the proliferation, apoptosis and cell cycle progression of HOS cells were determined by CCK-8 assay, TUNEL assay and flow cytometry in vitro. Wound healing and Transwell invasion assays were used to observe the effect of matrine on the migration and invasion of HOS cells. The mechanism underlying the antitumor effect of matrine on HOS cells was investigated by Western blotting.ResultsMatrine significantly inhibited HOS cell proliferation, promoted HOS cell apoptosis, and arrested HOS cells in the G1 phase of the cell cycle. Both wound healing and Transwell invasion assays showed that matrine inhibited HOS cell migration and invasion. Western blotting results showed that matrine inhibited the activation of the MAPK/ERK signaling pathway. We found that matrine also downregulated Bcl-2 expression, which may be related to protein synthesis inhibition.ConclusionMatrine can inhibit the proliferation of HOS cells, arrest HOS cells in the G1 phase, and promote HOS cell apoptosis through the MAPK/ERK signaling pathway.
Risk of low levels of blood group antibodies mediating hemolysis in ABO-incompatible neonates with negative three hemolysis tests
Authors: Lin Hongxing , Luo Pingxiang , Liu Chen , Lin Xiaosong , Que Chengwen , Zhong Wenhui 
Published: August 2024

ObjectiveTo explore the risk of low-level blood group antibody-mediated hemolysis in ABO-incompatible newborns with negative three hemolysis tests, aiming to assist in the identification and management of neonatal jaundice.MethodsA retrospective case-control study was performed in 892 children with jaundice. The patients were divided into three groups: group I, ABO compatible, negative three hemolysis tests; group II, ABO incompatible, negative three hemolysis tests; and group III, ABO incompatible, positive three hemolysis tests. We analyzed the differences in clinical data, blood routine and biochemical laboratory results.Results(1) Patients in group II had higher levels of mean corpuscular volume (MCV), standard deviation of red blood cell volume distribution width (RDW-SD), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), alkaline phosphatase (ALP), and bile acid (BA) than those in group I (P &lt; 0.05). However, there were no statistically significant differences in the MCV, ALT, ALP and BA levels between groups II and III (P &gt; 0.05). (2) Mean corpuscular hemoglobin concentration (MCHC) &gt;359.5 g/L, cell volume distribution width (RDW-CV) &gt;15.95%, and reticulocyte count (RET) &gt;4.235% were identified as independent predictors of positive hemolysis test results (P &lt; 0.001). The combination of MCHC, RDW-CV, and RET% yielded an AUC of 0.841.ConclusionLow-level blood group antibody-mediated hemolysis may occur in ABO-incompatible neonates even when three hemolysis tests are negative. Changes in liver function parameters must be monitored. The combination of MCHC, RDW-CV, and RET% can be used to improve the detection rate of HDN.
Chitosan-based biomaterial delivery strategies for hepatocellular carcinoma
Authors: Wang Xianling , Yang Yan , Zhao Shuang , Wu Di , Li Le , Zhao Zhifeng 
Published: August 2024

BackgroundHepatocellular carcinoma accounts for 80% of primary liver cancers, is the most common primary liver malignancy. Hepatocellular carcinoma is the third leading cause of tumor-related deaths worldwide, with a 5-year survival rate of approximately 18%. Chemotherapy, although commonly used for hepatocellular carcinoma treatment, is limited by systemic toxicity and drug resistance. Improving targeted delivery of chemotherapy drugs to tumor cells without causing systemic side effects is a current research focus. Chitosan, a biopolymer derived from chitin, possesses good biocompatibility and biodegradability, making it suitable for drug delivery. Enhanced chitosan formulations retain the anti-tumor properties while improving stability. Chitosan-based biomaterials promote hepatocellular carcinoma apoptosis, exhibit antioxidant and anti-inflammatory effects, inhibit tumor angiogenesis, and improve extracellular matrix remodeling for enhanced anti-tumor therapy.MethodsWe summarized published experimental papers by querying them.Results and ConclusionsThis review discusses the physicochemical properties of chitosan, its application in hepatocellular carcinoma treatment, and the challenges faced by chitosan-based biomaterials.
Guessing errors made by children with dyslexia in word and text reading
Authors: De Rom Margot , Van Reybroeck Marie 
Published: August 2024

IntroductionChildren with dyslexia face persistent difficulties in reading acquisition, which results in poor reading accuracy. In addition to the commonly studied reading errors such as omissions, additions, substitutions, and letter reversals, they also make guessing errors characterized by replacing a word with an orthographic neighbor. These errors, which occur in the context of isolated words and sentence or text reading, might be linked to the inhibition issues that have already been demonstrated in connection to dyslexia. However, to the best of our knowledge, there is no experimental evidence that children with dyslexia make more guessing errors than typically developing children, as is the case for sequential errors. The current study aimed to evaluate whether children with dyslexia made more guessing errors than typically developing children and whether these errors were more frequent in an isolated word or sentence context.MethodsTwenty-eight children with dyslexia from Grade 4 were matched with typically developing children by either chronological age or reading level. Reading was assessed through word and text reading tasks. Error types were classified into seven categories and analyzed.Results and conclusionA repeated-measure ANOVA showed that children with dyslexia made more guessing errors, particularly visual and morphemic errors, than typically developing children. Moreover, these errors were found at both the single word and sentence levels. These findings suggest that children with dyslexia tend to use a global treatment of words, relying on incomplete information to compensate for their difficulties. The findings have practical implications for pedagogical and therapeutic approaches.
Systemic immune inflammation index is a valuable marker for predicting hemodialysis patients with depression: a cross-sectional study
Authors: Han Xi-xi , Zhang Hui-ying , Kong Jing-wen , Liu Yu-xin , Zhang Ke-ren , Ren Wen-ying 
Published: August 2024

ObjectiveMaintenance hemodialysis (MHD) patients suffer from enormous physical, mental stress and poor quality of life, so an increasing number of patients are in a long-term state of depression. A prominent feature of MHD patients is chronic persistent inflammation, which is also an important mechanism for the onset of depression. Therefore, finding economically convenient inflammatory markers to predict and diagnose the onset of depression in MHD patients is of great value. As a novel inflammatory marker, systemic immune inflammation index (SII) can more comprehensively reflect the inflammation and immunity level of patients. This study aims to explore the relationship between SII and depressive symptoms in MHD patients.MethodsA cross-sectional study was conducted on 206 MHD patients from three dialysis centers. Based on the Hospital Anxiety and Depression Scale (HADS) scores, patients were divided into non-depression and depression groups. Inter group comparison and multivariate logistic regression analysis were performed to determine whether SII is an independent risk factor for depression in MHD patients. Receiver operating characteristic (ROC) curve was used to evaluate the predictive value of SII on depression symptoms in MHD patients.ResultsAccording to the HADS scale score, 38.83% of the included patients were in a state of depression. After adjusting for all confounding factors, MHD patients with SII&gt;963.93 had a 4.709 times higher risk of depression than those with SII ≤ 478.32 (OR=4.709, 95% CI 1.821–12.178, P&lt;0.01). ROC analysis showed that SII&gt;685.11 was the best cutoff value for MHD depression patients, and the area under the curve (AUC) was 0.681.ConclusionsHigh SII is an independent risk factor for depressed MHD patients and an ideal inflammatory marker for predicting and identifying depression in MHD patients as assessed by the HADS scale.