bluuebunny/crossref_metadata_2025_split huggingface dataset:
Differences in Right Heart Function After Pulmonary Valve Replacement in Patients With Pulmonary Valve Stenosis Versus Tetralogy of Fallot
Authors: Egbe Alexander C. , Jain C. Charles , Abozied Omar , Burchill Luke J. , Younis Ahmed , Karnakoti Snigdha , Ahmed Marwan H. , Connolly Heidi M. 
Published: July 2024

Background
There are limited data about the impact of timing of pulmonary valve replacement (PVR) on right heart reverse remodeling in patients with pulmonary regurgitation following intervention for isolated pulmonary valve stenosis (PS). This study compared differences in postprocedural right heart reverse remodeling after early versus late PVR (defined as PVR before versus after attainment of the conservative consensus criteria proposed by Bokma et al, 2018) in patients with prior intervention for PS, using patients with tetralogy of Fallot as the reference group.

Method and Results

Right atrial reservoir strain and right ventricular free wall strain was measured at baseline, 1 and 3 years after PVR. There were 114 patients with PS (early PVR, 87 [76%]; late PVR, 27 [24%]) and 291 patients with tetralogy of Fallot (early PVR, 197 [67%]; late PVR, 96 [33%]). The PS group had greater improvement in right atrial reservoir strain at 1 year (12%±4% versus 8%±4%;
P
<0.001) and 3 years (15%±6% versus 9%±6%;
P
<0.001), and a greater improvement in right ventricular free wall strain at 1 year (12%±4% versus 7%±3%,
P
=0.008) and 3‐years (16%±6% versus 12%±5%;
P
=0.01) after PVR compared with the tetralogy of Fallot group. There was no difference in right heart reverse remodeling between patients who underwent early versus later PVR within the PS group. In contrast, late PVR was associated with less right heart reverse remodeling within the tetralogy of Fallot group.

Conclusions
These data suggest that patients with palliated PS presenting pulmonary regurgitation have a more benign clinical course, and hence delaying PVR in this population may be appropriate.
A new species of the genus Porirualia Huys & Mu, 2021 (Copepoda, Harpacticoida, Parastenheliidae) from the intertidal zone of Qingdao, China, with a key to species of the genus
Authors: MA LIN , WU YIHONG , LI XIN ZHENG 
Published: July 2024

A new species belonging to the genus Porirualia Huys & Mu, 2021 was identified and described here based on samples collected from No. 1 Bathing Beach, Qingdao, China. The new species differs from Porirualia pyriformis mainly in the following characteristics: P3 and P4 exp-3 with three inner setae (two inner setae in P. pyriformis), ratio of length to maximum width of female P5 3.83 (3.25 in P. pyriformis). The new species differs from Porirualia megarostrum by the characters including rostrum reaching to distal margin of third segment of antennule (reaching to distal margin of fifth segment of antennule in P. megarostrum), ratio of length to maximum width of female P5 3.83 (2.2 in P. megarostrum); male P2 and P3 two-segmented (three-segmented in P. megarostrum); male P5 bearing five elements (six in P. megarostrum). This is the first report of the genus Porirualia from the China Seas. The DNA barcode (COI) sequence of the new species was obtained and submitted to GenBank (PP761118), which is the first submission of COI sequence of the family Parastenheliidae to GenBank.
Neural Networks to Find the Optimal Forcing for Offsetting the Anthropogenic Climate Change Effects
Authors: Ren Huiying , Lu Jian , Hou Z. Jason , Chen Tse-Chun , Leung L. Ruby , Liu Fukai 
Published: July 2024

Abstract
Of great relevance to climate engineering is the systematic relationship between the radiative forcing to the climate system and the response of the system, a relationship often represented by the linear response function (LRF) of the system. However, estimating the LRF often becomes an ill-posed inverse problem due to high-dimensionality and nonunique relationships between the forcing and response. Recent advances in machine learning make it possible to address the ill-posed inverse problem through regularization and sparse system fitting. Here, we develop a convolutional neural network (CNN) for regularized inversion. The CNN is trained using the surface temperature responses from a set of Green’s function perturbation experiments as imagery input data together with data sample densification. The resulting CNN model can infer the forcing pattern responsible for the temperature response from out-of-sample forcing scenarios. This promising proof of concept suggests a possible strategy for estimating the optimal forcing to negate certain undesirable effects of climate change. The limited success of this effort underscores the challenges of solving an inverse problem for a climate system with inherent nonlinearity.

Significance Statement
Predicting the climate response for a given climate forcing is a direct problem, while inferring the forcing for a given desired climate response is often an inverse, ill-posed, problem, posing a new challenge to the climate community. This study makes the first attempt to infer the radiative forcing for a given target pattern of global surface temperature response using a deep learning approach. The resulting deeply trained convolutional neural network inversion model shows promise in capturing the forcing pattern corresponding to a given surface temperature response, with a significant implication on the design of an optimal solar radiation management strategy for curbing global warming. This study also highlights the technical challenges that future research should prioritize in seeking feasible solutions to the inverse climate problem.
Deciphering the Variations and Mechanisms of Global Land Monsoons during Marine Isotope Stage 3
Authors: Zhang Jinzhe , Yan Qing , Jiang Nanxuan , Guo Chuncheng 
Published: July 2024

Abstract
Marine Isotope Stage 3 (MIS 3) is characterized by significant millennial-scale climatic oscillations between cold stadials and mild interstadials, which presents a valuable case for understanding hydrological response to abrupt climate change. Through a set of coupled model simulations, our results broadly show an antiphased interhemispheric change in land monsoonal precipitation during the present-day relative to MIS 3 interstadial and the stadial–interstadial transition, with a general decrease in the Northern Hemisphere but an increase in the Southern Hemisphere. The antiphased pattern is largely caused by the change in orbital insolation during the present-day relative to MIS 3 interstadial, whereas by the weakened Atlantic meridional overturning circulation during the interstadial–stadial transition. However, there are obvious discrepancies in precipitation response and underlying mechanisms among individual monsoon domains and across different periods. Based on the moisture budget analysis, we indicate that the dynamic factor mainly explains the decreased monsoonal rainfall in the Northern Hemisphere during the present-day relative to the MIS 3 interstadial, whereas the thermodynamic term is largely responsible for the increased precipitation in the Southern Hemisphere. In contrast, the dynamic factor plays an important role in the variation of precipitation over all the monsoon zones from the MIS 3 interstadial to stadial states, with the thermodynamic term mainly contributing to the decreased tropical monsoonal precipitation in the colder Northern Hemisphere. Our results help improve the understanding of global monsoon variations under intermediate glacial climate conditions and shed light on their behaviors under potentially rapid climate change in the future.
Low-dose tenecteplase during cardiopulmonary resuscitation in massive pulmonary embolism
Authors: Vajifdar Farzin , Badki Parag 
Published: July 2024

AbstractWe report the case of an 18-year-old male who presented to the Emergency Department with sudden onset dyspnea. The patient was intubated on arrival, but suffered a cardiac arrest soon after. Point-of-care echocardiography during cardiopulmonary resuscitation revealed a grossly dilated right atrium and right ventricle, which alerted the Emergency physician to the possibility of massive pulmonary embolism leading to cardiac arrest. Due to no discernible history or risk factors in favour of pulmonary embolism, a decision was taken for thrombolysis with half dose Tenecteplase. Return of spontaneous circulation was achieved 14 min after thrombolysis, with massive pulmonary embolism subsequently being confirmed on CT Pulmonary Angiography.
Insights on long-term ecosystem changes from stable isotopes in historical squid beaks
Authors: Golikov Alexey V. , Xavier José C. , Ceia Filipe R. , Queirós José P. , Bustamante Paco , Couperus Bram , Guillou Gaël , Larionova Anna M. , Sabirov Rushan M. , Somes Christopher J. , Hoving Henk-Jan 
Published: July 2024

Abstract
Background
Assessing the historical dynamics of key food web components is crucial to understand how climate change impacts the structure of Arctic marine ecosystems. Most retrospective stable isotopic studies to date assessed potential ecosystem shifts in the Arctic using vertebrate top predators and filter-feeding invertebrates as proxies. However, due to long life histories and specific ecologies, ecosystem shifts are not always detectable when using these taxa. Moreover, there are currently no retrospective stable isotopic studies on various other ecological and taxonomic groups of Arctic biota. To test whether climate-driven shifts in marine ecosystems are reflected in the ecology of short-living mesopredators, ontogenetic changes in stable isotope signatures in chitinous hard body structures were analysed in two abundant squids (Gonatus fabricii and Todarodes sagittatus) from the low latitude Arctic and adjacent waters, collected between 1844 and 2023.

Results
We detected a temporal increase in diet and habitat-use generalism (= opportunistic choice rather than specialization), trophic position and niche width in G. fabricii from the low latitude Arctic waters. These shifts in trophic ecology matched with the Atlantification of the Arctic ecosystems, which includes increased generalization of food webs and higher primary production, and the influx of boreal species from the North Atlantic as a result of climate change. The Atlantification is especially marked since the late 1990s/early 2000s. The temporal patterns we found in G. fabricii’s trophic ecology were largely unreported in previous Arctic retrospective isotopic ecology studies. Accordingly, T. sagittatus that occur nowadays in the high latitude North Atlantic have a more generalist diet than in the XIXth century.

Conclusions
Our results suggest that abundant opportunistic mesopredators with short life cycles (such as squids) are good candidates for retrospective ecology studies in the marine ecosystems, and to identify ecosystem shifts driven by climate change. Enhanced generalization of Arctic food webs is reflected in increased diet generalism and niche width in squids, while increased abundance of boreal piscivorous fishes is reflected in squids’ increased trophic position. These findings support opportunism and adaptability in squids, which renders them as potential winners of short-term shifts in Arctic ecosystems.
Abnormal platelet parameters in inflammatory bowel disease: a systematic review and meta-analysis
Authors: Xu Cheng , Song Zhen , Hu Li-ting , Tong Yi-heng , Hu Jing-yi , Shen Hong 
Published: July 2024

Abstract
Background
Platelet dysfunction plays a critical role in the pathogenesis of inflammatory bowel disease (IBD). Despite clinical observations indicating abnormalities in platelet parameters among IBD patients, inconsistencies persist, and these parameters lack standardization for diagnosis or clinical assessment.

Methods
A comprehensive search was conducted in the PubMed, Embase, Web of Science, and Cochrane Library databases for relevant articles published up to December 16th, 2023. A random-effects model was employed to pool the weighted mean difference (WMD) and 95% confidence interval (95% CI) of platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW), and plateletcrit (PCT) between IBD patients and healthy controls, and subgroup analyses were performed.

Results
The meta-analysis included 79 articles with 8,350 IBD patients and 13,181 healthy individuals. The results revealed significantly increased PLT and PCT levels (WMD: 69.910, 95% CI: 62.177, 77.643 109/L; WMD: 0.046%, 95% CI: 0.031%, 0.061%), and decreased MPV levels (WMD: -0.912, 95% CI: -1.086, -0.739 fL) in IBD patients compared to healthy individuals. No significant difference was found in PDW between the IBD and control groups (WMD: -0.207%, 95% CI: -0.655%, 0.241%). Subgroup analysis by disease type and disease activity showed no change in the differences for PLT, PCT, and MPV in the ulcerative colitis and Crohn’s disease groups, as well as the active and inactive groups. Notably, the active group exhibited significantly lower PDW levels than the control group (WMD: -1.138%, 95% CI: -1.535%, -0.741%).

Conclusions
Compared with healthy individuals, IBD patients display significantly higher PLT and PCT and significantly lower MPV. Monitoring the clinical manifestations of platelet abnormalities serves as a valuable means to obtain diagnostic and prognostic information. Conversely, proactive measures should be taken to prevent the consequences of platelet abnormalities in individuals with IBD.

Systematic review registration
PROSPERO CRD42023493848.
Cytokines assets in PLWH in two-drug dolutergravir based or three-drug antiretroviral regimen
Authors: Falasca Katia , Ucciferri Claudio , Di Gasbarro Alessandro , Borrelli Paola , Di Nicola Marta , Frisenda Carla , Costantini Erica , Aielli Lisa , Reale Marcella , Vecchiet Jacopo 
Published: July 2024

AbstractTo minimize the toxicity and impact of combined antiretroviral therapy (cART) on the lifestyle of people living with Human Immunodeficiency Virus (PLWH), scientific community evaluated the efficacy, safety and sustained virologic response of two drugs antiretroviral regimens, in particular dolutegravir (DTG). The effects of deintensification therapy on inflammatory settings are currently unknown in PLWH. Thus, our study explored the inflammatory state in virologically suppressed HIV individuals between patients in treatment with a DTG-containing dual therapy (2DR) versus triple regimen therapies (3DR). We enrolled a total of 116 subjects in 2DRs or 3DRs regimens, and the plasma levels of pro- and anti-inflammatory cytokines (in particular IL-1β, IL-10, IL-18, IL-33, IL-36 and IFN-γ) have been evaluated. CD4 + cell’s median value was 729.0 cell/µL in the 3DR group and 771.5 cell/µL in 2DR group; the viral load was negative in all patients. Significant differences were found in levels of IL-18 (648.8 cell/µL in 3DR group vs. 475.0 cell/µL in 2DR group, p = 0.034) and IL-36 (281.7 cell/µL in 3DR group vs. 247.0 cell/µL in 2DR group, p = 0.050), and a correlation between IL-18 and IL-36 was found in 3DR group (rho = 0.266, p = 0.015). This single-center retrospective pharmacological study confirms the absence of significant differences in IL-1β, IL-10, IL-33, and IFN-γ levels between patients on two-drug antiretroviral regimens compared to patients on 3DR antiretroviral regimens. Patients in 2DR show greater control over IL-18 and IL-36 serum levels, cytokines related to an increased cardiovascular risk and development of age-related chronic diseases. Based on our results, we suggest that DTG-based 2DR antiretroviral regimens could be associated with better control of the chronic inflammation that characterizes the population living with HIV in effective ART.
Assessing the relationship between malaria incidence levels and meteorological factors using cluster-integrated regression
Authors: Amadi Miracle , Erandi K. K. W. Hasitha 
Published: July 2024

AbstractThis paper introduces a novel approach to modeling malaria incidence in Nigeria by integrating clustering strategies with regression modeling and leveraging meteorological data. By decomposing the datasets into multiple subsets using clustering techniques, we increase the number of explanatory variables and elucidate the role of weather in predicting different ranges of incidence data. Our clustering-integrated regression models, accompanied by optimal barriers, provide insights into the complex relationship between malaria incidence and well-established influencing weather factors such as rainfall and temperature.We explore two models. The first model incorporates lagged incidence and individual-specific effects. The second model focuses solely on weather components. Selection of a model depends on decision-makers priorities. The model one is recommended for higher predictive accuracy. Moreover, our findings reveal significant variability in malaria incidence, specific to certain geographic clusters and beyond what can be explained by observed weather variables alone.Notably, rainfall and temperature exhibit varying marginal effects across incidence clusters, indicating their differential impact on malaria transmission. High rainfall correlates with lower incidence, possibly due to its role in flushing mosquito breeding sites. On the other hand, temperature could not predict high-incidence cases, suggesting that other factors other than temperature contribute to high cases.Our study addresses the demand for comprehensive modeling of malaria incidence, particularly in regions like Nigeria where the disease remains prevalent. By integrating clustering techniques with regression analysis, we offer a nuanced understanding of how predetermined weather factors influence malaria transmission. This approach aids public health authorities in implementing targeted interventions. Our research underscores the importance of considering local contextual factors in malaria control efforts and highlights the potential of weather-based forecasting for proactive disease management.
Retrospective audit compares screening and treatment of pregnancy-related anaemia in regional New South Wales with Australian guidelines
Authors: Ebrahim Mariam , Vadive Priya Dharshini , Dutton Tegan , Anyasodor Anayochukwu Edward , Osuagwu Uchechukwu Levi , Bailey Jannine 
Published: July 2024

Abstract
Background
Anaemia during pregnancy is common worldwide. In Australia, approximately 17% of non-pregnant women of reproductive age have anaemia, increasing to a rate of 25% in pregnant women. This study sought to determine the rate of screening for anaemia in pregnancy in regional New South Wales, and to determine whether screening and treatment protocols followed the recommended guidelines.

Methods
This retrospective study reviewed antenatal and postnatal (48 h) data of women (n = 150) who had a live birth at Bathurst Hospital between 01/01/2020 and 30/04/2020. Demographic data, risk factors for anaemia in pregnancy, antenatal bloods, treatments provided in trimesters one (T1), two (T2) and three (T3), and postpartum complications were recorded. These were compared to the Australian Red Cross Guidelines (ARCG) using descriptive statistics.

Results
Of the women with screening data available (n = 103), they were mostly aged 20-35yrs (79.6%), 23.3% were obese, 97.1% were iron deficient, 17% were anaemic and only a few (5.3%) completed the full pregnancy screening as recommended by the ARCG while a majority completed only partial screenings specifically Hb levels in T1 (56.7%), T2 (44.7%) and T3 (36.6%). Compliance to oral iron was largely undocumented, but constipation was a common side effect among the women. IV iron was administered in 14.0% of women, approximately 1.75x higher than the recommended rate.

Conclusions
This study provided useful information about compliance to screening and treatment guidelines for anaemia in pregnancy. We identified the need for improved documentation and communication between various health providers to ensure adequate antenatal care to prevent maternal complications during pregnancy. This will improve patient care and encourage further developments in maternal care, bridging the rural health gap.
Psychological resilience in the relationship between family function and illness uncertainty among family members of trauma patients in the intensive care unit
Authors: Yu Peilin , Zhang Wanzhu , Li Shijie , Luo Xuan , Chen Hao , Mi Jie 
Published: July 2024

Abstract
Background
Severe trauma accounts for a main factor inducing mortality for individuals aged < 45 years in China, which requires admission to intensive care unit (ICU) to receive comprehensive treatment. Family members of patients with unanticipated and life-threatening trauma during their ICU stays often experience psychosocial distress due to illness uncertainty. Previous research has shown that family function and psychological resilience are associated with illness uncertainty, respectively. However, little is known about the current situation and interacting mechanism between family function, psychological resilience, and illness uncertainty of family members for ICU trauma patients. Therefore, this study focused on exploring the current situation and relationships between these three factors in family members for ICU trauma patients.

Methods
The convenience sampling approach was adopted in the present cross-sectional survey, which involved 230 family members for ICU trauma patients from 34 hospitals in Chongqing, China. Related data were extracted with self-reporting questionnaires, which included sociodemographic characteristic questionnaire, the Family Adaptability, Partnership, Growth, Affection and Resolve Scale (APGAR), the 10-item Connor-Davidson Resilience Scale (10-CD-RISC) and the Mishel’s Illness Uncertainty Scale for Family Members (MUIS-FM). Pearson correlation analysis was conducted to examine the correlations between various variables. Additionally, a structural equation model was adopted to assess the mediating effect of psychological resilience on family function and illness uncertainty.

Results
According to our results, family members for ICU trauma patients experienced high illness uncertainty with moderate family dysfunction and low psychological resilience. Family function directly affected illness uncertainty and indirectly affected illness uncertainty through psychological resilience in family members of ICU trauma patients.

Conclusions
Family function and psychological resilience are the protective factors for reducing illness uncertainty. Healthcare providers should take effective measures, including family-functioning improvement and resilience-focused interventions, for alleviating illness uncertainty in family members of ICU trauma patients.