bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unraveling psychological burden: the interplay of socio-economic status, anxiety sensitivity, intolerance of uncertainty, and stress in first-year medical students
Authors: Gellisch Morris , Olk Bettina , Schäfer Thorsten , Brand-Saberi Beate 
Published: August 2024

Abstract
Background
The escalating prevalence of mental health issues among young adults, set against the backdrop of a global healthcare system under pressure, underscores the necessity for cultivating a resilient medical workforce. This study investigates the influence of socio-economic status (SES) on psychological well-being, with a particular focus on Anxiety Sensitivity (AS) and Intolerance of Uncertainty (IU) among first-year medical students. Understanding the psychological dimensions affecting medical students is crucial for fostering a future medical workforce that is both capable and mentally healthy.

Methods
This research involved 321 first-year medical students, evaluated using the Perceived Stress Questionnaire (PSQ), Anxiety Sensitivity Index (ASI), the Intolerance of Uncertainty Scale (UI-18), and the Student Self-Efficacy Scale (SSE), alongside socio-economic categorization. Employing descriptive statistics, ANOVA, and correlation analyses, the study aimed at elucidating the SES impact on AS and IU, among other psychological constructs.

Results
The analysis revealed significant SES-related differences, especially in the realms of Anxiety Sensitivity and Intolerance of Uncertainty. Notably, ASI_C (cognitive concerns) exhibited strong positive correlations with both UI_A (reduced ability to act due to IU) (Pearson’s r = 0.562, p < 0.001) and UI_B (burden due to IU) (Pearson’s r = 0.605, p < 0.001), highlighting the link between cognitive aspects of anxiety and uncertainty intolerance. Furthermore, UI_C (vigilance due to IU) was significantly associated with SES (F(4, 316) = 2.719, p = 0.030, η² = 0.033), pointing to the complex ways in which socio-economic factors modulate responses to uncertainty. Self-efficacy emerged as a significant counterbalance, showing protective associations against the adverse effects of heightened Anxiety Sensitivity and Intolerance of Uncertainty.

Conclusion
Our findings indicate that lower socio-economic status is associated with higher levels of Anxiety Sensitivity and Intolerance of Uncertainty, which contribute to increased stress among first-year medical students. Additionally, Self-Efficacy emerged as a significant protective factor, mitigating the expressions of AS and IU. Although medical faculties cannot change SES characteristics within their student body, recognizing its impact allows for the development of tailored support systems to address the unique challenges faced by students from diverse socio-economic backgrounds. This study underscores the necessity of considering social diversity, particularly regarding AS and IU characteristics, to foster a supportive and effective medical education environment with an outlook on sustainable mental health in a demanding work context.
Clinical implications of head trauma in frontotemporal dementia and primary progressive aphasia
Authors: Asken Breton M. , Bove Jessica M. , Bauer Russell M. , Tanner Jeremy A. , Casaletto Kaitlin B. , Staffaroni Adam M. , VandeVrede Lawren , Alosco Michael L. , Mez Jesse B. , Stern Robert A. , Miller Bruce L. , Grinberg Lea T. , Boxer Adam L. , Gorno-Tempini Maria Luisa , Rosen Howie J. , Rabinovici Gil D. , Kramer Joel H. 
Published: August 2024

Abstract
Background
Traumatic brain injury (TBI) and repetitive head impacts (RHI) have been linked to increased risk for multiple types of neurodegenerative disease, higher dementia risk, and earlier age of dementia symptom onset, suggesting transdiagnostic implications for later-life brain health. Frontotemporal dementia (FTD) and primary progressive aphasia (PPA) represent a spectrum of clinical phenotypes that are neuropathologically diverse. FTD/PPA diagnoses bring unique challenges due to complex cognitive and behavioral symptoms that disproportionately present as an early-onset dementia (before age 65). We performed a detailed characterization of lifetime head trauma exposure in individuals with FTD and PPA compared to healthy controls to examine frequency of lifetime TBI and RHI and associated clinical implications.

Methods
We studied 132 FTD/PPA (age 68.9 ± 8.1, 65% male) and 132 sex-matched healthy controls (HC; age 73.4 ± 7.6). We compared rates of prior TBI and RHI (contact/collision sports) between FTD/PPA and HC (chi-square, logistic regression, analysis of variance). Within FTD/PPA, we evaluated associations with age of symptom onset (analysis of variance). Within behavioral variant FTD, we evaluated associations with cognitive function and neuropsychiatric symptoms (linear regression controlling for age, sex, and years of education).

Results
Years of participation were greater in FTD/PPA than HC for any contact/collision sport (8.5 ± 6.7yrs vs. 5.3 ± 4.5yrs, p = .008) and for American football (6.2yrs ± 4.3yrs vs. 3.1 ± 2.4yrs; p = .003). Within FTD/PPA, there were dose-dependent associations with earlier age of symptom onset for TBI (0 TBI: 62.1 ± 8.1, 1 TBI: 59.9 ± 6.9, 2 + TBI: 57.3 ± 8.4; p = .03) and years of American football (0yrs: 62.2 ± 8.7, 1-4yrs: 59.7 ± 7.0, 5 + yrs: 55.9 ± 6.3; p = .009). Within bvFTD, those who played American football had worse memory (z-score: -2.4 ± 1.2 vs. -1.4 ± 1.6, p = .02, d = 1.1).

Conclusions
Lifetime head trauma may represent a preventable environmental risk factor for FTD/PPA. Dose-dependent exposure to TBI or RHI influences FTD/PPA symptom onset and memory function in bvFTD. Clinico-pathological studies are needed to better understand the neuropathological correlates linking RHI or TBI to FTD/PPA onset and symptoms.
Different associations between body mass index and Alzheimer’s markers depending on metabolic health
Authors: Lee Eun Hye , Yoo Heejin , Kim Young Ju , Cheon Bo Kyoung , Ryu Seungho , Chang Yoosoo , Yun Jihwan , Jang Hyemin , Kim Jun Pyo , Kim Hee Jin , Koh Seong-Beom , Jeong Jee Hyang , Na Duk L. , Seo Sang Won , Kang Sung Hoon 
Published: August 2024

Abstract
Background
Increasing evidence supports the association between body mass index (BMI), Alzheimer’s disease, and vascular markers. Recently, metabolically unhealthy conditions have been reported to affect the expression of these markers. We aimed to investigate the effects of BMI status on Alzheimer’s and vascular markers in relation to metabolic health status.

Methods
We recruited 1,736 Asians without dementia (71.6 ± 8.0 years). Participants were categorized into underweight, normal weight, or obese groups based on their BMI. Each group was further divided into metabolically healthy (MH) and unhealthy (MU) groups based on the International Diabetes Foundation definition of metabolic syndrome. The main outcome was Aβ positivity, defined as a Centiloid value of 20.0 or above and the presence of vascular markers, defined as severe white matter hyperintensities (WMH). Logistic regression analyses were performed for Aβ positivity and severe WMH with BMI status or interaction terms between BMI and metabolic health status as predictors. Mediation analyses were performed with hippocampal volume (HV) and baseline Mini-Mental State Examination (MMSE) scores as the outcomes, and linear mixed models were performed for longitudinal change in MMSE scores.

Results
Being underweight increased the risk of Aβ positivity (odds ratio [OR] = 2.37, 95% confidence interval [CI] 1.13–4.98), whereas obesity decreased Aβ positivity risk (OR = 0.63, 95% CI 0.50–0.80). Especially, obesity decreased the risk of Aβ positivity (OR = 0.38, 95% CI 0.26–0.56) in the MH group, but not in the MU group. Obesity increased the risk of severe WMH (OR = 1.69, 1.16–2.47). Decreased Aβ positivity mediate the relationship between obesity and higher HV and MMSE scores, particularly in the MH group. Obesity demonstrated a slower decline in MMSE (β = 1.423, p = 0.037) compared to being normal weight, especially in the MH group.

Conclusions
Our findings provide new evidence that metabolic health has a significant effect on the relationship between obesity and Alzheimer’s markers, which, in turn, lead to better clinical outcomes.
Attentional processes in response to emotional facial expressions in adults with retrospectively reported peer victimization of varying severity: Results from an ERP dot-probe study
Authors: Blauth Klara , Iffland Benjamin 
Published: August 2024

Abstract
Background
Attentional processes are influenced by both stimulus characteristics and individual factors such as mood or personal experience. Research has suggested that attentional biases to socially relevant stimuli may occur in individuals with a history of peer victimization in childhood and adolescence. Based on this, the present study aimed to examine attentional processes in response to emotional faces at both the behavioral and neurophysiological levels in participants with experiences of peer victimization.

Methods
In a sample of 60 adult participants with varying severity of retrospectively reported peer victimization in childhood and adolescence, the dot-probe task was administered with angry, disgusted, sad, and happy facial expressions. In addition to behavioral responses, physiological responses (i.e., event-related potentials) were analyzed.

Results
Analyses of mean P100 and P200 amplitudes revealed altered P200 amplitudes in individuals with higher degrees of peer victimization. Higher levels of relational peer victimization were associated with increased P200 amplitudes in response to facial expressions, particularly angry and disgusted facial expressions. Hierarchical regression analyses showed no evidence for an influence of peer victimization experiences on reaction times or P100 amplitudes in response to the different emotions.

Conclusion
Cortical findings suggest that individuals with higher levels of peer victimization mobilize more attentional resources when confronted with negative emotional social stimuli. Peer victimization experiences in childhood and adolescence appear to influence cortical processes into adulthood.
Micro-mechanical properties of Song Dynasty tilestones based on nanoindentation tests and homogenization approach
Authors: Wang Zhi-Liu , Hu Meng-Xin , Wang Yu-Long , Li Xin-Ming , Yin Song 
Published: August 2024

Abstract
Song Dynasty tilestones are one type of ancient Chinese building materials. Studying their mechanical properties is of great significance for the design and development of restoration materials. It is a challenge to sample and perform traditional tests (ϕ50mm × 100mm) for the tilestone cultural relics. In this work, a combination of nanoindentation techniques and the homogenization calculation method based on the Mori–Tanaka model were used to determine the mechanical parameters of Song Dynasty tilestones. The study process involved several steps: (1) Using X-ray diffraction and scanning electron microscopy to examine the surface morphology and mineral composition of the tilestones. (2) Determining the mechanical parameters (i.e., the elastic modulus, hardness and fracture toughness) through nanoindentation tests. (3) Upgrading mechanical parameters from micro to meso-scale using the Mori–Tanaka model and comparing these with uniaxial compression test results. The result shows that the red tilestones and green tilestone are mainly composed of quartz, feldspar and mica. The average elastic modulus of the red tilestones and the green tilestones are 29.47 GPa and 30.21 GPa, respectively. Compared with the parameter result obtained by upscaling, the deviation rates of the red tilestones and green tilestones are 10.3% and 9.6%, respectively, which proves that the test method is reliable. The nanoindentation test and homogenization approach in this work provide the robust theoretical and practical basis for evaluating the mechanical strength of Song Dynasty tilestones.
Immunohistochemical expression of GATA3, CK5/6 and CK20 in molecular subtypes of bladder carcinoma: correlation with clinicopathological features
Authors: Yassen Noha N. , ELsharkawy Sonia L. , Abbas Naglaa F. , Shabana Marwa E. 
Published: August 2024

Abstract
Background
Bladder urothelial carcinoma, is considered the 7th most common cancer in males. It is classified into luminal and basal subtypes depending on molecular markers, influencing prognosis and treatment. Identifying reliable biomarkers like GATA3, CK20, and CK5/6 through immunohistochemical methods can aid in early detection, risk stratification, and personalized treatment strategies. This study aims for evaluation prognostic role of these mentioned markers in correlation with clinicopathological parameters in urothelial carcinomas.

Methods
Tumor samples of forty cases were immunohistochemically stained for GATA3, CK5/6, and CK20. A cutoff of 20% positivity was used to determine subtype classifications, with staining patterns guiding the categorization into basal, luminal, double positive, or double negative groups.

Results
In this study of 40 urothelial carcinoma patients tumors were classified into basal and luminal subtypes using GATA3, CK5/6 and CK20 markers. GATA3 expression showed no significant association with clinicopathological parameters; while, CK20 was associated with tumor size, and CK5/6 with T, N classification, and lymphovascular invasion. Significant differences in clinicopathological parameters were observed when subtypes were defined by CK5/6, GATA3 or CK20, particularly in tumor grade, T and N classification, and gender. Basal molecular subtypes was correlated with poor prognostic parameters.

Conclusions
This study documented that use of triple markers could define the luminal and basal subtypes of urothelial carcinoma. Basal tumors have shown to be associated with the aggressive behavior and future studies may allow the development of new therapies in the context of molecular subtypes.
ESR1 Fusions Invoke Breast Cancer Subtype-Dependent Enrichment of Ligand-Independent Oncogenic Signatures and Phenotypes
Authors: Yates Megan E , Waltermire Hunter , Mori Kanako , Li Zheqi , Li Yiting , Guzolik Hannah , Wang Xiaosong , Liu Tiantong , Atkinson Jennifer M , Hooda Jagmohan , Lee Adrian V , Oesterreich Steffi 
Published: August 2024

Abstract
Breast cancer is a leading cause of female mortality and despite advancements in personalized therapeutics, metastatic disease largely remains incurable due to drug resistance. The estrogen receptor (ER, ESR1) is expressed in two-thirds of all breast cancer, and under endocrine stress, somatic ESR1 mutations arise in approximately 30% of cases that result in endocrine resistance. We and others reported ESR1 fusions as a mechanism of ER-mediated endocrine resistance. ER fusions, which retain the activation function 1- and DNA-binding domains, harbor ESR1 exons 1 to 6 fused to an in-frame gene partner resulting in loss of the ER ligand-binding domain (LBD). We demonstrate that in a no-special type (invasive ductal carcinoma [IDC]-NST) and an invasive lobular carcinoma (ILC) cell line, ER fusions exhibit robust hyperactivation of canonical ER signaling pathways independent of estradiol or antiendocrine therapies. We employ cell line models stably overexpressing ER fusions with concurrent endogenous ER knockdown to minimize endogenous ER influence. Cell lines exhibited shared transcriptomic enrichment in pathways known to be drivers of metastatic disease, notably MYC signaling. Cells expressing the 3′ fusion partners SOX9 and YAP1 consistently demonstrated enhanced growth and cell survival. ILC cells expressing the DAB2 fusion led to enhanced growth, survival, and migration, phenotypes not appreciated in the IDC-NST DAB2 model. Herein, we report that cell line activity is subtype-, fusion-, and assay-specific, suggesting that LBD loss, the fusion partner, and the cellular landscape all influence fusion activities. Therefore, it will be critical to assess fusion frequency in the context of the clinicopathology.
A genetically small fetus impairs placental adaptations near term
Authors: Sandovici Ionel , Knee Olatejumoye , Lopez-Tello Jorge , Shreeve Norman , Fowden Abigail L. , Sferruzzi-Perri Amanda N. , Constância Miguel 
Published: August 2024

ABSTRACT
The placenta is a gatekeeper between the mother and fetus, adapting its structure and functions to support optimal fetal growth. Studies exploring adaptations of placentae that support the development of genetically small fetuses are lacking. Here, using a mouse model of impaired fetal growth, achieved by deleting insulin-like growth factor 2 (Igf2) in the epiblast, we assessed placental nutrient transfer and umbilical artery (UA) blood flow during late gestation. At embryonic day (E) 15.5, we observed a decline in the trans-placental flux of glucose and system A amino acids (by using 3H-MeG and 14C-MeAIB), proportionate to the diminished fetal size, whereas UA blood flow was normal. However, at E18.5, the trans-placental flux of both tracers was disproportionately decreased and accompanied by blunted UA blood flow. Feto-placental growth and nutrient transfer were more impaired in female conceptuses. Thus, reducing the fetal genetic demand for growth impairs the adaptations in placental blood flow and nutrient transport that normally support the fast fetal growth during late gestation. These findings have important implications for our understanding of the pathophysiology of pregnancies afflicted by fetal growth restriction.
Axolotl mandible regeneration occurs through mechanical gap closure and a shared regenerative program with the limb
Authors: Kramer Julia , Aires Rita , Keeley Sean D. , Schröder Tom Alexander , Lauer Günter , Sandoval-Guzmán Tatiana 
Published: August 2024

ABSTRACT
The mandible plays an essential part in human life and, thus, defects in this structure can dramatically impair the quality of life in patients. Axolotls, unlike humans, are capable of regenerating their lower jaws; however, the underlying mechanisms and their similarities to those in limb regeneration are unknown. In this work, we used morphological, histological and transcriptomic approaches to analyze the regeneration of lateral resection defects in the axolotl mandible. We found that this structure can regenerate all missing tissues in 90 days through gap minimization, blastema formation and, finally, tissue growth, differentiation and integration. Moreover, transcriptomic comparisons of regenerating mandibles and limbs showed that they share molecular phases of regeneration, that these similarities peak during blastema stages and that mandible regeneration occurs at a slower pace. Altogether, our study demonstrates the existence of a shared regenerative program used in two different regenerating body structures with different embryonic origins in the axolotl and contributes to our understanding of the minimum requirements for a successful regeneration in vertebrates, bringing us closer to understand similar lesions in human mandibles.
Intermediate filaments at a glance
Authors: Coelho-Rato Leila S. , Parvanian Sepideh , Andrs Salajkova Sarka , Medalia Ohad , Eriksson John E. 
Published: August 2024

ABSTRACT
Intermediate filaments (IFs) comprise a large family of versatile cytoskeletal proteins, divided into six subtypes with tissue-specific expression patterns. IFs have a wide repertoire of cellular functions, including providing structural support to cells, as well as active roles in mechanical support and signaling pathways. Consequently, defects in IFs are associated with more than 100 diseases. In this Cell Science at a Glance article, we discuss the established classes of IFs and their general features, their functions beyond structural support, and recent advances in the field. We also highlight their involvement in disease and potential use as clinical markers of pathological conditions. Finally, we provide our view on current knowledge gaps and the future directions of the IF field.
Electromyography of Sedentary Behavior: Identifying Potential for Cardiometabolic Risk Reduction
Authors: LAMBERG SUVI , BRAKENRIDGE CHRISTIAN J. , DUNSTAN DAVID W. , FINNI TAIJA , HEALY GENEVIEVE N. , OWEN NEVILLE , PESOLA ARTO J. 
Published: August 2024

ABSTRACT

Introduction
Muscle activation during interruptions to prolonged sedentary time is a hypothesized mechanism underlying observed cardiometabolic benefits. We examined associations of quadriceps and hamstring muscle activity patterns with cardiometabolic risk markers and how these patterns varied between different sitting-interruption countermeasures.

Methods
Electromyographic (EMG) data (shorts) were gathered for 1 to 2 d from healthy adults in a free-living study (n = 172, age 40.9 ± 12.9, BMI 23.6 ± 1.3) and a laboratory-based study (n = 12, age 47.0 ± 7.7, BMI 30.0 ± 4.7). Patterns examined were average EMG (aEMG;%EMGMVC); EMG activity duration (% above signal baseline 3 μV); and usual (weighted medians) EMG activity bout amplitude (%EMGMVC) and duration (s). In the free-living study, these were regressed against risk markers (waist, fat percentage, fasting plasma glucose, total cholesterol, high-density lipid cholesterol, low-density lipid cholesterol, triglycerides); in the laboratory study, EMG patterns for the muscle groups were compared between sitting and the active countermeasures.

Results
In the free-living study, lower-extremity muscles displayed minimal overall activity, with hamstrings and quadriceps using only 2.6% and 2.0% of their capacity (%EMGMVC), respectively, and being active for 30% and 25% of the time. Higher hamstring aEMG and EMG activity duration were beneficially associated with waist, high-density lipid cholesterol and fat percentage (duration only) and a longer quadriceps usual EMG activity bout duration was beneficially associated with fasting plasma glucose. In the laboratory study, compared with prolonged sitting, active seated or upright active-interruption countermeasures modified these EMG patterns; brief (6 min) walking and simple resistance activities (SRA) were more beneficial than was a bout of standing (30 min) with the SRAs being the only intervention that matched daily aEMG levels.

Conclusions
Upright and physically active interruptions to sitting appear to be required to increase the typically low muscle engagement observed in free-living contexts, promoting muscle activity patterns that may help ameliorate cardiometabolic risk.
Self-Preferencing and Search Neutrality in Online Retail Platforms
Authors: Zou Tianxin , Zhou Bo 
Published: August 2024

Recent regulations on search neutrality prohibit retail platforms from self-preferentially prioritizing their first-party products over those of third-party sellers in consumers’ search rankings. This paper shows that, despite its good intention, search neutrality may unintendedly harm consumers and third-party sellers because of the strategic decisions of the platform and third-party sellers. In the short term, search neutrality can weaken the price competition between the platform and third-party sellers, which will hurt consumers if many of them ex ante prefer the third-party product, and can increase the platform’s profit if many consumers ex ante prefer the first-party product. In the long term, search neutrality can incentivize the platform to preempt the entry of third-party sellers if their entry cost is intermediate, further harming consumers and third-party sellers. Both unintended harms stem from two unique features of online retailing platforms: platforms personalize consumers’ search rankings, and consumers observe product prices before searching a product in depth. Alternative formulations of search neutrality, consumers’ search costs, and their product match likelihoods are considered to demonstrate the robustness of the main results. This paper was accepted by Dmitri Kuksov, marketing. Conflict of Interest Statement: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript. Supplemental Material: The online appendix is available at https://doi.org/10.1287/mnsc.2022.01795 .