bluuebunny/crossref_metadata_2025_split huggingface dataset:
Disentangling the simultaneous effects of habitat degradation and introduced species on naturally depauperate riverine fish communities
Authors: Meijer Christopher G. , Hickford Michael J. H. , Gray Duncan P. , Schiel David R. 
Published: July 2024

IntroductionGlobal change is a multi-faceted issue putting many species at risk. The broad range of potentially interacting environmental stressors is problematic for effective and efficient conservation and management. In freshwater systems, habitat degradation and introduced species have been repeatedly recognized for their extensive impacts on native ecosystems. However, the simultaneous impacts of these environmental stressors on naturally depauperate and inherently vulnerable communities are poorly understood.MethodsIn southern New Zealand, the fish communities in 14 tributaries of three lowland lakes were surveyed to quantify the within- and between-community changes along gradients of habitat complexity and abundance of introduced species, specifically brown trout (Salmo trutta Linnaeus) and redfin perch (Perca fluviatilis Linnaeus).ResultsStable isotope analyses identified that trophic diversity increased with habitat complexity and an abundance of native eels (Anguilla spp.) but was unaffected by introduced species. Within each community, only perch exhibited distinct dietary shifts along all environmental gradients, whereas trout and the native fish had consistent, generalist diets. When supported with length–weight regressions, these impacts became increasingly size-dependent. For example, among the native fish, only the larger eels were unaffected by habitat and achieved greater body conditions with increased numbers of eels and perch; however, more trout were detrimental to eel body condition. In contrast, the smaller bodied natives, including elvers, all had improved body conditions from increased habitat complexity and reduced numbers of trout and perch. For the introduced species, perch weights were consistent regardless of the local environment due to their variable diet, but larger trout generally increased in weight with reduced habitat complexity and greater numbers of introduced fish, although high eel densities were detrimental.DiscussionOverall, our results highlight how the responses to environmental stressors, even in depauperate communities, are complicated and generally species-specific. Nonetheless, habitat degradation had the most wide-ranging negative impacts on native fish, with perch numbers only affecting the smaller bodied natives and trout only affecting one native species. We conclude that focusing on habitat restoration in conservation strategies will provide the most efficient and effective use of resources, although the realized benefits for native species will be limited if introduced species are overly abundant.
Determinants of meconium-stained amniotic fluid among laboring mother in Ethiopia, systematic review and meta-analysis
Authors: Gashaw Anteneh , Adamu Yayeh , Sime Yohanes , Destaw Belete 
Published: July 2024

BackgroundMeconium-stained amniotic fluid (MSAF) occurs during childbirth when the amniotic fluid carries traces of meconium, the initial stool passed by a newborn. Often signaling fetal distress, MSAF is linked to heightened risks for both the mother and the newborn. In Ethiopia, there is insufficient attention given to this condition. Despite varied study results indicating a considerable range in MSAF occurrences, there is an absence of a comprehensive national overview. Therefore, this systematic review and meta-analysis aim to evaluate the aggregated prevalence of meconium-stained amniotic fluid among laboring mothers and its influencing factors in Ethiopia, providing a consolidated understanding for healthcare strategies and policies.MethodFollowing PRISMA guidelines, a systematic review and meta-analysis were executed. Extensive literature searches were conducted on PubMed, Google Scholar, and African Online Journal databases. The pooled prevalence was estimated using a weighted inverse variance random effect model. Heterogeneity among studies was evaluated through Cochrane Q-test and I2 statistics. To assess publication bias, a funnel plot and Egger's test were performed. The identification of factors associated with meconium-stained amniotic fluid among laboring mothers in Ethiopia was conducted using Stata v 18 software.ResultIn total, 63 articles were initially identified, and ultimately, four articles were deemed suitable for inclusion in this review. The combined prevalence of meconium-stained amniotic fluid among laboring mothers in Ethiopia was determined to be 20% (95% CI: 14%–25%). Upon conducting subgroup analysis, it was revealed that the prevalence of meconium-stained amniotic fluid was highest in the Oromia region and lowest in Addis Ababa. Notably, pregnancies complicated by pregnancy-induced hypertension disorder showed a significant association with the presence of meconium-stained amniotic fluid, with an odds ratio of 6.21 (95% CI: 4.04–8.38).ConclusionIn conclusion, this review emphasizes the common occurrence of meconium-stained amniotic fluid (MSAF). Notably, it identifies a significant association between pregnancy complicated by hypertension and the presence of MSAF. This underscores the need for targeted interventions to reduce MSAF incidence and mitigate associated adverse outcomes in the Ethiopian.Systematic Review Registrationhttp://www.library.ucsf.edu/, (CRD42023491725).
Sodium levels and immunotherapy efficacy in mRCC patients with bone metastases: sub analysis of Meet-Uro 15 study
Authors: Catalano Martina , Rebuzzi Sara Elena , Maruzzo Marco , De Giorgi Ugo , Buti Sebastiano , Galli Luca , Fornarini Giuseppe , Zucali Paolo Andrea , Claps Melanie , Chiellino Silvia , Zampiva Ilaria , Pipitone Stefania , Ricotta Riccardo , Sorarù Mariella , Mollica Veronica , Tudini Marianna , Fratino Lucia , Prati Veronica , Caffo Orazio , Atzori Francesco , Morelli Franco , Prati Giuseppe , Nolè Franco , Vignani Francesca , Cavo Alessia , Di Napoli Marilena , Malgeri Andrea , Naglieri Emanuele , Signori Alessio , Banna Giuseppe Luigi , Rescigno Pasquale , Cerbone Linda , Antonuzzo Lorenzo , Roviello Giandomenico 
Published: July 2024

BackgroundImmune-checkpoint inhibitors (ICIs) have significantly improved metastatic renal cell carcinoma (mRCC) prognosis, although their efficacy in patients with bone metastases (BMs) remains poorly understood. We investigated the prognostic role of natremia in pretreated RCC patients with BMs receiving immunotherapy.Materials and methodsThis retrospective multicenter study included RCC patients with BMs receiving nivolumab as second-line therapy or beyond. Inclusion criteria involved baseline sodium levels (pre-ICI) and sodium levels after 4 weeks of nivolumab initiation (post-ICI). The population was divided into two groups based on the median value, and response rates, progression-free survival (PFS), and overall survival (OS) were assessed.ResultsAmong 120 eligible patients, those with pre-treatment sodium levels ≥140 mEq/L showed longer OS (18.7 vs. 12.0 months, p=0.04). Pre-treatment sodium levels ≥140 mEq/L were associated with better OS compared to levels &lt;140 mE/L (18.7 vs. 12.0, p=0.04). Post-treatment sodium levels ≥140 mEq/L were associated with improved PFS (9.6 vs. 3.2 months) and OS (25.1 vs. 8.8 months) (p=0.05 and p&lt;0.01, respectively). Patients with consistent sodium levels ≥140 mEq/L at both time points exhibited the best outcomes compared to those with lower values (PFS 11.5 vs. 3.3 months and OS 42.2 vs. 9.0 months, respectively, p&lt;0.01). Disease control rate was significantly higher in the latter group (p&lt;0.01). Multivariate analysis confirmed the prognostic significance of sodium levels.ConclusionElevated sodium levels (≥140 mEq/L) pre- and post-ICI treatment correlate with better survival outcomes in mRCC patients with BMs. This finding suggests sodium level assessment as a potential prognostic factor in these patients and warrants further investigation, particularly in combination immunotherapy settings.
A strategy to reconstitute immunity without GVHD via adoptive allogeneic Tscm therapy
Authors: Guan Liping , Sun Yunqin , Si Yanli , Yan Qingya , Han Ziyu , Liu Youxun , Han Tao 
Published: July 2024

IntroductionAdoption of allogeneic T cells directly supplements the number of T cells and rapidly induces T-cell immunity, which has good efficacy for treating some tumors and immunodeficiency diseases. However, poor adoptive T-cell engraftment and graft-versus-host disease (GVHD) limit the application of these methods. Alloreactive T-cell clones were eliminated from the donor T-cell repertoire, and the remaining T-cell clones were prepared as Tscm for T-cell adoptive treatment to reconstruct recipient T-cell immunity without GVHD.MethodsThe subjects in this study included three different strains of mice. Lymphocytes from mice (C57BL/6) were used as the donor T-cell repertoire, from which the Tscm allo-reactive T cell clone was depleted (ATD-Tscm). This was confirmed by showing that the Tscm was not responsive to the alloantigen of the recipient (BALB/c). To prepare ATD-Tscm cells, we used recipient lymphocytes as a simulator, and coculture of mouse and recipient lymphocytes was carried out for 7 days. Sorting of non-proliferative cells ensured that the prepared Tscm cells were nonresponsive. The sorted lymphocytes underwent further expansion by treatment with TWS119 and cytokines for an additional 10 days, after which the number of ATD-Tscm cells increased. The prepared Tscm cells were transferred into recipient mice to observe immune reconstitution and GVHD incidence.ResultsOur protocol began with the use of 1×107 donor lymphocytes and resulted in 1 ×107 ATD-Tscm cells after 17 days of preparation. The prepared ATD-Tscm cells exhibited a nonresponse upon restimulation of the recipient lymphocytes. Importantly, the prepared ATD-Tscm cells were able to bind long and reconstitute other T-cell subsets in vivo, effectively recognizing and answering the “foreign” antigen without causing GVHD after they were transferred into the recipients.DiscussionOur strategy was succeeded to prepare ATD-Tscm cells from the donor T-cell repertoire. The prepared ATD-Tscm cells were able to reconstitute the immune system and prevent GVHD after transferred to the recipients. This study provides a good reference for generating ATD-Tscm for T-cell adoptive immunotherapy.
Deep learning-enabled classification of kidney allograft rejection on whole slide histopathologic images
Authors: Ye Yongrong , Xia Liubing , Yang Shicong , Luo You , Tang Zuofu , Li Yuanqing , Han Lanqing , Xie Hanbin , Ren Yong , Na Ning 
Published: July 2024

BackgroundDiagnosis of kidney transplant rejection currently relies on manual histopathological assessment, which is subjective and susceptible to inter-observer variability, leading to limited reproducibility. We aim to develop a deep learning system for automated assessment of whole-slide images (WSIs) from kidney allograft biopsies to enable detection and subtyping of rejection and to predict the prognosis of rejection.MethodWe collected H&amp;E-stained WSIs of kidney allograft biopsies at 400x magnification from January 2015 to September 2023 at two hospitals. These biopsy specimens were classified as T cell-mediated rejection, antibody-mediated rejection, and other lesions based on the consensus reached by two experienced transplant pathologists. To achieve feature extraction, feature aggregation, and global classification, we employed multi-instance learning and common convolution neural networks (CNNs). The performance of the developed models was evaluated using various metrics, including confusion matrix, receiver operating characteristic curves, the area under the curve (AUC), classification map, heat map, and pathologist-machine confrontations.ResultsIn total, 906 WSIs from 302 kidney allograft biopsies were included for analysis. The model based on multi-instance learning enables detection and subtyping of rejection, named renal rejection artificial intelligence model (RRAIM), with the overall 3-category AUC of 0.798 in the independent test set, which is superior to that of three transplant pathologists under nearly routine assessment conditions. Moreover, the prognosis models accurately predicted graft loss within 1 year following rejection and treatment response for rejection, achieving AUC of 0.936 and 0.756, respectively.ConclusionWe first developed deep-learning models utilizing multi-instance learning for the detection and subtyping of rejection and prediction of rejection prognosis in kidney allograft biopsies. These models performed well and may be useful in assisting the pathological diagnosis.
Occlusion dysfunction and Alzheimer’s disease: Mendelian randomization study
Authors: Wang Qing , Zhen Wenyu , Hu Rui , Wang Zifei , Sun Yuqiang , Sun Wansu , Huang Chunxia , Xu Jianguang , Zhang Hengguo 
Published: July 2024

AimOcclusion dysfunction (OD) is increasingly linked to Alzheimer’s disease (AD). This study aimed to elucidate the causal relationship between OD and AD using Mendelian randomization (MR) analysis.Materials and methodsGenome-wide association study (GWAS) meta-analysis data obtained from FinnGen, IEU Open GWAS, and UK Biobank (UKBB) was represented as instrumental variables. We validated the causal relationship between periodontal disease (PD), loose teeth (PD &amp; occlusion dysfunction), dentures restoration (occlusion recovery), and AD.ResultsAccording to the MR analysis, PD and AD have no direct causal relationship (P = 0.395, IVW). However, loose teeth significantly increased the risk of AD progression (P = 0.017, IVW, OR = 187.3567, 95%CI = 2.54E+00−1.38E+04). These findings were further supported by the negative causal relationship between dentures restoration and AD (P = 0.015, IVW, OR = 0.0234, 95%CI = 1.13E-03−0.485).ConclusionThe occlusion dysfunction can ultimately induce Alzheimer’s disease. Occlusion function was a potentially protective factor for maintaining neurological health.
Prevalence of wasting and associated factors among children aged 6–59 months in Habro district, Eastern Ethiopia: a cross-sectional study
Authors: Tilahun Sileshi , Roba Kedir Teji , Roba Hirbo Shore , Nure Jemal Ahmed , Sosengo Teshome , Ayele Behailu Hawulte , Maruta Melat B. , Debella Adera , Eyeberu Addis , Mussa Ibsa 
Published: July 2024

BackgroundGlobally, five million children under the age of five died in 2021. Asia and African countries contributed to 69% and 27.2% of wasting, respectively. In Ethiopia, out of 901 (10.1%) under-five children, 632 (8.1%) were found to be moderately wasted, and 269 (3.0%) were severely wasted. The purpose of this study was to assess the prevalence of wasting and its associated factors among children between the ages of 6 and 59 months in Habro Woreda, Oromia, Eastern Ethiopia.MethodsA community-based cross-sectional study was conducted in Habro Woreda from 25 August to 20 September 2020. In total, 306 participants were included in this study through a systematic sampling technique. Data were collected using a pretested structured questionnaire through a face-to-face interview, entered into EpiData version 3.1, and analyzed using SPSS version 25. Predictors were assessed using a multivariate logistic regression analysis model and reported using an adjusted odds ratio (AOR) with a 95% confidence interval (CI). Statistical significance was set at p &lt; 0.05.ResultsOverall, the prevalence of wasting among children aged 6–59 months in the Habro district was 28%, with a 95% confidence interval [26.5, 32.2%]. Factors such as mothers illiterate [AOR = 3.4; 95% CI: 1.14–10.47], households without latrines [AOR = 2.91; 95% CI: 1.33–6.37], food-insecure households [AOR = 4.11; 95% CI: 1.87–9], households that did not receive home visits [AOR = 4.2; 95% CI: 1.92–9.15], did not eat a variety of food [AOR = 7.44; 95% CI: 2.58–21.45], sick children after discharge from the program [AOR = 6.55; 95% CI: 2.85–15.02], readmitted children [AOR = 3.98; 95% CI: 1.43–15.07], and wasting 3.42 [AOR = 3.42; 95% CI: 1.24–9.45] were factors statistically associated with outcome variables.ConclusionThis study noted that the prevalence of wasting among children aged 6–59 months following discharge from the Outpatient Therapeutic Program remains high. Educational status of the mother, availability of a latrine, separate kitchen in the household, household food insecurity, household dietary diversity, home visit, and admission type were significantly associated with wasting of children after discharge from the outpatient therapeutic program. Therefore, efforts that target these factors should be maximized to reduce the occurrence of wasting among children aged 6–59 months after discharge from the outpatient therapeutic program.
Assessing the predictive value of the controlling nutritional status score on all-cause mortality during hospitalization in patients with acute decompensated heart failure: a retrospective cohort study from Jiangxi, China
Authors: Huang Xin , Qiu Jiajun , Kuang Maobin , Wang Chao , He Shiming , Yu Changhui , Xie Guobo , Sheng Guotai , Zou Yang 
Published: July 2024

ObjectiveNutritional status is closely associated with the prognosis of heart failure. This study aims to assess the relationship between the Controlling Nutritional Status (CONUT) score and in-hospital mortality among patients with acute decompensated heart failure (ADHF) in Jiangxi, China.MethodsA retrospective cohort study was conducted. Multivariable Cox regression models and restricted cubic spline regression were employed to evaluate the relationship between the CONUT score and in-hospital mortality in ADHF patients from Jiangxi, China. The predictive value of the CONUT score for in-hospital mortality in ADHF patients was analyzed using receiver operating characteristic curves. Subgroup analyses were performed to identify risk dependencies of the CONUT score in specific populations.ResultsThe study included 1,230 ADHF patients, among whom 44 (3.58%) mortality events were recorded. After adjusting for confounding factors, a positive correlation was found between the CONUT score and the risk of in-hospital mortality in ADHF patients. Restricted cubic spline regression analysis indicated a non-linear relationship between the CONUT score and the risk of in-hospital mortality in ADHF patients, estimating a rapid increase in mortality risk when the CONUT score exceeded 5. Receiver operating characteristic analysis demonstrated a good predictive value of the CONUT score for all-cause mortality events in ADHF patients [area under the curve = 0.7625, optimal threshold = 5.5]. Additionally, a relatively higher risk associated with the CONUT score was observed in male patients and those with concomitant cerebral infarction.ConclusionThis study reveals a positive correlation between the CONUT score and the risk of in-hospital mortality in ADHF patients. Based on the findings of this study, we recommend maintaining a CONUT score below 5 for patients with ADHF in Jiangxi, China, as it may significantly contribute to reducing the risk of in-hospital all-cause mortality.
A novel bioaccessibility-based probabilistic risks assessment of potentially toxic elements (PTEs) in earthworm
Authors: Zuo Tian-Tian , Liu Jia-Lin , Jin Hong-Yu , Chang Yan , Wei Feng , Wei Sheng , Kang Shuai , Ma Shuang-Cheng 
Published: July 2024

Graphical AbstractProbabilistic risk assessment strategy of potentially toxic elements in earthworms based on bioaccessibility and MCS technique.
Inhibition of NNMT enhances drug sensitivity in lung cancer cells through mediation of autophagy
Authors: Wang Jian , Zhang Ming , You Xin , Xu Yang , Zhang Congcong , Li Ying , Yang Chunhui , Wang Qi 
Published: July 2024

IntroductionThis study aimed to investigate the role of Nicotinamide N-methyltransferase (NNMT) in the drug sensitivity of non-small cell lung cancer (NSCLC) cells, with a focus on its impact on autophagy and resistance to the chemotherapeutic agent osimertinib. The study hypothesized that NNMT knockdown would enhance drug sensitivity by modifying autophagic processes, providing a potential new therapeutic target for overcoming chemoresistance in lung cancer.MethodsProteomic analysis was utilized to identify changes in protein expression following NNMT knockdown in H1975 and H1975 osimertinib resistance (H1975OR) lung cancer cell lines. Gene expression patterns and their correlation with NNMT expression in lung cancer patients were analyzed using The Cancer Genome Atlas (TCGA) dataset. Additionally, a predictive model for lung cancer survival was developed via lasso regression analysis based on NNMT-associated gene expression. Drug sensitivity was assessed using the IC50 values and apoptosis ratio, and autophagy was evaluated through Western blot and flow cytometric analysis.ResultsSignificant variations in the expression of 1,182 proteins were observed following NNMT knockdown, with a significant association with autophagy-related genes. Analysis of gene expression patterns unveiled a significant correlation between NNMT expression and specific changes in gene expression in lung cancer. The predictive model successfully forecasted lung cancer patient survival outcomes, highlighting the potential of NNMT-associated genes in predicting patient survival. Knockdown of NNMT reversed osimertinib resistance in H1975 cells, as evidenced by altered IC50 values and apoptosis ratio, and changes were observed in autophagy markers.DiscussionKnockdown of NNMT in lung cancer cells enhances drug sensitivity by modulating autophagy, providing a promising therapeutic target to overcome chemoresistance in NSCLC. The study underscores the importance of NNMT in lung cancer pathology and underscores its potential as a predictive marker for clinical outcomes. Additionally, the developed predictive model further supports the clinical relevance of NNMT-associated gene expression in improving the prognosis of lung cancer patients.