bluuebunny/crossref_metadata_2025_split huggingface dataset:
Understanding the value of monocyte distribution width (MDW) in acutely ill medical patients presenting to the emergency department: a prospective single center evaluation
Authors: Kralovcova Marcela , Müller Jiri , Hajsmanova Zdenka , Sigutova Pavla , Bultasova Lenka , Palatova Jana , Matejovic Martin 
Published: July 2024

AbstractThe monocyte distribution width (MDW) has emerged as a promising biomarker for accurate and early identification of patients with potentially life-threatening infections. Here we tested the diagnostic performance of MDW in adult patients requiring hospital admission for community-acquired infections and sepsis, evaluated sources of heterogeneity in the estimates of diagnostic accuracy, and assessed the meaning of MDW in a patient population presenting to the emergency department (ED) for acute non-infectious conditions. 1925 consecutive patients were categorized into three groups: non-infection (n = 1507), infection (n = 316), and sepsis/septic shock (n = 102). Diagnostic performance for infection or sepsis of MDW alone or in combination with components of SOFA was tested using AUC of ROC curves, sensitivity, and specificity. The relationship between MDW and different pathogens as well as the impact of non-infectious conditions on MDW values were explored. For the prediction of infection, the AUC/ROC of MDW (0.84) was nearly overlapping that of procalcitonin (0.83), and C-reactive protein (0.89). Statistical optimal cut-off value for MDW was 21 for predicting infection (sensitivity 73%, specificity 82%) and 22 for predicting sepsis (sensitivity 79%, specificity 83%). The best threshold to rule out infection was MDW ≤ 17 (NPV 96.9, 95% CI 88.3–100.0), and ≤ 18 (NPV 99.5, 95% CI 98.3–100.0) to rule out sepsis. The combination of MDW with markers of organ dysfunction (creatinine, bilirubin, platelets) substantially improved the AUC (0.96 (95% CI 0.94–0.97); specificity and sensitivity of 88% and 94%, respectively). In conclusion, MDW has a good diagnostic performance in diagnosing infection and sepsis in patients presenting in ED. Its use as an infection marker even increases when combined with other markers of organ dysfunction. Understanding the impact of interactions of non-infectious conditions and comorbidities on MDW and its diagnostic accuracy requires further elucidation.
Real-time and video-recorded pain assessment in beef cattle: clinical application and reliability in young, adult bulls undergoing surgical castration
Authors: Tomacheuski Rubia Mitalli , de Oliveira Alice Rodrigues , Trindade Pedro Henrique Esteves , Lopez-Soriano Magdiel , Merenda Victoria Rocha , Luna Stelio P. Loureiro , Pairis-Garcia Monique D. 
Published: July 2024

AbstractBovine pain assessment relies on validated behavioral scales related to normal and pain-related behaviors. This study investigated the reliability and applicability of real-time and video-recorded pain assessment, and their agreement, in young, adult bulls undergoing surgical castration. Ten Nelore and nine Angus bulls underwent general anesthesia and surgical castration. Three-minute real-time observations and simultaneous videos were recorded at − 48 h (M0), before sedation, under fasting (M1), after surgery, 3 h after sternal recumbency (M2), after rescue analgesia (M3) and at 24 h (M4). Animals received morphine (after M2), dipyrone (after M3), and flunixin meglumine after surgical castration (M4). Two trained evaluators assessed real-time (n = 95) and video-recorded time-points (n = 95) using the Unesp-Botucatu Cattle Pain Scale (UCAPS). Both assessment methods inferred ‘very good’ reliability (≥ 0.81) with minimal bias, however, video-recorded assessment (4.33 ± 2.84) demonstrated slightly higher scores compared to real-time (3.08 ± 2.84). The results from this study suggest that UCAPS can be used in real-time or video-recorded to assess pain and guide analgesic therapy in cattle.
Socioeconomic disparities and the genomic landscape of gastric cancer
Authors: Zanabria Daniel , Galvez-Nino Marco , Araujo Jhajaira M. , Alfaro Alejandro , Fajardo Williams , Saravia Luis , Quispe Lidia , Velazque Gina , Carbajal Junior , López María J. , Jimenez Sergio , Montenegro Paola , Zevallos Alejandra , Clavo Maria de los Angeles , Medina-Pérez Paula , Cornejo Melanie , Requena María , Aguilar Alfredo , Pinto Joseph A. 
Published: July 2024

AbstractThe genomic characteristics of Peruvian patients with gastric adenocarcinoma from diverse socioeconomic backgrounds were examined in consideration of the possibility that patients from different socioeconomic backgrounds may be exposed to different risk factors. We conducted a prospective pilot study in two Peruvian cities (Lima and Ica). This study enrolled 15 patients from low socioeconomic status (LSES) and 15 patients from medium/high socioeconomic status (MHSES). The genomic profiling of gastric adenocarcinoma samples was done through the FoundationOne CDx platform. We compared the genomic characteristics and the need for targeted therapy and immunotherapy between LSES and MHSES. The genes with higher rates of alterations were TP53 (73.3% vs. 50.0%, P = 0.2635); CDH1 (26.7% vs. 28.6%, P = 1); CDKN2A (20.0% vs. 28.6%, P = 1); KRAS (33.3% vs. 7.1%, P = 0.1686); ARID1A (20.0% vs. 14.3%, P = 1); MLL2 (13.3% vs. 21.4%, P = 1) and SOX9 (33.3% vs. 0.0%, P = 0.0421) in LSES versus HMSES, respectively. There was no significant difference in tumor mutational burden (P = 0.377) or microsatellite status (P = 1). The LSES group had a higher need for targeted therapy or immunotherapy according to gene involvement and alterations. A significant genomic difference exists among patients with gastric adenocarcinoma of different socioeconomic status, which may result in a different need for targeted therapy and immunotherapy.
Sargassum horneri extract fermented by Lactiplantibacillus pentosus SH803 mediates adipocyte metabolism in 3T3-L1 preadipocytes by regulating oxidative damage and inflammation
Authors: Kim Jae-Young , Jang Sejin , Song Hyun Ji , Lee SangHoon , Cheon Sejin , Seo Eun Jin , Choi Yi Hyun , Kim Sae Hun 
Published: July 2024

AbstractSargassum horneri (S. horneri), a brown seaweed excessively proliferating along Asian coastlines, are damaging marine ecosystems. Thus, this study aimed to enhance nutritional value of S. horneri through lactic acid bacteria fermentation to increase S. horneri utilization as a functional food supplement, and consequently resolve coastal S. horneri accumulation. S. horneri supplemented fermentation was most effective with Lactiplantibacillus pentosus SH803, thus this product (F-SHWE) was used for further in vitro studies. F-SHWE normalized expressions of oxidative stress related genes NF-κB, p53, BAX, cytochrome C, caspase 9, and caspase 3, while non-fermented S. horneri (SHWE) did not, in a H2O2-induced HT-29 cell model. Moreover, in an LPS-induced HT-29 cell model, F-SHWE repaired expressions of inflammation marker genes ZO1, IL1β, IFNγ more effectively than SHWE. For further functional assessment, F-SHWE was also treated in 3T3-L1 adipocytes. As a result, F-SHWE decreased lipid accumulation, along with gene expression of adipogenesis markers PPARγ, C/EBPα, C/EBPβ, aP2, and Lpl; lipogenesis markers Lep, Akt, SREBP1, Acc, Fas; inflammation markers IFN-γ and NF-κB. Notably, gene expression of C/EBPβ, IFN-γ and NF-κB were suppressed only by F-SHWE, suggesting the enhancing effect of fermentation on obesity-related properties. Compositional analysis attributed the protective effects of F-SHWE to acetate, an organic acid significantly higher in F-SHWE than SHWE. Therefore, F-SHWE is a novel potential anti-obesity agent, providing a strategy to reduce excess S. horneri populations along marine ecosystems.
Facile synthesis of elastin nanogels encapsulated decursin for castrated resistance prostate cancer therapy
Authors: Rather Gulzar Ahmed , Selvakumar Preethi , Srinivas K. Satish , Natarajan K. , Kaushik Ajeet , Rajan Prabhakar , Lee Seung-Rock , Sing Wong Ling , Alkhamees Mohammad , Lian Sen , Holley Merrel , Do Jung Young , Lakshmanan Vinoth-Kumar 
Published: July 2024

AbstractNanogels offer hope for precise drug delivery, while addressing drug delivery hurdles is vital for effective prostate cancer (PCa) management. We developed an injectable elastin nanogels (ENG) for efficient drug delivery system to overcome castration-resistant prostate cancer (CRPC) by delivering Decursin, a small molecule inhibitor that blocks Wnt/βcatenin pathways for PCa. The ENG exhibited favourable characteristics such as biocompatibility, flexibility, and low toxicity. In this study, size, shape, surface charge, chemical composition, thermal stability, and other properties of ENG were used to confirm the successful synthesis and incorporation of Decursin (DEC) into elastin nanogels (ENG) for prostate cancer therapy. In vitro studies demonstrated sustained release of DEC from the ENG over 120 h, with a pH-dependent release pattern. DU145 cell line induces moderate cytotoxicity of DEC-ENG indicates that nanomedicine has an impact on cell viability and helps strike a balance between therapeutics efficacy and safety while the EPR effect enables targeted drug delivery to prostate tumor sites compared to free DEC. Morphological analysis further supported the effectiveness of DEC-ENG in inducing cell death. Overall, these findings highlight the promising role of ENG-encapsulated decursin as a targeted drug delivery system for CRPC.
A reduced vector model predictive controller for a three-level neutral point clamped inverter with common-mode voltage suppression
Authors: Bebboukha Ali , Chouaib Labiod , Meneceur Redha , Elsanabary Ahmed , Anees Mohammad Anas , Mekhilef Saad , Zaitsev Ievgen , Bajaj Mohit , Bereznychenko Victoriia 
Published: July 2024

AbstractThis paper presents a novel, state-of-the-art predictive control architecture that addresses the computational complexity and limitations of conventional predictive control methodologies while enhancing the performance efficacy of predictive control techniques applied to three-level voltage source converters (NPC inverters). This framework's main goal is to decrease the number of filtered voltage lifespan vectors in each sector, which will increase the overall efficiency of the control system and allow for common mode voltage reduction in three-level voltage source converters. Two particular tactics are described in order to accomplish this. First, a statistical approach is presented for the proactive detection of potential voltage vectors, with an emphasis on selecting and including the vectors that are most frequently used. This method lowers the computational load by limiting the search space needed to find the best voltage vectors. Then, using statistical analysis, a plan is presented to split the sectors into two separate parts, so greatly limiting the number of voltage vectors. The goal of this improved predictive control methodology is to reduce computing demands and mitigate common mode voltage. The suggested strategy's resilience is confirmed in a range of operational scenarios using simulations and empirical evaluation. The findings indicate a pronounced enhancement in computational efficiency and a notable diminution in common mode voltage, thereby underscoring the efficacy of the proposed methodology. This increases their ability to incorporate renewable energy sources into the electrical grid.
Description of pain associated with persistent postoperative pain after total knee arthroplasty
Authors: Koga Masayuki , Maeda Akihisa , Morioka Shu 
Published: July 2024

AbstractAfter total knee arthroplasty (TKA), approximately 20% of patients experience persistent postoperative pain (PPP). Although preoperative and postoperative pain intensity is a relevant factor, more detailed description of pain is needed to determine specific intervention strategies for clinical conditions. This study aimed to clarify the associations between preoperative and postoperative descriptions of pain and PPP. Fifty-two TKA patients were evaluated for pain intensity and description of pain preoperatively and 2 weeks postoperatively, and the intensities were compared. In addition, the relationship between pain intensity and PPP at 3 and 6 months after surgery was analyzed using a Bayesian approach. Descriptions of arthritis (“Throbbing” and “aching”) improved from preoperative to 2 weeks postoperative. Several preoperative (“Shooting”, “Aching”, “Caused by touch”, “Numbness”) and postoperative (“Cramping pain”) descriptors were associated with pain intensity at 3 months postoperatively, but only “cramping pain” at 2 weeks postoperatively was associated with the presence of PPP at 3 and 6 months postoperatively. In conclusion, it is important to carefully listen to the patient’s complaints and determine the appropriate intervention strategy for the clinical condition during perioperative pain management.
A ten-year retrospective analysis of decompressive craniectomy or craniotomy after severe brain injury and its implications for donation after brain death
Authors: Englbrecht Jan Sönke , Bajohr Charis , Zarbock Alexander , Stummer Walter , Holling Markus 
Published: July 2024

AbstractCraniotomy or decompressive craniectomy are among the therapeutic options to prevent or treat secondary damage after severe brain injury. The choice of procedure depends, among other things, on the type and severity of the initial injury. It remains controversial whether both procedures influence the neurological outcome differently. Thus, estimating the risk of brain herniation and death and consequently potential organ donation remains difficult. All patients at the University Hospital Münster for whom an isolated craniotomy or decompressive craniectomy was performed as a treatment after severe brain injury between 2013 and 2022 were retrospectively included. Proportion of survivors and deceased were evaluated. Deceased were further analyzed regarding anticoagulants, comorbidities, type of brain injury, potential and utilized donation after brain death. 595 patients were identified, 296 patients survived, and 299 deceased. Proportion of decompressive craniectomy was higher than craniotomy in survivors (89% vs. 11%, p < 0.001). Brain death was diagnosed in 12 deceased and 10 donations were utilized. Utilized donations were comparable after both procedures (5% vs. 2%, p = 0.194). Preserved brain stem reflexes as a reason against donation did not differ between decompressive craniectomy or craniotomy (32% vs. 29%, p = 0.470). Patients with severe brain injury were more likely to survive after decompressive craniectomy than craniotomy. Among the deceased, potential and utilized donations did not differ between both procedures. This suggests that brain death can occur independent of the previous neurosurgical procedure and that organ donation should always be considered in end-of-life decisions for patients with a fatal prognosis.
Unveiling the mechanism of deformation-induced supersaturation
Authors: Kormout Karoline S. , Romaner Lorenz , Scheiber Daniel , Zeiler Stefan , Pippan Reinhard , Bachmaier Andrea 
Published: July 2024

AbstractA Cu-6at%Ag cast alloy was deformed by means of high-pressure torsion to different applied strain levels until a steady-state regime is reached. The continuous structural refinement is attended by the successive dissolution of the Ag precipitates in the Cu matrix. The results show that the Ag regions need to fall below a phase size of ~ 5 nm to fully dissolve. Atomistic calculations indicate that the final dissolution can be explained based on the enthalpy difference between the solid solution and layered systems which are in between the coherent and semi-coherent structure. These findings are supported by detailed microstructural investigations.
Rock crack initiation triggered by energy digestion
Authors: Yan Lei , Chang Jian , Manda Ebelia , Li Helin , Wang Qian , Jing Yangfan 
Published: July 2024

AbstractThe critical value of rock failure is determined by irreversible deformation (inelastic deformation, damage, and other internal dissipation) processes and external conditions before rock failure. Nevertheless, a thorough explanation of the mechanism causing cracks in rock material has not yet been provided. The strain energy theory is applied in this work to assess the initiation of rock cracks and investigate the relationship between energy digestion and rock strength. Firstly, the uniaxial compression test was conducted on sandstone samples under quasi-static loading conditions and the results of energy evolution, non-linear cumulative digestion, and stored ultimate energy were obtained. Then, a novel algorithm for assessing the initiation of rock cracks has been put forth. The concept of energy digestion index (EDI), which is the ratio of digested energy over the external loading energy, has been developed to characterize the energy absorption capacity of rock material. The result shows a relationship between the maximum growth rate of energy digestion and the increasing rate of variable elasticity modulus and crack initiation. The mechanical characteristics and peak strength of the rock material are negatively correlated with the EDI. By monitoring the digested energy status, an evaluation of the residual strength is introduced based on the relationships, which will initiate further research into in-situ monitoring and failure prediction.
Changes to tropical cyclone trajectories in Southeast Asia under a warming climate
Authors: Garner Andra J. , Samanta Dhrubajyoti , Weaver Mackenzie M. , Horton Benjamin P. 
Published: July 2024

AbstractThe impacts of tropical cyclones (TCs) on Southeast Asia’s coastlines are acute due to high population densities in low-lying coastal environments. However, the trajectories of TCs are uncertain in a warming climate. Here, we assess >64,000 simulated TCs from the nineteenth century to the end of the twenty-first century for both moderate- and high-emissions scenarios. Results suggest changes to TC trajectories in Southeast Asia, including: (1) poleward shifts in both genesis and peak intensification rates; (2) TC formation and fastest intensification closer to many coastlines; (3) increased likelihoods of TCs moving most slowly over mainland Southeast Asia; and (4) TC tracks persisting longer over land. In the cities of Hai Phong (Vietnam), Yangon (Myanmar), and Bangkok (Thailand), these variations result in future increases in both peak TC intensity and TC duration compared to historical TCs.
B cell lymphoma 6 promotes hepatocellular carcinoma progression by inhibiting tumor infiltrating CD4+T cell cytotoxicity through ESM1
Authors: Li Jiatao , Feng Juan , Li Ziyong , Ni Yuanli , Liu Limei , Lei Xia , Chai Zixuan , Zhuang Na , Xu Jiake , He Yongpeng , Shan Juanjuan , Qian Cheng 
Published: July 2024

AbstractImmunotherapy exhibited potential effects for advanced hepatocellular carcinoma, unfortunately, the clinical benefits are often countered by cancer adaptive immune suppressive response. Uncovering the mechanism how cancer cells evade immune surveillance would help to develop new immunotherapy approaches and combination therapy. In this article, by analyzing the transcriptional factors which modulate the differentially expressed genes between T cell infiltration high group and low group, we identified oncoprotein B cell lymphoma 6 (BCL6) suppresses the infiltration and activation of tumor infiltrating T lymphocytes, thus correlated with poorer clinical outcome. By using antibody deletion experiment, we further demonstrated that CD4+T cells but not CD8+T cells are the main lymphocyte population suppressed by Bcl6 to promote HCC development. Mechanistically, BCL6 decreases cancer cell expression of pro-inflammatory cytokines and T lymphocyte chemokines such as IL6, IL1F6, and CCL5. Moreover, BCL6 upregulates Endothelial cell-specific molecule 1 (ESM1) to inhibit T lymphocyte recruitment and activation possibly through ICAM-1/LFA-1 signaling pathway. Our findings uncovered an unappreciated paracrine mechanism how cancer cell-derived BCL6 assists cancer cell immune evasion, and highlighted the role of CD4+T cells in HCC immune surveillance.
Combination of MRI-based prediction and CRISPR/Cas12a-based detection for IDH genotyping in glioma
Authors: Yu Donghu , Zhong Qisheng , Xiao Yilei , Feng Zhebin , Tang Feng , Feng Shiyu , Cai Yuxiang , Gao Yutong , Lan Tian , Li Mingjun , Yu Fuhua , Wang Zefen , Gao Xu , Li Zhiqiang 
Published: July 2024

AbstractEarly identification of IDH mutation status is of great significance in clinical therapeutic decision-making in the treatment of glioma. We demonstrate a technological solution to improve the accuracy and reliability of IDH mutation detection by combining MRI-based prediction and a CRISPR-based automatic integrated gene detection system (AIGS). A model was constructed to predict the IDH mutation status using whole slices in MRI scans with a Transformer neural network, and the predictive model achieved accuracies of 0.93, 0.87, and 0.84 using the internal and two external test sets, respectively. Additionally, CRISPR/Cas12a-based AIGS was constructed, and AIGS achieved 100% diagnostic accuracy in terms of IDH detection using both frozen tissue and FFPE samples in one hour. Moreover, the feature attribution of our predictive model was assessed using GradCAM, and the highest correlations with tumor cell percentages in enhancing and IDH-wildtype gliomas were found to have GradCAM importance (0.65 and 0.5, respectively). This MRI-based predictive model could, therefore, guide biopsy for tumor-enriched, which would ensure the veracity and stability of the rapid detection results. The combination of our predictive model and AIGS improved the early determination of IDH mutation status in glioma patients. This combined system of MRI-based prediction and CRISPR/Cas12a-based detection can be used to guide biopsy, resection, and radiation for glioma patients to improve patient outcomes.
Pediatric sex estimation using AI-enabled ECG analysis: influence of pubertal development
Authors: O’Sullivan Donnchadh , Anjewierden Scott , Greason Grace , Attia Itzhak Zachi , Lopez-Jimenez Francisco , Friedman Paul A. , Noseworthy Peter , Anderson Jason , Kashou Anthony , Asirvatham Samuel J. , Eidem Benjamin W. , Johnson Jonathan N. , Niaz Talha , Madhavan Malini 
Published: July 2024

AbstractAI-enabled ECGs have previously been shown to accurately predict patient sex in adults and correlate with sex hormone levels. We aimed to test the ability of AI-enabled ECGs to predict sex in the pediatric population and study the influence of pubertal development. AI-enabled ECG models were created using a convolutional neural network trained on pediatric 10-second, 12-lead ECGs. The first model was trained de novo using pediatric data. The second model used transfer learning from a previously validated adult data-derived algorithm. We analyzed the first ECG from 90,133 unique pediatric patients (aged ≤18 years) recorded between 1987–2022, and divided the cohort into training, validation, and testing datasets. Subgroup analysis was performed on prepubertal (0–7 years), peripubertal (8–14 years), and postpubertal (15–18 years) patients. The cohort was 46.7% male, with 21,678 prepubertal, 26,740 peripubertal, and 41,715 postpubertal children. The de novo pediatric model demonstrated 81% accuracy and an area under the curve (AUC) of 0.91. Model sensitivity was 0.79, specificity was 0.83, positive predicted value was 0.84, and the negative predicted value was 0.78, for the entire test cohort. The model’s discriminatory ability was highest in postpubertal (AUC = 0.98), lower in the peripubertal age group (AUC = 0.91), and poor in the prepubertal age group (AUC = 0.67). There was no significant performance difference observed between the transfer learning and de novo models. AI-enabled interpretation of ECG can estimate sex in peripubertal and postpubertal children with high accuracy.