bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of restrictive compared to liberal intravenous fluid volume on hypotension in adults undergoing major abdominal surgery
Authors: Hollo Zachary , McKenzie Stewart , Kluger Roman , Peyton Philip , Melville Andrew , Phan Tuong D. 
Published: June 2024

AbstractIn a cardiac output (CO) sub-study of the Restrictive versus Liberal Fluid Therapy in Major Abdominal Surgery (RELIEF) trial, it was shown that restrictive fluid management was associated with lower cardiac index at the end of surgery. However, the association of the fluid protocol with intraoperative blood pressure was less clear. This paper primarily compares rates of hypotension between the two fluid regimens. The haemodynamic effects of these protocols may increase our understanding of perioperative fluid prescription. Using a data set of arterial pressure and cardiac output measurements, this observational cohort study primarily compares intraoperative hypotension rates defined by a mean arterial pressure < 65 mmHg between liberal and restrictive fluid protocols. Secondary analyses explore predictors of invasive mean arterial pressure and doppler-derived cardiac output, including fluid volume regimens and surgical duration. 105 patients had a combined total of 835 haemodynamic data capture events from the beginning to the end of the surgery. Here we report that a restrictive regimen is not associated with a greater proportion of participants who experience at least one episode of hypotension than the liberal regimen 64.1% vs. 61.5% (mean difference 2.6%, 95% CI − 15.9% to 21%, p = 0.78). Duration of surgery was associated with an increased risk of hypotension (OR 1.05, 1 to 1.1, p = 0.038). A fluid restriction protocol compared to liberal fluid administration is not associated with lower blood pressure.
Distribution and molecular characterization of carbapenemase-producing gram-negative bacteria in Henan, China
Authors: Li Chenyu , Chen Ruyan , Qiao Jie , Ge Haoyu , Fang Lei , Liu Ruishan , Liu Shuxiu , Wang Qian , Guo Xiaobing , Gou Jianjun 
Published: June 2024

AbstractThis study aimed to investigate the epidemiological characteristics and trends over time of carbapenemase-producing (e.g., KPC, NDM, VIM, IMP, and OXA-48) Gram-negative bacteria (CPGNB). Non-duplicated multi-drug resistant Gram-negative bacteria (MDRGNB) were collected from the First Affiliated Hospital of Zhengzhou University from April 2019 to February 2023. Species identification of each isolate was performed using the Vitek2 system and confirmed by matrix-assisted laser desorption ionization-time of flight mass spectrometry according to the manufacturer's instructions. PCR detected carbapenem resistance genes in the strains, strains carrying carbapenem resistance genes were categorized as CPGNB strains after validation by carbapenem inactivation assay. A total of 5705 non-repetitive MDRGNB isolates belonging to 78 different species were collected during the study period, of which 1918 CPGNB were validated, with the respiratory tract being the primary source of specimens. Epidemiologic statistics showed a significant predominance of ICU-sourced strains compared to other departments. Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumannii, and Pseudomonas aeruginosa were the significant CPGNB in Henan, and KPC and NDM were the predominant carbapenemases. Carbapenem-resistant infections in Henan Province showed an overall increasing trend, and the carriage of carbapenemase genes by CPGNB has become increasingly prevalent and complicated. The growing prevalence of CPGNB in the post-pandemic era poses a significant challenge to public safety.
Carbon dioxide utilization in propylene carbonate production process
Authors: Esmaeili-Chelan Erfan , Bahadori Fatemeh 
Published: June 2024

AbstractUtilizing carbon dioxide in chemical processes is one of the suggested remedies for reducing its atmospheric concentration. In this paper, the simulation of the propylene carbonate production process using 1,2-propanediol and carbon dioxide has been performed. The impact of temperature was examined between 75 and 400°C. It has been found that as temperature rises, reaction conversion increases. Additionally, the impact of recycling ratio was examined in the range of 0.1–0.5, which demonstrates that a rise in the recycle ratio results in a fall in conversion. Furthermore; it was observed that the pressure initially increases the solubility of carbon dioxide in 1,2-propanediol and improves the conversion of the reaction, but when enough carbon dioxide is supplied in the reaction, increasing the pressure does not affect the corresponding reaction. The effect of all studied parameters depends on the residence time of the reactants in the reactor. Investigating the interaction of parameters and optimizing the process has shown several optimal point of the process such as temperature of 295 °C, a recycle ratio 0.1, feed ratio 0.8 and a residence time of 12.61 h, with the related conversion being 59.6%.
Impact of horticultural therapy on patients admitted to psychiatric wards, a randomised, controlled and open trial
Authors: Joubert Aude , Jankowski-Cherrier Blandine , Rossi Audrey , Teyssier Laure , Suraud Valérie , Presle Emilie , Pommier Romain , Massoubre Catherine , Verot Elise 
Published: June 2024

AbstractPsychiatric inpatients often endure anxiety. This randomized trial assessed the impact of horticultural therapy on anxiety in adult psychiatric inpatients over four weeks, compared to standard care. Recruiting 211 inpatients from six units were randomized into control (n = 105) and experimental (n = 106) groups. Control received usual care; the experimental group had horticultural therapy alongside usual care. Anxiety, measured using HADS-A scale at four weeks, aimed to establish horticultural therapy's superiority. After four weeks, horticultural therapy significantly reduced anxiety compared to standard care (P < 0.001). These results argue in favor of integrating horticultural therapy into psychiatric nursing practices.Trial registration: No Clinical Trail: NCT02666339 (1st registration: 28/01/2016).
Multicenter and multimodal imaging study reveals rare fundus lesions in patients after SARS-CoV-2 infection
Authors: An Guangqi , Lei Bo , Wang Zhili , Yang Kaizhuan , Fan Dongsheng , Li Bing , Fu Ke , Fang Haixin , Zhang Min , Li Lin , Zhao Yu , Jin Xuemin , Du Liping 
Published: June 2024

AbstractTo define the characteristics of fundus manifestations in patients after SARS-CoV-2 infection with multimodal imaging techniques. This is a retrospective multicenter and multimodal imaging study including 90 patients. All patients with a visual complaint occurring immediately after SARS-CoV-2 infection were referred to six clinics between December 2022 and February 2023. Demographic information and the temporal relationship between SARS-CoV-2 infection and visual symptoms were documented. The characteristics of the fundus lesions were evaluated using multimodal imaging. Ninety patients from six hospitals were included in this study, including 24 males (26.67%) and 66 (73.33%) females. Seventy-eight patients (86.66%) (146 eyes) were diagnosed with Acute Macular Neuroretinopathy (AMN). The AMN patients were primarily young women (67.95%). Sixty-eight patients (87.18%) had AMN in both eyes. Thirty-eight eyes (24.36%) included Purtscher or Purtscher-like lesions. optical coherence tomography and infrared retinal photographs can show AMN lesions well. Eleven cases were diagnosed with simple Purtscher or Purtscher-like retinopathy (2 cases, 2.22%), Vogt‒Koyanagi‒Harada (VKH) syndrome or VKH-like uveitis (3 cases, 3.33%), multiple evanescent white-dot syndrome (MEWDS) (2 cases, 2.22%), and rhino-orbital-cerebral mucormycosis (ROCM) (5 cases, 5.56%). After SARS-CoV-2 infection, diversified fundus lesions were evident in patients with visual complaints. In this report, AMN was the dominant manifestation, followed by Purtscher or Purtscher-like retinopathy, MEWDS, VKH-like uveitis, and ROCM.
Deciphering the etiology of undiagnosed ocular anomalies along with systemic alterations in pediatric patients through whole exome sequencing
Authors: Reyna-Fabián Miriam E. , Fernández-Hernández Liliana , Enríquez-Flores Sergio , Apam-Garduño David , Prado-Larrea Carolina , Seo Go Hun , Khang Rin , Cortés-González Vianney 
Published: June 2024

AbstractInherited and developmental eye diseases are quite diverse and numerous, and determining their genetic cause is challenging due to their high allelic and locus heterogeneity. New molecular approaches, such as whole exome sequencing (WES), have proven to be powerful molecular tools for addressing these cases. The present study used WES to identify the genetic etiology in ten unrelated Mexican pediatric patients with complex ocular anomalies and other systemic alterations of unknown etiology. The WES approach allowed us to identify five clinically relevant variants in the GZF1, NFIX, TRRAP, FGFR2 and PAX2 genes associated with Larsen, Malan, developmental delay with or without dysmorphic facies and autism, LADD1 and papillorenal syndromes. Mutations located in GZF1 and NFIX were classified as pathogenic, those in TRRAP and FGFR2 were classified as likely pathogenic variants, and those in PAX2 were classified as variants of unknown significance. Protein modeling of the two missense FGFR2 p.(Arg210Gln) and PAX2 p.(Met3Thr) variants showed that these changes could induce potential structural alterations in important functional regions of the proteins. Notably, four out of the five variants were not previously reported, except for the TRRAP gene. Consequently, WES enabled the identification of the genetic cause in 40% of the cases reported. All the syndromes reported herein are very rare, with phenotypes that may overlap with other genetic entities.
Nighttime road scene image enhancement based on cycle-consistent generative adversarial network
Authors: Jia Yanfei , Yu Wenshuo , Chen Guangda , Zhao Liquan 
Published: June 2024

AbstractDuring nighttime road scenes, images are often affected by contrast distortion, loss of detailed information, and a significant amount of noise. These factors can negatively impact the accuracy of segmentation and object detection in nighttime road scenes. A cycle-consistent generative adversarial network has been proposed to address this issue to improve the quality of nighttime road scene images. The network includes two generative networks with identical structures and two adversarial networks with identical structures. The generative network comprises an encoder network and a corresponding decoder network. A context feature extraction module is designed as the foundational element of the encoder-decoder network to capture more contextual semantic information with different receptive fields. A receptive field residual module is also designed to increase the receptive field in the encoder network.The illumination attention module is inserted between the encoder and decoder to transfer critical features extracted by the encoder to the decoder. The network also includes a multiscale discriminative network to discriminate better whether the image is a real high-quality or generated image. Additionally, an improved loss function is proposed to enhance the efficacy of image enhancement. Compared to state-of-the-art methods, the proposed approach achieves the highest performance in enhancing nighttime images, making them clearer and more natural.
Global impacts of heat and water stress on food production and severe food insecurity
Authors: Kompas Tom , Che Tuong Nhu , Grafton R. Quentin 
Published: June 2024

AbstractIn contrast to most integrated assessment models, with limited transparency on damage functions and recursive temporal dynamics, we use a unique large-dimensional computational global climate and trade model, GTAP-DynW, to directly project the possible intertemporal impacts of water and heat stress on global food supply and food security to 2050. The GTAP-DynW model uses GTAP production and trade data for 141 countries and regions, with varying water and heat stress baselines, and results are aggregated into 30 countries/regions and 30 commodity sectors. Blue water stress projections are drawn from WRI source material and a GTAP-Water database to incorporate dynamic changes in water resources and their availability in agricultural production and international trade, thus providing a more general measure for severe food insecurity from water and heat stress damages with global warming. Findings are presented for three representative concentration pathways: RCP4.5-SSP2, RCP8.5-SPP2, and RCP8.5-SSP3 (population growth only for SSPs) and project: (a) substantial declines, as measured by GCal, in global food production of some 6%, 10%, and 14% to 2050 and (b) the number of additional people with severe food insecurity by 2050, correspondingly, increases by 556 million, 935 million, and 1.36 billion compared to the 2020 model baseline.
Internet-enabled lab-on-a-chip technology for education
Authors: Sano Tyler , Sampad Mohammad Julker Neyen , Gonzalez-Ferrer Jesus , Hernandez Sebastian , Vera-Choqqueccota Samira , Vargas Paola A. , Urcuyo Roberto , Montellano Duran Natalia , Teodorescu Mircea , Haussler David , Schmidt Holger , Mostajo-Radji Mohammed A. 
Published: June 2024

AbstractDespite many interventions, science education remains highly inequitable throughout the world. Internet-enabled experimental learning has the potential to reach underserved communities and increase the diversity of the scientific workforce. Here, we demonstrate the use of lab-on-a-chip (LoC) technologies to expose Latinx life science undergraduate students to introductory concepts of computer programming by taking advantage of open-loop cloud-integrated LoCs. We developed a context-aware curriculum to train students at over 8000 km from the experimental site. Through this curriculum, the students completed an assignment testing bacteria contamination in water using LoCs. We showed that this approach was sufficient to reduce the students’ fear of programming and increase their interest in continuing careers with a computer science component. Altogether, we conclude that LoC-based internet-enabled learning can become a powerful tool to train Latinx students and increase the diversity in STEM.
Impact of foot progression angle on spatiotemporal and plantar loading pattern in intoeing children during gait
Authors: Cao Yuqing , Zhuang Hanjie , Zhang Xinhui , Guo Ruoyi , Pang Haotian , Zheng Pengfei , Xu Hang 
Published: June 2024

AbstractIntoeing in children is a common parental concern, but our understanding of the impact of foot progression angle (FPA) in these children leaves remains limited. This study examines the relationship between FPA and plantar loading pattern, as well as gait symmetry in children with intoeing. The sample included 30 children with intoeing caused by internal tibial torsion, uniformly divided into three groups: unilateral intoeing, bilateral mild intoeing, and bilateral mild-moderate intoeing. The relationship between FPA and plantar loading pattern, and gait symmetry within and among groups were assessed using dynamic pedobarographic and spatiotemporal data. Results indicated a significant correlation between FPA and peak pressure, maximum force, and plantar impulse in the medial and central forefoot, and also the medial and lateral heel zones for both bilateral intoeing groups. Significant differences were observed only in subdivided stance phase, including loading response, single support, and pre-swing phases, between the unilateral intoeing and bilateral mild intoeing groups. These findings suggest that FPA significantly affects the forefoot and heel zones, potentially increasing the load on the support structures and leading to transverse arch deformation. While children with intoeing demonstrate a dynamic self-adjustment capability to maintain gait symmetry, this ability begins to falter as intoeing becomes more pronounced.
Gratitude promotes prosocial behavior even in uncertain situation
Authors: Oguni Ryuji , Ishii Chikara 
Published: June 2024

AbstractGratitude is pivotal in promoting and maintaining prosocial interactions in human society. However, it is unclear whether the prosocial function of gratitude can be observed even in situations of uncertainty about whether one can provide benefits to others. Here, we examined whether gratitude promotes prosocial behavior in uncertain situations. Participants (N = 60) were randomly assigned to either a gratitude or neutral group. Following the emotion-induced manipulation, we examined whether participants would choose a non-unique resource when selecting one of four resources (one unique and three non-unique) to leave the choice to the follower. This represented an uncertain situation in which choosing a non-unique resource does not necessarily mean the follower will choose the unique one. Results showed that participants in the gratitude group were more likely to choose non-unique resources than those in the neutral group, suggesting that gratitude promotes prosocial behavior even in uncertain situations. Our findings indicate that gratitude is widely prevalent as a lubricant for interpersonal and cooperative relationships in human society.
The landscape of the COVID-19 pandemic in Poland emerging from epidemiological and genomic data
Authors: Mirska Barbara , Zenczak Michal , Nowis Katarzyna , Stolarek Ireneusz , Podkowiński Jan , Rakoczy Magdalena , Marcinkowska-Swojak Małgorzata , Koralewska Natalia , Zmora Paweł , Lenartowicz Onyekaa Elżbieta , Osuch Marcin , Łasińska Katarzyna , Kuczma-Napierała Jadwiga , Jaworska Marcelina , Madej Łukasz , Ciechomska Marzena , Jamsheer Aleksander , Kurowski Krzysztof , Figlerowicz Marek , Handschuh Luiza 
Published: June 2024

AbstractThe COVID-19 pandemic has profoundly affected all aspects of our lives. Through real-time monitoring and rapid vaccine implementation, we succeeded in suppressing the spread of the disease and mitigating its consequences. Finally, conclusions can be summarized and drawn. Here, we use the example of Poland, which was seriously affected by the pandemic. Compared to other countries, Poland has not achieved impressive results in either testing or vaccination, which may explain its high mortality (case fatality rate, CFR 1.94%). Through retrospective analysis of data collected by the COVID-19 Data Portal Poland, we found significant regional differences in the number of tests performed, number of cases detected, number of COVID-19-related deaths, and vaccination rates. The Masovian, Greater Poland, and Pomeranian voivodeships, the country’s leaders in vaccination, reported high case numbers but low death rates. In contrast, the voivodeships in the eastern and southern parts of Poland (Subcarpathian, Podlaskie, Lublin, Opole), which documented low vaccination levels and low case numbers, had higher COVID-19-related mortality rates. The strong negative correlation between the CFR and the percentage of the population that was vaccinated in Poland supports the validity of vaccination. To gain insight into virus evolution, we sequenced more than 500 genomes and analyzed nearly 80 thousand SARS-CoV-2 genome sequences deposited in GISAID by Polish diagnostic centers. We showed that the SARS-CoV-2 variant distribution over time in Poland reflected that in Europe. Haplotype network analysis allowed us to follow the virus transmission routes and identify potential superspreaders in each pandemic wave.
Coronary artery bypass grafting outcomes of patients with human immunodeficiency virus: a population-based study of National Inpatient Sample from 2015 to 2020
Authors: Li Renxi , Prastein Deyanira J. , Choi Brian G. 
Published: June 2024

AbstractIndividuals affected by human immunodeficiency virus (HIV) have a growing demand for coronary artery bypass grafting (CABG) due to heightened risk for cardiovascular diseases and extended life expectancy. However, CABG outcomes in HIV patients are not well-established, with insights only from small case series studies. This study conducted a comprehensive, population-based examination of in-hospital CABG outcomes in HIV patients. Patients underwent CABG were identified in National Inpatient Sample from Q4 2015–2020. Patients with age < 18 years and concomitant procedures were excluded. A 1:5 propensity-score matching was used to address preoperative group differences. Among patients who underwent CABG, 613 (0.36%) had HIV and were matched to 3119 out of 167,569 non-HIV patients. For selected HIV patients, CABG is relatively safe, presenting largely similar outcomes. After matching, HIV and non-HIV patients had comparable in-hospital mortality rates (2.13% vs. 1.67%, p = 0.40). Risk factors associated with mortality among HIV patients included previous CABG (aOR = 14.32, p = 0.01), chronic pulmonary disease (aOR = 8.24, p < 0.01), advanced renal failure (aOR = 7.49, p = 0.01), and peripheral vascular disease (aOR = 6.92, p = 0.01), which can be used for preoperative risk stratification. While HIV patients had higher acute kidney injury (AKI; 26.77% vs. 21.77%, p = 0.01) and infection (8.21% vs. 4.18%, p < 0.01), other complications were comparable between the groups.
Cloud inversion analysis of surrounding rock parameters for underground powerhouse based on PSO-BP optimized neural network and web technology
Authors: Qu Long , Xie Hong-Qiang , Pei Jian-Liang , Li You-Gen , Wu Jia-Ming , Feng Gan , Xiao Ming-Li 
Published: June 2024

AbstractAiming at the shortcomings of the BP neural network in practical applications, such as easy to fall into local extremum and slow convergence speed, we optimized the initial weights and thresholds of the BP neural network using the particle swarm optimization (PSO). Additionally, cloud computing service, web technology, cloud database and numerical simulation were integrated to construct an intelligent feedback analysis cloud program for underground engineering safety monitoring based on the PSO-BP algorithm. The program could conveniently, quickly, and intelligently carry out numerical analysis of underground engineering and dynamic feedback analysis of surrounding rock parameters. The program was applied to the cloud inversion analysis of the surrounding rock parameters for the underground powerhouse of the Shuangjiangkou Hydropower Station. The calculated displacement simulated with the back-analyzed parameters matches the measured displacement very well. The posterior variance evaluation shows that the posterior error ratio is 0.045 and the small error probability is 0.999. The evaluation results indicate that the intelligent feedback analysis cloud program has high accuracy and can be applied to engineering practice.
Characterization of the DNA accessibility of chloroplast genomes in grasses
Authors: Liu Yinmeng , Zhan Jinling , Li Junjie , Lian Mengjie , Li Jiacheng , Xia Chunjiao , Zhou Fei , Xie Weibo 
Published: June 2024

AbstractAlthough the chloroplast genome (cpDNA) of higher plants is known to exist as a large protein-DNA complex called ‘plastid nucleoid’, researches on its DNA state and regulatory elements are limited. In this study, we performed the assay for transposase-accessible chromatin sequencing (ATAC-seq) on five common tissues across five grasses, and found that the accessibility of different regions in cpDNA varied widely, with the transcribed regions being highly accessible and accessibility patterns around gene start and end sites varying depending on the level of gene expression. Further analysis identified a total of 3970 putative protein binding footprints on cpDNAs of five grasses. These footprints were enriched in intergenic regions and co-localized with known functional elements. Footprints and their flanking accessibility varied dynamically among tissues. Cross-species analysis showed that footprints in coding regions tended to overlap non-degenerate sites and contain a high proportion of highly conserved sites, indicating that they are subject to evolutionary constraints. Taken together, our results suggest that the accessibility of cpDNA has biological implications and provide new insights into the transcriptional regulation of chloroplasts.