bluuebunny/crossref_metadata_2025_split huggingface dataset:
Synthetic magnetic resonance-based relaxometry and brain volume: cutoff values for predicting neurocognitive outcomes in very preterm infants
Authors: Vanderhasselt Tim , Naeyaert Maarten , Buls Nico , Allemeersch Gert-Jan , Raeymaeckers Steven , Raeymaekers Hubert , Smeets Nathalie , Cools Filip , de Mey Johan , Dudink Jeroen 
Published: July 2024

Abstract
Background
Early neurorehabilitation can enhance neurocognitive outcomes in very preterm infants (<32 weeks), and conventional magnetic resonance imaging (MRI) is commonly used to assess neonatal brain injury; however, the predictive value for neurodevelopmental delay is limited. Timely predictive quantitative biomarkers are needed to improve early identification and management of infants at risk of neurodevelopmental delay.

Objective
To evaluate the potential of quantitative synthetic MRI measurements at term-equivalent age as predictive biomarkers of neurodevelopmental impairment and establish practical cutoff values to guide clinical decision-making.

Materials and methods
This retrospective study included 93 very preterm infants who underwent synthetic MRI at term-equivalent age between January 2017 and September 2020. Clinical outcomes were assessed using the Bayley-III scale of infant development (mean age 2.1 years). The predictive value for impaired development was analyzed using receiver operating characteristic curves for synthetic MRI-based volumetry and T1 and T2 relaxation measurements.

Results
The T1 relaxation time in the posterior limb of the internal capsule was a potent predictor of severe (sensitivity, 92%; specificity, 80%; area under the curve (AUC), 0.91) and mild or severe (AUC, 0.75) developmental impairment. T2 relaxation time in the posterior limb of the internal capsule was a significant predictor of severe impairment (AUC, 0.76), whereas the brain parenchymal volume was a significant predictor of severe (AUC, 0.72) and mild or severe impairment (AUC, 0.71) outperforming the reported qualitative MRI scores (AUC, 0.66).

Conclusion
The proposed cutoff values for T1 relaxation time in the posterior limb of the internal capsule and for total brain volume measurements, derived from synthetic MRI, show promise as predictors of both mild and severe neurodevelopmental impairment in very preterm infants.

Graphical Abstract
Emergencies in inflammatory rheumatic diseases
Authors: Auyezkhankyzy Dana , Izekenova Aigulsum , Kocyigit Burhan Fatih 
Published: July 2024

AbstractInflammatory rheumatic diseases (IRDs), encompassing a broad spectrum of chronic disorders, typically necessitate prolonged therapeutic intervention. Nevertheless, these diseases can sometimes manifest as severe emergencies requiring prompt and extensive medical intervention. Urgent intervention is essential for effectively recognizing and managing these situations, as they have the potential to be life-threatening and can result in severe morbidity and mortality. Emergencies in IRDs can occur with different frequencies and manifestations, including nervous system issues, severe infections, thrombosis-emboli, renal crises, gastrointestinal issues, and cardiovascular events. The fact that these events can occur across different IRDs underscores the necessity for heightened awareness and readiness among healthcare professionals. The pathophysiologic mechanisms that cause rheumatic emergencies are complex and involve multiple factors. These emergencies frequently arise due to the interplay between the inflammatory characteristics of rheumatic diseases and different systemic triggers. Early detection and treatment can have a substantial impact on an individual’s prognosis in cases of severe and life-threatening disorders that require prompt recognition. Rapid decision-making and urgent care are required to effectively address rheumatic emergencies, as well as the implementation of a diagnostic flowchart. This article provides an overview of the emergencies linked to IRDs, classifying and assessing them individually. This article aims to enhance healthcare professionals’ knowledge and awareness of critical situations by examining current recommendations and pathophysiological information. Implementing standardized diagnostic and treatment methods, providing patient education, and conducting continuing research into the underlying mechanisms are essential for enhancing the management of these critical situations and improving patient outcomes.
Impairment of the GABAergic system in the anterior insular cortex of heroin-addicted males
Authors: Gos Anna , Steiner Johann , Trübner Kurt , Mawrin Christian , Kaliszan Michał , Gos Tomasz 
Published: July 2024

Abstract
Opioid addiction is a global problem, causing the greatest health burden among drug use disorders, with opioid overdose deaths topping the statistics of fatal overdoses. The multifunctional anterior insular cortex (AIC) is involved in inhibitory control, which is severely impaired in opioid addiction. GABAergic interneurons shape the output of the AIC, where abnormalities have been reported in individuals addicted to opioids. In these neurons, glutamate decarboxylase (GAD) with its isoforms GAD 65 and 67 is a key enzyme in the synthesis of GABA, and research data point to a dysregulation of GABAergic activity in the AIC in opioid addiction. Our study, which was performed on paraffin-embedded brains from the Magdeburg Brain Bank, aimed to investigate abnormalities in the GABAergic function of the AIC in opioid addiction by densitometric evaluation of GAD 65/67-immunostained neuropil. The study showed bilaterally increased neuropil density in layers III and V in 13 male heroin-addicted males compared to 12 healthy controls, with significant U-test P values for layer V bilaterally. Analysis of confounding variables showed that age, brain volume and duration of formalin fixation did not confound the results. Our findings suggest a dysregulation of GABAergic activity in the AIC in opioid addiction, which is consistent with experimental data from animal models and human neuroimaging studies.
Reduction of detection limits in monitoring of internal exposures by a combined evaluation of emissions and spectra
Authors: Meisenberg Oliver 
Published: July 2024

AbstractRoutine monitoring of internal exposures requires the detection of effective doses of at most 1 mSv per calendar year. For some radionuclides, this requirement cannot be satisfied by a conventional evaluation of the spectra that are gained in alpha or gamma spectrometry. However, since several measurements are conducted per calendar year on a regular basis, a combined evaluation of measurements, i.e. the evaluation of sum spectra, is possible. Additionally, radionuclides that feature several emissions of alpha or gamma radiation allow a combined evaluation of their emissions. Both methods can lead to significantly smaller detection limits as compared to a separate evaluation of spectra in many cases. However, the variation of parameters that influence the evaluation such as the measurement efficiency, abundance and chemical yield requires specific calculations and treatments of the spectra as well as a manipulation of the channel contents: In a combination of emissions, energy regions are summed and evaluated with a combined efficiency that is weighted by the abundances. In a combination of spectra, the channel contents must be scaled by the ratio of the calibration factors before the summation of the spectra. In the routine monitoring of short-lived radionuclides that feature a variety of emissions such as 225Ac, these combinations are particularly effective in reducing the detectable annual effective dose. For alpha spectrometry of 225Ac, both methods applied together can lead to a detectable effective dose of about 1 mSv per year as compared to a dose of about 90 mSv with a conventional separate evaluation.
Exploring the potential of Lactocaseibacillus rhamnosus PMC203 in inducing autophagy to reduce the burden of Mycobacterium tuberculosis
Authors: Rahim Md Abdur , Seo Hoonhee , Kim Sukyung , Barman Indrajeet , Ghorbanian Fatemeh , Hossain Mohammed Solayman , Shuvo Md Sarower Hossen , Lee Saebim , Song Ho-Yeon 
Published: July 2024

AbstractMycobacterium tuberculosis, a lethal pathogen in human history, causes millions of deaths annually, which demands the development of new concepts of drugs. Considering this fact, earlier research has explored the anti-tuberculosis potential of a probiotic strain, Lactocaseibacillus rhamnosus PMC203, leading to a subsequent focus on the molecular mechanism involved in its effect, particularly on autophagy. In this current study, immunoblotting-based assay exhibited a remarkable expression of autophagy marker LC3-II in the PMC203 treated group compared to an untreated group. A remarkable degradation of p62 was also noticed within treated cells compared to control. Furthermore, the immunofluorescence-based assay showed significant fold change in fluorescence intensity for alexa-647-LC3 and alexa-488-LC3, whereas p62 was degraded noticeably. Moreover, lysosomal biogenesis generation was elevated significantly in terms of LAMP1 and acidic vesicular organelles. As a result, PMC203-induced autophagy played a vital role in reducing M. tuberculosis burden within the macrophages in treated groups compared to untreated group. A colony -forming unit assay also revealed a significant reduction in M. tuberculosis in the treated cells over time. Additionally, the candidate strain significantly upregulated the expression of autophagy induction and lysosomal biogenesis genes. Together, these results could enrich our current knowledge of probiotics-mediated autophagy in tuberculosis and suggest its implications for innovatively managing tuberculosis.
ZBTB7A regulates LncRNA HOTAIR-mediated ELAVL1/SOX17 axis to inhibit malignancy and angiogenesis in endometrial carcinoma
Authors: Zhang Xiao-Hui , Wu Shu-Wei , Feng Yi-Fan , Xie Yang-Qin , Li Min , Hu Ping , Cao Yunxia 
Published: July 2024

Abstract
Background
Endometrial cancer (EC) is the sixth most frequent cancer in women worldwide and has higher fatality rates. The pathophysiology of EC is complex, and there are currently no reliable methods for diagnosing and treating the condition. Long non-coding RNA (lncRNA), according to mounting evidence, is vital to the pathophysiology of EC. HOTAIR is regarded as a significant prognostic indicator of EC. ZBTB7A decreased EC proliferation and migration, according to recent studies, however the underlying mechanism still needs to be clarified.

Methods
The research utilized RT-qPCR to measure HOTAIR expression in clinical EC tissues and various EC cell lines. Kaplan-Meier survival analysis was employed to correlate HOTAIR levels with patient prognosis. Additionally, the study examined the interaction between ZBTB7A and HOTAIR using bioinformatics tools and ChIP assays. The experimental approach also involved manipulating the expression levels of HOTAIR and ZBTB7A in EC cell lines and assessing the impact on various cellular processes and gene expression.

Results
The study found significantly higher levels of HOTAIR in EC tissues compared to adjacent normal tissues, with high HOTAIR expression correlating with poorer survival rates and advanced cancer characteristics. EC cell lines like HEC-1 A and KLE showed higher HOTAIR levels compared to normal cells. Knockdown of HOTAIR in these cell lines reduced proliferation, angiogenesis, and migration. ZBTB7A was found to be inversely correlated with HOTAIR, and its overexpression led to a decrease in HOTAIR levels and a reduction in malignant cell behaviors. The study also uncovered that HOTAIR interacts with ELAVL1 to regulate SOX17, which in turn activates the Wnt/β-catenin pathway, promoting malignant behaviors in EC cells.

Conclusion
HOTAIR is a critical regulator in EC, contributing to tumor growth and poor prognosis. Its interaction with ZBTB7A and regulation of SOX17 via the Wnt/β-catenin pathway underlines its potential as a therapeutic target.
Targeting the PI3K/AKT/mTOR pathway offer a promising therapeutic strategy for cholangiocarcinoma patients with high doublecortin-like kinase 1 expression
Authors: Liang Ziwei , Ge Yang , Li Jianjian , Bai Yunting , Xiao Zeru , Yan Rui , An Guangyu , Zhang Donglei 
Published: July 2024

Abstract
Background
Cholangiocarcinoma (CCA), characterized by high heterogeneity and extreme malignancy, has a poor prognosis. Doublecortin-like kinase 1 (DCLK1) promotes a variety of malignant cancers in their progression. Targeting DCLK1 or its associated regulatory pathways can prevent the generation and deterioration of several malignancies. However, the role of DCLK1 in CCA progression and its molecular mechanisms remain unknown. Therefore, we aimed to investigate whether and how DCLK1 contributes to CCA progression.

Methods
The expression of DCLK1 in CCA patients was detected using Immunohistochemistry (IHC). We established DCLK1 knockout and DCLK1 overexpression cell lines for Colony Formation Assay and Transwell experiments to explore the tumor-promoting role of DCLK1. RT-PCR, Western blot and multiple fluorescent staining were used to assess the association between DCLK1 and epithelial–mesenchymal transition (EMT) markers. RNA sequencing and bioinformatics analysis were performed to identify the underlying mechanisms by which DCLK1 regulates CCA progression and the EMT program.

Results
DCLK1 was overexpressed in CCA tissues and was associated with poor prognosis. DCLK1 overexpression facilitated CCA cell invasion, migration, and proliferation, whereas DCLK1 knockdown reversed the malignant tendencies of CCA cells, which had been confirmed both in vivo and in vitro. Furthermore, we demonstrated that DCLK1 was substantially linked to the advancement of the EMT program, which included the overexpression of mesenchymal markers and the downregulation of epithelial markers. For the underlying mechanism, we proposed that the PI3K/AKT/mTOR pathway is the key process for the role of DCLK1 in tumor progression and the occurrence of the EMT program. When administered with LY294002, an inhibitor of the PI3K/AKT/mTOR pathway, the tumor’s ability to proliferate, migrate, and invade was greatly suppressed, and the EMT process was generally reversed.

Conclusions
DCLK1 facilitates the malignant biological behavior of CCA cells through the PI3K/AKT/mTOR pathway. In individuals with cholangiocarcinoma who express DCLK1 at high levels, inhibitors of the PI3K/AKT/mTOR signaling pathway may be an effective therapeutic approach.
Creep Versus Consolidation in Tunnelling through Squeezing Ground—Part B: Transferability of Experience
Authors: Nordas Alexandros N. , Leone Thomas , Anagnostou Georgios 
Published: July 2024

AbstractThis paper investigates potential differences between creep and consolidation in mechanised tunnelling through squeezing ground, placing focus on the practical question of using experiences gained from existing tunnels about the required thrust force as a reference for tunnels of different diameter or adjacent tunnels. The investigations focus on two aspects. First, the effect of the tunnel diameter on the risk of shield jamming is examined. The paper demonstrates that larger-diameter tunnels are more favourable in poor-quality ground, while the opposite holds in better-quality ground, as well as in the case of pronouncedly time-dependent ground behaviour due to consolidation or creep. Second, the effect of a tunnel on the required thrust force in a neighbouring tunnel built later is examined. The paper shows that this interaction effect is particularly important in water-bearing ground of low permeability, where the drainage action of the first tunnel induces pore pressure relief and ground consolidation in an extensive area, leading to a remarkable reduction of the thrust force in the second tunnel. Conversely, in the case of creep the interaction is negligible even under extremely squeezing conditions, due to the fundamentally different nature of the purely mechanical rheological processes from coupled hydromechanical processes. The presented investigations into the transferability of experiences are valuable for tunnelling practice, in cases of twin tunnels as well as in situations where a smaller-diameter tunnel is constructed prior to the main tunnel (e.g. a pilot tunnel for exploration, advance drainage or ground improvement), or also the opposite (e.g. upgrade of a road tunnel by later construction of a safety tunnel with a smaller diameter).
Deep Learning–Based Localization and Detection of Malpositioned Nasogastric Tubes on Portable Supine Chest X-Rays in Intensive Care and Emergency Medicine: A Multi-center Retrospective Study
Authors: Wang Chih-Hung , Hwang Tianyu , Huang Yu-Sen , Tay Joyce , Wu Cheng-Yi , Wu Meng-Che , Roth Holger R. , Yang Dong , Zhao Can , Wang Weichung , Huang Chien-Hua 
Published: July 2024

Abstract
Malposition of a nasogastric tube (NGT) can lead to severe complications. We aimed to develop a computer-aided detection (CAD) system to localize NGTs and detect NGT malposition on portable chest X-rays (CXRs). A total of 7378 portable CXRs were retrospectively retrieved from two hospitals between 2015 and 2020. All CXRs were annotated with pixel-level labels for NGT localization and image-level labels for NGT presence and malposition. In the CAD system, DeepLabv3 + with backbone ResNeSt50 and DenseNet121 served as the model architecture for segmentation and classification models, respectively. The CAD system was tested on images from chronologically different datasets (National Taiwan University Hospital (National Taiwan University Hospital)-20), geographically different datasets (National Taiwan University Hospital-Yunlin Branch (YB)), and the public CLiP dataset. For the segmentation model, the Dice coefficients indicated accurate delineation of the NGT course (National Taiwan University Hospital-20: 0.665, 95% confidence interval (CI) 0.630–0.696; National Taiwan University Hospital-Yunlin Branch: 0.646, 95% CI 0.614–0.678). The distance between the predicted and ground-truth NGT tips suggested accurate tip localization (National Taiwan University Hospital-20: 1.64 cm, 95% CI 0.99–2.41; National Taiwan University Hospital-Yunlin Branch: 2.83 cm, 95% CI 1.94–3.76). For the classification model, NGT presence was detected with high accuracy (area under the receiver operating characteristic curve (AUC): National Taiwan University Hospital-20: 0.998, 95% CI 0.995–1.000; National Taiwan University Hospital-Yunlin Branch: 0.998, 95% CI 0.995–1.000; CLiP dataset: 0.991, 95% CI 0.990–0.992). The CAD system also detected NGT malposition with high accuracy (AUC: National Taiwan University Hospital-20: 0.964, 95% CI 0.917–1.000; National Taiwan University Hospital-Yunlin Branch: 0.991, 95% CI 0.970–1.000) and detected abnormal nasoenteric tube positions with favorable performance (AUC: 0.839, 95% CI 0.807–0.869). The CAD system accurately localized NGTs and detected NGT malposition, demonstrating excellent potential for external generalizability.
Impact of organic and nanoparticle-selenium fortified larval weaning diet on survival, growth, gastrointestinal, and (GPx) activity of European Sea Bass (Dicentrarchus labrax) Larvae
Authors: El-Dahhar Alaa A. , Khaleefa Gomaa A. , El-Zaeem Samy Y. , Mourad Mona M. , Raheem Mohammed M. Abdel 
Published: July 2024

AbstractThe study involved three groups of six broodstock with a 1:1 male-to-female ratio. They were injected with 13 µg/kg LHRHa to stimulate spawning. We fed the broodstock three diets: a control diet without selenium, a diet containing 0.3 mg of nano-selenium /kg (N-Se), and a diet containing 4 mg of organic selenium /kg (O-Se). The broodstock diet consisted of equal parts of dry feed (45% protein), sardines, and squid. After being laid, the eggs were obtained from the collection ponds at the General Authority for Fisheries Development's fish hatchery and incubated until hatching. The larvae were given a micro diet containing 51.7% crude protein and live food (Rotifer and Artemia). Rotifer density increased from 5/ml to 15/ml by day 22 dph, Artemia nauplii increased from 0.2 to 4 ind./ml, from 7 to 35 dph then decreased to 0 at 55 dph, and micro-diets increased from 100-200 µ at 16 dph to 200-400 µ at 23-40 dph to 300-500 µ at 55 dph, and 500-1000 µ until the experiment ended. Three different diets in three replicates were tested: A micro diet free of selenium as a control diet (C), A micro diet with 0.3 mg of nano selenium (N-Se) kg-1, and A micro diet supplemented with organic selenium 4 mg (O-Se). Each group was taken from the three Broodstock groups respectively. Sixteen days after hatching, the three experimental micro diets were introduced to the larvae and continued for 76 days post-hatch. Larvae (260,000 per tank) were placed in fiberglass tanks with 4 m3 of water at a temperature of 19±2°C for optimal conditions. The larvae fed the N-Se diet had significantly better survival rates (75.0 ± 1.2 %), final body weight (240.0 ± 5.8 mg), weight gain (239.00 ± 5.8 mg), average daily gain (3.98±0.1mg), total length (39.0±0.06 mm), specific growth rate (9.133±0.04 %/day), feed intake (471.67±0.01 mg), and better feed conversion ratio (1.97±0.01) than the other groups (P < 0.05). The group provided with N-Se also had the highest levels of glutathione peroxidase enzyme (GPx) content in the whole larval body, whereas the control diet without Se supplementation recorded the lowest value of (14.8 ± 0.1 U/mg protein). The number and length of folds in the stomach and esophagus of sea bass post-larvae fed on diets fortified with selenium in both forms, nanoparticles or organic, showed a significant (P < 0.05) enhancement on the larval gastrointestinal (GI) tract. Moreover, selenium has an anti-inflammatory action in sea bass post-larvae. This study concluded that using N-Se as an antioxidant supports the growth and survival of European seabass D. labrax, gastrointestinal development and antioxidant efficacy during critical weaning.
A BRILLIANT-BRCA study: residual breast tissue after mastectomy and reconstruction
Authors: Kaidar-Person Orit , Faermann Renata , Polikar Dor , Cohen Kfir , Bernstein-Molho Rinat , Morrow Monica , Boersma Liesbeth Jorinne , Offersen Birgitte Vrou , Poortmans Philip , Sklair-Levy Miri , Anaby Debbie 
Published: July 2024

Abstract
Introduction
Different types of mastectomies leave different amounts of residual breast tissue. The significance of the residual breast volume (RBV) is not clear. Therefore, we developed an MRI tool that allows to easily assess the RBV. In this study we evaluated factors associated with RBV after skin or nipple sparing mastectomy (SSM/NSM) in breast cancer BRCA pathogenic variant (PV) carriers who underwent both therapeutic and risk reducing SSM/NSM and its relation to breast cancer outcomes using an innovative MRI-based tool.

Methods
Data of breast cancer BRCA PV who were treated between 2006 and 2020 were retrieved from of the oncogenetics unit databases. Only patients who underwent SSM/NSM and had a postoperative breast MRI available for analysis were included. Data collected included demographics, clinicopathological features, and outcomes. The MRI tool was developed by a breast cancer imaging laboratory. A logistic regression test and 95% confidence interval (CI) were used to assess the associated risk of increased RBV. A forward stepwise linear regression was used to correlate tumour-patient specific factors and RBV, and a Kaplan–Meier curve to show the probability of locoregional relapse.

Results
A total of 84 patients undergoing 89 mastectomies were included. At a median follow-up of 98 months, 5 local, 2 regional, and 4 distant recurrences were observed. RBV was not significantly related with breast cancer outcomes (p value = NS). A higher body mass index (BMI) was associated with a higher RBV (p < 0.0001). A larger number of involved axillary nodes was associated with a smaller RBV (p = 0.025). The RBV on the risk-reducing mastectomy side was significantly higher compared to the breast cancer side (p value = 0.007). Local recurrences occurred in the vicinity of the primary tumour.