bluuebunny/crossref_metadata_2025_split huggingface dataset:
Associations between oxygen saturation Index and oxygenation index in neonates with congenital diaphragmatic hernia
Authors: Ali Kamal , Algarni Saleh S. , Alotaibi Abdullah M. , Aljuaid Nemer , Ghazwani Abadi , Alshreedah Saad , Alotaibi Naif , Alanazi Ibrahim , Almutairi Mashael , Althubaiti Manal , Alsehli Faisal , Alwatban Ahmed , Alsaif Saif 
Published: July 2024

ObjectiveTo explore the relationship between Oxygenation Index (OI) and Oxygen Saturation Index (OSI) among infants with Congenital Diaphragmatic Hernia (CDH), both within the first 24 h after birth and in extended observations in those who survived until their surgical intervention.MethodsSeven- years retrospective review of CDH cases at a single Level III neonatal intensive care unit. The correlations of various combinations of OI-OSI pairs were assessed using the Spearman's rho Correlation Coefficient. Additionally, during the initial 24 h, the correlations between admission (first), best (lowest), highest, and mean OI and OSI values were determined. The predictive ability of the first 24 h oxygen and oxygen saturation indices for mortality and other adverse outcomes were assessed using the Area Under the Curve (AUC) analysis.ResultsThirty-seven infants with CDH were included in the analysis. A strong correlation was observed between all pairs of OI/OSI (2,289) (Spearman's rho = 0.843), matched pairs of Postductal OI/OSI (1,232 pairs) (Spearman's rho = 0.835) and the unmatched pairs of Postductal OI and Preductal OSI (1,057 pairs) (Spearman's rho = 0.852). Using the regression equations for all pairs, matched and unmatched OI/OSI pairs, we deduced that for clinically pertinent OI thresholds of 10, 15, 20 and 40, the corresponding OSI values were 5, 8, 11, and 23, respectively. Furthermore, in the first 24 h, strong correlations were evident between OI/OSI: at admission (Spearman's rho = 0.783), best OI/OSI (Spearman's rho = 0.848), and highest OI/OSI (Spearman's rho = 0.921). The most robust correlation was observed between the mean OI/OSI with a Spearman's rho of 0.928. First (AUC = 0.849), best (AUC = 0.927), highest (AUC = 0.942) and mean day 1 OI (AUC = 0.946) were all predictive of mortality. Similarly, first (AUC = 1.00), best (AUC = 0.989), highest (AUC = 1.00) and the mean OSI in day 1 (AUC = 0.978) were all predictive of mortality. All of the OIs and OSIs in day 1 except for the admission OSI (AUC = 0.683) were predictive of pulmonary hypertension. Additionally, all of OI and OSI indices in the first 24-hour except for the best day 1 OI (AUC = 0.674) were predictive of the need for rescue HFOV.ConclusionThere were a strong correlation between the OI and OSI in infants with CDH. Oxygenation indices and OSI in the first 24 h were predictive of mortality and other adverse outcomes in infants with CDH.
Development and validation of a prognostic nomogram to predict 30-day all-cause mortality in patients with CRO infection treated with colistin sulfate
Authors: Li Wei , Liu Yu , Xiao Lu , Cai Xuezhou , Gao Weixi , Xu Dong , Han Shishi , He Yan 
Published: July 2024

BackgroundCarbapenem-resistant Gram-negative organism (CRO) infection is a critical clinical disease with high mortality rates. The 30-day mortality rate following antibiotic treatment serves as a benchmark for assessing the quality of care. Colistin sulfate is currently considered the last resort therapy against infections caused by CRO. Nevertheless, there is a scarcity of reliable tools for personalized prognosis of CRO infections. This study aimed to develop and validate a nomogram to predict the 30-day all-cause mortality in patients with CRO infection who underwent colistin sulfate treatment.MethodsA prediction model was developed and preliminarily validated using CRO-infected patients treated with colistin sulfate at Tongji Hospital in Wuhan, China, who were hospitalized between May 2018 and May 2023, forming the study cohort. Patients admitted to Xianning Central Hospital in Xianning, China, between May 2018 and May 2023 were considered for external validation. Multivariate logistic regression was performed to identify independent predictors and establish a nomogram to predict the occurrence of 30-day all-cause mortality. The receiver operating characteristic (ROC) curve, the area under the ROC curve (AUC), and the calibration curve were used to evaluate model performance. The decision curve analysis (DCA) was used to assess the model clinical utility.ResultsA total of 170 patients in the study cohort and 65 patients in the external validation cohort were included. Factors such as age, duration of combination therapy, nasogastric tube placement, history of previous surgery, presence of polymicrobial infections, and occurrence of septic shock were independently associated with 30-day all-cause mortality and were used to construct the nomogram. The AUC of the nomogram constructed from the above six factors was 0.888 in the training set. The Hosmer-Lemeshow test showed that the model was a good fit (p = 0.944). The calibration curve of the nomogram was close to the ideal diagonal line. Furthermore, the decision curve analysis demonstrated significantly better net benefit in the model. The external validation proved the reliability of the prediction nomogram.ConclusionA nomogram was developed and validated to predict the occurrence of 30-day all-cause mortality in patients with CRO infection treated with colistin sulfate. This nomogram offers healthcare providers a precise and efficient means for early prediction, treatment management, and patient notification in cases of CRO infection treated with colistin sulfate.
Adverse event profile of memantine and donepezil combination therapy: a real-world pharmacovigilance analysis based on FDA adverse event reporting system (FAERS) data from 2004 to 2023
Authors: Yang Yihan , Wei Sheng , Tian Huan , Cheng Jing , Zhong Yue , Zhong Xiaoling , Huang Dunbing , Jiang Cai , Ke Xiaohua 
Published: July 2024

BackgroundDonepezil in combination with memantine is a widely used clinical therapy for moderate to severe dementia. However, real-world population data on the long-term safety of donepezil in combination with memantine are incomplete and variable. Therefore, the aim of this study was to analyze the adverse events (AEs) of donepezil in combination with memantine according to US Food and Drug Administration Adverse Event Reporting System (FAERS) data to provide evidence for the safety monitoring of this therapy.MethodsWe retrospectively analyzed reports of AEs associated with the combination of donepezil and memantine from 2004 to 2023 extracted from the FAERS database. Whether there was a significant association between donepezil and memantine combination therapy and AEs was assessed using four disproportionality analysis methods, namely, the reporting odds ratio, proportional reporting ratio, Bayesian confidence propagation neural network, and multi-item gamma Poisson shrinker methods. To further investigate potential safety issues, we also analyzed differences and similarities in the time of onset and incidence of AEs stratified by sex and differences and similarities in the incidence of AEs stratified by age.ResultsOf the 2,400 adverse drug reaction (ADR) reports in which the combination of donepezil and memantine was the primary suspected drug, most of the affected patients were female (54.96%) and older than 65 years of age (79.08%). We identified 22 different system organ classes covering 100 AEs, including some common AEs such as dizziness and electrocardiogram PR prolongation; fall, pleurothotonus and myoclonus were AEs that were not listed on the drug label. Moreover, we obtained 88 reports of AEs in men and 100 reports of AEs in women; somnolence was a common AE in both men and women and was more common in women, whereas pleurothotonus was a more common AE in men. In addition, we analyzed 12 AEs in patients younger than 18 years, 16 in patients between 18 and 65 years, and 113 in patients older than 65 years. The three age groups had distinctive AEs, but lethargy was the common AE among all age groups. Finally, the median time to AE onset was 19 days in all cases. In both men and women, most AEs occurred within a month of starting donepezil plus memantine, but some continued after a year of treatment.ConclusionOur study identified potential and new AEs of donepezil in combination with memantine; some of these AEs were the same as in the specification, and some of the AE signals were not shown in the specification. In addition, there were sex and age differences in some of the AEs. Therefore, our findings may provide valuable insights for further studies on the safety of donepezil and memantine combination therapy, which are expected to contribute to the safe use of this therapy in clinical practice.
Potassium silica nanostructure improved growth and nutrient uptake of sorghum plants subjected to drought stress
Authors: Alharbi Khadiga , Alnusairi Ghalia S. H. , Alnusaire Taghreed S. , Alghanem Suliman M. S. , Alsudays Ibtisam Mohammed , Alaklabi Abdullah , Soliman Mona H. 
Published: July 2024

IntroductionRecent advancements in nanotechnology present promising opportunities for enhancing crop resilience in adverse environmental conditions.MethodsIn this study, we conducted a factorial experiment to investigate the influence of potassium nanosilicate (PNS) on sorghum plants exposed to varying degrees of drought stress A randomized complete block design with three replications was employed to subject the sorghum plants to different drought conditions. The three levels of stress were designated as non-stress (NS at -0.03 MPa), moderate stress (MD at -0.6 MPa), and severe stress (SD at -1.2 MPa). The plants were administered PNS at concentrations of 0 mM (control), 3.6 mM Si, and 7.2 mM Si.Results and discussionAs drought stress intensified, we observed significant reductions in multiple plant parameters, including height, fresh weight, dry weight, leaf number, stem diameter, cluster length, seed weight, and nutrient uptake, with the most pronounced effects observed under SD conditions. Interestingly, nitrogen (N) and potassium (K) levels exhibited an increase under drought stress and PNS application, peaking at MD, alongside Si concentrations. Notably, PNS application facilitated enhanced nutrient uptake, particularly evident in the significant increase in nitrogen concentration observed at 3.6 mM PNS. Furthermore, the application of PNS significantly enhanced the fresh weight and nutrient concentrations (notably K and Si) in sorghum seeds under drought stress, despite varying statistical significance for other nutrients. These findings shed light on the mechanisms through which PNS exerts beneficial effects on plant performance under drought stress. By elucidating the complex interactions between PNS application, drought stress, and plant physiology, this study contributes significantly to the development of sustainable agricultural practices aimed at bolstering crop resilience and productivity in water-limited environments.
The mediating effect of e-health literacy on social support and behavioral decision-making on glycemic management in pregnant women with gestational diabetes: a cross-sectional study
Authors: Yumei Peng , Huiying Ke , Liqin Shen , Xiaoshan Zhao , Meijing Zhao , Yaping Xie , Huifen Zhao 
Published: July 2024

BackgroundSocial support and e-health literacy are closely related to individual health behaviors, while behavior is premised on decision-making. Few studies have identified the relationships among social support, e-health literacy, and behavioral decision-making, and the nature of these relationships among pregnant women with gestational diabetes remains unclear. Therefore, this study aimed to investigate relationships among social support, e-health literacy, and glycemic management behavioral decisions in pregnant women with gestational diabetes.MethodsUsing continuous sampling, an online cross-sectional survey was conducted among pregnant women with gestational diabetes who met the inclusion and exclusion criteria at four Class 3 hospitals in Fujian Province from October to December 2023. A structured questionnaire was used to collect data on general characteristics, socioeconomic status, social support, e-health literacy, and behavioral decision-making regarding glycemic management. Descriptive statistical analyses, correlation analyses, and mediation effects were used to assess associations.ResultsA total of 219 pregnant women with gestational diabetes participated, and 217 valid results were obtained. The level of glycemic management behavior decision-making in women with gestational diabetes was positively correlated with e-health literacy (r = 0.741, p &lt; 0.01) and with perceived social support (r = 0.755, p &lt; 0.01). E-health literacy was positively correlated with perceived social support (r = 0.694, p &lt; 0.01). The indirect effect of perceived social support on glycemic management behavior decisions through e-health literacy (a*b) was 0.153, accounting for 38% of the total effect.ConclusionSocial support and e-health literacy in pregnant women with gestational diabetes are related to behavioral decision-making in glycemic management. The results of this study provide a reference for developing targeted measures to improve glycemic management behaviors in pregnant women with gestational diabetes, which is crucial for achieving sustainable glycemic management.
Kansas agriculture in 2050: a pathway for climate-resilient crop production
Authors: Suttles Kelly M. , Smoliak Brian V. , Ranade Aditya P. , Potter Samuel F. , Jaeger Marika , McLellan Eileen L. 
Published: July 2024

IntroductionAdvances in farming technologies and practices have helped farmers to increase crop yields, but continued production increases – while needed to feed a growing global population – are being hindered by climate change and other environmental challenges. Kansas, a globally important region for wheat production, is already experiencing threats to staple crop production. This study explores one possible alternative future for Kansas crop production in which farmers could, by crop switching, continue to grow nutrient-rich crops while responding to hotter temperatures and increasing water demand.MethodsWe used a combination of climate and crop modeling with simple water budgets to identify optimal crop mixes under anticipated climatic and water constraints. Interviews with Kansas farmers helped identify feasible crop switching options: sorghum instead of corn (maize), winter rye and winter oats instead of winter wheat, and millet instead of soybeans.ResultsOur analysis suggests that a sizeable proportion of current Kansas cropland would need to shift to these alternative crops by 2050 to meet anticipated water constraints and produce equivalent nutritional value under projected climate conditions. Alternative crops could increase from 16% of Kansas' crop area in 2021 to 43% of the area in 2050, resulting in a reduction in 2050 crop water demand of 12% relative to that of the current crop mix. This crop water demand reduction would be concentrated in parts of the state that will experience the greatest change in water needs between today and mid-century due to changing climate conditions.DiscussionOur analysis shows that, by changing (diversifying) the mix of crops grown, it is biophysically possible for crop production in Kansas to be both sustainable and resilient under future climate conditions. However, achieving a more climate-resilient crop mix on the ground, in Kansas and elsewhere, will require major shifts in the broader agricultural system. Food companies, agricultural lenders, and policymakers can play a key role in enabling farmers to adapt cropping systems in the face of climate and environmental challenges.
Implications of hypocobalaminemia as a negative prognostic marker in juvenile dogs with parvovirus enteritis
Authors: Luckschander-Zeller Nicole , Giani Bettina , Doulidis Pavlos G. , Plickert Hanna D. , Tichy Alexander , Marculescu Rodrig , Schwendenwein Ilse , Burgener Iwan A. 
Published: July 2024

IntroductionCanine Parvovirus 2 (CPV-2) infection poses a significant global health risk to susceptible dogs. Hypocobalaminemia, defined as reduced serum cobalamin (CBL) concentrations, is a recognized complication in chronic enteropathies in adult dogs but remains poorly understood in the context of acute enteropathies, especially in young dogs. The aim of this study was to investigate the frequency and severity of hypocobalaminemia in young dogs with parvovirus enteritis and evaluation of CBL as a predictor of outcome.Materials and methodsThirty client-owned dogs diagnosed with parvovirus infection and thirty healthy controls were enrolled. Clinical, hematological, and biochemical tests, including CBL and serum methylmalonic acid (MMA) concentrations, were assessed.ResultsResults indicated a significantly higher prevalence of hypocobalaminemia in dogs with parvovirus enteritis compared to healthy controls, as well as a significant correlation with a disease severity score. Moreover, survivors demonstrated higher CBL concentrations than non-survivors, suggesting an eventual prognostic value of CBL status. However, parenteral CBL supplementation showed no significant effect on serum CBL or MMA concentrations, highlighting potential challenges in CBL uptake at the cellular level.DiscussionHypocobalaminemia in this population is caused by multiple factors such as reduced nutritional absorption, gastrointestinal losses, and increased metabolic demands. Further research is needed to develop tailored management strategies, evaluate the effectiveness of CBL supplementation, and understand the mechanisms behind hypocobalaminemia in parvovirus infection.
A Miniaturized Large-Field Fundus Optical System Based on Aspheric Imaging and Non-Coaxial Illumination
Authors: Liu Shuo , Ge Aiming , Wu Jiangbo , Wang Qiuyang 
Published: July 2024

Many diseases produce pathological changes in the fundus; analyzing the retinopathy of the fundus could help diagnose diseases in time. A fundus camera is a medical imaging device that specializes in taking fundus images to diagnose hypertension, coronary heart disease, diabetes, and others. The fundus optical imaging system is the core part of it. Nevertheless, the conventional fundus optical imaging system is large and not suitable for mobile examination and follow-up use. So, it has not been widely used in medical institutions. In this paper, a miniaturized fundus optical imaging system based on aspheric technology and non-coaxial illumination is proposed. The length of the imaging system is only 34.6 mm, the field of view is 50°, and the MTF curve is greater than 0.2 at 100 lp/mm, which can resolve the structure of 5 um. The illumination system adopts a non-coaxial annular array illumination structure to avoid occlusion of the imaging system. Our study effectively tackles the pressing predicament of fundus optical system miniaturization. This innovative paradigm harbors the potential to revolutionize fundus image data acquisition, propelling the field of fundus diagnosis forward and efficiently catering to crucial applications, improving the versatility of fundus examination, and providing technical support for the intelligent diagnosis system.
Charge Transfer in He+ − He → He(1s4l, l ≥ 2) − He+ Collisions in Intermediate Energy Range
Authors: Kamiński Patryk , Drozdowski Ryszard 
Published: July 2024

The anticrossing spectra of the helium line λ1s4l D3,F−1s2p P3=447.2 nm emitted after electron capture by He+ ions in He+−He collisions were measured for projectile energies of 10–29 keV. Furthermore, considering the excited states’ time evolution, the theoretical intensity functions were calculated. The electric field and density distributions of the target He atoms in the collision volume were taken into account, and by fitting the theoretical intensities to the measured ones, the post-collisional states of the charge-transferred He atoms were determined. The results indicate that for the intermediate projectile energy range, the electronic charge distributions were asymmetric, but the electric dipole moments did not change, as in the case of the target atoms excited directly in the collisions. This result shows that the Paul trap mechanism may play an important role in the charge transfer excitation in this energy range.
The Hydroxylated Carbon Nanotubes as the Hole Oxidation System in Electrocatalysis
Authors: Szroeder Paweł , Ziółkowski Przemysław , Sahalianov Ihor , Madajski Piotr , Trzcinski Marek 
Published: July 2024

The hydroxylated carbon nanotubes (CNTs-OH), due to their propensity to trap electrons, are considered in many applications. Despite many case studies, the effect of the electronic structure of the CNT-OH electrode on its oxidation properties has not received in-depth analysis. In the present study, we used Fe(CN)63−/4− and Ru(NH3)63+/2+ as redox probes, which differ in charge. The CNT-OH and CNT electrodes used in the cyclic voltammetry were in the form of freestanding films. The concentration of holes in the CNTs-OH, estimated from the upshift of the Raman G-feature, was 2.9×1013 cm−2. The standard rate constant of the heterogeneous electron transfer (HET) between Fe(CN)63−/4− and the CNTs-OH electrode was 25.9×10−4 cm·s−1. The value was more than four times higher than the HET rate on the CNT electrode (ks=6.3×10−4 cm·s−1), which proves excellent boosting of the redox reaction by the holes. The opposite effect was observed for the Ru(NH3)63+/2+ redox couple. While the redox reaction rate constant at the CNT electrode was 1.4×10−4 cm·s−1, there was a significant suppression of the redox reaction at the CNT-OH electrode (ks<0.1×10−4 cm·s−1). Based on the DFT calculations and the Gerischer model, we find that the boosting of the HET from the reduced form of the redox couple to CNT-OH occurs when the reduced forms of the redox couples are negatively charged and the occupied reduced states are aligned with acceptor states of the nanotube electrode.
Adhesion of Bacteroides vulgatus and Fusobacterium varium to the Colonic Mucosa of Healthy Beagles
Authors: Hanifeh Mohsen , Huhtinen Mirja , Sclivagnotis Yannes S. , Lyhs Ulrike , Grönthal Thomas , Spillmann Thomas 
Published: July 2024

The relative abundances of Bacteroidetes and Fusobacteria phyla have been reported to be decreased in dogs with chronic enteropathies. In colitis, obligate anaerobes (e.g., Bacteroides and Fusobacterium) are likely to vanish in response to the heightened oxidative stress in the colon’s inflammatory environment. The ability to adhere to the colonic mucosa is viewed as an essential step for obligate anaerobic bacteria to colonize and subsequently interact with the host’s epithelium and immune system. The reintroduction of a balanced community of obligate anaerobic bacteria using probiotics can restore the microbial function in the intestine. We found no studies on dogs regarding the adhesion properties of Bacteriodes vulgatus and Fusobacterium varium on paraffin-embedded canine colonic mucosa. Thus, the objective of this study is to investigate the adhesion capacities of these two bacterial species to paraffin-embedded colonic mucosa from healthy dogs. Additionally, we investigated their hydrophobicity properties to determine whether differences in adhesion capability can be explained by this factor. The results of our study showed that B. vulgatus adhered significantly lower than F. varium to the canine colonic mucosa (p = 0.002); however, B. vulgatus showed higher hydrophobicity (46.1%) than F. varium (12.6%). In conclusion, both bacteria have potential as probiotics, but further studies will be required to determine the efficacy and safety of the strains to be used, which strains to use, and the reasons other than hydrophobicity for attachment.