bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation
Authors: Du Bing , Xu Yibo , Li Zhao , Ji Shuai , Ren Cheng , Li Ming , Zhang Kun , Ma Teng 
Published: April 2024

ObjectiveTo compare the effects of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation and clavicular hook plate fixation on early postoperative pain, postoperative shoulder joint function score and shoulder joint mobility in patients with acromioclavicular joint dislocation.MethodsFrom January 2020 to January 2023, 43 patients with acromioclavicular joint dislocation admitted to Xi ‘an Honghui Hospital were included. Among them, 24 patients were treated with the clavicular hook plate technique (Hook Plate,HP) group, and 19 patients were treated with allogeneic tendon coracoclavicular ligament reconstruction combined with the Kirschner wire technique (Allogeneic Tendon, AT) group. The Constant-Murley score of shoulder joint function 6 months after operation, postoperative shoulder joint activity, preoperative and postoperative pain, operation time, intraoperative blood loss and complications were compared between the two groups.ResultsAll 43 patients were followed up for an average of 9.7 (9–12) months. The intraoperative blood loss in the allogeneic tendon group was less than in the hook plate group. The Constant-Murley shoulder function score was higher than that in the hook plate group 6 months after the operation. The abduction and lifting activity was greater than that in the hook plate group. The visual analogue scale scores at 3 days and 14 days after operation were lower than those in the hook plate group. The difference was statistically significant (p &lt; 0.001). There was 1 case (5.3%) of exudation around the Kirschner needle track in the allogeneic tendon reconstruction group, and 5 cases (20.8%) of complications in the hook plate group, including 1 case of internal fixation stimulation, 2 cases of acromion impingement syndrome, 1 case of acromioclavicular joint osteoarthritis, and 1 case of shoulder joint stiffness. The complication rate of the allogeneic tendon group was lower than that of the hook plate group.ConclusionThe clinical efficacy of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation in treating acromioclavicular joint dislocation (Rockwood type III-V) is better than hook plate internal fixation. The patients have less early postoperative pain and better recovery of shoulder joint function and shoulder joint mobility.
Acupuncture and tuina knowledge graph with prompt learning
Authors: Li Xiaoran , Han Xiaosong , Wei Siqing , Liang Yanchun , Guan Renchu 
Published: April 2024

IntroductionAcupuncture and tuina, acknowledged as ancient and highly efficacious therapeutic modalities within the domain of Traditional Chinese Medicine (TCM), have provided pragmatic treatment pathways for numerous patients. To address the problems of ambiguity in the concept of Traditional Chinese Medicine (TCM) acupuncture and tuina treatment protocols, the lack of accurate quantitative assessment of treatment protocols, and the diversity of TCM systems, we have established a map-filling technique for modern literature to achieve personalized medical recommendations.Methods(1) Extensive acupuncture and tuina data were collected, analyzed, and processed to establish a concise TCM domain knowledge base. (2)A template-free Chinese text NER joint training method (TemplateFC) was proposed, which enhances the EntLM model with BiLSTM and CRF layers. Appropriate rules were set for ERE. (3) A comprehensive knowledge graph comprising 10,346 entities and 40,919 relationships was constructed based on modern literature.ResultsA robust TCM KG with a wide range of entities and relationships was created. The template-free joint training approach significantly improved NER accuracy, especially in Chinese text, addressing issues related to entity identification and tokenization differences. The KG provided valuable insights into acupuncture and tuina, facilitating efficient information retrieval and personalized treatment recommendations.DiscussionThe integration of KGs in TCM research is essential for advancing diagnostics and interventions. Challenges in NER and ERE were effectively tackled using hybrid approaches and innovative techniques. The comprehensive TCM KG our built contributes to bridging the gap in TCM knowledge and serves as a valuable resource for specialists and non-specialists alike.
A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents
Authors: Franklin Khadeejah T. , Saval Alexa J. , Cafer Anne M. , Reinemann Dana N. 
Published: April 2024

IntroductionStudent parents, both undergraduate and graduate, face the difficult task of balancing their studies and raising children, and they are a population often neglected or forgotten by higher education administration. The COVID-19 pandemic enhanced already present issues student parents face through the implementation of virtual schooling, increased daycare costs and closings, staying home with sick children, and a lack of local support system, among others. Further, many student parents are graduate students who are performing research that requires physical campus space and equipment to fulfill their educational requirements, and their research progress come to a halt when the country locked down.MethodsThis study explored the struggles student parents faced prior to the COVID-19 pandemic, what issues the pandemic exacerbated, and what new problems have since arisen. Participants completed surveys assessing the consequences of being a student parent during the pandemic, coping resources available to them, the effect of being a student parent during the pandemic on their mental health, and demographic information.ResultsPrevalent themes include substantial declines in mental health, feelings of inadequacy in regards to both their parenting and academic abilities compared to their non-student parent peers, and a striking lack of resources or acknowledgement from their institution.DiscussionThe survey results are framed within the social-ecological model to better understand the systemic implications of student parent conditions. Finally, we formulate a set of recommendations to higher education administrations to inform them about the unique struggles student parents face and suggest strategies for mitigation.
Unveiling the hub genes in the SIGLECs family in colon adenocarcinoma with machine learning
Authors: Li Tiantian , Yao Ji 
Published: April 2024

BackgroundDespite the recognized roles of Sialic acid-binding Ig-like lectins (SIGLECs) in endocytosis and immune regulation across cancers, their molecular intricacies in colon adenocarcinoma (COAD) are underexplored. Meanwhile, the complicated interactions between different SIGLECs are also crucial but open questions.MethodsWe investigate the correlation between SIGLECs and various properties, including cancer status, prognosis, clinical features, functional enrichment, immune cell abundances, immune checkpoints, pathways, etc. To fully understand the behavior of multiple SIGLECs’ co-evolution and subtract its leading effect, we additionally apply three unsupervised machine learning algorithms, namely, Principal Component Analysis (PCA), Self-Organizing Maps (SOM), K-means, and two supervised learning algorithms, Least Absolute Shrinkage and Selection Operator (LASSO) and neural network (NN).ResultsWe find significantly lower expression levels in COAD samples, together with a systematic enhancement in the correlations between distinct SIGLECs. We demonstrate SIGLEC14 significantly affects the Overall Survival (OS) according to the Hazzard ratio, while using PCA further enhances the sensitivity to both OS and Disease Free Interval (DFI). We find any single SIGLEC is uncorrelated to the cancer stages, which can be significantly improved by using PCA. We further identify SIGLEC-1,15 and CD22 as hub genes in COAD through Differentially Expressed Genes (DEGs), which is consistent with our PCA-identified key components PC-1,2,5 considering both the correlation with cancer status and immune cell abundance. As an extension, we use SOM for the visualization of the SIGLECs and show the similarities and differences between COAD patients. SOM can also help us define subsamples according to the SIGLECs status, with corresponding changes in both immune cells and cancer T-stage, for instance.ConclusionWe conclude SIGLEC-1,15 and CD22 as the most promising hub genes in the SIGLECs family in treating COAD. PCA offers significant enhancement in the prognosis and clinical analyses, while using SOM further unveils the transition phases or potential subtypes of COAD.
Eltrombopag can promote platelet implantation after allogeneic hematopoietic stem cell transplantation as safely and similarly to thrombopoietin
Authors: Li Yahan , Kong Fansheng , Bai Guanchen , Jiang Yujie , Zhang Wenlu , Sun Xue , Sui Xiaohui , Li Ying , Ding Mei , Yuan Dai , Wang Xin , Fang Xiaosheng 
Published: April 2024

BackgroundEltrombopag has demonstrated efficacy in treating low platelet (PLT) levels, but it remains unclear whether eltrombopag can promote PLT engraftment after hematopoietic stem cell transplantation (HSCT).MethodsForty-one HSCT patients received eltrombopag 50 mg/d from +1 day until PLT &gt;50 × 109/L or 1 month after HSCT. Fifty-one patients in the same period received thrombopoietin (TPO) to promote PLT graft after HSCT and served as a control group.ResultsA total of 51 patients who applied TPO during the same period were treated as a control. In the eltrombopag group, the median time to white blood cells (WBC) graft was 12 days (range, 10-17 days) and the PLT graft was 15 days (range, 10-30 days), whereas for the patients in the TPO group, the median time to WBC and PLT graft was 12 days (range, 9-23 days) and 15.5 days (range, 9-41 days), respectively. In the first month after HSCT, the median WBC count in the eltrombopag group was 4.41 × 109/L (range, 0.87-40.01 × 109/L) and the median PLT was 89x109/L (range, 30-401 × 109/L); the median WBC and PLT \counts in the TPO group were 4.65 × 109/L (range, 0.99-23.63 × 109/L) and 86 × 109/L (range, 5-512 × 109/L), respectively. Patients in the TPO or eltrombopag group did not experience serious side effects after drug administration, and the difference in side effects on liver and kidney function between the two groups was not statistically significant.ConclusionEltrombopag is safe and similarly promotes platelet engraftment to thrombopoietin after allogeneic HSCT.
CARD11 regulates the thymic Treg development in an NF-κB-independent manner
Authors: Hu Yu , Han Lingli , Xu Wenwen , Li Tianci , Zhao Qifan , Lu Wei , Sun Jinqiao , Wang Ying 
Published: April 2024

IntroductionCARD11 is a lymphoid lineage-specific scaffold protein regulating the NF-κB activation downstream of the antigen receptor signal pathway. Defective CARD11 function results in abnormal development and differentiation of lymphocytes, especially thymic regulatory T cells (Treg).MethodIn this study, we used patients’ samples together with transgenic mouse models carrying pathogenic CARD11 mutations from patients to explore their effects on Treg development. Immunoblotting and a GFP receptor assay were used to evaluate the activation effect of CARD11 mutants on NF-κB signaling. Then the suppressive function of Tregs carrying distinct CARD11 mutations was measured by in vitro suppression assay. Finally, we applied the retroviral transduced bone marrow chimeras to rescue the Treg development in an NF-κB independent manner.Results and discussWe found CARD11 mutations causing hyper-activated NF-κB signals also gave rise to compromised Treg development in the thymus, similar to the phenotype in Card11 deficient mice. This observation challenges the previous view that CARD11 regulates Treg lineage dependent on the NF-kB activation. Mechanistic investigations reveal that the noncanonical function CARD11, which negatively regulates the AKT/ FOXO1 signal pathway, is responsible for regulating Treg generation. Moreover, primary immunodeficiency patients carrying CARD11 mutation, which autonomously activates NF-κB, also represented the reduced Treg population in their peripheral blood. Our results propose a new regulatory function of CARD11 and illuminate an NF-κB independent pathway for thymic Treg lineage commitment.
Association between systemic inflammatory indicators with the survival of chronic kidney disease: a prospective study based on NHANES
Authors: Chen Yuan , Nie Yanfang , Wu Jiaying , Li Chunsheng , Zheng Lu , Zhu Bixiu , Min Yu , Ling Tao , Liu Xiaozhu 
Published: April 2024

Backgroundsystemic inflammation disorders were observed in chronic kidney disease (CKD). Whether the systemic inflammatory indicators could be optimal predictors for the survival of CKD remains less studied.MethodsIn this study, participants were selected from the datasets of the National Health and Nutrition Examination Survey (NHANES) between 1999 to 2018 years. Four systemic inflammatory indicators were evaluated by the peripheral blood tests including systemic immune-inflammation index (SII, platelet*neutrophil/lymphocyte), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), lymphocyte-to-monocyte ratio (LMR). Kaplan-Meier curves, restricted cubic spline (RCS), and Cox regression analysis were used to evaluate the association between the inflammatory index with the all-cause mortality of CKD. Receiver operating characteristic (ROC) and concordance index (C-index) were used to determine the predictive accuracy of varied systemic inflammatory indicators. Sensitive analyses were conducted to validate the robustness of the main findings.ResultsA total of 6,880 participants were included in this study. The mean age was 67.03 years old. Among the study population, the mean levels of systemic inflammatory indicators were 588.35 in SII, 2.45 in NLR, 133.85 in PLR, and 3.76 in LMR, respectively. The systemic inflammatory indicators of SII, NLR, and PLR were all significantly positively associated with the all-cause mortality of CKD patients, whereas the high value of LMR played a protectable role in CKD patients. NLR and LMR were the leading predictors in the survival of CKD patients [Hazard ratio (HR) =1.21, 95% confidence interval (CI): 1.07-1.36, p = 0.003 (3rd quartile), HR = 1.52, 95%CI: 1.35-1.72, p&lt;0.001 (4th quartile) in NLR, and HR = 0.83, 95%CI: 0.75-0.92, p&lt;0.001 (2nd quartile), HR = 0.73, 95%CI: 0.65-0.82, p&lt;0.001 (3rd quartile), and = 0.74, 95%CI: 0.65-0.83, p&lt;0.001 (4th quartile) in LMR], with a C-index of 0.612 and 0.624, respectively. The RCS curves showed non-linearity between systemic inflammatory indicators and all-cause mortality risk of the CKD population.ConclusionOur study highlights that systemic inflammatory indicators are important for predicting the survival of the U.S. population with CKD. The systemic inflammatory indicators would add additional clinical value to the health care of the CKD population.
Environmental impact on marginal coastal benthic communities within the Jeju Island, South Korea temperate transition zone
Authors: Perrois Garance , Jöst Anna B. , Lee Kyeong-Tae , Pons Leonard M. T. , Yang Hyun-Sung , Son Young Baek , Park Heung-Sik , Kang Do-Hyung , Kim Taihun 
Published: April 2024

Aim of studyMarine climatic transition zones are boundary areas of major climate zones, here the boundary between the subtropical and temperate zones. They present areas containing high abundance of organisms living at the limit of their physiological tolerance. These marginal populations are particularly sensitive to changes in their environment. As such, marine climatic transition zones are excellent natural playgrounds for climate change-related hypothesis testing, especially with respect to marine habitat response to ocean warming. The marginal biogenic habitats around Jeju Island, South Korea, which lies within the temperate transition zone, have gradually changed from macroalgal-dominated to hard coral-dominated habitats. Understanding the specific abiotic environmental factors that influence the distribution of the marginal populations in temperate transition zones (i.e., species at their occurrence limit) is crucial to predicting and managing temperate zone habitat changes caused by climate change. This study aims to identify the specific abiotic environmental factors that contribute to explaining the current spatial distribution of the declining temperate and expanding subtropical foundation species in Jeju waters.MethodsCoverage and composition of sessile benthic communities were determined by photo-quadrat analysis at two depths (10 m and 15 m) at three sites along the island’s south, east, and north coasts in May and November 2022. Divergences in community composition between sites were characterized in light of ten quantitative environmental parameters.ResultsOur results show that sessile foundation communities vary significantly at different sites around the island. While the south is defined by high-latitude hard corals, predominately Alveopora japonica, the east is defined by the temperate canopy-forming macroalga Ecklonia cava, and the north is characterized by coralline algae. Winter sea surface temperature, water transparency, nutrient concentration, and water movement were statistically the most impactful environmental factors determining which foundation species constitute each distinct benthic community.ConclusionThis study provides valuable baseline information on the impacts of abiotic environmental factors on marine sessile communities in a temperate transition zone.
The mussel larvae microbiome changes in response to a temperature rise
Authors: Zhu You-Ting , Liang Xiao , Liu Tian-Tian , Power Deborah M. , Li Yi-Feng , Yang Jin-Long 
Published: April 2024

Ocean warming caused by global climate change influences the function, diversity, and community dynamics of commensal microorganisms, including the hemolymph and the gut microbiota in mussels. However, the microbiota in hard-shelled mussel (Mytilus coruscus) larvae and the effect of temperature on the microbial community structure have yet to be studied. Herein, we investigated the core microbiota of M. coruscus larvae and the impact of acute (4 h) and gradual (4 days) exposure to a rise in seawater temperature from 21 to 25 °C. Eleven core genera were identified in M. coruscus larvae by 16S rDNA gene sequencing: Alteromonas, Brevundimonas, Delftia, Microbacterium, Neptuniibacter, Neptunomonas, Pseudoalteromonas, Rhodococcus, Stenotrophomonas, Tenacibaculum, and Thalassotalea. The microbiota of larvae in the short exposure treatment was similar to the control. However, the abundance of Delftia, Neptunomonas, Pseudoalteromonadaceae, Rhodococcus, and Stenotrophomonas decreased significantly in the long-exposure larvae. In contrast, at the genus level, the abundance of Tenacibaculum increased significantly. Diversity and multivariate analyses confirmed that the microbiota patterns were linked to seawater warming over the long term. Microbiota diversity did not change significantly, regardless of whether the seawater temperature increased quickly or slowly; however, we observed a significant increase in the microbiota species abundance at higher temperatures. Among the altered bacterial genera, Delftia, Neptunomonas, and Rhodococcus function in the degradation of organic compounds; Pseudoalteromonas is closely associated with mussel attachment and metamorphosis, and Tenacibaculum is an opportunistic pathogen that can cause marine mollusk death. The results suggest that marine heat waves caused by climate change may reduce the ability of symbiotic bacteria to degrade environmental toxins, will affect mussel larvae metamorphosis, and increase the abundance of opportunistic pathogens, thereby increasing the risk of disease and death of mussel larvae.
PLT antigen discrepancy pattern among couples with recurrent abortion
Authors: Shad Ghazal Ahmadzadeh , Ghasemi Ali , Zadsar Maryam , Shaeigan Mojgan , Samiee Shahram , Zare Ahad 
Published: April 2024

BackgroundRecurrent abortion refers to a condition of two or more consecutive pregnancies without known etiology affected by miscarriage before the completion of the 20th week of gestational age. However, several hypotheses have been proposed, but not much data are available concerning the relationship between human platelet antigens (HPAs) polymorphisms and recurrent abortion. This study was conducted to evaluate the genetic differences between HPA-1, −2, −3, −5, and − 15 in Iranian couples with a history of recurrent abortion.MethodsIn this cross-sectional study, a total of 74 couples with at least 2 recurrent abortions without any known specified reasons enrolled in the study. HPA polymorphisms genotyping was performed by single-specific primer PCR. Genotype frequency was calculated using the Hardy–Weinberg equation.ResultsA total of 39 couples (52.7%) had HPA genotyping partial mismatches. The most common partial mismatch pairs were found concomitantly on both HPA-15a and HPA-15b in three couples (4%), followed by two (2.7%) on HPA-3a and one (1.3%) in each HPA-2b and HPA-5b. There was a deviation from the Hardy–Weinberg equilibrium in the HPA-2 and -5 systems.ConclusionThe present study declared that partial mismatches of HPA-3 and -15 genotypes were common among Iranian couples due to the history of recurrent abortion and approximately half of the couples carried at least one HPA gene that was absent in their partners. Further studies might be helpful to clarify the association between HPA polymorphisms and recurrent abortion, such as an investigation into the alloantibodies against HPAs.