bluuebunny/crossref_metadata_2025_split huggingface dataset:
Causal associations between human gut microbiota and osteomyelitis: a Mendelian randomization study
Authors: Zeng Wenxing , Wu Yuheng , Liang Xiaoye , Cun Dejun , Ma Luyao , Zhang Jingtao , Huang Feng , Jiang Ziwei 
Published: April 2024

BackgroundRecent studies have emphasized the role of gut microbiota in the onset and progression of osteomyelitis. However, the exact types of gut microbiota and their mechanisms of action remain unclear. Additionally, there is a lack of theoretical support for treatments that improve osteomyelitis by altering the gut microbiota.MethodsIn our study, we utilized the largest genome-wide association study (GWAS) meta-analysis to date from the MiBioGen consortium, involving 13,400 participants. The GWAS data for osteomyelitis were sourced from the UK Biobank, which included 4,836 osteomyelitis cases and 486,484 controls. We employed a two-sample Mendelian randomization framework for a detailed investigation into the causal relationship between gut microbiota and osteomyelitis. Our methods included inverse variance weighting, MR-Egger, weighted median, and weighted mode approaches. Additionally, we applied Cochran’s Q statistic to assess the heterogeneity of the instrumental variable.ResultsAt the class level, Bacilli and Bacteroidia were positively correlated with the risk of osteomyelitis. At the order level, only Bacteroidales showed a positive association with osteomyelitis. At the genus level, an increased abundance of Butyricimonas, Coprococcus3, and Tyzzerella3 was positively associated with the risk of osteomyelitis, whereas Lachnospira was negatively associated. Sensitivity analyses showed no evidence of heterogeneity or pleiotropy.ConclusionThis study reveals that classes Bacilli and Bacteroidia, order Bacteroidales, and genera Butyricimonas, Coprococcus3, and Tyzzerella3 are implicated in increasing the risk of osteomyelitis, while the genus Lachnospira is associated with a reduced risk. Future investigations are warranted to elucidate the precise mechanisms through which these specific bacterial groups influence the pathophysiology of osteomyelitis
Proteomic biomarkers in seminal plasma as predictors of reproductive potential in azoospermic men
Authors: Fietz Daniela , Sgaier Raouda , O’Donnell Liza , Stanton Peter G. , Dagley Laura F. , Webb Andrew I. , Schuppe Hans-Christian , Diemer Thorsten , Pilatz Adrian 
Published: April 2024

IntroductionAzoospermia, characterized by an absence of sperm in the ejaculate, represents the most severe form of male infertility. While surgical sperm retrieval in obstructive azoospermia (OA) is successful in the majority of cases, patients with non-obstructive azoospermia (NOA) show retrieval rates of only about 50% and thus frequently have unnecessary surgery. Surgical intervention could be avoided if patients without preserved spermatogenesis are identified preoperatively. This prospective study aimed to discover biomarkers in seminal plasma that could be employed for a non-invasive differential diagnosis of OA/NOA in order to rationalize surgery recommendations and improve success rates.MethodsAll patients signed written informed consent, underwent comprehensive andrological evaluation, received human genetics to exclude relevant pathologies, and patients with azoospermia underwent surgical sperm retrieval. Using label-free LC-MS/MS, we compared the proteomes of seminal plasma samples from fertile men (healthy controls (HC), n=8) and infertile men diagnosed with 1) OA (n=7), 2) NOA with successful sperm retrieval (mixed testicular atrophy (MTA), n=8), and 3) NOA without sperm retrieval (Sertoli cell-only phenotype (SCO), n=7). Relative abundance changes of two candidate markers of sperm retrieval, HSPA2 and LDHC, were confirmed by Western Blot.ResultsWe found the protein expression levels of 42 proteins to be significantly down-regulated (p ≤ 0.05) in seminal plasma from SCO NOA patients relative to HC whereas only one protein was down-regulated in seminal plasma from MTA patients. Analysis of tissue and cell expression suggested that the testis-specific proteins LDHC, PGK2, DPEP3, and germ-cell enriched heat-shock proteins HSPA2 and HSPA4L are promising biomarkers of spermatogenic function. Western blotting revealed a significantly lower abundance of LDHC and HSPA2 in the seminal plasma of men with NOA (SCO and MTA) compared to controls.DiscussionThe results indicate that certain testis-specific proteins when measured in seminal plasma, could serve as indicators of the presence of sperm in the testis and predict the success of sperm retrieval. Used in conjunction with conventional clinical assessments, these proteomic biomarkers may assist in the non-invasive diagnosis of idiopathic male infertility.
Experimental study and application of similar materials in thick coal seam mining
Authors: Liu Wei , Yin Shangxian , Thanh Hung Vo , Soltanian Mohamad Reza , Yu Qingyang , Lian Huiqing , Yang Songlin , Li Yarui , Dai Zhenxue 
Published: April 2024

The orthogonal experiments of similar materials were optimized and analyzed in order to accurately simulate the mechanical properties and the fracture evolution law of thick coal seam overlying strata during mining in this study. The experimental results indicated that similar materials using gypsum and calcium carbonate as cementing agents had a wide range of compressive strength (173.80 kPa–425.95 kPa) and were suitable for simulating various rock properties. Adding an appropriate amount of calcium carbonate can improve the brittleness and mechanical properties of similar materials using gypsum as cementing agents. The failure mode of similar materials transitioned from shear to tensile failure with the increase of the mass ratio of aggregate to cementing agents and the mass ratio of calcium carbonate to gypsum. Moreover, the compressive strength of similar materials rapidly decreased with an increase in the mass ratio of aggregate to cementing materials. And the compressive strength showed an increasing trend with the decrease of the mass ratio of calcium carbonate to gypsum. Moisture content had a significant impact on the density of similar materials, other parameters had small impacts. A thick coal seam mining experimental model was designed based on the experimental results of similar materials, which showed that Qianjiaying Mine may experience basic roof collapse when mining reached 58.1 m. The recommended periodic weighting pace for face pressure on the working face was approximately 15.0 m. Appropriate measures are necessary to adopt to prevent disasters after mining to a length of 58.1 m, followed by every 15.0 m of mining.
Determinants of severity levels of anemia among pregnant women in Sub-Saharan Africa: multilevel analysis
Authors: Tirore Lire Lemma , Areba Abriham Shiferaw , Tamrat Habtamu , Habte Aklilu , Abame Desta Erkalo 
Published: April 2024

BackgroundAnemia is a severe public health problem affecting 54% of pregnant women in SSA Yet, only a limited number of studies have provided a partial assessment of the pooled prevalence and related determinants of the severity levels of anemia in pregnant women in SSA. Therefore, this study provides the most recent estimates of anemia severity levels and related determinants.MethodsThe most recent Demographic Health Survey (DHS) dataset of 21 Sub-Saharan African countries which were collected between 2015 and 2022 were used. A total of 14,098 pregnant women were included. Multilevel ordinal logistic regression was used.ResultsThe pooled prevalence of anemia was 51.26%. Pregnant women who were in the old age groups, and who have attended secondary and higher education were less likely to be at higher levels of anemia. Those women who have given birth to &gt;1 children in the last 5 years, pregnant women in second and third trimester and living in poorest households had greater odds of being at higher levels of anemia.ConclusionIn Sub-Saharan Africa, anemia is a severe public health concern for pregnant mothers. When developing and implementing strategies for the prevention and control of anemia, it is imperative to take into account the individual and community circumstances. Programs for the prevention and control of anemia should incorporate the economic and educational empowerment of women.
Case report: Shingles-associated probable Bickerstaff brainstem encephalitis with IgM anti-sulfatide positivity
Authors: Fu Xiaoxue , Zhan Qianli , Zhang Linjie , Tian Xiaoyan 
Published: April 2024

BackgroundBickerstaff brainstem encephalitis (BBE) is a rare disease considered caused by acute demyelination of the brainstem, most often resulting from secondary autoimmune responses. To our knowledge, this is the first probable case report of shingles-associated BBE with anti-sulfatide IgM positivity.Case presentationWe report the case of an 83-year-old woman with symptoms of progressive limb weakness, difficulty swallowing food, and disturbed consciousness that occurred 4 weeks following herpes zoster infection. Autoimmune anti-sulfatide antibodies were positive and fluid-attenuated inversion recovery (FLAIR) sequences revealed clear high signal intensity in pons and bilateral thalamus. Our patient’s condition improved markedly with glucocorticoid treatment. After 2 months of treatment, our patient was fully recovered. We considered that for her case, BBE is the most appropriate diagnosis.ConclusionsWe emphasize the importance of a careful medical history and assessment of clinical symptoms, performing MRI, testing autoimmune antibodies for rapid diagnosis, and ruling out differential diagnoses. Further studies involving more patients with BBE with IgM anti-sulfatide autoantibodies will increase the understanding of the clinical characteristics and advance the diagnosis and treatment of this syndrome. Meanwhile, it is crucial for dermatologists to know about this severe neurological complication following shingles.
A disproportionality analysis of FDA adverse event reporting system (FAERS) events for ticagrelor
Authors: Pan Yunyan , Wang Yu , Zheng Yifan , Chen Jie , Li Jia 
Published: April 2024

Background:Ticagrelor is a commonly used antiplatelet agent, but due to the stringent criteria for trial population inclusion and the limited sample size, its safety profile has not been fully elucidated.Method:We utilized OpenVigil 2.1 to query the FDA Adverse Event Reporting System database and retrieved reports by the generic name “ticagrelor” published between 1 October 2010 and 31 March 2023. Adverse drug events (ADEs) were classified and described according to the preferred terms and system organ classes in the Medical Dictionary of Regulatory Activity. Proportional reporting ratio (PRR), reporting odds ratio (ROR) and Bayesian Confidence Propagation Neural Network (BCPNN) were used to detect signals.Results:The number of ADE reports with ticagrelor as the primary suspect drug was 12,909. The top three ADEs were dyspnea [1824 reports, ROR 7.34, PRR 6.45, information component (IC) 2.68], chest pain (458 reports, ROR 5.43, PRR 5.27, IC 2.39), and vascular stent thrombosis (406 reports, ROR 409.53, PRR 396.68, IC 8.02). The highest ROR, 630.24, was found for “vascular stent occlusion”. Cardiac arrest (137 reports, ROR 3.41, PRR 3.39, IC 1.75), atrial fibrillation (99 reports, ROR 2.05, PRR 2.04, IC 1.03), asphyxia (101 reports, ROR 23.60, PRR 23.43, IC 4.51), and rhabdomyolysis (57 reports, ROR 2.75, PRR 2.75, IC 1.45) were suspected new adverse events of ticagrelor.Conclusion:The FAERS database produced potential signals associated with ticagrelor that have not been recorded in the package inserts, such as cardiac arrest, atrial fibrillation, asphyxia, and rhabdomyolysis. Further clinical surveillance is needed to quantify and validate potential hazards associated with ticagrelor-related adverse events.
Recent advances in neural mechanism of general anesthesia induced unconsciousness: insights from optogenetics and chemogenetics
Authors: Gao Hui , Wang Jingyi , Zhang Rui , Luo Tao 
Published: April 2024

For over 170 years, general anesthesia has played a crucial role in clinical practice, yet a comprehensive understanding of the neural mechanisms underlying the induction of unconsciousness by general anesthetics remains elusive. Ongoing research into these mechanisms primarily centers around the brain nuclei and neural circuits associated with sleep-wake. In this context, two sophisticated methodologies, optogenetics and chemogenetics, have emerged as vital tools for recording and modulating the activity of specific neuronal populations or circuits within distinct brain regions. Recent advancements have successfully employed these techniques to investigate the impact of general anesthesia on various brain nuclei and neural pathways. This paper provides an in-depth examination of the use of optogenetic and chemogenetic methodologies in studying the effects of general anesthesia on specific brain nuclei and pathways. Additionally, it discusses in depth the advantages and limitations of these two methodologies, as well as the issues that must be considered for scientific research applications. By shedding light on these facets, this paper serves as a valuable reference for furthering the accurate exploration of the neural mechanisms underlying general anesthesia. It aids researchers and clinicians in effectively evaluating the applicability of these techniques in advancing scientific research and clinical practice.
Design of a kilohertz repetition rate, low-emittance S-band photoinjector
Authors: He Tianhui , Shan Lijun , Wang Hanbin , Xiao Dexin , Zhou Kui , Li Peng , Wang Jianxin , Xu Hanxun , Zhou Zheng , Li Ming , Wu Dai 
Published: April 2024

Low-emittance photoinjector-enabled cutting-edge scientific instruments, such as free-electron lasers, inverse Compton scattering light sources, and ultrafast electron diffraction, will greatly benefit from the improved repetition rate. In this paper, we proposed a specifically designed S-band radio frequency (RF) photoinjector to obtain low emittance and kilohertz (kHz) high-repetition rates simultaneously. By lowering the gradient, much lower RF power is needed to feed the electron gun, and then the heat problem is much easier to handle. Meanwhile, by optimizing the length of the gun’s first cell from the normal case of 0.6-cell to 0.4-cell, the launch phase and the extraction field are significantly improved, thus ensuring the generation of low-emittance electron beams. In our design, the proposed 1.4-cell RF gun can work effectively under different field gradients ranging from 30 MV/m to 100 MV/m. For a standard case of 60 MV/m, 2.5 MW peak RF power with μs level pulse width is sufficient, thus offering the feasibility of improving the repetition rate to kHz level with a standard 5 MW irradiation klystron. In addition, simulated electron beams with a low emittance of 0.29 mm.mrad@200 pC can be generated by this proposed photoinjector, showing that this high-repetition rate injector holds the potential to deliver high-quality beams comparable to those of state-of-the-art S-band photoinjectors. Combining the merits of low emittance and high-repetition rate, this proposed photoinjector will provide a new possibility for future free-electron laser facilities operating at repetition rates ranging from kHz to tens of kHz.
Strain-controlled electrophysiological wave propagation alters in silico scar-based substrate for ventricular tachycardia
Authors: Willems Evianne , Janssens Koen L. P. M. , Dekker Lukas R. C. , van de Vosse Frans N. , Cluitmans Matthijs J. M. , Bovendeerd Peter H. M. 
Published: April 2024

Introduction: Assessing a patient’s risk of scar-based ventricular tachycardia (VT) after myocardial infarction is a challenging task. It can take months to years after infarction for VT to occur. Also, if selected for ablation therapy, success rates are low.Methods: Computational ventricular models have been presented previously to support VT risk assessment and to provide ablation guidance. In this study, an extension to such virtual-heart models is proposed to phenomenologically incorporate tissue remodeling driven by mechanical load. Strain amplitudes in the heart muscle are obtained from simulations of mechanics and are used to adjust the electrical conductivity. Results: The mechanics-driven adaptation of electrophysiology resulted in a more heterogeneous distribution of propagation velocities than that of standard models, which adapt electrophysiology in the structural substrate from medical images only. Moreover, conduction slowing was not only present in such a structural substrate, but extended in the adjacent functional border zone with impaired mechanics. This enlarged the volumes with high repolarization time gradients (≥10 ms/mm). However, maximum gradient values were not significantly affected. The enlarged volumes were localized along the structural substrate border, which lengthened the line of conduction block. The prolonged reentry pathways together with conduction slowing in functional regions increased VT cycle time, such that VT was easier to induce, and the number of recommended ablation sites increased from 3 to 5 locations.Discussion: Sensitivity testing showed an accurate model of strain-dependency to be critical for low ranges of conductivity. The model extension with mechanics-driven tissue remodeling is a potential approach to capture the evolution of the functional substrate and may offer insight into the progression of VT risk over time.
What supports and services post COVID-19 do children with disabilities and their parents need and want, now and into the future?
Authors: Pozniak K. , Swain A. , Currie G. , Doherty-Kirby A. , Grahovac D. , Lebsack J. , Campbell W. , Humphreys C. , Patterson S. , Raha S. , Whitley J. , Kraus de Camargo O. 
Published: April 2024

IntroductionChildren and youth with disabilities and special healthcare needs, and their families, have been uniquely affected by the COVID-19 pandemic. However, the voices of children themselves are still not well represented in the existing literature.MethodsThis qualitative descriptive study used a combination of visual methods and interviews to learn about the experiences of Canadian children with disabilities (n=18) and their parents (n=14) during the COVID pandemic and into the post-pandemic period. Data collection was carried out between January and July 2023. The aim was to identify the supports and services children and families need at present and moving forward.ResultsFamilies’ pandemic experiences were complex and nuanced. For many, the pandemic complicated and disrupted everyday activities and supports. These disruptions were largely buffered by parents. However, some families also identified unexpected benefits. Key themes pertaining to present and future needs included the need for services that are flexible; consistent; conducive to relationship-building; comprehensive; coordinated across sectors; and designed to support the needs of the whole family.DiscussionImplications for policy and practice are outlined.
Association of the barriers of pharmaceutical care perceived by clinical pharmacists and occupational stress in tertiary hospitals of China
Authors: Zhang Yu , Huang Yuankai , Xi Xiaoyu 
Published: April 2024

ObjectiveAs an important member of the healthcare team, clinical pharmacists’ occupational stress will lead to a decline in the quality of pharmaceutical care. According to person-environment fit theory, barriers of pharmaceutical care perceived by clinical pharmacists may be a potential factor influencing occupational stress. This study aimed to assess the association between the specific barriers of pharmaceutical care perceived by clinical pharmacists and their occupational stress in China.MethodA field-based questionnaire survey of tertiary hospitals was conducted in 31 provincial administrative regions in mainland China using a multi-stage stratified sampling method. Data on occupational stress, barriers of pharmaceutical care perceived by clinical pharmacists and other factors of job stress were collected using the Brief Job Stress Questionnaire and a self-administered instrument. The instruments have undergone multiple rounds of pilot investigations, and their reliability is acceptable. Ordinary least squares regression was used to evaluate the association of the perceived barriers and other factors with their occupational stress.ResultA total of 625 clinical pharmacists from 311 tertiary hospitals in China (response rate = 84%) participated. Perceived resource dimension barriers (p = 0.00) and self-improvement dimension barriers (p = 0.01) were associated with increased occupational stress of the participants. In addition, clinical pharmacists with senior professional titles and engaged in neurology and ICU have higher occupational stress.ConclusionBy removing barriers to pharmacists’ resources and self-improvement, it is possible to better meet the work needs of clinical pharmacists and may effectively reduce occupational stress, thereby improving the quality of pharmaceutical services.
Active labour market policies in emerging adulthood may act as a protective factor against future depressiveness: an analysis of the long-term trajectories of depressive symptoms in the Northern Swedish Cohort
Authors: Virtanen Pekka , Nummi Tapio , Westerlund Hugo , Östergren Per-Olof , Janlert Urban , Hammarström Anne 
Published: April 2024

IntroductionDrawing upon the framework of life course epidemiology, this study aligns with research on the mental health consequences of significant social transitions during early adulthood. The focus is on the variation in initial labour market attachment and the development of depressiveness, assuming that a firm attachment is associated with decreasing depressiveness.MethodsThe baseline investigation of the studied cohort (n = 1,001) took place during their final year of compulsory schooling at age 16. Follow-up surveys were conducted at ages 18, 21, 30, and 43. Depressiveness was measured with a five-item score. Multiple trajectory analysis, incorporating five labour market statuses observed over seven half-year periods from ages 18 to 21, was employed to categorize the cohort into six distinct groups. Among these, ‘All-time education,’ ‘From education to employment,’ ‘Education and employment,’ and ‘From employment to education’ were considered to demonstrate firm labour market attachment. Meanwhile, ‘Active labour market policy’ and ‘Unemployment’ represented less firm attachment.ResultsThe trajectory of depressive symptoms among the total cohort from age 16 to age 43 exhibited a ‘broken stick’ pattern, reaching its lowest point at age 21. This pattern was evident in all groups classified as having a firm attachment. A substantial decrease in depressiveness was also observed in the relatively weakly attached ‘Active labour market policy’ group, whereas no ‘broken stick’ pattern emerged in the ‘Unemployment’ group. The disparities in the levels of depressiveness observed at age 21 remained relatively stable across the measurements at ages 30 and 43.DiscussionThe results were as expected, except for the observed improvement in mental health within the ‘Active labour market policy’ group. Supported labour market attachment during emerging adulthood can enhance mental well-being similarly to regular mainstream attachment. In terms of policy recommendations, the consistently high levels of depressiveness within the ‘Unemployment’ group underscore the importance of reducing long-term and repeated unemployment in young age. The findings regarding the ‘Active labour market policy’ provide evidence of the intervention’s benefits. While the primary goal of these measures is to create jobs for the unemployed, they also include elements that contribute to participants’ mental health.