bluuebunny/crossref_metadata_2025_split huggingface dataset:
Internal fibrinolysis of fibrin clots is driven by pore expansion
Authors: Risman Rebecca A. , Paynter Bradley , Percoco Victoria , Shroff Mitali , Bannish Brittany E. , Tutwiler Valerie 
Published: February 2024

AbstractBlood clots, which are composed of blood cells and a stabilizing mesh of fibrin fibers, are critical in cessation of bleeding following injury. However, their action is transient and after performing their physiological function they must be resolved through a process known as fibrinolysis. Internal fibrinolysis is the degradation of fibrin by the endogenous or innate presence of lytic enzymes in the bloodstream; under healthy conditions, this process regulates hemostasis and prevents bleeding or clotting. Fibrin-bound tissue plasminogen activator (tPA) converts nearby plasminogen into active plasmin, which is bound to the fibrin network, breaking it down into fibrin degradation products and releasing the entrapped blood cells. It is poorly understood how changes in the fibrin structure and lytic protein ratios influence the biochemical regulation and behavior of internal fibrinolysis. We used turbidity kinetic tracking and microscopy paired with mathematical modeling to study fibrin structure and lytic protein ratios that restrict internal fibrinolysis. Analysis of simulations and experiments indicate that fibrinolysis is driven by pore expansion of the fibrin network. We show that this effect is strongly influenced by the ratio of fibrin:tPAwhen compared to absolute tPA concentration. Thus, it is essential to consider relative protein concentrations when studying internal fibrinolysis both experimentally and in the clinic. An improved understanding of effective internal lysis can aid in development of better therapeutics for the treatment of bleeding and thrombosis.
Landscape evolution in China’s key ecological function zones during 1990–2015
Authors: Liu Jiafeng , Zhong Jing 
Published: February 2024

AbstractLandscape evolution has profound effects on ecosystems. Recently, some studies suggest that China has implemented plans leading in the greening of the world by mainly describing the changes based on satellite data. However, few studies have analyzed the policy effect on ecosystem improvement from the perspective of landscape pattern evolution. Among the numerous ecological policy plans, China’s key ecological function zones plan is an important one. In this study, we focus on depicting the long-term and large-scale landscape evolution in China’s key ecological function zones, which are accounting for 40.2% of China’s land area, and include four-type ecoregions where ecosystems are fragile or important, to comprehensively explore the environmental influences of policy planning. For this purpose, we first described the landscape composition changes and conversion mechanisms in China’s key ecological function zones from 1990 to 2015. Then we captured the detailed pattern evolution characteristics by landscape indices. The results show that these ecoregions were mostly evolving in an unfavorable direction in these 25 years, i.e. destruction of habitats and increment of fragmentation. Although greening areas increased based on other recent researches, the landscape pattern became worse, indicating it is necessary for the detailed analysis of landscape ecology and more accurate ecological planning. We also found the deterioration of the ecological environment had been uncharacteristically stopped or even improved in wind prevention and sand fixation ecoregions and biodiversity maintenance ecoregions after the implementation of this plan. Furthermore, we assumed that the policy is more prominent in these prohibiting sabotages and protecting areas with fragile ecological bases, which may be caused by the differentiated transfer payments in different ecoregions. Finally, some planning suggestions, such as stricter land use control, the regional balance of ecological transfer payments and deepening of ecological migration policies, etc., were proposed for promoting better future environmental changes.
The Cantril Ladder elicits thoughts about power and wealth
Authors: Nilsson August Håkan , Eichstaedt Johannes C. , Lomas Tim , Schwartz Andrew , Kjell Oscar 
Published: February 2024

AbstractThe Cantril Ladder is among the most widely administered subjective well-being measures; every year, it is collected in 140+ countries in the Gallup World Poll and reported in the World Happiness Report. The measure asks respondents to evaluate their lives on a ladder from worst (bottom) to best (top). Prior work found Cantril Ladder scores sensitive to social comparison and to reflect one’s relative position in the income distribution. To understand this, we explored how respondents interpret the Cantril Ladder. We analyzed word responses from 1581 UK adults and tested the impact of the (a) ladder imagery, (b) scale anchors of worst to best possible life, and c) bottom to top. Using three language analysis techniques (dictionary, topic, and word embeddings), we found that the Cantril Ladder framing emphasizes power and wealth over broader well-being and relationship concepts in comparison to the other study conditions. Further, altering the framings increased preferred scale levels from 8.4 to 8.9 (Cohen’s d = 0.36). Introducing harmony as an anchor yielded the strongest divergence from the Cantril Ladder, reducing mentions of power and wealth topics the most (Cohen’s d = −0.76). Our findings refine the understanding of historical Cantril Ladder data and may help guide the future evolution of well-being metrics and guidelines.
The J shaped association of age at menarche and cardiovascular events: systematic review and meta-analysis
Authors: Behboudi-Gandevan Samira , Moe Cathrine Fredriksen , Skjesol Ingunn , Arntzen Ellen Christin , Bidhendi-Yarandi Razieh 
Published: February 2024

AbstractThis study aimed to evaluate the association between age at menarche and cardiovascular (CV) events through a systematic review and meta-analysis of observational studies. A comprehensive literature search covering studies published from January 1, 2000, to October 31, 2023, was conducted in PubMed, MEDLINE, Embase, and Scopus. Twenty-nine observational studies involving 4,931,160 adult women aged 18 years or older were included. The meta-analysis revealed a J-shaped association between age at menarche and CV events. Individuals with menarche at 12–13 years exhibited the lowest risk, while those with younger (≤ 11 years) or older ages (14–15 years and ≥ 16 years) showed an increased risk. Notably, individuals with age at menarche of 16 years and older had the highest risk of CV events. The pooled odds of CV mortality in age at menarche categories 14–15 years and ≥ 16 years were 37% (OR: 1.37, 95% CI 1.14–1.64, I2: 76.9%) and 64% (OR: 1.64, 95% CI 1.20–2.24, I2: 87%) higher than referent age at menarche 12–13 years. No statistically significant difference was found in CV mortality risk between individuals with age at menarche ≤ 11 years and those with age at menarche 12–13 years. The ORs for coronary heart disease were significantly higher for age at menarche ≥ 16 years (35% increase), while no significant difference was found for age at menarche ≤ 11 years or 14–15 years compared to age at menarche 12–13 years. Regarding stroke, the ORs for age at menarche ≤ 11, 14–15, and ≥ 16 years were significantly higher (7%, 24%, and 94% increase, respectively) compared to age at menarche 12–13 years. Dose–response meta-analysis and one-stage random-effect cubic spline models confirmed the J-shaped risk pattern. Meta-regression indicated that age and BMI were not significant sources of heterogeneity. Sensitivity analyses and the absence of publication bias further supported the robustness of the findings. This study concludes that age at menarche is independently associated with CV events, with a J-shaped pattern. The findings underscore the significance of considering menarche age as an independent risk factor for CV events. Further research is warranted to validate these findings and explore potential underlying mechanisms.
Amyloid deposition and small vessel disease are associated with cognitive function in older adults with type 2 diabetes
Authors: Lesman-Segev Orit H. , Golan Shekhtman Sapir , Springer Ramit Ravona , Livny Abigail , Lin Hung-Mo , Yuxia Ouyang , Zadok Maya , Ganmore Ithamar , Heymann Anthony , Hoffmann Chen , Domachevsky Liran , Schnaider Beeri Michal 
Published: February 2024

AbstractDiabetes is associated with cognitive decline, but the underlying mechanisms are complex and their relationship with Alzheimer’s Disease biomarkers is not fully understood. We assessed the association of small vessel disease (SVD) and amyloid burden with cognitive functioning in 47 non-demented older adults with type-2 diabetes from the Israel Diabetes and Cognitive Decline Study (mean age 78Y, 64% females). FLAIR-MRI, Vizamyl amyloid-PET, and T1W-MRI quantified white matter hyperintensities as a measure of SVD, amyloid burden, and gray matter (GM) volume, respectively. Mean hemoglobin A1c levels and duration of type-2 diabetes were used as measures of diabetic control. Cholesterol level and blood pressure were used as measures of cardiovascular risk. A broad neuropsychological battery assessed cognition. Linear regression models revealed that both higher SVD and amyloid burden were associated with lower cognitive functioning. Additional adjustments for type-2 diabetes-related characteristics, GM volume, and cardiovascular risk did not alter the results. The association of amyloid with cognition remained unchanged after further adjustment for SVD, and the association of SVD with cognition remained unchanged after further adjustment for amyloid burden. Our findings suggest that SVD and amyloid pathology may independently contribute to lower cognitive functioning in non-demented older adults with type-2 diabetes, supporting a multimodal approach for diagnosing, preventing, and treating cognitive decline in this population.
Hybrid energy storage configuration method for wind power microgrid based on EMD decomposition and two-stage robust approach
Authors: Yang Xiuyu , Ye Xiaoyu , Li Zhongzheng , Wang Xiaobin , Song Xinfu , Liao Mengke , Liu Xueyuan , Guo Qi 
Published: February 2024

AbstractData centers are usually characterized by high energy loads, which raises increasing sustainability concerns in both academic and daily usage. To mitigate the uncertainty and high volatility of distributed wind energy generation, this paper proposes a hybrid energy storage allocation strategy by means of the Empirical Mode Decomposition (EMD) technique and the two-stage robust method. First, this paper conducts the evolution analyses for the over- and under-evaluated uncertainty of wind power fluctuation under different time scales. Second, we employ the EMD technique to configure a high-frequency flywheel energy storage device, realizing the wind power transformation from large fluctuations to small fluctuations and the convergence of the wind power fluctuation curves in minute- and hour levels. Finally, based on the hour-level wind energy stable power curves, we carry out two-stage robust planning for the equipment capacity of low-frequency cold storage tanks and lithium bromide chillers. The case study on a data center microgrid in northeastern China confirms the effectiveness of our proposed strategy.
Outlining the skin-homing and circulating CLA+NK cells in patients with severe atopic dermatitis
Authors: de Lima Josenilson Feitosa , Teixeira Franciane Mouradian Emidio , Ramos Yasmim Álefe Leuzzi , de Carvalho Gabriel Costa , Castelo Branco Anna Claudia Calvielli , Pereira Naiura Vieira , Sotto Mírian Nacagami , Aoki Valéria , Sato Maria Notomi , Orfali Raquel Leao 
Published: February 2024

AbstractAtopic dermatitis (AD) is a complex, multifactorial skin disease, characterized by pruritus and predominant Th2 inflammation. Innate immune cells may play a role in AD development and are composed of granulocytes, macrophages, innate-like T cells, and innate lymphoid cells. This study investigates the phenotypic and functional profile of circulating CLA+ natural killer (NK) cells and its role in the skin-homing to NK cells infiltrated in adults’ skin with AD. We selected 44 AD patients and 27 non-AD volunteers for the study. The results showed increased frequencies of both CLA+CD56bright and CLA+CD56dim NK cell populations in the peripheral blood, mainly in severe AD patients. Upon SEB stimulation, we observed an augmented percentage of CLA+CD56dim NK cells expressing CD107a, IFN-γ, IL-10, and TNF, reinforcing the role of staphylococcal enterotoxins in AD pathogenesis. Additionally, we demonstrated increased dermal expression of both NK cell markers NCAM-1/CD56 and pan-granzyme, corroborating the skin-homing, mostly in severe AD. Further studies are necessary to elucidate the potential role of NK cells in the chronification of the inflammatory process in AD skin, as well as their possible relationship with staphylococcal enterotoxins, and as practicable therapeutic targets.
Total supply capability of electricity distribution networks considering flexible interconnection of low‐voltage service transformers
Authors: Zu Guoqiang , Wang Ying , Jiang Xun , Hao Ziyuan , Zhang Xin 
Published: February 2024

AbstractUnder the target of ‘emission peak and carbon neutrality’, electricity distribution networks will massively access low‐carbon technologies, which will result in problems such as insufficient hosting capacity, unbalanced electricity loads, degraded power quality etc. The low‐voltage flexible distribution network (LVFDN), which interconnects its low‐voltage service transformers using flexible power electronic devices (flexible interconnected devices [FIDs]) is considered an effective means to deal with the challenges above. The total supply capability (TSC) of LVFDN is proposed. Firstly, the typical structures of LVFDN and their operation modes are proposed. Then, the TSC model of LVFDN, which formulates flexible power flow control and multi‐level (medium‐voltage feeder and low‐voltage flexible interconnection) load transfer is proposed. Due to the non‐linear non‐convex characteristics of the proposed TSC model, a new algorithm based on the ‘branch and bound algorithm’ is also provided. In the case study, the TSC of an actual electricity distribution network is calculated and tested by the N‐1 verification method. Finally, the variations of TSC with different capacities of the low‐voltage FID are analysed. Suggestions for the planning and operation of LVFDN are also given. A theoretical basis for the application of flexible interconnection technology in low‐voltage electricity distribution networks is provided.
Performance of a Maternal Risk Stratification System for Predicting Low Apgar Scores
Authors: Kishkovich Thomas P. , James Kaitlyn E. , McCoy Thomas H. , Perlis Roy H. , Kaimal Anjali J. , Clapp Mark A. 
Published: February 2024

Objective Maternal risk stratification systems are increasingly employed in predicting and preventing obstetric complications. These systems focus primarily on maternal morbidity, and few tools exist to stratify neonatal risk. We sought to determine if a maternal risk stratification score was associated with neonatal morbidity.
Study Design Retrospective cohort study of patients with liveborn infants born at ≥24 weeks at four hospitals in one health system between January 1, 2020, and December 31, 2020. The Expanded Obstetric Comorbidity Score (EOCS) is used as the maternal risk score. The primary neonatal outcome was 5-minute Apgar <7. Logistic regression models determined associations between EOCS and neonatal morbidity. Secondary analyses were performed, including stratifying outcomes by gestational age and limiting analysis to “low-risk” term singletons. Model discrimination assessed using the area under the receiver operating characteristic curves (AUC) and calibration via calibration plots.
Results A total of 14,497 maternal–neonatal pairs were included; 236 (1.6%) had 5-minute Apgar <7; EOCS was higher in 5-minute Apgar <7 group (median 41 vs. 11, p < 0.001). AUC for EOCS in predicting Apgar <7 was 0.72 (95% Confidence Interval (CI) 0.68, 0.75), demonstrating relatively good discrimination. Calibration plot revealed that those in the highest EOCS decile had higher risk of neonatal morbidity (7.6 vs. 1.7%, p < 0.001). When stratified by gestational age, discrimination weakened with advancing gestational age: AUC 0.70 for <28 weeks, 0.63 for 28 to 31 weeks, 0.64 for 32 to 36 weeks, and 0.61 for ≥37 weeks. When limited to term low-risk singletons, EOCS had lower discrimination for predicting neonatal morbidity and was not well calibrated.
Conclusion A maternal morbidity risk stratification system does not perform well in most patients giving birth, at low risk for neonatal complications. The findings suggest that the association between EOCS and 5-minute Apgar <7 likely reflects a relationship with prematurity. This study cautions against intentional or unintentional extrapolation of maternal morbidity risk for neonatal risk, especially for term deliveries.
Key Points
Health Information Technology Supporting Adherence Memory Disorder Patients: A Systematic Literature Review
Authors: Elkefi Safa , Blecker Saul , Bitan Yuval 
Published: February 2024

Abstract
Background People with memory disorders have difficulty adhering to treatments. With technological advances, it remains important to investigate the potential of health information technology (HIT) in supporting medication adherence among them.
Objectives This review investigates the role of HIT in supporting adherence to medication and therapies among patients with memory issues. It also captures the factors that impact technology adherence interventions.
Methods We searched the literature for relevant publications published until March 15, 2023, using technology to support adherence among patients with memory issues (dementia, Alzheimer's, amnesia, mild cognitive impairment, memory loss, etc.). The review was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We conducted a quality assessment of the papers following the Mixed Methods Appraisal Tool.
Results Fifteen studies were included after carefully reviewing the 3,773 articles in the search. Methodological quality, as appraised, ranged from 80 to 100% with eight studies rated 100%. The studies overall did not have a high risk of bias. Thus, all of the 15 studies were included. Technologies investigated were classified into four groups based on their impact: therapeutic patient education, simplifying treatment regimens, early follow-up visits and short-term treatment goals, and reminder programs. Different technologies were used (automatic drug dispensers or boxes, mobile health-based interventions, game-based interventions, e-health-based interventions, patient portals, and virtual reality). The factors impacting patients' adherence to technology-based treatment and medication were clustered into human–computer interaction and integration challenges.
Conclusion This study contributes to the literature by classifying the technologies that supported medication adherence among patients with memory issues in four groups. It also explores and presents the possible limitations of existing solutions to drive future research in supporting care for people with memory disorders.
A Systematic Review and Meta-Analysis of the Outcomes of Laparoscopic Cholecystectomy Compared to the Open Procedure in Patients with Gallbladder Disease
Authors: Roy Debajit Kumar , Sheikh Rahaman 
Published: February 2024

Abstract
Background Conflicting evidence regarding the laparoscopic versus open cholecystectomy outcomes in scientific literature impacts the medical decision-making for patients with gallbladder disease. This study aimed to compare a range of primary and secondary outcomes between patients receiving laparoscopic cholecystectomy and those with open intervention.
Methods Articles published from 1993 to 2023 were explored by utilizing advanced filters of PubMed Central/Medline, Web of Science, CINAHL, JSTOR, Cochrane Library, Scopus, and EBSCO. The gallbladder disease was determined by the presence of one or more of the following conditions: 1) Gangrenous cholecystitis, 2) acute cholecystitis, 3) chronic gallbladder diseases, and 4) cholelithiasis. The primary end-point was mortality, while the secondary outcome included (1) bile leakage, 2) common bile duct injury, 3) gangrene, 4) hospital stay (days), 5) major complications, 6) median hospital stay (days), (7) pneumonia, 8) sick leaves (days), and 9) wound infection.
Results Statistically significant reductions were observed in mortality (odds ratio [OR]: 0.30, 95% confidence interval [CI]: 0.30, 0.45, p < 0.00001), mean hospital stay duration (mean difference: –2.68, 95% CI: –3.66, –1.70, p < 0.00001), major complications (OR: 0.35, 95% CI: 0.19, 0.64, p = 0.0005), post/intraoperative wound infection (OR: 0.29, 95% CI: 0.16, 0.51, p < 0.0001), and sick leaves (OR: 0.34, 95% CI: 0.14, 0.80, p = 0.01) in patients who underwent laparoscopic cholecystectomy compared with those with the open intervention. No statistically significant differences were recorded between the study groups for bile leakage, common bile duct injury, gangrene, median hospital stay days, and pneumonia (p > 0.05).
Conclusions The pooled outcomes favored the use of laparoscopic cholecystectomy over the open procedure in patients with gallbladder disease. The consolidated findings indicate the higher impact of laparoscopic cholecystectomy in improving patient outcomes, including safety episodes, compared with open cholecystectomy.
Suppression of in-plane (001) texture component in FePt-oxide granular films by adding a carbon buffer layer
Authors: Tham Kim Kong , Kushibiki Ryosuke , Saito Shin 
Published: February 2024

Investigation of magnetic properties and nanostructure of FePt-B2O3 granular film with carbon buffer layer (BL) of various thicknesses is reported. When the thickness of carbon BL is varied from 0 to 0.6 nm, saturation magnetization (Msfilm) is almost constant at around 750 emu/cm3 and perpendicular magnetic anisotropy (Ku⊥film) changes from around 1.0×107 to 2.0×107 erg/cm3. For the granular film with the carbon BL thicker than 0.6 nm, both Msfilm and Ku⊥film decrease. The reduction of Msfilm for the granular film by adding a carbon BL may be due to the alloying of carbon into the FePt magnetic grains. The enhancement of Ku⊥film for the film with a 0.6 nm carbon BL is considered due to the reduction of the in-plane texture component which is supported by the in-plane XRD. The reduction of Ku⊥film for the film with a carbon BL thicker than 0.6 nm is considered due to random growth of magnetic grains on a continuous carbon BL which is supported by the TEM cross-section images. According to these results, the employment of an un-continuous thin carbon BL is a promising method to enhance c-axis texture orientation of the FePt-oxide granular films.
Magnetic and magnetocaloric properties of rare earth intermetallic compound Gd3Co4Ge13
Authors: Morozkin A. V. , Garshev A. V. , Yapaskurt V. O. , Quezado S. , Malik S. K. , Nirmala R. 
Published: February 2024

Magnetic and magnetocaloric properties of polycrystalline Gd3Co4Ge13 (Cubic, Yb3Rh4Sn13-type, Space group Pm-3n, No. 223, cP40) have been studied by carrying out dc magnetization measurements in applied magnetic fields up to 140 kOe. The compound Gd3Co4Ge13 orders antiferromagnetically at 9 K (TN). The antiferromagnetism appears to be weak and with increasing applied magnetic fields, ferromagnetic interactions become dominant. This field-induced antiferromagnetic to ferromagnetic state that is marked as a change from inverse to normal magnetocaloric effect in the isothermal magnetic entropy change vs temperature plot around TN. At 2 K, the magnetization shows a tendency toward saturation in applied magnetic field and a magnetic moment of 5.3 µB per Gd3+ is obtained in 140 kOe field.