bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bag-mask ventilation by low- or untrained rescuers during adult and pediatric resuscitation: a randomized cross-over manikin study
Authors: Borremans Gautier , Geerts Anke , Coppens Marc , Christiaens-Leysen Erik , Herbelet Sandrine , Van de Voorde Patrick 
Published: November 2023

AimBag-mask ventilation (BMV) is often applied during advanced cardiopulmonary resuscitation (CPR). Lay rescuers usually apply mouth-to-mouth ventilation, which is contraindicated in case of potential disease transmission (e.g., during the COVID-19 pandemic). This study evaluates the influence of rescuers' before BMV training in following the correct BMV procedures during adult and infant CPR.MethodsMedical students (n = 112) were enrolled in a randomized cross-over manikin study: 60 first-year students (53.6%) (untrained, without any prior knowledge of CPR) and 52 fourth-year students (46.4%) (BLS-trained, with three consecutive years of basic CPR training), excluding Basic Life Support (BLS) certificate holders or lifeguards. Student-formed duos (i.e., two students from the same year working together) received a 15-min just-in-time onsite training in full CPR cycle using BMV and were tested during five cycles of 2-person CPR following the European Resuscitation Council (ERC) guidelines with the inclusion of BMV. Tidal volumes of 300–600 ml (adults) and 20–60 ml (infants) were considered as correct ventilations.ResultsFrom the initial 56 duos, 17 (30.4%) were excluded after applying incorrect numbers of ventilation or uninterpretable values. In adult CPR, comparing BLS-trained rescuers to untrained ones in correctly administrating ventilations using BMV after a 15-min just-in-time onsite training revealed no statistically significant difference [first years: 63.0% (n = 136 out of 216 ventilations); fourth years: 59.5% (n = 119 out of 200 ventilations); with a proportional difference of −3.5% (−12.8; 5.9)]. In infant CPR, a significant difference was observed in effective ventilations [first years: 55.5% (n = 120 out of 216 ventilations); fourth years: 72.3% (n = 133 out of 184 ventilations); with a proportional difference of 16.8 (7.25; 26.21)].ConclusionTwo-person BMV is a complex skill to perform both in adults and children, requiring sufficient and regular training. Lay rescuers receiving a 15-min just-in-time onsite BMV training could perform decent BMV in an adult CPR setting. BMV during infant CPR requires more extensive prior training and should not be entrusted to lay rescuers, even after a 15-min just-in-time onsite training.
Risk prediction for <1 cm lateral lymph node metastasis in papillary thyroid microcarcinoma
Authors: Zhang Chengxin , Fu Siqi , Liu He , Xue Shuai 
Published: November 2023

BackgroundBecause the diameter of the suspicious lymph nodes is less than 1 cm and adjacent to important structures in the neck, the diagnosis of small LLNM is important but difficult without the help of fine needle aspiration (FNA). There are no relevant reports of risk factors that predict the risk of suspicious &lt;1 cm LLNM.MethodsA total of 159 PTMC patients with suspicious &lt;1 cm LLNM were included in the study. Multivariate logistic regression analysis was used to identify ultrasound independent predictors of LLNM. A predictive model was developed according to multivariate logistic regression and evaluated by Hosmer-Lemeshow fit test.ResultsAge ≤ 38 years old, the largest PTMC was located in the upper part, and the presence of liquefaction or microcalcification in suspicious lymph nodes were independent risk factors for LLNM (univariate analysis P = 0.00, 0.00, 0.00; multivariate analysis P = 0.00, 0.02, 0.00. OR = 4.66 [CI: 1.78-12.21], 3.04 [CI: 1.24-7.46], 6.39 [CI: 1.85-22.00]). The predictive model for the diagnosis of suspicious &lt;1 cm lymph nodes was established as: P = ex/(1 + ex). X = -1.29 + (1.11 × whether the largest tumor is located in the upper part) + (1.54 × whether the age is ≤ 38 years) + (1.85 × whether the suspicious lymph nodes have liquefaction/microcalcification). The Hosmer-Lemeshow fit test was used to test the predicted ability, and it found that the predictive model had a good fit and prediction accuracy (X2 = 6.214, P = 0.623 &gt; 0.05). Chi squared trend analysis showed that the increase in the number of risk factors gradually increased the malignancy possibility of suspicious &lt;1 cm lymph nodes (chi squared trend test, P = 0.00).ConclusionsAge ≤ 38 years old, the largest PTMC located in the upper part, and the presence of liquefaction or microcalcification in suspicious lymph nodes were independent risk factors for suspicious &lt;1 cm LLNM in PTMC patients. Our result show that it is feasible to evaluate the malignant possibility of these lymph nodes using the number of risk factors.
Optimization of SIS solar cells with ultra-thin silicon oxide layer
Authors: Song X. M. , Ye C. Y. , Huang Z. G. 
Published: November 2023

Due to the simple process, low energy consumption and stable performance, semiconductor/insulating layer/semiconductor (SIS) solar cells have attracted lots of research interests. However, the device physics of SIS solar cells needs further clarification and improvement. In this paper, the effects of TCO work function on the performance of TCO/SiO2/n-Si heterojunction solar cells were simulated by AFORS-HET and the physics mechanisms for these effects were clarified. It is found that for a work function of 5.2 eV or higher of TCO, the SIS devices possess high ƞ of 22.9% or higher, while the devices show the S-shape J-V curve with low FF when the work function work function of TCO is under 5.1 eV. Further analysis indicates that the work function difference between TCO and n-Si substrate is so small that there is an insufficient band bending at the interface leading to a lower built-in electric field that degrades the photogenerated carriers’ separation, which results in the deformation of J-V curve. Moreover, the simulation results show that the performances of TCO/SiOx/n-Si devices are significantly affected by the band offsets at the SiOx/n-Si interface. When the conduction band offset is higher than 0.4 eV, it can effectively prevent electrons from passing through the SiOx layer to reduce the recombination at the interface, resulting in the excellent output performances of the SIS device. But for a low conduction band order of 0.4 eV or less, the blocking effect of electrons weakens, leading to the large recombination at the interface. Finally, we propose two mechanisms of S-shape J-V curve of SIS solar cells: one is the built-in electric field is too small to separate photogenerated carriers, and the other one is that the carrier transmission is blocked by the thick tunneling layer or insulating layer. This work deepens the understanding of the device physics of SIS solar cells and paves the way for enhancing the output performance of industrial Si-based solar cells.
A model for the dynamics of expanded CAG repeat alleles: ATXN2 and ATXN3 as prototypes
Authors: Sena Lucas Schenatto , Lemes Renan Barbosa , Furtado Gabriel Vasata , Saraiva-Pereira Maria Luiza , Jardim Laura Bannach 
Published: November 2023

Background: Spinocerebellar ataxia types 2 (SCA2) and 3 (SCA3/MJD) are diseases due to dominant unstable expansions of CAG repeats (CAGexp). Age of onset of symptoms (AO) correlates with the CAGexp length. Repeat instability leads to increases in the expanded repeats, to important AO anticipations and to the eventual extinction of lineages. Because of that, compensatory forces are expected to act on the maintenance of expanded alleles, but they are poorly understood.Objectives: we described the CAGexp dynamics, adapting a classical equation and aiming to estimate for how many generations will the descendants of a de novo expansion last.Methods: A mathematical model was adapted to encompass anticipation, fitness, and allelic segregation; and empirical data fed the model. The arbitrated ancestral mutations included in the model had the lowest CAGexp and the highest AO described in the literature. One thousand generations were simulated until the alleles were eliminated, fixed, or 650 generations had passed.Results: All SCA2 lineages were eliminated in a median of 10 generations. In SCA3/MJD lineages, 593 were eliminated in a median of 29 generations. The other ones were eliminated due to anticipation after the 650th generation or remained indefinitely with CAG repeats transitioning between expanded and unexpanded ranges.Discussion: the model predicted outcomes compatible with empirical data - the very old ancestral SCA3/MJD haplotype, and the de novo SCA2 expansions -, which previously seemed to be contradictory. This model accommodates these data into understandable dynamics and might be useful for other CAGexp disorders.
EBF1, MYO6 and CALR expression levels predict therapeutic response in diffuse large B-cell lymphomas
Authors: Turdo Alice , Gaggianesi Miriam , D’Accardo Caterina , Porcelli Gaetana , Bella Sebastiano Di , Cricchio Dario , Pillitteri Irene , Porcasi Rossana , Lo Iacono Melania , Verona Francesco , Modica Chiara , Roozafzay Narges , Florena Ada Maria , Stassi Giorgio , Mancuso Salvatrice , Todaro Matilde 
Published: November 2023

BackgroundDiffuse large B-cell lymphoma (DLBCL) is a hematological malignancy representing one-third of non-Hodgkin’s lymphoma cases. Notwithstanding immunotherapy in combination with chemotherapy (R-CHOP) is an effective therapeutic approach for DLBCL, a subset of patients encounters treatment resistance, leading to low survival rates. Thus, there is an urgent need to identify predictive biomarkers for DLBCL including the elderly population, which represents the fastest-growing segment of the population in Western countries.MethodsGene expression profiles of n=414 DLBCL biopsies were retrieved from the public dataset GSE10846. Differentially expressed genes (DEGs) (fold change &gt;1.4, p-value &lt;0.05, n=387) have been clustered in responder and non-responder patient cohorts. An enrichment analysis has been performed on the top 30 up-regulated genes of responder and non-responder patients to identify the signatures involved in gene ontology (MSigDB). The more significantly up-regulated DEGs have been validated in our independent collection of formalin-fixed paraffin-embedded (FFPE) biopsy samples of elderly DLBCL patients, treated with R-CHOP as first-line therapy.ResultsFrom the analysis of two independent cohorts of DLBCL patients emerged a gene signature able to predict the response to R-CHOP therapy. In detail, expression levels of EBF1, MYO6, CALR are associated with a significant worse overall survival.ConclusionsThese results pave the way for a novel characterization of DLBCL biomarkers, aiding the stratification of responder versus non-responder patients.
A comprehensive cuproptosis score and associated gene signatures reveal prognostic and immunological features of idiopathic pulmonary fibrosis
Authors: Jing Chuanqing , Fu Rong , Liu Xue , Zang Guodong , Zhu Xue , Wang Can , Zhang Wei 
Published: November 2023

BackgroundCuproptosis, the most recently identified and regulated cell death, depends on copper ions in vivo. Copper regulates the pathogenesis of Idiopathic pulmonary fibrosis (IPF), but the mechanism of action underlying cuproptosis in IPF remains unclear.MethodsWe identified three cuproptosis patterns based on ten cuproptosis-related genes using unsupervised consensus clustering. We quantified these patterns using a PCA algorithm to construct a cuproptosis score. ssGSEA and the Cibersort algorithm assessed the immune profile of IPF patients. GSEA and GSVA were used to analyze the functional differences in different molecular patterns. Drug susceptibility prediction based on cuproptosis scores and meaningful gene markers was eventually screened in combination with external public data sets,in vitro experiments and our cases.ResultsOf the three types of cuproptosis-related clusters identified in the study, patients in the clusterA, geneclusterB, and score-high groups showed improved prognoses. Moreover, each cluster exhibited differential immune characteristics, with the subtype showing a poorer prognosis associated with an immune overreaction. Cuproptosis score can be an independent risk factor for predicting the prognosis of IPF patients. GSEA showed a significant functional correlation between the score and cuproptosis. The genes AKAP9, ANK3, C6orf106, LYRM7, and MBNL1, were identified as prognostic-related signatures in IPF patients. The functional role of immune regulation in IPF was further explored by correlating essential genes with immune factors. Also, the nomogram constructed by cumulative information from gene markers and cuproptosis score showed reliable clinical application.ConclusionsCuproptosis patterns differ significantly in the prognosis and immune characteristics of IPF patients. The cuproptosis score and five gene signatures can provide a reliable reference in the prognosis and diagnosis of IPF.
Neoadjuvant tislelizumab combined with chemotherapy in locally advanced oral or oropharyngeal squamous cell carcinoma: a real−world retrospective study
Authors: Wu Wen-Jie , Liu Qian , An Pu-Gen , Wang Lin , Zhang Jian-Yun , Chen Yan , Zhang Tong , Zhang Jie 
Published: November 2023

ObjectivesThe treatment of locally advanced oral or oropharyngeal squamous cell carcinoma (LAOOPSCC) is surgery and radiotherapy or chemoradiotherapy but with unsatisfactory survival rate. Neoadjuvant programmed death-1 (PD-1) therapy are being used in several clinical trials. Therefore, in this retrospective study we aimed to determine the feasibility of neoadjuvant tislelizumab plus chemotherapy followed by surgery for LAOOPSCC.Materials and methodsThe clinical data of 33 patients with LAOOPSCC who received neoadjuvant PD-1 inhibitors and chemotherapy between April 2021 and October 2022 were retrospectively analyzed. Patients with stage III-IV LAOOPSCC received tislelizumab, albumin-bound paclitaxel, and cisplatin every 3 weeks (Q3W) for two cycles, followed by surgery and adjuvant radiotherapy or concurrent chemoradiotherapy. A median follow-up period was 20 months.ResultsThe objective response rate (ORR) was 66.7%, with the major pathological response (MPR) rate at 54.5%, and the pathological complete response (pCR) rate was 33.3%. Sixteen patients underwent limited surgeries, and 15 patients were remitted from undergoing mandibulectomy and 9 patients were remitted from undergoing near total glossectomy or total glossectomy. A significant difference in the overall survival (OS) and disease-free survival (DFS) was observed in patients who achieved major pathological response (MPR) than who did not. The most common adverse events in neoadjuvant therapy were alopecia, decreased appetite or anorexia, leukopenia, and fatigue.ConclusionNeoadjuvant PD-1 inhibitors combined with chemotherapy are feasible and safe, with a high pathological response and possible organ preservation in oral or oropharyngeal squamous cell carcinoma. However, further studies with a larger cohort of patients and longer follow-up period is required to strengthen our findings and evaluate the survival benefits of the treatment.
Seasonal temperature variation in Zostera marina seedlings under ocean acidification
Authors: Wang Zhaohua , Pei Yanzhao , Yan Wenjie , Lu Lv , Zhou Bin 
Published: November 2023

ObjectiveTo investigate the responses of Zostera marina seedlings to the individual and combined stresses of seasonal temperature increase and ocean acidification (OA) caused by global climate change and anthropogenic factors. This data will help in efforts to protect and restore seagrass beds in temperate coastal zones of China.MethodsA mesoscale experimental system was utilized to analyze stress response mechanisms at multiple levels - phenotype, transcriptome, and metabolome - during the seedling stage of Z. marina, a dominant temperate seagrass species in China. The study monitored the seedlings under varying conditions: increased seasonal temperature, OA, and a combination of both.ResultsFindings revealed that under high-temperature conditions, carotenoid biosynthesis was stimulated through the upregulation of specific metabolites and enzymes. Similarly, the biosynthesis of certain alkaloids was promoted alongside modifications in starch, sucrose, and nitrogen metabolism, which improved the plant’s adaptation to OA. Unique metabolic pathways were activated under OA, including the degradation of certain amino acids and modifications in the citric acid cycle and pyruvate metabolism. When subjected to both temperature and OA stresses, seedlings actively mobilized various biosynthetic pathways to enhance adaptability and resilience, with distinct metabolic pathways enhancing the plant’s response under diversified stress conditions. In terms of growth, all treatment groups exhibited significant leaf length increase (p &lt; 0.05), but the weakest growth index was observed under combined stress, followed by the thermal treatment group. Conversely, growth under OA treatment was better, showing a significant increase in wet weight, leaf length, and leaf width (p &lt; 0.05).ConclusionSeasonal temperature increase was found to inhibit the growth of Z. marina seedlings to some extent, while OA facilitated their growth. However, the positive effects of OA did not mitigate the damage caused by increased seasonal temperature under combined stress due to seedlings’ sensitivity at this stage. Our findings elucidate differing plant coping strategies under varied stress conditions, contingent on the initial environment. This research anticipates providing significant data support for the adaptation of Z. marina seedlings to seasonal temperature fluctuations and global oceanic events like OA, propelling the effective conservation of seagrass beds.
Macular changes following cataract surgery in eyes with early diabetic retinopathy: an OCT and OCT angiography study
Authors: Yao Huiping , Yang Zijian , Cheng Yu , Shen Xi 
Published: November 2023

BackgroundTo evaluate changes in macular status and choroidal thickness (CT) following phacoemulsification in patients with mild to moderate nonproliferative diabetic retinopathy (NPDR) using optical coherence tomography.MethodsIn this prospective study, all of the patients underwent uncomplicated phacoemulsification. Retinal superficial capillary plexus vascular density (SCP-VD), macular thickness (MT), and CT were measured pre- and postoperatively.ResultsTwenty-two eyes of 22 cataract patients with mild to moderate NPDR without diabetic macular edema (DME) and 22 controls were enrolled. BCVA increased in two groups at 3 months postoperatively. At 1 and 3 months postoperatively, SCP-VD in the diabetic retinopathy (DR) group significantly increased; changes in SCP-VD in parafovea were significantly greater in the DR group than in the control group. MT and CT in the DR group significantly increased at all visits postoperatively in the fovea and perifovea. Changes in parafoveal MT were significantly greater in the DR group than in the control group at all visits postoperatively. Changes in CT and MT in the fovea were significantly greater in patients with DR than in the controls 1 and 3 months postoperatively.ConclusionUncomplicated phacoemulsification resulted in greater increases in SCP-VD, MT and CT in patients with early DR without preoperative DME than in controls.
Large–scale genetic analysis and biological traits of two SigB factors in Listeria monocytogenes: lineage correlations and differential functions
Authors: Mao Pan , Wang Yan , Gan Lin , Liu Lingyun , Chen Jinni , Li Lingling , Sun Hui , Luo Xia , Ye Changyun 
Published: November 2023

IntroductionListeria monocytogenes is a globally distributed bacterium that exhibits genetic diversity and trait heterogeneity. The alternative sigma factor SigB serves as a crucial transcriptional regulator essential for responding to environmental stress conditions and facilitating host infection.MethodWe employed a comprehensive genetic analysis of sigB in a dataset comprising 46,921 L. monocytogenes genomes. The functional attributes of SigB were evaluated by phenotypic experiments.ResultsOur study revealed the presence of two predominant SigB factors (SigBT1 and SigBT2) in L. monocytogenes, with a robust correlation between SigBT1 and lineages I and III, as well as SigBT2 and lineage II. Furthermore, SigBT1 exhibits superior performance in promoting cellular invasion, cytotoxicity and enhancing biofilm formation and cold tolerance abilities under minimally defined media conditions compared to SigBT2.DiscussionThe functional characteristics of SigBT1 suggest a potential association with the epidemiology of lineages I and III strains in both human hosts and the natural environment. Our findings highlight the important role of distinct SigB factors in influencing the biological traits of L. monocytogenes of different lineages, thus highlighting its distinct pathogenic and adaptive attributes.
Role of environmental enrichment on social interaction, anxiety, locomotion, and memory in Wistar rats under chronic methylphenidate intake
Authors: Herrera-Isaza Laura , Zárate-Guerrero Santiago , Corredor Karen , Gómez-Fonseca Ángela , Escobar-Cornejo Guillermo , Cardenas Fernando P. 
Published: November 2023

IntroductionChronic use of various compounds can have long-lasting effects on animal behavior, and some of these effects can be influenced by the environment. Many environmental enrichment protocols have the potential to induce behavioral changes.AimThe aim of the present study was to investigate how environmental enrichment can mitigate the effects of chronic methylphenidate consumption on the behavior of Wistar rats.MethodsThe animals were housed for 20 days under either an environmental enrichment protocol (which included tubes of different shapes) or standard housing conditions. After seven days, half of the rats received 13 days of oral administration of methylphenidate (2 mg/kg). After seven days, the rats underwent behavioral tests, including the elevated plus maze (anxiety), open field (locomotion), object-in-place recognition test (spatial memory), and a test for social interaction (social behavior).ResultsThe results showed that the enriched environmental condition reversed the enhanced time in the open arms of the elevated plus maze induced by methylphenidate (F[1,43] = 4.275, p = 0.045). Methylphenidate also enhanced exploratory rearing in the open field (F[1,43] = 4.663, p = 0.036) and the time spent in the open area of the open field (H[3] = 8.786, p = 0.032). The enriched environment mitigated the inhibition of social interaction with peers induced by methylphenidate (H[3] = 16.755, p  &lt; 0.001) as well as the preference for single exploratory behavior (H[3] = 9.041, p = 0.029).DiscussionThese findings suggest that environmental enrichment can counteract some of the effects of methylphenidate. These results are relevant for the clinical treatment of the long-lasting secondary effects associated with methylphenidate pharmacological treatment.