bluuebunny/crossref_metadata_2025_split huggingface dataset:
Racial disparities in characteristics and outcomes of patients undergoing mitral transcatheter edge-to-edge repair
Authors: Shechter Alon , Kaewkes Danon , Makar Moody , Patel Vivek , Koren Ofir , Koseki Keita , Solanki Aum , Dhillon Manvir , Nagasaka Takashi , Skaf Sabah , Chakravarty Tarun , Makkar Raj R. , Siegel Robert J. 
Published: March 2023

BackgroundThere are scarce data regarding the post-mitral transcatheter edge-to-edger repair (TEER) course in different racial groups.ObjectiveTo assess the impact of race on outcomes following TEER for mitral regurgitation (MR).MethodsThis is a single-center, retrospective analysis of consecutive TEER procedures performed during 2013–2020. The primary outcome was the composite of all-cause mortality or heart failure (HF) hospitalizations along the first postprocedural year. Secondary outcomes included individual components of the primary outcome, New York Heart Association (NYHA) class, MR grade, and left ventricular mass index (LVMi).ResultsOut of 964 cases, 751 (77.9%), 88 (9.1%), 68 (7.1%), and 57 (5.9%) were whites, blacks, Asians, and Hispanics, respectively. At baseline, non-whites and blacks were younger and more likely be female, based in lower socioeconomic areas, not fully insured, diagnosed with functional MR, and affected by biventricular dysfunction. Intra-procedurally, more devices were implanted in blacks. At 1-year, non-whites (vs. whites) and blacks (vs. non-blacks or whites) experienced higher cumulative incidence of the primary outcome (32.9% vs. 22.5%, p = 0.002 and 38.6% vs. 23.4% or 22.5%, p = 0.002 or p = 0.001, respectively), which were accounted for by hospitalizations in the functional MR sub-cohort (n = 494). NYHA class improved less among blacks with functional MR. MR severity and LVMi equally regressed in all groups. White race (HR 0.62, 95% CI 0.39–0.99, p = 0.047) and black race (HR 2.07, 95% CI 1.28–3.35, p = 0.003) were independently associated with the primary outcome in functional MR patients only.ConclusionMitral TEER patients of different racial backgrounds exhibit major differences in baseline characteristics. Among those with functional MR, non-whites and blacks also experience a less favorable 1-year clinical outcome.
The patient perspective on remote monitoring of implantable cardiac devices
Authors: Hillmann Henrike A. K. , Hansen Claudius , Przibille Oliver , Duncker David 
Published: March 2023

AimsRemote monitoring for patients with cardiac implantable electronic devices (CIEDs) is well established in clinical routine and recommended by current guidelines. Nevertheless, data regarding patients’ perceptions are limited. Therefore, this study aims to analyze the patient perspectives on the remote monitoring of cardiac devices in Germany.Methods and resultsPatients with CIEDs and remote monitoring of all current manufacturers from three German centers were asked to participate. The questionnaire consisted of 37 questions regarding the patients’ individual use and perspectives on remote monitoring. Survey participation was anonymous and on a voluntary basis. A total of 617 patients (71.6% men) participated. Most patients reported feeling well informed (69.3%) and reported having unchanged or improved coping (98.8%) since the start of remote monitoring. At least 39.7% of patients experienced technical problems regarding the transmitter, whereas most patients (60.3%) reported that they never noted technical issues. Older patients had significantly less interest than younger patients in using their own smartphones for data transfer (p &lt; 0.001).ConclusionPatients with remote follow-up of CIED reported that they felt well informed about the remote monitoring approach. Remote monitoring can support coping with their disease. With remote monitoring, patients experienced a prolongation of intervals of in-person follow-up visits, and especially younger patients would appreciate smartphone-based data transfer of their CIEDs.
Association of maternal body composition and diet on breast milk hormones and neonatal growth during the first month of lactation
Authors: Ramiro-Cortijo David , Singh Pratibha , Herranz Carrillo Gloria , Gila-Díaz Andrea , Martín-Cabrejas María A. , Martin Camilia R. , Arribas Silvia M. 
Published: March 2023

IntroductionPreterm birth is associated with altered growth patterns and an increased risk of cardiometabolic diseases, with breast milk (BM) being a counteracting factor. Preterm infants also show alterations in adipokines and gut hormones influencing appetite and metabolism. Since these hormones are present in BM, it is possible that their levels may equilibrate deficiencies improving infant growth. We aimed to assess 1) the BM levels of ghrelin, resistin, leptin, insulin, peptide YY, and the gastrointestinal peptide in women with preterm and term labor; 2) the relationship between BM hormones and neonatal growth; and 3) the influence of maternal body composition and diet on these BM hormones.MethodsBM from 48 women (30 term and 18 preterm labor) was collected at days 7, 14, and 28 of lactation. Maternal body composition was evaluated by bioimpedance, and neonate anthropometric parameters were collected from medical records. The maternal dietary pattern was assessed by a 72-h dietary recall at days 7 and 28 of lactation. BM hormones were analyzed by the U-Plex Ultra-sensitive method. Data were analyzed using linear regression models. BM from women with preterm labor had lower ghrelin levels, with the other hormones being significantly higher compared to women with term delivery.ResultsIn premature infants, growth was positively associated with BM ghrelin, while, in term infants, it was positively associated with insulin and negatively with peptide YY. In the first week of lactation, women with preterm labor had higher body fat compared to women with term labor. In this group, ghrelin levels were positively associated with maternal body fat and with fiber and protein intake. In women with term labor, no associations between anthropometric parameters and BM hormones were found, and fiber intake was negatively associated with peptide YY.DiscussionPreterm labor is a factor influencing the levels of BM adipokines and gut hormones, with BM ghrelin being a relevant hormone for premature infant growth. Since ghrelin is lower in BM from women with preterm labor and the levels are associated with maternal fat storage and some dietary components, our data support the importance to monitor diet and body composition in women who gave birth prematurely to improve the BM hormonal status.
Advances in targeted retinal photocoagulation in the treatment of diabetic retinopathy
Authors: Lin Zichun , Deng Aijun , Hou Ning , Gao Liyu , Zhi Xushuang 
Published: March 2023

AimTargeted retinal photocoagulation (TRP) is an emerging laser technology for retinal targeted therapy. TRP can specifically act on unperfused retinal capillaries and retinal intermediate ischemic areas, reduce damage to tissue perfusion areas and panretinal photocoagulation (PRP) complications or adverse events. In this regard, this review discusses the treatment options, efficacy, and latest progress of TRP for diabetic retinopathy (DR) based on randomized controlled trial (RCT), meta-analysis, case review, and other existing studies.MethodsIn-depth research was conducted on articles about the proposal and development of TRP, its simple application in DR, and combined therapy. In order to review the new progress, application methods, effects, and prospects of TRP in the treatment of DR, the articles related to TRP in the databases of PubMed and Web Of Science since this century were comprehensively analyzed.ResultsTRP is effective in treating DR and may become a substitute for PRP in the future. In addition, the treatment regimen of TRP combined with intravitreal injection of anti-vascular endothelial growth factor (anti-VEGF) drugs can also be used as a new therapeutic approach to expand the treatment regimen for the treatment of DR, and this combination therapy also has effects on other retinal vascular diseases.ConclusionsWith the advancement of technology, TRP has been continuously applied in clinical practice, and its potential benefits have opened up broad prospects for the treatment of DR. The combination therapy of TRP and anti-VEGF is expected to become a new option for patients with DR an retinal diseases.
Comparison of powdered enamel sample pretreatment methods for strontium isotope analysis
Authors: Crowley Brooke Erin , Bruff Simpson Emily Michelle , Hammer Sarah Jayne , Smith Joshua Michael , Johnson Thomas Martin 
Published: March 2023

Most researchers assume minimal impact of pretreatment on strontium isotope ratios (87Sr/86Sr) for bones and teeth, and methods vary tremendously. We compared 14 pretreatment methods, including no prep other than powdering enamel, ashing, soaking in water, an oxidizing agent (bleach or hydrogen peroxide) or acetic acid (0.1 M, 1.0 M, and 1.0 M buffered with calcium acetate), and a combination of these steps. We prepared and analyzed aliquots of powdered molar enamel from three proboscideans (one modern captive Indian elephant, Elephas maximus indicus; one Pleistocene mastodon, Mammut americanum; and one Miocene gomphothere, Afrochoerodon kisumuensis). Each pretreatment was performed in triplicate and we measured 87Sr/86Sr, Sr concentration, and uranium (U) concentration, using the same lab space and instrumentation for all samples. Variability in 87Sr/86Sr and Sr and U concentrations was considerable across pretreatments. Mean 87Sr/86Sr across methods ranged from 0.70999 to 0.71029 for the modern tooth, 0.71458 to 0.71502 for the Pleistocene tooth, and 0.70804 to 0.70817 for the Miocene tooth. The modern tooth contained the least Sr and negligible U. The Pleistocene tooth contained slightly more Sr and measurable amounts of U, and the Miocene tooth had approximately 5x more Sr and U than the Pleistocene tooth. For all three teeth, variance in 87Sr/86Sr, Sr concentrations, and U concentrations among replicates was statistically indistinguishable across pretreatments, but there were apparent differences among pretreatments for the modern and Pleistocene teeth. Both contained relatively little Sr, and it is possible that small amounts of exogenous Sr from reagents, building materials or dust affected some replicates for some pretreatments. For the modern tooth, median 87Sr/86Sr varied considerably (but statistically insignificantly) across pretreatments. For the Pleistocene tooth, variability in median 87Sr/86Sr was also considerable; some pretreatments were statistically distinct but there were no obvious patterns among methods. For the Miocene tooth, variability in median 87Sr/86Sr was much smaller, but there were significant differences among pretreatments. Most pretreatments yielded 87Sr/86Sr and Sr concentrations comparable to, or lower than, untreated powder, suggesting selective removal of exogenous material with high 87Sr/86Sr. Further evaluation of the mechanisms driving isotopic variability both within and among pretreatment methods is warranted. Researchers should clearly report their methods and avoid combining data obtained using different methods. Small differences in 87Sr/86Sr could impact data interpretations, especially in areas where isotopic variability is low.
Effect of lime application on soil respiration is modulated by understory vegetation in subtropical Eucalyptus L’Hér. plantations
Authors: Liu Juan , Li Rui , Xu Jianhong , Fu Shenglei , Wan Songze 
Published: March 2023

ObjectiveLime application and understory plant clearance are two common forest management methods employed to increase forest productivity in subtropical regions. However, the effect of these two management methods, or their combined application, on soil respiration in forest plantation settings is still not fully understood.MethodsHere, a field experiment was conducted to determine how lime application, understory clearance, and their combined application, would impact total soil respiration (Rs), autotrophic respiration (Ra), and heterotrophic respiration (Rh) in a Chinese subtropical Eucalyptus plantation. Changes in soil microclimate and microbial community (PLFAs), as well as Eucalyptus fine root biomass were also assessed.ResultsLime application stimulated Rh, but decreased Ra of understory vegetation (primarily Dicranopteris dichotoma), thus consequently inhibiting Rs. Understory clearance also reduced Rs, primarily due to reductions in soil PLFAs and associated Rh, and Ra of understory vegetation. Since the increase in Rh induced by lime application was greater than the decrease in Rh caused by understory clearance, the combined application of lime application and understory clearance decreased Rs primarily by reducing understory root respiration.ConclusionOur observations suggest that understory plants can modulate the effect of lime application on Rs, highlighting the important role of understory vegetation in regulating soil carbon cycling in subtropical Eucalyptus plantations. We concluded that the potential interactive effects should be considered in developing management practices that optimize the yield and sustainability of subtropical plantations.
Menkes disease complicated by concurrent ACY1 deficiency: A case report
Authors: Mauri Alessia , Saielli Laura Assunta , Alfei Enrico , Iascone Maria , Marchetti Daniela , Cattaneo Elisa , Di Lauro Anna , Antonelli Laura , Alberti Luisella , Bonaventura Eleonora , Veggiotti Pierangelo , Spaccini Luigina , Cereda Cristina 
Published: March 2023

Introduction: Menkes disease is an X‐linked recessive condition caused by mutations in the ATP7A gene, which leads to severe copper deficiency. Aminoacylase-1 deficiency is a rare inborn error of metabolism caused by homozygous or compound heterozygous variant in the ACY1 gene, characterized by increased urinary excretion of specific N-acetyl amino acids.Case presentation: We report an infant with neurological findings such as seizures, neurodevelopmental delay and hypotonia. Metabolic screening showed low serum copper and ceruloplasmin, and increased urinary excretion of several N-acetylated amino acids. Whole-exome sequencing analysis (WES) revealed the novel de novo variant c.3642_3649dup (p.Ala1217Aspfs*2) in the ATP7A gene, leading to a diagnosis of Menkes disease, and the simultaneous presence of the homozygous ACY1 variant c.1057C&gt;T (p.Arg353Cys) causative of Aminoacylase-1 deficiency.Conclusion: Our patient had two rare conditions with different treatment courses but overlapping clinical features. The identified novel ATP7A mutation associated with Menkes disease expands the ATP7A gene spectrum.
Lymphocyte-to-C reactive protein ratio as novel inflammatory marker for predicting outcomes in hemodialysis patients: A multicenter observational study
Authors: Chen Xinpan , Guo Wang , Diao Zongli , Huang Hongdong , Liu Wenhu 
Published: March 2023

BackgroundPatients undergoing hemodialysis experience inflammation, which is associated with a higher risk of mortality. The lymphocyte-to-C reactive protein ratio (LCR) is a novel marker of inflammation that has been shown to predict mortality in patients with malignant cancer. However, the utility of LCR has not been evaluated in patients undergoing hemodialysis.MethodsWe performed a multi-center cohort study of 3,856 patients who underwent hemodialysis as part of the Beijing Hemodialysis Quality Control and Improvement Project between 1 January 2012 and December 2019. The relationship between LCR and all-cause mortality was assessed using a restricted cubic spline model and a multivariate Cox regression model. An outcome-oriented method was used to determine the most appropriate cut-off value of LCR. Subgroup analysis was also performed to evaluate the relationships of LCR with key parameters.ResultsOf the 3,856 enrolled patients, 1,581 (41%) were female, and their median age was 62 (53, 73) years. Over a median follow-up period of 75.1 months, 1,129 deaths occurred. The mortality rate for the patients after 60 months was 38.1% (95% confidence interval (CI) 36%–40.1%), resulting in a rate of 93.41 events per 1,000 patient-years. LCR showed an L-shaped dose-response relationship with all-cause mortality. The optimal cut-off point for LCR as a predictor of mortality in hemodialysis patients was 1513.1. An LCR of ≥1513.1 could independently predict mortality (hazard ratio 0.75, 95% CI 0.66–0.85, P&lt;0.001).ConclusionsBaseline LCR was found to be an independent prognostic biomarker in patients undergoing hemodialysis. Implying that it should be a useful means of improving patient prognosis and judging the timing of appropriate interventions in routine clinical practice.
Knowledge mapping of global trends for myasthenia gravis development: A bibliometrics analysis
Authors: Jiang Fan , Su Yue , Chang Ting 
Published: March 2023

BackgroundMyasthenia gravis (MG) is an autoimmune disease with acquired neuromuscular junction transmission disorders. In the last two decades, various pathogenesis, application of immunosuppressive agents, and targeted immunotherapy have been significant events. However, extracting the most critical information from complex events is very difficult to guide clinical work. Therefore, we used bibliometrics to summarize and look forward.MethodsScience Citation Index Expanded (SCI-E) from the Web of Science Core Collection (WoSCC) database was identified as a source of material for obtaining MG-related articles. Scimago Graphica, CiteSpace, VOSviewer, and bibliometrix were utilized for bibliometric analysis. Knowledge network graphs were constructed and visualized; countries, institutions, authors, journals, references, and keywords were evaluated. In addition, GraphPad Prism and Microsoft Excel 365 were applied for statistical analysis.ResultsAs of October 25, 2022, 9,970 original MG-related articles were used for the bibliometric analysis; the cumulative number of citations to these articles was 236,987, with an H-index of 201. The United States ranked first in terms of the number of publications (2,877) and H-index (134). Oxford has the highest H-index (67), and Udice French Research University has the highest number of publications (319). The author with the highest average number of citations (66.19), publications (151), and H-index (53) was Vincent A. 28 articles have remained in an explosive period of citations. The final screening yielded predictive keywords related to clinical trials and COVID-19.ConclusionWe conducted a bibliometric analysis of 9,970 original MG-related articles published between 1966 and 2022. Ultimately, we found that future MG research hotspots include two major parts: (1) studies directly related to MG disease itself: clinical trials of various targeted biological agents; the relationship between biomarkers and therapeutic decisions, pathogenesis and outcome events, ultimately serving individualized management or precision therapy; (2) studies related to MG and COVID-19: different variants of COVID-19 (e.g., Omicron) on MG adverse outcome events; assessment of the safety of different COVID-19 vaccines for different subtypes of MG.
Vessel sound causes hearing loss for hummingbird bobtail squid (Euprymna berryi)
Authors: Putland Rosalyn L. , Mooney T. Aran , Mensinger Allen F. 
Published: March 2023

Anthropogenic activity and its associated sounds have been shown to incur adverse effects on the behaviour and physiology of a wide range of aquatic taxa, from marine mammals to fishes. Yet, little is known about how invertebrates detect and respond to anthropogenic sound. The hummingbird bobtail squid (Euprymna berryi) has a short lifespan (&lt; 6 months), grows to sexual maturity around 90 days post hatching and its small size (&lt; 5 cm mantle length) makes the species an ideal candidate to examine potential effects of sound exposure under laboratory conditions. Hearing and behavioural observations were made before, during and after 15 minutes of vessel sound playback, and aural sensitivity curves were determined using auditory evoked potentials. A significant decrease in relative ventilation rate was observed during and post sound exposure. Auditory sensitivity before and after vessel sound exposure was also examined for three different ages: juveniles, mid- and late adults. Baseline audiograms indicated that there was a decrease in aural sensitivity with age. All three age groups showed similar, significantly decreased hearing sensitivity following sound exposure, however auditory sensitivity recovered within two hours. Globally, anthropogenic sounds have become louder and more persistent, therefore there may be limited time for these animals to recover from sound exposure. Given their ecological and economic importance, cephalopods should be considered in management and policy on underwater noise owing to potential adverse effects of anthropogenic sound on behaviour and physiology.
Enhanced performance of planar perovskite solar cells by doping the SnO2 electron transport layer with guanidinium chloride
Authors: Ye Jiajiu , Li Yuze , Medjahed Asma Aicha , Pouget Stéphanie , Aldakov Dmitry , Liu Yueli , Reiss Peter 
Published: March 2023

Tin (IV) oxide is a highly promising electron transport layer (ETL) for lead halide perovskite solar cells due to its high conductivity, transparency, wide band gap, and the possibility of low-temperature processing. Nonetheless, charge carrier recombination processes at the SnO2/perovskite interface diminish the device performance. Here, we demonstrate that SnO2 doping with guanidine hydrochloride (G-SnO2) leads to efficient surface passivation and a larger band offset between the ETL and the perovskite layer, resulting in reduced voltage losses and faster electron transfer. Moreover, G-SnO2 facilitates the growth of highly crystalline perovskite layers. Consequently, a power conversion efficiency of up to 23.48% and a high open-circuit voltage of 1.18 V are obtained in solar cells incorporating the G-SnO2 ETL. These devices also exhibited negligible hysteresis and maintained more than 96% of their initial power conversion efficiency after 1,250 h exposure to the air without encapsulation.
The comparison of gasless and traditional robot-assisted transvaginal natural orifice transluminal endoscopic surgery in hysterectomy
Authors: Mei Youwen , He Li , Zhang Qiang , Chen Ying , Zheng Jiafeng , Xiao Xinyu , Lin Yonghong 
Published: March 2023

Study objectiveTo describe the surgical technique and compare the operative outcomes of gasless and traditional robot-assisted transvaginal natural orifice transluminal endoscopic surgery (GR-vNOTES vs. TR-vNOTES) in hysterectomy.MethodsThe patients undergoing hysterectomy via GR-vNOTES or TR-vNOTES between February 2020 and January 2022 in our hospital were included. Clinical data regarding patient demographics, operative time, blood loss, complications, and postoperative hospital stays were collected and analyzed.ResultsFive cases underwent hysterectomy via GR-vNOTES, and nine cases via TR-vNOTES. The baseline demographics and operative outcomes were not significantly different in GR-vNOTES and TR-vNOTES groups. There was no conversion to multiport robotic laparoscopy, conventional laparoscopy or laparotomy. No complications were seen in both groups, except two cases had fever postoperatively in the TR-vNOTES group. For those with early stage cervical/endometrial cancer, no recurrence or metastasis was observed in the follow-up of six months.ConclusionBoth GR-vNOTES and TR-vNOTES were feasible and safe for hysterectomy. GR-vNOTES was a promising alternative to TR-vNOTES in hysterectomy.