bluuebunny/crossref_metadata_2025_split huggingface dataset:
Disseminated varicella-zoster virus infection in an aplastic anemia- paroxysmal nocturnal hemoglobinuria syndrome patient: A case report
Authors: Wang Jie , Yang Zheng , Ren Danhong , Shi Zhanli , Fang Kun , Li Zhihui 
Published: April 2023

BackgroundVaricella-zoster virus (VZV) is a common and widespread human-restricted pathogen. It is famous for its dermatological manifestations, such as varicella and herpes zoster. Patients with aplastic anemia-paroxysmal nocturnal hemoglobinuria (AA-PNH) syndrome complicated with fatal disseminated varicella zoster virus infection are very rare and in danger.Patient concernsA 26-year-old man with a history of AA-PNH syndrome was receiving cyclosporine and corticosteroid treatment in the hematology department. During his hospitalization in our hospital, he developed fever, abdominal pain, and lower back pain, and his face, penis, trunk, and limbs developed itchy rash. Subsequently, the patient had to undergo cardiopulmonary resuscitation because of sudden cardiac arrest, and be transferred to ICU for treatment. It was presumed that the cause is unknown severe sepsis. The patient’s condition quickly progressed to multiple organ failure, accompanied by liver, respiratory, and circulatory failure, and signs of disseminated intravascular coagulation. Unfortunately, the patient died after 8 h of active treatment. Finally, we collected all the evidence and concluded that the patient died of AA-PNH syndrome combined with poxzoster virus.ConclusionAA-PNH syndrome patients treated with steroids and immunosuppressants are prone to various infections, considering that herpes virus infection with chickenpox and rash as the initial manifestations is characterized by rapid progress and often accompanied by serious complications. It is more difficult to distinguish it from AA-PNH syndrome with skin bleeding points. If it is not identified in time, it may delay the treatment opportunity, make the condition worse, and cause serious adverse prognosis. Therefore, clinicians need to pay attention to it.
Factors associated with lipid control in outpatients with heart failure
Authors: Jarab Anan S. , Al-Qerem Walid , Hamam Hanan , Abu Heshmeh Shrouq , Mukattash Tareq L. , Alefishat Eman A. 
Published: April 2023

BackgroundDyslipidemia is common among patients with heart failure, and it negatively impacts clinical outcomes. Limited data regarding the factors associated with poor lipid control in patients with HF patients. Therefore, this study aimed to evaluate lipid control and to explore the factors associated with poor lipid control in patients with HF.MethodsThe current cross-sectional study was conducted at outpatient cardiology clinics at two major hospitals in Jordan. Variables including socio-demographics, biomedical variables, in addition to disease and medication characteristics were collected using medical records and custom-designed questionnaire. Medication adherence was assessed using the validated 4-item Medication Adherence Scale. Binary logistic regression analysis was conducted to explore significant and independent predictors of poor lipid control among the study participants.ResultsA total of 428 HF patients participated in the study. Results showed that 78% of the participants had poor lipid control. The predictors that were associated with poor lipid control included uncontrolled BP (OR = 0.552; 95% CI: 0.330–0.923; P &lt; 0.05), higher Hb levels (OR = 1.178; 95% CI: 1.013–1.369; P &lt; 0.05), and higher WBC (OR = 1.133; 95% CI: 1.031–1.246; P &lt; 0.05).ConclusionsThis study revealed poor lipid control among patients with HF. Future intervention programs should focus on blood pressure control in order to improve health outcomes among HF patients with dyslipidemia.
Metallogeny in the Bangong–Nujiang belt, central Tibet, China: A review
Authors: Song Yang , Tang Juxing , Lin Bin , Yang Chao , Sun Hao 
Published: April 2023

The Bangong–Nujiang metallogenic belt consists of scattered Tethyan oceanic blocks, mainly distributed underneath the margins of the Qiangtang and Lhasa terranes in central Tibet. A new world-class metallogenic belt has been reported in this region recently, based on the geological mapping and ore deposit prospecting over the last two decades. It currently comprises inferred resources of 30 Mt Cu and 500 t Au, together with several Cr–Ni, Fe, and W (Mo) resources, forming a significant potential area for future mineral exploration. These metals are mainly hosted in porphyry copper, skarn copper, skarn iron, orogenic gold, quartz-vein tungsten, and ophitic chromite deposits. The mineral deposits in the Bangong–Nujiang metallogenic belt have been widely recognized in different localities, including the southern edge of the southern Qiangtang block, part of the north Lhasa block, and even part of the central Lhasa block, indicating they were formed in variable geological settings, from the initial opening, subduction, and collision to the extension of the Bangong–Nujiang Ocean. Specifically, five major tectonic events contributed to mineralization, including the stage 1 (240–165 Ma) initial opening of the Bangong–Nujiang Ocean, stage 2 (165–145 Ma) oceanic subduction, stage 3 (145–100 Ma) close of the ocean, stage 4 (100–65 Ma) continent–continent collisional orogenesis, and stage 5 (65–0 Ma) post-orogenesis. At stage 1, Cr–Ni deposits were formed during the initial opening of the ocean; porphyry–epithermal Cu (Au), skarn Fe, and minor orogenic Au deposits were formed at stage 2 and stage 3; a younger pulse of a few porphyry–skarn Cu ± Mo and orogenic Au deposits were formed during stage 4; finally, W(Mo) deposits were generated in stage 5. In general, porphyry Cu systems, orogenic Au, and skarn Cu polymetallic deposits that occurred in the subduction and post-collision settings related W(Mo) deposits have the most potential for future exploration. An in-depth investigation of several scientific problems, such as addressing the tectonic setting, magmatism, and metallogeny of this region and genetic linkage of these deposit preservations to plateau uplift, is essential for the future success of exploration in the Bangong–Nujiang metallogenic belt.
Endometrial whole metabolome profile at the receptive phase: influence of Mediterranean Diet and infertility
Authors: Molina Nerea M. , Jurado-Fasoli Lucas , Sola-Leyva Alberto , Sevilla-Lorente Raquel , Canha-Gouveia Analuce , Ruiz-Durán Susana , Fontes Juan , Aguilera Concepción M. , Altmäe Signe 
Published: April 2023

IntroductionSeveral metabolite classes have been identified in human endometrium, including lipids, nucleotides, amino acids, organic acids, and sugars. The first studies suggest the importance of metabolites in endometrial functions, as imbalance in uterine metabolites has been associated with low implantation rate and endometriosis. Nevertheless, most of studies have put emphasis on specific metabolite classes, and we lack the knowledge of the whole metabolome composition in human uterus. Further, a healthy dietary pattern has been shown to potentially protect against different endometrial dysfunctions and is a potential modulator of metabolomic composition and, consequently, the intrauterine microenvironment. The Mediterranean Diet (MD), characterized by a high intake of fruits, vegetables, cereals, nuts, legumes, fish, and olive oil, and a low consumption of meat, dairy products, and processed foods, has been associated with a wide range of benefits for health. Indeed, the MD pattern has displayed a beneficial role in endometriosis management and fertility; however, the relationship between the MD and the endometrial metabolome is still unknown. In our study, we set out to analyze receptive-phase endometrial metabolome profiles among women with infertility and their associations with MD.MethodsThe study included women with male factor infertility (n=8), unexplained infertility (n=10), recurrent implantation failure (n=14), and endometriosis (n=13). The endometrial metabolome was analyzed with ultrahigh-performance liquid chromatography-tandem mass spectroscopy (UPLC–MS/MS). The MD adherence of the participants was assessed using the 14-point MEDAS questionnaire of adherence to the MD. ResultsWe provide the whole metabolome profile of the endometrium, where 925 different metabolites were identified. Among these metabolites, lipids comprised the largest part, where polyunsaturated fatty acids (PUFAs) prevailed. Women with endometriosis and recurrent implantation failure were found to have lower levels of PUFAs compared to women with male factor and unexplained infertility (i.e., no clear endometrial alterations), identifying a metabolome profile associated with infertility diagnoses where altered endometrial functions are suspected. Moreover, MD adherence seemed to be associated with the endometrial metabolomic profile in a manner dependent on the health status of the uterus. ConclusionThe study findings provide insight into the molecular background of female infertility and lead to identification of potential molecular biomarkers and possibilities for modulating the endometrial microenvironment and, thereby, endometrial functions involved in embryo implantation and infertility.
Effects of a low-sodium diet in patients with idiopathic hyperaldosteronism: a randomized controlled trial
Authors: Zhou Lihua , Jiang Yiran , Zhang Cui , Su Tingwei , Jiang Lei , Zhou Weiwei , Zhong Xu , Wu Luming , Wang Weiqing 
Published: April 2023

BackgroundIdiopathic hyperaldosteronism (IHA) is one of the most common types of primary aldosteronism (PA), an important cause of hypertension. Although high dietary sodium is a major risk factor for hypertension, there is no consensus on the recommended dietary sodium intake for IHA.ObjectiveThis study investigated the effect of a low-sodium diet on hemodynamic variables and relevant disease biomarkers in IHA patients, with the aim of providing a useful reference for clinical treatment.MethodsFifty IHA patients were evenly randomized into two groups and provided, after a 7-day run-in period (100 mmol/d sodium), either a low-sodium diet (50 mmol/d sodium) or a normal sodium diet (100 mmol/d sodium) for an additional 7 days. After the 14-day intervention (conducted without potassium supplementation), changes in blood pressure (BP) and serum potassium were evaluated in both groups.ResultsAfter the dietary intervention, the low sodium group exhibited, compared to the normal sodium group, decreased BP (SBP: 121.8 ± 12.8 vs. 129.9 ± 12.1 mmHg, p &lt; 0.05; DBP: 82.6 ± 7.6 vs. 86.4 ± 8.2 mmHg, p &lt; 0.05; MAP: 95.7 ± 8.8 vs. 100.9 ± 8.4 mmHg, p &lt; 0.05) and increased serum potassium levels (3.38 ± 0.33 vs. 3.07 ± 0.27 mmol/L, p &lt; 0.001). The low sodium group showed also better control of both BP and serum potassium: BP &lt;140/90 mmHg in 70.0% of total patients (76.0% vs. 64.0%, in the low and normal sodium groups, respectively; p &gt; 0.05), BP &lt;130/85 mmHg in 38.0% of total patients (56.0% vs. 20.0%, p &lt; 0.05), BP &lt;120/80 mmHg in 28.0% of total patients (44.0% vs. 12.0%, p &lt; 0.05); serum potassium ≥3.5 mmol/L in 22.0% of total patients (32.0% vs. 12.0% in the low and normal sodium groups, respectively; p = 0.088). There were differences between the controlled BP group (&lt;120/80 mmHg) and the non-controlled BP group (≥120/80 mmHg) in gender, BP at baseline, and type of diet (low vs. normal sodium). Female gender and low-sodium diet were protective factors for BP control.ConclusionsA low-sodium diet is effective in lowering BP and elevating serum potassium in IHA patients. Female patients on a low-sodium diet are more likely to achieve BP control (&lt;120/80 mmHg). We advocate a dietary sodium intake of 50 mmol/d for IHA patients.Clinical trial registrationhttps://clinicaltrials.gov, Identifier NCT05649631.
A bibliometric analysis and visualization of literature on non-fasting lipid research from 2012 to 2022
Authors: Hou Yilin , An Zehua , Hou Xiaoyu , Guan Yunpeng , Song Guangyao 
Published: April 2023

BackgroundNon-fasting lipid assessment can help predict cardiovascular disease risks and is linked to multiple diseases, particularly diabetes. The significance of non-fasting lipid levels in routine screening and postprandial lipid tests for potential dyslipidemia has not been conclusively determined. Various new lipid-lowering strategies have been developed to improve non-fasting dyslipidemia. Therefore, analysis of scientific outputs over the past decade is essential to reveal trends, hotspots, and frontier areas for future research in this field.MethodsThe Science Citation Index Expanded in the Web of Science Core Collection database was searched for publications related to non-fasting lipid research from 2012 to 2022. The regional distributions, authors, disciplines, journals, references, and keywords of the studies were analyzed using the bibliometric software VOSviewer and CiteSpace.ResultsA total of 4160 articles and reviews that met the inclusion criteria were included in this study. The output trend was established to be stable and the number of citation indices has been persistently increasing. A total of 104 countries/regions, 4668 organizations, and 20782 authors were involved in this research area. In terms of country, the United States had the largest number of publications (979). The University of Copenhagen was the most productive institution, publishing 148 papers. Professor Børge G Nordestgaard has made the most significant contribution to this field. Nutrients was the most productive journal while the American Journal of Clinical Nutrition was the highest co-cited journal. Analysis of co-cited references indicated that lipid-lowering strategies, statin therapy, high-fat meals, insulin resistance, physical exercise, and fructose were hotspots. Analysis of co-cited keywords revealed that apolipoprotein B, especially apolipoprotein B48, is becoming a key research focus. The keywords “gut microbiota” and “meal timing” were the most extensively studied.ConclusionThe causal relationship between non-fasting dyslipidemia and diseases is currently being explored and the standards for non-fasting or postprandial lipid assessment are continuously being updated. Among the hotspots, lipid-lowering strategies are a potential research direction. Apolipoprotein B48, gut microbiota, and chrononutrition are the research frontiers. This initial bibliometric analysis of non-fasting lipids will enable researchers to monitor swift transformations and recognize novel concepts for upcoming research.
Analysis of scene-guided camera assistance in transaxillary gasless endoscopic thyroidectomy: a minor improvement in operative technique
Authors: Sun Baihui , Yu Shitong , Ge Junna , Zhang Zhicheng , Chen Weisheng , Wei Zhigang , Li Tingting , Lei Shangtong 
Published: April 2023

BackgroundTransaxillary gasless endoscopic thyroidectomy (TGET) is a widely performed operation, but its side view angle and instrument interference have caused concerns for most surgical groups. The aim of this study was to introduce scene-guided camera assistance (SGA) and analyze its role in facilitating TGET.MethodsWe put forward key points for camera holders, including one pivot, two positions, and three planes, and separated TGET operations into five parts. We also established the view angle for each part of the operation for the camera holder to follow. Then, we reviewed 416 patients who underwent TGET with or without SGA and analyzed their demographic characteristics, operative outcomes, pathologic outcomes, and early complications.ResultsThe TGET and TGET-SGA groups were similar in terms of age, sex ratio, height, weight, tumor size, Hashimoto’s thyroiditis ratio, and cN1 ratio. The operation time and postoperative hospital stay were significantly longer in the TGET group than in the TGET-SGA group (114.43 ± 17.20 minutes vs. 101.82 ± 19.39 minutes and 3.16 ± 0.77 days vs. 2.16 ± 0.55 days, respectively, P &lt; 0.001). The account of retrieved lymph nodes was less in the TGET group than in the TGET-SGA group (5.61 ± 4.27 vs. 6.57 ± 4.96, P = 0.038).ConclusionSGA provided guidance for camera holders, and the data showed that it was an improvement for TGET operations.
Effect of sarcopenia, osteoporosis, and osteosarcopenia on spine fracture in American adults with prediabetes
Authors: Liu Yufang , Chai Sanbao , Zhang Xiaomei 
Published: April 2023

ObjectiveThis study aimed to investigate the effect of sarcopenia, osteoporosis, and osteosarcopenia on spine fracture in patients with prediabetes.MethodsWe collected and analyzed the data from the U.S. National Health and Nutrition Examination Surveys during the period from 2009 to 2018. Bone mineral density and the skeletal muscle mass index (SMI) were measured with dual-energy X-ray absorptiometry (DXA). The diagnosis of spine fracture was based on DXA and history.ResultsPeople with prediabetes were more likely to develop sarcopenia than normal glucose tolerance subjects (OR 1.33, 95% CI 1.07–1.66), while there was no significant increase of osteoporosis in prediabetes (OR 0.91, 95% CI 0.78–1.05). The SMI was independently associated with osteoporosis in prediabetes adults (OR 0.65, 95% CI 0.50–0.85). Both sarcopenia and osteoporosis were positively associated with spine fracture in prediabetes (OR 4.44, 95% CI 1.76–11.21, and OR 2.90, 95% CI 1.85–4.56, respectively). The risk of spine fracture was substantially higher in the presence of osteosarcopenia (OR 6.63; 95% CI, 1.34–32.94) than in the presence of sarcopenia or osteoporosis alone in prediabetes.ConclusionIn adults with prediabetes, both sarcopenia and osteoporosis are risk factors for spine fracture, and the combination of sarcopenia and osteoporosis further increases the prevalence of spine fracture.
“Adjust Zang and arouse spirit” electroacupuncture ameliorates cognitive impairment by reducing endoplasmic reticulum stress in db/db mice
Authors: Li Mengyuan , Yao Lin , He Min , Huang Haipeng , Zheng Haizhu , Ma Shiqi , Zhong Zhen , Yu Shuo , Sun Mengmeng , Wang Hongfeng 
Published: April 2023

IntroductionDiabetic cognitive impairment (DCI) is a chronic complication of the central nervous system (CNS) caused by diabetes that affects learning and memory capacities over time. Recently, acupuncture has been shown to improve cognitive impairment in streptozotocin-induced diabetic rats. However, the effects of electroacupuncture on DCI and its underlying mechanism have not yet been elucidated in detail. MethodsIn this study, we used db/db mice as DCI animal models which showed low cognitive, learning and memory functions. Electroacupuncture significantly ameliorated DCI, which is reflected by better spatial learning and memory function using behavioral tests. The db/db mice with cognitive impairment were randomly divided into a model group (Mod) and an electroacupuncture treatment group (Acup), while db/m mice were used as a normal control group (Con). First, the mice were subjected to behavioural tests using the Morris water maze (MWM), and body weight, blood glucose, insulin, triglycerides (TG) and total cholesterol (TC) were observed; HE, Nissl, and TUNEL staining were used to observe the morphological changes and neuronal apoptosis in the mice hippocampus; Finally, Western blot and rt-PCR were applied to detect the essential proteins and mRNA of ERS and insulin signalling pathway, as well as the expression levels of Tau and Aβ.ResultsElectroacupuncture significantly ameliorated DCI, which is reflected by better spatial learning and memory function using behavioral tests. Moreover, electroacupuncture attenuated diabetes-induced morphological structure change, neuronal apoptosis in the hippocampus of db/db mice. Our results revealed that electroacupuncture could regulate the expression levels of Tau and Aβ by improving hippocampal ERS levels in db/db mice, inhibiting JNK activation, attenuating IRS1 serine phosphorylation, and restoring normal transduction of the insulin signaling pathway.DiscussionIn summary, ERS and insulin signaling pathway paly causal roles in DCI development. Electroacupuncture can significantly alleviate the pathogenesis of DCI, improve mice's learning and memory ability, and improve cognitive dysfunction. This study adds to our understanding of the effect of acupuncture on DCI and opens the door to further research on DCI.
Association between maternal occupational exposure to cleaning chemicals during pregnancy and childhood wheeze and asthma
Authors: Herrin Melissa A. , Sherris Allison R. , Dearborn Logan C. , Loftus Christine T. , Szpiro Adam A. , Moore Paul E. , Adgent Margaret A. , Barrett Emily S. , Nguyen Ruby H. N. , Carroll Kecia N. , Karr Catherine J. 
Published: April 2023

BackgroundAsthma is a leading cause of childhood morbidity in the U.S. and a significant public health concern. The prenatal period is a critical window during which environmental influences, including maternal occupational exposures, can shape child respiratory health. Cleaning chemicals are commonly encountered in occupational settings, yet few studies have examined the potential link between prenatal occupational exposures to cleaning chemicals and risk of childhood wheeze and asthma.MethodsWe evaluated the potential influence of maternal occupational exposure to cleaning chemicals during pregnancy on pediatric asthma and wheeze at child age 4–6 years in 453 mother-child pairs from two longitudinal pregnancy cohorts, TIDES and GAPPS, part of the ECHO prenatal and early childhood pathways to health (ECHO-PATHWAYS) consortium. Maternal occupational exposure to cleaning chemicals was defined based on reported occupation and frequency of occupational use of chemicals during pregnancy. Child current wheeze and asthma outcomes were defined by parental responses to a widely-used, standardized respiratory outcomes questionnaire administered at child age 4–6 years. Multivariable Poisson regression with robust standard errors was used to estimate relative risk (RR) of asthma in models adjusted for confounding. Effect modification by child sex was assessed using product interaction terms.ResultsOverall, 116 mothers (25.6%) reported occupational exposure to cleaning chemicals during pregnancy, 11.7% of children had current wheeze, and 10.2% had current asthma. We did not identify associations between prenatal exposure to cleaning chemicals and current wheeze [RRadjusted 1.03, 95% confidence interval (CI): 0.56, 1.90] or current asthma (RRadjusted 0.89, CI: 0.46, 1.74) in the overall sample. Analyses of effect modification suggested an adverse association among females for current wheeze (RR 1.82, CI: 0.76, 4.37), compared to males (RR 0.68, CI: 0.29, 1.58), though the interaction p-value was &gt;0.05.ConclusionWe did not observe evidence of associations between maternal prenatal occupational exposure to cleaning chemicals and childhood wheeze or asthma in the multi-site ECHO-PATHWAYS consortium. We leveraged longitudinal U.S. pregnancy cohorts with rich data characterization to expand on limited and mixed literature. Ongoing research is needed to more precisely characterize maternal occupational chemical exposures and impacts on child health in larger studies.