bluuebunny/crossref_metadata_2025_split huggingface dataset:
Serum vascular endothelial growth factor affects tissue fluid accumulation and is associated with deteriorating tissue perfusion and oxygenation in severe sepsis: a prospective observational study
Authors: Lin Chin-Kuo , Tsai Ying-Huang , Kao Kuo-Chin , Lin Chieh-Mo , Zhou Shao-Kui , Ho Meng-Chin , Huang Shu-Yi , Fang Yu-Hung , Chang Che-Chia , Lee Wei-Chun , Lee Yueh-Lin , Chen Min-Chi , Hsieh Meng-Jer , Lin Yu-Ching , Hung Ming-Szu , Kuo Wen-Chun , Lin Bor-Shyh 
Published: April 2023

Abstract
Background
Positive fluid balance and tissue fluid accumulation are associated with adverse outcomes in sepsis. Vascular endothelial growth factor (VEGF) increases in sepsis, promotes vascular permeability, and may affect tissue fluid accumulation and oxygenation. We used near-infrared spectroscopy (NIRS) to estimate tissue hemoglobin (Hb) oxygenation and water (H2O) levels to investigate their relationship with serum VEGF levels.

Material and methods
New-onset severe sepsis patients admitted to the intensive care unit were enrolled. Relative tissue concentrations of oxy-Hb ([HbO2]), deoxy-Hb ([HbR]), total Hb ([HbT]), and H2O ([H2O]) were estimated by near-infrared spectroscopy (NIRS) for three consecutive days and serum VEGF levels were measured. Comparisons between oliguric and non-oliguric patients were conducted and the correlations between variables were analyzed.

Results
Among 75 eligible patients, compared with non-oliguric patients, oliguric patients were administrated more intravascular fluids (median [IQR], 1926.00 [1348.50–3092.00] mL/day vs. 1069.00 [722.00–1486.75] mL/day, p < 0.001) and had more positive daily net intake and output (mean [SD], 1,235.06 [1303.14] mL/day vs. 313.17 [744.75] mL/day, p = 0.012), lower [HbO2] and [HbT] over the three-day measurement (analyzed by GEE p = 0.01 and 0.043, respectively) and significantly higher [H2O] on the third day than on the first two days (analyzed by GEE p = 0.034 and 0.018, respectively). Overall, serum VEGF levels were significantly negatively correlated with [HbO2] and [HbT] (rho = − 0.246 and − 0.266, p = 0.042 and 0.027, respectively) but positively correlated with [H2O] (rho = 0.449, p < 0.001). Subgroup analysis revealed a significant correlation between serum VEGF and [H2O] in oliguric patients (rho = 0.532, p = 0.003). Multiple regression analysis determined the independent effect of serum VEGF on [H2O] (standardized coefficient = 0.281, p = 0.038).

Conclusions
In severe sepsis, oliguria relates to higher positive fluid balance, lower tissue perfusion and oxygenation, and progressive tissue fluid accumulation. Elevated serum VEGF is associated with worsening tissue perfusion and oxygenation and independently affects tissue fluid accumulation.
Mucin-microbiome signatures shape the tumor microenvironment in gastric cancer
Authors: Oosterlinck Baptiste , Ceuleers Hannah , Arras Wout , De Man Joris G. , Geboes Karen , De Schepper Heiko , Peeters Marc , Lebeer Sarah , Skieceviciene Jurgita , Hold Georgina L. , Kupcinskas Juozas , Link Alexander , De Winter Benedicte Y. , Smet Annemieke 
Published: April 2023

Abstract
Background and aims
We aimed to identify mucin-microbiome signatures shaping the tumor microenvironment in gastric adenocarcinomas and clinical outcomes.

Methods
We performed high-throughput profiling of the mucin phenotypes present in 108 gastric adenocarcinomas and 20 functional dyspepsia cases using validated mucin-based RT-qPCRs with subsequent immunohistochemistry validation and correlated the data with clinical outcome parameters. The gastric microbiota was assessed by 16S rRNA gene sequencing, taxonomy, and community composition determined, microbial networks analyzed, and the metagenome inferred in association with mucin phenotypes and expression.

Results
Gastric adenocarcinomas with an intestinal mucin environment or high-level MUC13 expression are associated with poor survival. On the contrary, gastric MUC5AC or MUC6 abundance was associated with a more favorable outcome. The oral taxa Neisseria, Prevotella, and Veillonella had centralities in tumors with intestinal and mixed phenotypes and were associated with MUC13 overexpression, highlighting their role as potential drivers in MUC13 signaling in GC. Furthermore, dense bacterial networks were observed in intestinal and mixed mucin phenotype tumors whereas the lowest community complexity was shown in null mucin phenotype tumors due to higher Helicobacter abundance resulting in a more decreased diversity. Enrichment of oral or intestinal microbes was mucin phenotype dependent. More specifically, intestinal mucin phenotype tumors favored the establishment of pro-inflammatory oral taxa forming strong co-occurrence networks.

Conclusions
Our results emphasize key roles for mucins in gastric cancer prognosis and shaping microbial networks in the tumor microenvironment. Specifically, the enriched oral taxa associated with aberrant MUC13 expression can be potential biomarkers in predicting disease outcomes.
Anti-aging of phenolic-rich Acanthus ebracteatus Vahl. extracts
Authors: Kanlayavattanakul Mayuree , Chaikul Puxvadee , Kongkow Mattaka , Iempridee Tawin , Lourith Nattaya 
Published: April 2023

Abstract
Background
Sea holly has long been used in traditional Thai medicine for longevity, skin inflammation, skin dullness and as a treatment for itchy skin. The white flower cultivar Acanthus ebracteatus Vahl. has been documented to perform better remedies than the purple flower A. ilicifolius. Nonetheless, preparation of the phenolic-rich extract of A. ebracteatus, including safety and cellular assessments relevant for inflammation and aging treatment is sparingly presented. In this study, the extracts of A. ebracteatus were prepared and comparatively quantified on total phenolic contents. In vitro activities by means of ABTS, DPPH, FRAP and mushroom tyrosinase inhibitory assays were undertaken. The extracts were UPLC analyzed and examined on cellular safety and activities.

Results
The phenolic-rich extracts of A. ebracteatus were prepared and standardized in verbascoside. The extracts were noted to have in vitro antioxidant and anti-tyrosinase activities. Cellular activities, co-cultures and ex vivo human skin appointed for cutaneous aging treatment, i.e., photoaging, are promising including antioxidant, anti-melanogenesis, anti-inflammatory (IL-6 and IL-8), anti-MMP and collagen production stimulating as well as anti-senescence activities.

Conclusions
Sea holly is highlighted as a potential source for beneficial cutaneous phenolics, especially verbascoside. The extracts were proven to be safe and efficient for cutaneous aging treatment indicated by their antioxidant, anti-melanogenesis, collagen stimulating, anti-inflame and anti-senescence activities. The plant extracts are therefore appointed for use as innovative agents for anti-aging purposes.

Graphical Abstract
In situ isolation of nuclei or nuclear proteins from adherent cells: a simple, effective method with less cytoplasmic contamination
Authors: Qin Ying , Zhou Yun , Wang Kun , Gu Jiaxuan , Xiong Zhihao , Zhang Wendiao , Chen Yong 
Published: April 2023

Abstract
Background
Isolation of nuclei or nuclear proteins is a prerequisite for western blot, nuclear proteome profiling, and other evaluations of nuclear proteins. Here, we developed a simple method for in situ isolation of nuclei or nuclear proteins by in situ removing the extranuclear part of adherent cells via a classical nonionic detergent triton X-100.

Results
First, the feasibility of our method was confirmed by confocal microscopy, atomic force microscopy, scanning electron microscopy, dynamic light scattering, immunofluorescence imaging, and time-lapse dynamic observation. Next, the optimal concentration range (approximately 0.1–1% for ~ 10 min) of triton X-100 and the optimal treatment time (< 30 min) of 0.1–1% Triton X-100 for our method were determined via western blotting of eight extra-/intra-nuclear proteins. Subsequently, the effectiveness, sensitivity, and cytoplasmic contamination of our method were tested by investigating the levels of phosphorylated p65 (a NF-κB subunit) in the nuclei of endothelial or tumor cells treated with/without lipopolysaccharide (LPS) via western blotting and by comparing with a commercial nuclear protein extraction kit (a classical detergent-based method). The data show that compared with the commercial kit our method obtained a higher yield of total nuclear proteins, a higher pP65 level in both control and LPS groups, and much lower content of GAPDH (as a reference for cytoplasmic contamination) in nuclei.

Conclusions
The in situ isolation of nuclei or nuclear proteins from adherent cells in this study is a simple, effective method with less cytoplasmic contamination. This method/strategy has the potential of improving the quality of downstream evaluations including western blotting and proteomic profiling.
Feasibility and acceptability of an evidence-informed digital intervention to support self-management in people with non-alcoholic fatty liver disease: protocol for a non-randomised feasibility study (VITALISE)
Authors: Avery Leah , Smith Hollie , McPherson Stuart , Hallsworth Kate 
Published: April 2023

Abstract
Background
Non-alcoholic fatty liver disease (NAFLD) represents a spectrum of disease ranging from simple fatty liver to non-alcoholic steatohepatitis, cirrhosis, liver cancer and liver failure. NAFLD affects up to 30–40% of adults in Western countries and is directly linked to overweight and obesity. There are no approved drugs to specifically target NAFLD, therefore weight loss achieved through changes in dietary and physical activity behaviours is the recommended management approach. However, achieving and sustaining weight loss is challenging for patients with NAFLD. We developed a NAFLD-specific digital lifestyle intervention (VITALISE) to target changes in dietary and physical activity behaviours of patients with NAFLD to initiate weight loss and weight loss maintenance. This study aims to evaluate the feasibility and acceptability of VITALISE in a secondary care clinical setting.

Methods
A single-centre, one-arm, prospective design will be used to assess the feasibility and acceptability of recruitment, uptake, engagement and completion of VITALISE. Health-related outcomes will be assessed at baseline and 6-months. An interim measure of self-reported weight, physical activity and self-efficacy will be recorded at 12-weeks. Qualitative semi-structured interviews conducted at 6 months follow up will further explore acceptability and feasibility and fidelity of receipt and enactment. The study aims to recruit 35 patients with newly diagnosed NAFLD over a 6-month time period. Eligible patients will have continuous access to VITALISE and monthly tele-coaching support for 6 months prior to follow-up with a hepatologist.

Discussion
VITALISE offers access to evidence and theory-informed tailored dietary and physical activity support for patients with NAFLD. The intervention is designed for use by patients in their own time, outside of the hospital setting to overcome well documented challenges including attending additional appointments, and lack of time during routine appointments to adequately address lifestyle behaviour change. This feasibility study will determine the feasibility of VITALISE to support clinical care delivery.

Trial registration
ISRCTN12893503.
Assessment of artificial intelligence-aided computed tomography in lung cancer screening
Authors: Aboelenin Noha A. , Elserafi Ahmed , Zaki Noha , Rashed Essam A. , al-Shatouri Mohammad 
Published: April 2023

Abstract
Background
Lung cancer is one of the most common causes of cancer-related deaths in developed and developing countries. Therefore, early detection of lung cancer has a significant impact on lung cancer surveillance. Interpretation of lung CT scans for cancer screening is considered an intensive task for most radiologists, and long experience is required for accurate diagnosis through visual processing. This cross-sectional study introduces automated CAD software (Careline Soft’s AVIEW Metric software). This software can detect and classify lung nodules in CT scans. The performance of a deep learning (DL) model embedded in that software will be compared with that of the radiologists. Also, the feasibility of lung cancer screening protocol is evaluated in Suez Canal University Hospital, Ismailia, Egypt, by implementing Lung Imaging Reporting and Data System (Lung-RADS).

Results
As for the detection of the pulmonary nodules, the initial review by the CAD system (without validation by the researcher radiologist) has high sensitivity (93.0%) and specificity (95.5%) with overall accuracy of 93.6%. After review of the automatically detected nodules by the researcher radiologist was done, the final CAD has higher sensitivity (98.2%) and comparable specificity (95.5%) for the detection of pulmonary nodules with overall accuracy of 97.4%. As for lung cancer screening (categorization of Lung-RADS 3 and 4 nodules), unrevised initial computer-aided detection has 97.9% specificity and 96.9% for lung cancer screening with overall accuracy of 97.4%. After second look and review of the CAD result by the researcher radiologist, there is total agreement in total number of nodules and categorization of Lung-RADS 3 and 4. This gives an excellent agreement of 88.6% (κ = 0.951) between the CAD system and reference radiologist in the overall categorization of all lung nodules according to Lung-RADS classification.

Conclusions
The application of CAD system demonstrated increased sensitivity and specificity for the detection of lung nodules and total agreement in the detection of suspicious and probably benign nodules (lung cancer screening) and excellent level of agreement in the overall lung nodule categorization (Lung-RADS).
Refining Expert Recommendations for Implementing Change (ERIC) strategy surveys using cognitive interviews with frontline providers
Authors: Yakovchenko Vera , Chinman Matthew J. , Lamorte Carolyn , Powell Byron J. , Waltz Thomas J. , Merante Monica , Gibson Sandra , Neely Brittney , Morgan Timothy R. , Rogal Shari S. 
Published: April 2023

Abstract
Background
The Expert Recommendations for Implementing Change (ERIC) compilation includes 73 defined implementation strategies clustered into nine content areas. This taxonomy has been used to track implementation strategies over time using surveys. This study aimed to improve the ERIC survey using cognitive interviews with non-implementation scientist clinicians.

Methods
Starting in 2015, we developed and fielded annual ERIC surveys to evaluate liver care in the Veterans Health Administration (VA). We invited providers who had completed at least three surveys to participate in cognitive interviews (October 2020 to October 2021). Before the interviews, participants reviewed the complete 73-item ERIC survey and marked which strategies were unclear due to wording, conceptual confusion, or overlap with other strategies. They then engaged in semi-structured cognitive interviews to describe the experience of completing the survey and elaborate on which strategies required further clarification.

Results
Twelve VA providers completed surveys followed by cognitive interviews. The “Engage Consumer” and “Support Clinicians” clusters were rated most highly in terms of conceptual and wording clarity. In contrast, the “Financial” cluster had the most wording and conceptual confusion. The “Adapt and Tailor to Context” cluster strategies were considered to have the most redundancy. Providers outlined ways in which the strategies could be clearer in terms of wording (32%), conceptual clarity (51%), and clarifying the distinction between strategies (51%).

Conclusions
Cognitive interviews with ERIC survey participants allowed us to identify and address issues with strategy wording, combine conceptually indistinct strategies, and disaggregate multi-barreled strategies. Improvements made to the ERIC survey based on these findings will ultimately assist VA and other institutions in designing, evaluating, and replicating quality improvement efforts.
Biosimilar Use Among 38 ASCO PracticeNET Practices, 2019-2021
Authors: Bourbeau Brian , Lyman Gary H. , Lei Xiudong Jennifer , Jones Lee , Rosenthal Jon , Kozlik Mary May , Oettel Kurt R. , Tinger Alfred , Page Ray 
Published: April 2023

PURPOSE Biosimilars offer increased patient choice and potential cost-savings, compared with originator biologics. We studied 3 years of prescribed biologics among US physician practices to determine the relationship of practice type and payment source to oncology biosimilar use. METHODS We acquired biologic utilization data from 38 practices participating in PracticeNET. We focused on six biologics (bevacizumab, epoetin alfa, filgrastim, pegfilgrastim, rituximab, and trastuzumab) for the period from 2019 to 2021. We complemented our quantitative analysis with a survey of PracticeNET participants (prescribers and practice leaders) to reveal potential motivators and barriers to biosimilar use. We implemented logistic regression to evaluate the biosimilar use for each biologic, with covariates including time, practice type, and payment source, and accounted for clusters of practices. RESULTS Use of biosimilars increased over the 3-year period, reaching between 51% and 80% of administered doses by the fourth quarter of 2021, depending on the biologic. Biosimilar use varied by practice, with independent physician practices having higher use of biosimilars for epoetin alfa, filgrastim, rituximab, and trastuzumab. Compared with commercial health plans, Medicaid plans had lower biosimilar use for four biologics; traditional Medicare had lower use for five biologics. The average cost per dose decreased between 24% and 41%, dependent on the biologic. CONCLUSION Biosimilars have, through increased use, lowered the average cost per dose of the studied biologics. Biosimilar use differed by originator biologic, practice type, and payment source. There remains further opportunity for increases in biosimilar use among certain practices and payers.
Immigrant Wealth Stratification and Return Migration: The Case of Mexican Immigrants in the United States During the Twentieth Century
Authors: Sheftel Mara Getz 
Published: April 2023

AbstractConsiderable wealth stratification exists between U.S.-born and foreign-born populations (Campbell and Kaufman 2006), with low wealth attainment documented among Mexican immigrants (Hao 2007). High rates of Mexican return migration (Azose and Raftery 2019) suggest that nonrandom selection into return migration on wealth is a potential driver of stratification. Existing theories do not conclusively predict asset accumulation among returnees versus stayers, and empirical research on return migration and wealth stratification is scarce. Combining data from the 2000 U.S. Health and Retirement Study and the 2001 Mexican Health and Aging Study to create a novel data set representing all Mexicans aged 50 and older with a history of migration to the United States and adopting a life course perspective, I find that return migration at younger and older ages is associated with higher wealth accumulation and might be a way to maximize assets at older ages. Thus, return migration may contribute to nativity-based wealth stratification in the United States. The study's findings point to the greater financial risks for new cohorts of immigrants aging in place, suggest caution in interpreting wealth stratification as a measure of mobility, and inform theories about the links between return migration and wealth across the life course.
Defender of the Nation, Champion of Science: The Agency for Defense Development as a Nexus for the Technological Transformation of South Korea
Authors: Kwon Peter Banseok 
Published: April 2023

Abstract
The Agency for Defense Development (ADD) has functioned as South Korea’s central institute for weapons research and development (R&D) since 1970, when it was established by the Park Chung Hee regime (1961–79). As argued in this article, this quasi-private, quasi-public military institute also fostered major advancements of science and technology during the transformative decade of South Korea’s “militarized industrialization,” the 1970s, with a lasting impact on the private sector and business relations with the state. Drawing from in-person interviews with living scientists who worked on military projects of the Park state, as well as official records of the ADD and recently declassified government documents, the article tells the story of the ADD’s founding and details how, as a key player in Park’s pursuit of security independence, the agency spurred technological innovation and industrialization. Through weapons development, the ADD localized R&D, facilitated technological collaboration, established quality control and standardization methods within corporations, and enhanced the scientific workforce with advanced training, altogether promoting the scientization of the Korean private sector. By merging state and business efforts, and by combining military with civilian strengths, the ADD led a process of national scientization and technological governance that still operates at the heart of Korean economic growth today.
Voluntary Outsiders in Their Anthropocentric Nation: Korean Vegan Youth Navigating between National Ruins and Transnational Mobilities
Authors: Choi Su Young 
Published: April 2023

Abstract
This study asks why and how a segment of young people have led the emergence of veganism in contemporary South Korea since the mid-2010s, and what this appearance means—especially against the backdrop of the wide interpretation of Korean youth as disillusioned and depoliticized individuals who distrust the possibility of any positive social change. The article argues that the youth-driven Korean veganism has played a role in filling the void of the postdevelopmental, postindustrial, and postliberation era of climate crisis and planetary challenges by working as a broad vision for a good life and meaningful social change. Based on qualitative interviews, textual analysis, and participant observation, the article shows why veganism has worked as a way of alternative survival for vegan youth, how veganism as the source of voice and personal growth has been validated and cultivated by the transnational youth culture, and what has enabled veganism’s solidarity from and coalition with other social movements. The article contributes to diversifying the representation of Korean youth and their agencies beyond the ruins and pessimism of the neoliberalized Korean society.
BMP4 triggers regulatory circuits specifying the cardiac mesoderm lineage
Authors: Tsaytler Pavel , Liu Jinhua , Blaess Gaby , Schifferl Dennis , Veenvliet Jesse V. , Wittler Lars , Timmermann Bernd , Herrmann Bernhard G. , Koch Frederic 
Published: April 2023

ABSTRACT
Cardiac lineage specification in the mouse is controlled by TGFβ and WNT signaling. From fly to fish, BMP has been identified as an indispensable heart inducer. A detailed analysis of the role of Bmp4 and its effectors Smad1/5, however, was still missing. We show that Bmp4 induces cardiac mesoderm formation in murine embryonic stem cells in vitro. Bmp4 first activates Wnt3 and upregulates Nodal. pSmad1/5 and the WNT effector Tcf3 form a complex, and together with pSmad2/3 activate mesoderm enhancers and Eomes. They then cooperate with Eomes to consolidate the expression of many mesoderm factors, including T. Eomes and T form a positive- feedback loop and open additional enhancers regulating early mesoderm genes, including the transcription factor Mesp1, establishing the cardiac mesoderm lineage. In parallel, the neural fate is suppressed. Our data confirm the pivotal role of Bmp4 in cardiac mesoderm formation in the mouse. We describe in detail the consecutive and cooperative actions of three signaling pathways, BMP, WNT and Nodal, and their effector transcription factors, during cardiac mesoderm specification.