bluuebunny/crossref_metadata_2025_split huggingface dataset:
Injectable antibacterial Ag-HA/ GelMA hydrogel for bone tissue engineering
Authors: Wang Jiapu , Wang Xuefeng , Liang Ziwei , Lan Weiwei , Wei Yan , Hu Yinchun , Wang Longfei , Lei Qi , Huang Di 
Published: June 2023

Background: Fracture or bone defect caused by accidental trauma or disease is a growing medical problem that threats to human health.Currently, most orthopedic implant materials must be removed via follow-up surgery, which requires a lengthy recovery period and may result in bacterial infection. Building bone tissue engineering scaffolds with hydrogel as a an efficient therapeutic strategy has outstanding bionic efficiency.By combining some bionic inorganic particles and hydrogels to imitate the organic-inorganic characteristics of natural bone extracellular matrix, developing injectable multifunctional hydrogels with bone tissue repair effects and also displaying excellent antibacterial activity possesses attractive advantages in the field of minimally invasive therapy in clinical.Methods: In the present work, a multifunctional injectable hydrogel formed by photocrosslinking was developed by introducing hydroxyapatite (HA) microspheres to Gelatin Methacryloyl (GelMA) hydrogel.Results: The composite hydrogels exhibited good adhesion and bending resistance properties due to the existence of HA. In addition, when the concentration of GelMA is 10% and the concentration of HA microspheres is 3%, HA/GelMA hydrogel system displayed increased microstructure stability, lower swelling rate, increased viscosity, and improved mechanical properties. Furthermore, the Ag-HA/GelMA demonstrated good antibacterial activity against Staphylococcus aureus and Escherichia coli, which could signifificantly lower the risk of bacterial infection following implantation. According to cell experiment, the Ag-HA/GelMA hydrogel is capable of cytocompatibility and has low toxicity to MC3T3 cell.Conclusion: Therefore, the new photothermal injectable antibacterial hydrogel materials proposed in this study will provide a promising clinical bone repair strategy and is expected to as a minimally invasive treatment biomaterial in bone repair fields.
I-125 seeds brachytherapy combined with immunotherapy for MET amplification in non-small cell lung cancer from clinical application to related lncRNA mechanism explore: a case report
Authors: Yang Mingxing , You Yuanli , Wang Xiuqing , Dong Wen 
Published: June 2023

Advanced non-small cell lung cancer (NSCLC) with MET amplification primarily relies on MET inhibitors for treatment, but once resistance occurs, the available treatment options are limited and the prognosis is typically poor. A 57-year-old man with advanced NSCLC and C-MET amplification was initially treated with crizotinib but developed progressive disease. After the antirotinib treatment, he achieved a partial response for a year. Genetic testing showed high PD-L1 expression, and he was treated with pembrolizumab and chemotherapy for 3 months, with partial response. Maintenance therapy with pembrolizumab and local I-125 seeds brachytherapy (ISB) was given after the lung lesion progressed but other lesions remained stable. The therapy resulted in significant resolution of the right upper lung lesion. It demonstrates the effectiveness of ISB-ICI combination in treating MET amplification advanced NSCLC. Ongoing research and treatment innovation are important in managing advanced NSCLC with complex genetic aberrations. To explore the candidate mechanism of ISB therapy response, we download public genetic data and conduct different expression Lncrnas analysis and pathway analysis to discover radiotherapy related sensitive or resistance lncRNAs and pathways, we found that AL654754.1 is a key lncRNA with radiotherapy response, and it also include in classical p53 and Wnt signaling pathway. Overall, the clinical case reports, combined with the exploration of underlying mechanisms, provide positive guidance for the precise treatment of lung cancer.
Atopic dermatitis-derived Staphylococcus aureus strains: what makes them special in the interplay with the host
Authors: Conte Antonietta Lucia , Brunetti Francesca , Marazzato Massimiliano , Longhi Catia , Maurizi Linda , Raponi Giammarco , Palamara Anna Teresa , Grassi Sara , Conte Maria Pia 
Published: June 2023

BackgroundAtopic dermatitis (AD) is a chronic inflammatory skin condition whose pathogenesis involves genetic predisposition, epidermal barrier dysfunction, alterations in the immune responses and microbial dysbiosis. Clinical studies have shown a link between Staphylococcus aureus and the pathogenesis of AD, although the origins and genetic diversity of S. aureus colonizing patients with AD is poorly understood. The aim of the study was to investigate if specific clones might be associated with the disease. MethodsWGS analyses were performed on 38 S. aureus strains, deriving from AD patients and healthy carriers. Genotypes (i.e. MLST, spa-, agr- and SCCmec-typing), genomic content (e.g. virulome and resistome), and the pan-genome structure of strains have been investigated. Phenotypic analyses were performed to determine the antibiotic susceptibility, the biofilm production and the invasiveness within the investigated S. aureus population. ResultsStrains isolated from AD patients revealed a high degree of genetic heterogeneity and a shared set of virulence factors and antimicrobial resistance genes, suggesting that no genotype and genomic content are uniquely associated with AD. The same strains were characterized by a lower variability in terms of gene content, indicating that the inflammatory conditions could exert a selective pressure leading to the optimization of the gene repertoire. Furthermore, genes related to specific mechanisms, like post-translational modification, protein turnover and chaperones as well as intracellular trafficking, secretion and vesicular transport, were significantly more enriched in AD strains. Phenotypic analysis revealed that all of our AD strains were strong or moderate biofilm producers, while less than half showed invasive capabilities.ConclusionsWe conclude that in AD skin, the functional role played by S. aureus may depend on differential gene expression patterns and/or on post-translational modification mechanisms rather than being associated with peculiar genetic features.
Remote monitoring of implantable loop recorders reduces time to diagnosis in patients with unexplained syncope: a multicenter propensity score-matched study
Authors: Russo Vincenzo , Rago Anna , Grimaldi Nicola , Chianese Raffaele , Viggiano Aniello , D’Alterio Giuliano , Colonna Diego , Mattera Iacono Agostino , Papa Andrea Antonio , Spadaro Guerra Andrea , Gargaro Alessio , Rapacciuolo Antonio , Sarubbi Berardo , D’Onofrio Antonio , Nigro Gerardo 
Published: June 2023

BackgroundThere are little data on remote monitoring (RM) of implantable loop recorders (ILRs) in patients with unexplained syncope and whether it confers enhanced diagnostic power.ObjectiveTo evaluate the effect of RM in ILR recipients for unexplained syncope for early detection of clinically relevant arrhythmias by comparison with a historical cohort with no RM.MethodsSyncRM is a propensity score (PS)-matched study prospectively including 133 consecutive patients with unexplained syncope and ILR followed up by RM (RM-ON group). A historical cohort of 108 consecutive ILR patients with biannual in-hospital follow-up visits was used as control group (RM-OFF group). The primary endpoint was the time to the clinician's evaluation of clinically relevant arrhythmias (types 1, 2, and 4 of the ISSUE classification).ResultsThe primary endpoint of arrhythmia evaluation was reached in 38 patients (28.6%) of the RM-ON group after a median time of 46 days (interquartile range, 13–106) and in 22 patients (20.4%) of the RM-OFF group after 92 days (25–368). The PS-matched adjusted ratio of rates of arrhythmia evaluation was 2.53 (95% confidence interval, 1.32–4.86) in the RM-ON vs. RM-OFF group (p = 0.005).ConclusionIn our PS-matched comparison with a historical cohort, RM of ILR patients with unexplained syncope was associated with a 2.5-fold higher chance of evaluations of clinically relevant arrhythmias as compared with biannual in-office follow-up visits.
Acute stroke CDS: automatic retrieval of thrombolysis contraindications from unstructured clinical letters
Authors: Cutforth Murray , Watson Hannah , Brown Cameron , Wang Chaoyang , Thomson Stuart , Fell Dickon , Dilys Vismantas , Scrimgeour Morag , Schrempf Patrick , Lesh James , Muir Keith , Weir Alexander , O’Neil Alison Q 
Published: June 2023

IntroductionThrombolysis treatment for acute ischaemic stroke can lead to better outcomes if administered early enough. However, contraindications exist which put the patient at greater risk of a bleed (e.g. recent major surgery, anticoagulant medication). Therefore, clinicians must check a patient's past medical history before proceeding with treatment. In this work we present a machine learning approach for accurate automatic detection of this information in unstructured text documents such as discharge letters or referral letters, to support the clinician in making a decision about whether to administer thrombolysis.MethodsWe consulted local and national guidelines for thrombolysis eligibility, identifying 86 entities which are relevant to the thrombolysis decision. A total of 8,067 documents from 2,912 patients were manually annotated with these entities by medical students and clinicians. Using this data, we trained and validated several transformer-based named entity recognition (NER) models, focusing on transformer models which have been pre-trained on a biomedical corpus as these have shown most promise in the biomedical NER literature.ResultsOur best model was a PubMedBERT-based approach, which obtained a lenient micro/macro F1 score of 0.829/0.723. Ensembling 5 variants of this model gave a significant boost to precision, obtaining micro/macro F1 of 0.846/0.734 which approaches the human annotator performance of 0.847/0.839. We further propose numeric definitions for the concepts of name regularity (similarity of all spans which refer to an entity) and context regularity (similarity of all context surrounding mentions of an entity), using these to analyse the types of errors made by the system and finding that the name regularity of an entity is a stronger predictor of model performance than raw training set frequency.DiscussionOverall, this work shows the potential of machine learning to provide clinical decision support (CDS) for the time-critical decision of thrombolysis administration in ischaemic stroke by quickly surfacing relevant information, leading to prompt treatment and hence to better patient outcomes.
Mapping the impacts of the anthropogenic activities and seawater intrusion on the shallow coastal aquifer of Port Said, Egypt
Authors: Abdelfattah Mohamed , Abdel-Aziz Abu-Bakr Heba , Aretouyap Zakari , Sheta Mariam Hassan , Hassan Taher Mohammed , Geriesh Mohamed H. , Shaheen Shams El-Din , Alogayell Haya M. , M. EL-Bana Eman Mohamed , Gaber Ahmed 
Published: June 2023

The quality and quantity of groundwater resources have been continuously deteriorating as a result of anthropogenic activities and their excessive usage. This has intensified seawater intrusion, particularly in the coastal area of Egypt. The management of this issue and preventing ongoing groundwater contamination are crucial responsibilities. Thus, an integrated strategy using remote sensing, geophysical technique, and hydrogeochemical analysis is used in this work to identify the causes of degradation and evaluate their impacts on the groundwater quality in East Port Said, Egypt. The following points were identified: 1) Remote sensing analysis between 1984 and 2015 showed an increase in anthropogenic activities, such as the construction of fish farms and vegetation, which became their areas of 12.5 and 37.8 km2 respectively. 2) Field observations demonstrated that the groundwater resources are being overexploited and it is expected that these human activities could have an impact on the groundwater quality. 3) The results of the resistivity approach indicated that sand and clay constitute the underlying layers and the shallow subsurface strata contain a high concentration of saline water. As a result, the aquifer is vulnerable to seawater intrusion due to its homogeneity. 4) Nineteen samples of groundwater were collected from the shallow Quaternary aquifer and the hydrochemical characteristic of the samples was identified. The hydrochemical analysis showed that the groundwater across the research area is of the Na-Cl water type and is highly saline (from 7,558 to 23,218 mg/L). By integrating the aforementioned techniques, it is evident that the research region is affected by anthropogenic activities as well as seawater intrusion on groundwater quality. These results serve as a solid base for further research on groundwater-surface water interactions and the evaluation of possible sources of contamination in the shallow aquifers under stress from anthropogenic activity in such environments.
Germline loss-of-function PAM variants are enriched in subjects with pituitary hypersecretion
Authors: Trivellin Giampaolo , Daly Adrian F. , Hernández-Ramírez Laura C. , Araldi Elisa , Tatsi Christina , Dale Ryan K. , Fridell Gus , Mittal Arjun , Faucz Fabio R. , Iben James R. , Li Tianwei , Vitali Eleonora , Stojilkovic Stanko S. , Kamenicky Peter , Villa Chiara , Baussart Bertrand , Chittiboina Prashant , Toro Camilo , Gahl William A. , Eugster Erica A. , Naves Luciana A. , Jaffrain-Rea Marie-Lise , de Herder Wouter W. , Neggers Sebastian JCMM , Petrossians Patrick , Beckers Albert , Lania Andrea G. , Mains Richard E. , Eipper Betty A. , Stratakis Constantine A. 
Published: June 2023

IntroductionPituitary adenomas (PAs) are common, usually benign tumors of the anterior pituitary gland which, for the most part, have no known genetic cause. PAs are associated with major clinical effects due to hormonal dysregulation and tumoral impingement on vital brain structures. PAM encodes a multifunctional protein responsible for the essential C-terminal amidation of secreted peptides.MethodsFollowing the identification of a loss-of-function variant (p.Arg703Gln) in the peptidylglycine a-amidating monooxygenase (PAM) gene in a family with pituitary gigantism, we investigated 299 individuals with sporadic PAs and 17 familial isolated PA kindreds for PAM variants. Genetic screening was performed by germline and tumor sequencing and germline copy number variation (CNV) analysis.ResultsIn germline DNA, we detected seven heterozygous, likely pathogenic missense, truncating, and regulatory SNVs. These SNVs were found in sporadic subjects with growth hormone excess (p.Gly552Arg and p.Phe759Ser), pediatric Cushing disease (c.-133T&gt;C and p.His778fs), or different types of PAs (c.-361G&gt;A, p.Ser539Trp, and p.Asp563Gly). The SNVs were functionally tested in vitro for protein expression and trafficking by Western blotting, splicing by minigene assays, and amidation activity in cell lysates and serum samples. These analyses confirmed a deleterious effect on protein expression and/or function. By interrogating 200,000 exomes from the UK Biobank, we confirmed a significant association of the PAM gene and rare PAM SNVs with diagnoses linked to pituitary gland hyperfunction.ConclusionThe identification of PAM as a candidate gene associated with pituitary hypersecretion opens the possibility of developing novel therapeutics based on altering PAM function.
Scrutiny of power grids by penetrating PV energy in wind farms: a case study of the wind corridor of Jhampir, Pakistan
Authors: Soomar Arsalan Muhammad , Guanghua Lyu , Shaikh Shoaib , Shah Syed Hadi Hussain , Musznicki Piotr 
Published: June 2023

This study examines the problems caused by intermittent renewable energy sources, especially wind farms, and suggests a different solar energy penetration strategy to improve their loading capacity. The study uses real-time data from a wind farm in Jhampir, Pakistan, to analyse and assess various aspects of grid stations connected to wind farms. Electrical Transient Analyzer Program is used to validate the results by linking these with actual grid system. The article focuses on creating a model for a grid connected to a wind farm and the simulation of outcomes following capacity expansion, with the installation of an autotransformer. The original capacity of the wind farm was 750 MW, which was increased to 1,250 MW, i.e., 1.66 times the actual capability. Furthermore, this capacity was further enhanced to 1,540 MW, which becomes 1.23 times the previous capacity by the penetration of a photovoltaic power plant.
Population screening for glucose-6-phosphate dehydrogenase deficiency using quantitative point-of-care tests: a systematic review
Authors: Zailani Mohamed Afiq Hidayat , Raja Sabudin Raja Zahratul Azma , Ithnin Azlin , Alauddin Hafiza , Sulaiman Siti Aishah , Ismail Endom , Othman Ainoon 
Published: June 2023

Background: Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an X-linked hereditary disorder and a global public health concern that is most prevalent in malaria-endemic regions including Asia, Africa, and the Mediterranean. G6PD-deficient individuals are at high risk of developing acute hemolytic anemia following treatment with antimalarial drugs including Primaquine and Tafenoquine. However, the currently available tests for G6PD screening are complex and often have been misclassifying cases, particularly for females with intermediate G6PD activity. The latest innovation of quantitative point-of-care (POC) tests for G6PD deficiency provides an opportunity to improve population screening and prevent hemolytic disorders when treating malaria. Aim(s): To assess the evidence on the type and performance of quantitative point-of-care (POC) tests for effective G6PD screening and hence, radical elimination of Plasmodium malaria infections.Methods: Relevant studies published in English language confined from two databases, Scopus and ScienceDirect were searched from November 2016 onwards. The search was conducted using keywords including “glucosephosphate dehydrogenase” or “G6PD”, “point-of-care”, “screening” or “prevalence”, “biosensor” and “quantitative”. The review was reported following the PRISMA guidelines.Results: Initial search results yielded 120 publications. After thorough screening and examination, a total of 7 studies met the inclusion criteria, and data were extracted in this review. Two types of quantitative POC tests were evaluated, namely, the CareStartTM Biosensor kit and the STANDARD G6PD kit. Both tests showed promising performance with high sensitivity and specificity ranging mostly from 72% to 100% and 92%–100%, respectively. The positive and negative predictive values (PPV and NPV) ranged from 35% to 72% and 89%–100%, with accuracy ranging from 86% to 98%.Conclusion: In areas with a high prevalence of G6PD deficiency that overlap with malaria endemicity, availability and validation of the diagnostic performance of quantitative POC tests are of absolute importance. Carestart™ biosensor and STANDARD G6PD kits showed high reliability and performed well in comparison to the spectrophotometric reference standard.
Action of the plant-based essential oil-derived compound Taxol for improvising drought tolerance in Eucalyptus by modulating the VIT1 channel protein: a cutting-edge computational approach
Authors: Xu Chen , Debnath Sandip , Syed Asad , Elgorban Abdallah M. , Bahkali Ali H. , Eswaramaathy Rajalakahmanen , Verma Meenakshi , Uddin Helal Md Mostofa , Jian Xing 
Published: June 2023

Background: Drought poses a significant threat to the growth and survival of woody plants, especially Eucalyptus grandis, which is known for its slow and steady growth. Understanding the physiological and molecular responses of E. grandis to abiotic stress is essential for developing strategies to improve its drought resistance. This study focuses on the potential vulnerability of E. grandis during the initial months of root system proliferation and investigates the role of the essential oil-derived compound Taxol in enhancing its drought resistance.Methodology: A comprehensive analysis was performed on various aspects of E. grandis, including morphological features, photosynthetic rates, pigment concentrations, nitrogenous components, and lipid peroxidation. Furthermore, the study examined the accumulation of soluble carbohydrates, proline, and antioxidant enzymes as part of the tree’s response to drought stress. Molecular docking and molecular dynamics simulations were conducted to determine the binding affinity of Taxol, an essential oil derived from Taxus brevifolia, with the VIT1 protein in E. grandis.Results:E. grandis displayed remarkable resilience to drought by accumulating vast reserves of soluble carbohydrates, proline, and antioxidant enzymes. The essential oil-derived compound Taxol exhibited a strong binding affinity with the VIT1 protein (−10.23 kcal/mol), suggesting its potential role in enhancing the tree’s drought resistance.Conclusion: This study reveals the pivotal role of Taxol in augmenting the resilience of E. grandis against drought stress and improving its therapeutic oil properties. Emphasizing the tree’s inherent tolerance during its susceptible early stages is crucial in promoting sustainable agriculture and forestry practices. The findings underscore the importance of advanced scientific research in uncovering the concealed capabilities of robust trees like E. grandis as we continue our pursuit of a sustainable future.
Genotype-phenotype correlation of deletions and duplications of 4p: case reports and literature review
Authors: Zhang Xuan , Lu Hongjuan , Yang Hanran , Ji Yichen , Liu Huixin , Liu Wenjian , Li Jiayi , Yang Zhixian , Sun Wei 
Published: June 2023

Structural rearrangements of chromosome 4p gives rise to a group of rare genomic disorders that mainly result in two different clinical entities: Wolf-Hirschhorn syndrome (WHS) and partial 4p trisomy. The severity of the phenotype depends on the size of the deletion or locus duplication. Here, we present two unrelated individuals with a copy number variation of chromosome 4p. Inverted duplication deletions (inv dup-del) in 4p are particularly rare. Case 1 describes a 15-year-old girl with a 1.055 Mb deletion of terminal 4p, distal to the recognized critical region of WHS, and a large duplication of 9.6 Mb in size from 4p16.3 to p16.1. She had postnatal development delay, intellectual disability (especially pronounced in speech), seizure/electroencephalogram anomalies, and facial dysmorphic features. This unusual chromosomal imbalance resulted in the WHS phenotype rather than the 4p trisomy syndrome phenotype. Case 2 describes a 21-month-old boy with a 1.386 Mb terminal 4p deletion who presented with slight developmental delay, borderline intellectual disability, and seizures. Combined with previous reported cases of 4 pter del-dup or pure 4p terminal deletions, our observations suggest that terminal chromosome 4p deletion is more pathogenic than the concomitant partial 4p duplication, and some regions of the 4p terminal may have regulatory effects on the remaining region of 4p. About nine cases have been reported thus far to date, and our study delineates further genotype-phenotype correlations about terminal 4p duplication-deletions for predicting disease prognosis and patient counseling.