bluuebunny/crossref_metadata_2025_split huggingface dataset:
Inhibition of acid sphingomyelinase reduces reactive astrocyte secretion of mitotoxic extracellular vesicles and improves Alzheimer’s disease pathology in the 5xFAD mouse
Authors: Crivelli Simone M. , Quadri Zainuddin , Vekaria Hemendra J. , Zhu Zhihui , Tripathi Priyanka , Elsherbini Ahmed , Zhang Liping , Sullivan Patrick G. , Bieberich Erhard 
Published: August 2023

AbstractIn Alzheimer’s disease (AD), reactive astrocytes produce extracellular vesicles (EVs) that affect mitochondria in neurons. Here, we show that Aβ-induced generation of the sphingolipid ceramide by acid sphingomyelinase (A-SMase) triggered proinflammatory cytokine (C1q, TNF-α, IL-1α) release by microglia, which induced the reactive astrocytes phenotype and secretion of EVs enriched with ceramide. These EVs impeded the capacity of neurons to respond to energy demand. Inhibition of A-SMase with Arc39 and Imipramine reduced the secretion of cytokines from microglia, prompting us to test the effect of Imipramine on EV secretion and AD pathology in the 5xFAD mouse model. Brain derived-EVs from 5xFAD mice treated with Imipramine contained reduced levels of the astrocytic marker GFAP, ceramide, and Aβ and did not impair mitochondrial respiration when compared to EVs derived from untreated 5xFAD brain. Consistently, Imipramine-treated 5xFAD mice showed reduced AD pathology. Our study identifies A-SMase inhibitors as potential AD therapy by preventing cyotokine-elicited secretion of mitotoxic EVs from astrocytes.
Difference in implant design affects midflexion rotational laxity in cruciate‐retaining total knee arthroplasty: a computer navigation study
Authors: Tsuda Takashi , Hino Kazunori , Kutsuna Tatsuhiko , Watamori Kunihiko , Kinoshita Tomofumi , Takao Masaki 
Published: August 2023

AbstractPurposeThis study aimed to compare midflexion rotational laxity between two different design concept models of cruciate‐retaining total knee arthroplasty: symmetrical surface design of neutral joint line obliquity and asymmetrical surface design of varus joint line obliquity.MethodsSixty‐three knees that underwent cruciate‐retaining total knee arthroplasty were evaluated. Manual maximum passive rotational stress without acceleration was applied to the knees under navigation monitoring. Pre‐operative and post‐operative internal and external rotational angles were measured at 30°, 45°, 60°, and 90° knee flexion.ResultsThe post‐operative internal rotational laxity was significantly increased compared with pre‐operative levels at 30°, 45°, 60°, and 90° flexion among all subjects (mean 9.7° vs 11.1°, 10.6° vs 11.6°, 11.2° vs 12.9°, and 13.2° vs 14.9°; p = 0.01, 0.04, 0.001, and 0.008, respectively). The post‐operative external rotational laxity was significantly decreased compared to pre‐operative levels at 30°, 45°, 60°, and 90° flexion among all subjects (mean 10.8° vs 6.8°, 12.5° vs 9.4°, 12.8° vs 10.0°, and 11.3° vs 9.5°; p < 0.0001, < 0.0001, < 0.0001, and 0.0008, respectively). The post‐operative total rotational laxity significantly decreased, compared with pre‐operative levels, at 30° and 45° flexion among all subjects (mean 20.4° vs 17.9°, and 23.1° vs 21.1°; p = 0.002 and 0.04, respectively). The post‐operative total rotational laxity was significantly smaller in asymmetrically designed total knee arthroplasty than in symmetrically designed total knee arthroplasty at 30°, 45°, and 60° flexion (mean 19.3° vs 15.8°, 22.8° vs 18.7°, and 24.4° vs 20.8°; p = 0.03, 0.03, and 0.02, respectively), whereas no significant difference was observed at 90° flexion.ConclusionCompared to symmetrical surface design, asymmetrical surface design resulted in lower rotational laxity at the midflexion range in cruciate‐retaining total knee arthroplasty.Level of evidenceIII.
Meta-analysis of 18 F-PSMA-1007 PET/CT, 18 F-FDG PET/CT, and 68Ga-PSMA PET/CT in diagnostic efficacy of prostate Cancer
Authors: Yu Wenxiao , Zhao Ming , Deng Yingjun , Liu Shengjing , Du Guanchao , Yan Bin , Zhao Ziwei , Sun Ning , Guo Jun 
Published: August 2023

Abstract
Objective
To compare 18 F-PSMA-1007 PET/CT, 18 F-FDG PET/CT and 68Ga-PSMA PET/CT in the diagnostic value of prostate cancer.

Method
The Chinese and foreign databases, such as Pubmed, Cochrane Library, Embase, CNKI, VIP, Wanfang, etc., were systematically searched within the period from the establishment of the database to June 1, 2022. Clinical studies related to the diagnosis of prostate cancer by methods such as 18 F-PSMA-1007 PET/CT, 18 F-FDG PET/CTCT, 68Ga-PSMA PET/CT, were researched. Two (2) investigators independently screened literatures, extracted data, and assessed the risk of bias when these data were included in the studies with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). Review Manager5.4, Stata 14.0, and Meta-disc 1.4 software were used for meta-analysis to compare the efficacy of different methods in the diagnose of prostate cancer.

Results
Twenty-seven (27) studies, including 2891 subjects were included in our study. Meta-analysis results showed that the pooled sensitivities of 18 F-PSMA-1007 PET/CT, 18 F-FDG PET/CT, and 68Ga-PSMA PET/CT were 0.912 (95%CI: 0.883–0.936), 0.748 (95%CI: 0.698–0.795), and 0.916 (95%CI: 0.896–0.934), respectively; the pooled specification were 0.878 (0.844–0.907), 0.639 (95%CI: 0.589–0.687), and 0.734 (95%CI: 0.685–0.779), respectively; the positive likelihood ratios were 6.335 (95%CI: 4.288–9.357), 2.282 (95%CI: 1.497–3.477), and 3.593 (95%CI: 2.986–4.323), respectively; the negative likelihood ratios were 0.878 (95%CI: 0.844–0.907), 0.374 (95%CI: 0.280–0.499), and 0.110 (95%CI: 0.083–0.144), respectively; the diagnostic odds ratios were 65.125 (95%CI: 34.059–124.53), 7.094 (95%CI: 4.091–12.301), and 29.722 (95%CI: 20.141–43.863), respectively; the positive posterior probability was 64%, 38%, and 62%, respectively; the area under the SPOC curve was 0.95 (95%CI: 0.93–0.97), 0.81 (95%CI: 0.78–0.84), and 0.96 (95%CI: 0.92–0.98), respectively. The funnel plots indicated that there was no significant publication bias in the included literatures.

Conclusion
The current evidences showed that 18 F-PSMA-1007 PET/CT and 68Ga-PSMA PET/CT had higher diagnostic efficacy of prostate cancer compared with 18 F-FDG PET/CT, among which 68Ga-PSMA PET/CT was slightly higher in the sensitivity of the diagnosis of prostate cancer, while 18 F-PSMA-1007 PET/CT may have higher efficacy in specificity and confirmed positive rate. Due to the limitations of the quality of the included samples and literatures, the above conclusions should be further validated by expanding the sample size and improving the quality.
Fairness and generalizability of OCT normative databases: a comparative analysis
Authors: Nakayama Luis Filipe , Zago Ribeiro Lucas , de Oliveira Juliana Angelica Estevão , de Matos João Carlos Ramos Gonçalves , Mitchell William Greig , Malerbi Fernando Korn , Celi Leo Anthony , Regatieri Caio Vinicius Saito 
Published: August 2023

Abstract
Purpose
In supervised Machine Learning algorithms, labels and reports are important in model development. To provide a normality assessment, the OCT has an in-built normative database that provides a color base scale from the measurement database comparison. This article aims to evaluate and compare normative databases of different OCT machines, analyzing patient demographic, contrast inclusion and exclusion criteria, diversity index, and statistical approach to assess their fairness and generalizability.

Methods
Data were retrieved from Cirrus, Avanti, Spectralis, and Triton’s FDA-approval and equipment manual. The following variables were compared: number of eyes and patients, inclusion and exclusion criteria, statistical approach, sex, race and ethnicity, age, participant country, and diversity index.

Results
Avanti OCT has the largest normative database (640 eyes). In every database, the inclusion and exclusion criteria were similar, including adult patients and excluding pathological eyes. Spectralis has the largest White (79.7%) proportionately representation, Cirrus has the largest Asian (24%), and Triton has the largest Black (22%) patient representation. In all databases, the statistical analysis applied was Regression models. The sex diversity index is similar in all datasets, and comparable to the ten most populous contries. Avanti dataset has the highest diversity index in terms of race, followed by Cirrus, Triton, and Spectralis.

Conclusion
In all analyzed databases, the data framework is static, with limited upgrade options and lacking normative databases for new modules. As a result, caution in OCT normality interpretation is warranted. To address these limitations, there is a need for more diverse, representative, and open-access datasets that take into account patient demographics, especially considering the development of supervised Machine Learning algorithms in healthcare.
University students’ intentions to learn artificial intelligence: the roles of supportive environments and expectancy–value beliefs
Authors: Wang Faming , King Ronnel B. , Chai Ching Sing , Zhou Ying 
Published: August 2023

AbstractDespite the importance of artificial intelligence (AI) for university students to thrive in the future workplace, few studies have been conducted to assess and foster their intentions to learn AI. Guided by the situated expectancy–value theory, this study adopted both variable- and person-centered approaches to explore the role of supportive environments and expectancy–value beliefs in fostering university students’ intentions to learn AI. The data were drawn from 494 university students. In Study 1, the variable-centered approach of structural equation modeling showed the critical role of supportive environments and expectancy–value beliefs in promoting students’ intentions to learn AI. In Study 2, the person-centered approach of latent profile analysis identified three subgroups of students based on their levels of supportive environments and expectancy–value beliefs. Consistent with Study 1, students who perceived more supportive environments and higher levels of expectancy–value beliefs had stronger intentions to learn AI. We also documented the influence of study of field, gender, and year level on students' perceptions of supportive environments, expectancy-value beliefs and intentions to learn AI. The implications of these findings in improving students’ intentions to learn AI are discussed.
F-18 FDG PET/CT in staging and response assessment of primary cutaneous diffuse large B-cell lymphoma (leg type)
Authors: Datta Deepanksha , Pandey Rakesh Ramprakash , Kumar Rajesh , Sharma Rashim , Vedant Deepak 
Published: August 2023

AbstractPrimary cutaneous Diffuse Large B-Cell Lymphoma-leg type (PCDLBCL-LT) is a rare subtype of cutaneous lymphomas, with high frequency of extra-cutaneous relapse and poor prognosis. We report a case of 70-year-old lady who was diagnosed with PCDLBCL-LT on biopsy and underwent a baseline F-18 FDG PET/CT, followed by interim and post-treatment PET/CTs. With this case report, we highlight the findings of F-18 FDG PET/CT in the staging of this cutaneous lymphoma, and also emphasize on its role in the response assessment.
TP53 and p21 (CDKN1A) polymorphisms and the risk of systemic lupus erythematosus
Authors: Macedo Jacyara Maria Brito , Silva Amanda Lima , Pinto Amanda Chaves , Landeira Leandro Ferreira Lopes , Portari Elyzabeth Avvad , Santos-Rebouças Cintia Barros , Klumb Evandro Mendes 
Published: August 2023

Abstract
Background
The p53 and p21 proteins are important regulators of cell cycle and apoptosis and may contribute to autoimmune diseases, such as systemic lupus erythematosus (SLE). As genetic polymorphisms may cause changes in protein levels and functions, we investigated associations of TP53 and p21 (CDKN1A) polymorphisms (p53 72 G > C—rs1042522; p53 PIN3—rs17878362; p21 31 C > A—rs1801270; p21 70 C > T—rs1059234) with the development of systemic lupus erythematosus (SLE) in a Southeastern Brazilian population.

Methods
Genotyping of 353 female volunteers (cases, n = 145; controls, n = 208) was performed by polymerase chain reaction, restriction fragment length polymorphism and/or DNA sequencing. Associations between TP53 and p21 polymorphisms and SLE susceptibility and clinical manifestations of SLE patients were assessed by logistic regression analysis.

Results
Protective effect was observed for the genotype combinations p53 PIN3 A1/A1-p21 31 C/A, in the total study population (OR 0.45), and p53 PIN3 A1/A2-p21 31 C/C, in non-white women (OR 0.28). In Whites, p53 72 C-containing (OR 3.06) and p53 PIN3 A2-containing (OR 6.93) genotypes were associated with SLE risk, and higher OR value was observed for the combined genotype p53 72 G/C-p53 PIN3 A1/A2 (OR 9.00). Further, p53 PIN3 A1/A2 genotype was associated with serositis (OR 2.82), while p53 PIN3 A2/A2 and p53 72 C/C genotypes were associated with neurological disorders (OR 4.69 and OR 3.34, respectively).

Conclusions
Our findings showed that the TP53 and p21 polymorphisms included in this study may have potential to emerge as SLE susceptibility markers for specific groups of patients. Significant interactions of the TP53 polymorphisms with serositis and neurological disorders were also observed in SLE patients.
The b-ZIP transcription factor, FgBzip16, is essential for fungal development, ascospore discharge, and pathogenicity by modulating fatty acid metabolism in Fusarium graminearum
Authors: Li Bing , Shen Yuhe , Zhu Yupan , Yang Lingling , Ma Ruonan , Sun Hao , Liang Jingang , Chen Kangkang , Jiao Zhen , Yang Wenchao 
Published: August 2023

AbstractFusarium graminearum is an economically devastating pathogen that causes cereal worldwide. The plant disease cycle involves sexual reproduction, with the perithecium playing a crucial role in overwintering and the discharge of ascospores. Although fatty acid biosynthesis and metabolism are linked to perithecium formation and ascospore discharge, the regulation of these processes remains largely unknown. In this study, we identified and characterized FgBZIP16, as a basic leucine zipper (b-ZIP) transcription factor, in F. graminearum. Targeted gene deletion revealed that FgBzip16 is important for vegetative growth, asexual/sexual development, and plant infection. Cytological observations revealed that FgBzip16 was localized in the nucleus during the hyphal and conidial stages. FgBzip16 is essential for ascospore discharge, with transcriptomics and molecular biology showing it binds to the promoter of its target genes FGSG_05321 and FGSG_03244, which regulate ascospore discharge by encoding fatty acid synthase subunit alpha-reductase and enoyl hydratase, respectively. Altogether, these results constitute the first report of the specific functions associated with b-ZIP transcription factor FgBzip16, linking its regulatory roles to fungal development, fatty acid accumulation, and metabolism, host penetration, and pathogenicity of F. graminearum.
The effects of antibiotic use on the dynamics of the microbiome and resistome in pigs
Authors: Tams Katrine Wegener , Larsen Inge , Hansen Julie Elvekjær , Spiegelhauer Henrik , Strøm-Hansen Alexander Damm , Rasmussen Sophia , Ingham Anna Cäcilia , Kalmar Lajos , Kean Iain Robert Louis , Angen Øystein , Holmes Mark A. , Pedersen Karl , Jelsbak Lars , Folkesson Anders , Larsen Anders Rhod , Strube Mikael Lenz 
Published: August 2023

AbstractAntibiotics are widely used in pig farming across the world which has led to concerns about the potential impact on human health through the selection of antibiotic resistant pathogenic bacteria. This worry has resulted in the development of a production scheme known as pigs Raised Without Antibiotics (RWA), in which pigs are produced in commercial farms, but are ear-tagged as RWA until slaughter unless they receive treatment, thus allowing the farmer to sell the pigs either as premium priced RWA or as conventional meat. Development of antibiotic resistance in pig farming has been studied in national surveys of antibiotic usage and resistance, as well as in experimental studies of groups of pigs, but not in individual pigs followed longitudinally in a commercial pig farm. In this study, a cohort of RWA designated pigs were sampled at 10 time points from birth until slaughter along with pen-mates treated with antibiotics at the same farm. From these samples, the microbiome, determined using 16S sequencing, and the resistome, as determined using qPCR for 82 resistance genes, was investigated, allowing us to examine the difference between RWA pigs and antibiotic treated pigs. We furthermore included 176 additional pigs from six different RWA farms which were sampled at the slaughterhouse as an endpoint to substantiate the cohort as well as for evaluation of intra-farm variability. The results showed a clear effect of age in both the microbiome and resistome composition from early life up until slaughter. As a function of antibiotic treatment, however, we observed a small but significant divergence between treated and untreated animals in their microbiome composition immediately following treatment, which disappeared before 8 weeks of age. The effect on the resistome was evident and an effect of treatment could still be detected at week 8. In animals sampled at the slaughterhouse, we observed no difference in the microbiome or the resistome as a result of treatment status but did see a strong effect of farm origin. Network analysis of co-occurrence of microbiome and resistome data suggested that some resistance genes may be transferred through mobile genetic elements, so we used Hi-C metagenomics on a subset of samples to investigate this. We conclude that antibiotic treatment has a differential effect on the microbiome vs. the resistome and that although resistance gene load is increased by antibiotic treatment load, this effect disappears before slaughter. More studies are needed to elucidate the optimal way to rear pigs without antibiotics.
Refinement of an instrument measuring science teachers’ knowledge of language through mixed method
Authors: Ding Chenchen , Lammert Catherine , Fulmer Gavin W. , Hand Brian , Suh Jee K. 
Published: August 2023

AbstractTeachers must know how to use language to support students in knowledge generation environments that align to the Next Generation Science Standards. To measure this knowledge, this study refines a survey on teachers’ knowledge of language as an epistemic tool. Rasch modelling was used to examine 15 items’ fit statistics and the functioning of a previously-designed questionnaire’s response categories. Cronbach’s alpha reliability was also examined. Additionally, interviews were used to investigate teachers’ interpretations of each item to identify ambiguous items. The results indicated that three ambiguous items were deleted based on qualitative data and three more items were deleted because of negative correlation and mismatched fit statistics. Finally, we present a revised language questionnaire with nine items and acceptable correlation and good fit statistics, with utility for science education researchers and teacher educators. This research contributes a revised questionnaire to measure teachers’ knowledge of language that could inform professional development efforts. This research also describes instrument refinement processes that could be applied elsewhere.
Rifampicin efficacy against doxorubicin-induced cardiotoxicity in mice
Authors: Basal Omnia A. , Zahran Rasha F. , Saad Entsar A. 
Published: August 2023

Abstract
Background
The toxic effect of doxorubicin on the heart limits its clinical usage in cancer therapy. This work intended to investigate, for the first time, the efficacy of rifampicin administration against doxorubicin-induction of cardiotoxicity in mice. Forty adult male albino mice were distributed into four sets: Control, Doxorubicin, Doxorubicin + Rifampicin 0.107, and Doxorubicin + Rifampicin 0.214, with n = 10 for each. Heart histopathology and biochemical assays for heart function tests [creatine kinase (CK), lactate dehydrogenase (LDH), aspartate aminotransferase (AST), cardiac troponin I (cTnI), atrial natriuretic peptide (ANP), and vascular endothelial growth factor (VEGF)], oxidative stress [malondialdehyde (MDA) and superoxide dismutase (SOD)], and minerals [phosphorus, sodium, potassium, and calcium] were done.

Results
Doxorubicin-induced cardiotoxicity using a total dose of 15 mg/kg was confirmed histologically. Cardiomyocytes showed congestion, necrosis, edema, and inflammatory cell infiltration. Biochemically, elevations in LDH, CK, and AST activities, p < 0.001, as well as increases in cTnI and ANP levels, p < 0.001, increased oxidative stress (MDA, p < 0.001), high minerals (Na, K, p < 0.001, P, p < 0.01, and Ca, p < 0.05), with reduced VEGF concentration, p < 0.001, and low antioxidant (SOD, p < 0.001) were observed in the Doxorubicin group compared to control. Co-treatment with rifampicin significantly (p < 0.001) reduced the increased oxidative stress, high Na and K, increased LDH, CK, AST, cTnI, and ANP, and elevated the low SOD toward the normal ranges. Our histological data supported our biochemical data; rifampicin dose 0.214 mg/kg showed better improvements than dose 0107.

Conclusions
Our results demonstrated that rifampicin could help protect the body against doxorubicin-induced cardiotoxicity through its antioxidative effect.
Multimodality imaging in assessment of intestinal complications pre-stomal reversal
Authors: Abdelatty Mohamed A. , Aboelmagd Nema , Osman Mohamed Fouad , Mohamed Mohamed Tamer , Mohamed Shady 
Published: August 2023

Abstract
Background
Several imaging modalities are available to assess complications post intestinal stoma creation. The aim of this study was the radiological assessment of intestinal complications pre-stomal closure using routine fluoroscopic water-soluble contrast enema (WSCE), combined CT-WSCE, and MRI-enema with rectal gel administration. Additionally, we aimed to investigate the potential alterations in the surgical management plan based on imaging findings.

Results
This prospective cross-sectional study recruited 130 patients with stomas referred for the assessment of stoma integrity. Thirty-six patients with stoma-related intestinal complications were included. Patients with complications were subdivided into 3 groups. Group A 15 patients with intestinal stomas referred for WSCE pre-stomal closure and complementary CT-WSCE evaluation was performed. Comparison between the detection of the complications by WSCE alone and combined CT-WSCE among group A was statistically significant (p = 0.008) yet the alteration of the surgical plan based on both modalities was not statistically significant (p = 0.063). Group B 11 patients with poor general conditions were referred directly for combined CT-WSCE assessment, complications diagnosed in this group: 6 (54.5%) intestinal obstruction, 2 (18.2%) pericolic collections, 2 (18.2%) abnormal fistula and 1 (9.1%) anastomotic leak. Group C 10 patients with intestinal stomas with malignant or inflammatory conditions referred directly for MRI-enema assessment, showed complications as follows: 3 (30%) colon/rectal tumoral recurrence, 2 (20%) strictures, 2 (20%) pericolic collections and 3 (30%) abnormal intestinal fistulous communications. Comparison between complicated colorectal cancer patients (20 patients) versus other complicated patients secondary to other surgical indications (16 patients) enrolled in the study from the 3 different groups was not statistically significant (p = 0.125).

Conclusions
Combined CT and WSCE is superior in the detection of intestinal fistulas, peri-colic collections, tumor recurrence, and para-stomal hernias than WSCE alone and might lead to a change of management. MRI after rectal gel administration can serve as reliable substitute in some patients for the detection of intestinal complications namely fistulas and tumor recurrence.