bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk Factors of Infection and Transmission of Viral Hepatitis B and E
Authors: Osadolor Aisosa J , Osadolor Owens O , Osadolor Obehi O 
Published: August 2023

Viral hepatitis is a disease burden in Africa and globally. It can be caused by RNA or DNA virus, which is hepatotropic and can pose a financial burden on the individual, their family, and society. Hepatitis B virus (HBV) is a DNA virus that can be present in blood and body fluids, including saliva, semen, and vaginal secretion. It is par-enterally transmitted with horizontal and vertical transmission. The risk of infection and transmission of hepatitis B virus infection could be a result of occupational exposure, use of unsterilized blades for traditional and cultural practices in Africa like tribal marks, level of awareness on prevention and adherence to standard or universal precautions. The risk of infection and transmission of hepatitis B virus infection also includes individual sexual history, the availability and access to vaccines, the level of occupational hazards exposure, the level of vaccine acceptance and the vaccination status of individuals. Hepatitis E virus (HEV) is a single-stranded RNA virus that is transmitted through the faeco-oral route by consumption of contaminated food and water. Low socio-economic status, poor environmental sanitation, poor water supply, poor sewage disposal facilities, level of awareness on prevention, poor social condition and decreased personal hygiene are associated factors for the risk of hepatitis E virus infection. Knowledge and community-based awareness and practice of World Health Organization (WHO) preventive practices and treatments could reduce the burden of hepatitis B and E virus infections.
Mediscope 2023;10(2): 89-92
MicroRNA-mediated translational pathways are regulated in the orbitofrontal cortex and peripheral blood samples during acute abstinence from heroin self-administration
Authors: Zanda Mary Tresa , Saikali Leila , Morris Paige , Daws Stephanie E. 
Published: August 2023

Opioid misuse in the United States contributes to &gt;70% of annual overdose deaths. To develop additional therapeutics that may prevent opioid misuse, further studies on the neurobiological consequences of opioid exposure are needed. Here we sought to characterize molecular neuroadaptations involving microRNA (miRNA) pathways in the brain and blood of adult male rats that self-administered the opioid heroin. miRNAs are ∼18–24 nucleotide RNAs that regulate protein expression by preventing mRNA translation into proteins. Manipulation of miRNAs and their downstream pathways can critically regulate drug seeking behavior. We performed small-RNA sequencing of miRNAs and proteomics profiling on tissue from the orbitofrontal cortex (OFC), a brain region associated with heroin seeking, following 2 days of forced abstinence from self-administration of 0.03 mg/kg/infusion heroin or sucrose. Heroin self-administration resulted in a robust shift of the OFC miRNA profile, regulating 77 miRNAs, while sucrose self-administration only regulated 9 miRNAs that did not overlap with the heroin-induced profile. Conversely, proteomics revealed dual regulation of seven proteins by both heroin and sucrose in the OFC. Pathway analysis determined that heroin-associated miRNA pathways are predicted to target genes associated with the term “prion disease,” a term that was also enriched in the heroin-induced protein expression dataset. Lastly, we confirmed that a subset of heroin-induced miRNA expression changes in the OFC are regulated in peripheral serum and correlate with heroin infusions. These findings demonstrate that peripheral blood samples may have biomarker utility for assessment of drug-induced miRNA pathway alterations that occur in the brain following chronic drug exposure.
Gait and balance in cervical dystonia and dystonic head tremor
Authors: Wagle Shukla Aparna , Gurrala Anjela , Vedam-Mai Vinata 
Published: August 2023

Background: Previous studies have found gait and balance abnormalities in patients with cervical dystonia. However, the characteristics of gait and balance in cervical dystonia with head tremors have not been ascertained. A midline constant head tremor when walking would likely render gait and balance more difficult. The pathophysiology of dystonia has also been increasingly linked with cerebellar function abnormality, commonly implicated in gait and balance disorders.Methods: We examined the gait and balance characteristics of cervical dystonia presenting with head tremors. We used the timed up-and-go (TUG) walk test, 10 m walk test, Berg Balance Scale (BBS), and Gait and Freezing questionnaire. We then assessed the gait on an instrumented walkway system to capture spatiotemporal measures such as speed, cadence, step time, step length, stride width, swing%, stance%, single support%, double support%, and gait variability index (GVI). We also assessed whether the gait in dystonic tremor (DT) differed from essential tremor (ET) and orthostatic tremor (OT), as these tremor disorders share the cerebello-thalamo-cortical pathway as the common pathological pathway.Results: 50 participants comprising DT (20 patients), ET (15 patients), and OT (15 patients) were enrolled. While the gait abnormalities were subclinical, 11/20 DT patients (55%) walked at a slower speed on the TUG, 11/20 (55%) had reduced scores on the BBS, 9/20 (45%) had increased step time, 4/20 (20%) had reduced step length, 4/20 (20%) had wider stride width, 9/20 (45%) spent greater time during double support and 8/20 (40%) patients had an abnormal GVI. Comparisons of DT with healthy control data revealed a slower gait velocity (p = 0.001) and a reduced step length (p = 0.001). Compared to DT, the ET group revealed a reduced cadence (p = 0.04) and the OT group revealed an increased TUG time (p = 0.03), reduced BBS scores (p = 0.02), reduced step length (p = 0.02), reduced cadence (p = 0.03), reduced GVI (p = 0.01), and increased double support phase (p = 0.045).Conclusion: DT is accompanied by multiple abnormalities affecting gait and balance, albeit subclinical and less pronounced than ET and OT, possibly related to more effective compensatory mechanisms. Nevertheless, these abnormalities indicate that rehabilitative measures warrant consideration when managing in clinical settings.
Analysis of the interferon-γ-induced secretome of intestinal endothelial cells: putative impact on epithelial barrier dysfunction in IBD
Authors: Naschberger Elisabeth , Flierl Christian , Huang Jinghao , Erkert Lena , Gamez-Belmonte Reyes , Gonzalez-Acera Miguel , Bober Magdalena , Mehnert Martin , Becker Christoph , Schellerer Vera S. , Britzen-Laurent Nathalie , Stürzl Michael 
Published: August 2023

The development of inflammatory bowel diseases (IBD) involves the breakdown of two barriers: the epithelial barrier and the gut-vascular barrier (GVB). The destabilization of each barrier can promote initiation and progression of the disease. Interestingly, first evidence is available that both barriers are communicating through secreted factors that may accordingly serve as targets for therapeutic modulation of barrier functions. Interferon (IFN)-γ is among the major pathogenesis factors in IBD and can severely impair both barriers. In order to identify factors transmitting signals from the GVB to the epithelial cell barrier, we analyzed the secretome of IFN-γ-treated human intestinal endothelial cells (HIEC). To this goal, HIEC were isolated in high purity from normal colon tissues. HIEC were either untreated or stimulated with IFN-γ (10 U/mL). After 48 h, conditioned media (CM) were harvested and subjected to comparative hyper reaction monitoring mass spectrometry (HRM™ MS). In total, 1,084 human proteins were detected in the HIEC-CM. Among these, 43 proteins were present in significantly different concentrations between the CM of IFN-γ- and control-stimulated HIEC. Several of these proteins were also differentially expressed in various murine colitis models as compared to healthy animals supporting the relevance of these proteins secreted by inflammatory activated HIEC in the inter-barrier communication in IBD. The angiocrine pathogenic impact of these differentially secreted HIEC proteins on the epithelial cell barrier and their perspectives as targets to treat IBD by modulation of trans-barrier communication is discussed in detail.
Catheter ablation of concomitant atrial fibrillation improves survival of patients undergoing transcatheter edge-to-edge mitral valve repair
Authors: Ausbuettel Felix , Barth Sebastian , Chatzis Georgios , Fischer Dieter , Kerber Sebastian , Mueller Julian , List Stephan , Halbfass Philipp , Deneke Thomas , Nef Holger , Mueller Hans-Helge , Divchev Dimitar , Schieffer Bernhard , Luesebrink Ulrich , Waechter Christian 
Published: August 2023

BackgroundAtrial fibrillation (AF) is the most common concomitant disease in patients undergoing transcatheter edge-to-edge repair (TEER) for mitral regurgitation (MR) and detrimentally affects their outcome. While there is increasing evidence for prognostic improvement and safety of catheter ablation (CA) of AF in the overall cohort of heart failure patients, corresponding data in TEER patients are lacking.ObjectivesTo investigate the impact of treatment regimens for concomitant AF on survival of TEER patients.MethodsIn a multicenter observational cohort study consecutive patients successfully undergoing TEER were analyzed and survival of patients receiving CA of concomitant AF was compared with that of patients on pharmacological AF treatment and with that of patients without a history of AF, using propensity score matching (PSM).ResultsA total of 821 patients were analyzed. Of these, 608 (74.1%) had concomitant AF, of whom 48 patients received CA. Patients with CA in AF showed significantly higher 3-year-survival after TEER compared to PSM-patients on pharmacological AF treatment (75.5% [36/48] vs. 49.4% [166/336], p = 0.009). The 3-year-survival after TEER of patients with concomitant AF treated with CA was not significantly different from PSM-patients without AF (75.5% [36/48] vs. 68.3% [98/144], p = 0.36).ConclusionsCA of AF is superior to pharmacotherapy as it significantly improves the survival of TEER patients in a PSM analysis. CA even offsets the prognostic disadvantage of coexisting AF in TEER patients. Given the growing evidence of prognostic benefits in the overall cohort of HF patients, our data point out the importance of treating concomitant AF and support CA as an essential part of a holistic management of TEER patients.
3D visualization technology for rubber tree forests based on a terrestrial photogrammetry system
Authors: Lei Shuhan , Liu Li , Xie Yu , Fang Ying , Wang Chuangxia , Luo Ninghao , Li Ruitao , Yu Donghai , Qiu Zixuan 
Published: August 2023

IntroductionRubber trees are an important cash crop in Hainan Province; thus, monitoring sample plots of these trees provides important data for determining growth conditions. However, existing monitoring technology and rubber forest sample plot analysis methods are relatively simple and present widespread issues, such as limited monitoring equipment, transportation difficulties, and relatively poor three-dimensional visualization effects in complex environments. These limitations have complicated the development of rubber forest sample plot monitoring.MethodThis study developed a terrestrial photogrammetry system combined with 3D point-cloud reconstruction technology based on the structure from motion with multi-view stereo method and sample plot survey data. Deviation analyses and accuracy evaluations of sample plot information were performed in the study area for trees to explore the practical significance of this method for monitoring rubber forest sample plots. Furthermore, the relationship between the height of the first branch, diameter at breast height (DBH), and rubber tree volume was explored, and a rubber tree standard volume model was established.ResultsThe Bias, relative Bias, RMSE, and RRMSE of the height of the first branch measured by this method were −0.018 m, −0.371%, 0.562 m, and 11.573%, respectively. The Bias, relative Bias, RMSE, and RRMSE of DBH were −0.484 cm, −1.943%, −2.454 cm, and 9.859%, respectively, which proved that the method had high monitoring accuracy and met the monitoring requirements of rubber forest sample plots. The fitting results of rubber tree standard volume model had an R2 value of 0.541, and the estimated values of each parameter were 1.745, 0.115, and 0.714. The standard volume model accurately estimated the volume of rubber trees and forests using the first branch height and DBH.DiscussionThis study proposed an innovative planning scheme for a terrestrial photogrammetry system for 3D visual monitoring of rubber tree forests, thus providing a novel solution to issues observed in current sample plot monitoring practices. In the future, the application of terrestrial photogrammetry systems to monitor other types of forests will be explored.
Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
Authors: Xu Gangqin , Ba Yueyang , Zhang Kun , Cai Dongyang , Yang Bowen , Zhao Tongyuan , Xue Jiangyu 
Published: August 2023

IntroductionThe present study aimed to investigate the application of the aneurysm embolization microcatheter plasticity method based on computational fluid dynamics (CFD) to simulate cerebral blood flow in the interventional treatment of posterior communicating aneurysms in the internal carotid artery and to evaluate its practicality and safety.MethodsA total of 20 patients with posterior internal carotid artery communicating aneurysms who used CFD to simulate cerebral flow lines from January 2020 to December 2022 in our hospital were analyzed. Microcatheter shaping and interventional embolization were performed according to the main cerebral flow lines, and the success rate, stability, and effect of the microcatheter being in place were analyzed.ResultsAmong the 20 patients, the microcatheters were all smoothly placed and the catheters were stable during the in vitro model test. In addition, the microcatheters were all smoothly placed during the operation, with a success rate of 100%. The catheter tips were stable and well-supported intraoperatively, and no catheter prolapse was registered. The aneurysm was completely embolized in 19 cases immediately after surgery, and a small amount of the aneurysm neck remained in one case. There were no intraoperative complications related to the embolization catheter operation.ConclusionMicrocatheter shaping based on CFD simulation of cerebral blood flow, with precise catheter shaping, leads to a high success rate in catheter placing, stability, and good support, and greatly reduces the difficulty of catheter shaping. This catheter-shaping method is worthy of further study and exploration.
Brief report: risk stratification following curative therapy for stage I NSCLC
Authors: Butts Emily , Gococo-Benore Denise , Pai Tanmayi , Moustafa Muhamad Alhaj , Heng Fei , Chen Ruqin , Zhao Yujie , Manochakian Rami , Lou Yanyan 
Published: August 2023

IntroductionSurveillance with computed tomography (CT) imaging following curative treatment of stage I non-small cell lung cancer (NSCLC) is important to identify recurrence or second primary lung cancers (SPLC). The pattern and risks of recurrence following curative therapy and optimal duration of surveillance scans remain unknown. The objective of our study is to assess the pattern of recurrence and development of SPLC to risk stratify patients with stage I NSCLC following curative therapy.MethodsWe identified 261 patients who received curative therapy for stage I NSCLC at Mayo Clinic Florida. Data was collected on clinical and demographic features including gender, smoking history, stage, treatment, histologic subtype, and tumor grade. Kaplan-Meier method was used to evaluate the disease free survival (DFS). Cox proportional hazard model was used to identify risk factors for recurrence.ResultsNegative tobacco history and stage IA tumors were associated with significantly prolonged DFS after adjusting for co-variates (p=0.001 and p=0.005). Univariate Cox proportional hazards model identified tobacco history and stage 1B as risk factors for recurrence with unadjusted hazard ratio (HR) of 2.8 and 2.0, respectively. After adjusting for covariates, only stage IB was statistically significant predictor of recurrence with a hazard ratio of 2.1 (Confidence Interval (CI) 95% 1.2-3.6; p=0.007).ConclusionsAn individualized approach that considers risk factors of stage and smoking history may be useful in determining whether to continue annual CT surveillance after five years post curative therapy for stage I NSCLC.
Reimbursement of pharmacogenetic tests at a tertiary academic medical center in the United States
Authors: Lemke Lauren K. , Alam Benish , Williams Roy , Starostik Petr , Cavallari Larisa H. , Cicali Emily J. , Wiisanen Kristin 
Published: August 2023

Introduction: Pharmacogenetics (PGx) has the potential to improve health outcomes but cost of testing is a barrier for equitable access. Reimbursement by insurance providers may lessen the financial burden for patients, but the extent to which PGx claims are covered in clinical practice has not been well-characterized in the literature.Methods: A retrospective analysis of outpatient claims submitted to payers for PGx tests from 1/1/2019 through 12/31/2021 was performed. A reimbursement rate was calculated and compared across specific test types (e.g., single genes, panel), payers, indication, and the year the claim was submitted.Results: A total of 1,039 outpatient claims for PGx testing were analyzed. The overall reimbursement rate was 46% and ranged from 36%–48% across payers. PGx panels were reimbursed at a significantly higher rate than single gene tests (74% vs. 43%, p &lt; 0.001).Discussion: Reimbursement of claims for PGx testing is variable based on the test type, indication, year the claim was submitted, number of diagnosis codes submitted, and number of unique diagnosis codes submitted. Due to the highly variable nature of reimbursement, cost and affordability should be discussed with each patient.
Disitamab vedotin in combination with immune checkpoint inhibitors for locally and locally advanced bladder urothelial carcinoma: a two-center’s real-world study
Authors: Wei Yongbao , Zhang Ruochen , Yu Chenbo , Hong Zhiwei , Lin Le , Li Tao , Chen Jianhui 
Published: August 2023

Objective: Our study aims to assess the effectiveness and safety profile of Disitamab Vedotin (DV, RC48-ADC), an innovative humanized anti-HER2 antibody conjugated with tubulin-disrupting antimitotic drug monomethyl auristatin E (MMAE) via a cleavable peptide linker. This treatment combined immune checkpoint inhibitors as part of the bladder sparing approach for selected patients suffering from locally and locally advanced bladder urothelial carcinoma.Patients and methods: We conducted a two-center, real-world study involving locally advanced urothelial carcinoma (UC) patients. Patients were classified based on HER2 expression (IHC 3+/2+/1+) or lack of HER2 expression (IHC 0). The primary endpoint was the objective response rate (ORR), assessed by the investigator following the criteria of RECIST V1.1. Secondary endpoints encompassed the pathological complete response rate (pCR), pathological partial response rate (pPR), and pathological stable disease (pSD), along with recurrence-free survival (RFS), the pathological downstaging rate, and the safety profile of the treatment.Results: In this study, nine patients were enrolled, with a median follow-up duration of 12.0 months. The overall confirmed ORR was 88.9%, Five patients achieved a complete response (CR), and three patients achieved a partial response (PR). The radiological complete response (rCR) aligned perfectly with pCR. The median radiological progression-free survival (rPFS) spanned 12.0 months (range from 8.0 to 17.0 months). One patient diagnosed with disease progression (PD) underwent a radical cystectomy. The pathological stage evolved from T2N0M0 to T3aN2M0, followed by adjuvant chemotherapy with a gemcitabine-cisplatin (GC) combination radiotherapy. At the 9-month follow-up, neither recurrence nor metastasis was observed. The rate and intensity of complications were manageable among these patients, with no evidence of grade 4 and 5 adverse events.Conclusion: The combination of DV and PD-1 demonstrated considerable activity in the objective response rate (ORR) in patients with HER2 IHC 0/1+/2+/3+ muscle-invasive bladder cancer (MIBC), along with the longest reported median radiological progression-free survival (rPFS) to date. With an extended duration of treatment, the safety profile of DV plus PD-1 was also confirmed to be manageable.
Multiomics studies with co-transformation reveal microRNAs via miRNA-TF-mRNA network participating in wood formation in Hevea brasiliensis
Authors: Chen Jinhui , Liu Mingming , Meng Xiangxu , Zhang Yuanyuan , Wang Yue , Jiao Nanbo , Chen Jianmiao 
Published: August 2023

IntroductionMicroRNAs (miRNAs) are small endogenous non-coding RNAs that play an important role in wood formation in plants. However, the significance of the link between miRNAs and their target transcripts in wood formation remains unclear in rubber tree (Hevea brasiliensis).MethodsIn this study, we induced the formation of reaction wood by artificially bending rubber trees for 300 days and performed small RNA sequencing and transcriptome deep sequencing (RNA-seq) to describe the complement of miRNAs and their targets contributing to this process.Results and discussionWe identified 5, 11, and 2 differentially abundant miRNAs in normal wood (NW) compared to tension wood (TW), in NW relative to opposite wood (OW), and between TW and OW, respectively. We also identified 12 novel miRNAs and 39 potential miRNA-mRNA pairs with different accumulation patterns in NW, TW, and OW. We noticed that many miRNAs targeted transcription factor genes, which were enriched in KEGG pathways associated with phenylpropanoid biosynthesis, phenylalanine metabolism, and pyruvate metabolism. Thus, miRNA-TF-mRNA network involved in wood formation via tension wood model were constructed. We validated the differential accumulation of miRNAs and their targets by RT-qPCR analysis and overexpressed miRNA in Nicotiana benthamiana with its potential target gene. These results will provide a reference for a deep exploration of growth and development in rubber tree.