bluuebunny/crossref_metadata_2025_split huggingface dataset:
Application of the ultrasound-guided double-screen contrast method in the standardized teaching and training of resident doctors in femoral vein puncture
Authors: Zhang Yunshui , Li Jin , Sun Yaying , Liu Tao , Guo Wenmin , Ban Weiwei , Ma Yujie 
Published: January 2023

ObjectiveThe aim of this study was to investigate the advantages of the double-screen contrast method compared with the short-axis ultrasound display method for teaching ultrasound-guided femoral vein puncture during the standardized training of resident doctors.MethodsSixty resident doctors undergoing standardized training were randomly divided into a test group (short–long axis switching double-screen contrast, n = 30) and a control group (n = 30). These two groups of physicians underwent teaching and training of ultrasound-guided femoral vein puncture, and the success rate of the first puncture attempt, the total catheterization time, and any accidental femoral artery punctures were recorded and compared between the two groups.ResultsThe success rate of the first puncture attempt in the test group was significantly higher than that in the control group (P &lt; 0.05). In the control group, two doctors accidentally punctured the artery, while in the test group, no arterial punctures occurred. The puncture time for the test group was longer than for the control group (P &lt; 0.05).ConclusionIn the standardized training of ultrasound-guided femoral vein puncture for resident doctors, the double-screen contrast method has significant advantages. It enables resident doctors to quickly understand and apply the technique, so it is worth making this the method of choice.
Changing trends of the disease burden of non-rheumatic valvular heart disease in China from 1990 to 2019 and its predictions: Findings from global burden of disease study
Authors: Zheng Xiaoxin , Guan Qing , Lin Xiuquan 
Published: January 2023

ObjectiveChina has an increasing burden of non-rheumatic valvular heart disease (NRVHD) as the aging of the population is deepening. The aim was to assess the age and sex-specific prevalence and DALYs of NRVHD in China from 1990 to 2019 and to predict the burden in the next 25 years.MethodsThe Global Burden of Disease Study (2019) was used to extract the data of age- and sex-specific incidence, mortality, and disability-adjusted life years (DALYs) of NRVHD in China, 1990-2019. We estimated the annual percentage change (EAPC) to access the temporal trends of the disease burden of NRVHD. The R package called Nordpred was used to perform an age-period-cohort analysis to predict the prevalence of NRVHD in the next 25 years.ResultsThe number of incident cases of NRVHD increased from 93.16 thousand in 1990 to 325.05 thousand in 2019. Overall upward trends were observed in the age-standardized incidence rate (ASIR) from 1990 to 2019. Significant temporal trends in mortality and DALYs of NRVHD were observed. High systolic blood pressure, high sodium diet, and lead exposure were the main driving forces for NRVHD. In the next 25 years, the number of new cases and deaths of NRVHD should continue to increase to 390.64 thousand and 10.0 thousand, respectively. The ASIR should show an upward trend, while the ASMR should show a downward trend among men and women.ConclusionIn China, the overall rates of NRVHD have increased over the past 30 years, and there has been a substantial increase in the burden of NRVHD due to population growth and aging and will continue to increase in the next 25 years. Our results can help shape a multifactorial approach and public policy to reduce the NRVHD burden throughout China.
Strength model of a cemented body based on self-compacting characteristics of tailings
Authors: Jun Wang , Tian-Yu Yang , Deng-Pan Qiao , Jie Chen , Zheng-Liang Luo 
Published: January 2023

To examine the strength and mechanical characteristics of self-compacting tailings, a direct shear test was conducted under various consolidation states and moisture contents to determine the cohesion and internal friction angle of the tailings. The degree of cohesion and the internal friction angle of unsaturated tailings increased initially before declining as the moisture content rose. The maximum cohesion and internal friction angle were reached when the moisture content was around 14%. When combined with the Coulomb shear strength formula and the tailings self-weight compaction model, the expressions for the active pressure and passive pressure of tailings at any height on the lateral restraint were obtained. An improvement in cohesion and the internal friction angle of unsaturated tailings was seen with increased consolidation stress, which became stable when the consolidation stress was greater than 1 MPa. The limited equilibrium method was used to establish the three-dimensional mechanical equilibrium of the cemented body. A strength model of cementation at the open stoping stage with subsequent filling was developed after the three-dimensional strength analytical model of cementation in step 1 was modified. The difference between the design value and the measured value was 0.2 MPa. The strength of the one-step cemented backfill design, as well as the design and erection of the backfill retaining wall, was supported technically and theoretically by this study.
The association of alanine aminotransferase and diabetic microvascular complications: A Mendelian randomization study
Authors: Bi Yaru , Liu Yanjing , Wang Heyuan , Tian Suyan , Sun Chenglin 
Published: January 2023

AimsAlanine aminotransferase (ALT) is positively related to diabetes risk in observational studies, whereas Mendelian randomization supports a linear causal association. In contrast, the relationship between ALT and diabetic nephropathy, and diabetic retinopathy is counter-intuitive in observational studies. Furthermore, no MR study has examined their causal association. The study aimed to investigate whether genetically determined ALT has a causal effect on diabetic nephropathy and diabetic retinopathy.MethodsGenetic instruments associated with ALT (P &lt; 5×10-8) were obtained from a recent genome-wide association study (GWAS) that included 437,267 individuals of European ancestry. Summary data of diabetic microvascular complications were derived from the FinnGen study (3,283 cases and 181,704 controls for diabetic nephropathy, and 14,584 cases and 176,010 controls for diabetic retinopathy, both were of European ancestry). Effect estimation and pleiotropy testing were performed using inverse variance weighted (IVW), MR-Egger regression, weighted median, and mode-based estimator methods. We additionally performed sensitivity analysis excluding proxy single nucleotide polymorphisms (SNPs) or lowering the GWAS significance threshold (P &lt; 5×10-7) to test the robustness of the results.ResultsBased on IVW, a 2-fold increase in genetically determined ALT level was positively associated with diabetic nephropathy (odd ratio, [95% confidence interval], 1.73 [1.26-2.37], P = 0.001) and diabetic retinopathy (1.29 [1.08-1.54], P = 0.005), but a null causal association in three pleiotropy robust methods, namely, MR-Egger, weighted median and mode-based estimator. We obtained similar results in the sensitivity analysis of excluding proxy SNPs or lowering the GWAS significance threshold.ConclusionsWith caution, we concluded that ALT plays no linear causal role in developing both diabetic nephropathy and diabetic retinopathy. Further investigations are required to test the hypothesis of a non-linear causal association.
Integrated analysis of mRNA and microRNA expression profiles in hepatopancreas of Litopenaeus vannamei under acute exposure to MC-LR
Authors: Zhang Dajuan , Huang Lanying , Jia Yingxuan , Zhang Shulin , Bi Xiandong , Dai Wei 
Published: January 2023

Intensive shrimp farming is often threatened by microcystins Hepatopancreas is the primary target organ of MCs in shrimp. To investigate the response of hepatopancreas to acute MC-LR exposure, the expression profiles of RNA-seq and miRNA-seq in the hepatopancreas of L. vannamei were determined, and data integration analysis was performed at 72 h after MC-LR injection. The expression of 5 DEGs and three DEMs were detected by Quantitative PCR (qPCR). The results showed that the cumulative mortality rate of shrimp in MC-LR treatment group was 41.1%. A total of 1229 differentially expressed genes (844 up- and 385 down-regulated) and 86 differentially expressed miRNAs (40 up- and 46 down-regulated) were identified after MC-LR exposure. Functional analysis indicated that DEGs is mainly involved in the oxidative activity process in molecular functional categories, and proteasome was the most enriched KEGG pathway for mRNAs profile. According to the functional annotation of target genes of DEMs, protein binding was the most important term in the GO category, and protein processing in endoplasmic reticulum (ER) was the most enriched KEGG pathway. The regulatory network of miRNAs and DEGs involved in the pathway related to protein degradation in endoplasmic reticulum was constructed, and miR-181-5p regulated many genes in this pathway. The results of qPCR showed that there were significant differences in the expression of five DEGs and three DEMs, which might play an important role in the toxicity and hepatopancreas detoxification of MC-LR in shrimp. The results revealed that MC-LR exposure affected the degradation pathway of misfolded protein in ER of L. vannamei hepatopancreas, and miR-181-5p might play an important role in the effect of MC-LR on the degradation pathway of misfolded protein.
Identification and classification of distinct surface markers of T regulatory cells
Authors: Wegrzyn Agnieszka S. , Kedzierska Anna E. , Obojski Andrzej 
Published: January 2023

BackgroundRegulatory T (Treg) cells have emerged as key players in the maintenance of immune homeostasis. Although significant progress has been made in recent years to define the Treg surface markers involved with or identifying their suppressive function, there remains much to be elucidated, and many questions persist. This study determined the expression of surface markers on human peripheral Treg cells and conventional T (Tconv) cells in a steady state and after activation to gain insight into their mechanism of action and more precisely characterize this regulatory population in humans.MethodsTo screen Treg and Tconv cells, peripheral blood mononuclear cells (PBMCs) were isolated from volunteers, stained with a commercially available lyophilized antibody array comprising 371 surface antigens, and analyzed by flow cytometry. To compare Treg cells with activated Tconv cells, PBMCs were stimulated with PMA and further stained similar to freshly isolated cells.ResultsTreg and Tconv cells were positive for 135 and 168 of the 371 antigens, respectively. Based on the frequency distribution, all of the most highly expressed markers identified were shared by both Treg and Tconv cells and participate in T cell activation, act as costimulatory and signaling molecules, or exhibit adhesion and migratory functions. Additionally, we identified several differences in marker expression between Treg and Tconv cells, with most found in the expression of co-stimulatory (ICOS, GITR, 4-1BB) and co-inhibitory (TIGIT, CTLA-4) molecules, as well as chemokine receptors (CXCR4, CXCR5, CCR4, CCR5, CCR7, CCR8, and CXCR7). Furthermore, post-activation expression of surface molecules identified molecules capable of discriminating Treg cells from activated Tconv cells (GITR, 4-1BB, TIGIT, CD120b, and CD39); however, almost all of these markers were also expressed in a small fraction of activated Tconv cells.ConclusionsThese results offer insight into the biology of Tregs and contribute to their accurate identification and characterization in variety of immunological diseases as well as physiological processes
Impact of ankylosing spondylitis on stroke limited to specific subtypes: Evidence from Mendelian randomization study
Authors: Mei Jian , Wei Penghui , Zhang Linjie , Ding Haiqi , Zhang Wenming , Tang Yusen , Fang Xinyu 
Published: January 2023

BackgroundThe relationship between Ankylosing Spondylitis (AS) and the risk of stroke is complex. Therefore, we utilized Two-Sample Mendelian randomization to examine the probable causal link between these two features.MethodsThe genetic instruments linked to AS were chosen from a summary-level genetic data set from the FinnGen consortium in people of European ancestry (1462 cases and 164,682 controls). Stroke and its subtypes were selected as outcomes, and the MEGASTROKE consortium population was used to identify the genetic associations of AS on stroke (40,585 cases and 406,111 controls), ischemic stroke (IS) (34,217 cases and 406,111 controls), and its subtypes including large artery stroke (LAS) (4373 cases and 146,392 controls), small vessel stroke (SVS) (5386 cases and 192,662 controls), and cardioembolic stroke (CES) (7193 cases and 204,570 controls). Intracerebral hemorrhage (ICH) (1687 cases and 201,146 controls) data set from the FinnGen consortium was also used. To obtain the casual estimates, the inverse variant weighted (IVW) method was mainly used. By examining the heterogeneity and pleiotropy of particular single nucleotide polymorphisms (SNPs), the robustness of the results was also examined.ResultsThere was no evidence found to prove the correlation between genetically predicted AS and stroke (odds ratio [OR] 1.014; 95% confidence interval [CI] 0.999-1.031; P = 0.063), ICH (OR 1.030; 95% CI 0.995-1.067; P = 0.090), and IS (OR 1.013; 95% CI 0. 998-1.030; P = 0.090). In terms of the different subtypes of IS, there was strong evidence of positive causal inferences on CES (OR 1.051; 95% CI 1.022-1.081; P = 0.001), and suggestive evidence of positive causal inferences on LAS (OR 1.042; 95% CI 1.003-1.082; P = 0.033), while it was not significant for SVS (OR 1.010; 95% CI 0.975-1.047; P = 0.563).ConclusionThis study suggests that the possible causative impact of genetically predicted AS on stroke may be restricted to the CES and LAS subtypes.
The survival outcomes of neoadjuvant sintilimab combined with chemotherapy in patients with locally advanced esophageal squamous cell carcinoma
Authors: Lv Huilai , Huang Chao , Li Jiachen , Zhang Fan , Gai Chunyue , Liu Zhao , Xu Shi , Wang Mingbo , Li Zhenhua , Tian Ziqiang 
Published: January 2023

BackgroundNeoadjuvant programmed death receptor-1 (PD-1) inhibitor combined with chemotherapy has been reported to improve the pathological response of locally advanced esophageal squamous cell carcinoma (ESCC), but the systematic report on survival follow-up is quite few. This study we will report the survival follow-up outcomes after a median follow-up of 21.1 months.MethodsThis was a real-world retrospective study. Locally advanced ESCC patients treated with neoadjuvant sintilimab combined with albumin-bound paclitaxel and nedaplatin followed by surgery and completed at least 1-year follow-up were reviewed. The primary outcome was disease-free survival (DFS) at 24 months. The secondary outcome was overall survival (OS) at 24 months.ResultsNinety eligible patients were included in the analysis between July 2019 and October 2021. The median number of neoadjuvant cycles was 3 (range 2-4). All patients achieved R0 resection. With a median follow-up of 21.1 months (range 14.0-39.0), the median DFS and median OS had not reached, 2-year DFS rate was 78.3% (95%CI 68.8%-89.1%) and 2-years OS rate was 88.0% (95%CI 80.6%-96.0%). Postoperative pathological stage, pCR, MPR, tumor down-staging were significantly correlated with favorable survival outcome. Univariable and multivariable Cox regression analysis identified cycle number of neoadjuvant treatment as independent predictor of DFS.ConclusionOur results preliminarily show a survival benefit of neoadjuvant sintilimab combined with chemotherapy in locally advanced ESCC.
Influence of daily rhythmic light spectra and intensity changes on the growth and physiological status of juvenile steelhead trout (Oncorhynchus mykiss)
Authors: Ma Shisheng , Li Li , Chen Xiaoqun , Chen Shujing , Dong Yunwei , Gao Qinfeng , Zhou Yangen , Dong Shuanglin 
Published: January 2023

The objective of this study was to investigate the effects of different rhythmic light spectra and intensities on growth performance and physiological and biochemical parameters of juvenile steelhead trout (Oncorhynchus mykiss). Seven treatments were randomly assigned to 21 tanks using a single-flow system for 13 weeks (N = 3), namely blue–purple–red light (BPR), red–purple–blue light (RPB), blue light (VB), and red light (VR). These light treatments alternated at 300, 900, and 1,200 lx, as well as a constant 900 lx of blue light (CB), red light (CR), and white light (CW). Results showed that the highest feed intake (FI), final body weight (FBW), and specific growth rate (SGR) were observed in the BPR treatment, which were significantly higher than those in the CW, CR, CB, and VB treatments. BPR treatment resulted in higher levels of insulin-like growth factor 1 (IGF-1), free triiodothyronine (FT3) and thyroxine (FT4), superoxide dismutase (SOD), and catalase (CAT), and total antioxidant capacity (T-AOC) activities were found. Fish exposed to BPR showed significantly enhanced lipase (LPS) and trypsin (Trp) activity in the stomach and gut tissues which promoted digestion. Trout exposed to a constant light spectra and intensity environment showed decreased activities of antioxidant and gastrointestinal digestive enzymes. Our results indicate the positive influence of BPR light conditions on the growth, stress response, digestion, and metabolism of juvenile steelhead trout, which is likely related to its similarity to the light rhythm in natural water environments, and can be used to improve growth and physiological status in the aquaculture trout.
Large-scale fire whirl and forest fire disasters: Awareness, implications, and the need for developing preventative methods
Authors: Darwish Ahmad Adnan , Akafuah Nelson K. , Forthofer Jason , Fuchihata Manabu , Hirasawa Taro , Kuwana Kazunori , Nakamura Yuji , Sekimoto Kozo , Saito Kozo , Williams Forman A. 
Published: January 2023

The authors are a team of fire whirl researchers who have been actively studying whirls and large-scale wildland fires by directly observing them through fire-fighting efforts and applying theory, scale modeling, and numerical simulations in fire research. This multidisciplinary research-background team previously conducted scale model experiments to reconstruct hazardous large-scale fires in the laboratory, then conducted numerical simulations and developed fundamental theories to translate these findings into a basic understanding of combustion science and fluid dynamics. This article, a mix of reviews of the state of art experiments, theories, numerical modeling and artificial intelligence, and two case studies, is intended to address some safety concerns and raise awareness of large-scale fire whirls and forest fires with knowledge of thermodynamics, chemical kinetics, fluid dynamics, design, and practical fire-fighting experience, offering gaps that should be filled and future research to be conducted in each field, and crucial new observations and insights on large-scale fire incidents. We believe, this timely topic is of interest not only to fire research community but also to general readers, as the frequency and intensity of large-scale forest fires and fire whirls have increased, possibly due to the continuing global warming trend and human-induced changes in fuels. Each section and case study was written by one or two individual researchers based on their field of expertise which allows them to critically review progress made in their section of large-scale fire-whirls and forest-fires. Crucial observations and insights on the historical Great-Kanto-Earthquake-generated Hifukusho-Ato Fire-whirl (HAFW) and the slow rotations observed during recent forest firefighting efforts are presented. The first case study occurred in downtown Tokyo on 1 September 1923, as a result of the Great-Kanto-Earthquake, which claimed over 38,000 deaths within 15 min. The second case study discusses large-scale slow rotations observed during recent forest fires, which might had been responsible for the injuries and deaths of experienced firefighters.
Efficacy of small-incision lenticule extraction surgery in high astigmatism: A meta-analysis
Authors: Cui Ge , Di Yu , Yang Shan , Chen Di , Li Ying 
Published: January 2023

PurposeThis study aimed to evaluate the efficacy of small-incision lenticule extraction (SMILE) in improving vision and visual quality and correcting astigmatism for the treatment of high astigmatism.MethodsEligible studies and studies comparing the efficacy of SMILE with femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) or transepithelial photorefractive keratectomy (T-PRK) for high astigmatism (≥2.00 D) were identified in PubMed, Embase, and the Cochrane Central Register of Controlled Trials, searched from their inception to 29 May 2022. The references of all searched studies were checked as supplements. The risk of bias was evaluated for each eligible study. The literature was screened according to the inclusion and exclusion criteria, and relative data were extracted. Data were extracted and analyzed by ReviewManager 5.4. The primary outcome was post-operative uncorrected distance visual acuity (UDVA). The secondary outcomes included corneal aberrations and vector parameters. The weight mean difference (WMD) and their 95% confidence intervals (95% CI) were used to assess the strength of the association.ResultsA total of six studies including 380 astigmatism eyes were involved, with 211 high-astigmatism eyes and 31 low-astigmatism eyes undergoing SMILE surgery, 94 high-astigmatism eyes undergoing FS-LASIK surgery, and 44 high-astigmatism eyes undergoing T-PRK surgery. Compared with non-SMILE, SMILE induced more astigmatism (weighted mean difference [WMD] = −0.07, 95% CI [−0.12 to −0.02], P = 0.005) and fewer sphere aberrations (WMD = −0.12, 95% CI [−0.17 to −0.08], P &lt; 0.00001). The post-operative UDVA, sphere, spherical equivalent (SE), and higher order aberrations in different surgeries were likewise equivalent. The difference vector and index of success were significantly higher, and the surgically induced astigmatism vector, correction index, and magnitude of error were significantly lower in SMILE.ConclusionThis meta-analysis suggests that SMILE, FS-LASIK, and T-PRK show excellent efficacy, predictability, and safety for myopia. SMILE exhibited less astigmatism refraction predictability and less surgically induced spherical aberrations. There may be more under-correction in SMILE. More randomized, prospective, and large sample-sized studies are needed to confirm these conclusions in the long term.