bluuebunny/crossref_metadata_2025_split huggingface dataset:
An integrated signature of extracellular matrix proteins and a diastolic function imaging parameter predicts post-MI long-term outcomes
Authors: Koh Hiromi W.L. , Pilbrow Anna P. , Tan Sock Hwee , Zhao Qing , Benke Peter I. , Burla Bo , Torta Federico , Pickering John W. , Troughton Richard , Pemberton Christopher , Soo Wern-Miin , Ling Lieng Hsi , Doughty Robert N. , Choi Hyungwon , Wenk Markus R. , Richards A. Mark , Chan Mark Y. 
Published: April 2023

BackgroundPatients suffering from acute myocardial infarction (AMI) are at risk of secondary outcomes including major adverse cardiovascular events (MACE) and heart failure (HF). Comprehensive molecular phenotyping and cardiac imaging during the post-discharge time window may provide cues for risk stratification for the outcomes.Materials and methodsIn a prospective AMI cohort in New Zealand (N = 464), we measured plasma proteins and lipids 30 days after hospital discharge and inferred a unified partial correlation network with echocardiographic variables and established clinical biomarkers (creatinine, c-reactive protein, cardiac troponin I and natriuretic peptides). Using a network-based data integration approach (iOmicsPASS+), we identified predictive signatures of long-term secondary outcomes based on plasma protein, lipid, imaging markers and clinical biomarkers and assessed the prognostic potential in an independent cohort from Singapore (N = 190).ResultsThe post-discharge levels of plasma proteins and lipids showed strong correlations within each molecular type, reflecting concerted homeostatic regulation after primary MI events. However, the two molecular types were largely independent with distinct correlation structures with established prognostic imaging parameters and clinical biomarkers. To deal with massively correlated predictive features, we used iOmicsPASS + to identify subnetwork signatures of 211 and 189 data features (nodes) predictive of MACE and HF events, respectively (160 overlapping). The predictive features were primarily imaging parameters, including left ventricular and atrial parameters, tissue Doppler parameters, and proteins involved in extracellular matrix (ECM) organization, cell differentiation, chemotaxis, and inflammation. The network signatures contained plasma protein pairs with area-under-the-curve (AUC) values up to 0.74 for HF prediction in the validation cohort, but the pair of NT-proBNP and fibulin-3 (EFEMP1) was the best predictor (AUC = 0.80). This suggests that there were a handful of plasma proteins with mechanistic and functional roles in predisposing patients to the secondary outcomes, although they may be weaker prognostic markers than natriuretic peptides individually. Among those, the diastolic function parameter (E/e' - an indicator of left ventricular filling pressure) and two ECM proteins, EFEMP1 and follistatin-like 3 (FSTL3) showed comparable performance to NT-proBNP and outperformed left ventricular measures as benchmark prognostic factors for post-MI HF.ConclusionPost-discharge levels of E/e', EFEMP1 and FSTL3 are promising complementary markers of secondary adverse outcomes in AMI patients.
Effects of varying blood flow rate during peripheral veno-arterial extracorporeal membrane oxygen (V-A ECMO) on left ventricular function measured by two-dimensional strain
Authors: Ng Pauline Yeung , Ma Tammy Sin Kwan , Ip April , Fang Shu , Li Andy Chak Cheung , Wong Alfred Sai Kuen , Ngai Chun Wai , Chan Wai Ming , Sin Wai Ching 
Published: April 2023

BackgroundWe evaluated the effects of varying blood flow rate during peripheral veno-arterial extracorporeal membrane oxygen (V-A ECMO) on left ventricular function measured by two-dimensional strain.MethodsAdult patients who were supported by peripheral V-A ECMO were recruited. Serial hemodynamic and cardiac performance parameters were measured by transthoracic echocardiogram within the first 48 h after implementation of V-A ECMO. Measurements at 100%, 120%, and 50% of target blood flow (TBF) were compared.ResultsA total of 54 patients were included and the main indications for V-A ECMO were myocardial infarction [32 (59.3%)] and myocarditis [6 (11.1%)]. With extracorporeal blood flow at 50% compared with 100% TBF, the mean arterial pressure was lower [66 ± 19 vs. 75 ± 18 mmHg, p &lt; 0.001], stroke volume was greater [23 (12–34) vs. 15 (8–26) ml, p &lt; 0.001], and cardiac index was higher [1.2 (0.7–1.7) vs. 0.8 (0.5–1.3) L/min/m2, p &lt; 0.001]. Left ventricular contractile function measured by global longitudinal strain improved at 50% compared with 100% TBF [−2.8 (−7.6- −0.1) vs. −1.2 (−5.2–0) %, p &lt; 0.001]. Similarly, left ventricular ejection fraction increased [24.4 (15.8–35.5) vs. 16.7 (10.0–28.5) %, p &lt; 0.001] and left ventricular outflow tract velocity time integral increased [7.7 (3.8–11.4) vs. 4.8 (2.5–8.5) cm, p &lt; 0.001]. Adding echocardiographic parameters of left ventricular systolic function to the Survival After Veno-arterial ECMO (SAVE) score had better discriminatory value in predicting eventual hospital mortality (AUROC 0.69, 95% CI 0.55–0.84, p = 0.008) and successful weaning from V-A ECMO (AUROC 0.68, 95% CI 0.53–0.83, p = 0.017).ConclusionIn the initial period of V-A ECMO support, measures of left ventricular function including left ventricular ejection fraction and global longitudinal strain were inversely related to ECMO blood flow rate. Understanding the heart-ECMO interaction is vital to interpretation of echocardiographic measures of the left ventricle while on ECMO.
Validating criteria for identifying core concepts using many-facet rasch measurement
Authors: McLaughlin Jacqueline E. , Angelo Thomas A. , White Paul J. 
Published: April 2023

IntroductionCore concepts are foundational, discipline-based ideas considered necessary for students to learn, remember, understand, and apply. To evaluate the extent to which a concept is “core,” experts often rate concepts using various criteria, such as importance, complexity, and timeliness. However, there is a lack of validity evidence for core concepts criteria.MethodsUsing a three-facet Many-Facet Rasch Measurement (MFRM) model, we analyzed 7,558 ratings provided by 21 experts/raters for 74 pharmacology core concepts using five criteria measured on a five-point scale.ResultsAll of the criteria had Infit or Outfit MnSq values within the expected range (0.5 &lt; MnSq &lt; 1.7), suggesting the criteria contained an acceptable amount of variability; a reliability index of approximately 1.00 suggested that the criteria were reliably separated with a high degree of confidence. The rating scale Outfit MnSq statistics also fell within the 0.5–1.7 model fit limits; the “average measure” and “Rasch-Andrich thresholds” increased in magnitude as the rating scale categories increased, suggesting that core concepts with higher ratings were in fact meeting the criteria more convincingly than those with lower ratings. Adjusting expert ratings using the MFRM facets (e.g., rater severity) resulted in reorganization of core concepts rankings.ConclusionThis paper is a novel contribution to core concepts research and is intended to inform other disciplines seeking to develop, implement, and refine core concepts within the biomedical sciences and beyond.
Global thyroid cancer incidence trend and age-period-cohort model analysis based on Global Burden of Disease Study from 1990 to 2019
Authors: Xu Le , Cao Zhe Xu , Weng Xin , Wang Can Fei 
Published: April 2023

BackgroundIn view of the rapid increase in the incidence of thyroid cancer (TC) and the spread of overdiagnosis around the world, the quantitative evaluation of the effect of age, period and birth cohort on the incidence of TC, and the analysis of the role of different factors in the incidence trend can provide scientific basis and data support for the national health departments to formulate reasonable prevention and treatment policies.MethodsThe study collated the global burden disease study data of TC incidence from 1990 to 2019, and used APC model to analyze the contribution of age, period and birth cohort to the incidence trend of TC.ResultsThere was an obvious unfavorable upward trend in terms of age and cohort effect all over the world. Since 2007, the growth rate of risk slowed down and the risk in female even decreased since 2012, which mainly contributed to the developed countries. In all SDI countries, 2002 is the dividing point of risk between male and female. In 2019, The global age-standardized incidence rate (ASIR) of TC in the 5 SDI countries all showed a significant upward trend, with the largest upward trend in the middle SDI countries.ConclusionThe trend of rapid increase in the incidence of TC has begun to slow down, but the global incidence of TC has obvious gender and regional/national heterogeneity. Policy makers should tailor specific local strategies to the risk factors of each country to further reduce the burden of TC.
Molecular and clinical features of papillary thyroid cancer in adult patients with a non-classical phenotype
Authors: Zhou Jie , Wang Wei-Ran , Zhang Hui-Fang , Gao Qi-Qi , Wang Wei-Bin , Zhu Jian-Hua , Han Yu-Shuai , Chen Jing , Ma Tong-Hui , Zhang Xiao-Yan , Teng Xiao-Dong 
Published: April 2023

PurposeGenotyping is fundamental in papillary thyroid cancer (PTC) and helps to enhance diagnosis and prognosis and determine appropriate treatments. The phenotype-genotype association in PTC was previously studied, with BRAF V600E characterizing classic PTC and tall-cell PTC and RAS mutations characterizing follicular-variant PTC. In clinic, some non-classical histological subtypes of PTC were also identified, however, their genotype remains unclear. In this study, we collected samples of these non-classical PTC after the exclusion of classic phenotypes and examined their phenotypes, genotype and the relationship between phenotype and genotype.MethodsWe screened out non-classical PTC by excluding classical PTC from 1,059 different thyroid samples, and a total of 24 cases was obtained and described from the morphological features, which is rare in differentiated PTC. DNA/RNA sequencing was performed using 18 available samples to describe the genetic features.ResultsPTC with the non-classical phenotype were characterized cuboidal to low columnar tumor cells with subtle nuclear features of PTC and without discernible nuclear elongation, concurrently with dense microfollicles, delicate papillae or solid nodules with delicate fibrovascular cores. They were associated with lymphatic vessel invasion (P&lt;0.001) but not with a worse prognosis (P=0.791). Gene fusions were identified in 14 of 18 (77.8%) cases, including eight fusions of NTRK and six fusions of RET. The high percentage of fusions in this papillary thyroid cancer subgroup suggested a correlation of gene fusions with the phenotype that does not belong to the BRAF V600E-mutant or RAS-mutant group.ConclusionsOur study retrospectively screened a large cohort of different thyroid tissue samples, and presented the histopathological and genetic features of a non-classical phenotype of PTC from 24 patients. It may contribute to diagnose in PTC, and patients of these non-classical phenotype may benefit from targeted therapy, compared to a natural patient cohort without selection.
Evaluation and revision of long-range single-site lightning location accuracy considering the time delay of ground wave
Authors: Zhou Jiahao , Zhang Qilin , Zhang Junchao , Dai Bingzhe , Li Jie , Wang Yao , Gu Jiaying 
Published: April 2023

Detecting the distance and orientation of long-distance thunderstorms has very important practical significance. The multi-station lightning location system relies on a high-precision time module and good network communication capabilities, but in some cases these conditions cannot be met, but there is still a need for lightning activity monitoring, and it is very important to establish a single-site lightning location system. In this paper, we have established a long-distance single-site lightning location station, and in order to improve the accuracy of distance estimation, a numerical algorithm is used to obtain the relationship between the ground wave arrival time delay and the propagation distance, and it is used to revise the time difference between the peak value of the skywave and ground wave. Moreover, we used multi-station lightning location data to revise the site-error in magnetic direction finder method to improve the accuracy of the direction calculation. The results show that the effective detection range of the single-site we have been established is 200 km–2000 km, and the revised average direction deviation dropped from 12.3° to 8.6°. The verification results of thunderstorms within the effective detection range show that the relative error of single-site lightning location is 8.4%–18.6% after the revision.
Sensitivity of simulated water mass transformation on the Antarctic shelf to tides, topography and model resolution
Authors: Boeira Dias Fabio , Rintoul Stephen R. , Richter Ole , Galton-Fenzi Benjamin Keith , Zika Jan D. , Pellichero Violaine , Uotila Petteri 
Published: April 2023

Water mass transformation (WMT) around the Antarctic margin controls Antarctica Bottom Water formation and the abyssal limb of the global meridional overturning circulation, besides mediating ocean-ice shelf exchange, ice sheet stability and its contribution to sea level rise. However, the mechanisms controlling the rate of WMT in the Antarctic shelf are poorly understood due to the lack of observations and the inability of climate models to simulate those mechanisms, in particular beneath the floating ice shelves. We used a circum-Antarctic ocean-ice shelf model to assess the contribution of surface fluxes, mixing, and ocean-ice shelf interaction to the WMT on the continental shelf. The salt budget dominates the WMT rates, with only a secondary contribution from the heat budget. Basal melt of ice shelves drives buoyancy gain at lighter density classes (27.2&lt;σθ&lt; 27.6 kg m-3), while salt input associated with sea-ice growth in coastal polynyas drives buoyancy loss at heavier densities (σθ&gt; 27.6). We found a large sensitivity of the WMT rates to model horizontal resolution, tides and topography within the Filchner-Ronne, East and West Antarctica ice shelf cavities. In the Filchner-Ronne Ice Shelf, an anticyclonic circulation in front of the Ronne Depression regulates the rates of basal melting/refreezing and WMT and is substantially affected by tides and model resolution. Model resolution is also found to affect the Antarctic Slope Current in both East and West Antarctica, impacting the on-shelf heat delivery, basal melt and WMT. Moreover, the representation of the ice shelf draft associated with model resolution impacts the freezing temperature and thus basal melt and WMT rates in the East Antarctica. These results highlight the importance of resolving small-scale features of the flow and topography, and to include the effects of tidal forcing, to adequately represent water mass transformations on the shelf that directly influence the abyssal global overturning circulation.
The endogenous thrombin potential in patients with left ventricular assist device or heart transplant
Authors: Schlagenhauf Axel , Haidl Harald , Trummer Georg , Berchtold-Herz Michael , Pooth Jan-Steffen , Strini Tanja , Geisen Ulrich , Beyersdorf Friedhelm , Zieger Barbara 
Published: April 2023

BackgroundThe Heartmate 3 (HM 3) is a left ventricular assist device featuring less shear stress, milder acquired von Willebrand syndrome, and fewer bleeding incidences than its predecessor the Heartmate II (HM II). The novel surface coating of the HM 3 suggests less contact activation of plasmatic coagulation. We hypothesized that patients with HM 3 exhibit fewer aberrations in their thrombin potential than patients with HM II. We compared these results with the thrombin potential of patients with heart transplantation (HTX).MethodsThrombin generation in plasma samples of patients with HM II (n = 16), HM 3 (n = 20), and HTX (n = 13) was analyzed 3 days after implantation/transplantation and after long-term support (3–24 months) with HM II (n = 16) or HM 3 (n = 12) using calibrated automated thrombography. Heparin in postoperative samples was antagonized with polybrene.ResultsThree days postoperatively HM II patients exhibited a lower endogenous thrombin potential (ETP) than HM 3 and HTX patients (HM II: 947 ± 291 nM*min; HM 3: 1231 ± 176 nM*min; HTX: 1376 ± 162 nM*min, p &lt; 0.001) and a lower velocity index of thrombin generation (HM II: 18.74 ± 10.90 nM/min; HM 3: 32.41 ± 9.51 nM/min; HTX: 37.65 ± 9.41 nM/min, p &lt; 0.01). Subtle differences in the thrombin generation profiles remained in HM II and HM 3 patients under long-term support (Velocity Index: HM II: 38.70 ± 28.46 nM/min; HM 3: 73.32 ± 32.83 nM/min, p &lt; 0.05). Prothrombin fragments 1 + 2 were higher in HM II than in HM 3 patients (HM II: 377.7 ± 208.4 pM; HM 3: 202.1 ± 87.7 pM, p &lt; 0.05) and correlated inversely with the ETP (r = −0.584, p &lt; 0.05).ConclusionWe observed a more aberrant thrombin generation in HM II than in HM 3 despite comparable anticoagulation and routine parameters. A trend toward lower values was still observable in HM 3 compared to HTX patients. Calibrated automated thrombography may be a good tool to monitor the coagulation state of these patients and guide anticoagulation in the future.
Long-term survival benefits of intrathecal autologous bone marrow-derived mesenchymal stem cells (Neuronata-R®: lenzumestrocel) treatment in ALS: Propensity-score-matched control, surveillance study
Authors: Nam Jae-Yong , Chun Sehwan , Lee Tae Yong , Seo Yunjeong , Kim Kwijoo , Park Jinseok , Sung Wonjae , Oh Ki-Wook , Lee Sanggon , Park Jin-Sung , Oh Juyeon , Chung Kyung Cheon , An Hyonggin , Chu Hyeon Sik , Son Bugyeong , Kim Seung Hyun 
Published: April 2023

ObjectiveNeuronata-R® (lenzumestrocel) is an autologous bone marrow-derived mesenchymal stem cell (BM-MSC) product, which was conditionally approved by the Korean Ministry of Food and Drug Safety (KMFDS, Republic of Korea) in 2013 for the treatment of amyotrophic lateral sclerosis (ALS). In the present study, we aimed to investigate the long-term survival benefits of treatment with intrathecal lenzumestrocel.MethodsA total of 157 participants who received lenzumestrocel and whose symptom duration was less than 2 years were included in the analysis (BM-MSC group). The survival data of placebo participants from the Pooled-Resource Open-Access ALS Clinical Trials (PROACT) database were used as the external control, and propensity score matching (PSM) was used to reduce confounding biases in baseline characteristics. Adverse events were recorded during the entire follow-up period after the first treatment.ResultsSurvival probability was significantly higher in the BM-MSC group compared to the external control group from the PROACT database (log-rank, p &lt; 0.001). Multivariate Cox proportional hazard analysis showed a significantly lower hazard ratio for death in the BM-MSC group and indicated that multiple injections were more effective. Additionally, there were no serious adverse drug reactions found during the safety assessment, lasting a year after the first administration.ConclusionThe results of the present study showed that lenzumestrocel treatment had a long-term survival benefit in real-world ALS patients.
Perception of length and orientation in dry immersion
Authors: Lyakhovetskii Vsevolod , Chetverikov Andrey , Zelenskaya Inna , Tomilovskaya Elena , Karpinskaia Valeriia 
Published: April 2023

IntroductionHow does gravity (or lack thereof) affect sensory-motor processing? We analyze sensorimotor estimation dynamics for line segments with varying direction (orientation) in a 7-day dry immersion (DI), a ground-based model of gravitational unloading.MethodsThe measurements were carried out before the start of the DI, on the first, third, fifth and seventh days of the DI, and after its completion. At the memorization stage, the volunteers led the leading hand along the visible segment on a touchscreen display, and at the reproduction stage they repeated this movement on an empty screen. A control group followed the same procedure without DI.ResultsBoth in the DI and control groups, when memorizing, the overall error in estimating the lengths and directions of the segments was small and did not have pronounced dynamics; when reproducing, an oblique effect (higher variability of responses to oblique orientations compared to cardinal ones) was obtained. We then separated biases (systematic error) and uncertainty (random error) in subjects’ responses. At the same time, two opposite trends were more pronounced in the DI group during the DI. On the one hand the cardinal bias (a repulsion of orientation estimates away from cardinal axes) and, to a small extent, the variability of direction estimates decreased. On the other hand, the overestimation bias in length estimates increased.DiscussionSuch error pattern strongly supports the hypotheses of the vector encoding, in which the direction and length of the planned movement are encoded independently of each other when the DI disrupts primarily the movement length encoding.
Cognitive functions and patterns of brain activity in patients after simultaneous coronary and carotid artery revascularization
Authors: Tarasova Irina , Trubnikova Olga , Kupriyanova Darya S. , Maleva Olga , Syrova Irina , Kukhareva Irina , Sosnina Anastasia , Tarasov Roman , Barbarash Olga 
Published: April 2023

BackgroundOn-pump coronary artery bypass grafting (CABG) is associated with a high risk of neurological complications in patients with severe carotid stenosis. Moreover, early postoperative cognitive dysfunction (POCD) incidence remains high in patients undergoing simultaneous coronary and carotid surgery. Recent studies have shown that even moderate carotid stenosis (≥50%) is associated with postoperative cognitive decline after CABG. Data on brain health in the postoperative period of simultaneous coronary and carotid surgery are limited.ObjectivesThis study aimed to analyze early postoperative changes in the cognitive function and patterns of brain electrical activity in patients after simultaneous coronary and carotid artery revascularization.Materials and methodsBetween January 2017 and December 2020, consecutive patients were assigned to on-pump CABG with or without carotid endarterectomy (CEA) according to clinical indications. An extended neuropsychological and electroencephalographic (EEG) assessment was performed before surgery and at 7–10 days after CABG or CABG + CEA.ResultsA total of 100 patients were included [median age 59 (55; 65), 95% men, MMSE 27 (26; 28)], and among these, 46 underwent CEA. POCD was diagnosed in 29 (63.0%) patients with CABG + CEA and in 32 (59.0%) patients with isolated CABG. All patients presented with a postoperative theta power increase. However, patients with CABG + right-sided CEA demonstrated the most pronounced theta power increase compared to patients with isolated CABG.ConclusionThe findings of our study show that patients with CABG + CEA and isolated CABG have comparable POCD incidence; however, patients with CABG + right-sided CEA presented with lower brain activity.