bluuebunny/crossref_metadata_2025_split huggingface dataset:
Elexacaftor-tezacaftor-ivacaftor in patients with cystic fibrosis ineligible for clinical trials: a 24-week observational study
Authors: Fila Libor , Grandcourtova Alzbeta , Bilkova Alena , Drevinek Pavel 
Published: June 2023

Introduction: Seminal clinical trials with the triple combination of elexacaftor-tezacaftor-ivacaftor (ETI) demonstrated clinical efficacy in people with cystic fibrosis (pwCF) who carry at least one F508del mutation. However, due to exclusion criteria of these clinical trials, the effect of ETI was not studied in a substantial number of pwCF. Thus, we ran a single center trial to evaluate a clinical efficacy of ETI treatment in adult pwCF who were ineligible for enrollment in registration studies.Methods: PwCF on ETI with prior lumacaftor-ivacaftor therapy, severe airway obstruction, well-preserved lung function, or with airway infection with pathogens at risk of more rapid decline in lung function formed the study group, while all the others on ETI formed the control group. Lung function, nutritional status and sweat chloride concentration were assessed before and after initialization of ETI therapy over a 6-month period.Results: Approximately a half of the ETI-treated pwCF at the adult Prague CF center (49 of 96) were assigned to the study group. Their mean changes in body mass index ( + 1.04 kg/m2) and in sweat chloride concentration (−48.4 mmol/L) were similar to the control group ( + 1.02 kg/m2; −49.7 mmol/L), while the mean change in percent predicted forced expiratory volume in 1 s (ppFEV1; + 10.3 points) was significantly lower than in the control group ( + 15.8 points) (p = 0.0015). In the subgroup analysis, pwCF with severe airway obstruction (ppFEV1 &lt;40) and pwCF with well-preserved lung function (ppFEV1 &gt;90) showed a less potential for improvement in lung function during the ETI treatment than controls (median change in ppFEV1 + 4.9 points and + 9.5 points, respectively).Conclusion: PwCF not eligible for inclusion in clinical trials demonstrated improvement in lung function and nutritional status following the initiation of treatment with the ETI combination. Moderate increase in ppFEV1 was observed in those with severe airway obstruction or well-preserved lung function.
A geostationary orbit microwave multi-channel radiometer
Authors: Zhou Weilai , Lv Rongchuan , Li Hao , Li Yinan , Dou Haofeng , He Zheng , Shen Shangyu , Gao Wenyu , Ren He , Zhang Long , Jin Liang 
Published: June 2023

The geostationary orbit microwave multi-channel radiometer has the advantages of high real-time performance and large coverage, which plays an important role in typhoon, strong precipitation detection, and medium-to-short-term meteorological/oceanic forecasting. However, due to the difficulty in engineering development of the payload, its application on-orbit has not yet been achieved at present. To satisfy the requirements of fine and quantitative application of satellite observation data, a geostationary orbit microwave multi-channel radiometer with a 10-m-caliber is developed, in which the spatial resolution at horizontal polarization is better than 24 km at 54 GHz. In geostationary orbit microwave multi-channel radiometer, a quasi-optical feed network covering nearly 28 frequency octave bands and ranging from 23.8 to 664 GHz is proposed to solve the technical problem of multi-frequency sharing in the system. Meanwhile, a high-precision reflector preparation method and a high-precision unfolding scheme are proposed, which are considered as a solution for the large-diameter reflector with a high maintaining surface accuracy. A high-precision antenna prototype with 0.54-m is developed, and the tests are performed to verify the key technologies, such as the preparation of high-precision grating reflectors at the micron level, high surface accuracy detection, and sub-millimeter wave antenna electrical performance testing. The results indicate that measured main beam efficiency of the 664 GHz antenna is better than 95.5%. In addition, the system sensitivity is greater than 1.5 K, and the calibration accuracy is better than 1.8 K, according to the results of an analysis of the multi-channel radiometer’s essential parameters and calibration errors.
Transcriptomic analysis reveals the gene regulatory networks involved in leaf and root response to osmotic stress in tomato
Authors: Pirona Raul , Frugis Giovanna , Locatelli Franca , Mattana Monica , Genga Annamaria , Baldoni Elena 
Published: June 2023

IntroductionTomato (Solanum lycopersicum L.) is a major horticultural crop that is cultivated worldwide and is characteristic of the Mediterranean agricultural system. It represents a key component of the diet of billion people and an important source of vitamins and carotenoids. Tomato cultivation in open field often experiences drought episodes, leading to severe yield losses, since most modern cultivars are sensitive to water deficit. Water stress leads to changes in the expression of stress-responsive genes in different plant tissues, and transcriptomics can support the identification of genes and pathways regulating this response. MethodsHere, we performed a transcriptomic analysis of two tomato genotypes, M82 and Tondo, in response to a PEG-mediated osmotic treatment. The analysis was conducted separately on leaves and roots to characterize the specific response of these two organs. ResultsA total of 6,267 differentially expressed transcripts related to stress response was detected. The construction of gene co-expression networks defined the molecular pathways of the common and specific responses of leaf and root. The common response was characterized by ABA-dependent and ABA-independent signaling pathways, and by the interconnection between ABA and JA signaling. The root-specific response concerned genes involved in cell wall metabolism and remodeling, whereas the leaf-specific response was principally related to leaf senescence and ethylene signaling. The transcription factors representing the hubs of these regulatory networks were identified. Some of them have not yet been characterized and can represent novel candidates for tolerance. DiscussionThis work shed new light on the regulatory networks occurring in tomato leaf and root under osmotic stress and set the base for an in-depth characterization of novel stress-related genes that may represent potential candidates for improving tolerance to abiotic stress in tomato.
The effects of nature-based interventions on individuals’ environmental behaviors: protocol for a systematic review of controlled trials
Authors: Šorytė Dovilė , Rosa Claudio D. , Collado Silvia , Pakalniškienė Vilmantė 
Published: June 2023

BackgroundThe paper presents the rationale and methods of the planned systematic review to understand the effects of nature-based interventions on individuals’ environmental behaviors. There is ample evidence that experiences in nature not only enhance human well-being but also help promote people’s pro-environmentalism. Nevertheless, synthesized evidence regarding the effects of nature-based interventions on individuals’ environmental behaviors is lacking.MethodsThis protocol follows the Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. The planned literature search will be conducted by using APA PsycInfo, APA PsyArticles, PubMed, ERIC, Education Source, GreenFILE, OpenDissertations, Scopus, and WEB of Science. In the protocol, we present search strategies for each specific database. Data items that we will seek to obtain from the selected publications are described in detail and cover general information about included studies, information about studies’ methodology and participants, outcomes of the studies, and nature-based and comparative interventions. The outcomes will be behavioral, including aggregated and specific types of environmental behaviors, as well as reported and observed behaviors. Furthermore, the protocol provides a description of the prospective assessment of the risk of bias in both randomized and non-randomized studies. If studies appear sufficiently homogeneous, we will conduct a meta-analysis using the inverse-variance method. Details of the data synthesis are likewise provided in the paper.ResultsDissemination of the results of the planned review will be carried out via a peer-reviewed open-access journal publication.ImplicationsGiven the great need to address current environmental issues, understanding what encourages people to act pro-environmentally is critical. It is expected that the findings of the planned review will provide valuable insights for researchers, educators, and policymakers who are involved in understanding and promoting human environmental behaviors.
After the first lockdown due to the COVID-19 pandemic: Perceptions, experiences, and effects on well-being in Italian people
Authors: Covelli Venusia , Camisasca Elena , Manzoni Gian Mauro , Crescenzo Pietro , Marelli Alessandra , Visco Marina Angela , Cafagna Dario , Marsicovetere Vincenzo , Pesce Mario , Cantoia Manuela 
Published: June 2023

BackgroundSince the COVID-19 pandemic and the subsequent measures of containment, multiple studies have been conducted aimed at assessing the impacts on people’s psychophysical well-being; however, few studies have investigated the general population’s perceptions, experiences, and effects by adopting a mixed-method approach.MethodsA total of 855 Italian participants completed an online survey, conducted in the period following the first lockdown in Italy. Psychological well-being, perceived stress and COVID-19-related fears were assessed by standardized questionnaires (Psychological General Well-Being Index-Short version, Perceived Stress Scale 10, and Multidimensional Assessment of COVID-19-Related Fears). The process of sense-making of the experience during the lockdown period was also evaluated by means of an open-ended question.ResultsParticipants reported a lower level of general well-being, and a higher level of both perceived stress and COVID-19-related fear during the lockdown period compared to the time of the survey (1 month after the resumption of activities). The thematic analysis of responses to the open-ended question revealed two factors and five clusters, which explain the thematic variance among the narratives: the first factor refers to the type of experience (emotional states and feelings vs. objective descriptions of daily activities), while the second concerns positive or negative connotations of the experiences reported.ConclusionsThis study explored the psychological impact of the first lockdown on people’s well-being, and described the process of making sense of the experience during the lockdown 1 month after going back to previous habits. Results highlighted the effectiveness of the mixed-method approach for an in-depth and exhaustive investigation of people’s psychological condition during and after the first lockdown.
Dietary intake, physical activity and sedentary behavior and association with BMI during the transition to parenthood: a prospective dyadic study
Authors: Versele Vickà , Stas Lara , Aerenhouts Dirk , Deliens Tom , Matthys Christophe , Gucciardo Leonardo , Devlieger Roland , Clarys Peter , Bogaerts Annick 
Published: June 2023

IntroductionLittle is known on how diet, physical activity (PA) and sedentary behavior (SB) changes during pregnancy and after childbirth in primiparous couples. Moreover, it is unclear how potential behavioral changes are associated with changes in BMI. This study examined changes in diet, PA and SB, and their association with changes in BMI in couples transitioning to parenthood.MethodsDietary intake (FFQ), PA, SB (both Actigraph GT3X accelerometers) and BMI of women and men were assessed at 12 weeks of gestation, 6 weeks and 6 months postpartum. Data were analyzed using dyadic longitudinal data analyses techniques.ResultsIn women, a decrease in fruit intake, an increase in alcohol intake, an increase of light-intensity PA, and a decrease in SB were observed from the beginning of pregnancy up to 6 months postpartum. Decreases in fruit intake between 6 weeks and 6 months postpartum was associated with increases in BMI. Men did not show significant dietary changes, while an increase in light-intensity PA and a decrease in moderate-to-vigorous PA (MVPA) was observed at 6 months postpartum when compared to 12 weeks of gestation. Paternal increases in “avoidance food group” intake were associated with increases in BMI between baseline and 6 weeks postpartum. No associations of changes in BMI and changes in PA and SB were found.DiscussionNot only mothers but also fathers experienced unfavorable changes in lifestyle during the transition to parenthood, with impact on BMI changes. This highlights the need to monitor unhealthy changes in lifestyle and body weight in both parents when expecting a child and after childbirth.Clinical trial registrationClinicaltrials.gov, NCT03454958.
Native opportunities to stop hypertension: study protocol for a randomized controlled trial among urban American Indian and Alaska Native adults with hypertension
Authors: Sinclair Ka’imi , Nguyen Cassandra J. , Wetherill Marianna S. , Nelson Katie , Jackson Alexandra M. , Taniguchi Tori , Jernigan Valarie Blue Bird , Buchwald Dedra 
Published: June 2023

IntroductionAmerican Indian and Alaska Native (AI/AN) adults experience disproportionate cardiovascular disease (CVD) morbidity and mortality compared to other races, which may be partly attributable to higher burden of hypertension (HTN). Dietary Approaches to Stop Hypertension (DASH) is a high-impact therapeutic dietary intervention for primary and secondary prevention of CVD that can contribute to significant decreases in systolic blood pressure (BP). However, DASH-based interventions have not been tested with AI/AN adults, and unique social determinants of health warrant independent trials. This study will assess the effectiveness of a DASH-based intervention, called Native Opportunities to Stop Hypertension (NOSH), on systolic BP among AI/AN adults in three urban clinics.MethodsNOSH is a randomized controlled trial to test the effectiveness of an adapted DASH intervention compared to a control condition. Participants will be aged ≥18 years old, self-identify as AI/AN, have physician-diagnosed HTN, and have elevated systolic BP (≥ 130 mmHg). The intervention includes eight weekly, tailored telenutrition counseling sessions with a registered dietitian on DASH eating goals. Intervention participants will be provided $30 weekly and will be encouraged to purchase DASH-aligned foods. Participants in the control group will receive printed educational materials with general information about a low-sodium diet and eight weekly $30 grocery orders. All participants will complete assessments at baseline, after the 8-week intervention, and again 12 weeks post-baseline. A sub-sample of intervention participants will complete an extended support pilot study with assessments at 6- and 9-months post-baseline. The primary outcome is systolic BP. Secondary outcomes include modifiable CVD risk factors, heart disease and stroke risk scores, and dietary intake.DiscussionNOSH is among the first randomized controlled trials to test the impact of a diet-based intervention on HTN among urban AI/AN adults. If effective, NOSH has the potential to inform clinical strategies to reduce BP among AI/AN adults.Clinical trials registrationhttps://clinicaltrials.gov/ct2/show/NCT02796313, Identifier NCT02796313.
A global analysis of COVID-19 infection fatality rate and its associated factors during the Delta and Omicron variant periods: an ecological study
Authors: Thi Hong Nguyen Nhi , Ou Tsong-Yih , Huy Le Duc , Shih Chung-Liang , Chang Yao-Mao , Phan Thanh-Phuc , Huang Chung-Chien 
Published: June 2023

BackgroundThe Omicron variant of SARS-CoV-2 is more highly infectious and transmissible than prior variants of concern. It was unclear which factors might have contributed to the alteration of COVID-19 cases and deaths during the Delta and Omicron variant periods. This study aimed to compare the COVID-19 average weekly infection fatality rate (AWIFR), investigate factors associated with COVID-19 AWIFR, and explore the factors linked to the increase in COVID-19 AWIFR between two periods of Delta and Omicron variants.Materials and methodsAn ecological study has been conducted among 110 countries over the first 12 weeks during two periods of Delta and Omicron variant dominance using open publicly available datasets. Our analysis included 102 countries in the Delta period and 107 countries in the Omicron period. Linear mixed-effects models and linear regression models were used to explore factors associated with the variation of AWIFR over Delta and Omicron periods.FindingsDuring the Delta period, the lower AWIFR was witnessed in countries with better government effectiveness index [β = −0.762, 95% CI (−1.238)–(−0.287)] and higher proportion of the people fully vaccinated [β = −0.385, 95% CI (−0.629)–(−0.141)]. In contrast, a higher burden of cardiovascular diseases was positively associated with AWIFR (β = 0.517, 95% CI 0.102–0.932). Over the Omicron period, while years lived with disability (YLD) caused by metabolism disorders (β = 0.843, 95% CI 0.486–1.2), the proportion of the population aged older than 65 years (β = 0.737, 95% CI 0.237–1.238) was positively associated with poorer AWIFR, and the high proportion of the population vaccinated with a booster dose [β = −0.321, 95% CI (−0.624)–(−0.018)] was linked with the better outcome. Over two periods of Delta and Omicron, the increase in government effectiveness index was associated with a decrease in AWIFR [β = −0.438, 95% CI (−0.750)–(−0.126)]; whereas, higher death rates caused by diabetes and kidney (β = 0.472, 95% CI 0.089–0.855) and percentage of population aged older than 65 years (β = 0.407, 95% CI 0.013–0.802) were associated with a significant increase in AWIFR.ConclusionThe COVID-19 infection fatality rates were strongly linked with the coverage of vaccination rate, effectiveness of government, and health burden related to chronic diseases. Therefore, proper policies for the improvement of vaccination coverage and support of vulnerable groups could substantially mitigate the burden of COVID-19.
Deep learning-based left ventricular segmentation demonstrates improved performance on respiratory motion-resolved whole-heart reconstructions
Authors: Yang Yitong , Shah Zahraw , Jacob Athira J. , Hair Jackson , Chitiboi Teodora , Passerini Tiziano , Yerly Jerome , Di Sopra Lorenzo , Piccini Davide , Hosseini Zahra , Sharma Puneet , Sahu Anurag , Stuber Matthias , Oshinski John N. 
Published: June 2023

IntroductionDeep learning (DL)-based segmentation has gained popularity for routine cardiac magnetic resonance (CMR) image analysis and in particular, delineation of left ventricular (LV) borders for LV volume determination. Free-breathing, self-navigated, whole-heart CMR exams provide high-resolution, isotropic coverage of the heart for assessment of cardiac anatomy including LV volume. The combination of whole-heart free-breathing CMR and DL-based LV segmentation has the potential to streamline the acquisition and analysis of clinical CMR exams. The purpose of this study was to compare the performance of a DL-based automatic LV segmentation network trained primarily on computed tomography (CT) images in two whole-heart CMR reconstruction methods: (1) an in-line respiratory motion-corrected (Mcorr) reconstruction and (2) an off-line, compressed sensing-based, multi-volume respiratory motion-resolved (Mres) reconstruction. Given that Mres images were shown to have greater image quality in previous studies than Mcorr images, we hypothesized that the LV volumes segmented from Mres images are closer to the manual expert-traced left ventricular endocardial border than the Mcorr images.MethodThis retrospective study used 15 patients who underwent clinically indicated 1.5 T CMR exams with a prototype ECG-gated 3D radial phyllotaxis balanced steady state free precession (bSSFP) sequence. For each reconstruction method, the absolute volume difference (AVD) of the automatically and manually segmented LV volumes was used as the primary quantity to investigate whether 3D DL-based LV segmentation generalized better on Mcorr or Mres 3D whole-heart images. Additionally, we assessed the 3D Dice similarity coefficient between the manual and automatic LV masks of each reconstructed 3D whole-heart image and the sharpness of the LV myocardium-blood pool interface. A two-tail paired Student’s t-test (alpha = 0.05) was used to test the significance in this study.Results &amp; DiscussionThe AVD in the respiratory Mres reconstruction was lower than the AVD in the respiratory Mcorr reconstruction: 7.73 ± 6.54 ml vs. 20.0 ± 22.4 ml, respectively (n = 15, p-value = 0.03). The 3D Dice coefficient between the DL-segmented masks and the manually segmented masks was higher for Mres images than for Mcorr images: 0.90 ± 0.02 vs. 0.87 ± 0.03 respectively, with a p-value = 0.02. Sharpness on Mres images was higher than on Mcorr images: 0.15 ± 0.05 vs. 0.12 ± 0.04, respectively, with a p-value of 0.014 (n = 15).ConclusionWe conclude that the DL-based 3D automatic LV segmentation network trained on CT images and fine-tuned on MR images generalized better on Mres images than on Mcorr images for quantifying LV volumes.
The beneficial effects of curcumin supplementation on blood lipid levels among patients with metabolic related diseases in Asia area: a systematic review and meta-analysis of randomized controlled trials
Authors: Deng Zhifang , Yang Ke , Cai Xiaonan , Mei Hong , Xiao Han , Gao Wenqi 
Published: June 2023

ObjectivePublished studies suggest that the effects of curcumin on blood lipids in adults are controversial, and it is unclear whether there is a dose response to lipid changes following curcumin supplementation. Therefore, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the effects of curcumin on triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL), and high-density lipoprotein cholesterol (HDL) in the Asian populations with metabolic diseases.MethodsWe systematically searched four electronic databases, including Web of Science, PubMed, Google Scholar, and Cochrane Library, for randomized controlled trials (RCTs) of the effects of curcumin on TG, TC, LDL, and HDL in the Asian populations with metabolic diseases. Mean difference (MD) indicates effect size with combined 95% confidence interval (95% CI). Heterogeneity among studies was assessed by I2. Subgroup analyses were performed to explore potential sources of heterogeneity.ResultsEvidence from 23 RCTs for TG, 21 RCTs for TC and LDL, and 22 RCTs for HDL showed that curcumin supplementation significantly reduced TG (MD: −18.07 mg/dL, 95% CI: −30.30, −5.85, P &lt; 0. 01), TC (MD: −13.29 mg/dL, 95% CI: −20.43, −6.16, P &lt; 0.01), and LDL (MD: −10.44 mg/dL, 95% CI: −16.87, −4.00, P &lt; 0.01), but no effect on HDL (MD: 1.66 mg/dL, 95% CI: −0.13, 3.44, P = 0.07). In the non-linear dose-response analysis, we observed a significant effect of curcumin supplementation dose on TG levels (P-non-linearity = 0.022).ConclusionIn conclusion, curcumin may be beneficial in reducing TG, TC, and LDL levels in the Asian populations with metabolic diseases. The dose of curcumin intervention may be an underlying factor influencing TG levels.