bluuebunny/crossref_metadata_2025_split huggingface dataset:
A new integrative approach to assess aortic stenosis burden and predict objective functional improvement after TAVR
Authors: de la Torre Hernandez Jose M. , Veiga Fernandez Gabriela , Ben-Assa Eyal , Sainz Laso Fermin , Lee Dae-Hyun , Ruisanchez Villar Cristina , Lerena Piedad , Garcia Camarero Tamara , Cuesta Cosgaya Jose M. , Fradejas-Sastre Victor , Benito Mercedes , Barrera Sergio , Garcia-Unzueta Maria T. , Brown Jonathan , Gil Ongay Aritz , Zueco Javier , Vazquez de Prada Jose A. , Edelman Elazer R. 
Published: March 2023

BackgroundA non-negligible rate of patients undergoing transcatheter aortic valve replacement (TAVR) do not report symptomatic improvement or even die in the short-midterm. We sought to assess the degree of objective functional recovery after TAVR and its prognostic implications and to develop a predictive model.MethodsIn a cohort of patients undergoing TAVR, a prospective evaluation of clinical, anatomical, and physiological parameters was conducted before and after the procedure. These parameters were derived from echocardiography, non-invasive analysis of arterial pulse waves, and cardiac tomography. Objective functional improvement 6 months after TAVR was assessed using a 6-min walk test and nitro-terminal pro-brain natriuretic peptide (NT-proBNP) levels. The derived predictive model was prospectively validated in a different cohort. A clinical follow-up was conducted at 2 years.ResultsAmong the 212 patients included, objective functional improvement was observed in 169 patients (80%) and subjective improvement in 187 (88%). Patients with objective functional improvement showed a much lower death rate at 2 years (9% vs. 31% p = 0.0002). Independent predictors of improvement were as follows: mean aortic gradient of ≥40 mmHg, augmentation index75 of ≥45%, the posterior wall thickness of ≤12 mm, and absence of atrial fibrillation. A simple integer-based point score was developed (GAPA score), which showed an area under the curve of 0.81 for the overall cohort and 0.78 for the low-gradient subgroup. In a validation cohort of 216 patients, these values were 0.75 and 0.76, respectively.ConclusionA total of 80% of patients experienced objective functional improvement after TAVR, showing a significantly lower 2-year mortality rate. A predictive score was built that showed a good discriminative performance in overall and low-gradient populations.
Karst thermal reservoir tracer test and seepage characteristics analysis in Niutuozhen geothermal field in Xiong’an New Area
Authors: Qiao Yong , Li Shaohua , Yan Kangnan , Zuo Yinhui , Zhang Tao , Tian Lanxi , Sun Yigao 
Published: March 2023

The carbonate rock karst thermal reservoir in the Niutuozhen geothermal field is a high-quality geothermal resource with significant development potential. However, due to the strong heterogeneity of karst thermal reservoirs, the connectivity between recharge and production wells is hard to determine, which seriously restricts the sustainable development of the Niutuozhen geothermal field. Therefore, this study revealed the hydraulic connection between the recharge and production well through the tracer test, quantitatively characterized the seepage characteristics of the reservoir combined with the numerical simulation, and proposed the deployment of the recharge well. The results show that the total recovery rate of the tracer is 0.42%, indicating that there are a small number of communication channels with a good hydraulic connection between the recharge and production well in the experimental area, and the recharge will not cause thermal breakthrough within a short time period. The velocity of recharge water can reach 359 m/d at the fastest, and the directions of dominant channels are concentrated in the NW, N, and E directions centered on the recharge well, this is consistent with the characteristics of regional fractures, recharge wells should be avoided to deployed in those directions. The results provide effective information for the prediction of the thermal breakthrough time and the accurate establishment of the thermal reservoir model in the Niutuozhen geothermal field, also provide a scientific basis for the sustainable utilization of the carbonate karst thermal reservoir geothermal resources.
Sowing wildflower meadows in Mediterranean peri-urban green areas to promote grassland diversity
Authors: Fernandes Mariana P. , Matono Paula , Almeida Erika , Pinto-Cruz Carla , Belo Anabela D. F. 
Published: March 2023

IntroductionThe increase of urban areas and their infrastructure network is homogenizing the landscape and threatening biodiversity and ecosystems functions and services. Wildflower meadows have a high biodiversity value and can prosper in degraded areas dominated by nitrophilous species, making them suitable to be used in peri-urban and urban areas to promote local flora, create habitat for pollinators and other small fauna, and increase overall biodiversity. Moreover, the application of wildflowers seed mixes suitable for rehabilitating anthropized environments should be restricted to native species of regional origin, and the results properly monitored. However, thorough monitoring of seed mixes evolution is uncommon. This study evaluates the effectiveness of a seed mix of wild native species developed to promote grassland diversity in Mediterranean peri-urban areas.MethodsThe study was divided into two sequential phases. Firstly, a preparatory phase consisted in developing two seed mixes and sowing them (autumn 2016) in ex-situ plots (three plots of 5 × 2 m2 per mix) at an experimental field to choose the one with the best performance. The second phase consisted of the in-situ application (autumn 2018) of the chosen seed mix by sowing 14 plots (10 × 2 m2) in pocket parks distributed along pedestrian trails of South Portugal. All plots were monitored through floristic surveys for two springs (ex-situ trials: 2017 and 2018; in-situ trials: 2019 and 2020).ResultsAll sowed species germinated in the in-situ plots over the first 2  years. The seed mix application positively contributed to the floristic community, generating a significant increase in the total species richness, diversity, evenness, and vegetation cover. The seed mix establishment did not require watering nor soil fertilizing and the mowing frequency was low (once in late spring), contributing to sustainable and low-cost management of these green areas.DiscussionThe tested seed mix promoted native flora diversity rapidly and seems suitable for use in peri-urban context under identical climate conditions. Given the small number of native seed mixes tested in the Mediterranean, this study represents a contribution toward improved management standards of native flora diversity in Mediterranean green urban and peri-urban areas.
Use of Streptococcus salivarius K12 in supporting the mucosal immune function of active young subjects: A randomised double-blind study
Authors: Bertuccioli Alexander , Gervasi Marco , Annibalini Giosuè , Binato Beatrice , Perroni Fabrizio , Rocchi Marco B. L. , Sisti Davide , Amatori Stefano 
Published: March 2023

IntroductionUpper respiratory tract infections (URTI) are the most common illnesses affecting athletes, causing absences from training and competition. Salivary immunoglobulin A (sIgA) is the main immune factor in saliva, and a consistent association between low concentrations of sIgA and an increased incidence of URTIs has been reported. The oral probiotic Streptococcus salivarius K12 has been suggested to have the potential to improve oral diseases and mucosal barrier function. However, the effects of this probiotic on active young subjects performing a high-intensity training (HIT) program have not been investigated.MethodsActive young students were randomised into a treated group (S. salivarius K12) and a control (placebo) group and asked to take the product daily for 30 days. After this period, participants performed a graded exercise test and five HIT sessions, all within 3 days. They were also asked to complete the Wisconsin Upper Respiratory Symptom Survey daily to monitor URTI’s presence. Before and after the 30 days, and at 0h, 24h and 72h after the last training session, saliva samples were collected to quantify sIgA level, secretion rate, and flow. The effect of S. salivarius K12 intake on these parameters was tested using an ANOVA for repeated measures.ResultsTwenty (M = 14, F = 6) young subjects (23.5 ± 2.3 years old) participated in the study. The total accumulated training load (sRPE) in the supplementation period was similar in the two groups (treated: 4345 ± 3441 AU; control: 4969 ± 4165 AU; p &gt; 0.05). Considering both sIgA level and secretion rate, significant time (F(4,15) = 3.38; p = 0.037; F(4,15) = 6.00; p = 0.004) and time×group interactions (F(4,15) = 2.49; p = 0.049; F(4,15) = 5.01; p = 0.009) were reported, with the treated group showing higher sIgA levels at 72h post-exercise and increased secretion rate both at 0h and 72h. The number of URTI episodes was similar in the treated and control groups (χ² = 1.83; p &gt; 0.05).ConclusionThis study demonstrates that relatively short-term S. salivarius K12 supplementation increased sIgA level and secretion in healthy subjects performing a demanding exercise-training programme composed of HIT sessions.
Neutralizing activity against Omicron BA.5 after tixagevimab/cilgavimab administration comparable to those after Omicron BA.1/BA.2 breakthrough infections
Authors: Yang Jinyoung , Won Gunho , Baek Jin Yang , Lee Young Ho , Kim Haein , Huh Kyungmin , Cho Sun Young , Kang Cheol-In , Chung Doo Ryeon , Peck Kyong Ran , Lee Kyo Won , Park Jae Berm , Yoon Sang Eun , Kim Seok Jin , Kim Won Seog , Yim Min Su , Kim Kwangwook , Hyeon Seokhwan , Kim Byung Chul , Lee Yoo-kyung , Ko Jae-Hoon 
Published: March 2023

IntroductionThe effect of tixagevimab/cilgavimab (Evusheld™; AstraZeneca, UK) should be evaluated in the context of concurrent outbreak situations.MethodsFor serologic investigation of tixagevimab/cilgavimab during the BA.5 outbreak period, sera of immunocompromised (IC) hosts sampled before and one month after tixagevimab/cilgavimab administration and those of healthcare workers (HCWs) sampled one month after a 3rd shot of COVID-19 vaccines, five months after BA.1/BA.2 breakthrough infection (BI), and one month after BA.5 BI were investigated. Semi-quantitative anti-spike protein antibody (Sab) test and plaque reduction neutralizing test (PRNT) against BA.5 were performed.ResultsA total of 19 IC hosts (five received tixagevimab/cilgavimab 300 mg and 14 received 600 mg) and 41 HCWs (21 experienced BA.1/BA.2 BI and 20 experienced BA.5 BI) were evaluated. Baseline characteristics did not differ significantly between IC hosts and HCWs except for age and hypertension. Sab significantly increased after tixagevimab/cilgavimab administration (median 130.2 BAU/mL before tixagevimab/cilgavimab, 5,665.8 BAU/mL after 300 mg, and 10,217 BAU/mL after 600 mg; both P &lt; 0.001). Sab of one month after the 3rd shot (12,144.2 BAU/mL) or five months after BA.1/BA.2 BI (10,455.8 BAU/mL) were comparable with that of tixagevimab/cilgavimab 600 mg, while Sab of one month after BA.5 BI were significantly higher (22,216.0 BAU/mL; P &lt; 0.001). BA.5 PRNT ND50 significantly increased after tixagevimab/cilgavimab administration (median ND50 29.6 before tixagevimab/cilgavimab, 170.8 after 300 mg, and 298.5 after 600 mg; both P &lt; 0.001). The ND50 after tixagevimab/cilgavimab 600 mg was comparable to those of five months after BA.1 BI (ND50 200.9) while ND50 of one month after the 3rd shot was significantly lower (ND50 107.6; P = 0.019). The ND50 of one month after BA.5 BI (ND50 1,272.5) was highest among tested groups, but statistical difference was not noticed with tixagevimab/cilgavimab 600 mg.ConclusionTixagevimab/cilgavimab provided a comparable neutralizing activity against the BA.5 with a healthy adult population who were vaccinated with a 3rd shot and experienced BA.1/BA.2 BI.
Fallopian tubal histogenesis of ovarian endometriosis—A study of folate receptor-alpha expression
Authors: Wang Yiying , Li Qiyan , Zhao Ruijiao , Wang Jerry Y. , Wang Yan , Lin Wanrun , Yuan Zeng , Zhang Jing , Fadare Oluwole , Wang Yue , Zheng Wenxin 
Published: March 2023

BackgroundOvary is a common organ site involved by endometriosis. We previously found that fallopian tube may contribute to the histogenesis of ovarian endometriosis. The finding was novel and requires further studies. We addressed this issue by examining a differentially expressed gene folate receptor alpha (FOLR1) and its protein (FRA) in this study.ResultsA total of 144 tissue samples were studied. These included 32-paired tubal-endometrial-ovarian endometriosis samples (n = 96), 18 samples of ovarian endometriosis without corresponding fallopian tube or endometrium, and 30 ovarian tissue samples with ovarian surface epithelia but without endometriosis. Multiple comparisons among groups of ovarian endometriosis, normal fallopian tube and benign endometrium were performed. FOLR1 was highly expressed in the epithelia of fallopian tube and ovarian endometriosis, with paired endometrial samples showing a significantly lower level of expression. Similar differential studies for FRA protein were performed through Western blot and immunohistochemistry (IHC). The expression of folate receptor alpha at both mRNA and protein levels in the tissues (fallopian tube or ovarian endometriosis vs. the endometrium) were significantly different (p &lt; 0.001). All ovarian surface mesothelial epithelia showed negative expression of FRA by IHC.ConclusionThe results further support that the fallopian tube may contribute to the development of ovarian endometriosis. Understanding the tubal contribution to ovarian endometriosis should ultimately contribute to ongoing investigative efforts aimed at identifying alternative ways to prevent and treat endometriosis. High level of FRA expression in the fallopian tube and endometriosis might be considered as potential tissue sites for targeted therapy.
The koala gut microbiome is largely unaffected by host translocation but rather influences host diet
Authors: Blyton Michaela D. J. , Pascoe Jack , Hynes Emily , Soo Rochelle M. , Hugenholtz Philip , Moore Ben D. 
Published: March 2023

IntroductionTranslocation is a valuable and increasingly used strategy for the management of both threatened and overabundant wildlife populations. However, in some instances the translocated animals fail to thrive. Differences in diet between the source and destination areas may contribute to poor translocation outcomes, which could conceivably be exacerbated if the animals’ microbiomes are unsuited to the new diet and cannot adapt.MethodsIn this study we tracked how the faecal microbiome of a specialist Eucalyptus folivore, the koala (Phascolarctos cinereus), changed over the course of a year after translocation. We assessed microbiome composition by 16S rRNA amplicon sequencing of faecal pellets.ResultsWe found no significant overall changes in the faecal microbiomes of koalas post-translocation (n = 17) in terms of microbial richness, diversity or composition when compared to the faecal microbiomes of koalas from an untranslocated control group (n = 12). This was despite the translocated koalas feeding on a greater variety of Eucalyptus species after translocation. Furthermore, while differences between koalas accounted for half of the microbiome variation, estimated diets at the time of sampling only accounted for 5% of the variation in the koala microbiomes between sampling periods. By contrast, we observed that the composition of koala faecal microbiomes at the time of translocation accounted for 37% of between koala variation in post-translocation diet. We also observed that translocated koalas lost body condition during the first month post-translocation and that the composition of the koalas’ initial microbiomes were associated with the magnitude of that change.DiscussionThese findings suggest that the koala gut microbiome was largely unaffected by dietary change and support previous findings suggesting that the koala gut microbiome influences the tree species chosen for feeding. They further indicate that future research is needed to establish whether the koalas’ gut microbiomes are directly influencing their health and condition or whether aspects of the koala gut microbiomes are an indicator of underlying physiological differences or pathologies. Our study provides insights into how animal microbiomes may not always be affected by the extreme upheaval of translocation and highlights that responses may be host species-specific. We also provide recommendations to improve the success of koala translocations in the future.
Clonal relatedness of coagulase-positive staphylococci among healthy dogs and dog-owners in Spain. Detection of multidrug-resistant-MSSA-CC398 and novel linezolid-resistant-MRSA-CC5
Authors: Abdullahi Idris Nasir , Lozano Carmen , Zarazaga Myriam , Saidenberg Andre Becker Simoes , Stegger Marc , Torres Carmen 
Published: March 2023

IntroductionNasal carriage of coagulase-positive staphylococci (CoPS) in healthy dogs could indicate increased risks of colonization for in-contact people or vice versa. This study determined the nasal carriage rate of CoPS among healthy dogs and in-contact people, their genotypic characteristics and phylogenetic relatedness.MethodsNasal samples were collected from 27 households (34 dogs and 41 humans) in Spain. Staphylococci were identified by MALDI-TOF-MS, their antimicrobial resistance (AMR) genes and spa-types were tested by PCR/sequencing. The relatedness of CoPS from the same households was assessed by core genome single nucleotide polymorphisms (SNPs) analyses.ResultsStaphylococcus aureus carriage was found in 34.1% of humans (including one methicillin-resistant S. aureus MRSA-CC5-t2220-SCCmec type-IV2B) and 5.9% of dogs; Staphylococcus pseudintermedius in 2.4% of humans and 32.4% of dogs; while Staphylococcus coagulans was only detected in dogs (5.4%). Remarkably, one human co-carried S. aureus/S. pseudintermedius, while a dog co-carried the three CoPS species. Household density was significantly associated with S. pseudintermedius carriage in households with &gt; than 1 dog and &gt;than 1 human (OR = 18.10, 95% CI: 1.24–260.93, p = 0.034). Closely related (&lt;15 SNPs) S. aureus or S. pseudintermedius were found in humans or dogs in three households. About 56.3% S. aureus carriers (dog or human) harboured diverse within-host spa-types or AMR genotypes. Ten clonal complexes (CCs) were detected among the S. aureus, of which methicillin-susceptible S. aureus-CC398-IEC-type C (t1451 and t571) was the most frequent, but exclusive to humans. S. aureus and S. pseudintermedius isolates harboured resistance genes or mutations associated to 9 classes of antimicrobials including linezolid (G2261A &amp; T1584A point mutations in 23S rDNA). The S. coagulans isolates were susceptible to all antimicrobials. Most of the S. pseudintermedius carried lukS/F-I, siet, and sient genes, and all S. aureus were negative for lukS/F-PV, tst-1, eta and etb genes.DiscussionClonally related human-to-human MSSA and dog-to-human MSSP were found. The detection of the MSSA-CC398 clade highlights the need for its continuous surveillance from One Health perspective.
Hypertension, cerebral Amyloid, aGe Associated Known neuroimaging markers of cerebral small vessel disease Undertaken with stroke REgistry (HAGAKURE) prospective cohort study: Baseline characteristics and association of cerebral small vessel disease with prognosis in an ischemic stroke cohort
Authors: Ikeda Shuhei , Yakushiji Yusuke , Tanaka Jun , Nishihara Masashi , Ogata Atsushi , Eriguchi Makoto , Ono Shohei , Kosugi Masafumi , Suzuyama Kohei , Mizoguchi Megumi , Shichijo Chika , Ide Toshihiro , Nagaishi Yukiko , Mori Hodo , Ono Natsuki , Yoshikawa Masaaki , Ide Kiku , Minagawa Hiromu , Iida Kotaro , Kawamoto Kazuhiro , Katsuki Yoshiko , Irie Hiroyuki , Abe Tatsuya , Hara Hideo 
Published: March 2023

IntroductionCerebral small vessel disease (SVD) is one of the leading causes of stroke; each neuroimaging marker of SVD is correlated with vascular risk factors and associated with poor prognosis after stroke. However, longitudinal studies investigating the association between comprehensive SVD burden scoring system, “total SVD score” – which encompasses the established neuroimaging markers of lacunae, cerebral microbleeds (CMBs), white matter hyperintensities (WMH) including periventricular hyperintensities, and perivascular spaces in basal ganglia– and clinical outcomes are limited. The aim of this study is to determine the association between SVD burden and long-term prognosis in patients with ischemic stroke.Methods and designThis prospective, single-center, observational study enrolled patients with acute ischemic stroke, including cerebral infarction and transient ischemic attack. Magnetic resonance imaging scans were performed, and then total SVD score (range, 0–4) was calculated. We recorded baseline characteristics and evaluated the relationships of long-term outcomes to SVD neuroimaging markers and total SVD score. Stroke recurrence was thought as primary outcome. Hazard ratios (HRs) of events during follow-up were calculated using Cox proportional hazards modeling with adjustments for age, sex, hypertension, dyslipidemia, diabetes mellitus, atrial fibrillation, and smoking. Cumulative event rates were estimated using the Kaplan–Meier method.ResultsConsecutive 564 acute ischemic stroke patients were enrolled according to inclusion and exclusion criteria. A total of 467 participants with first-ever ischemic stroke were analyzed (median age 75.0 [interquartile range, 64.0–83.0] years, 59.3% male). Total SVD score was 0 point in 47 individuals (12.0%), 1 point in 83 (21.2%), 2 points in 103 (26.3%), 3 points in 85 (21.7%), and 4 points in 73 (18.7%). Twenty-eight recurrent stroke events were identified during follow-up. Total SVD score ≥ 2, presence of CMBs, and moderate-to-severe WMH were associated with increased risk of recurrent stroke events (HR 9.31, 95% confidence interval [CI] 2.33–64.23; HR 2.81, 95% CI 1.08–7.30; HR 2.90, 95% CI 1.22–6.88, respectively).ConclusionThe accumulation of SVD biomarkers as determined by total SVD score offered a reliable predictor of stroke recurrence. This study established a firm understanding of SVD prognosis in clinical settings.