bluuebunny/crossref_metadata_2025_split huggingface dataset:
In search of hidden threats: A scoping review on paranoid presentations in personality disorders
Authors: Fanti Erika , Di Sarno Marco , Di Pierro Rossella 
Published: September 2023

AbstractRecent diagnostic developments suggest that paranoia is a transdiagnostic characteristic common to several personality disorders rather than a personality disorder per se. Nonetheless, empirical literature fails to provide comprehensive and univocal findings on whether and how paranoid presentations relate to different personality disorders. In the present scoping review, we map the empirical literature on paranoid presentations in personality disorders, considering the entire spectrum of paranoid manifestations (i.e., the paranoia hierarchy). In selecting original quantitative studies on paranoid presentations in personality‐disordered patients, we screened 4,433 records in PsycArticles, PsycInfo and PUBMED. We eventually included 47 eligible studies in the review. Our synthesis indicates consistent empirical evidence of a wide range of paranoid presentations in Paranoid, Schizotypal and Borderline personality disorders. Conversely, little empirical literature exists on paranoid presentations in other personality disorders. Preliminary findings suggest broad‐severity paranoid presentations, ranging from milder to severe forms, in Paranoid, Schizotypal and Borderline personality disorders. There is also some evidence of milder forms of paranoia in Avoidant, Antisocial and Narcissistic personality disorders. Conversely, there is poor evidence of paranoid presentations in Schizoid, Histrionic, Dependent or Obsessive‐compulsive personality disorders. Research gaps and recommendations for improving empirical research on paranoid presentations in personality disorders are discussed.
Paraformaldehyde as C1 Synthon: Electrochemical Three‐Component Synthesis of Tetrahydroimidazo[1,5‐a]quinoxalin‐4(5H)‐ones in Aqueous Ethanol
Authors: Lu Yu‐Han , Mu Si‐Yu , Jiang Jun , Zhou Min‐Hang , Wu Chao , Ji Hong‐Tao , He Wei‐Min 
Published: September 2023

AbstractA green and practical method for the electrochemical synthesis of tetrahydroimidazo[1,5‐a]quinoxalin‐4(5H)‐ones through the three‐component reaction of quinoxalin‐2(1H)‐ones, N‐arylglycines and paraformaldehyde was reported. In this strategy, EtOH played dual roles (eco‐friendly solvent and waste‐free pre‐catalyst) and the in situ generated ethoxide promoted triple sequential deprotonations.
Environmental tobacco smoke increased risk of gestational diabetes mellitus: A birth cohort study in Sichuan, China
Authors: Chen Shiqi , Zhao Ziling , Luo Min , Gao Yan , Zhou Tianjin , Hu Jinnuo , Luo Liwei , Liu Weixin , Zhang Gang 
Published: September 2023

AbstractIntroductionStudies on the relationship between environmental tobacco smoke (ETS) and gestational diabetes mellitus (GDM) are limited. In this study, we aimed to clarify the association between ETS at different trimesters of pregnancy and the risk of GDM among non‐smoking pregnant women.MethodsA total of 16,893 non‐smoking mothers from the Southwest Birth Cohort, China, were included in the final analyses. Exposure and outcome measures included self‐reported ETS status at different trimesters of pregnancy and GDM diagnosis. Multivariable logistic regression models were constructed to estimate the association between ETS and GDM.ResultsThe prevalence of ETS exposure was 25.7%. Compared with no ETS, ever ETS had an increased risk of GDM, with an adjusted odds ratio (95% confidence intervals) of 1.21 (1.09, 1.33). The association remained consistent at different trimesters of pregnancy ETS exposure. In the last trimester and with continuous ETS exposure, the risk of GDM increased significantly with the increase in the duration of the exposure. The risk of GDM associated with ever ETS during pregnancy significantly increased in mothers over 30 years old and pre‐pregnancy overweight (P for interaction <0.05).ConclusionsETS exposure at different trimesters of pregnancy was associated with an increased risk of GDM among non‐smoking pregnant women. These findings emphasise the importance of preventing ETS exposure during pregnancy.
The functional mechanism behind the latitudinal pattern of liana diversity: Freeze–thaw embolism reduces the ecological performance of liana species
Authors: Lobos‐Catalán Paulina , Jiménez‐Castillo Mylthon 
Published: September 2023

AbstractThere is a strong decrease in liana diversity along latitudinal and altitudinal gradients at a global scale, and there is a marked difference in liana diversity between tropical and temperate ecosystems. From these observations, it has been proposed that cold temperatures would restrict the ecological patterns of liana because of their vascular system's vulnerability to freeze–thaw embolism. Our objective was to establish the functional mechanism that drives the loss of liana diversity along a latitudinal temperature gradient. We evaluate the ecological performance of liana in 10 different species based on the apical growth rate, as well as functional traits associated with efficiency (maximum hydraulic conductivity and percentage conductivity lost) and safety of water transport (vessel diameter, vessel density, wood density, and root pressure). We found that at the colder (more southern) site within the latitudinal gradient, liana species showed lower performance, with a fivefold decrease in their apical growth rate as compared to the warmer (more northern) sites. We postulate that this lower performance results from a much lower water transport efficiency (26.1‐fold decrease as compared to liana species that inhabit warmer sites) that results from higher freeze–thaw (37.5% of PLC) and reduction of vessel diameter (3 times narrower). These results are unmistakable evidence that cold temperature restricts liana performance: in a cold environment, liana species exhibit a strong decrease in performance, low efficiency, and higher safety of water transport. Conversely, at warmer sites, we found that liana species exhibit functional strategies associated with higher performance, higher efficiency, and lower safety of water transport capacity. This trade‐off between efficiency and safety of water transport and their effects on performance could explain the latitudinal pattern of liana diversity.
Assessing the Toxicity of Sea Salt to Early Life Stages of Freshwater Mussels: Implications for Sea Level Rise in Coastal Rivers
Authors: McIver Joseph K. , Cope W. Gregory , Bringolf Robert B. , Kwak Thomas J. , Watson Brian , Maynard Amy , Mair Rachel 
Published: September 2023

Abstract
Sea levels across the planet are rising, particularly along the eastern coast of the United States. Climate-induced sea level rise can result in the inundation and intrusion of seawater into freshwater drainages. This would alter salinity regimes and lead to the salinization of coastal freshwater ecosystems. Increased salinity levels in freshwater can negatively affect freshwater-dependent species, including native mussels belonging to the order Unionida, which are highly sensitive to changes in water quality. Sea salt is largely made up of sodium and chloride ions, forming sodium chloride, a known toxicant to freshwater mussels. However, sea salt is a mixture that also contains other major ions, including potassium, sulfate, calcium, strontium, and magnesium, among others. Freshwater mussels exposed to sea salt would be exposed to each of the sea salt ions at the same time, resulting in a mixture toxicity effect. The mixture toxicity of these ions on early life stages of freshwater mussels is largely unknown because most research to date has evaluated individual salt ions in relative isolation. Therefore, we conducted acute toxicity tests on early life stages (glochidia and juvenile) of three freshwater mussel species that inhabit Atlantic Slope drainages (nonsalinity-adapted Atlanticoncha ochracea, salinity-adapted A. ochracea, Sagittunio nasutus, and Utterbackiana implicata). Glochidia and juveniles of each species were exposed to a control and six concentrations of Instant Ocean® Sea Salt (IOSS), a synthetic sea salt that closely resembles the ionic composition of natural sea salt. Exposure concentrations were 1 part(s) per thousand (ppt), 2 ppt, 8.5 ppt, 12.5 ppt, 17 ppt, and 34 ppt. We calculated the median effect concentration (EC50) for each of the eight acute toxicity tests and found that glochidia were more sensitive than juveniles to IOSS. At hour 24 EC50s for the glochidia ranged from 0.38 to 3.6 ppt, with the most sensitive freshwater mussel being the nonsalinity-adapted A. ochracea, exhibiting an EC50 of 0.38 ppt (95% confidence interval [CI] 0.33–0.44). Juvenile freshwater mussels exhibited EC50s at hour 96 ranging from 5.0 to 10.4 ppt, with the least sensitive freshwater mussel being the nonsalinity-adapted A. ochracea, exhibiting an EC50 of 10.4 ppt (95% CI 9.1–12.0). Our results show that acute exposure to sea salt adversely affects freshwater mussel viability, particularly glochidia. This information can be used to enhance freshwater mussel conservation strategies in regions that are or will be impacted by climate-induced sea level rise and associated freshwater salinization. Environ Toxicol Chem 2023;42:2478–2489. © 2023 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.
Dandelion polysaccharide treatment protects against dextran sodium sulfate‐induced colitis by suppressing NF‐κB/NLRP3 inflammasome‐mediated inflammation and activating Nrf2 in mouse colon
Authors: Wang Shuo , Wu Ping , Fan Zongqiang , He Xingrui , Liu Jinqian , Li Ming , Chen Fang 
Published: September 2023

AbstractThe treatment of ulcerative colitis (UC) is still an intractable medical problem. Polysaccharides are promising candidates for the treatment of UC and have received widespread attention in recent years. The objective of this study was to explore the protective effect and underlying mechanism of dandelion polysaccharide (DP) on dextran sulfate sodium (DSS)‐induced colitis in mice. Our results showed that oral administration of DP could dramatically alleviate colonic lesions, as evidenced by reduced DAI scores, shortening of colon length, and ameliorating pathologic abnormalities in colons. Additionally, the expressions of pro‐inflammatory factors (TNF‐α, IL‐1β, and IL‐6) and the infiltration of inflammation‐regulation cells, marked by myeloperoxidase and F4/80, were also inhibited after DP treatment. Moreover, DP treatment also markedly suppressed the nuclear translocation of NF‐κB‐p65 and the activation of the NLRP3 inflammasome. Furthermore, DP also activated the Nrf2/HO‐1 pathway and reduced the oxidative stress induced by DSS. Overall, these results suggest that DP could be a promising novel therapeutic approach for the treatment of UC.
What controls the hydrochemical compositions of mountainous river water in a glacierized catchment?
Authors: Shi Xiaoyi , Kong Yanlong , Pu Tao , Wang Ke , Peng Peiyi , Ma Yanwei 
Published: September 2023

AbstractChemical weathering processes has become a growing issue in research on carbon cycling, however, mineral weathering by sulfuric acid and carbonic acid and its possible impacts on carbon cycle are yet unknown over the typical glacial catchment. To investigate the mechanisms of mineral weathering processes and its influence, the spatial–temporal variations of the major ions in Mingyong River, a glacier‐originated river located on the southeastern edge of the Qinghai‐Tibetan Plateau, were investigated. The seasonal and spatial variations in river solutes were resulted from the hydrological conditions and different mineral weathering rates. The results showed that the major ion compositions of the river waters were characterized by the dominance of Ca2+, Mg2+, HCO3−, with a significantly rich in SO42−. A systematic increase in ionic concentrations (apart from NH4+ and NO3−) was observed in the river water from non‐monsoon to monsoon season as well as from upstream to downstream. Piper diagram results showed 100% (upstream‐midstream) and 72.5% (downstream) contributions to Ca‐HCO3 type, respectively, indicating that a dominated carbonate weathering to the river chemistry. The (Ca2++Mg2+)/HCO3− against (SO42−/HCO3−) scatter suggested that sulfuric and carbonic acid are responsible for chemical weathering. An increased contributions of sulfuric acid from upstream (43%) to downstream (87.3%) on the (Ca2++Mg2+) and from upstream (29.6%) to downstream (88.3%) on HCO3− using the stoichiometry analysis during the monsoon season. Contrarily, H2SO4‐related dissolution (>65%) processes controlled the carbonate weathering during the non‐monsoon season, which indicated that sulfuric acid played a significant part in the process of rock dissolution that intensifies weathering. The effects of accelerated weathering on drinking and irrigation suitability suggested that the Mingyong River water is subject to a salinity hazard. This research demonstrates that the weathering of catchments involving sulfuric acid has the potential to alter carbon cycle and should be considered in global carbon cycle models.
Anal cancer screening results from 18‐to‐34‐year‐old men who have sex with men living with HIV
Authors: Liu Yuxin , Bhardwaj Swati , Sigel Keith , Winters John , Terlizzi Joseph , Gaisa Michael M. 
Published: September 2023

AbstractMen who have sex with men living with HIV (MSM LWH) are at highest risk for human papillomavirus (HPV)‐associated anal cancer. There is no consensus on the optimal screening initiation age. This study aimed to assess the prevalence and severity of anal HPV disease among MSM LWH under the age of 35, which is a currently proposed screening age threshold. Between 2014 and 2020, 1255 18‐to‐34‐year‐old MSM LWH underwent anal cytology screening. 916 were co‐tested for high‐risk HPV (HR‐HPV). 467 underwent high‐resolution anoscopy (HRA) and biopsy. Cancer registry data were queried. Predictors of abnormal cytology (ie, ≥ASCUS) and histological high‐grade squamous intraepithelial lesions (HSIL) were evaluated using unadjusted logistic regression models. Median age was 28 years (range, 18‐34). 19% received at least one dose of HPV vaccine. Abnormal cytology rate was 65%. HR‐HPV and HPV16 prevalence were 87% and 30%. Biopsy results were benign (10%), LSIL (43%) and HSIL (47%). No cases of prevalent or incident anal cancers were detected. Findings were similar between age subgroups (18‐24, 25‐29 and 30‐34) except for a higher prevalence of AIN 3 in the 30‐34 group (19%). Abnormal cytology was significantly associated with HR‐HPV infection. Histological HSIL was associated with HR‐HPV infection and cytological LSIL or worse. The absence of anal cancer in a large cohort of MSM LWH under the age of 35, despite high prevalence of anal HR‐HPV infection and precancer, supports an age‐based anal cancer screening strategy for MSM LWH.
Determinants of behaviors influencing implementation of maternal and perinatal death surveillance and response in low‐ and middle‐income countries: A systematic review of qualitative studies
Authors: Willcox Merlin L. , Okello Immaculate A. , Maidwell‐Smith Alice , Tura Abera Kenay , van den Akker Thomas , Knight Marian , Dumont Alexandre , Muller Ingrid 
Published: September 2023

AbstractBackgroundMaternal and Perinatal Death Surveillance and Review (MPDSR) can reduce mortality but its implementation is often suboptimal, especially in low‐ and middle‐income countries (LMICs).ObjectivesTo understand the determinants of behaviors influencing implementation of MPDSR in LMICs (through a systematic review of qualitative studies), in order to plan an intervention to improve its implementation.Search StrategyTerms for maternal or perinatal death reviews and qualitative studies.Selection CriteriaQualitative studies regarding implementation of MPDSR in LMICs.Data Collection and AnalysisWe coded the included studies using the Theoretical Domains Framework and COM‐B model of behavior change (Capability, Opportunity, Motivation). We developed guiding principles for interventions to improve implementation of MPDSR.Main ResultsFifty‐nine studies met our inclusion criteria. Capabilities required to conduct MPDSR (knowledge and technical/leadership skills) increase cumulatively from community to health facility and leadership levels. Physical and social opportunities depend on adequate data, human and financial resources, and a blame‐free environment. All stakeholders were motivated to avoid negative consequences (blame, litigation, disciplinary action).ConclusionsImplementation of MPDSR could be improved by (1) introducing structural changes to reduce negative consequences, (2) strengthening data collection tools and information systems, (3) mobilizing adequate resources, and (4) building capabilities of all stakeholders.
A case of perforation of the prostatic abscess into the rectum resulting in a rectoprostatic fistula
Authors: Sugiyama Yuichi , Fujikawa Atsushi , Yokokawa Shuhei 
Published: September 2023

IntroductionA rectoprostatic fistula complicating a prostatic abscess is extremely rare, and there are many uncertainties regarding its treatment and prognosis.Case presentationWe present the case of a 68‐year‐old male who presented with rectal bleeding. Computed tomography reveals a prostatic abscess in contact with the rectum. As conservative treatment with antibiotics resulted in the aggravation of symptoms, we placed a transperineal catheter placement in the prostate, followed by drainage of the abscess through the catheter. The abscess communicated with the rectum, forming a rectoprostatic fistula. Subsequently, a transverse colostomy was performed. The abscess resolved, and no recurrence was observed even after 6 months of drainage. However, the rectal ulceration that resulted in the formation of the fistula persisted, and stoma closure was not achieved.ConclusionIn cases of prostatic abscess complicated by rectoprostatic fistula, drainage of the abscess along with colostomy seems essential for a curative approach.
Nanozymes: Applications in clinical biomarker detection
Authors: Liang Dingyitai , Wang Yuning , Qian Kun 
Published: September 2023

AbstractEnzymes are highly efficient catalysts employed in the biomedical field. However, their use is limited by poor stability and high cost. To address this, there is an imperative need for research on nanozymes. In the last decade, the introduction of nanozymes has led to exponential growth in research on nanozyme‐based biosensors. The rapid and precise detection of clinical biomarkers is crucial for various disease diagnostics. In recent years, researchers have developed different catalytic active nanomaterials and combined them with colorimetric, fluorescent, and electrochemical methods to detect clinical biomarkers. This review critically overviews the progress, future prospects, and challenges of nanozyme‐based clinical biomarker assays in the past few years.
Functional Connectome Hierarchy Distortions in Female Nurses With Occupational Burnout and Its Gene Expression Signatures
Authors: Shang Yingying , Su Qian , Ma Rong , Chen Miao , Zhao Ziyang , Yao Chaofan , Han Lin , Yao Zhijun , Hu Bin 
Published: September 2023

BackgroundBurnout has become a serious public health issue worldwide, particularly during the COVID‐19 pandemic. Functional connectome impairments associated with occupational burnout were widely distributed, involving both low‐level sensorimotor cortices and high‐level association cortices.PurposeTo investigate whether there are hierarchical perturbations in the functional connectomes and if these perturbations are potentially influenced by genetic factors in nurses who feel “burned out.”Study TypeProspective, case control.PopulationThirty‐three female nurses with occupational burnout (aged 27–40, 32.42 ± 3.37) and 32 matched nurses who were not feeling burned out (aged 27–42, 32.50 ± 4.21).Field Strength/Sequence3.0 T, gradient‐echo echo‐planar imaging sequence (GE‐EPI).AssessmentGradient‐based techniques were used to depict the perturbations in the multi‐dimensional hierarchical structure of the macroscale connectome. Gene expression data were acquired from the Allen Human Brain Atlas.Statistical TestsCortex‐wide multivariate analyses were used for between‐group differences in gradients as well as association analyses between the hierarchy distortions and the MBI score (FDR corrected). Partial least squares, spin test and bootstrapping were utilized together to select the gene sets (FDR corrected). Gene enrichment analyses (GO, KEGG and cell‐type) were further performed. Significance level: P < 0.05.ResultsThere were significant gradient distortions, with strong between‐group effects in the somatosensory network and moderate effects in the higher‐order default‐mode network, which were significantly correlated with the gene expression profiles (r = 0.3171). The most related genes were broadly involved in the cellular response to minerals, neuronal plasticity, and the circadian rhythm pathway (q value < 0.01). Significant enrichments were found in excitatory (r = 0.2588), inhibitory neurons (r = 0.2610), and astrocytes cells (r = 0.2633). Regions affected by burnout severity were mainly distributed in the association and visual cortices.Data ConclusionBy connecting in vivo imaging to genes, cell classes, and clinical data, this study provides a framework to understand functional impairments in occupational burnout and how the microscopic genetic architecture drive macroscopic distortions.Evidence Level1Technical EfficacyStage 2
Do bacteriophages have activity in synovial fluid and against synovial fluid induced bacterial aggregates?
Authors: Yu Guangchao , Doub James B. , Mao Yuzhu , Kjellerup Birthe V. 
Published: September 2023

AbstractBacteriophage therapy is a promising adjuvant therapy for the treatment of periprosthetic joint infections. However, there is a paucity of knowledge about the activity of bacteriophages in synovial fluid. Therefore, this study evaluated the activity of a clinically used bacteriophage in synovial fluid as well as the ability of that bacteriophage to prevent the formation of and eradicate bacteria in synovial fluid induced aggregates. The results of this study reinforce that synovial fluid induced aggregates form rapidly in numerous synovial fluid concentrations. More importantly, there was a statistically significant reduction in bacteriophage activity in synovial fluid compared to tryptic soy broth (p < 0.05) and the bacteriophage could not prevent the formation synovial fluid induced aggregates. Also the bacteriophage could not significantly reduce the amount of bacteria in the synovial fluid induced aggregates when compared to controls, and this was not secondary to resistance. Rather the reduced activity seems to be caused by bacteriophages being hindered in the ability to attach to bacterial receptors. We hypothesize this occurred because the viscosity of synovial fluid slowed bacteriophage interactions with planktonic bacteria and the synovial fluid polymers obstructed the bacteriophage attachment receptors thereby preventing attachment to bacteria in the aggregates. These findings have clinical ramifications, supporting the use of bacteriophage therapy as an adjunct to surgical interventions and not in isolation, at the nascent stage. While these findings show a shortcoming of bacteriophage therapy in periprosthetic joint infections, the knowledge gained should spearhead further research to ultimately devise effective and reproducible bacteriophage therapeutics.