bluuebunny/crossref_metadata_2025_split huggingface dataset:
Urine ALCAM, PF4 and VCAM-1 Surpass Conventional Metrics in Identifying Nephritis Disease Activity in Childhood-Onset Systemic Lupus Erythematosus
Authors: Soliman Samar A. , Haque Anam , Vanarsa Kamala , Zhang Ting , Ismail Faten , Lee Kyung Hyun , Pedroza Claudia , Greenbaum Larry A. , Mason Sherene , Hicks M. John , Wenderfer Scott E. , Mohan Chandra 
Published: June 2022

ObjectivesSerial kidney biopsy for repeat evaluation and monitoring of lupus nephritis (LN) in childhood-onset Systemic Lupus Erythematosus (cSLE) remains challenging, thus non-invasive biomarkers are needed. Here, we evaluate the performance of ten urine protein markers of diverse nature including cytokines, chemokines, and adhesion molecules in distinguishing disease activity in cSLE.MethodsEighty-four pediatric patients meeting ≥4 ACR criteria for SLE were prospectively enrolled for urine assay of 10 protein markers normalized to urine creatinine, namely ALCAM, cystatin-C, hemopexin, KIM-1, MCP-1, NGAL, PF-4, Timp-1, TWEAK, and VCAM-1 by ELISA. Samples from active renal (LN) and active non-renal SLE patients were obtained prior to onset/escalation of immunosuppression. SLE disease activity was evaluated using SLEDAI-2000. 59 patients had clinically-active SLE (SLEDAI score ≥4 or having a flare), of whom 29 patients (34.5%) were classified as active renal, and 30 patients (35.7%) were active non-renal. Twenty-five healthy subjects were recruited as controls.ResultsUrine concentrations of ALCAM, KIM-1, PF4 and VCAM-1 were significantly increased in active LN patients versus active non-renal SLE, inactive SLE and healthy controls. Five urine proteins differed significantly between 2 (hemopexin, NGAL, MCP1) or 3 (Cystatin-C, TWEAK) groups only, with the highest levels detected in active LN patients. Urine ALCAM, VCAM-1, PF4 and hemopexin correlated best with total SLEDAI as well as renal-SLEDAI scores (p &lt; 0.05). Urine ALCAM, VCAM-1 and hemopexin outperformed conventional laboratory measures (anti-dsDNA, complement C3 and C4) in identifying concurrent SLE disease activity among patients (AUCs 0.75, 0.81, 0.81 respectively), while urine ALCAM, VCAM-1 and PF4 were the best discriminators of renal disease activity in cSLE (AUCs 0.83, 0.88, 0.78 respectively), surpassing conventional biomarkers, including proteinuria. Unsupervised Bayesian network analysis based on conditional probabilities re-affirmed urine ALCAM as being most predictive of active LN in cSLE patients.ConclusionUrinary ALCAM, PF4, and VCAM-1 are potential biomarkers for predicting kidney disease activity in cSLE and hold potential as surrogate markers of nephritis flares in these patients.
Synthesis of Biochar From Lignocellulosic Biomass for Diverse Industrial Applications and Energy Harvesting: Effects of Pyrolysis Conditions on the Physicochemical Properties of Biochar
Authors: Mukherjee Alivia , Patra Biswa R. , Podder Jiban , Dalai Ajay K. 
Published: June 2022

The excessive dependency on fossil fuel resources could be curtailed by the efficient conversion of lignocellulosic biomass. Biochar, a porous carbonaceous product synthesized exploiting thermochemical conversion pathway, could be an environment-friendly replacement of fossil fuel resources. Slow pyrolysis, a sub-class among various thermochemical conversion techniques, has gained immense popularity owing to its potential to convert biomass to biochar. Furthermore, biochar obtained as the by-product of slow pyrolysis has attracted enormous popularity due to its proven role and application in the multidisciplinary areas of engineering and environmental remediation applications. The physicochemical quality of biochar and its performance is significantly dependent on the feedstock type and pyrolysis process parameters. Therefore, further experimental research and investigations in terms of lignocellulose biomass type and pyrolytic process parameters (temperature, heating rate and reaction time) are essential to produce biochar with desired physicochemical features for effective utilization. This review presents an updated report on slow pyrolysis of lignocellulosic biomass, impact of different pyrolysis parameters and degradation pathway involved in the evolution properties of biomass. The influence of the feedstock type and lignocellulosic composition on the biochar properties are also discussed meticulously. The co-relationship between biochar yield at different pyrolysis temperatures and the development of textural properties provides valuable information for their effective utilization as a functional carbon material. Additionally, an extensive study was undertaken to collate and discuss the excellent physicochemical characteristics of biochar and summarizes the benefits of biochar application for diverse industrial purposes. Biochar is acknowledged for its excellent physicochemical properties owing to the thermal treatment and as a result its prospective diverse industrial applications such as for soil treatment, carbon sequestration, adsorbent (wastewater treatment or CO2 capture), producing activated carbon for gold recovery, energy storage and supercapacitor are summarized systematically in this review paper. For instance, biochar when applied in soil have shown improvement in soil respiration by 1.9 times. Furthermore, biochar when used to capture CO2 from flue gas stream under post-combustion scenario has demonstrated superior capture performance (2.8 mmol/g) compared to commercial activated carbon. This paper identified the knowledge gaps and outlooks in the field of the advancements of biochar from slow pyrolysis for targeted engineering applications mainly in the field of environmental remediation and energy harvesting.
Ultra-Broadband Sound Absorbing Materials Based on Periodic Gradient Impedance Matching
Authors: Wu Fei , Zhang Xiao , Ju Zegang , Zhao Jiang , Hu Man , Gao Mingyuan , Luo Jun , Pu Huayan 
Published: June 2022

Ultra-broadband sound absorption with periodic gradient impedance matching is of great concern in the research of acoustic materials. This study investigates the impedance matching of composite acoustic metamaterials comprising micro-perforated plates (MPPs) and subsequent Fabry–Pérot(FP) channels. Based on the impedance matching theory, ultra-broadband sound absorption has been realized through a design with 36 channels whose thickness is only 50 mm. Also, the average sound absorption coefficient of 88% and an absorption frequency bandwidth (490–4000 Hz) can be achieved by preserving the matching impedance. Furthermore, by changing the thickness of the perfect absorber being 100 mm, the average sound absorption coefficient can reach greater than 90% in the frequency range of 250–4500 Hz. The proposed structure is validated analytically and experimentally. This work can help with designing and improving the method of acoustic metasurfaces and especially have the potential in ultra-broadband sound absorber designs.
Study on Molecular Information Intelligent Diagnosis and Treatment of Bladder Cancer on Pathological Tissue Image
Authors: Bai Yanfeng , Wang Huogen , Wu Xuesong , Weng Menghan , Han Qingmei , Xu Liming , Zhang Han , Chang Chengdong , Jin Chaohui , Chen Ming , Luo Kunfeng , Teng Xiaodong 
Published: June 2022

BackgroundMolecular information about bladder cancer is significant for treatment and prognosis. The immunohistochemistry (IHC) method is widely used to analyze the specific biomarkers to determine molecular subtypes. However, procedures in IHC and plenty of reagents are time and labor-consuming and expensive. This study established a computer-aid diagnosis system for predicting molecular subtypes, p53 status, and programmed death-ligand 1 (PD-L1) status of bladder cancer with pathological images.Materials and MethodsWe collected 119 muscle-invasive bladder cancer (MIBC) patients who underwent radical cystectomy from January 2016 to September 2018. All the pathological sections are scanned into digital whole slide images (WSIs), and the IHC results of adjacent sections were recorded as the label of the corresponding slide. The tumor areas are first segmented, then molecular subtypes, p53 status, and PD-L1 status of those tumor-positive areas would be identified by three independent convolutional neural networks (CNNs). We measured the performance of this system for predicting molecular subtypes, p53 status, and PD-L1 status of bladder cancer with accuracy, sensitivity, and specificity.ResultsFor the recognition of molecular subtypes, the accuracy is 0.94, the sensitivity is 1.00, and the specificity is 0.909. For PD-L1 status recognition, the accuracy is 0.897, the sensitivity is 0.875, and the specificity is 0.913. For p53 status recognition, the accuracy is 0.846, the sensitivity is 0.857, and the specificity is 0.750.ConclusionOur computer-aided diagnosis system can provide a novel and simple assistant tool to obtain the molecular subtype, PD-L1 status, and p53 status. It can reduce the workload of pathologists and the medical cost.
Social Engagement in the Fight Against COVID-19 in the Urban and Peri-Urban Areas of Cotonou (Benin, Sub-saharan Africa): Acceptability of the Vaccination and Tracking Program
Authors: Maccaro Alessia , Piaggio Davide , Oronti Iyabosola Busola , Vignigbé Marius , Gbokli Antoinette , Houngnihin Roch , Pecchia Leandro 
Published: June 2022

IntroductionThis article aims at investigating social engagement in the fight against the COVID-19 pandemic in low-resource settings (LRSs). In particular, it focuses on Benin (Sub-Saharan Africa), and reports the results of a field study that investigated the local people's acceptance of the vaccine and the tracking program.MethodsThis project is the product of a collaboration between the ABSPIE (Applied Biomedical and Signal Processing E-Health) Lab of the University of Warwick (UK) and the LAMA (Laboratoire d'Antropologie Medical Appliqué) of the University of Abomey Calavi (Benin). This international multidisciplinary collaboration brought together engineers, sociologists, anthropologists, and bioethicists. In light of the aims of the project, a qualitative methodology was deemed appropriate. The research team prepared two questionnaires that provided the basis for semi-structured interviews that took place between June and August 2021.ResultsThe research team interviewed 34 Beninese respondents, comprising people aged 60+ (with multiple comorbidities), who were primarily healthcare workers and/or traditional therapists. The results of this work highlight the fact that there is widespread reticence about the vaccination program in Benin, both due to local beliefs and uncertainty about governmental management. In this study, we uncovered several local reasons interfering with the involvement of the population in the vaccination campaign against COVID-19, e.g., the existence of traditional medical practices considered as valid alternatives to vaccines, and many beliefs showing a fear of neo-colonialism hidden in the pandemic threat. Yet, another hindrance can be traced to shortcomings in the management of the vaccination campaign which resulted in obstacles to the implementation of the program.ConclusionsThis work does not intend to denounce any governmental effort or foster a regressive mindset, but shows how the overall confusion (defined by the World Health Organization as infodemic) linked to the pandemic and its management has caused even more dramatic consequences in LRSs. In addition, the paper proposes a specific framework for the interpretation and management of bioethical and biomedical issues in LRSs that the authors are validating in their current research.
Acupuncture to Improve Patient Discomfort During Upper Gastrointestinal Endoscopy: Systematic Review and Meta-Analysis
Authors: Gao Ning , Chen Huan , Wang Yang , Guo Yufeng , Liu Zhishun , Wang Weiming 
Published: June 2022

Background and AimsSevere discomfort during an upper gastrointestinal endoscopy (UGE) is often a stressful experience for patients undergoing the procedure. An increasing number of studies have shown that acupuncture may reduce discomfort during UGE. A systematic review in 2004 investigated the effect of acupuncture for gastrointestinal endoscopy, but these data have not been recently reviewed. Therefore, this study was conducted to evaluate the current evidence and provide up-to-date knowledge for clinical decision-making.MethodsNine databases were searched from inception to June 2021. Eligible randomized controlled trials (RCTs) were included. The outcome data were synthesized where necessary, and risks of bias of included studies were assessed using RevMan V.5.3.ResultsTwenty-three eligible RCTs with 3,349 patients were identified. It was found that acupuncture plus topical pharyngeal anesthesia with lidocaine hydrochloride (TPALH) resulted in greater improvements regarding visual analog scale (VAS) scores and the incidence of nausea and vomiting (INV) when compared with TPALH alone. These results were consistent among studies of manual acupuncture, electroacupuncture, auricular-plaster, superficial needle (SFN) and acupressure. In the meta-analysis, SFN plus TPALH showed significant improvement of VAS scores compared to sham SFN plus TPALH (MD −1.11, 95% CI −1.52 to −0.70, P &lt; 0.00001). Most of included studies did not report any side effects in their findings, and were of medium-to-high risk of bias.ConclusionAcupuncture, as adjunctive therapy to TPA, may result in less patient discomfort than TPA alone. Findings from this review should be interpreted with caution due to the high heterogeneity identified. There is low-quality evidence supporting the use of acupuncture over sham. More rigorously designed RCTs are needed to inform clinical decision-making.Systematic Review RegistrationPROSPERO [CRD42014008966].
The HIDDEN Protocol: An Australian Prospective Cohort Study to Determine the Utility of Whole Genome Sequencing in Kidney Failure of Unknown Aetiology
Authors: Soraru Jacqueline , Jahan Sadia , Quinlan Catherine , Simons Cas , Wardrop Louise , O’Shea Rosie , Wood Alasdair , Mallawaarachchi Amali , Patel Chirag , Stark Zornitza , Mallett Andrew John 
Published: June 2022

Early identification of genetic kidney disease allows personalised management, clarification of risk for relatives, and guidance for family planning. Genetic disease is underdiagnosed, and recognition of genetic disease is particularly challenging in patients with kidney failure without distinguishing diagnostic features. To address this challenge, the primary aim of this study is to determine the proportion of genetic diagnoses amongst patients with kidney failure of unknown aetiology, using whole genome sequencing (WGS). A cohort of up to 100 Australian patients with kidney failure of unknown aetiology, with onset &lt;50 years old and approved by a panel of study investigators will be recruited via 18 centres nationally. Clinically accredited WGS will be undertaken with analysis targeted to a priority list of ∼388 genes associated with genetic kidney disease. The primary outcome will be the proportion of patients who receive a molecular diagnosis (diagnostic rate) via WGS compared with usual -care (no further diagnostic investigation). Participant surveys will be undertaken at consent, after test result return and 1 year subsequently. Where there is no or an uncertain diagnosis, future research genomics will be considered to identify candidate genes and new pathogenic variants in known genes. All results will be relayed to participants via the recruiting clinician and/or kidney genetics clinic. The study is ethically approved (HREC/16/MH/251) with local site governance approvals in place. The future results of this study will be disseminated and inform practical understanding of the potential monogenic contribution to kidney failure of unknown aetiology. These findings are anticipated to impact clinical practice and healthcare policy.Study Registration[https://dora.health.qld.gov.au], identifier [HREC/16/MH/251].
Would Chinese Men Who Have Sex With Men Take Up Human Papillomavirus (HPV) Screening as an Alternative Prevention Strategy to HPV Vaccination?
Authors: Chan Paul Shing-fong , Fang Yuan , Chidgey Andrew , Fong Francois , Ip Mary , Wang Zixin 
Published: June 2022

BackgroundMen who have sex with men (MSM) are at high risk for human papillomavirus (HPV) infection. A community-based organization (CBO)-private clinic service model promoting HPV vaccination among MSM was implemented in Hong Kong. The aim of this study was to evaluate the effectiveness of this service model in increasing HPV screening among MSM.MethodsThis was a secondary analysis of the CBO-private clinic service model in increasing HPV screening among MSM. Participants were Hong Kong Chinese-speaking MSM aged 18–45 years who had never received HPV vaccination. All participants completed a telephone survey at baseline before receiving online intervention promoting HPV vaccination and completed another telephone survey 12 months afterward.ResultsA total of 350 participants completed a baseline telephone survey and received interventions promoting HPV vaccination. Among 274 participants being followed up at Month 12, 33 (12.0%) received any type of HPV screening during the study period. Such uptake rate was similar to the prevalence of HPV screening in the past year measured at baseline (12.0 vs. 9.9%, p = 0.43). More MSM preferred HPV vaccination or HPV vaccination plus HPV screening, and very few preferred HPV screening alone. After adjusting for significant baseline characteristics, higher perceived susceptibility to HPV (adjusted odds ratio (AOR): 1.16, 95% confidence interval (CI): 1.00–1.34) and receiving HPV vaccination during the study period (AOR: 7.03, 95% CI: 3.07–16.13) were significantly associated with higher HPV screening uptake.ConclusionsThe CBO-private clinic service model promoting HPV vaccination had limited impact in increasing HPV screening among MSM in Hong Kong. MSM in Hong Kong may not use HPV screening as an alternative prevention strategy to HPV vaccination. Future programs preventing HPV-related diseases among MSM in Hong Kong should focus on HPV vaccination promotion.
Effects of Moxa Cone Moxibustion Therapy on Cognitive Function and Brain Metabolic Changes in MCI Patients: A Pilot 1H-MRS Study
Authors: Mai Wei , Zhang Aizhen , Liu Qiang , Tang Liying , Wei Yichen , Su Jiahui , Duan Gaoxiong , Teng Jinlong , Nong Xiucheng , Yu Bihan , Li Chong , Shao Lijuan , Deng Demao , Chen Shangjie , Zhao Lihua 
Published: June 2022

ObjectiveTo explore the effect of moxa cone moxibustion on N-acetyl aspartate/total creatinine (NAA/tCr) and choline/total creatinine (Cho/tCr) in the bilateral hippocampus (HIP) and bilateral posterior cingulate gyrus (PCG) in patients with mild cognitive impairment (MCI) using hydrogen proton magnetic resonance spectroscopy (1H-MRS) and to provide imaging basis for moxa cone moxibustion treatment for MCI.MethodsOne hundred eight patients with MCI were served as the MCI group, and 67 age-matched subjects were enrolled as the normal control group. The MCI group was randomized and allocated into acupoint group, drug group, and sham acupoint group, with 36 cases in each group. Some patients in each group withdrew. Finally, 25 cases were included in the acupoint group, 24 cases in the drug group, and 20 cases in the sham acupoint group. The drug group was treated with oral donepezil hydrochloride. The acupoint group and sham acupoint group received moxa cone moxibustion treatment. Mini-mental state exam (MMSE) and Montreal cognitive assessment (MoCA) scores were recorded before intervention, at the end of the first and the second months of intervention, and in the 5th month of follow-up. The NAA/tCr and Cho/tCr ratios in the HIP and PCG were bilaterally measured by 1H-MRS before and after intervention.ResultsBefore intervention, compared with the normal control group, the MMSE and MoCA scores, the Cho/tCr ratio in the right HIP, the NAA/tCr ratio in the bilateral HIP, and the NAA/tCr ratio in the left PCG in the three treatment groups decreased significantly (both p &lt; 0.01), and the NAA/tCr ratio in the right PCG significantly reduced in the acupoint and drug groups (p &lt; 0.05). After two months of treatment, compared with the normal control group, there were no differences in the MoCA scores, the NAA/tCr, and Cho/tCr ratios in the bilateral PCG and bilateral HIP in the three treatment groups (p &gt; 0.05). However, the MMSE scores in the drug group decreased when compared with the acupoint group and normal control group (p &lt; 0.05, p &lt; 0.01). The scores of MMSE and MoCA in the acupoint group and sham acupoint group at all time points were better than those in the drug group, which were similar to those in the normal control group.ConclusionOur findings suggest that moxibustion could improve the cognitive function of patients with MCI. The mechanism may be related to the improvement of abnormal brain metabolism in HIP and PCG.
Longitudinal Brain Changes After Stroke and the Association With Cognitive Decline
Authors: Aamodt Eva B. , Lydersen Stian , Alnæs Dag , Schellhorn Till , Saltvedt Ingvild , Beyer Mona K. , Håberg Asta 
Published: June 2022

BackgroundCognitive impairment is common after stroke. So is cortical- and subcortical atrophy, with studies reporting more atrophy in the ipsilesional hemisphere than the contralesional hemisphere. The current study aimed to investigate the longitudinal associations between (I) lateralization of brain atrophy and stroke hemisphere, and (II) cognitive impairment and brain atrophy after stroke. We expected to find that (I) cortical thickness and hippocampal-, thalamic-, and caudate nucleus volumes declined more in the ipsilesional than the contralesional hemisphere up to 36 months after stroke. Furthermore, we predicted that (II) cognitive decline was associated with greater stroke volumes, and with greater cortical thickness and subcortical structural volume atrophy across the 36 months.MethodsStroke survivors from five Norwegian hospitals were included from the multisite-prospective “Norwegian Cognitive Impairment After Stroke” (Nor-COAST) study. Analyses were run with clinical, neuropsychological and structural magnetic resonance imaging (MRI) data from baseline, 18- and 36 months. Cortical thicknesses and subcortical volumes were obtained via FreeSurfer segmentations and stroke lesion volumes were semi-automatically derived using ITK-SNAP. Cognition was measured using MoCA.ResultsFindings from 244 stroke survivors [age = 72.2 (11.3) years, women = 55.7%, stroke severity NIHSS = 4.9 (5.0)] were included at baseline. Of these, 145 (59.4%) had an MRI scan at 18 months and 72 (49.7% of 18 months) at 36 months. Most cortices and subcortices showed a higher ipsi- compared to contralesional atrophy rate, with the effect being more prominent in the right hemisphere. Next, greater degrees of atrophy particularly in the medial temporal lobe after left-sided strokes and larger stroke lesion volumes after right-sided strokes were associated with cognitive decline over time.ConclusionAtrophy in the ipsilesional hemisphere was greater than in the contralesional hemisphere over time. This effect was found to be more prominent in the right hemisphere, pointing to a possible higher resilience to stroke of the left hemisphere. Lastly, greater atrophy of the cortex and subcortex, as well as larger stroke volume, were associated with worse cognition over time and should be included in risk assessments of cognitive decline after stroke.