bluuebunny/crossref_metadata_2025_split huggingface dataset:
CT-Based Simulation of Left Ventricular Hemodynamics: A Pilot Study in Mitral Regurgitation and Left Ventricle Aneurysm Patients
Authors: Obermeier Lukas , Vellguth Katharina , Schlief Adriano , Tautz Lennart , Bruening Jan , Knosalla Christoph , Kuehne Titus , Solowjowa Natalia , Goubergrits Leonid 
Published: March 2022

BackgroundCardiac CT (CCT) is well suited for a detailed analysis of heart structures due to its high spatial resolution, but in contrast to MRI and echocardiography, CCT does not allow an assessment of intracardiac flow. Computational fluid dynamics (CFD) can complement this shortcoming. It enables the computation of hemodynamics at a high spatio-temporal resolution based on medical images. The aim of this proposed study is to establish a CCT-based CFD methodology for the analysis of left ventricle (LV) hemodynamics and to assess the usability of the computational framework for clinical practice.Materials and MethodsThe methodology is demonstrated by means of four cases selected from a cohort of 125 multiphase CCT examinations of heart failure patients. These cases represent subcohorts of patients with and without LV aneurysm and with severe and no mitral regurgitation (MR). All selected LVs are dilated and characterized by a reduced ejection fraction (EF). End-diastolic and end-systolic image data was used to reconstruct LV geometries with 2D valves as well as the ventricular movement. The intraventricular hemodynamics were computed with a prescribed-motion CFD approach and evaluated in terms of large-scale flow patterns, energetic behavior, and intraventricular washout.ResultsIn the MR patients, a disrupted E-wave jet, a fragmentary diastolic vortex formation and an increased specific energy dissipation in systole are observed. In all cases, regions with an impaired washout are visible. The results furthermore indicate that considering several cycles might provide a more detailed view of the washout process. The pre-processing times and computational expenses are in reach of clinical feasibility.ConclusionThe proposed CCT-based CFD method allows to compute patient-specific intraventricular hemodynamics and thus complements the informative value of CCT. The method can be applied to any CCT data of common quality and represents a fair balance between model accuracy and overall expenses. With further model enhancements, the computational framework has the potential to be embedded in clinical routine workflows, to support clinical decision making and treatment planning.
Additive Effects of Obesity on Myocardial Microcirculation and Left Ventricular Deformation in Essential Hypertension: A Contrast-Enhanced Cardiac Magnetic Resonance Imaging Study
Authors: Han Pei-Lun , Li Xue-Ming , Jiang Li , Yan Wei-Feng , Guo Ying-Kun , Li Yuan , Li Kang , Yang Zhi-Gang 
Published: March 2022

ObjectiveThe combination of hypertension and obesity is a major cause of cardiovascular risk, and microvascular changes and subclinical dysfunction should be considered to illustrate the underlying mechanisms and early identification, thereby developing targeted therapies. This study aims to explore the effect of obesity on myocardial microcirculation and left ventricular (LV) deformation in hypertensive patients by cardiac magnetic resonance (CMR).MethodsThis study comprised 101 hypertensive patients, including 54 subjects with a body mass index (BMI) of 18.5–24.9 kg/m2 and 47 subjects with a BMI ≥25 kg/m2, as well as 55 age- and sex-matched controls with a BMI of 18.5–24.9 kg/m2. Myocardial perfusion indicators [upslope, time to maximum signal intensity (TTM), maximum signal intensity (Max SI)] and LV strains [radial, circumferential, and longitudinal global peak strain (PS), peak systolic strain rate (PSSR), and peak diastolic strain rate (PDSR)] were measured.ResultsUpslope was numerically increased in obese patients but statistically decreased in non-obese patients compared with controls. Longitudinal PS deteriorated significantly and gradually from controls to non-obese and obese hypertensive patients. Longitudinal PSSR and PDSR were significantly decreased in obese hypertensive patients compared with the other two groups. BMI was associated with upslope (β = −0.136, P &lt; 0.001), Max SI (β = −0.922, P &lt; 0.001), longitudinal PSSR (β = 0.018, P &lt; 0.001), and PDSR (β = −0.024, P = 0.001). Myocardial perfusion was independently associated with longitudinal PSSR (TTM: β = 0.003, P = 0.017) and longitudinal PDSR (upslope: β = 0.067, P = 0.020) in hypertension.ConclusionObesity had adverse effects on microvascular changes and subclinical LV dysfunction in hypertension, and BMI was independently associated with both myocardial perfusion and LV deformation. Impaired myocardial perfusion was independently associated with subclinical LV dysfunction in hypertension.
Deceleration Capacity Improves Prognostic Accuracy of Relative Increase and Final Coronary Physiology in Patients With Non-ST-Elevation Acute Coronary Syndrome
Authors: Wang Jun , Liu Chengzhe , Guo Fuding , Zhou Zhen , Zhou Liping , Wang Yueyi , Chen Huaqiang , Zhou Huixin , Liu Zhihao , Duan Shoupeng , Sun Ji , Deng Qiang , Xu Saiting , Jiang Hong , Yu Lilei 
Published: March 2022

BackgroundBoth coronary physiology and deceleration capacity (DC) showed prognostic efficacy for patients with acute coronary syndrome (ACS). This retrospective cohort study was performed to evaluate the prognostic implication of DC combined with the relative increase and final coronary physiology as detected by quantitative flow ratio (QFR) for patients with non-ST-elevation ACS (NSTE-ACS) who underwent complete and successful percutaneous coronary intervention (PCI).MethodsPatients with NSTE-ACS who underwent PCI with pre- and post-procedural QFR in our department between January 2018 and November 2019 were included. The 24-hour deceleration capacity (DC 24h) was obtained via Holter monitoring. The incidence of major adverse cardiac and cerebrovascular events (MACCEs) during follow up was defined as the primary outcome. The optimal cutoffs of the relative increase, final QFR, and DC 24h for prediction of MACCEs were determined via receiver operating characteristic (ROC) analysis and the predictive efficacies were evaluated with multivariate Cox regression analysis.ResultsOverall, 240 patients were included. During a mean follow up of 21.3 months, 31 patients had MACCEs. Results of multivariate Cox regression analyses showed that a higher post-PCI QFR [adjusted hazard ratio (HR): 0.318; 95% confidence interval (CI): 0.129–0.780], a higher relative QFR increase (HR: 0.161; 95% CI: 0.066–0.391], and a higher DC (HR: 0.306; 95% CI: 0.134–0.701) were all independent predictors of lower risk of MACCEs. Subsequently, incorporating low DC (≤2.42) into the risk predicting model with clinical variables, the predictive efficacies of low relative QRS increase (≤23%) and low post-PCI QFR (≤0.88) for MACCEs were both significantly improved.ConclusionsThe DC combined with relative increase and final coronary physiology may improve the predictive efficacy of existing models based on clinical variables for MACCEs in NSTE-ACS patients who underwent complete and successful PCI.
Acceleration of Deep Slip Along the Longmenshan Fault Plane Before the 2008 M8.0 Wenchuan Earthquake
Authors: Zhao Jing , Yuan Zhengyi , Ren Jinwei , Jiang Zaisen , Yao Qi , Zhou Zhihua , Yue Chong , Zhong Jun , Niu Anfu 
Published: March 2022

The first step toward earthquake forecasting is the identification of variables whose spatio-temporal variation can be connected with pre-seismic crustal deformation. Four periods of campaign Global Positioning System (GPS) observations around the Longmenshan fault zone (LFZ) provide important insights in crustal deformation and deep fault slip before the 2008 M8.0 Wenchuan earthquake. By using TDEFNODE to invert the coupling fraction and dynamic slip deficit rate of the Longmenshan fault plane before the Wenchuan earthquake, we show that under a background of strong coupling, the compressive slip deficit rate perpendicular to fault increased slightly at first and then decreased; a value of ∼1.5–3.6 mm/a along the central–southern segment from 1999 to 2001 increased to ∼1.9–3.9 mm/a from 2001 to 2004, and then decreased to ∼1.1–2.6 mm/a from 2004 to 2007. The dextral slip deficit rate parallel to fault was ∼6 mm/a from 1999 to 2004, before increasing significantly to ∼9.5 mm/a from 2004 to 2007, when the compressive slip deficit rate decreased. At the same time, large-scale GPS velocity profiles show that compressive shortening deformation in the Eastern Tibet Block, perpendicular to fault, increased slightly from 2001 to 2004, and then decreased from 2004 to 2007. Meanwhile, the dextral shear deformation parallel to fault near the LFZ increased significantly from 2004 to 2007. These findings are in good agreement with those calculated using repeating earthquake sequences, indicating that the deep slip rate of the Longmenshan fault plane may have accelerated several years before the Wenchuan earthquake. Our results demonstrate that GPS data can record pre-seismic preparatory processes, and have the potential for use in medium-term large earthquake forecasting.
Characterization, Classification, and Evaluation of the Reservoir Pore Structure Features of Lacustrine Fine-Grained Sedimentary Rocks. A Case Study of the Fourth Member of the Shahejie Formation in the Chenguanzhuang Area of the Southern Gently Sloping Zone of the Dongying Depression, Bohai Bay Basin
Authors: Yang Yiming , Peng Jun , Xu Tianyu , Wang Yubin , Zeng Yao 
Published: March 2022

With the development of unconventional oil and gas exploration “from sea to land,” lacustrine fine-grained sedimentary rocks (FSR) have gradually attracted the attention of scholars and become an important topic in the field of unconventional oil and gas, but the research is still in its initial stage. In this study, lacustrine FSR in the Dongying Depression of the Bohai Bay Basin are used as the research object, and nuclear magnetic resonance (NMR) and quantitative image characterization are used to characterize the pore structure of the reservoir in the study area on multiple scales, analyze the reservoir characteristics control factors, and classify and evaluate the reservoir. The results show that: 1) the favorable petrographic phases of the FSR reservoir can be classified into six types of organic-rich lime mudstone, organic-rich laminoid lime clay rock, organic-rich laminoid clay micritic limestone, organic-bearing banding clay micritic limestone, organic-rich banding lime clay rock, and organic-bearing lumpy clay micritic limestone. With an average porosity of 12.3% and an average permeability of 10.58 mD, the overall reservoir is a typical low-porosity-low-permeability type; 2) the reservoir space types are diverse, with strong microscopic inhomogeneity; pores with a pore size of less than 2 nm almost have no contribution to the reservoir space; the pore volume and pore area are mainly provided by organic matter pores at the 100 nm level, mineral intergranular pores, and clay mineral shrinkage pores/slits. The FSR reservoirs in the study area are classified into three categories, and the pore structure of the reservoirs from categories I to III deteriorates in turn. This study provides a basis for the microscopic characterization, classification, and evaluation of lacustrine FSR reservoirs and their exploration.
Obesity Class Impacts Adverse Maternal and Neonatal Outcomes Independent of Diabetes
Authors: Neal Kirsten , Ullah Shahid , Glastras Sarah J. 
Published: March 2022

IntroductionObesity in pregnancy is a known risk factor for adverse maternal and neonatal outcomes. Few studies have compared adverse pregnancy-related outcomes according to obesity severity. Hence, we aimed to examine the impact of obesity class on maternal and perinatal outcomes.MethodsWe retrospectively analysed data from all singleton births from mothers with obesity from 2013-2017 in Northern Sydney Local Health District in Sydney, Australia. Women were categorised into obesity class I (BMI 30-34.9kg/m2), class II (BMI 35-39.9 kg/m2) or class III (BMI 40+ kg/m2). Across BMI classes, we compared maternal outcomes including mode of delivery, gestational diabetes mellitus (GDM), and preeclampsia, and neonatal outcomes including large- and small-for-gestational age (SGA, LGA), neonatal hypoglycaemia, birth defects and timing of birth. Logistic analyses were performed to explore the impact of maternal obesity class on these outcomes, adjusting for maternal age, country of birth, parity, diabetes (both pre-existing and gestational) and hypertension.ResultsThere were 2466 births to women with obesity, class (69.1%), class II (21.8%), and class III (9.2%). 42.5% delivered by Caesarean section, 22.3% developed GDM and 11.2% had a hypertensive disorder in pregnancy, and Caesarean section and GDM were more common in women with higher class obesity. LGA occurred in 27.3% and SGA occurred in 4.0% of women across all classes of obesity. LGA rates were 49% more likely in women with class III compared to women with class I obesity (OR=1.49, CI 1.06-2.09, p=0.02). The presence of diabetes in the index pregnancy did not significantly impact risk of neonatal LGA between maternal obesity classes. Other neonatal adverse outcomes such as stillbirth and birth defects were more common in women with higher class obesity. SGA, neonatal hypoglycaemia, gestational age at delivery, APGAR 5-minute score and NICU admissions were similar across obesity classes, after adjustment for covariates.ConclusionsObesity class increases the risk of many adverse maternal and neonatal outcomes. Obesity class is independently associated with LGA incidence in the neonate, independent of maternal factors including GDM. Ongoing efforts must be made to reduce obesity incidence in women of reproductive age to circumvent the adverse perinatal outcomes associated with obesity.
Multi-Media Occurrence of Antibiotics and Antibiotic Resistance Genes in East Dongting Lake
Authors: Guo Xiaochun , Song Ranran , Lu Shaoyong , Liu Xiaohui , Chen Jinming , Wan Zhengfen , Bi Bin 
Published: March 2022

With the extensive use of antibiotics, antibiotics and their induced resistance genes (ARGs) have become new types of pollutants widely distributed in a variety of environmental media. The contamination of antibiotics and ARGs occurring in important living and agricultural regions has aroused wide concern worldwide, especially in lake basins. The Dongting Lake basin is one of the important aquaculture and livestock areas in China, which is accompanied by a large amount of antibiotic use and discharge. However, the occurrence characteristics of antibiotics and ARGs in a multi-environment medium are still unclear. In this study, surface water and sediment samples in East Dongting Lake were collected by season, antibiotics and ARGs were quantitatively analyzed, and the risk quotient method was used to evaluate the ecological risk of antibiotics in surface water. 1) The concentration of antibiotics in the surface water of East Dongting Lake ranged from ND to 943.49 ng/L, with the maximum average concentration of 20.92 ng/L in spring. The concentration of antibiotics in sediments ranged from ND to 177.43 ng/g, with the maximum average concentration of 16.38 ng/g in fall. Ofloxacin (OFL) and sulfamethoxazole (SMX) were the main antibiotic pollutants in East Dongting Lake Basin. 2) sul1 and sul2 were the dominant ARGs in East Dongting Lake Basin. For spatial change, the total abundance of ARGs upstream was higher than that downstream. For seasonal change, the surface water and sediment were characterized by spring &gt; summer &gt; fall. 3) OFL and sulfamethoxazole might pose a significant high risk to aquatic organisms both in three seasons, and the ecological risk of antibiotics in East Dongting Lake is more significant at low temperatures than high. This study could provide important data information of the occurrence and concentration of antibiotics and ARGs in East Dongting Lake Basin.
Local Innate Markers and Vaginal Microbiota Composition Are Influenced by Hormonal Cycle Phases
Authors: Adapen Cindy , Réot Louis , Nunez Natalia , Cannou Claude , Marlin Romain , Lemaître Julien , d’Agata Léo , Gilson Emmanuel , Ginoux Eric , Le Grand Roger , Nugeyre Marie-Thérèse , Menu Elisabeth 
Published: March 2022

BackgroundThe female reproductive tract (FRT) mucosa is the first line of defense against sexually transmitted infection (STI). FRT environmental factors, including immune-cell composition and the vaginal microbiota, interact with each other to modulate susceptibility to STIs. Moreover, the menstrual cycle induces important modifications within the FRT mucosa. Cynomolgus macaques are used as a model for the pathogenesis and prophylaxis of STIs. In addition, their menstrual cycle and FRT morphology are similar to women. The cynomolgus macaque vaginal microbiota is highly diverse and similar to dysbiotic vaginal microbiota observed in women. However, the impact of the menstrual cycle on immune markers and the vaginal microbiota in female cynomolgus macaques is unknown. We conducted a longitudinal study covering three menstrual cycles in cynomolgus macaques. The evolution of the composition of the vaginal microbiota and inflammation (cytokine/chemokine profile and neutrophil phenotype) in the FRT and blood was determined throughout the menstrual cycle.ResultsCervicovaginal cytokine/chemokine concentrations were affected by the menstrual cycle, with a peak of production during menstruation. We observed three main cervicovaginal neutrophil subpopulations: CD11bhigh CD101+ CD10+ CD32a+, CD11bhigh CD101+ CD10- CD32a+, and CD11blow CD101low CD10- CD32a-, of which the proportion varied during the menstrual cycle. During menstruation, there was an increase in the CD11bhigh CD101+ CD10+ CD32a+ subset of neutrophils, which expressed higher levels of CD62L. Various bacterial taxa in the vaginal microbiota showed differential abundance depending on the phase of the menstrual cycle. Compilation of the factors that vary according to hormonal phase showed the clustering of samples collected during menstruation, characterized by a high concentration of cytokines and an elevated abundance of the CD11bhigh CD101+ CD10+ CD32a+ CD62L+ neutrophil subpopulation.ConclusionsWe show a significant impact of menstruation on the local environment (cytokine production, neutrophil phenotype, and vaginal microbiota composition) in female cynomolgus macaques. Menstruation triggers increased production of cytokines, shift of the vaginal microbiota composition and the recruitment of mature/activated neutrophils from the blood to the FRT. These results support the need to monitor the menstrual cycle and a longitudinal sampling schedule for further studies in female animals and/or women focusing on the mucosal FRT environment.
Case Report: Intraocular Hemorrhage in a Primary Vitreoretinal Lymphoma Patient Treated With Zanubrutinib
Authors: Zhang Xiao , Dai Rongping , Zhao Chan , Zhang Meifen 
Published: March 2022

PurposeTo report a case of primary vitreoretinal lymphoma (PVRL) treated with oral zanubrutinib, who had bilateral intraocular hemorrhage after intravitreal injection of methotrexate (MTX).Case reportA 69-year-old Chinese female presented with vision decrease in both eyes. After diagnostic vitrectomy, the patient was diagnosed as PVRL in both eyes, and was treated with intravenous rituximab, oral zanubrutinib and bilateral intravitreal MTX. There were bilateral anterior chamber and vitreous hemorrhage after the fourth intravitreal MTX combined with paracentesis. After discontinuation of zanubrutinib, vitrectomy and silicon oil tamponade were performed on the left eye, and the blood in the right eye was absorbed.ConclusionBleeding is a major concern in the use of zanubrutinib. It is suggested that drugs be held for a few days prior to procedures and surgeries.
The Role of Human Epididymis Protein 4 in the Diagnosis and Prognosis of Diseases: An Umbrella Review of Systematic Reviews and Meta-Analyses of Observational Studies
Authors: Sun Ming-Li , Yang Zhi-Yong , Wu Qi-Jun , Li Yi-Zi , Li Xin-Yu , Liu Fang-Hua , Wei Yi-Fan , Wen Zhao-Yan , Lin Bei , Gong Ting-Ting 
Published: March 2022

BackgroundThe application of human epididymis protein 4 (HE4) in diverse health diseases, especially in cancers, has been extensively studied in recent decades. To summarize the existing evidence of the aforementioned topic, we conducted an umbrella review to systematically evaluate the reliability and strength of evidence regarding the role of HE4 in the diagnostic and prognostic estimate of diverse diseases.MethodsElectronic searches in PubMed, Web of Science, and Embase databases were conducted from inception to September 16, 2021, for meta-analyses, which focus on the role of HE4 in the diagnosis and prognosis of diseases. This study protocol has been registered at PROSPERO (CRD42021284737). We collected the meta-analysis effect size of sensitivity, specificity, positive predictive value, and negative predictive value from diagnostic studies and gathered the hazard ratio (HR) of disease-free survival, overall survival, and progression-free survival from prognostic studies. For each systematic review and meta-analysis, we used a measurable tool for evaluating systematic reviews and meta-analysis (AMSTAR) to evaluate the methodological quality. Additionally, we assessed the quality of evidence on estimating the ability of HE4 in the diagnosis and prognosis of diverse diseases by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) guideline.ResultsOverall, 20 meta-analyses including a total of 331 primary studies of different diseases were examined, mainly including ovarian cancer (OC) (n = 9), endometrial cancer (EC) (n = 6), and lung cancer (LC) (n = 4). The methodological qualities of all studies were rated as moderate (45%) or high (55%) by the AMSTAR. According to the GRADE, the certainties of 18 diagnostic pieces of evidence (9 for sensitivity and 9 for specificity) were rated as moderate (34%), low (33%), and very low (33%). Moreover, outcomes from prognosis studies showed evidence (1 for disease-free survival) with high certainty in regard to cancers (such as EC, OC, and LC) with the remaining three being moderate.ConclusionThis umbrella review suggested that HE4 was a favored biomarker in the prognosis of cancers, which was supported by high certainty of evidence. Additionally, HE4 could provide a suitable method for the diagnosis of EC, OC, and LC with moderate certainty evidence. Further large prospective cohort studies are needed to better elucidate the diagnostic and prognostic role of HE4 in diseases.