bluuebunny/crossref_metadata_2025_split huggingface dataset:
Distal Aortic Failure Following the Frozen Elephant Trunk Procedure for Aortic Dissection
Authors: Berger Tim , Graap Miriam , Rylski Bartosz , Fagu Albi , Gottardi Roman , Walter Tim , Discher Philipp , Hagar Muhammad Taha , Kondov Stoyan , Czerny Martin , Kreibich Maximilian 
Published: June 2022

BackgroundAim of this study was to report and to identify risk factors for distal aortic failure following aortic arch replacement via the frozen elephant trunk (FET) procedure.MethodsOne hundred eighty-six consecutive patients underwent the FET procedure for acute and chronic aortic dissection. Our cohort was divided into patients with and without distal aortic failure. Distal aortic failure was defined as: (I) distal aortic reintervention, (II) aortic diameter dilatation to ≥ 6 cm or &gt; 5 mm growth within 6 months, (III) development of a distal stent-graft-induced new entry (dSINE) and/or (IV) aortic-related death. Preoperative, intraoperative, postoperative and aortic morphological data were analyzed.ResultsDistal aortic failure occurred in 88 (47.3%) patients. Forty-six (24.7%) required a distal reintervention, aortic diameter dilatation was observed in 9 (4.8%) patients, a dSINE occurred in 22 (11.8%) patients and 11 (6.4%) suffered an aortic-related death. We found no difference in the number of communications between true and false lumen (p = 0.25) but there were significantly more communications between Ishimaru zone 6–8 in the distal aortic failure group (p = 0.01). The volume of the thoracic descending aorta measured preoperatively and postoperatively within 36 months afterward was significantly larger in patients suffering distal aortic failure (p &lt; 0.001; p = 0.011). Acute aortic dissection (SHR 2.111; p = 0.007), preoperative maximum descending aortic diameter (SHR 1.029; p = 0.018) and preoperative maximum aortic diameter at the level of the diaphragm (SHR 1.041; p = 0.012) were identified as risk factors for distal aortic failure.ConclusionThe incidence and risk of distal aortic failure following the FET procedure is high. Especially those patients with more acute and more extensive aortic dissections or larger preoperative descending aortic diameters carry a substantially higher risk of developing distal aortic failure. The prospective of the FET technique as a single-step treatment for aortic dissection seems low and follow-up in dedicated aortic centers is therefore paramount.
Fluid Accumulation Zone by Seismic Attributes and Amplitude Versus Offset Analysis at Solfatara Volcano, Campi Flegrei, Italy
Authors: Gammaldi Sergio , Ismail Amir , Zollo Aldo 
Published: June 2022

The imaging of volcanic systems is a challenging topic that attracts the scientific community’s attention. The characterization of structures and rock properties by means of seismic active methods is becoming fundamental for providing ultra-high-resolution images of the structures of interest. The Solfatara Volcano is a quiescent volcano in the Campi Flegrei resurgent nested caldera that is continuously under investigation and monitoring for its shallow activity, such as fumaroles. The purpose of this work is to characterize the fluid accumulation zone in the first 150 m depth in the middle of the crater, using several post-stack seismic attributes and Amplitude Versus Offset (AVO) analysis to characterize the contact between the CO2 and condensed water in the shallower accumulation zone. The two 400 m-long profiles to which we refer in this work have been acquired during the active Repeated InduCed Earthquakes and Noise experiment. The profiles were deployed along with the NNE-SSW and WNW-ESE directions across the whole surface of the crater including the main surface anomalies of the fumaroles, in the eastern area, and the mud-pool of Fangaia, located in the western area. The seismic pre-processing, pre-stack processing, and post-stack analysis previously applied on the NNE-SSW profile are here performed for the first time on the WNW-ESE profile, while partial-stack AVO analysis is performed for both profiles. The post-stack attributes including time gain, envelope, energy, and root mean square have been computed and extracted for determining the maximum and minimum values of amplitude zones on the migrated post-stack seismic profiles. Such anomalies are provided by complex and geometrical attributes embedding information on faults and chaotic zones. The AVO technique has also been used as a direct gas indicator to enhance fluid discrimination and identification. Finally, the analysis of the profile, seismic attributes, and near-surface structural interpretation related to the Solfatara Volcano has been incorporated into the proposed analysis. The multi-2D image depicts fluids trapped in the Solfatara Volcano at depths ranging from 10 to 50 m below the crater’s surface, as well as their migration paths up to 150 m deep: this evidenced contact between the fluids has been probably due to the solfataric alteration of the minerals, caused by the arising plume and the abovecondensed water which decreases the permeability of the rocks and forms an argillic phase working as cap-rock and trapping the gases. The application of the AVO analysis, coupled with the seismic attribute’s investigation, provides a very detailed multi-2D image of the shallower Solfatara Volcano, which outperforms in terms of accuracy the ones obtained with different tools in previous works, and that evidences the presence and the position of the liquid and the gases in the north-east area of the Solfatara Volcano.
Automatic Grading of Disc Herniation, Central Canal Stenosis and Nerve Roots Compression in Lumbar Magnetic Resonance Image Diagnosis
Authors: Su Zhi-Hai , Liu Jin , Yang Min-Sheng , Chen Zi-Yang , You Ke , Shen Jun , Huang Cheng-Jie , Zhao Qing-Hao , Liu En-Qing , Zhao Lei , Feng Qian-Jin , Pang Shu-Mao , Li Shao-Lin , Lu Hai 
Published: June 2022

AimAccurate severity grading of lumbar spine disease by magnetic resonance images (MRIs) plays an important role in selecting appropriate treatment for the disease. However, interpreting these complex MRIs is a repetitive and time-consuming workload for clinicians, especially radiologists. Here, we aim to develop a multi-task classification model based on artificial intelligence for automated grading of lumbar disc herniation (LDH), lumbar central canal stenosis (LCCS) and lumbar nerve roots compression (LNRC) at lumbar axial MRIs.MethodsTotal 15254 lumbar axial T2W MRIs as the internal dataset obtained from the Fifth Affiliated Hospital of Sun Yat-sen University from January 2015 to May 2019 and 1273 axial T2W MRIs as the external test dataset obtained from the Third Affiliated Hospital of Southern Medical University from June 2016 to December 2017 were analyzed in this retrospective study. Two clinicians annotated and graded all MRIs using the three international classification systems. In agreement, these results served as the reference standard; In disagreement, outcomes were adjudicated by an expert surgeon to establish the reference standard. The internal dataset was randomly split into an internal training set (70%), validation set (15%) and test set (15%). The multi-task classification model based on ResNet-50 consists of a backbone network for feature extraction and three fully-connected (FC) networks for classification and performs the classification tasks of LDH, LCCS, and LNRC at lumbar MRIs. Precision, accuracy, sensitivity, specificity, F1 scores, confusion matrices, receiver-operating characteristics and interrater agreement (Gwet k) were utilized to assess the model’s performance on the internal test dataset and external test datasets.ResultsA total of 1115 patients, including 1015 patients from the internal dataset and 100 patients from the external test dataset [mean age, 49 years ± 15 (standard deviation); 543 women], were evaluated in this study. The overall accuracies of grading for LDH, LCCS and LNRC were 84.17% (74.16%), 86.99% (79.65%) and 81.21% (74.16%) respectively on the internal (external) test dataset. Internal and external testing of three spinal diseases showed substantial to the almost perfect agreement (k, 0.67 - 0.85) for the multi-task classification model.ConclusionThe multi-task classification model has achieved promising performance in the automated grading of LDH, LCCS and LNRC at lumbar axial T2W MRIs.
Unexpected Methane Emissions From Old Small Fishing Vessels in China
Authors: Wang Lizhi , Du Wei , Shen Huizhong , Chen Yuanchen , Zhu Xi , Yun Xiao , Shen Guofeng , Chen Yilin , Liu Junfeng , Wang Xuejun , Tao Shu 
Published: June 2022

Diesel-fueled ships have long been considered to contribute a marginal fraction of the global methane (CH4) emission budget compared to liquified natural gas (LNG)-fueled ships. Here, based on real-world measurements, we find that a specific yet-overlooked group of diesel-fueled ships–the old small fishing vessels (OSFVs)–is associated with high levels of CH4 emissions. The emission factors of CH4 from OSFVs is on average 5.2 ± 6.4 g CH4 per 1 kg fuel consumed, approaching EFCH4 of LNG-fueled ships (5.3–30.1 g/kg) and being at least six times EFCH4 of other types of diesel-fueled ships (0.0–0.9 g/kg). We estimate that CH4 emissions from OSFVs in China amount to 570–2,240 t per year, which is comparable to the total CH4 emission from all LNG-fueled ships worldwide. Our results thus call for revision of the global CH4 emission inventory for shipping.
CaMK4 Promotes Acute Lung Injury Through NLRP3 Inflammasome Activation in Type II Alveolar Epithelial Cell
Authors: Zhang Tengyue , Li Mengyuan , Zhao Siyuan , Zhou Mianjing , Liao Huai , Wu Haiyan , Mo Xinyue , Wang Hongxing , Guo Chaohuan , Zhang Hui , Yang Niansheng , Huang Yuefang 
Published: June 2022

BackgroundType II alveolar epithelial cell (AEC II), in addition to its roles in maintaining lung homeostasis, takes an active role in inflammatory response during acute lung injury (ALI). Ca2+/calmodulin-dependent protein kinase IV (CaMK4) activated by Ca2+/calmodulin signaling, has been implicated in immune responses. This study was to investigate the roles of CaMK4 in the development of ALI and the underlying mechanisms.MethodsCaMK4 inhibitor KN-93 was used to investigate the effects of CaMK4 on NLRP3 inflammasome activation. The effects of KN-93 on disease development of lipopolysaccharide (LPS)-induced ALI were also evaluated. The role of CaMK4 on NLRP3 inflammasome activation was explored in human AEC II cell line A549 using KN-93 or CaMK4 siRNA. NLRP3 inflammasome activation was measured by histology immunofluorescence and Western blot. IL-1β and IL-18 were measured by ELISA.ResultsPhosphorylation of CaMK4 and the expression of NLRP3 and Caspase-1 p20 were increased in the lungs of LPS-induced ALI mice, which was suppressed by KN-93 as measured by Western blot. Further, the activation of NLRP3 inflammasome was detected in AEC II from patients with acute respiratory distress syndrome (ARDS) and LPS-induced ALI mice. In vitro, inhibition or silencing CaMK4 in AEC II significantly inhibited NLRP3 inflammasome activation, resulting in reduced IL-1β production. The inhibition of NLRP3 inflammasome and decreased IL-1β/IL-18 production by KN-93 led to reduced inflammatory infiltration and ameliorated lung injury in LPS-induced ALI mice.ConclusionCaMK4 controls the activation of NLRP3 inflammasome in AEC II during LPS-induced ALI. CaMK4 inhibition could be a novel therapeutic approach for the treatment of ALI.
Impact of Carbapenem Peri-Transplant Prophylaxis and Risk of Extended-Spectrum Cephalosporin-Resistant Enterobacterales Early Urinary Tract Infection in Kidney Transplant Recipients: A Propensity Score-Matched Analysis
Authors: Aramwittayanukul Suwadee , Malathum Kumthorn , Kantachuvesiri Surasak , Arpornsujaritkun Nuttapon , Chootip Patumsri , Bruminhent Jackrapong 
Published: June 2022

BackgroundUrinary tract infection (UTI) is the most common bacterial infection after kidney transplantation (KT), leading to unfavorable clinical and allograft outcomes. Gram-negative uropathogenic bacteria are frequently encountered especially extended-spectrum cephalosporin-resistant (ESC-R) Enterobacterales (EB), causing UTI early after KT.MethodsA retrospective single transplant study was conducted between January 2016 and December 2019. We performed 1:1 nearest-neighbor propensity score matching without replacement using recipient age, recipient sex, induction, transplant year, human leukocyte antigen, cold ischemia time, and panel-reactive antibody before analyses. Cumulative incidence of ESC-R EB early (within 14 days after KT) UTI was estimated by the Kaplan–Meier method. Risk factors for ESC-R EB early UTI were analyzed by a Cox proportional hazards model. Variables measured after transplantation were considered time-dependent covariates.ResultsWe included 620 KT recipients (37% women; mean age ± SD, 43 ± 11 years). Overall, 64% and 76% received deceased-donor allograft and induction therapy. Sixty-five (10%) and 555 (90%) received carbapenems and cefuroxime peri-transplant prophylaxis, respectively. Early UTI occurred in 183 (30%) patients, 52% caused by ESC-R EB. Propensity score matching produced 65 well-balanced pairs. During a 14-day follow-up, the cumulative incidence of ESC-R EB early UTI was 5 and 28% in the carbapenems and cefuroxime groups, respectively (log-rank test = 0.003). Peri-transplant carbapenems prophylaxis was a protective factor against ESC-R EB after KT (hazard ratio, 0.19; 95% confidence interval, 0.05–0.64;p= 0.008). Clinical and allograft outcomes did not differ significantly between the groups.ConclusionsIn the setting where ESC-R EB UTI is common among KT recipients, carbapenems peri-transplant prophylaxis could protect against the occurrence of early ESC-R EB UTI after KT. Further prospective studies should focus on this specific infection prevention strategy.
Improvement of Pancreatic Steatosis and Indices of Insulin Resistance After Metabolic Surgery
Authors: Salman Ahmed Abdallah , Salman Mohamed Abdalla , Said Mostafa , El Sherbiny Mohammad , Elkassar Hesham , Hassan Mohamed Badr , Marwan Ahmed , Morad Mohamed Abdelkader , Ashoush Omar , Labib Safa , Aon Mohamed H. , Awad Abeer , Sayed Mohamed , Taha Ahmed E. , Moustafa Ahmed , Shaaban Hossam El-Din , Khater Amir , Elewa Ahmed , Khalaf Adel M. , Mostafa Ahmed A. , Matter Mohamed , Youssef Ahmed 
Published: June 2022

PurposeObesity is associated with fat accumulation in ectopic sites such as the pancreas, the so-called pancreatic steatosis (PS). Bariatric surgery has been shown to be associated with reducing pancreatic fat. This study investigated the effect of laparoscopic sleeve gastrectomy (LSG) on pancreatic volume and its fat content and glucose homeostasis.MethodsThe study enrolled 54 patients subjected to LSG. Metabolic variables and pancreatic exocrine function were assessed immediately before surgery and 12 months after. MRI of the abdomen was performed to measure pancreatic fat content and its total volume and visceral adipose tissue (VAT).ResultsSurgery resulted in a significant reduction in body weight and BMI. HbA1c, fasting insulin, C-peptide levels, HOMA-IR, and Hs-CRP levels decreased significantly. Surgery resulted in significant improvement in lipid profile except for HDL-cholesterol and liver function tests. Total VAT volume decreased significantly. Total pancreas volume decreased by a mean of 9.0 cm3 (95% CI: 6.6–11.3). The median change of pancreatic fat was −26.1% (range: −55.6 to 58.3%). Pancreatic lipase decreased significantly (P &lt; 0.001). There was a positive correlation between the percentage of total weight loss and decrease in pancreatic fat volume (r = 0.295, P = 0.030).ConclusionWeight loss after LSG is associated with a reduction of total VAT volume, total pancreatic volume, and pancreatic fat content. These changes are associated with improved glucose homeostasis, reduced systemic inflammation, and decreased pancreatic lipase secretion.
Evolution of Modeled Cortisol Is Prognostic of Death in Hospitalized Patients With COVID-19 Syndrome
Authors: Hedayat Kamyar M. , Chalvet David , Yang Maël , Golshan Shahrokh , Allix-Beguec Caroline , Beneteaud Serge , Schmit Thomas 
Published: June 2022

IntroductionPatients hospitalized with SARS-CoV-2 have an elevated risk of mortality related to a severe inflammatory response. We hypothesized that biological modeling with a complete blood count (CBC) would be predictive of mortality.MethodIn 2020, 81 patients were randomly selected from La Rochelle Hospital, France for a simple blinded retrospective study. Demographic, vital signs, CBC and CRP were obtained on admission, at days 2-3 and 3-5. From a CBC, two biological modeling indexes were resulted: the neutrophil-to-lymphocyte ratio (NLR) and cortisol index adjusted (CA).ResultsBy ANOVA, in survivors vs. non-survivors there was statistical different at p &lt; 0.01 for age (66.2 vs. 80), CRP (92 vs. 179 mg/dL, normal &lt; 10), cortisol index adjusted (323 vs. 698, normal 3-7) and genito-thyroid indexes (7.5 vs. 18.2, normal 1.5–2.5), and at p = 0.02 creatinine (1.03 vs. 1.48, normal 0.73–1.8 mg/dL). By mixed model analysis, CA and NLR improved in those who survived across all three time points, but worsened again after 3–5 days in non-survivors. CRP continued to improve over time in survivors and non-survivors. Positive vs. Negative predictive value were: CRP (91.1%, 30.4%), NLR (94.5%, 22.7%), CA (100%, 0%).DiscussionCortisol modeling and the neutrophil-to-lymphocyte ratio were more accurate in describing the course of non-survivors than CRP.ConclusionIn patients admitted for SARS CoV-2 infection, biological modeling with a CBC predicted risk of death better than CRP. This approach is inexpensive and easily repeated.
The Efficacy of V. odorata Extract in the Treatment of Insomnia: A Systematic Review and Meta-Analysis
Authors: Huang Shuangfeng , Huang Qianqian , Zhou Zhongbao , Zhang Junliang , Zhan Yan , Liang Zhigang 
Published: June 2022

AimThis systematic review and meta-analysis was performed to assess the effect of Viola odorata (V. odorata) extract in the treatment of insomnia.MethodsPubMed, EMBASE, and Cochrane Library databases, as well as references of related articles, were searched. Finally, four articles with five clinical trials including 224 patients were included in the analysis.ResultsThe obtained results indicated a greater improvement in total PSQI scores (MD,−4.67; P = 0.0002), subjective sleep quality score (MD,−0.91; P = 0.003), sleep duration score (MD,−0.77; P &lt; 0.00001), and ISI score (MD,−6.30; P = 0.009) in the Viola extract group compared with the placebo group. However, the Viola extract group did not significantly differ in sleep latency (MD,−0.85; P = 0.08), habitual sleep efficiency (MD,−0.61; P = 0.21), sleep disturbances (MD,−0.36; P = 0.11), and daytime dysfunction (MD,−0.94; P = 0.12) from the placebo group.ConclusionsViola extract supplement led to a greater improvement in total PSQI scores, subjective sleep quality score, sleep duration score, and ISI score compared with the placebo group of patients with chronic insomnia.
Peptidylarginine Deiminase 2 Autoantibodies Are Linked to Less Severe Disease in Multiple Sclerosis and Post-treatment Lyme Disease
Authors: Kim Yaewon , Rebman Alison W. , Johnson Tory P. , Wang Hong , Yang Ting , Colantuoni Carlo , Bhargava Pavan , Levy Michael , Calabresi Peter A. , Aucott John N. , Soloski Mark J. , Darrah Erika 
Published: June 2022

BackgroundPeptidylarginine deiminase 2 (PAD2) mediates the post-translational conversion of arginine residues in proteins to citrullines and is highly expressed in the central nervous system (CNS). Dysregulated PAD2 activity has been implicated in the pathogenesis of several neurologic diseases, including multiple sclerosis (MS). In this study, we sought to define the cellular and regional expression of the gene encoding for PAD2 (i.e. PADI2) in the human CNS using publicly available datasets and evaluate whether anti-PAD2 antibodies were present in patients with various neurologic diseases.MethodsA total of 491 study participants were included in this study: 91 people with MS, 32 people with neuromyelitis optica (NMO), 281 people with post-treatment Lyme disease (PTLD), and 87 healthy controls. To measure PADI2 expression in the CNS from healthy individuals, publicly available tissue and single cell RNA sequencing data was analyzed. Anti-PAD2 antibodies were measured in the serum of study participants using anti-PAD2 ELISA. Clinical and demographic variables were compared according to anti-PAD2 antibody positivity for the MS and PTLD groups and correlations between anti-PAD2 levels and disease severity were examined.ResultsPADI2 expression was highest in oligodendrocytes (mean ± SD; 6.4 ± 2.2), followed closely by astrocytes (5.5 ± 2.6), microglia/macrophages (4.5 ± 3.5), and oligodendrocyte precursor cells (3.2 ± 3.3). There was an increased proportion of anti-PAD2 positivity in the MS (19.8%; p = 0.007) and PTLD groups (13.9%; p = 0.057) relative to the healthy controls (5.7%), and these antibodies were not detected in NMO patients. There was a modest inverse correlation between anti-PAD2 levels and disease severity in people with MS (τ = −0.145, p = 0.02), with levels being the highest in those with relapsing-remitting disease. Similarly, there was a modest inverse correlation between anti-PAD2 levels and neurocognitive score (τ = −0.10, p = 0.027) in people with PTLD, with difficulty focusing, memory changes, fatigue, and difficulty finding words contributing most strongly to the effect.ConclusionPADI2 expression was observed in diverse regions and cells of the CNS, and anti-PAD2 autoantibodies were associated with less severe symptoms in subsets of patients with MS and PTLD. These data suggest that anti-PAD2 antibodies may attenuate inflammation in diseases of different etiologies, which are united by high PADI2 expression in the target tissue.