bluuebunny/crossref_metadata_2025_split huggingface dataset:
Can hydraulic measures of river conditions improve our ability to predict ecological responses to changing flows? Flow velocity and spawning of an iconic native Australian fish
Authors: Webb J. Angus , Guo Danlu , Koster Wayne M. , Lauchlan-Arrowsmith Christine , Vietz Geoff J. 
Published: November 2022

Ecological responses to changing riverine flows are often evaluated by describing the relationship between river discharge and response. However, aquatic organisms experience the hydraulics (i.e. velocity, shear stress, depth) of a river, not its discharge. Hydraulic characterizations of riverine habitats may improve our ability to predict ecological responses. We used two-dimensional hydraulic models to translate river discharge into flow velocity. We used discharge and reach-averaged velocity, along with water temperature and 8 years of field observations of fish spawning, to develop predictive models of the spawning of golden perch (Macquaria ambigua) in the Goulburn River, south-east Australia. Probability of spawning was positively related to both discharge and reach-averaged velocity. Water temperature was critical for enabling the flow response, and antecedent flows prior to spawning had a weak positive effect. Against expectations, there was little difference in predictive uncertainty for the effect of flows when reach-averaged velocity was used as the main predictor rather than discharge. The lower Goulburn River has a relatively simple channel and so discharge and velocity are monotonically related over most flows. We expect that in a more geomorphically complex environment, improvement in predictive ability would be substantial. This research only explores one example of a hydraulic parameter being used as a predictor of ecological response; many others are possible. The extra effort and expense involved in hydraulic characterization of river flows is only justified if our understanding of flow-ecology relationships is substantially improved. Further research to understand which environmental responses might be best understood through different hydraulic parameters, and how to better characterize hydraulic characteristics relevant to riverine biota, would help inform decisions regarding investment in hydraulic models. Regardless, hydraulics offers a more process-based assessment of ecological responses to changing flows, has the potential to facilitate mechanistic understanding rather than just associations, and provides the opportunity to translate hydraulic metrics that drive ecological responses across river systems of differing sizes. However, while considering ecological responses in terms of river hydraulics is more physically realistic, our results suggest that average hydraulic conditions may not result in an improved ability to predict the effects of changing flows.
An efficient five-lncRNA signature for lung adenocarcinoma prognosis, with AL606489.1 showing sexual dimorphism
Authors: Liang Jiali , Jin Weifeng , Xu Huaping 
Published: November 2022

Background: Lung adenocarcinoma (LUAD) is a sex-biased and easily metastatic malignant disease. A signature based on 5 long non-coding RNAs (lncRNAs) has been established to promote the overall survival (OS) prediction effect on LUAD.Methods: The RNA expression profiles of LUAD patients were obtained from The Cancer Genome Atlas. OS-associated lncRNAs were identified based on the differential expression analysis between LUAD and normal samples followed by survival analysis, univariate and multivariate Cox proportional hazards regression analyses. OS-associated lncRNA with sex dimorphism was determined based on the analysis of expression between males and females. Functional enrichment analysis of the Gene Ontology (GO) terms and the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways was performed to explore the possible mechanisms of 5-lncRNA signatures.Results: A 5-lncRNA signature (composed of AC068228.1, SATB2-AS1, LINC01843, AC026355.1, and AL606489.1) was found to be effective in predicting high-risk LUAD patients as well as applicable to female and male subgroups and &lt;65-year and ≥65-year age subgroups. The forecasted effect of the 5-lncRNA signature was more efficient and stable than the TNM stage and other clinical risk factors (such as sex and age). Functional enrichment analysis revealed that the mRNA co-expressed with these five OS-related lncRNAs was associated with RNA regulation within the nucleus. AL606489.1 demonstrated a sexual dimorphism that may be associated with microtubule activity.Conclusion: Our 5-lncRNA signature could efficaciously predict the OS of LUAD patients. AL606489.1 demonstrated gender dimorphism, which provides a new direction for mechanistic studies on sexual dimorphism.
Long-term survival in extensive-stage small-cell lung cancer treated with different immune checkpoint inhibitors in multiple-line therapies: A case report and literature review
Authors: Zhang Xu , Zheng Jiabin , Niu Yun , Xue Chongxiang , Yu Yixuan , Tan Kexin , Cui Huijuan 
Published: November 2022

BackgroundExtensive-stage small-cell lung cancer (ES-SCLC) is highly malignant, is highly prone to recurrence, and has a short survival period. It is very difficult to achieve long-term survival in ES-SCLC, which has not been significantly improved in the last 20 years. For a long time, platinum-based chemotherapy has occupied the core position in the treatment of small-cell lung cancer (SCLC), but there are few options for treatment drugs or regimens, and if disease progression occurs, the options for follow-up regimens are obviously limited. The advent of immunotherapy has changed this situation to some extent, and immunotherapy has shown some effects in improving efficiency and prolonging survival, whether in first- or third-line therapy, but it is still unsatisfactory.Case presentationA 57-year-old patient with ES-SCLC experienced disease progression after four lines of treatment including synchronous radiotherapy, chemotherapy, and antiangiogenesis. However, the patient still benefited when switching to the programmed cell death receptor-1 (PD-1) inhibitor toripalimab in combination with chemotherapy in the fifth line. Even after the development of immune resistance, the patient still benefited after switching to tislelizumab in combination with different chemotherapy regimens or alone in the sixth and seventh lines. Following the progression of tislelizumab in combination with chemotherapy, the patient again profited after switching to durvalumab in combination with anlotinib and again achieved a progressive-free survival (PFS) of 11 months. Overall, the patient achieved a total of 45 months of PFS and 50 months of overall survival (OS), with a shocking and exciting 30 months of PFS achieved in the immune combination phase alone.ConclusionWe report a patient with ES-SCLC who achieved long-term survival after at least eight lines of therapy including chemotherapy, antiangiogenesis, and different immune checkpoint inhibitors (ICIs). This suggests that long-term survival in SCLC is possible with aggressive, combined, and standardized treatment. Otherwise, immunotherapy postline enablement can still benefit patients, rechallenge after immune resistance is also possible in SCLC, and combination with chemotherapy or antiangiogenic therapy can improve the efficacy and prolong the survival. This will provide new ideas and options for the selection of treatment options for SCLC.
The top 100 most cited articles in the last two decades of atopic dermatitis: A bibliometric analysis
Authors: Zhang Lishan , Hou Yibo , Sun Jinlyu , Zeng Yueping 
Published: November 2022

BackgroundAtopic dermatitis (AD) is the leading cause of skin-related disease burden worldwide, affecting a large percentage of the population. Bibliometrics is the statistical analysis of academic literature in a certain field.ObjectivesWe aimed to perform the latest bibliometric analysis of atopic dermatitis literature.MethodsWe searched the Web of Science database on 29th Nov 2021. We used the keywords “atopic dermatitis,” “atopic eczema,” and “eczema” for our search. All items published between 2001 and 2021 were included. The top 100 most cited articles were identified and analyzed.ResultsOur study provided a detailed bibliometric analysis of the top 100 most cited articles on atopic dermatitis. These articles were published between 2002 and 2019 and were from 15 different countries, mostly in the USA and Germany. Most articles have focused on the pathogenesis and treatment of AD. The Journal of Allergy and Clinical Immunology made the greatest contribution to the top 100 list, with 28 articles. The most cited article originated from Lancet. The highest number of citations was seen in 2006, with 9220 citations, while the highest number of publications was seen in 2006 with 12 publications.ConclusionsOur study aims to provide physicians and researchers with a historical perspective for the scientific progress of atopic dermatitis, and help clinicians effectively obtain useful articles that have a significant impact on the field of atopic dermatitis.
Predisposing and precipitating risk factors for delirium in gastroenterology and hepatology: Subgroup analysis of 718 patients from a hospital-wide prospective cohort study
Authors: Hildenbrand Florian F. , Murray Fritz R. , von Känel Roland , Deibel Ansgar R. , Schreiner Philipp , Ernst Jutta , Zipser Carl M. , Böettger Soenke 
Published: November 2022

Background and AimsDelirium is the most common acute neuropsychiatric syndrome in hospitalized patients. Higher age and cognitive impairment are known predisposing risk factors in general hospital populations. However, the interrelation with precipitating gastrointestinal (GI) and hepato-pancreato-biliary (HPB) diseases remains to be determined.Patients and methodsProspective 1-year hospital-wide cohort study in 29’278 adults, subgroup analysis in 718 patients hospitalized with GI/HPB disease. Delirium based on routine admission screening and a DSM-5 based construct. Regression analyses used to evaluate clinical characteristics of delirious patients.ResultsDelirium was detected in 24.8% (178/718). Age in delirious patients (median 62 years [IQR 21]) was not different to non-delirious (median 60 years [IQR 22]), p = 0.45). Dementia was the strongest predisposing factor for delirium (OR 66.16 [6.31–693.83], p &lt; 0.001). Functional impairment, and at most, immobility increased odds for delirium (OR 7.78 [3.84–15.77], p &lt; 0.001). Patients with delirium had higher in-hospital mortality rates (18%; OR 39.23 [11.85–129.93], p &lt; 0.001). From GI and HPB conditions, cirrhosis predisposed to delirium (OR 2.11 [1.11–4.03], p = 0.023), while acute renal failure (OR 4.45 [1.61–12.26], p = 0.004) and liver disease (OR 2.22 [1.12–4.42], p = 0.023) were precipitators. Total costs were higher in patients with delirium (USD 30003 vs. 10977; p &lt; 0.001).ConclusionDelirium in GI- and HPB-disease was not associated with higher age per se, but with cognitive and functional impairment. Delirium needs to be considered in younger adults with acute renal failure and/or liver disease. Clinicians should be aware about individual risk profiles, apply preventive and supportive strategies early, which may improve outcomes and lower costs.
Scrophulariae Radix-Atractylodes sinensis pair and metformin inhibit inflammation by modulating gut microbiota of high-fat diet/streptozotocin-induced diabetes in rats
Authors: Guo Xiaoxia , Wang Chong , Zhang Ranran , Hao Xuliang , Lv Lei , Ni Yan , Fan Xiaohong , Zhang Weiliang , Jiao Yunhong , Song Wei , Dong Qi , Qi Yuqi , Song Meiqing , Qin Xuemei 
Published: November 2022

IntroductionType 2 mellitus (T2DM), a chronic metabolic disorder, causes severe impairment of patients’ quality of life and has attracted global attention. Many studies have suggested the importance of the gut microbiota in the occurrence of T2DM. The Scrophulariae Radix and Atractylodes sinensis (XC) pair, recommended in traditional Chinese medicine (TCM), have been used for treating diabetes for many years. However, research on the role of the XC pair in modulating gut microbial communities is lacking, but it is important to elucidate the underlying mechanism.MethodsIn this study, we detected bacterial communities by high-throughput 16S rRNA gene sequencing.ResultsThe results showed that XC + MET reduced postprandial hyperglycemia and inflammatory response in diabetic rats more effectively than metformin (MET) alone. The XC + MET treatment reshaped the intestinal microbial composition of diabetic rats. XC can help MET regulate carbohydrate, amino acid, and lipid metabolism, particularly the insulin signaling pathway.DiscussionThis research would help elucidate potential mechanisms and the treatment methods.
Systematic evaluation of urinary formic acid as a new potential biomarker for Alzheimer’s disease
Authors: Wang Yifan , Wang Ying , Zhu Jinhang , Guan Yihui , Xie Fang , Cai Xiao , Deng Jiale , Wei Yan , He Rongqiao , Fang Zhuo , Guo Qihao 
Published: November 2022

IntroductionThe accumulation of endogenous formaldehyde is considered a pathogenic factor in Alzheimer’s disease (AD). The purpose of this study was to investigate the relationship between urinary formic acid and plasma biomarkers in AD.Materials and methodsFive hundred and seventy-four participants were divided into five groups according to their diagnosis: 71 with normal cognitive (NC), 101 with subjective cognitive decline (SCD), 131 with cognitive impairment without mild cognitive impairment (CINM), 158 with mild cognitive impairment (MCI), and 113 with AD.ResultsWith the progression of the disease, urinary formic acid levels showed an overall upward trend. Urinary formic acid was significantly correlated with Mini-Mental State Examination (MMSE) scores, the Chinese version of Addenbrooke’s Cognitive Examination III (ACE-III) scores, and Montreal Cognitive Assessment-Basic (MoCA-B) time. The areas under the receiver operating characteristic curves (AUC) of urinary formic acid in distinguishing NC from AD was 0.797, which was similar to that of plasma neurofilament light chain (NfL; AUC = 0.768) and better than other plasma biomarkers (Aβ40, Aβ42, Aβ42/Aβ40, T-tau, P-tau181, and P-tau181/T-tau). We also found that using urinary formic acid and formaldehyde levels could improve the accuracy of using plasma biomarkers to determine AD disease stage.DiscussionOur study revealed the possibility of urinary formic acid as a potential novel biomarker for the early diagnosis of AD.
Longitudinal changes in functional connectivity in speech motor networks in apraxia of speech after stroke
Authors: Hybbinette Helena , Östberg Per , Schalling Ellika , Deboussard Catharina , Plantin Jeanette , Borg Jörgen , Lindberg Påvel G. 
Published: November 2022

ObjectiveThe cerebral substrates of apraxia of speech (AOS) recovery remain unclear. Resting state fMRI post stroke can inform on altered functional connectivity (FC) within cortical language networks. Some initial studies report reduced FC between bilateral premotor cortices in patients with AOS, with lowest FC in patients with the most severe AOS. However, longitudinal FC studies in stroke are lacking. The aims of the present longitudinal study in early post stroke patients with AOS were (i) to compare connectivity strength in AOS patients to that in left hemisphere (LH) lesioned stroke patients without a speech-language impairment, (ii) to investigate the relation between FC and severity of AOS, aphasia and non-verbal oral apraxia (NVOA) and (iii) to investigate longitudinal changes in FC, from the subacute phase to the chronic phase to identify predictors of AOS recovery.MethodsFunctional connectivity measures and comprehensive speech-language assessments were obtained at 4 weeks and 6 months after stroke in nine patients with AOS after a LH stroke and in six LH lesioned stroke patients without speech-language impairment. Functional connectivity was investigated in a network for speech production: inferior frontal gyrus (IFG), anterior insula (aINS), and ventral premotor cortex (vPMC), all bilaterally to investigate signs of adaptive or maladaptive changes in both hemispheres.ResultsInterhemispheric vPMC connectivity was significantly reduced in patients with AOS compared to LH lesioned patients without speech-language impairment. At 6 months, the AOS severity was associated with interhemispheric aINS and vPMC connectivity. Longitudinal changes in FC were found in individuals, whereas no significant longitudinal change in FC was found at the group level. Degree of longitudinal AOS recovery was strongly associated with interhemispheric IFG connectivity strength at 4 weeks.ConclusionEarly interhemispheric IFG connectivity may be a strong predictor of AOS recovery. The results support the importance of interhemispheric vPMC connection in speech motor planning and severity of AOS and suggest that also bilateral aINS connectivity may have an impact on AOS severity. These findings need to be validated in larger cohorts.
The impact of genetic risk for Alzheimer’s disease on the structural brain networks of young adults
Authors: Mirza-Davies Anastasia , Foley Sonya , Caseras Xavier , Baker Emily , Holmans Peter , Escott-Price Valentina , Jones Derek K. , Harrison Judith R. , Messaritaki Eirini 
Published: November 2022

IntroductionWe investigated the structural brain networks of 562 young adults in relation to polygenic risk for Alzheimer’s disease, using magnetic resonance imaging (MRI) and genotype data from the Avon Longitudinal Study of Parents and Children.MethodsDiffusion MRI data were used to perform whole-brain tractography and generate structural brain networks for the whole-brain connectome, and for the default mode, limbic and visual subnetworks. The mean clustering coefficient, mean betweenness centrality, characteristic path length, global efficiency and mean nodal strength were calculated for these networks, for each participant. The connectivity of the rich-club, feeder and local connections was also calculated. Polygenic risk scores (PRS), estimating each participant’s genetic risk, were calculated at genome-wide level and for nine specific disease pathways. Correlations were calculated between the PRS and (a) the graph theoretical metrics of the structural networks and (b) the rich-club, feeder and local connectivity of the whole-brain networks.ResultsIn the visual subnetwork, the mean nodal strength was negatively correlated with the genome-wide PRS (r = –0.19, p = 1.4 × 10–3), the mean betweenness centrality was positively correlated with the plasma lipoprotein particle assembly PRS (r = 0.16, p = 5.5 × 10–3), and the mean clustering coefficient was negatively correlated with the tau-protein binding PRS (r = –0.16, p = 0.016). In the default mode network, the mean nodal strength was negatively correlated with the genome-wide PRS (r = –0.14, p = 0.044). The rich-club and feeder connectivities were negatively correlated with the genome-wide PRS (r = –0.16, p = 0.035; r = –0.15, p = 0.036).DiscussionWe identified small reductions in brain connectivity in young adults at risk of developing Alzheimer’s disease in later life.
Expression patterns and prognostic implications of tumor-infiltrating lymphocytes dynamics in early breast cancer patients receiving neoadjuvant therapy: A systematic review and meta-analysis
Authors: Zhu Yajing , Tzoras Evangelos , Matikas Alexios , Bergh Jonas , Valachis Antonios , Zerdes Ioannis , Foukakis Theodoros 
Published: November 2022

PurposeHigh levels of tumor-infiltrating lymphocytes (TILs) are associated with better outcomes in early breast cancer and higher pathological response rates to neoadjuvant chemotherapy especially in the triple-negative (TNBC) and HER2+ subtypes. However, the dynamic changes in TILs levels after neoadjuvant treatment (NAT) are less studied. This systematic review and meta-analysis aimed to investigate the patterns and role of TILs dynamics change in early breast cancer patients receiving NAT.MethodsMedline, Embase, Web of Science Core Collection and PubMed Central databases were searched for eligible studies. Data were extracted independently by two researchers and discordances were resolved by a third. Pooled TILs rates pre- &amp; post-treatment (overall and per subtype), pooled rates of ΔTILs and direction of change after NAT as well as correlation of ΔTILs with survival outcomes were generated in the outcome analysis.ResultsOf 2116 identified entries, 34 studies fulfilled the criteria and provided adequate data for the outcomes of interest. A decreased level of TILs was observed after NAT in paired samples across all subtypes. The effect of NAT on TILs was most prominent in TNBC subtype with a substantial change, either increase or decrease, in 79.3% (95% CI 61.7-92.6%) of the patients as well as in HER2+ disease (14.4% increased vs 46.2% decreased). An increase in ΔTILs in TNBC was associated with better disease-free/relapse-free survival in pooled analysis (univariate HR = 0.59, 95% CI: 0.37–0.95, p = 0.03).ConclusionThis meta-analysis illustrates the TILs dynamics during NAT for breast cancer and indicates prognostic implications of ΔTILs in TNBC. The potential clinical utility of the longitudinal assessment of TILs during neoadjuvant therapy warrants further validation.
An exceed 60% efficiency Nd:YAG transparent ceramic laser with low attenuation loss effect
Authors: Chang Jin-Quan , Shen Yu , Bian Qi , Zong Nan , Lv Ze , Bo Yong , Peng Qin-Jun 
Published: November 2022

Here, the attenuation loss effect and laser performance enhancement of Nd:YAG transparent ceramics were investigated. Using a 0.6 at.% Nd:YAG ceramic rod of 3 mm diameter and 65 mm length, the scattering coefficient and absorption coefficient at 1,064 nm were measured to be 0.0001 cm−1 and 0.0017 cm−1, respectively. For the 808-nm side-pumped laser experiment, an average output power of 44.9 W was achieved with an optical-to-optical conversion efficiency of 26.4%, which was nearly the same with that of a 1 at% single crystal. Adopting the 885-nm direct end-pumped scheme, the following laser tests demonstrated a high optical efficiency of 62.5% and maximum output power of 144.8 W obtained at an absorbed pump power of 231.5 W. This was until now the highest optical conversion efficiency acquired in an Nd:YAG ceramic laser to our knowledge. It proves that high-power and high-efficiency laser output could be generated by a high-optical quality Nd:YAG ceramic rod along with the 885-nm direct pumping technology.