bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does types of atrial fibrillation matter in the impairment of global and regional left ventricular mechanics and intra-ventricular dyssynchrony?
Authors: Zhen Xiao-Wen , Li Wen-Cai , Wang Hua , Song Nian-Peng , Zhong Lin 
Published: October 2022

BackgroundAtrial fibrillation (AF) is the most common sustained cardiac arrhythmia, which is associated with cardiac dysfunction. This study aimed to compare the impairment severity of left ventricular strain and intra-ventricular dyssynchrony using echocardiography-derived velocity vector imaging in patients with different types of AF without heart failure.Methods168 non-valvular AF patients with normal left ventricular ejection fraction (98 paroxysmal AF patients and 70 persistent AF patients) and 86 healthy control subjects were included in this study. Regional and global left ventricular longitudinal and circumferential strain were measured. Time to regional peak longitudinal strain was measured and the standard deviation of all 12 segments (SDT-S) was used as a measure of intra-ventricular dyssynchrony.ResultsSignificantly lower GLS (−18.71 ± 3.00% in controls vs. −17.10 ± 3.01% in paroxysmal AF vs. −12.23 ± 3.25% in persistent AF, P &lt; 0.05) and GCS (−28.75 ± 6.34% in controls vs. −24.43 ± 6.86% in paroxysmal AF vs. −18.46 ± 6.42% in persistent AF, P &lt; 0.01) were observed in either persistent AF subjects or paroxysmal AF subjects compared with healthy control subjects (P &lt; 0.05). The impairment was much worse in persistent AF subjects compared with paroxysmal AF subjects (P &lt; 0.001). Intraventricular dyssynchrony was found in both persistent AF patients and paroxysmal AF patients, and it’s worse in persistent AF patients (52 ± 18 ms in controls, 61 ± 17 ms in paroxysmal AF, and 70 ± 28 ms in persistent AF, P &lt; 0.05). Multivariate regression analysis revealed AF types were independent risk factors of GLS, GCS, and intraventricular dyssynchrony.ConclusionAF types were not only associated with impaired longitudinal and circumferential left ventricle mechanics but also intra-ventricular mechanical dyssynchrony. Worse systolic mechanics and intra-ventricular dyssynchrony were found in patients with persistent AF compared with these in patients with paroxysmal AF.
Fluconazole-resistant Candida parapsilosis: A new emerging threat in the fungi arena
Authors: Escribano Pilar , Guinea Jesús 
Published: October 2022

Candida parapsilosis is a leading cause of invasive candidiasis in southern Europe, Latin America and Asia. C. parapsilosis has been mostly considered susceptible to triazoles, but fluconazole resistance is on the rise in some countries. The main mechanism related to fluconazole resistance is the presence of ERG11p substitutions, dominated by the Y132F amino acid substitution. Isolates harbouring this substitution mimic C. auris given that they may cause hospital outbreaks, become endemic, and emerge simultaneously in distant areas around the world. At the moment, Spain is experiencing a brusque emergence of fluconazole resistance in C. parapsilosis; isolates harbouring the Y132F substitution were detected for the first time in 2019. A recent study on Candida spp isolates from blood cultures collected in 16 hospitals located in the Madrid metropolitan area (2019 to 2021) reported that fluconazole resistance in C. parapsilosis reached as high as 13.6%. Resistance rates rose significantly during those three years: 3.8% in 2019, 5.7% in 2020, and 29.1% in 2021; resistant isolates harboured either the dominant Y132F substitution (a single clone found in four hospitals) or G458S (another clone found in a fifth hospital). The COVID-19 pandemic may have increased the number of candidaemia cases. The reason for such an increase might be a consequence of uncontrolled intra-hospital patient-to-patient transmission in some hospitals, as an increase not only in C. parapsilosis candidaemia episodes but also in the spread of clonal fluconazole-resistant isolates might have occurred in other hospitals during the pandemic period. Patients affected with fluconazole-resistant C. parapsilosis harbouring the Y132F substitution presented a mortality rate ranging from 9% to 78%, were mainly admitted to intensive care wards but did not have differential risk factors compared to those infected by susceptible isolates. With scarce exceptions, few patients (≤20%) infected with fluconazole-resistant isolates had previously received fluconazole, thus supporting the fact that, although fluconazole might have been a key factor to promote resistance, the main driver promoting the spread of fluconazole-resistant isolates was patient-to-patient transmission.
Severe G6PD deficiency leads to recurrent infections and defects in ROS production: Case report and literature review
Authors: Sun Bijun , Li Qifan , Dong Xiaolong , Hou Jia , Wang Wenjie , Ying Wenjing , Hui Xiaoying , Zhou Qinhua , Yao Haili , Sun Jinqiao , Wang Xiaochuan 
Published: October 2022

Purpose: Severe glucose-6-phosphate dehydrogenase (G6PD) deficiency can lead to reduced nicotinamide adenine dinucleotide phosphate oxidase activity in phagocytes, resulting in immunodeficiency, with a limited number of reported cases. Here, we aimed to report a child with severe G6PD deficiency in China and investigate the mechanism of his recurrent infections.Methods: The clinical manifestations and immunological phenotypes of this patient were retrospectively collected. Gene mutation was detected by whole-exome sequencing and confirmed by Sanger sequencing. Dihydrorhodamine (DHR) analysis was performed to measure the respiratory burst of neutrophils. Messenger ribonucleic acid and protein levels were detected in the patient under lipopolysaccharide stimulation by real-time quantitative reverse transcription polymerase chain reaction and Western blot. A review of the literature was performed.Results: A male child with G6PD deficiency presented with recurrent respiratory infections, Epstein‒Barr virus infection and tonsillitis from 8 months of age. Gene testing revealed that the proband had one hemizygous mutation in the G6PD gene (c.496 C&gt;T, p. R166C), inherited from his mother. This mutation might affect hydrophobic binding, and the G6PD enzyme activity of the patient was 0. The stimulation indexes of the neutrophils in the patient and mother were 22 and 37, respectively. Compared with healthy controls, decreased reactive oxygen species (ROS) production was observed in the patient. Activation of nuclear factor kappa-B (NF-κB) signaling was found to be influenced, and the synthesis of tumor necrosis factor alpha (TNF-α) was downregulated in the patient-derived cells. In neutrophils of his mother, 74.71% of the X chromosome carrying the mutated gene was inactivated. By performing a systematic literature review, an additional 15 patients with severe G6PD deficiency and recurrent infections were identified. Four other G6PD gene mutations have been reported, including c.1157T&gt;A, c.180_182del, c.514C&gt;T, and c.953_976del.Conclusion: Severe G6PD deficiency, not only class I but also class II, can contribute to a chronic granulomatous disease-like phenotype. Decreased reactive oxygen species synthesis led to decreased activation of the NF-κB pathway in G6PD-deficient patients. Children with severe G6PD deficiency should be aware of immunodeficiency disease, and the DHR assay is recommended to evaluate neutrophil function for early identification.
Gut transcriptome reveals differential gene expression and enriched pathways linked to immune activation in response to weaning in pigs
Authors: Le Bon M. , Tötemeyer S. , Emes R. D. , Mellits K. H. 
Published: October 2022

Weaning represents one of the most critical periods in pig production associated with increase in disease risk, reduction in performance and economic loss. Physiological changes faced by piglets during the weaning period have been well characterised, however little is currently known about the underlying molecular pathways involved in these processes. As pig meat remains one of the most consumed sources of protein worldwide, understanding how these changes are mediated is critical to improve pig production and consequently sustainable food production globally. In this study, we evaluated the effect of weaning on transcriptomic changes in the colon of healthy piglets over time using an RNA-sequencing approach. The findings revealed a complex and coordinated response to weaning with the majority of genes found to be rapidly differentially expressed within 1 day post weaning. Multiple genes and pathways affected by weaning in the colon were associated with immune regulation, cell signalling and bacterial defence. NOD-like receptors, Toll-like receptor and JAK-STAT signalling pathways were amongst the pathways significantly enriched. Immune activation was evidenced by the enrichment of pathways involved in interferon response, cytokines interactions, oxidoreductase activities and response to microbial invasion. Biosynthesis of amino acids, in particular arginine, was also amongst the most enriched KEGG pathways in weaned pigs, reinforcing the critical role of arginine in gut homeostasis under stress conditions. Overall, transcriptomic and physiological results suggest that pigs going through the weaning transition undergo a transient period of inflammatory state with a temporary breakdown of barrier functions in the gut. These findings could provide valuable tools to monitor host response post weaning, and may be of particular relevance for the investigation and development of intervention strategies aimed to reduce antibiotic use and improve pig health and performance.
Non-alcoholic fatty liver disease is not a causal risk factor for psoriasis: A Mendelian randomization study of 108,835 individuals
Authors: Näslund-Koch Charlotte , Bojesen Stig Egil , Gluud Lise Lotte , Skov Lone , Vedel-Krogh Signe 
Published: October 2022

BackgroundPsoriasis is observationally associated with a higher risk of non-alcoholic fatty liver disease (NAFLD); however, the causal relationship between the two diseases remains unclear.ObjectiveWe hypothesized that individuals with NAFLD or elevated liver fat content have higher risk of psoriasis and that NAFLD is a causal risk factor for psoriasis. We tested this using a Mendelian randomization approach.MethodsWe included 108,835 individuals from the Danish general population, including 1,277 individuals with psoriasis and 802 individuals with NAFLD according to ICD codes. To estimate liver fat content, a subset of the participants (N = 7,416) also had a CT scan performed. First, we tested whether a diagnosis of NAFLD or elevated liver fat content was observationally associated with risk of psoriasis. Subsequently, we used the genetic variants PNPLA3 and TM6SF2, both strongly associated with NAFLD and high liver fat content, to test whether NAFLD was causally associated with increased risk of psoriasis.ResultsObservationally, individuals with vs. without a diagnosis of NAFLD had higher risk of psoriasis with an odds ratio of 2.03 (95% confidence interval 1.28-3.21). The risk of psoriasis increased in a stepwise manner with increasing liver fat content with an odds ratio of 5.00 (2.63-9.46) in individuals in the highest quartile of liver fat content compared to individuals in the lowest quartile. In genetic analyses, PNPLA3 and TM6SF2 were both associated with increased risk of NAFLD but not with increased risk of psoriasis.ConclusionObservationally, a diagnosis of NAFLD or elevated liver fat content was associated with higher risk of psoriasis. However, using genetic variants as a proxy for NAFLD, we did not find evidence of a causal relationship between NAFLD and psoriasis. Thus, the observational association between NAFLD and psoriasis is presumably a result of shared confounding factors or reverse causation.
Diapycnal mixing variations induced by subthermocline eddies observed in the north Pacific western boundary region
Authors: Nan Feng , Xue Huijie , Yu Fei , Ren Qiang , Wang Jianfeng 
Published: October 2022

Recent observations prove that subthermocline eddies (SEs) are energetic in the north Pacific western boundary region, where interhemispheric waters meet. Our previous study showed that the SEs play an important role in isopycnal mixing of interhemispheric intermediate waters. Whether the SEs can induce diapycnal mixing in the western boundary region is unknown although it has been found true in the interior region. In this study, based on in-situ observations and fine-scale parameterization method, we show spatial structure and variability of diapycnal mixing induced by the SEs in the north Pacific western boundary region. The SEs are located between 200 and 750 m with a maximum swirl speed reaching 0.5 m s-1 and exhibit significant intra-seasonal variability with the period ranging between 50 and 100 days. Compared with shears induced by tides and near-inertial oscillation, sub-inertial shears induced by the SEs are dominant in the subthermocline layer. Consequently, diapycnal diffusivity is elevated up to O(10-4) m2 s-1 about one order higher than the background value when the SEs were passing by. The integrated diapycnal diffusivity between 200 and 750 m is increased by 210%. Modulated by the SEs, diapycnal mixing in the subthermocline has significant intra-seasonal variations. With more and more SEs being observed around the global oceans, we suggest that SE-induced mixing may not be trivial in closing the global ocean energy budget.
Electrorheological polishing performance of cerium-doped titanium dioxide particles
Authors: Hu Xufeng , Sun Han , Yang Zhiyao , Zhao Xiaopeng , Yin Jianbo 
Published: October 2022

Electrorheological (ER) polishing as a new type of polishing technique has flexibility and controllability. However, ER polishing cannot be widely used in actual processing because the present ER polishing fluid is usually prepared by simple mixing abrasive materials into ER fluid, which is easy to occur phase separation and decreased ER performance. This paper develops a new type of ER polishing material based on cerium-doped titanium dioxide. As a classic abrasive, the cerium oxide not only has high polishing performance but also can enhance ER performance of titanium dioxide by doping effect, which endows the cerium-doped titanium dioxide with high ER polishing efficiency compared to ER polishing fluid prepared by a simple mixing method. Cerium-doped titanium dioxide particles were prepared by the sol-gel method. The size, surface morphology and elemental distribution were characterized. The ER properties were tested. The effects of different concentrations, machining gap, voltage and rotation speed on polishing performance were studied. Under the conditions of a 0.2 mm machining gap, 3 kV voltage and 200 r/min rotation speed, the surface roughness (Ra) of the copper workpiece decrease from 136 nm to 14.4 nm after 0.5 h of polishing, which is far higher than the polishing efficiency of simple mixed ER polishing fluid.
Investigation of deoxidation of high-silicon austenitic sulfuric acid-resistant stainless steel
Authors: Dou Guanxiong , Guo Hanjie , Guo Jing , Li Shaoying , Yan Yan , Wang Zihan 
Published: October 2022

The oxygen content in high-silicon austenitic sulfuric acid-resistant stainless steels is one of the most detrimental parameters to their corrosion resistance. Based on the ion-molecular coexistence theory (IMCT), a thermodynamic model of the slag-steel reaction of austenitic stainless steel containing 5.0 wt% Si with CaF2-CaO-Al2O3-MgO-SiO2 pentabasic slag was developed to investigate the deoxidation reaction and the oxygen control mechanism of the steel. The model was validated through experiments proposed in this study. The results of the slag-steel reaction indicated that the equilibrium oxygen content was determined by the greater of two factors: w[O]%, Si obtained from the [Si]-[O] equilibrium reaction controlled by the activity of SiO2 and w[O]%, Al obtained from the [Al]-[O] equilibrium reaction controlled by the activity of Al2O3. The system temperature and the basicity of slag are the most crucial among the multiple variables affecting the equilibrium oxygen content compared with Al2O3 and CaF2 in slag. However, achieving an ultra-low oxygen steel, both a basicity of slag greater than two and a low activity of Al2O3 in slag should be maintained. The total oxygen content in steel can reach a minimum value of 3.4 ppm when the slag composition encompasses w(CaF2)% = 29.38, w(CaO)% = 44.07, w(SiO2)% = 14.69, w(MgO)% = 9.89, w(Al2O3)% = 1.96. The high basicity of slag reduces the total oxygen content of stainless steel, whereas the influence of redox reactions between Si and Al results in a higher Al content in steel and the formation of more inclusions during solidification. Thus, the optimal Al2O3 content is less than 4% and the optimal basicity is 2.4 during the refining process.
Case report: Development of vanishing bile duct syndrome in Stevens-Johnson syndrome complicated by hemophagocytic lymphohistiocytosis
Authors: Lin Wan-Chen , Hsieh Tyng-Shiuan , Chu Chia-Yu 
Published: October 2022

BackgroundVanishing bile duct syndrome is a rare drug-induced disease characterized by cholestasis and ensuing ductopenia. Dermatological manifestations of drug hypersensitivity such as Stevens-Johnson syndrome and toxic epidermal necrolysis may also present in such cases. Hemophagocytic lymphohistiocytosis is a hyperimmune response caused by unchecked stimulation of macrophages, natural killer cells, and cytotoxic T lymphocytes.Case presentationWe report a severe case who presented with concurrent Stevens-Johnson syndrome and vanishing bile duct syndrome complicated by hemophagocytic lymphohistiocytosis after the ingestion of non-steroidal anti-inflammatory drugs. Despite the fact that improvements in vanishing bile duct syndrome can be assumed when combining the clinical lab data clues, as well as repeated liver biopsies showing recovering ductopenia, the patient developed hypovolemic shock combined with septic shock episodes and died on day 236.ConclusionTo our knowledge, this is the fifteenth report of vanishing bile duct syndrome associated with Stevens-Johnson disease or toxic epidermal necrolysis. Mortality rate remains high without treatment guidelines established due to the rarity and heterogenicity of the population. Further studies are needed to identify possible risk factors, prognostic indicators, and the standard of care for vanishing bile duct syndrome associated with Stevens-Johnson disease or toxic epidermal necrolysis.
The periplasmic chaperone Skp prevents misfolding of the secretory lipase A from Pseudomonas aeruginosa
Authors: Papadopoulos Athanasios , Busch Max , Reiners Jens , Hachani Eymen , Baeumers Miriam , Berger Julia , Schmitt Lutz , Jaeger Karl-Erich , Kovacic Filip , Smits Sander H. J. , Kedrov Alexej 
Published: October 2022

Pseudomonas aeruginosa is a wide-spread opportunistic human pathogen and a high-risk factor for immunodeficient people and patients with cystic fibrosis. The extracellular lipase A belongs to the virulence factors of P. aeruginosa. Prior to the secretion, the lipase undergoes folding and activation by the periplasmic foldase LipH. At this stage, the enzyme is highly prone to aggregation in mild and high salt concentrations typical for the sputum of cystic fibrosis patients. Here, we demonstrate that the periplasmic chaperone Skp of P. aeruginosa efficiently prevents misfolding of the lipase A in vitro. In vivo experiments in P. aeruginosa show that the lipase secretion is nearly abolished in absence of the endogenous Skp. Small-angle X-ray scattering elucidates the trimeric architecture of P. aeruginosa Skp and identifies two primary conformations of the chaperone, a compact and a widely open. We describe two binding modes of Skp to the lipase, with affinities of 20 nM and 2 μM, which correspond to 1:1 and 1:2 stoichiometry of the lipase:Skp complex. Two Skp trimers are required to stabilize the lipase via the apolar interactions, which are not affected by elevated salt concentrations. We propose that Skp is a crucial chaperone along the lipase maturation and secretion pathway that ensures stabilization and carry-over of the client to LipH.
Evaluation of the apposition in unruptured aneurysms treated with flow diverters by optical coherence tomography: Preliminary clinical experience
Authors: Li Jing , Gong Wentao , Li Dongdong , Song Wenpeng , Fan Feng , Yuan Yongjie , Li Youxiang , Guan Sheng 
Published: October 2022

BackgroundThe risk of perioperative stroke and the rate of occlusion of long-term aneurysms in the treatment of unruptured aneurysms with flow diverters (FDs) are affected by stent apposition. Optical coherence tomography (OCT) may be an optional technique in evaluating apposition.PurposeTo explore the feasibility of the OCT imaging technique in evaluating stent apposition in the clinical application of the FD for unruptured aneurysms.MethodsOCT and Vaso CT were used in patients with indications for surgery to treat unruptured aneurysms with the FDs, to evaluate the apposition of the FDs after fully released, and to analyze OCT images for FDs apposition and compare with corresponding Vaso CT images.ResultsA total of four patients were enrolled, and OCT found malapposition after FDs placement in all four patients, and the maximum gap between the stent and vascular wall ranged from 0.68 to 1.95 mm and the length of malapposition ranged from 1.80 to 7.40 mm. However, Vaso CT found malapposition only in two of the four patients and missed malapposition near aneurysm in all three patients treated by the FD combined with coiling and could not accurately evaluate the maximum gap and the length of the malapposition.ConclusionThe optical coherence tomography technique is a possible approach to evaluate apposition after the treatment of unruptured aneurysms by the FDs.