bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patients With Multiple Myeloma Have a Disbalanced Whole Blood Thrombin Generation Profile
Authors: Li Li , Roest Mark , Sang Yaqiu , Remijn Jasper A. , Fijnheer Rob , Smit Karel , Huskens Dana , Wan Jun , de Laat Bas , Konings Joke 
Published: June 2022

BackgroundMultiple myeloma (MM) is associated with a high prevalence of bleeding and an increased risk of thrombo-embolism. MM patients have reduced platelet- and red blood cell (RBC) numbers in blood, which may indicate that the paradoxical hemostasis profile is a consequence of a disturbed platelet and RBC homeostasis.ObjectivesTo get better insight in the disbalanced hemostasis of MM patients.MethodsWe conducted a case-control study on the whole blood (WB) coagulation profiles of 21 MM patients and 21 controls. We measured thrombin generation (TG) in WB and platelet poor plasma (PPP) of MM patients and controls.ResultsIn WB-TG, we observed that the median time to the thrombin Peak was 52% longer in MM patients than in controls, while the median endogenous thrombin potential until the Peak (ETPp) was 39% higher in MM-patients than in controls. In line with these findings, the levels of platelets, RBCs, white blood cells and agonist induced platelet activation were decreased in MM patients compared to controls. The plasma TG experiments showed no differences between MM-patients and controls.ConclusionPatients with MM have a disturbed blood cell metabolism and a disbalanced WB-TG profile. This disbalance may explain the paradoxically high prevalence of bleeding symptoms in MM patients vs. an increased thrombosis risk. There was no disturbance observed in plasma TG, indicating that blood cells are the major determinants for the disbalanced hemostasis in MM patients.
Adsorption of Methyl Orange and Cr (VI) Onto Poultry Manure-Derived Biochar From Aqueous Solution
Authors: Ghani Usman , Jiang Wenjia , Hina Kiran , Idrees Atif , Iqbal Meenal , Ibrahim Muhammad , Saeed Rashid , Irshad M. Kashif , Aslam Imran 
Published: June 2022

In recent years, heavy metals and other organic compound pollution has increased and become a considerable global problem due to its direct impacts on the aquatic ecosystem. This study is aimed to see how efficient the poultry manure-derived biochar is in removing chromium (VI) and methyl orange simultaneously from the aqueous solutions through adsorption. Chromium present in the form of reactive ions such as HCrO4− and Cr2O72− at pH 2–6 values and in stable form, CrO4− at alkaline pH. In this study, biochar was synthesized by the slow pyrolysis of feedstock in a muffle furnace at 550°C temperature with 2 mm particle size. This study provided the biochar with SBET 16.0921 m2/g rough stomata-like pores with a volume of 0.0074 cm³/g, pore diameter 1.84 nm, aromatic groups, and structural diversity. A batch adsorption experiment was conducted to investigate the adsorption efficiency, and mechanism was elucidated by fitting isotherm and kinetic models and result analysis along with the thermodynamics. From the linear Langmuir fit results the maximum adsorption capacity (qmax) of biochar reached up to 20.8 and 19.09 mg g−1 for MO and Cr, respectively. Different operational factors like reaction time, pollutant initial concentration, effect of temperature, and sorbent material dose were studied at pH 4 and initial concentration of 100 mg/L using 2 g of the adsorbent dose. The linear Langmuir well fitted with the experimental data having R2 value of 0.99 and 0.99 for MO and Cr, respectively. From the obtained results, the highest adsorption efficiency reached 88.80% and 90.231% for MO and Cr, respectively.From kinetics study, non-linear pseudo–second-order (PSO) model are highly fitted with the obtained data with R2 of 0.97 and 0.974 for MO and Cr, respectively. The result analysis revealed that HCrO4− and Cr2O72− ions compete with the SO3− to attach on the surface of the sorbent which leads to competitive adsorption of Cr (VI) and MO onto BC. Thermodynamic study presents that the change in Gibbs free energy ΔG° is negative, indicates that the whole process was favorable and completed. The adsorption process was monolayer physisorption, irreversible, and endothermic. Hence, it can be said that this material is environmental friendly and an economical sorbent for high adsorption efficiency.
Spring Freeze–Thaw Stimulates Greenhouse Gas Emissions From Agricultural Soil
Authors: Badewa Emmanuel A. , Yeung Chun C. , Rezanezhad Fereidoun , Whalen Joann K. , Oelbermann Maren 
Published: June 2022

In temperate cold regions, the gradual resurgence of soil microbial activity during spring freeze-thaw events is frequently associated with greenhouse gas emissions. Enhanced greenhouse gas fluxes during spring freeze-thaw are related to the mineralization of bioavailable substrates, which may be elevated when soil is amended with organic residues (e.g., biobased residues such as compost, digestate, biosolids). The objective of this study was to determine the impact of biobased residues, compared to urea fertilizer, on greenhouse gas emissions during spring freeze-thaw events. The field treatments included urea (170 kg N ha−1 y−1), composted food waste (240 kg N ha−1 y−1), hydrolyzed biosolids (215 kg N ha−1 y−1), and anaerobic digestate (231 kg N ha−1 y−1). Headspace gases were sampled from a closed static chamber in each replicate plot (n = 4) and categorized with three transient spring freeze-thaw phases (waterlogged, wet, and dry). Among the treatments, nitrous oxide (N2O) flux was significantly different (p &lt; 0.05) where compost had the highest emission and digestate lowest while carbon dioxide (CO2) and methane (CH4) fluxes were not significantly different (p &gt; 0.05). The greenhouse gas fluxes were significantly different among the freeze-thaw events (p &lt; 0.05) likely due to intense microbial activity and anaerobic conditions. The CO2 and CH4 emissions were related to N2O emission (p &lt; 0.05), and soil temperature strongly correlated with CO2 fluxes. This suggested that soil warming driven by ambient conditions as well as the type and quantity of carbon input influenced soil microbial activity, leading to greenhouse gases production. Therefore, soil amended with biobased residues may either increase or reduce greenhouse gas fluxes during spring freeze-thaw events depending on the source and production method of the organic material.
Developing a New qFIBS Model Assessing Histological Features in Pediatric Patients With Non-alcoholic Steatohepatitis
Authors: Liu Feng , Wei Lai , Leow Wei Qiang , Liu Shu-Hong , Ren Ya-Yun , Wang Xiao-Xiao , Li Xiao-He , Rao Hui-Ying , Huang Rui , Wu Nan , Wee Aileen , Zhao Jing-Min 
Published: June 2022

BackgroundThe evolution of pediatric non-alcoholic fatty liver disease (NAFLD) to non-alcoholic steatohepatitis (NASH) is associated with unique histological features. Pathological evaluation of liver specimen is often hindered by observer variability and diagnostic consensus is not always attainable. We investigated whether the qFIBS technique derived from adult NASH could be applied to pediatric NASH.Materials and Methods102 pediatric patients (&lt;18 years old) with liver biopsy-proven NASH were included. The liver biopsies were serially sectioned for hematoxylin-eosin and Masson trichrome staining for histological scoring, and for second harmonic generation (SHG) imaging. qFIBS-automated measure of fibrosis, inflammation, hepatocyte ballooning, and steatosis was estabilshed by using the NASH CRN scoring system as the reference standard.ResultsqFIBS showed the best correlation with steatosis (r = 0.84, P &lt; 0.001); with ability to distinguish different grades of steatosis (AUROCs 0.90 and 0.98, sensitivity 0.71 and 0.93, and specificity 0.90 and 0.90). qFIBS correlation with fibrosis (r = 0.72, P &lt; 0.001) was good with high AUROC values [qFibrosis (AUC) &gt; 0.85 (0.85–0.95)] and ability to distinguish different stages of fibrosis. qFIBS showed weak correlation with ballooning (r = 0.38, P = 0.028) and inflammation (r = 0.46, P = 0.005); however, it could distinguish different grades of ballooning (AUROCs 0.73, sensitivity 0.36, and specificity 0.92) and inflammation (AUROCs 0.77, sensitivity 0.83, and specificity 0.53).ConclusionIt was demonstrated that when qFIBS derived from adult NASH was performed on pediatric NASH, it could best distinguish the various histological grades of steatosis and fibrosis.
OzEAN Study to Collect Real-World Evidence of Persistent Use, Effectiveness, and Safety of Ozanimod Over 5 Years in Patients With Relapsing-Remitting Multiple Sclerosis in Germany
Authors: Ziemssen Tjalf , Richter Stephan , Mäurer Mathias , Buttmann Mathias , Kreusel Boris , Poehler Anne-Maria , Lampl Maren , Linker Ralf A. 
Published: June 2022

Background:Ozanimod, a sphingosine 1-phosphate receptor 1 and 5 modulator, was approved as a disease-modifying therapy for active relapsing-remitting multiple sclerosis (RRMS) in 2020 and for active ulcerative colitis in 2021. Long-term, real-world studies in a nonselective population are needed. OzEAN is an ongoing study to assess the real-world persistent use, effectiveness, and safety of ozanimod and its impact on quality of life (QoL) in patients with RRMS over a 5-year period.MethodsThis prospective, noninterventional, postmarketing authorization study will enroll ~1,300 patients (≥18 years of age) with active RRMS. The decision to initiate ozanimod must have been made before and independent from study participation. Enrollment began in March 2021. Recruitment is ongoing and will last for 36 months across 140 sites in Germany. Treatment-naive patients or those having prior experience with a disease-modifying therapy receive oral ozanimod 0.92 mg/day after an initial dose escalation, per the summary of product characteristics recommendations, for up to 60 months. Persistence with ozanimod treatment (primary endpoint) is assessed at month 60. Secondary endpoints include additional physician-reported outcomes [persistence at earlier time points, annualized relapse rate, Expanded Disability Status Scale score, cognition (Symbol Digit Modalities Test), and incidence of adverse events], and patient-reported outcomes assessing patient satisfaction, adherence, and treatment modalities (Treatment Satisfaction Questionnaire for Medication, v1.4), disability (United Kingdom Neurological Disability Rating Scale), QoL (MSQOL-54 questionnaire), fatigue (Fatigue Scale for Motor and Cognitive Functions), and health economics [Work Productivity and Activity Impairment Questionnaire for Multiple Sclerosis (German v2.1); Multiple Sclerosis Health Resource Survey, v3.0]. A Multiple Sclerosis Documentation System with an internet-based e-health portal allows patients to view files and complete questionnaires. A safety follow-up will occur 3–8 months after the last ozanimod dose for patients who discontinue treatment early. Long-term results are anticipated after study completion in 2029. Yearly interim analyses are planned after enrollment has reached 25%.ConclusionThis is the first long-term, real-world study of ozanimod in patients with RRMS and, to our knowledge, the first noninterventional study utilizing a patient portal. These data will add to the safety/efficacy profile of ozanimod demonstrated in phase 3 trials.Clinical Trial RegistrationClinicaltrials.gov, identifier: NCT05335031.
Seizures and Consciousness Disorder Secondary to Intracranial Hypotension After Spinal Surgery: A Case Report and Literature Review
Authors: Lv Yuqing , Xiang Hui 
Published: June 2022

RationaleCerebrospinal fluid (CSF) leakage is a common condition after spinal surgery and is also the most common cause of intracranial hypotension. Intracranial hypotension (IH) is typically characterized by an orthostatic headache with associated nausea, vomiting, tinnitus, vertigo, hypoacusis, neck stiffness, and photophobia. There have been limited case reports describing surgery-associated IH presenting with seizures and disorder of consciousness. Due to the atypia of symptoms, these clinical manifestations are usually ignored or even misdiagnosed. As a result, clinicians face a significant challenge in detecting IH early and understanding its various clinical presentations. Meanwhile, we summarize the cases of IH presenting as seizures in recent years, including its clinical characteristics and effective treatment, which will be very helpful for the early diagnosis of IH.Patient concernsA 72-year-old Chinese male patient developed status epilepticus, a disorder of consciousness, and quadriplegia when he finished spinal surgery, although he had no previous seizures or any seizure risk factors.DiagnosisAfter MRI and CT examination, subdural hygromas were found under both sides of the skull, and combined with the clinical manifestations of the patient, intracranial hypotension due to cerebrospinal fluid leakage was diagnosed.InterventionsIn the early stage, we carried out strict perioperative critical care for the patient. Trendelenburg position was conducted to relieve intracranial hypotension. The dural repair surgery was performed after the diagnosis of CSF leakage.OutcomesSeizures in the patient were resolved. Three months after discharge, he was gradually returning to normal life.LessonsOne possible cause of unexplained seizures and disorder of consciousness after spinal surgery is cerebrospinal fluid leakage associated with intracranial hypotension syndrome. Trendelenburg position and dural repair surgery are effective ways to relieve intracranial hypotension and associated symptoms. Better awareness of the association between IH (intracranial hypotension) and seizures may help us improve early recognition of the syndrome.
Effects of Dental Implants and Nutrition on Elderly Edentulous Subjects: Protocol for a Factorial Randomized Clinical Trial
Authors: Qian Shu-Jiao , Liu Beilei , Shi Junyu , Zhang Xiao , Deng Ke , Shen Jie , Tao Yang , Qiao Shichong , Lai Hong-Chang , Yuan Changzheng , Tonetti Maurizio S. 
Published: June 2022

BackgroundLoss of masticatory function consequent to tooth loss has been associated with changes in food choices and insufficient nutritional intake. To date, interventions based on dental prostheses alone did not significantly improve nutrient intake. Pilot studies have shown positive impacts of interventions combining implant-supported fixed dental prosthesis with brief dietary advice. The relative contribution and the potential synergy of the components of such interventions need to be determined as it has major public health implications for the community-dwelling aging population that continues to disproportionately suffer from tooth loss and its consequences.ObjectiveTo assess the effect of rehabilitation of masticatory function with fixed implant supported dentures and nutrition education in older subjects with terminal dentition (stage IV periodontitis) or full edentulism.MethodsA 2 × 2 factorial randomized controlled trial with 16-month follow-up of eligible adults (≥60 years) with loss of masticatory function consequent to full arch edentulism or terminal dentition (n = 120) will be conducted to test whether the rehabilitation of masticatory function with fixed implant supported dentures, nutrition education and/or their combination improves intake of fresh fruits and vegetables for aging subjects. The study has been designed to detect changes in fresh fruits and fresh vegetables intake at 4 months using the 24-h dietary recall method. Changes in protein as percentage of total energy, nutritional biomarkers, plasma metabolomics, oral and gut microbiome, quality of life and masticatory function will also be assessed.DiscussionWe hypothesize that receiving rehabilitation of masticatory function with fixed implant dentures together with nutrition education is the most effective intervention for improving nutrient intake in aging community-dwelling subjects with extensive tooth loss. The results of this study will assist in designing better treatment regimens, guide medical care for individual subjects, and inform public health and policy.Clinical Trials RegistrationNCT05334407.
Prognostic Impact of the Angiogenic Gene POSTN and Its Related Genes on Lung Adenocarcinoma
Authors: Sun Dongfeng , Gai Zhibo , Wu Jie , Chen Qingfa 
Published: June 2022

BackgroundThe function of angiogenesis-related genes (ARGs) in lung adenocarcinoma (LUAD) remains poorly documented. This study was designed to reveal ARGs in LUAD and related networks.MethodsWe worked with sequencing data and clinical information pertaining to LUAD from public databases. ARGs were retrieved from the HALLMARK_ANGIOGENESIS gene set. Differential analysis and Kaplan–Meier (K–M) analysis were performed to authenticate the ARGs associated with LUAD. Weighted gene correlation network analysis was performed on the mining hub genes linked to the abovementioned genes, and functional enrichment analysis was done. Subsequently, Cox regression analyses were used to construct the prognostic gene. POSTN and microvessel density were detected using immunohistochemistry.ResultsPOSTN, an ARG that was highly expressed in patients with LUAD and was closely associated with their weak overall survival was identified. Differentially expressed genes associated with POSTN were mainly enriched in entries related to the tubulointerstitial system, immune response, and epithelial cells. A positive correlation was demonstrated between POSTN expression and tumor microvessel density in LUAD. Subsequently, a prognostic gene signature was constructed and revealed that 4 genes may predict the survival of LUAD patients. Furthermore, the ESTIMATE and CIBERSORT analyses suggested that our risk scoring system may be implicated in altering the immune microenvironment of patients with LUAD. Finally, a ceRNA network was constructed based on the prognostic genes, and the regulatory networks were examined.ConclusionPOSTN, a novel prognostic gene signature associated with ARGs, was constructed for the prognosis of patients with LUAD. This signature may alter the immune microenvironment by modulating the activation of the tubulointerstitial system, epithelial cells, and immune cells, ultimately affecting patient survival.
Analysis of Factors Associated With Recurrence of Early-Stage Endometrial Carcinoma and Atypical Endometrial Hyperplasia in Infertile Women After In Vitro Fertilization Treatment
Authors: Guo Yaxing , Zong Xuan , Li Hongzhen , Qiao Jie 
Published: June 2022

PurposeTo explore the relationship between different artificial reproductive treatment (ART) strategies and tumor outcomes, by analyzing clinical data of patients with endometrial carcinoma (EC) and atypical endometrial hyperplasia (AEH).MethodsThis retrospective study was performed in a tertiary hospital. Patients (n=131) with EC or AEH, who underwent in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatment between June 2010 and June 2021, were divided into a recurrence group and a non-recurrence group. Clinical characteristics and tumor outcomes were assessed.Results131 patients were followed up for 4-132 months; 33 patients had recurrence, the recurrence rate was 25.2%, 3-year recurrence-free survival (RFS) rate was 83.2 ± 3.4%, and the 5-year RFS rate was 72.9 ± 4.4%. Factors including the frequency of controlled ovarian stimulation (COS) and the total days of ovarian stimulation had no significant effect on the recurrence of tumor lesions (p=0.368 and 0.969, respectively). Histology type (HR: 4.94, 95%CI: 2.41-10.15, p &lt;0.001) and successful/un successful live birth (HR: 0.30, 95%CI: 0.14-0.65, p=0.003) were independent factors of recurrence. Twenty-two of the 82 patients who received a single COS had recurrence. Different COS protocols, the total dose of gonadotropin (Gn), and the serum E2 level on the trigger day had no significant effect on recurrence (p=0.326, 0.889 and 0.468, respectively).ConclusionsThe degree at which an endometrial lesion progresses into carcinoma is a key factor affecting the recurrence of EC/AEH in patients after IVF/ICSI treatment, and successful live birth is a protective factor for the recurrence of endometrial lesions. Different COS protocols and COS frequencies, as well as the dosage and duration of Gn used during IVF did not affect the recurrence of endometrial lesions.
Angiofibroma of Soft Tissue: A Clinicopathological Study of Eight Cases With Emphasis on the Diagnostic Utility of Fluorescence In Situ Hybridization Detection for NCOA2 Rearrangement
Authors: Wang Canming , Fan Yuqian , Wei Jianguo , Xu Qiujie , Ru Guoqing , Zhao Ming 
Published: June 2022

BackgroundAngiofibroma of soft tissue (AFST) is a rare mesenchymal neoplasm of fibroblastic differentiation. Due to its diverse morphology and the lack of specific immunohistochemistry (IHC) markers, AFST could elicit a broad range of differential diagnosis. Several studies have disclosed in AFST recurrent gene fusions involving NCOA2, mainly AHRR–NCOA2 fusion, providing a useful approach to diagnosing this lesion. We report eight additional cases of this rare entity with emphasis on the diagnostic utility of fluorescence in situ hybridization (FISH) detection for NCOA2 rearrangement.MethodsClinicopathological data for eight AFSTs were retrieved. IHC was performed, and FISH was used to detect rearrangements involving NCOA2, DDIT3, and FUS loci.ResultsThere were five female and three male patients, ranging in age from 29 to 69 years (median: 55 years). The patients presented mostly with a slow-growing mass in the extremities, with or without intermittent pain. All tumors were located in the lower extremities with three (27.5%) involving or adjacent to the knee joints. Tumor size ranged from 1.5 to 3.8 cm (median: 3.0 cm). Morphologically, the tumors consisted of a proliferation of uniform, bland spindle cells set in alternating myxoid and collagenous stroma with a prominent vascular network composed of countless small, branching, thin-walled blood vessels. Foci of “chicken wire”-like capillaries and medium- to large-sized blood vessels with prominent staghorn morphology were evident in two and four cases, respectively. In addition, sheets of small round cells and foci of cystic changes were observed in one each case. Degenerative nuclear atypia was identified in three cases, while mitosis and tumor necrosis were absent. By IHC, the stromal cells were variably positive for epithelial membrane antigen, desmin, and CD68. By FISH analysis, seven out of eight cases (87.5%) showed NCOA2 rearrangement, and the remaining one had increased gene copy numbers of intact NCOA2; rearrangements involving FUS (0/4) and DDIT3 (0/3) were not identified in the cases analyzed. All tumors were surgically removed, and none had recurrence at follow-up from 5 to 73 months.ConclusionsFISH analysis for NCOA2 rearrangement represents a practical method for confirming the diagnosis of AFST on the basis of appropriate histomorphological backgrounds.