Big data analysis of endovascular treatment for acute ischemic stroke: a study based on bibliometric analysis.

BACKGROUND: While bibliometric analyses are prevalent in the medical field, few have focused on ther endovascular treatment for acute ischemic stroke (AIS). OBJECTIVE: To employ big data analysis to examine the research status, trends, and hotspots in endovascular treatment for AIS. METHODS: We conducted a comprehensive search using the Web of Science (WOS) database to identify relevant articles on the endovascular treatment for AIS from 1980 to the present. We used various tools for data analysis, including an online platform (https://bibliometric.com/app), the Citespace software, the Vosviewer software, and the ArcMap software, version 10.8. A number of bibliometric indicators were collected and analyzed, such as publication date, country where the studies were conducted, institutions to which the authors were affiliated, authors, high-frequency keywords, cooperative relationship etc. RESULTS: A total of 5,576 articles were retrieved. A substantial increase in the number of articles occurred after 2010. High-frequency keywords included terms such as large vessel occlusion, reperfusion, outcome, and basilar artery occlusion. Among the top 10 most productive authors, Raul G. Nogueira ranked first, with 136 published articles. Among the journals, The New England Journal of Medicine ranked first, with 5,631 citations. The United States has the closest collaborative ties with other nations. CONCLUSION: In the present study, we found that the reports of endovascular treatment for AIS gradually increased after 2010. Among them, Raul G. Nogueira was the most productive author in this field. The New England Journal of Medicine was the most cited, and it had the greatest impact. The Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) trial study was the most cited, and it was a landmark study. There are many interesting studies on endovascular treatment for AIS, such as ischemic penumbra, collateral circulation, bridging therapy etc.

ANTECEDENTES: Embora as análises bibliométricas sejam predominantes na área médica, poucas se concentraram no tratamento endovascular para acidente vascular cerebral isquêmico (AVCI) agudo. OBJETIVO: Empregar análise de big data para examinar o status da pesquisa, tendências e pontos críticos no tratamento endovascular para AVCI. MéTODOS: Realizamos uma pesquisa abrangente usando o banco de dados Web of Science (WOS) para identificar artigos relevantes sobre o tratamento endovascular para AVCI de 1980 até o presente. Usamos várias ferramentas para análise de dados, incluindo uma plataforma on-line (https://bibliometric.com/app), os softwares Citespace, Vosviewer e ArcMap, versão 10.8. Vários indicadores bibliométricos foram coletados e analisados, como data de publicação, país onde os estudos foram conduzidos, instituições às quais os autores eram afiliados, autores, palavras-chave de alta frequência, relacionamento cooperativo etc. RESULTADOS: Um total de 5.576 artigos foram coletados. Um aumento substancial no número de artigos ocorreu após 2010. Palavras-chave de alta frequência incluíram termos como oclusão de grandes vasos, reperfusão, desfecho e oclusão da artéria basilar. Entre os dez autores mais produtivos, Raul G. Nogueira ficou em primeiro lugar, com 136 artigos publicados. Entre os periódicos, The New England Journal of Medicine ficou em primeiro lugar, com 5.631 citações. Os Estados Unidos têm os laços de colaboração mais próximos com outras nações. CONCLUSãO: No presente estudo, descobrimos que os relatos de tratamento endovascular para AVCI aumentaram gradualmente após 2010. Entre eles, Raul G. Nogueira foi o autor mais produtivo neste campo. A revista The New England Journal of Medicine foi a mais citada e teve o maior impacto. O estudo clínico Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) foi o mais citado e foi um estudo de destaque. Existem muitos estudos interessantes sobre tratamento endovascular para AVCI, como penumbra isquêmica, circulação colateral, terapia de ponte etc.

NCAPD3 is a prognostic biomarker and is correlated with immune infiltrates in glioma.

Non-SMC Condensin II Complex Subunit D3 (NCAPD3) has been linked with the genesis and progression of multiple human cancers. Nevertheless, the scientific value and molecular process of NCAPD3 in glioma remain unclear. We explored the level of NCAPD3 expression in pan-cancer by multiple online databases. And we focused on the level and prognostic value of NCAPD3 expression in glioma by immunohistochemistry (IHC) and survival analysis. Meanwhile, we verified the relationship between NCAPD3, biological function and immune infiltration in glioma by Linkedomics and SangerBox databases. The expression of NCAPD3 was increased in a variety of cancers, including glioma. Its high expression was strongly related to WHO grade (P=0.002) and programmed cell death ligand 1 (PD-L1) expression of glioma (P=0.001). Patients with a high level of NCAPD3 expression had a lower overall survival (OS) in glioma than patients with a low level of NCAPD3 expression. Multivariate statistical analyses showed NCAPD3 expression (P=0.040), WHO grade (P<0.001), 1p/19q codeletion (P<0.001), recurrence (P<0.001), age (P=0.023), and chemotherapy status (P=0.001) were meaningful independent prognostic factors in patients with glioma. Furthermore, bioinformatics analysis proved that NCAPD3 has been linked to immune infiltration in glioma. High level of NCAPD3 expression may serve as a promising prognostic biomarker and correlate with dendritic cell infiltration, representing a potential immunotherapy target in glioma.

Carotid-cavernous fistula following mechanical thrombectomy of the tortuous internal carotid artery: A case report.

BACKGROUND: A carotid-cavernous fistula (CCF) is an abnormal connection between the internal carotid artery (ICA) and the cavernous sinus. Although direct CCFs typically result from trauma or as an iatrogenic complication of neuroendovascular procedures, they can occur as surgery-related complications after mechanical thrombectomy (MT). With the widespread use of MT in patients with acute ischemic stroke complicated with large vessel occlusion, it is important to document CCF following MT and how to avoid them. In this study, we present a case of a patient who developed a CCF following MT and describe in detail the characteristics of ICA tortuosity in this case. CASE SUMMARY: A 60-year-old woman experienced weakness in the left upper and lower limbs as well as difficulty speaking for 4 h. The neurological examination revealed left central facial paralysis and left hemiplegia, with a National Institutes of Health Stroke Scale score of 9. Head magnetic resonance imaging revealed an acute cerebral infarction in the right basal ganglia and radial crown. Magnetic resonance angiography demonstrated an occlusion of the right ICA and middle cerebral artery. Digital subtraction angiography demonstrated distal occlusion of the cervical segment of the right ICA. We performed suction combined with stent thrombectomy. Then, postoperative angiography was performed, which showed a right CCF. One month later, CCF embolization was performed, and the patient's clinical symptoms have significantly improved 5 mo after the operation. CONCLUSION: Although a CCF is a rare complication after MT, it should be considered. Understanding the tortuosity of the internal carotid-cavernous sinus may help predict the complexity of MT and avoid this complication.

Microstructured PVDF Film with Improved Performance as Flexible Infrared Sensor.

Polyvinylidene fluoride (PVDF) is a very promising material for fabricating flexible infrared sensors due to its ferroelectricity as well as excellent flexibility and low fabrication cost. This work focuses on improving PVDF's pyroelectric performance by creating microstructures in the film. Simulation results suggest that the pyroelectric response of PVDF film can be improved if micro groove, square-pit or sinusoidal patterns are created on the film surface, with the grooved film showing the best pyroelectric performance. Suggested by the simulation results, flexible PVDF samples with groove structure are prepared by casting the precursor solution on the mold with designed patterns. Measurement results demonstrate that the optimal microstructured PVDF film can improve its pyroelectric performance by as high as 146%, which is in good agreement with the simulations. This work provides an innovative way of achieving flexible infrared sensor devices with promoted performance based on pyroelectric polymers.

Cladding softened fiber for sensitivity enhancement of distributed acoustic sensing.

Fiber-optic distributed acoustic sensing (DAS) technology with high spatial and strain resolutions has been widely used in many practical applications. New methods to enhance the phase sensitivity of sensing fiber are worth exploring to further improve DAS performances, although the standard single-mode fiber (SSMF) has been widely used for DAS technology. In this work, we propose and demonstrate the concept of enhancing the phase sensitivity of DAS by softening the cladding of the sensing fiber, for the first time. The theoretical analysis indicates that softening sensing fiber cladding is an effective way to improve phase sensitivity. Thus, we fabricated cladding softened fibers (CSFs) and tested their phase sensitivities experimentally. According to the results, it is found that the phase sensitivity of the CSF with 0.48 WT% phosphorus-doping concentration and 80 µm cladding diameter is 22% and 54% higher than that of the non-phosphorus-doping fiber with 80 µm cladding diameter and SSMF, respectively. The results show that by reducing fiber cladding Young's modulus with higher phosphorus-doping concentration, the DAS phase sensitivity can be enhanced effectively, verifying the theoretical analysis. Also, we found that the phase sensitivity enhancement of the sensing fiber has a linear relationship with the cladding phosphorus-doping concentration, i.e. Young's modulus. In conclusion, the reported CSF paves a way for improving the DAS phase sensitivity and would be applied to other major optical fiber sensing systems as a better sensing element over SSMF due to the enhancement in the elasto-optical effect of the sensing fiber.

Low-noise high-order Raman fiber laser pumped by random lasing.

Raman fiber lasers (RFLs) have been widely utilized in long-haul optical transmission systems as pump sources for distributed Raman amplification (DRA) to increase transmission distance and capacity. However, RFLs with relatively large temporal intensity fluctuations would deteriorate signal quality due to the transfer of relative intensity noise (RIN). In this Letter, a low-noise high-order RFL common cavity pumped by an ytterbium-doped random fiber laser (YRFL) is proposed and demonstrated for the first time, to the best of our knowledge. Stable 4th-order random Raman lasing operating at 1365 nm is generated with 8.9 W of output power, without use of a multi-stage master oscillation power amplification system. Thanks to the YRFL common-cavity pumping where a wavelength division multiplexer (WDM)-assisted fiber-loop mirror is used to generate stable 1090 nm ytterbium-doped random lasing and cascaded random Raman lasing simultaneously, the RIN of the 1365 nm RFL is suppressed as low as -120dB/Hz without any peak over a 0-100 MHz span. Furthermore, the output power and lasing wavelength of this RFL can be flexibly tuned by adjusting the laser diode pump power, high-reflectivity fiber Bragg grating center wavelength, and single-mode fiber length. Hence, such a low-noise high-order RFL paves a way for the development of novel tunable RFLs with stable temporal output, leading to potential replacement of conventional RFLs for DRA in long-haul optical transmission systems to achieve better performances.

Role of Paip1 on angiogenesis and invasion in pancreatic cancer.

Poly(A)-binding protein-interacting protein 1 (Paip1) was discovered as a modulator of translation initiation as a result of binding to PABP. Increasing evidence suggested that Paip1 has been implicated in several pathogenic roles. However, its clinical significance and underlying molecular mechanisms in Pancreatic cancer (PC) remain uncertain. In our present study, we found that Paip1 was over-expressed in human PC tissues. As well as poor survival, the over-expression of Paip1 was associated with lymph node (LN) metastasis of the PC samples analyzed. Paip1 silencing inhibits PC cell proliferation, metastasis, and angiogenesis, whereas over-expression of Paip1 produces the opposite effects. In all, we proposed that Paip1 contributes to PC progression and appears to be a valid prognostic factor of PC.