Miracle-dz/UniFAR-FTUs huggingface dataset:
Oligometastatic Head and Neck Cancer: Challenges and Perspectives

Simple Summary Oligometastasis represents a disease state and an opportunity for cure when metastases emerge. Emerging evidence supports that most head and neck cancer patients with oligometastatic disease are likely to benefit from curative intent local ablative therapy if appropriate selection criteria are applied. Biomarkers to predict development of oligometastasis, as well as to identify which patients could benefit from a radical intent approach, are under investigation. This review summarizes recent knowledge about the characteristics, investigational efforts, and evidence for local ablation regarding oligometastasis in head and neck cancer. We also describe the challenges and opportunities in patient selection and discuss the role of radiotherapy and immunotherapy combinations to enhance anti-tumor immunity. Abstract A minority of patients with metastatic head and neck squamous cell carcinoma (HNSCC) present with oligometastatic disease. Oligometastasis not only reflects a disease state, but might also present an opportunity for cure in the metastatic setting. Radical ablation of all oligometastatic sites may confer prolonged survival and possibly achieve cure in some patients. However, substantial debate remains about whether patients with oligometastatic disease could benefit from curative intent therapy or whether aggressive treatments expose some patients to futile toxicity. Optimal selection of patients, carefully balancing the currently known prognostic factors against the risks of toxicity is critical. Emerging evidence suggests that patients with a limited burden of disease, viral-related pharyngeal cancer, metachronous metastasis and lung-only metastasis may benefit most from this approach. Efforts are underway to identify biomarkers that can detect oligometastasis and better select patients who would derive the maximum benefit from an aggressive radical approach. The combination of radiotherapy and immunotherapy promises to enhance the anti-tumoral immune response and help overcome resistance. However, optimization of management algorithms, including patient selection, radiation dose and sequencing, will be critical in upcoming clinical trials. This review summarizes recent knowledge about the characteristics and investigational efforts regarding oligometastasis in HNSCC.
Rheological characterizations of wormlike micellar solutions containing cationic surfactant and anionic hydrotropic salt

Aqueous micellar solutions of cationic surfactant cetyltrimethylammonium bromide (CTAB) and organic hydrotropic salt 3-hydroxy naphthalene-2-carboxylate (SHNC) in the semidilute regime have been characterized by linear and nonlinear rheology, and dynamic light scattering. The strong hydrophobicity and naphthalene structure present in the SHNC induces significant growth of CTAB wormlike micelles and promotes stable micellar network formation. Focusing primarily on 75 mM CTAB/SHNC solution, we correlate the rich rheological behavior with structural transitions of the micellar network under different deformation histories with temperatures in the range of 20 °C < T< 40 °C. Viscous dissipation dominates at low temperature, while short range interactions among micellar head groups, reorganization of micellar networks play important roles at higher temperatures, leading to complex stress responses under large deformations. The influence of double benzene rings on the response of transient and large amplitude os.
Electron-phonon coupling and properties of doped BaBiO 3

We report density-functional calculations based on the local-density approximation (LDA) of the properties of doped barium bismuthates. Using the linear-response approach developed in the framework of the linear muffin-tin-orbital method the phonon spectrum of the ${\mathrm{Ba}}_{0.6}{\mathrm{K}}_{0.4}{\mathrm{BiO}}_{3}$ system is calculated and is compared with the results of the neutron-diffraction measurements. The effect of doping in the calculation is modeled by the virtual crystal and mass approximations. The electron-phonon coupling constant $\ensuremath{\lambda}$ is then evaluated for a grid of phonon wave vectors using the change in the potential due to phonon distortion found self-consistently. A large coupling of the electrons to the bond-stretching oxygen vibrations and especially to the breathinglike vibrations is established. Also, a strongly anharmonic potential well is found for the tiltinglike motions of the oxygen octahedra. This mode is not coupled to the electrons to linear order in the displacements; therefore an anharmonic contribution to $\ensuremath{\lambda}$ is estimated using the frozen-phonon method. Our total (harmonic plus anharmonic) $\ensuremath{\lambda}$ is found to be 0.34. This is too small to explain high-temperature superconductivity in ${\mathrm{Ba}}_{0.6}{\mathrm{K}}_{0.4}{\mathrm{BiO}}_{3}$ within the standard mechanism. Finally, based on standard LDA and LDA+$U$ like calculations, a number of properties of pure ${\mathrm{BaBiO}}_{3}$ such as tilting of the octahedra, breathing distortion, charge disproportionation, and semiconducting energy gap value is evaluated and discussed in connection with the negative-$U$ extended Hubbard model frequently applied to this compound.
Application of unified protocol as a transdiagnostic treatment for emotional disorders during COVID-19: An internet-delivered randomized controlled trial

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has been an emotionally challenging time, especially for young adults. It is associated with a substantial increase in the prevalence of mental health problems, negative symptoms, and stressful experiences that compromise well-being. In low-income countries, internet-delivered psychological services could have a remarkable impact on the population’s mental health, given the lack of mental health professionals. AIM To investigate the efficacy of internet-delivered cognitive-behavior therapy (CBT)-transdiagnostic intervention for adults with emotional disorders. METHODS In this internet-delivered randomized controlled trial, 102 students with an emotional disorder (mean age = 28.20 years, standard deviation = 5.07) were randomly allocated to receive unified protocol (UP) (n = 51) or treatment as the usual intervention. Following a semi-structured clinical interview, participants completed an online survey including the Overall Anxiety Severity and Impairment Scale, Overall Depression Severity and Impairment Scale, Difficulties in Emotion Regulation Scale, Positive and Negative Affect Schedule, and Emotional Style Questionnaire. RESULTS The participants showed a high degree of adherence. In total, 78% (n = 40) of the experimental group participants completed the UP treatment. Considering the intention to treat procedure, the results of the analysis of covariance indicated that participants who received UP showed statistically significant changes in depression symptoms [Cohen’s d = -1.50 with 95% confidence interval (CI): -1.90 to -1.10], anxiety (Cohen’s d = -1.06 with 95%CI: -1.48 to -0.65), difficulties with emotion regulation (Cohen’s d = -0.33 with 95%CI: -0.7 to -0.06), positive affect (Cohen's d = 1.27 with 95%CI: 0.85 to 1.68), negative affect (Cohen’s d= -1.04 with 95%CI: -1.46 to -0.63), and healthy emotionality (Cohen’s d = 0.53 with 95%CI: 0.09 to 0.13) compared with the control group. CONCLUSION This study’s findings highlight the potential value of transdiagnostic internet-delivered programs for young adults with an emotional disorder during the COVID-19 pandemic, and expand the research examining emotional well-being improvements resulting from CBT-transdiagnostic interventions. The findings suggest that UP, which generally concentrates on reducing negative effects, can increase positive effects.
Evaluating GFS and ECMWF Ensemble Forecasts of Integrated Water Vapor Transport Along the U.S. West Coast

Atmospheric Rivers (ARs) are long and narrow regions in the atmosphere of enhanced integrated water vapor transport (IVT) and can produce extreme precipitation and high societal impacts. Reliable and skillful forecasts of landfalling ARs in the Western US are critical to hazard preparation and aid in decision support activities, such as Forecast Informed Reservoir Operations. The purpose of this study is to compare the cool-season water year skill of the NCEP Global Ensemble Forecast System (GEFS) and ECMWF Ensemble Prediction System (EPS) forecasts of IVT along the U.S. West Coast for 2017–2020. The skill is analyzed using probability-over-threshold forecasts of IVT magnitudes ≥250 kg m−1 s−1 (P250) using contingency table skill metrics in coastal northern California and along the west coast of North America. Analysis of P250 with lead-time (dProg/dt) found the EPS provided ~1-day of additional lead-time for situational awareness over the GEFS at lead times of 6–10-days. Forecast skill analysis highlights that the EPS leads over the GEFS with success ratios 0.10 to 0.15 higher at lead times >6 days for P250 thresholds of ≥25% and ≥50%, while event-based skill analysis using the probability of detection (POD) found that both models were largely similar with minor latitudinal variations favoring higher POD for each model in different locations along the coast. The relative skill of the EPS over the GEFS is largely attributed to over-forecasting by the GEFS at longer lead times and an increase in the false alarm ratio.
Conditions for monogamy of quantum correlations: Greenberger-Horne-Zeilinger versus W states

Quantum correlations are expected to respect all the conditions required for them to be good measures of quantumness in the bipartite scenario. In a multipartite setting, sharing entanglement between several parties is restricted by the monogamy of entanglement. We take over the concept of monogamy to an information-theoretic quantum correlation measure, and find that it violates monogamy in general. Using the notion of interaction information, we identify necessary and sufficient conditions for the measure to obey monogamy, for arbitrary pure and mixed quantum states. We show that while three-qubit generalized Greenberger-Horne-Zeilinger states follow monogamy, generalized $W$ states do not.
Parametric Study of Tip Clearance—Casing Treatment on Performance and Stability of a Transonic Axial Compressor

The control of tip leakage flow through the clearance gap between the moving and stationary components of rotating machines is still a high-leverage area for improvement of stability and performance of aircraft engines. Losses in the form of flow separation, stall, and reduced rotor work efficiency are results of the tip leakage vortex (TLV) generated by interaction of the main flow and the tip leakage jet induced by the blade pressure difference. The effects are more detrimental in transonic compressors due to the interaction of shock TLV. It has been previously shown that the use of slots and grooves in the casing over tip of the compressor blades, known as casing treatment, can substantially increase the stable flow range and therefore the safety of the system but generally with some efficiency penalties. This paper presents a numerical parametric study of tip clearance coupled with casing treatment for a transonic axial-flow compressor NASA Rotor 37. Compressor characteristics have been compared to the experimental results for smooth casing with a 0.356 mm tip clearance and show fairly good agreement. Casing treatments were found to be an effective means of reducing the negative effects of tip gap flow and vortex, resulting in improved performance and stability. The present work provides guidelines for improvement of steady-state performance of the transonic axial-flow compressors and improvement of the stable operating range of the system.
HPLC–(Q)-TOF-MS-Based Study of Plasma Metabolic Profile Differences Associated with Age in Pediatric Population Using an Animal Model

A deep knowledge about the biological development of children is essential for appropriate drug administration and dosage in pediatrics. In this sense, the best approximation to study organ maturation is the analysis of tissue samples, but it requires invasive methods. For this reason, surrogate matrices should be explored. Among them, plasma emerges as a potential alternative since it represents a snapshot of global organ metabolism. In this work, plasma metabolic profiles from piglets of different ages (newborns, infants, and children) obtained by HPLC–(Q)-TOF-MS at positive and negative ionization modes were studied. Improved clustering within groups was achieved using multiblock principal component analysis compared to classical principal component analysis. Furthermore, the separation observed among groups was better resolved by using partial least squares-discriminant analysis, which was validated by bootstrapping and permutation testing. Thanks to univariate analysis, 13 metabolites in positive and 21 in negative ionization modes were found to be significant to discriminate the three groups of piglets. From these features, an acylcarnitine and eight glycerophospholipids were annotated and identified as metabolites of interest. The findings indicate that there is a relevant change with age in lipid metabolism in which lysophosphatidylcholines and lysophoshatidylethanolamines play an important role.
Support Vector Machines for Object Recognition under Varying Illumination

†† In this paper, we propose an appearance-based method for object recognition under varying illumination. It has been shown that images of an object under varying illumination lie in a convex cone formed in the image space. Accordingly, cones of two objects are separated by a hyperplane passing through the origin of the image space, provided that there is no intersection between those two cones. In addition, variations due to changes in light intensities can be canceled by normalizing images. Based on these observations, our proposed method combines two-class discriminations using a hyperplane in the normalized image space. To demonstrate the effectiveness of the proposed method, we have conducted a number of experiments using the Yale Face Database B and shown that support vector machines are well suited for obtaining discriminant hyperplanes for object recognition under varying illumination.
Substantial Impairment of Quality of Life during COVID-19 Pandemic in Patients with Advanced Rectal Cancer

The aim of this study was to analyze the quality of life of patients with advanced rectal cancer before and during the COVID-19 pandemic and to determine whether the pandemic affected patients’ quality of life. The study included 389 patients and was performed from May 2010 to June 2021. The fifteen months from March 2020 to June 2021 were categorized as the COVID-19 period. Patients were surveyed using the QLQ-C30 and QLQ-CR38 questionnaires. The questionnaires were used at different phases of radiochemotherapy: prior to RCT (day 1), during RCT (day 14), at the end of RCT (day 35), and prior to mesorectal surgery (day 70). Scores were formed from the questions. In addition, scores were analyzed for different age groups (<64 and >64) and sexes (female and male). Overall, patients reported lower functional scores and higher symptom scores during the pandemic than before the pandemic. Although it had been expected that older and younger patients would differ clearly, there were only minor differences. The comparison between the two sexes showed very different scores, with female patients having lower functional scores and higher symptom scores than male patients before and especially during COVID-19. In conclusion, age does not play a major role in quality of life, but sex does play an important role in perception of functioning and symptoms. COVID-19 also had a major impact on patients’ lives, as it was a very isolating and stressful time for everyone, especially cancer patients, which was reflected in worsening scores.
Infiltration in Pilocytic Astrocytoma: A Diagnostic Pitfall

Glioma can be classified according to its infiltrative capacity into circumscribed and "diffuse"/infiltrative glioma. Pilocytic astrocytoma is typically grouped under the circumscribed astrocytic glioma in the 2021 World Health Organization (WHO) classification of central nervous system (CNS) tumors. The distinction of pilocytic astrocytoma from diffuse glioma is fundamental as it could be the difference between CNS WHO grade 1 and grade 4 glioma. This study aims to determine the infiltrative nature of pilocytic astrocytoma in different brain locations. All cases diagnosed as "pilocytic astrocytoma" were retrieved from 2008 to 2021. The clinical information (age, sex, location of the tumor), pathological description, and performed immunostaining were obtained from the pathological reports. The available pathological slides were retrieved and examined for the following features: diagnosis, infiltrative vs. circumscribed tumor, and immunostaining characteristics. There were 20 males and 19 females aged 17 months to 31 years. The diagnosis of pilocytic astrocytoma was confirmed in 38/39 cases, and in one case, the diagnosis changed to a dysembryoplastic neuroepithelial tumor. Histological infiltration is defined as the presence of neoplastic cells among the nonneoplastic brain parenchyma. Twenty cases were well-circumscribed with no evidence of infiltration histologically, while 18/38 cases showed apparent infiltration into adjacent brain tissue. The infiltration was not restricted to cerebellar pilocytic astrocytoma (12/24, 50%) but was also present in 3/7 supratentorial, single brainstem, and single spinal cord cases. In conclusion, cases with typical morphological features of pilocytic astrocytoma could show areas of brain infiltration, which should not affect the certainty of the diagnosis.
A Pilot Randomized Controlled Trial of Integrated Palliative Care and Nephrology Care

Key Points A pilot randomized controlled trial of integrated palliative and nephrology care in patients with CKD stage 5 not on dialysis is feasible. A pilot randomized controlled trial of integrated palliative and nephrology care in patients with nondialysis CKD 5 is acceptable. Participants in the integrated care arm had lower symptom burden scores at the end of the trial, whereas the control group had higher scores. Visual Abstract Background There has been a call by both patients and health professionals for the integration of palliative care with nephrology care, yet there is little evidence describing the effect of this approach. The objective of this paper is to report the feasibility and acceptability of a pilot randomized controlled trial testing the efficacy of integrated palliative and nephrology care. Methods English speaking patients with CKD stage 5 were randomized to monthly palliative care visits for 3 months in addition to their usual care, as compared with usual nephrology care. Feasibility of recruitment, retention, completion of intervention processes, and feedback on participation was measured. Other outcomes included differences in symptom burden change, measured by the Integrated Palliative Outcome Scale–Renal, and change in quality of life, measured by the Kidney Disease Quality of Life questionnaire and completion of advance care planning documents. Results Of the 67 patients approached, 45 (67%) provided informed consent. Of these, 27 patients completed the study (60%), and 14 (74%) of those in the intervention group completed all visits. We found small improvements in overall symptom burden (−2.92 versus 1.57) and physical symptom burden scores (−1.92 versus 1.79) in the intervention group. We did not see improvements in the quality-of-life scores, with the exception of the physical component score. The intervention group completed more advance care planning documents than controls (five health care proxy forms completed versus one, nine Medical Orders for Life Sustaining Treatment forms versus none). Conclusions We found that pilot testing through a randomized controlled trial of an ambulatory integrated palliative and nephrology care clinical program was feasible and acceptable to participants. This intervention has the potential to improve the disease experience for those with nondialysis CKD and should be tested in other CKD populations with longer follow-up. Clinical Trials registry name and registration number Pilot Randomized-controlled Trial of Integrated Palliative and Nephrology Care Versus Usual Nephrology Care, NCT04520984
Food Science of Animal Resources

The objective of this study was to characterize the meat quality traits that affect the texture and savory taste of Ufipa indigenous chickens by comparing the proximate composition, physical characteristics, collagen, and nucleic acid contents with those of commercial broilers. It was found that Ufipa chicken breast and thigh meat had a higher protein content (p<0.05) than broiler chicken meat, whereas the fat content was lower (p<0.01). The moisture content of thigh meat was lower in Ufipa chicken meat than in broiler chicken meat (p<0.05). Regarding meat color, broiler chickens had considerably higher L* and b* than Ufipa chickens in both the breast and the thigh meat, except for a* (p<0.01). Regarding water holding capacity, Ufipa chicken breast exhibited higher drip loss but lower thawing and cooking losses than broiler chicken (p<0.01). In contrast, its thigh meat had a much lower drip and thawing losses but higher cooking losses (p<0.01). The shear force of Ufipa chickens’ breasts and thighs was higher than that of broiler chickens (p<0.05), while the amount of total collagen in the thigh meat was higher than that of broiler chickens (p<0.05). Additionally, the inosine-5’-monophosphate (IMP) of Ufipa chicken breast and thigh meat was higher than that of broiler meat (p<0.05). The principal component analysis of meat quality traits provides a correlation between the proximate and physical-chemical prosperties of both breeds with some contrast. In conclusion, the present study provides information on healthy food with good-tasting Ufipa indigenous chickens, which offer a promising market due to consumers’ preferences.
Biomimetic Remineralization of an Extracellular Matrix Collagen Membrane for Bone Regeneration

Natural extracellular matrix (ECM) collagen membranes are frequently used for bone regeneration procedures. Some disadvantages, such as rapid degradation and questionable mechanical properties, limit their clinical use. These membranes have a heterologous origin and may proceed from different tissues. Biomineralization is a process in which hydroxyapatite deposits mainly in collagen fibrils of the matrices. However, when this deposition occurs on the ECM, its mechanical properties are increased, facilitating bone regeneration. The objective of the present research is to ascertain if different membranes from distinct origins may undergo biomineralization. Nanomechanical properties, scanning electron (SEM) and multiphoton (MP) microscopy imaging were performed in three commercially available ECMs before and after immersion in simulated body fluid solution for 7 and 21 d. The matrices coming from porcine dermis increased their nanomechanical properties and they showed considerable mineralization after 21 d, as observed in structural changes detected through SEM and MP microscopy. It is hypothesized that the more abundant crosslinking and the presence of elastin fibers within this membrane explains the encountered favorable behavior.