Miracle-dz/UniFAR-FTUs huggingface dataset:
Systematic development of an mHealth app to prevent healthcare-associated infections by involving patients: Participatient

Introduction In hospital care, urinary catheters are frequently used, causing a substantial risk for catheter-associated urinary tract infections (CAUTI). Patient awareness and evaluation of appropriateness of their catheter through mHealth could decrease these healthcare-associated infections. However, patient engagement via mHealth in infection prevention is still limited. Therefore, we describe the systematic development and usability evaluation of the mHealth intervention Participatient, to prevent CAUTI, aiming for optimal adoption of the app in the clinical setting. Method The CeHRes roadmap was used as development guideline, operationalizing phases for (1) contextual inquiry (observations and interviews), (2) value specification (interviews with probing) and (3) design in multiple steps and in co-creation with end-users. During phases 1 and 2, semi-structured interviews were conducted with fifteen patients and three nurses. The design phase was combined with the minimum viable product development strategy, with a focus on early cyclic steps of prototyping. Results In phase 1, patients acknowledged the risks of catheter use. Patients in phase 2 valued endorsement of a mHealth application by healthcare workers and reported to own a smartphone. Both patients and nurses recognized the need for useful modules in the app besides catheter care. Based on the needs and values as found in phase 2, the Participation app was developed. Based on usability tests in phase 3, content, text size, plain language, and navigation structures were further amended, and images were added. Conclusion This study provides real-world insight in the developmental strategy for mHealth interventions by involving both patients and care providers. Development of an app using thorough needs-assessment provided understanding for its content and design. By developing an app providing patients with reliable information and daily checklists, we aim to provide a tailored tool for communication and awareness on catheter use for the whole ward, and a potential blueprint for mHealth development.
d-Metal complexes : electronic structure and properties

nature of ligand metal bonding in terms of two theoretical models. We start with the simple but useful crystaleld theory, which is based on an electrostatic model of the bonding, and then progress to the more sophisticated ligandeld theory. Both theories invoke a parameter, the ligandeld splitting parameter, to correlate spectroscopic and magnetic properties. We then examine the electronic spectra of complexes and see how ligandeld theory allows us to interpret the energies and intensities of electronic transitions.
Neutron Emission Profile of d-Be Reaction with Low-energy Deuteron Beam for Accelerator Neutron Source

The neutron emission profile of the 9Be(d,n)10B nuclear reaction using a low-energy deuteron beam (300 keV) was examined to develop an accelerator neutron source for boron neutron capture therapy (BNCT). The gamma rays corresponding to the transition from excited levels of 10B were measured using a high-purity Ge detector. By analyzing the gamma-ray yields, the transition probability to each excited state of 10B was determined and the neutron yields for the individual energies were evaluated. The emission of the 3.8 MeV neutron was approximately 42% of the total emission, and other neutron emissions from 1.1 to 4.5 MeV were clearly specified. A neutron moderator assembly using heavy water (D2O) or Be metal was designed in order to obtain thermal neutrons from the d-Be reaction with high efficiency. The simulations of neutron transport in the assembly were performed using the Monte Carlo code MCNP4C. Thermal, epithermal, and fast neutron fluxes were calculated as a function of the moderator thickness. The experimentally evaluated neutron emission property was reflected in the simulation. The results indicate that the use of the D2O moderator is suitable for thermal neutron production and shielding of fast neutrons rather than that of Be.
Combination therapy with afatinib and bevacizumab in an EGFR-mutated non-small cell lung cancer patient with acquired ERBB2 amplification

Abstract Introduction: Acquired resistance to reversible EGFR tyrosine kinase inhibitors remains a significant obstacle, and acquired ERBB2 amplification is the most common “bypass” mechanism. For patients with sensitizing EGFR mutation who experience resistance via ERBB2 amplification, no targeted drug has been demonstrated to be effective. Patient concerns: A 56-year-old female nonsmoker suffered from left leg paralysis and low back pain. Imaging examination revealed a mass in the anterior segment of the right upper lobe lung and possible multiple metastases in the right hilar, mediastinal lymph nodes, bone metastases, and soft tissue invasion. Diagnosis: Transbronchial lung biopsy revealed a moderately differentiated adenocarcinoma (cT4N2M1c, stage IV). An EGFR exon 19 deletion was identified using amplification refractory mutation system. Interventions: After the patient was treated with gefitinib initiation (250 mg/d) for 15 months, the tumor progressed with ERBB2 amplification revealed by next-generation sequencing test. Then, the patient was started on afatinib (40 mg/d) plus bevacizumab (7.5 mg/kg every 3 weeks). Outcomes: The combination therapy of afatinib and bevacizumab in this patient was effective with some slight side effects. Computed tomography scans showed the tumor shrinkage and the pleural effusion disappeared in the right lung. The overall survival was 23.5 months. Conclusion: To date, there is no targeted therapy approved and demonstrated to be effective for non-small cell lung cancer patients with EGFR sensitizing mutations, and ERBB2 amplification. The effectiveness of combination therapy with afatinib and bevacizumab may provide a new therapeutic option for these patients.
Application of a Protocol to Assess Camel Welfare: Scoring System of Collected Measures, Aggregated Assessment Indices, and Criteria to Classify a Pen

Simple Summary During the last few decades, several protocols have been developed for assessing the on-farm welfare of several animal species. However, a protocol for camels has only recently been proposed. This study, for the first time, applied this assessment protocol and developed a model to compound overall welfare indices and classify pens according to their welfare level. The welfare measures were collected in 76 pens of a camel market in Qatar, scored, and then aggregated to obtain overall welfare indices. Thirst Index, Body Condition Score (BCS), disease and physical injuries, feeding and watering management, presence of a shelter, and cleanliness of bedding were the measures that strongly affected the classification of the pens. The model seemed to be able to identify the major welfare concerns of camels kept at the market and to suggest corrective actions. Further studies are needed to implement the proposed model, but it may be the first step towards the definition of welfare standards for camels. Abstract This study aimed to apply a protocol for assessing camel welfare, to develop a scoring system for the welfare measures, to produce overall assessment indices, and to classify the animal units (i.e., pens) according to their welfare level. A total of 105 measures were collected at Herd level from 76 pens at a market in Qatar. The pens held 528 camels, 132 of which were evaluated at a deeper level (i.e., Animal level). Out of the 105 measures, 71 were selected, scored, and aggregated to reach a Total Welfare Index (TWI) for each pen. The TWI ranged from 46.2 to 69.8. The Good Feeding index, including measures related to prolonged thirst and prolonged hunger, was the most critical (p < 0.001), while the Good Health index, including measures related to the absence of injuries, disease and pain, was the less problematic (p < 0.001). However, most of the pens were classified as “unsatisfactory” (61.8%) and none as “excellent”. Body Condition Score (BCS), Thirst Index, disease and physical injuries, presence of a shelter, and cleanliness of bedding were the measures which influenced the pens’ classification the most (p < 0.05). The proposed model seems useful in the identification of camel welfare issues. Further applications, as well as the involvement of many scientists and stakeholders, are needed to refine and validate the protocol and its indices.
Leucokinin and Associated Neuropeptides Regulate Multiple Aspects of Physiology and Behavior in Drosophila

Leucokinins (LKs) constitute a family of neuropeptides identified in numerous insects and many other invertebrates. LKs act on G-protein-coupled receptors that display only distant relations to other known receptors. In adult Drosophila, 26 neurons/neurosecretory cells of three main types express LK. The four brain interneurons are of two types, and these are implicated in several important functions in the fly’s behavior and physiology, including feeding, sleep–metabolism interactions, state-dependent memory formation, as well as modulation of gustatory sensitivity and nociception. The 22 neurosecretory cells (abdominal LK neurons, ABLKs) of the abdominal neuromeres co-express LK and a diuretic hormone (DH44), and together, these regulate water and ion homeostasis and associated stress as well as food intake. In Drosophila larvae, LK neurons modulate locomotion, escape responses and aspects of ecdysis behavior. A set of lateral neurosecretory cells, ALKs (anterior LK neurons), in the brain express LK in larvae, but inconsistently so in adults. These ALKs co-express three other neuropeptides and regulate water and ion homeostasis, feeding, and drinking, but the specific role of LK is not yet known. This review summarizes Drosophila data on embryonic lineages of LK neurons, functional roles of individual LK neuron types, interactions with other peptidergic systems, and orchestrating functions of LK.
Clinical CYP2D6 Genotyping to Personalize Adjuvant Tamoxifen Treatment in ER-Positive Breast Cancer Patients: Current Status of a Controversy

Simple Summary Tamoxifen is an important adjuvant endocrine therapy in estrogen receptor (ER)-positive breast cancer patients. It is mainly catalyzed by the enzyme CYP2D6 into the most active metabolite endoxifen. Genetic variation in the CYP2D6 gene influences endoxifen formation and thereby potentially therapy outcome. However, the association between CYP2D6 genotype and clinical outcome on tamoxifen is still under debate, as contradictory outcomes have been published. This review describes the latest insights in both CYP2D6 genotype and endoxifen concentrations, as well CYP2D6 genotype and clinical outcome, from 2018 to 2020. Abstract Tamoxifen is a major option for adjuvant endocrine treatment in estrogen receptor (ER) positive breast cancer patients. The conversion of the prodrug tamoxifen into the most active metabolite endoxifen is mainly catalyzed by the enzyme cytochrome P450 2D6 (CYP2D6). Genetic variation in the CYP2D6 gene leads to altered enzyme activity, which influences endoxifen formation and thereby potentially therapy outcome. The association between genetically compromised CYP2D6 activity and low endoxifen plasma concentrations is generally accepted, and it was shown that tamoxifen dose increments in compromised patients resulted in higher endoxifen concentrations. However, the correlation between CYP2D6 genotype and clinical outcome is still under debate. This has led to genotype-based tamoxifen dosing recommendations by the Clinical Pharmacogenetic Implementation Consortium (CPIC) in 2018, whereas in 2019, the European Society of Medical Oncology (ESMO) discouraged the use of CYP2D6 genotyping in clinical practice for tamoxifen therapy. This paper describes the latest developments on CYP2D6 genotyping in relation to endoxifen plasma concentrations and tamoxifen-related clinical outcome. Therefore, we focused on Pharmacogenetic publications from 2018 (CPIC publication) to 2021 in order to shed a light on the current status of this debate.
Research on the Thermal Properties of Fireplace Concrete Materials Containing Various Mineral Aggregates Enriched by Organic and Inorganic Fibers

This work presents a summary of research on concrete fireplace materials made of various mineral aggregates and enriched with steel and organic fibers. To determine the optimal applications of such concretes, their ability to accumulate heat and their other physicochemical parameters were tested and analyzed. Studies on the behavior of concrete materials during cooling are reported, and the ability of such materials to accumulate heat is evaluated using calculations. In addition, tests were performed on the loss of mass during heating, as well as on the mechanical bending strength and microstructures of these materials. Studies have shown that the behavior of concrete materials at high temperatures can be modified and adapted for specific purposes. The addition of fibers to concrete improves both the mechanical properties of mortars and the heat flow in concrete materials.
Increased Expression of VANGL1 Is Predictive of Lymph Node Metastasis in Colorectal Cancer: Results from a 20-Gene Expression Signature

This study aimed at building a prognostic signature based on a candidate gene panel whose expression may be associated with lymph node metastasis (LNM), thus potentially able to predict colorectal cancer (CRC) progression and patient survival. The mRNA expression levels of 20 candidate genes were evaluated by RT-qPCR in cancer and normal mucosa formalin-fixed paraffin-embedded (FFPE) tissues of CRC patients. Receiver operating characteristic curves were used to evaluate the prognosis performance of our model by calculating the area under the curve (AUC) values corresponding to stage and metastasis. A total of 100 FFPE primary tumor tissues from stage I–IV CRC patients were collected and analyzed. Among the 20 candidate genes we studied, only the expression levels of VANGL1 significantly varied between patients with and without LNMs (p = 0.02). Additionally, the AUC value of the 20-gene panel was found to have the highest predictive performance (i.e., AUC = 79.84%) for LNMs compared with that of two subpanels including 5 and 10 genes. According to our results, VANGL1 gene expression levels are able to estimate LNMs in different stages of CRC. After a proper validation in a wider case series, the evaluation of VANGL1 gene expression and that of the 20-gene panel signature could help in the future in the prediction of CRC progression.
Botulinum Neurotoxin Injections in Childhood Opisthotonus

Opisthotonus refers to abnormal axial extension and arching of the trunk produced by excessive contractions of the paraspinal muscles. In childhood, the abnormal posture is most often related to dystonia in the setting of hypoxic injury or a number of other acquired and genetic etiologies. The condition is often painful, interferes with ambulation and quality of life, and is challenging to treat. Therapeutic options include oral benzodiazepines, oral and intrathecal baclofen, botulinum neurotoxin injections, and deep brain stimulation. Management of opisthotonus within the pediatric population has not been systematically reviewed. Here, we describe a series of seven children who presented to our institution with opisthotonus in whom symptom relief was achieved following administration of botulinum neurotoxin injections.
Dexmedetomidine and Tear Production: Evaluation in Dogs as Spontaneous Model for Ocular Surface Disorders

Simple Summary The general anesthesia or sedation reduces both the tear production and the stability of tear film that protect corneal surface, predisposing itself to the exposure keratopathy. The aim of the present study was to evaluate the effects of intramuscular dexmedetomidine (DEX) on canine tear production, measured by standardized Schirmer Tear Test 1 (STT-1) strips, for the 8 h following sedation, in dogs. A significant effect of time on canine tear production was found, highlighting that dexmedetomidine sedative protocol significantly affects tear production in dogs. It is recommended to treat the canine eyes with tear substitutes to protect ocular surface health and the welfare of the dogs. The ocular lubrication should be performed during and up to 12 h after sedation. The present report could provide preliminary information to better understand the effect of DEX on the tear film dynamics. Abstract Tear film provides lubrication and protection to the ocular surface. The sedation reduces tear production, often leading to perioperative exposure keratopathy. The aim of the present study was to report the effects of intramuscular dexmedetomidine on canine tear production, measured by STT-1, for an experimental period of 8 h after sedation. Ten dogs who underwent sedation for routine radiologic assessment were recruited for the study. In all animals, tear production in right and left eyes was measured 15 min before sedation (T0: basal values) and 20 min (T20), 1 h (T1), 2 h (T2), 4 h (T4) and 8 h (T8) after drug administration. Analysis of variance and post hoc Bonferroni test (p < 0.05) were performed. A significant effect of time on canine tear production was found. The tear production returned to basal values at T8. So, it is recommended to treat the canine eyes with tear substitutes during and up to 12 h after sedation.
Enhancing SSVEP-Based Brain-Computer Interface with Two-Step Task-Related Component Analysis

Among various methods for frequency recognition of the steady-state visual evoked potential (SSVEP)-based brain-computer interface (BCI) study, a task-related component analysis (TRCA), which extracts discriminative spatial filters for classifying electroencephalogram (EEG) signals, has gathered much interest. The TRCA-based SSVEP method yields lower computational cost and higher classification performance compared to existing SSVEP methods. In spite of its utility, the TRCA-based SSVEP method still suffers from the degradation of the frequency recognition rate in cases where EEG signals with a short length window are used. To address this issue, here, we propose an improved strategy for decoding SSVEPs, which is insensitive to a window length by carrying out two-step TRCA. The proposed method reuses the spatial filters corresponding to target frequencies generated by the TRCA. Followingly, the proposed method accentuates features for target frequencies by correlating individual template and test data. For the evaluation of the performance of the proposed method, we used a benchmark dataset with 35 subjects and confirmed significantly improved performance comparing with other existing SSVEP methods. These results imply the suitability as an efficient frequency recognition strategy for SSVEP-based BCI applications.
Microtubule Destabilizing Sulfonamides as an Alternative to Taxane-Based Chemotherapy

Pan-Gyn cancers entail 1 in 5 cancer cases worldwide, breast cancer being the most commonly diagnosed and responsible for most cancer deaths in women. The high incidence and mortality of these malignancies, together with the handicaps of taxanes—first-line treatments—turn the development of alternative therapeutics into an urgency. Taxanes exhibit low water solubility that require formulations that involve side effects. These drugs are often associated with dose-limiting toxicities and with the appearance of multi-drug resistance (MDR). Here, we propose targeting tubulin with compounds directed to the colchicine site, as their smaller size offer pharmacokinetic advantages and make them less prone to MDR efflux. We have prepared 52 new Microtubule Destabilizing Sulfonamides (MDS) that mostly avoid MDR-mediated resistance and with improved aqueous solubility. The most potent compounds, N-methyl-N-(3,4,5-trimethoxyphenyl-4-methylaminobenzenesulfonamide 38, N-methyl-N-(3,4,5-trimethoxyphenyl-4-methoxy-3-aminobenzenesulfonamide 42, and N-benzyl-N-(3,4,5-trimethoxyphenyl-4-methoxy-3-aminobenzenesulfonamide 45 show nanomolar antiproliferative potencies against ovarian, breast, and cervix carcinoma cells, similar or even better than paclitaxel. Compounds behave as tubulin-binding agents, causing an evident disruption of the microtubule network, in vitro Tubulin Polymerization Inhibition (TPI), and mitotic catastrophe followed by apoptosis. Our results suggest that these novel MDS may be promising alternatives to taxane-based chemotherapy in chemoresistant Pan-Gyn cancers.
Melt Spinning of Highly Stretchable, Electrically Conductive Filament Yarns

Electrically conductive fibers are required for various applications in modern textile technology, e.g., the manufacturing of smart textiles and fiber composite systems with textile-based sensor and actuator systems. According to the state of the art, fine copper wires, carbon rovings, or metallized filament yarns, which offer very good electrical conductivity but low mechanical elongation capabilities, are primarily used for this purpose. However, for applications requiring highly flexible textile structures, as, for example, in the case of wearable smart textiles and fiber elastomer composites, the development of electrically conductive, elastic yarns is of great importance. Therefore, highly stretchable thermoplastic polyurethane (TPU) was compounded with electrically conductive carbon nanotubes (CNTs) and subsequently melt spun. The melt spinning technology had to be modified for the processing of highly viscous TPU–CNT compounds with fill levels of up to 6 wt. % CNT. The optimal configuration was achieved at a CNT content of 5 wt. %, providing an electrical resistance of 110 Ωcm and an elongation at break of 400%.
Essential Oil-Containing Polysaccharide-Based Edible Films and Coatings for Food Security Applications

The wastage of food products is a major challenge for the food industry. In this regard, the use of edible films and coatings have gained much attention due to their ability to prevent the spoilage of the food products during handling, transport, and storage. This has effectively helped in extending the shelf-life of the food products. Among the various polymers, polysaccharides have been explored to develop edible films and coatings in the last decade. Such polymeric systems have shown great promise in microbial food safety applications. The inclusion of essential oils (EOs) within the polysaccharide matrices has further improved the functional properties of the edible films and coatings. The current review will discuss the different types of polysaccharides, EOs, methods of preparing edible films and coatings, and the characterization methods for the EO-loaded polysaccharide films. The mechanism of the antimicrobial activity of the EOs has also been discussed in brief.
Luminescent Yb3+,Er3+-Doped α-La(IO3)3 Nanocrystals for Neuronal Network Bio-Imaging and Nanothermometry

Dual-light emitting Yb3+,Er3+-codoped α-La(IO3)3 nanocrystals, known to exhibit both second harmonic signal and photoluminescence (PL), are evaluated as optical nanoprobes and thermal sensors using both conventional microscopes and a more sophisticated micro-PL setup. When loaded in cortical and hippocampal neurons for a few hours at a concentration of 0.01 mg/mL, a visible PL signal arising from the nanocrystals can be clearly detected using an epifluorescent conventional microscope, enabling to localize the nanocrystals along the stained neurons and to record PL variation with temperature of 0.5% K−1. No signal of cytotoxicity, associated with the presence of nanocrystals, is observed during the few hours of the experiment. Alternatively, a micro-PL setup can be used to discriminate the different PL lines. From ratiometric PL measurements, a relative thermal sensitivity of 1.2% K−1 was measured.