bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Sphenoid Sinus Pneumatization in Panoramic Radiographs
Authors: YURTTAŞ Melike , KIRANATLI Mustafa
Published: September 2023

Objective: Sphenoid sinus is an irregular cavity in the skull and sphenoid sinus pneumatization (SSP) is a variation of the sphenoid sinus that can observe on the radiographs when it reaches large sizes. It is aimed to evaluate the prevalence of SSP in panoramic radiographs in this study. Methods: Panoramic radiographs of 500 patients were performed in this study. The patients who applied to our department with miscellaneous dental complaints were over the age of 14. The gender and age of the patients were recorded and the right, left, or bilateral visibility of SSP was examined. The study subjects were classified into four age categories and SSP prevalence was evaluated with gender, age, and visibility by statistical analyses. Results: Female patients were more than males (78%, and 22% respectively). SSP was found in approximately one-third of the patients (33%) in the panoramic radiographs. Of these, 69 (41.8%) were on the right only, 40 (24.2%) on the left only, and 56 (33.9%) were bilateral. SSP was more common in women (24.2%) and was mostly detected in group 2 (14.4%). Any significant difference was not found in terms of right, left, and bilateral SSP, gender, and age groups. (p ›.05). Conclusion: SSP can be superposed in the zygomatic arch as a radiolucency that can be misdiagnosed as a cyst. SSP was observed in approximately one-third of patients in this study so dentists should be aware of superimposed surrounding structures of the maxillofacial region for accurate diagnosis.
Do biosurfactants as anti-biofilm agents have a future in industrial water systems?
Authors: Jimoh Abdullahi Adekilekun , Booysen Elzaan , van Zyl Leonardo , Trindade Marla
Published: September 2023

Biofilms are bacterial communities embedded in exopolymeric substances that form on the surfaces of both man-made and natural structures. Biofilm formation in industrial water systems such as cooling towers results in biofouling and biocorrosion and poses a major health concern as well as an economic burden. Traditionally, biofilms in industrial water systems are treated with alternating doses of oxidizing and non-oxidizing biocides, but as resistance increases, higher biocide concentrations are needed. Using chemically synthesized surfactants in combination with biocides is also not a new idea; however, these surfactants are often not biodegradable and lead to accumulation in natural water reservoirs. Biosurfactants have become an essential bioeconomy product for diverse applications; however, reports of their use in combating biofilm-related problems in water management systems is limited to only a few studies. Biosurfactants are powerful anti-biofilm agents and can act as biocides as well as biodispersants. In laboratory settings, the efficacy of biosurfactants as anti-biofilm agents can range between 26% and 99.8%. For example, long-chain rhamnolipids isolated from Burkholderia thailandensis inhibit biofilm formation between 50% and 90%, while a lipopeptide biosurfactant from Bacillus amyloliquefaciens was able to inhibit biofilms up to 96% and 99%. Additionally, biosurfactants can disperse preformed biofilms up to 95.9%. The efficacy of antibiotics can also be increased by between 25% and 50% when combined with biosurfactants, as seen for the V9T14 biosurfactant co-formulated with ampicillin, cefazolin, and tobramycin. In this review, we discuss how biofilms are formed and if biosurfactants, as anti-biofilm agents, have a future in industrial water systems. We then summarize the reported mode of action for biosurfactant molecules and their functionality as biofilm dispersal agents. Finally, we highlight the application of biosurfactants in industrial water systems as anti-fouling and anti-corrosion agents.
Microplastics in fish culture ponds: abundance, characterization, and contamination risk assessment
Authors: Hossain M. Belal , Banik Partho , Nur As-Ad , Choudhury Tasrina Rabia , Liba Samia Islam , Albeshr Mohammed Fahad , Yu Jimmy , Arai Takaomi
Published: September 2023

Microplastics (MPs), an emerging pollutant, have drawn attention on a global scale and have been found in various ecosystems. Nevertheless, there is currently a lack of information regarding the contamination levels of MPs in aquaculture ponds worldwide. In this study, sediment and water samples were collected from five types of fish ponds, namely, homestead ponds (S1), commercial aquaculture ponds (S2), ponds near a residential area (S3), ponds near a small-scale industrial area (S4), and ponds near a large-scale industrial area (S5), to identify, characterize, and assess the contamination risk of MPs. Stereomicroscopic and Fourier-transform infrared (FTIR) spectroscopy analyses revealed that the MPs ranged from 3.33 item/kg to 136.67 item/kg in sediment and 16.6 item/L to 100 item/L in water samples. Overall, the abundance of MPs was extremely high in S5, followed by S4, S2, S3, and S1, which clearly showed the levels increased with the intensity of human activities. The levels of MPs in both sediment and water showed significant differences (p < 0.05) within and between ponds, as well as in comparison between water and sediment samples. The concentrations of MPs surpassed those noted in aquaculture ponds of different nations. The majority of MPs consisted of fragments and films in both sediment and water samples. Furthermore, transparent and white-colored MPs were the prevailing types found in the sediment and water samples of the aquaculture ponds. Around 34% of MPs present in sediment and 30% in water fell within the size range of 0.5–1 mm. Polymers like polypropylene (PP), polyethylene (PE), and polyethylene terephthalate (PET) were prevalent in both sediment and water samples. The contamination factor reached exceptionally elevated levels (>30 for sediment and >3 for water), signifying that the sampled regions, particularly S4 and S5 (industrial sites), displayed significant MP contamination. Moreover, the pollution load index values of the sediment (3.0 ± 1.5) and water samples (1.5 ± 0.3) also indicated the areas were contaminated with MPs. Multivariate analysis indicated that the elevated concentration of MPs in the studied region could be attributed to the discharge of effluents and other human-induced activities.
Zika virus modulates mitochondrial dynamics, mitophagy, and mitochondria-derived vesicles to facilitate viral replication in trophoblast cells
Authors: Lee Jae Kyung , Shin Ok Sarah
Published: September 2023

Zika virus (ZIKV) remains a global public health threat with the potential risk of a future outbreak. Since viral infections are known to exploit mitochondria-mediated cellular processes, we investigated the effects of ZIKV infection in trophoblast cells in terms of the different mitochondrial quality control pathways that govern mitochondrial integrity and function. Here we demonstrate that ZIKV (PRVABC59) infection of JEG-3 trophoblast cells manipulates mitochondrial dynamics, mitophagy, and formation of mitochondria-derived vesicles (MDVs). Specifically, ZIKV nonstructural protein 4A (NS4A) translocates to the mitochondria, triggers mitochondrial fission and mitophagy, and suppresses mitochondrial associated antiviral protein (MAVS)-mediated type I interferon (IFN) response. Furthermore, proteomics profiling of small extracellular vesicles (sEVs) revealed an enrichment of mitochondrial proteins in sEVs secreted by ZIKV-infected JEG-3 cells, suggesting that MDV formation may also be another mitochondrial quality control mechanism manipulated during placental ZIKV infection. Altogether, our findings highlight the different mitochondrial quality control mechanisms manipulated by ZIKV during infection of placental cells as host immune evasion mechanisms utilized by ZIKV at the placenta to suppress the host antiviral response and facilitate viral infection.
Role of the transcription factor Fli-1 on the CXCL10/CXCR3 Axis*
Authors: Wang Xuan , Richard Mara Lennard , Caldwell Tomika S. , Sundararaj Kamala , Sato Shuzo , Nowling Tamara K. , Zhang Xian K.
Published: September 2023

The transcription factor Fli-1, a member of the ETS family of transcription factors, is implicated in the pathogenesis of lupus disease. Reduced Fli-1 expression in lupus mice leads to decreased renal Cxcl10 mRNA levels and renal infiltrating CXCR3+ T cells that parallels reduced renal inflammatory cell infiltration and renal damage. Inflammatory chemokine CXCL10 is critical for attracting inflammatory cells expressing the chemokine receptor CXCR3. The CXCL10/CXCR3 axis plays a role in the pathogenesis of various inflammatory diseases including lupus. Our data here demonstrate that renal CXCL10 protein levels are significantly lower in Fli-1 heterozygous MRL/lpr mice compared to wild-type MRL/lpr mice. Knockdown of Fli-1 significantly reduced CXCL10 secretion in mouse and human endothelial cells, and human mesangial cells, upon LPS or TNFα stimulation. The Fli-1 inhibitor, Camptothecin, significantly reduced CXCL10 production in human monocyte cells upon interferon stimulation. Four putative Ets binding sites in the Cxcl10 promoter showed significant enrichment for FLI-1; however, FLI-1 did not directly drive transcription from the human or mouse promoters, suggesting FLI-1 may regulate CXCL10 expression indirectly. Our results also suggest that the DNA binding domain of FLI-1 is necessary for regulation of human hCXCR3 promotor activity in human T cells and interactions with co-activators. Together, these results support a role for FLI-1 in modulating the CXCL10-CXCR3 axis by directly or indirectly regulating the expression of both genes to impact lupus disease development. Signaling pathways or drugs that reduce FLI-1 expression may offer novel approaches to lupus treatment.
Case Report: Non-negligible Epstein-Barr virus-associated posttransplant lymphoproliferative disorders in a lung transplant recipient
Authors: Hu Juan , Yu Yong-Wei , Han Dong-Sheng , Li Xue-Jie , Zhang Yi-Qi , Cai Hong-Liu , Xiao Yong-Hong , Zheng Xia
Published: September 2023

Background

Posttransplant lymphoproliferative disorders (PTLDs) are uncommon but serious complications in patients following solid organ transplantation. Primary Epstein-Barr virus (EBV) infection is a risk factor for the development of PTLD, especially early-onset PTLD, in EBV-negative recipients. To date, however, there are no specific guidelines on the threshold of EBV-DNA load for therapeutic intervention, the source for measurement (e.g., blood, bronchoalveolar fluid), or the use of antiviral agents as prophylaxis for early PTLD prevention in EBV-mismatched patients.

Methods

The present study describes a 56-year-old male lung transplant recipient diagnosed with EBV-associated PTLD.

Results

This patient had a history of invasive fungal disease and Mucor and Aspergillus fumigatus infections in the early post-transplant period, necessitating antifungal therapy throughout the course of the disease. The patient was EBV-positive 15 days after transplantation, with lung CT showing multiple bilateral nodules of varying sizes beginning 98 days after transplantation. A lung biopsy showed PTLD, and next-generation sequencing (NGS) revealed EBV. This patient, however, did not receive any antiviral therapy for early PTLD prevention or any PTLD-related treatment. He died 204 days after lung transplantation.

Conclusion

The present study describes a lung transplant recipient who developed EBV-associated PTLD, a non-negligible disease, after solid organ transplantation. Monitoring EBV-DNA load is important, as a sudden increase may be a sensitive indicator of PTLD. An earlier diagnosis may increase the likelihood of successful treatment.
The involvement of NETs in ANCA-associated vasculitis
Authors: Shiratori-Aso Satoka , Nakazawa Daigo
Published: September 2023

Anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis (AAV) is a serious autoimmune disease that is characterized by vascular necrosis. The pathogenesis of AAV includes ANCA-mediated neutrophil activation, subsequent release of inflammatory cytokines and reactive oxygen species (ROS), and formation of neutrophil extracellular traps (NETs). Excessive NETs could participate not only in ANCA-mediated vascular injury but also in the production of ANCAs per se as autoantigens. Thus, a vicious cycle of NET formation and ANCA production is critical for AAV pathogenesis. Elucidating the molecular signaling pathways in aberrant neutrophil activation and NETs clearance systems will allow specific therapeutics to regulate these pathways. Currently, standard therapy with high doses of glucocorticoids and immunosuppressants has improved outcomes in patients with AAV. However, AAV frequently develops in elderly people, and adverse effects such as severe infections in the standard regimens might contribute to the mortality. Mechanistically, cytokines or complement factors activate and prime neutrophils for ANCA-binding; thus, C5a receptor blocker has garnered attention as potential replacement for glucocorticoids in clinical settings. Recent studies have demonstrated that receptor-interacting protein kinases (RIPK3) and cyclophilin D (CypD), which regulate cell necrosis, may be involved in ANCA-induced NETs formation. Meanwhile, targeting NETs clearance, including the addition of deoxyribonuclease I (DNase I) and macrophage engulfment, may improve vasculitis. In this review, we focus on the pathogenesis of NETs and discuss potential targeted therapies for AAV based on recent experimental evidence.
Characteristics of soil microbial communities in farmland with different comprehensive fertility levels in the Panxi area, Sichuan, China
Authors: Xu Yadong , Liang Taibo , Dai Huaxin , Zhai Zhen , Chen Yulan , Yin Guangting , Zhang Yanling , Yue Caipeng
Published: September 2023

Soil bacterial communities are intricately linked to ecosystem functioning, and understanding how communities assemble in response to environmental change is ecologically significant. Little is known about the assembly processes of bacteria communities across agro-ecosystems, particularly with regard to their environmental adaptation. To gain further insights into the microbial community characteristics of agro-ecosystems soil in the Panxi area of Sichuan Province and explore the key environmental factors driving the assembly process of the microbial community, this study conducted field sampling in major farmland areas of Panxi area and used Illumina MiSeq high-throughput sequencing technology to conduct bacterial sequencing. Soil organic matter (SOM), alkali-hydrolyzed nitrogen (AN), available phosphorus (AP), available potassium (AK) and other environmental factors were determined. The membership function method and principal component analysis method were used to evaluate the fertility of the soil. The results revealed minimal differences in alpha diversity index among samples with different comprehensive fertility indices, while NMDS analysis showed that community differences between species were mainly reflected in high fertility and low fertility (R: 0.068, p: 0.011). Proteobacteria, Acidobacteria and Actinobacteria were the main types of microbial communities, accounting for more than 60% of the relative abundance. Proteobacteria accounted for a higher proportion in the high fertility samples, while Acidobacteria and Actinobacteria accounted for a higher proportion in the middle and low fertility samples. Both the neutral theoretical model and zero model analysis showed that the microbial communities in tobacco-planting soil with different comprehensive fertility indices presented a random assembly process. With the increase in environmental distance difference, the diversity of the microbial community in medium and low-fertility soil also increased, but there was no significant change in high-fertility soil. Redundancy analysis showed that pH and SOM were the key factors affecting microbial community composition. The results of this study can provide a theoretical reference for the study of environmental factors and microbial communities in tobacco-growing soil.
Screening of cognitive performance in kidney transplant recipients: a mini review
Authors: Schietzel Simeon , Kressig Reto W. , Huynh-Do Uyen
Published: September 2023

Why should we screen?

The prevalence of cognitive impairment in kidney transplant recipients (KTRs) is up to 58%. The 10-year graft loss and mortality rates are above 30% and 50%, respectively, and executive malfunctioning increases disadvantageous outcomes.

What causes cognitive impairment in KTRs?

Strong risk factors are older age and chronic kidney disease. However, causes are multifactorial and include cardiovascular, cerebrovascular, neurodegenerative, inflammatory, uremic, psychiatric, and lifestyle-related susceptibilities.

How should we screen?

KTR-specific validated instruments or strategies do not exist. The central element should be a multidomain cognitive screening test that is sensitive to mild cognitive impairment, corrects for age and education, and includes executive functions testing. Cognitive trajectories, effects on everyday life and psychiatric comorbidities should be assessed by integrating the perspectives of both patients and knowledgeable informants.

When should we screen?

Screening should not be postponed if there is suspicion of impaired cognition. Different time points after transplantation tend to have their own characteristics.

Who should conduct the screening?

Screening should not be limited to specialists. It can be carried out by any healthcare professional who has received a limited amount of training.

What are the benefits of screening?

Screening does not provide a diagnosis. However, suggestive results change care in multiple ways. Goals are: Initiation of professional dementia work-up, securing of adherence, anticipation of potential complications (delirium, falls, frailty, functional impairment, malnutrition, etc.), mitigation of behavioral disorders, adjustment of diagnostic and therapeutic “load”, reduction of caregiver burden and meeting of changing needs. We summarize data on the prevalence, risk factors and sequelae of cognitive impairment in KTRs. We also discuss the requirements for appropriate screening strategies and provide guiding principles regarding appropriate and safe care.
Success of conservative therapy for chronic subdural hematoma patients: a systematic review
Authors: Foppen M. , Bandral Harssh Verdan , Slot Kari-Anne Mariam , Vandertop W. P. , Verbaan D.
Published: September 2023

Background

Conservative therapy for chronic subdural hematoma (cSDH) is an option for patients who express no, or only mild symptoms, thereby preventing surgery in some. Because it is not clear for whom conservative therapy is successful, we aimed to estimate the success rate of conservative therapy and to identify which factors might influence success.

Methods

We systematically searched MEDLINE and EMBASE databases to identify all available publications reporting outcome of conservative therapy for cSDH patients. Studies containing >10 patients were included. The primary outcome was the success rate of conservative therapy, defined as “no crossover to surgery” during follow-up. In addition, factors possibly associated with success of conservative therapy were explored. Bias assessment was performed with the Newcastle Ottowa Scale and the Cochrane risk-of-bias tool. We calculated pooled incidence and mean estimates, along with their 95% confidence intervals (CIs), using OpenMeta[Analyst] software.

Results

The search yielded 1,570 articles, of which 11 were included in this study, describing 1,019 conservatively treated patients. The pooled success rate of conservative therapy was 66% (95% CI: 50–82%). One study (n = 98) reported smaller hematoma volume to be associated with success, whilst another study (n = 53) reported low hematoma density and absence of paresis at diagnosis to be associated with success.

Conclusion

Conservative therapy is reported to be successful in the majority of cSDH patients who have either no, or only mild symptoms. Hematoma volume, low hematoma density and absence of paresis could be factors associated with success. However, further research is warranted in order to establish factors consistently associated with a successful conservative therapy.

Other

No funding was acquired for this study. The study was not registered nor was a study protocol prepared.
Effect of vagus nerve stimulation against generalized seizure and status epilepticus recurrence
Authors: Iimura Yasushi , Suzuki Hiroharu , Mitsuhashi Takumi , Ueda Tetsuya , Nishioka Kazuki , Horikoshi Kou , Nomura Kazuki , Sugano Hidenori , Kondo Akihide
Published: September 2023

Objective

Vagus nerve stimulation (VNS) is a palliative surgery for drug-resistant epilepsy. The two objectives of this study were to (1) determine the seizure type most responsive to VNS and (2) investigate the preventive effect on status epilepticus (SE) recurrence.

Methods

We retrospectively reviewed 136 patients with drug-resistant epilepsy who underwent VNS implantation. We examined seizure outcomes at 6, 12, and 24 months following implantation of VNS as well as at the last visit to the Juntendo Epilepsy Center. Univariate analysis and multivariate logistic regression models were used to estimate the prognostic factors.

Results

125 patients were followed up for at least 1 year after VNS implantation. The percentage of patients with at least a 50% reduction in seizure frequency compared with prior to VNS implantation increased over time at 6, 12, and 24 months after VNS implantation: 28, 41, and 52%, respectively. Regarding overall seizure outcomes, 70 (56%) patients responded to VNS. Of the 40 patients with a history of SE prior to VNS implantation, 27 (67%) showed no recurrence of SE. The duration of epilepsy, history of SE prior to VNS implantation and seizure type were correlated with seizure outcomes after VNS implantation in univariate analysis (p = 0.05, p < 0.01, and p = 0.03, respectively). In multivariate logistic regression analysis, generalized seizure was associated with VNS response [odds ratio (OR): 4.18, 95% CI: 1.13–15.5, p = 0.03]. A history of SE prior to VNS implantation was associated with VNS non-responders [(OR): 0.221, 95% CI: 0.097–0.503, p < 0.01]. The duration of epilepsy, focal to bilateral tonic–clonic seizure and epileptic spasms were not significantly associated with VNS responders (p = 0.07, p = 0.71, and p = 0.11, respectively).

Conclusion

Following 125 patients with drug-resistant epilepsy for an average of 69 months, 56% showed at least 50% reduction in seizure frequency after VNS implantation. This study suggests that generalized seizure is the most responsive to VNS, and that VNS may reduce the risk of recurrence of SE. VNS was shown to be effective against generalized seizure and also may potentially influence the risk of further events of SE, two marker of disease treatment that can lead to improved quality of life.
Spectral quantitative and semi-quantitative EEG provide complementary information on the life-long effects of early childhood malnutrition on cognitive decline
Authors: Razzaq Fuleah A. , Calzada-Reyes Ana , Tang Qin , Guo Yanbo , Rabinowitz Arielle G. , Bosch-Bayard Jorge , Galan-Garcia Lidice , Virues-Alba Trinidad , Suarez-Murias Carlos , Miranda Ileana , Riaz Usama , Bernardo Lagomasino Vivian , Bryce Cyralene , Anderson Simon G. , Galler Janina R. , Bringas-Vega Maria L. , Valdes-Sosa Pedro A.
Published: September 2023

Objective

This study compares the complementary information from semi-quantitative EEG (sqEEG) and spectral quantitative EEG (spectral-qEEG) to detect the life-long effects of early childhood malnutrition on the brain.

Methods

Resting-state EEGs (N = 202) from the Barbados Nutrition Study (BNS) were used to examine the effects of protein-energy malnutrition (PEM) on childhood and middle adulthood outcomes. sqEEG analysis was performed on Grand Total EEG (GTE) protocol, and a single latent variable, the semi-quantitative Neurophysiological State (sqNPS) was extracted. A univariate linear mixed-effects (LME) model tested the dependence of sqNPS and nutritional group. sqEEG was compared with scores on the Montreal Cognitive Assessment (MoCA). Stable sparse classifiers (SSC) also measured the predictive power of sqEEG, spectral-qEEG, and a combination of both. Multivariate LME was applied to assess each EEG modality separately and combined under longitudinal settings.

Results

The univariate LME showed highly significant differences between previously malnourished and control groups (p < 0.001); age (p = 0.01) was also significant, with no interaction between group and age detected. Childhood sqNPS (p = 0.02) and adulthood sqNPS (p = 0.003) predicted MoCA scores in adulthood. The SSC demonstrated that spectral-qEEG combined with sqEEG had the highest predictive power (mean AUC 0.92 ± 0.005). Finally, multivariate LME showed that the combined spectral-qEEG+sqEEG models had the highest log-likelihood (−479.7).

Conclusion

This research has extended our prior work with spectral-qEEG and the long-term impact of early childhood malnutrition on the brain. Our findings showed that sqNPS was significantly linked to accelerated cognitive aging at 45–51 years of age. While sqNPS and spectral-qEEG produced comparable results, our study indicated that combining sqNPS and spectral-qEEG yielded better performance than either method alone, suggesting that a multimodal approach could be advantageous for future investigations.

Significance

Based on our findings, a semi-quantitative approach utilizing GTE could be a valuable diagnostic tool for detecting the lasting impacts of childhood malnutrition. Notably, sqEEG has not been previously explored or reported as a biomarker for assessing the longitudinal effects of malnutrition. Furthermore, our observations suggest that sqEEG offers unique features and information not captured by spectral quantitative EEG analysis and could lead to its improvement.
Stimulation of vagus nerve for patients with disorders of consciousness: a systematic review
Authors: Dong Xiaoyang , Tang Yunliang , Zhou Yifan , Feng Zhen
Published: September 2023

Purpose

The purpose of this study is to evaluate the efficacy and safety of stimulating the vagus nerve in patients with disorders of consciousness (DOCs).

Methods

A comprehensive systematic review was conducted, encompassing the search of databases such as PubMed, CENTRAL, EMBASE and PEDro from their inception until July 2023. Additionally, manual searches and exploration of grey literature were performed. The literature review was conducted independently by two reviewers for search strategy, selection of studies, data extraction, and judgment of evidence quality according to the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) Study Quality Scale.

Results

A total of 1,269 articles were retrieved, and 10 studies met the inclusion criteria. Among these, there were three case reports, five case series, and only two randomized controlled trials (RCTs). Preliminary studies have suggested that stimulation of vagus nerve can enhance the levels of DOCs in both vegetative state/unresponsive wakefulness state (VS/UWS) and minimally conscious state (MCS). However, due to a lack of high-quality RCTs research and evidence-based medical evidence, no definitive conclusion can be drawn regarding the intervention’s effectiveness on consciousness level. Additionally, there were no significant adverse effects observed following stimulation of vagus nerve.

Conclusion

A definitive conclusion cannot be drawn from this systematic review as there was a limited number of eligible studies and low-quality evidence. The findings of this systematic review can serve as a roadmap for future research on the use of stimulation of vagus nerve to facilitate recovery from DOCs.
Biofortification: an approach to eradicate micronutrient deficiency
Authors: Avnee  , Sood Sonia , Chaudhary Desh Raj , Jhorar Pooja , Rana Ranbir Singh
Published: September 2023

Micronutrient deficiency also known as “hidden hunger” refers to a condition that occurs when the body lacks essential vitamins and minerals that are required in small amounts for proper growth, development and overall health. These deficiencies are particularly common in developing countries, where a lack of access to a varied and nutritious diet makes it difficult for people to get the micronutrients they need. Micronutrient supplementation has been a topic of interest, especially during the Covid-19 pandemic, due to its potential role in supporting immune function and overall health. Iron (Fe), zinc (Zn), iodine (I), and selenium (Se) deficiency in humans are significant food-related issues worldwide. Biofortification is a sustainable strategy that has been developed to address micronutrient deficiencies by increasing the levels of essential vitamins and minerals in staple crops that are widely consumed by people in affected communities. There are a number of agricultural techniques for biofortification, including selective breeding of crops to have higher levels of specific nutrients, agronomic approach using fertilizers and other inputs to increase nutrient uptake by crops and transgenic approach. The agronomic approach offers a temporary but speedy solution while the genetic approach (breeding and transgenic) is the long-term solution but requires time to develop a nutrient-rich variety.
De novo dedifferentiated SDH-deficient gastrointestinal stromal tumor with MDM2 amplification: case report and literature review
Authors: Gong Qi-Xing , Ding Ying , Zhang Wei-Ming , Zhang Jia-Wen , Zhang Zhi-Hong
Published: September 2023

The dedifferentiation of the gastrointestinal stromal tumors (GISTs) has been reported in a small number of cases, usually under the pressure of the tyrosine kinase inhibitor (TKI) treatment. Herein, we described a de novo dedifferentiated GIST with the SDH deficiency in a 32-year-old Chinese woman. The tumor was located on the lesser curvature of the gastric antrum, measuring 4.1x9.1 cm2. Microscopically, the tumor was composed of 2 distinct morphological populations, mild epithelioid cells arranged in the multinodular growth pattern and hyperchromatic spindle cells arranged in the fascicular or sheet-like architecture. The two zones showed different immunophenotypes. The former proved to be an epithelioid GIST with the positive expression for C-KIT, DOG-1, and CD34, and the latter expressed the CKpan and P53, but negative for the C-KIT, DOG-1, and CD34. However, the SDHB staining was negative in both areas. Genetically, the next-generation sequencing (NGS) analysis showed the SDHC mutation (p.S48*) in both components and the MDM2 amplification was only in the spindle cell area. The lesion was diagnosed as the SDH-deficient GIST with the epithelial cell dedifferentiation. We proposed that the P53 associated gene alteration or other alternative escape mechanisms for the KIT-independent signaling pathways might play a role in the dedifferentiation.
Risk factors for metachronous esophageal squamous cell carcinoma after endoscopic or surgical resection of esophageal carcinoma: a systematic review and meta-analysis
Authors: Du Jie , Bao Zhixian , Liang Tianhu , Zhao Hongmei , Zhao Junxian , Xu Ruipu , Wang Xiaohui
Published: September 2023

Background

early-stage esophageal carcinoma (EC) patients lack typical clinical signs and symptoms and are often diagnosed and treated at a late stage, leading to a poor prognosis and a high incidence of metachronous esophageal squamous cell carcinoma (MESCC) and second primary carcinoma (SPC). The aims of the review were to identify and quantify risk factors for MESCC and analysis location of SPC in postoperative patients with EC; to predict incidence of MESCC over follow-up time.

Methods

an electronic search of studies reporting potential risk factors, the incidence of MESCC, and the location of SPC were performed on PubMed, Web of Science, Cochrane Library, Embase, and Scopus from inception to 10 November 2022. The Newcastle-Ottawa scale was used to assess the study quality, and the qualitative strength of evidence rating of all items was provided. The meta-regression model was used to predict the incidence of MESCC over follow-up time, the location distribution of SPC was presented using clustered column chart, while the publication bias was assessed using funnel plots and Egger’s test.

Results

smoking, age, history of multiple other cancer, and Lugol-voiding lesions (LVLs) were determined to be the risk factors of MESCC. LVLs were qualitatively determined as “definite” and the history of multiple other cancer as “likely.” The overall pooled MESCC incidence was 20.3% (95% CI: 13.8% to 26.8%), with an increase of 0.20% for each additional year of follow-up. The head and neck were the most common locations for SPC, followed by the esophagus.

Conclusion

timely investigating the age of patients, previous history of cancer and monitoring the number of LVLs in the first 5 years after operation are of great significance to identify high-risk populations of MESCC for timely medical care. Education and behavior correction about smoking are advocated. Tumor markers should be regularly detected in the head and neck, esophagus, and stomach. Endoscopic resection was associated with a higher incidence of MESCC, which provided a reference for doctors to choose the removal method.

Systematic review registration

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022377030.
Opioids and immune checkpoint inhibitors differentially regulate a common immune network in triple-negative breast cancer
Authors: Scarpa Joseph R. , Montagna Giacomo , Plitas George , Gulati Amitabh , Fischer Gregory W. , Mincer Joshua S.
Published: September 2023

Background

Opioids are the primary analgesics for cancer pain. Recent clinical evidence suggests opioids may counteract the effect of immune checkpoint inhibition (ICI) immunotherapy, but the mechanism for this interaction is unknown. The following experiments study how opioids and immunotherapy modulate a common RNA expression pathway in triple negative breast cancer (TNBC), a cancer subtype in which immunotherapy is increasingly used. This study identifies a mechanism by which opioids may decrease ICI efficacy, and compares ketamine, a non-opioid analgesic with emerging use in cancer pain, for potential ICI interaction.

Methods

Tumor RNA expression and clinicopathologic data from a large cohort with TNBC (N=286) was used to identify RNA expression signatures of disease. Various drug-induced RNA expression profiles were extracted from multimodal RNA expression datasets and analyzed to estimate the RNA expression effects of ICI, opioids, and ketamine on TNBC.

Results

We identified a RNA expression network in CD8+ T-cells that was relevant to TNBC pathogenesis and prognosis. Both opioids and anti-PD-L1 ICI regulated RNA expression in this network, suggesting a nexus for opioid-ICI interaction. Morphine and anti-PD-L1 therapy regulated RNA expression in opposing directions. By contrast, there was little overlap between the effect of ketamine and anti-PD-L1 therapy on RNA expression.

Conclusions

Opioids and ICI may target a common immune network in TNBC and regulate gene expression in opposing fashion. No available evidence supports a similar interaction between ketamine and ICI.
Current research trends on cognition, integrative complexity, and decision-making: a systematic literature review using activity theory and neuroscience
Authors: Molina Isaac , Molina-Perez Edmundo , Sobrino Fernanda , Tellez-Rojas Mario Arturo , Zamora-Maldonado Hilda C. , Plaza-Ferreira María , Orozco Yessica , Espinoza-Juarez Victor , Serra-Barragán Luis , De Unanue Adolfo
Published: September 2023

Introduction

This article presents a systematic literature review that follows the PRISMA and PICOS guidelines to analyze current research trends on cognition, integrative complexity (IC) (a cognitive feature focusing on information processing in a person’s response rather than its quantity or quality), and decision-making from the perspectives of activity theory and neuroscience.

Methods

The study examines 31 papers published between 2012 and 2022 and 19 articles specifically related to neuroscience. We performed a content analysis using six categories within activity theory: subjects, objects, rules, community, division of labor, and outcomes.

Results

The study investigates the relationship between decision-making outcomes and IC as a cognitive feature in various contexts. Additionally, content analysis on neuroscience and IC revealed significant research gaps, including understanding the nature of IC, challenges related to its measurement, and differentiation from other cognitive features. We also identify opportunities for investigating the brain’s activity during decision-making in relation to IC.

Discussion

We address the need for a more precise categorization of IC in studies of cognition, IC, and decision-making. We discuss the implications of our analysis for understanding the cognitive nature of IC and the potential of neuroscience methods for studying this attribute.
Community-based models of care facilitating the recovery of people living with persistent and complex mental health needs: a systematic review and narrative synthesis
Authors: Harvey Carol , Zirnsak Tessa-May , Brasier Catherine , Ennals Priscilla , Fletcher Justine , Hamilton Bridget , Killaspy Helen , McKenzie Peter , Kennedy Hamilton , Brophy Lisa
Published: September 2023

Objective

This study aims to assess the effectiveness of community-based models of care (MoCs) supporting the recovery of individuals who experience persistent and complex mental health needs.

Method

We conducted a systematic review and narrative synthesis of MoC studies reporting clinical, functional, or personal recovery from October 2016 to October 2021. Sources were Medline, EMBASE, PsycInfo, CINAHL, and Cochrane databases. Studies were grouped according to MoC features. The narrative synthesis was led by our researchers with lived experience.

Results

Beneficial MoCs ranged from well-established to novel and updated models and those explicitly addressing recovery goals and incorporating peer support: goal-focused; integrated community treatment; intensive case management; partners in recovery care coordination; rehabilitation and recovery-focused; social and community connection-focused; supported accommodation; and vocational support. None of our diverse group of MoCs supporting recovery warranted a rating of best practice. Established MoCs, such as intensive case management, are promising practices regarding clinical and functional recovery, with potential for enhancements to support personal recovery. Emerging practice models that support personal and functional recovery are those where consumer goals and priorities are central.

Conclusion

Evidence for established models of care shows that there is a need for inevitable evolution and adaptation. Considering the high importance of effective MoCs for people experiencing persistent and complex mental health needs, further attention to service innovation and research is required. Greater emphasis on the inclusion of lived and living experience in the design, delivery, implementation, and research of MoCs is needed, to enhance MOCs' relevance for achieving individual consumer recovery outcomes.
How long were older people expected to live with or without sarcopenia? Multistate modeling of a national cohort study
Authors: Ye Bo , Wang Yujie , Xu Jixiang , Jiang Junjia , Yang Shitong , Chen Jie , Bao Zhijun , Gao Junling
Published: September 2023

Objectives

Sarcopenia is well known to be associated with mortality, but there is a lack of evidence on the estimates of life expectancy (LE) for sarcopenia in China. This study aims to estimate total life expectancy (TLE) and sarcopenia-specific LE in community-dwelling older Chinese adults with and without sarcopenia.

Methods

This study included participants aged 60 years and older who enrolled in the cohort in 2011 and 2013 and at least completed one follow-up until 2015 as part of the China Health and Retirement Longitudinal Study (CHARLS). The criteria for defining sarcopenia were based on the guidelines established by the Asian Working Group on Sarcopenia in 2019. TLE and sarcopenia-specific LE were estimated for the total population and subgroups using continuous-time multistate modeling.

Results

A total of 6,029 participants (49.2% women) with an average age of 68.4 (SD: 6.56) years were included in the study. The baseline prevalence of sarcopenia and possible sarcopenia was 19.5 and 44.9%, respectively. We observed that sarcopenia stages naturally deteriorated to worse stages (including death, by 24.4%) and returned to better stages (17.1%) during a median follow-up of 3.92 years (IQR: 2.00 ~ 4.00). The average TLE at the age of 60 was 20.9 [95% CI: 20.2–21.5] years (22.1 [95% CI: 19.6–24.6] for non-sarcopenic older adults, 20.9 [95% CI: 19.5–22.3] for possible sarcopenic, and 18.7 [95% CI: 16.4–21.1] for sarcopenic). Men, former and current smokers, and those living in northwest China had less TLE. Sarcopenic older adults, those with lower education, those who are unmarried, those with agriculture hukou, and those living in rural and northwest China were expected to live fewer years with non-sarcopenia. Sarcopenic older people, men, those with agriculture hukou, and those living in rural and southwest China were expected to live more years with sarcopenia.

Discussion

The results improved our understanding of the relationship between sarcopenia and life expectancy. We suggested that targeted strategies should be considered in high-risk populations and underdeveloped regions to prevent sarcopenia and improve non-sarcopenic life years for the older population.
Mini review: recent advances in biosurfactant-based association colloids–formation of microemulsions
Authors: Hellweg Thomas , Oberdisse Julian , Sottmann Thomas
Published: September 2023

In the context of a more sustainable economy, bio-surfactants become increasingly important, due to their independence of petrol-based chemistry, their usually mild synthesis conditions, and in certain cases their pharmacological activity. We have recently discussed self-assembly studies in binary systems of bio-surfactants of microbial origin, or saponins extracted from plants (Hellweg et al., Frontiers in Soft Matter, 2023, 2). In the present review, we focus on the formation of microemulsions based on these molecules. We review the formation and structure of microemulsion systems formed by oil, water, and biosurfactants, with a particular focus on Quillaja saponins and rhamnolipids.
The Impact of Being Homeless on the Clinical Outcomes of COVID-19: Systematic Review
Authors: Ogbonna Obianuju , Bull Francesca , Spinks Bethany , Williams Denitza , Lewis Ruth , Edwards Adrian
Published: September 2023

Objective: The homeless population experiences inequality in health compared with the general population, which may have widened during the COVID-19 pandemic. However, the impact of being homeless on the outcomes of COVID-19 is uncertain. This systematic review aimed to analyse the impact of experiencing homelessness on the clinical outcomes of COVID-19, including the effects on health inequalities.

Methods: A review protocol was developed and registered in PROSPERO (PROSPERO registration 2022 CRD42022304941). Nine databases were searched in November 2022 to identify studies on homeless populations which contained primary research on the following outcomes of COVID-19: incidence, hospitalisation, mortality, long COVID, mental wellbeing, and evidence of inequalities. Included studies were summarised with narrative synthesis.

Results: The searches yielded 8,233 initial hits; after screening, 41 studies were included. Overall, evidence showed that those in crowded living settings had a higher risk of COVID-19 infection compared to rough sleepers and the general population. The homeless population had higher rates of hospitalisation and mortality than the general population, lower vaccination rates, and suffered negative mental health impacts.

Conclusion: This systematic review shows the homeless population is more susceptible to COVID-19 outcomes. Further research is needed to determine the actual impact of the pandemic on this population, and of interventions to mitigate overall risk, given the low certainty of findings from some of the low-quality evidence available. In addition, further research is required to ascertain the impact of long COVID on those experiencing homelessness, since the present review yielded no studies on this topic.
Nonsmooth Optimization-Based Hyperparameter-Free Neural Networks for Large-Scale Regression
Authors: Karmitsa Napsu , Taheri Sona , Joki Kaisa , Paasivirta Pauliina , Bagirov Adil M. , Mäkelä Marko M.
Published: September 2023

In this paper, a new nonsmooth optimization-based algorithm for solving large-scale regression problems is introduced. The regression problem is modeled as fully-connected feedforward neural networks with one hidden layer, piecewise linear activation, and the L1-loss functions. A modified version of the limited memory bundle method is applied to minimize this nonsmooth objective. In addition, a novel constructive approach for automated determination of the proper number of hidden nodes is developed. Finally, large real-world data sets are used to evaluate the proposed algorithm and to compare it with some state-of-the-art neural network algorithms for regression. The results demonstrate the superiority of the proposed algorithm as a predictive tool in most data sets used in numerical experiments.
Neck Structure Optimal Design of the Turbine Wheel for Containment Design of the Air Turbine Starter
Authors: Chen Liqiang , Xuan Haijun , Jia Wenbin , Liu Jianxin , Fang Zehui , Zheng Yao
Published: September 2023

The airworthiness standards of the transport category airplanes stipulate that the high energy rotor equipment must be of the sufficient containment capacity. It is of great importance to study the containment and weight reduction for the air turbine starter. In this paper, based on an OSF design, Kriging response surface model and MOGA algorithm, a neck structure optimal design method was proposed for the air turbine wheel. Using the optimal design method, the optimal structural parameters were suggested as the design parameters, and verified by the over-speed burst test. The maximum errors of the burst speeds between the experimental and design values are less than 2%, and the neck structure turbine wheel breaks in the neck as expected, validating the accuracy of the optimal design method. Then, the effects of turbine wheel burst modes on the containment were investigated quantitatively, and verified by the containment tests. Based on the experimental and simulation results, the containment design method was proposed for the neck structure turbine wheel. The results show that compared with the trisection wheel burst, the rim burst dramatically decrease the mass and initial kinetic energy of burst released fragments by 63.3% and 24.8%, thereby greatly reducing the thickness and the mass of the containment ring by 29.5% and 29.1%.