bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of Creep Deformations during Service Life: A Comparison of CLT and TCC Floor Constructions
Authors: Binder Eva , Derkowski Wit , Bader Thomas K.
Published: February 2022

Cross-laminated timber (CLT) slabs in residential buildings need additional weight, e.g., in the form of screeds or gravel layers, to fulfill the criterion for the highest impact-sound class. The additional mass is, however, not exploited for the load bearing behavior, but adds additional weight and leads to an increased height of the floor construction. In this study, such a CLT floor construction with a construction height of 380 mm is compared with a composite slab consisting of a CLT plate with a concrete layer on top with a floor construction height of 330 mm. The timber concrete composite (TCC) slab has a different creep behavior than the CLT slab. Thus, the development of the time-dependent deflections over the service life are of interest. A straightforward hybrid approach is developed, which exploits advanced multiscale-based material models for the individual composite layers and a standardized structural analysis method for the structural slab to model its linear creep behavior. The introduced approach allows to investigate load redistribution between the layers of the composite structure and the evolution of the deflection of the slab during the service life. The investigated slab types show a similar deflection after 50 years, while the development of the deflections over time are different. The CLT slab has a smaller overall stiffness at the beginning but a smaller decrease in stiffness over time than the investigated TCC slab.
A Study on the Measurement of Unregulated Pollutants in Korean Residential Environments
Authors: Kim Hyuntae , Kim Taewoo , Lee Sihwan
Published: February 2022

This study investigated the pollution caused by unregulated chemical substances in Korean residential environments. A TA tube was used for indoor air collection, and Gas Chromatography–Mass Spectrometry was used for the analysis of chemical substances. According to the results of this study, 13 substances out of the 16 analyzed chemicals were detected and, among them, the concentrations of phenol, α-pinene, and limonene within the indoor air were high. The average concentration of phenol was 32.7 µg/m3. α-pinene and limonene were detected, of which the highest concentrations were as 598.2 µg/m3 and 652.5 µg/m3, respectively. The maximum concentrations of these three substances exceeded the levels of the lowest concentration of interest. Notably, α-pinene and limonene were released from the wood itself. Wood has been widely used indoors as a natural building material and as furniture. Therefore, it was considered that this was the reason for the high the concentrations of the two substances in indoor air. However, we do not argue that the usage of wood should be reduced because of the results obtained in this study. Instead, we sµggest that it is important to reduce the emissions of α-pinene and limonene throµgh the processing of the wood, extending its drying period, and determining the most appropriate time of use.
The Dynamics of Nucleotide Variants in the Progression from Low–Intermediate Myeloma Precursor Conditions to Multiple Myeloma: Studying Serial Samples with a Targeted Sequencing Approach
Authors: Oben Bénedith , Cosemans Charlotte , Geerdens Ellen , Linsen Loes , Vanhees Kimberly , Maes Brigitte , Theunissen Koen , Cruys Bert , Lionetti Marta , Arijs Ingrid , Bolli Niccolò , Froyen Guy , Rummens Jean-Luc
Published: February 2022

Multiple myeloma (MM), or Kahler’s disease, is an incurable plasma cell (PC) cancer in the bone marrow (BM). This malignancy is preceded by one or more asymptomatic precursor conditions, monoclonal gammopathy of undetermined significance (MGUS) and/or smoldering multiple myeloma (SMM). The molecular mechanisms and exact cause of this progression are still not completely understood. In this study, the mutational profile underlying the progression from low–intermediate risk myeloma precursor conditions to MM was studied in serial BM smears. A custom capture-based sequencing platform was developed, including 81 myeloma-related genes. The clonal evolution of single nucleotide variants and short insertions and deletions was studied in serial BM smears from 21 progressed precursor patients with a median time of progression of six years. From the 21 patients, four patients had no variation in one of the 81 studied genes. Interestingly, in 16 of the 17 other patients, at least one variant present in MM was also detected in its precursor BM, even years before progression. Here, the variants were present in the pre-stage at a median of 62 months before progression to MM. Studying these paired BM samples contributes to the knowledge of the evolutionary genetic landscape and provides additional insight into the mutational behavior of mutant clones over time throughout progression.
A Dosimetric Parameter Reference Look-Up Table for GRID Collimator-Based Spatially Fractionated Radiation Therapy
Authors: Zhang Hualin , Grams Michael P. , Foy Joseph J. , Mayr Nina A.
Published: February 2022

Computations of heterogeneity dose parameters in GRID therapy remain challenging in many treatment planning systems (TPS). To address this difficulty, we developed reference dose tables for a standard GRID collimator and validate their accuracy. The .decimal Inc. GRID collimator was implemented within the Eclipse TPS. The accuracy of the dose calculation was confirmed in the commissioning process. Representative sets of simulated ellipsoidal tumours ranging from 6–20 cm in diameter at a 3-cm depth; 16-cm ellipsoidal tumours at 3, 6, and 10 cm in depth were studied. All were treated with 6MV photons to a 20 Gy prescription dose at the tumour center. From these, the GRID therapy dosimetric parameters (previously recommended by the Radiosurgery Society white paper) were derived. Differences in D5 through D95 and EUD between different tumour sizes at the same depth were within 5% of the prescription dose. PVDR from profile measurements at the tumour center differed from D10/D90, but D10/D90 variations for the same tumour depths were within 11%. Three approximation equations were developed for calculating EUDs of different prescription doses for three radiosensitivity levels for 3-cm deep tumours. Dosimetric parameters were consistent and predictable across tumour sizes and depths. Our study results support the use of the developed tables as a reference tool for GRID therapy.
Fate of Surgical Patients with Small Nonfunctioning Pancreatic Neuroendocrine Tumors: An International Study Using Multi-Institutional Registries
Authors: Han In Woong , Park Jangho , Park Eun Young , Yoon So Jeong , Jin Gang , Hwang Dae Wook , Jiang Kuirong , Kwon Wooil , Xu Xuefeng , Heo Jin Seok , Fu De-Liang , Lee Woo Jung , Bai Xueli , Yoon Yoo-Seok , Yang Yin-Mo , Ahn Keun Soo , Yuan Chunhui , Lee Hyeon Kook , Sun Bei , Park Eun Kyu , Lee Seung Eun , Kang Sunghwa , Lou Wenhui , Park Sang-Jae
Published: February 2022

Several treatment guidelines for sporadic, nonmetastatic nonfunctioning neuroendocrine tumors of the pancreas (NF-pNETs) have recommended resection, however, tumors ≤ 2 cm do not necessarily need surgery. This study aims to establish a surgical treatment plan for NF-pNETs ≤ 2 cm. From 2000 to 2017, 483 patients who underwent resection for NF-pNETs ≤ 2 cm in 18 institutions from Korea and China were enrolled and their medical records were reviewed. The median age was 56 (range 16–80) years. The 10-year overall survival rate (10Y-OS) and recurrence-free survival rate (10Y-RFS) were 89.8 and 93.1%, respectively. In multivariable analysis, tumor size (>1.5 cm; HR 4.28, 95% CI 1.80–10.18, p = 0.001) and nodal metastasis (HR 3.32, 95% CI 1.29–8.50, p = 0.013) were independent adverse prognostic factors for OS. Perineural invasion (HR 4.36, 95% CI 1.48–12.87, p = 0.008) and high Ki-67 index (≥3%; HR 9.06, 95% CI 3.01–27.30, p < 0.001) were independent prognostic factors for poor RFS. NF-pNETs ≤ 2 cm showed unfavorable prognosis after resection when the tumor was larger than 1.5 cm, Ki-67 index ≥ 3%, or nodal metastasis was present. NF-pNET patients with tumors ≤ 1.5 cm can be observed if the preoperative Ki-67 index is under 3%, and if nodal metastasis is not suspected in preoperative radiologic studies. These findings support the clinical use to make decisions about small NF-pNETs.
Current Management and Future Perspective in Pleural Mesothelioma
Authors: Shah Rajiv , Klotz Laura V. , Glade Julia
Published: February 2022

Pleural mesothelioma is an aggressive malignancy arising from pleural mesothelial cell lining, predominantly associated with prior exposure to asbestos. The ban on asbestos use has led to its lower incidence in many countries, but globally the disease burden is expected to rise. Therefore, well-planned research is needed to develop more effective, tolerable and affordable drugs. The development of novel treatment has been too slow, with only two regimens of systemic therapy with robust phase 3 data approved formally to date. The treatment scenario for resectable disease remains controversial. However, recent developments in the understanding of disease and clinical trials have been encouraging, and may add better treatment options in the coming years. In this review, we discuss the current treatment options for pleural mesothelioma and shed light on some recent studies and ongoing trials.
Timely Palliative Care: Personalizing the Process of Referral
Authors: Hui David , Heung Yvonne , Bruera Eduardo
Published: February 2022

Timely palliative care is a systematic process to identify patients with high supportive care needs and to refer these individuals to specialist palliative care in a timely manner based on standardized referral criteria. It requires four components: (1) routine screening of supportive care needs at oncology clinics, (2) establishment of institution-specific consensual criteria for referral, (3) a system in place to trigger a referral when patients meet criteria, and (4) availability of outpatient palliative care resources to deliver personalized, timely patient-centered care aimed at improving patient and caregiver outcomes. In this review, we discuss the conceptual underpinnings, rationale, barriers and facilitators for timely palliative care referral. Timely palliative care provides a more rational use of the scarce palliative care resource and maximizes the impact on patients who are offered the intervention. Several sets of referral criteria have been proposed to date for outpatient palliative care referral. Studies examining the use of these referral criteria consistently found that timely palliative care can lead to a greater number of referrals and earlier palliative care access than routine referral. Implementation of timely palliative care at each institution requires oncology leadership support, adequate palliative care infrastructure, integration of electronic health record and customization of referral criteria.
Interstitial Control-Released Polymer Carrying a Targeting Small-Molecule Drug Reduces PD-L1 and MGMT Expression in Recurrent High-Grade Gliomas with TMZ Resistance
Authors: Liu Ching-Ann , Liu Wei-Hsiu , Ma Hsin-I , Chen Yuan-Hao , Hueng Dueng-Yuan , Tsai Wen-Chiuan , Lin Shinn-Zong , Harn Horng-Jyh , Chiou Tzyy-Wen , Liu Jen-Wei , Lee Jui-Hao , Chiu Tsung-Lang
Published: February 2022

In recurrent glioblastoma, Gliadel wafer implantation after surgery has been shown to result in incomplete chemical removal of residual tumor and development of brain edema. Furthermore, temozolomide (TMZ) resistance caused by O6-methylguanine-DNA-methyltransferase (MGMT) activation and programmed cell death-ligand 1 (PD-L1) expression leads to immune-cold lesions that result in poorer prognosis. Cerebraca wafer, a biodegradable polymer containing (Z)-n-butylidenephthalide (BP), is designed to eliminate residual tumor after glioma resection. An open-label, one-arm study with four dose cohorts, involving a traditional 3 + 3 dose escalation clinical trial, of the Cerebraca wafer combined with TMZ on patients with recurrent high-grade glioma, was conducted. Of the 12 patients who receive implantation of Cerebraca wafer, there were no drug-related adverse events (AEs) or serious AEs (SAEs). The median overall survival (OS) of patients receiving low-dose Cerebraca wafer was 12 months in the group with >25% wafer coverage of the resected tumor, which is longer than OS duration in previously published studies (Gliadel wafer, 6.4 months). Patients who received high-dose Cerebraca wafer treatment had not yet died at the data cut-off date; a 100% progression-free survival (PFS) rate at six month was achieved, indicating the median OS of cohort IV was more than 17.4 months. In vitro study of the primary cells collected from the patients revealed that the IC50 of BP against tumor stem cells was four times lower than that of bis-chloroethylnitrosourea (BCNU). A synergistic effect between BP and TMZ was demonstrated by a reduction in MGMT expression. Furthermore, BP inhibited PD-L1 expression, thereby activating T-cell cytotoxicity and increasing interferon-gamma (IFN-γ) secretion. The better therapeutic effect of Cerebraca wafer on recurrent high-grade glioma could occur through re-sensitization of TMZ and reduction of PD-L1.
TLR4 and pSTAT3 Expression on Circulating Tumor Cells (CTCs) and Immune Cells in the Peripheral Blood of Breast Cancer Patients: Prognostic Implications
Authors: Papadaki Maria A. , Monastirioti Alexia , Apostolopoulou Christina A. , Aggouraki Despoina , Papadaki Chara , Michaelidou Kleita , Vassilakopoulou Maria , Alexakou Katerina , Mavroudis Dimitrios , Agelaki Sofia
Published: February 2022

TLR4 and pSTAT3 are key players in cancer inflammation and immune evasion; however, their role in the peripheral blood (PB) is largely unexplored. Herein we evaluated their expression in the circulating tumor cells (CTCs) and peripheral-blood mononuclear cells (PBMCs) of patients with early (n = 99) and metastatic (n = 100) breast cancer (BC). PB samples obtained prior to adjuvant and first-line therapy, were immunofluorescently stained for Cytokeratins/TLR4/pSTAT3/DAPI and analyzed via Ariol microscopy. TLR4+ CTCs were detected in 50% and 68% of early and metastatic CTC-positive patients, respectively, and pSTAT3+ CTCs in 83% and 68%, respectively. In metastatic patients, CTC detection was associated with a high risk of death (HR: 1.764, p = 0.038), while TLR4+ CTCs correlated with a high risk of disease progression (HR: 1.964, p = 0.030). Regarding PBMCs, TLR4 expression prevailed in metastatic disease (p = 0.029), while pSTAT3 expression was more frequent in early disease (p = 0.014). In early BC, TLR4 expression on PBMCs independently predicted for high risk of relapse (HR: 3.549; p = 0.009), whereas in metastatic BC, TLR4+/pSTAT3− PBMCs independently predicted for high risk of death (HR: 2.925; p = 0.012). These results suggest that TLR4/pSTAT3 signaling on tumor- and immune-cell compartments in the PB could play a role in BC progression, and may hold independent prognostic implications for BC patients.
Radiolabeled Somatostatin Analogues for Diagnosis and Treatment of Neuroendocrine Tumors
Authors: Ambrosini Valentina , Zanoni Lucia , Filice Angelina , Lamberti Giuseppe , Argalia Giulia , Fortunati Emilia , Campana Davide , Versari Annibale , Fanti Stefano
Published: February 2022

Neuroendocrine neoplasms (NENs) are rare and heterogeneous tumors that require multidisciplinary discussion for optimal care. The theranostic approach (DOTA peptides labelled with 68Ga for diagnosis and with 90Y or 177Lu for therapy) plays a crucial role in the management of NENs to assess disease extension and as a criteria for peptide receptor radionuclide therapy (PRRT) eligibility based on somatostatin receptor (SSTR) expression. On the diagnostic side, [68Ga]Ga-DOTA peptides PET/CT (SSTR PET/CT) is the gold standard for imaging well-differentiated SSTR-expressing neuroendocrine tumors (NETs). [18F]FDG PET/CT is useful in higher grade NENs (NET G2 with Ki-67 > 10% and NET G3; NEC) for more accurate disease characterization and prognostication. Promising emerging radiopharmaceuticals include somatostatin analogues labelled with 18F (to overcome the limits imposed by 68Ga), and SSTR antagonists (for both diagnosis and therapy). On the therapeutic side, the evidence gathered over the past two decades indicates that PRRT is to be considered as an effective and safe treatment option for SSTR-expressing NETs, and is currently included in the therapeutic algorithms of the main scientific societies. The positioning of PRRT in the treatment sequence, as well as treatment personalization (e.g., tailored dosimetry, re-treatment, selection criteria, and combination with other alternative treatment options), is warranted in order to improve its efficacy while reducing toxicity. Although very preliminary (being mostly hampered by lack of methodological standardization, especially regarding feature selection/extraction) and often including small patient cohorts, radiomic studies in NETs are also presented. To date, the implementation of radiomics in clinical practice is still unclear. The purpose of this review is to offer an overview of radiolabeled SSTR analogues for theranostic use in NENs.
Using a 31-Gene Expression Profile Test to Stratify Patients with Stage I–II Cutaneous Melanoma According to Recurrence Risk: Update to a Prospective, Multicenter Study
Authors: Podlipnik Sebastian , Boada Aram , López-Estebaranz Jose L. , Martín-González Manuel M. , Redondo Pedro , Martin Brian , Quick Ann P. , Bailey Christine N. , Kurley Sarah J. , Cook Robert W. , Puig Susana
Published: February 2022

Background: Fifteen to forty percent of patients with localized cutaneous melanoma (CM) (stages I–II) will experience disease relapse. The 31-gene expression profile (31-GEP) uses gene expression data from the primary tumor in conjunction with clinicopathologic features to refine patient prognosis. The study’s objective was to evaluate 31-GEP risk stratification for disease-free survival (DFS) in a previously published cohort with longer follow-up. Methods: Patients with stage IB–II CM (n = 86) were prospectively tested with the 31-GEP. Follow-up time increased from 2.2 to 3.9 years. Patient outcomes were compared using Kaplan-Meier and Cox regression analysis. Results: A Class 2B result was a significant predictor of 3-year DFS (hazard ratio (HR) 8.4, p = 0.008) in univariate analysis. The 31-GEP significantly stratified patients by risk of relapse (p = 0.005). A Class 2B result was associated with a lower 3-year DFS (75.0%) than a Class 1A result (100%). The 31-GEP had a high sensitivity (77.8%) and negative predictive value (95.0%). Conclusions: The 31-GEP is a significant predictor of disease relapse in patients with stage IB–II melanoma and accurately stratified patients by risk of relapse.
Anaplastic Thyroid Carcinoma: An Update
Authors: Jannin Arnaud , Escande Alexandre , Al Ghuzlan Abir , Blanchard Pierre , Hartl Dana , Chevalier Benjamin , Deschamps Frédéric , Lamartina Livia , Lacroix Ludovic , Dupuy Corinne , Baudin Eric , Do Cao Christine , Hadoux Julien
Published: February 2022

Anaplastic thyroid carcinoma (ATC) is a rare and undifferentiated form of thyroid cancer. Its prognosis is poor: the median overall survival (OS) of patients varies from 4 to 10 months after diagnosis. However, a doubling of the OS time may be possible owing to a more systematic use of molecular tests for targeted therapies and integration of fast-track dedicated care pathways for these patients in tertiary centers. The diagnostic confirmation, if needed, requires an urgent biopsy reread by an expert pathologist with additional immunohistochemical and molecular analyses. Therapeutic management, defined in multidisciplinary meetings, respecting the patient’s choice, must start within days following diagnosis. For localized disease diagnosed after primary surgical treatment, adjuvant chemo-radiotherapy is recommended. In the event of locally advanced or metastatic disease, the prognosis is very poor. Treatment should then involve chemotherapy or targeted therapy and decompressive cervical radiotherapy. Here we will review current knowledge on ATC and provide perspectives to improve the management of this deadly disease.
PBRM1 Immunohistochemical Expression Profile Correlates with Histomorphological Features and Endothelial Expression of Tumor Vasculature for Clear Cell Renal Cell Carcinoma
Authors: Saiga Kazuho , Ohe Chisato , Yoshida Takashi , Ohsugi Haruyuki , Ikeda Junichi , Atsumi Naho , Noda Yuri , Yasukochi Yoshiki , Higasa Koichiro , Taniguchi Hisanori , Kinoshita Hidefumi , Tsuta Koji
Published: February 2022

Loss of the polybromo-1 (PBRM1) protein has been expected as a possible biomarker for clear cell renal cell carcinoma (ccRCC). There is little knowledge about how PBRM1 immunohistochemical expression correlates with the histomorphological features of ccRCC and the endothelial expression of tumor vasculature. The present study evaluates the association of architectural patterns with the PBRM1 expression of cancer cells using a cohort of 425 patients with nonmetastatic ccRCC. Furthermore, we separately assessed the PBRM1 expression of the endothelial cells and evaluated the correlation between the expression of cancer cells and endothelial cells. PBRM1 loss in cancer cells was observed in 148 (34.8%) patients. In the correlation analysis between architectural patterns and PBRM1 expression, macrocyst/microcystic, tubular/acinar, and compact/small nested were positively correlated with PBRM1 expression, whereas alveolar/large nested, thick trabecular/insular, papillary/pseudopapillary, solid sheets, and sarcomatoid/rhabdoid were negatively correlated with PBRM1 expression. PBRM1 expression in vascular endothelial cells correlated with the expression of cancer cells (correlation coefficient = 0.834, p < 0.001). PBRM1 loss in both cancer and endothelial cells was associated with a lower recurrence-free survival rate (p < 0.001). Our PBRM1 expression profile indicated that PBRM1 expression in both cancer and endothelial cells may be regulated in an orchestrated manner.
Current Surgical Management Strategies for Colorectal Cancer Liver Metastases
Authors: Ivey Gabriel D. , Johnston Fabian M. , Azad Nilofer S. , Christenson Eric S. , Lafaro Kelly J. , Shubert Christopher R.
Published: February 2022

Colorectal cancer is the third most common cancer diagnosis in the world, and the second most common cause of cancer-related deaths. Despite significant progress in management strategies for colorectal cancer over the last several decades, metastatic disease remains difficult to treat and is often considered incurable. However, for patients with colorectal liver metastases (CRLM), surgical resection offers the best opportunity for survival, can be curative, and remains the gold standard. Unfortunately, surgical treatment options are underutilized. Misperceptions regarding resectable and unresectable CRLM likely play a role in this. The assessment of factors that impact resectability status like medical fitness, technical considerations, and disease biology can be difficult, necessitating careful multidisciplinary input and discussion. The identification of ideal operative time windows that align with the multimodal management of these patients can also be perplexing. For all patients with CRLM it may therefore be advantageous to obtain surgical evaluation at the time of discovering liver metastases to mitigate these challenges and minimize the risk of undertreatment. In this review we summarize current surgical management strategies for CRLM and discuss factors to be considered when determining resectability.
Use of Patient-Derived Organoids as a Treatment Selection Model for Colorectal Cancer: A Narrative Review
Authors: Furbo Sara , Urbano Paulo César Martins , Raskov Hans Henrik , Troelsen Jesper Thorvald , Kanstrup Fiehn Anne-Marie , Gögenur Ismail
Published: February 2022

Surgical resection is the mainstay in intended curative treatment of colorectal cancer (CRC) and may be accompanied by adjuvant chemotherapy. However, 40% of the patients experience recurrence within five years of treatment, highlighting the importance of improved, personalized treatment options. Monolayer cell cultures and murine models, which are generally used to study the biology of CRC, are associated with certain drawbacks; hence, the use of organoids has been emerging. Organoids obtained from tumors display similar genotypic and phenotypic characteristics, making them ideal for investigating individualized treatment strategies and for integration as a core platform to be used in prediction models. Here, we review studies correlating the clinical response in patients with CRC with the therapeutic response in patient-derived organoids (PDO), as well as the limitations and potentials of this model. The studies outlined in this review reported strong associations between treatment responses in the PDO model and clinical treatment responses. However, as PDOs lack the tumor microenvironment, they do not genuinely account for certain crucial characteristics that influence therapeutic response. To this end, we reviewed studies investigating PDOs co-cultured with tumor-infiltrating lymphocytes. This model is a promising method allowing evaluation of patient-specific tumors and selection of personalized therapies. Standardized methodologies must be implemented to reach a “gold standard” for validating the use of this model in larger cohorts of patients. The introduction of this approach to a clinical scenario directing neoadjuvant treatment and in other curative and palliative treatment strategies holds incredible potential for improving personalized treatment and its outcomes.
Assessment of Pretreatments for Highly Concentrated Leachate Waters to Enhance the Performance of Catalytic Wet Peroxide Oxidation with Sustainable Low-Cost Catalysts
Authors: de Freitas Batista Gabriel , Roman Fernanda F. , de Tuesta Jose L. Diaz , Mambrini Raquel Vieira , Praça Paulo , Gomes Helder T.
Published: February 2022

Matured compost, derived from a mechanical and biological treatment (MBT) plant, was used as a precursor to produce catalysts through hydrothermal and thermal carbonization, HC and PC, respectively. HC and PC displayed suitable properties to act as catalysts in the catalytic wet peroxide oxidation (CWPO) treatment of the highly polluted leachate waters generated in the same MBT plant (TOC0 = 27 g L−1; COD0 = 60 g L−1; BOD5,0 = 23 g L−1). The influence of catalyst loading and pH were studied, considering multiple additions of H2O2. The best experimental conditions found were T = 80 °C, pH0 = 3.0, 7.2 g L−1 of HC catalyst, 85.7 g L−1 of H2O2, added in five batches in one-hour intervals between each addition. Under these experimental conditions, removals of 43%, 52%, 93%, 82%, 35%, 95% and 93% for the COD, TOC, BOD5, aromaticity, chlorides, turbidity and color number (CN) were, respectively, observed. Ion exchange resins and coagulation–flocculation were studied as pretreatment options to reduce the complexity of the leachate waters and enhance the CWPO results. Both strategies resulted in higher mineralization and enhanced the consumption efficiency of H2O2 (ηH2O2). The sequential treatment using coagulation–flocculation and CWPO with PC catalyst showed the best results, achieving abatement of 94%, 70%, 98%, 93%, 31%, 96% and 95% for COD, TOC, BOD5, aromaticity, chlorides, turbidity and CN, respectively.
Modelling and Optimisation of the Sol-Gel Conditions for Synthesis of Semi-Hexagonal Titania-Based Nano-Catalyst for Esterification Reaction
Authors: Nayebzadeh Hamed , Rohani Abbas , Sistani Aliakbar , Hassanpour Ali , Gardy Jabbar
Published: February 2022

Design and fabrication of a catalyst with the highest activity can be achieved by optimising the synthesis conditions. In this study, the sol-gel synthesis conditions of citric acid concentration, gelling temperature, complex time, and calcination temperature were studied for the preparation of a novel semi-hexagonal calcium/titania-zirconia nano-catalyst used in the esterification reaction. After synthesis of around 24 samples at various conditions, their activity was tested in the esterification reaction and the results were analysed by multi-layer perceptron (MLP) and support vector machine (SVM) models. Both models predicted the actual data with high coefficients of determination, and indicated that the calcination temperature has the most influence on the activity of the prepared semi-hexagonal calcium/titania-zirconia nano-catalyst for the esterification reaction. Moreover, the genetic algorithm (GA) was utilised for optimising the preparation conditions based on the SVM model, due to its higher generalisation capability for prediction. The prepared nano-catalysts under the optimum conditions of 1.42 acid ratio, gelling temperature of 72 °C, complex time of 2.65 h, and calcination temperature of 487 °C showed good crystalline structure and metal–metal and metal–oxygen cation bonding. Finally, the fabricated catalyst had a high surface area (276.5 m2/g) with 3.5 nm pore diameter and almost uniform particle size (80–110 nm) distribution, leading to a high conversion of 97.6% in the esterification reaction, with good catalytic stability up to five times.
Singular Adult Neural Stem Cells Do Not Exist
Authors: Petrik David , Jörgensen Sara , Eftychidis Vasileios , Siebzehnrubl Florian A.
Published: February 2022

Adult neural stem cells (aNSCs) are the source for the continuous production of new neurons throughout life. This so-called adult neurogenesis has been extensively studied; the intermediate cellular stages are well documented. Recent discoveries have raised new controversies in the field, such as the notion that progenitor cells hold similar self-renewal potential as stem cells, or whether different types of aNSCs exist. Here, we discuss evidence for heterogeneity of aNSCs, including short-term and long-term self-renewing aNSCs, regional and temporal differences in aNSC function, and single cell transcriptomics. Reviewing various genetic mouse models used for targeting aNSCs and lineage tracing, we consider potential lineage relationships between Ascl1-, Gli1-, and Nestin-targeted aNSCs. We present a multidimensional model of adult neurogenesis that incorporates recent findings and conclude that stemness is a phenotype, a state of properties that can change with time, rather than a cell property, which is static and immutable. We argue that singular aNSCs do not exist.
Repeated Social Defeat Enhances CaCl2-Induced Abdominal Aortic Aneurysm Expansion by Inhibiting the Early Fibrotic Response via the MAPK-MKP-1 Pathway
Authors: Kubota Hiroshi , Yamada Hiroyuki , Sugimoto Takeshi , Wada Naotoshi , Motoyama Shinichiro , Saburi Makoto , Miyawaki Daisuke , Wakana Noriyuki , Kami Daisuke , Ogata Takehiro , Ibi Masakazu , Matoba Satoaki
Published: February 2022

Depression is an independent risk factor for cardiovascular disease and is significantly associated with the prevalence of abdominal aortic aneurysm (AAA). We investigated the effect of repeated social defeat (RSD) on AAA development. Eight-week-old male wild-type mice were exposed to RSD by being housed with larger CD-1 mice in a shared cage. They were subjected to vigorous physical contact. After the confirmation of depressive-like behavior, calcium chloride was applied to the infrarenal aorta of the mice. At one week, AAA development was comparable between the defeated and control mice, without any differences being observed in the accumulated macrophages or in the matrix metalloproteinase activity. At two weeks, the maximum diameter and circumference of the aneurysm were significantly increased in the defeated mice, and a significant decrease in periaortic fibrosis was also observed. Consistently, the phosphorylation of the extracellular signal-regulated kinase and the incorporation of 5-bromo-2′-deoxyuridine in the primarily cultured aortic vascular smooth muscle cells were significantly reduced in the defeated mice, which was accompanied by a substantial increase in mitogen-activated protein kinase phosphatase-1 (MKP-1). The MKP-1 mRNA and protein expression levels during AAA were much higher in the defeated mice than they were in the control mice. Our findings demonstrate that RSD enhances AAA development by suppressing periaortic fibrosis after an acute inflammatory response and imply novel mechanisms that are associated with depression-related AAA development.
Towards Personalized Medicine in Myasthenia Gravis: Role of Circulating microRNAs miR-30e-5p, miR-150-5p and miR-21-5p
Authors: Beretta Francesca , Huang Yu-Fang , Punga Anna Rostedt
Published: February 2022

Myasthenia gravis (MG) is an autoimmune neuromuscular disease characterized by fatigable skeletal muscle weakness with a fluctuating unpredictable course. One main concern in MG is the lack of objective biomarkers to guide individualized treatment decisions. Specific circulating serum microRNAs (miRNAs) miR-30e-5p, miR-150-5p and miR-21-5p levels have been shown to correlate with clinical course in specific MG patient subgroups. The aim of our study was to better characterize these miRNAs, regardless of the MG subgroup, at an early stage from diagnosis and determine their sensitivity and specificity for MG diagnosis, as well as their predictive power for disease relapse. Serum levels of these miRNAs in 27 newly diagnosed MG patients were compared with 245 healthy individuals and 20 patients with non-MG neuroimmune diseases. Levels of miR-30e-5p and miR-150-5p significantly differed between MG patients and healthy controls; however, no difference was seen compared with patients affected by other neuroimmune diseases. High levels of miR-30e-5p predicted MG relapse (p = 0.049) with a hazard ratio of 2.81. In summary, miR-150-5p is highly sensitive but has low specificity for MG, while miR-30e-5p has the greatest potential as a predictive biomarker for the disease course in MG, regardless of subgroup.
Powder Mixture for the Production of Microporous Ceramics Based on Hydroxyapatite
Authors: Safronova Tatiana , Chichulin Stepan , Shatalova Tatiana , Filippov Yaroslav
Published: February 2022

Powder mixtures with a given molar ratio of Ca/P = 1.67 were prepared under mechanical activation conditions from hydroxyapatite powder Ca10(PO4)6(OH)2 and a 1M aqueous solution of oxalic acid H2C2O4 at a molar ratio of Ca10(PO4)6(OH)2/H2C2O4 = 1:4. The phase composition of obtained powder mixture included brushite (calcium hydrophosphate dihydrate) CaHPO4·2H2O, calcium oxalate monohydrate CaC2O4·H2O in form of whewellite and weddellite, and some quantity of quasi-amorphous phase. This powder mixture was used to produce microporous monophase ceramics based on hydroxyapatite Ca10(PO4)6(OH)2 with apparent density of 1.25 g/cm3 after firing at 1200 °C. Microporosity of sintered ceramics was formed due to the presence of particles with plate-like morphology, restraining shrinkage during sintering. Microporous ceramics based on hydroxyapatite Ca10(PO4)6(OH)2 with the roughness of the surface as a consequence of the created microporosity can be recommended as a biocompatible material for bone defects treatment and as a substrate for bone cell cultivation.
Carbocyanine-Based Fluorescent and Colorimetric Sensor Array for the Discrimination of Medicinal Compounds
Authors: Shik Anna V. , Stepanova Irina A. , Doroshenko Irina A. , Podrugina Tatyana A. , Beklemishev Mikhail K.
Published: February 2022

Array-based optical sensing is an efficient technique for the determination and discrimination of small organic molecules. This study is aimed at the development of a simple and rapid strategy for obtaining an optical response from a wide range of low-molecular-weight organic compounds. We have suggested a colorimetric and fluorimetric sensing platform based on the combination of two response mechanisms using carbocyanine dyes: aggregation and oxidation. In the first one, the analyte forms ternary aggregates with an oppositely charged surfactant wherein the dye is solubilized in the hydrophobic domains of the surfactant accompanied with fluorescent enhancement. The second mechanism is based on the effect of the analyte on the catalytic reaction rate of dye oxidation with H2O2 in the presence of a metal ion (Cu2+, Pd2+), which entails fluorescence waning and color change. The reaction mixture in a 96-well plate is photographed in visible light (colorimetry) and the near-IR region under red light excitation (fluorimetry). In this proof-of-concept study, we demonstrated the feasibility of discrimination of nine medicinal compounds using principal component analysis: four cephalosporins (ceftriaxone, cefazolin, ceftazidime, cefotaxime), three phenothiazines (promethazine, promazine, chlorpromazine), and two penicillins (benzylpenicillin, ampicillin) in an aqueous solution and in the presence of turkey meat extract. The suggested platform allows simple and rapid recognition of analytes of various nature without using spectral equipment, except for a photo camera.
Total Intravenous Anesthesia with Ketofol versus Combination of Ketofol and Lidocaine for Short-Term Anesthesia in Pediatric Patients; Double Blind, Randomized Clinical Trial of Effects on Recovery
Authors: Nevešćanin Biliškov Ana , Gulam Danijela , Žaja Marija , Pogorelić Zenon
Published: February 2022

Background: Ketofol admixture has been proposed to be useful for sedation and general anesthesia. The beneficial effect of the combination of ketofol with lidocaine may be a shortened time of anesthesia and recovery period. This study aimed to establish the effect of total intravenous anesthesia (TIVA) with ketofol and ketofol with lidocaine on recovery in children. Methods: Two hundred children from the ages of 1–12 years who underwent short surgical procedures were randomly allocated into two groups. Propofol mixtures (ketofol) were prepared for group l. A ratio of 1:4 of ketofol was used for induction and for the maintenance of anesthesia a ratio of was used 1:7. For the induction and maintenance of anesthesia ketofol with lidocaine (lidoketofol) was used in group II. The McFarlan infusion regimen was used with reduction. The extubating time, anesthesia duration and the length of stay in the post-anesthesia care unit (PACU) were recorded. Results: Extubation time showed to be considerably shorter in the lidoketofol group than in the ketofol group (120 s versus 240 s; p < 0.00001). The anesthesia duration was also significantly shorter in the lidoketofol group (35 min vs. 50 min; p < 0.00001). The lidoketofol group showed to have a lower length of stay in the post-anesthesia care unit (PACU) than the ketofol group (20 min vs. 35 min; p < 0.00001). The lidoketofol group showed lower fentanyl consumption per kg (2.1 µg per kg vs. 2.3 µg per kg; p < 0.056) and lower propofol consumption (6.6 mg per kg vs. 7.6 mg per kg; p < 0.032). Conclusion: The recovery in pediatric anesthesia can improve with usage of TIVA with ketofol plus lidocaine admixture with a reduced McFarlan dose regimen.
Effects of Family Nurture Intervention in the NICU on Theory of Mind Abilities in Children Born Very Preterm: A Randomized Controlled Trial
Authors: Firestein Morgan R. , Myers Michael M. , Feder Katherine J. , Ludwig Robert J. , Welch Martha G.
Published: February 2022

Preterm infants are at risk for socioemotional deficits, neurodevelopmental disorders, and potentially theory of mind (ToM) deficits. Preterm infants enrolled in a randomized controlled trial in the neonatal intensive care unit (NICU) received Standard Care (SC) or Family Nurture Intervention (FNI). Children (N = 72; median age 61.8 ± 2.6 months; FNI: 35 (55%), SC:2 9 (45%)) completed a ToM task, of whom 64 (54% male; born to White (43.8%), Black (18.7%), and Hispanic (25.0%) mothers) contributed to this analysis. FNI and SC infants born extremely preterm to very preterm differed significantly: 78% (14 of 18) of FNI children passed vs. 30% (3 of 10) SC children (p = 0.01, effect size = 1.06). This large effect size suggests that FNI in the NICU may ameliorate deficits in social-cognitive skills of extreme to very preterm infants by school age.
Influence of Personal, Academic, Social, and Level of Physical Activity Variables on Emotional Intelligence
Authors: Portela-Pino Iago , Domínguez-Alonso José , Alvariñas-Villaverde Myriam , Chinchilla-Mira Juan José
Published: February 2022

In the diverse and complex society in which we live, the support that an appropriate emotional intelligence can provide to adolescents to achieve a satisfactory, balanced, and peaceful coexistence is increasing. The aim of this research was to determine whether personal, academic, and social variables influenced emotional intelligence in adolescent populations. A descriptive-inferential study was carried out with 964 students of compulsory secondary education (M = 14.18; SD = 1.28), applying the emotional intelligence scale Trait Meta-Mood Scale (TMMS-24). The results show better emotional attention in boys who practice physical exercise and have good social skills; better emotional clarity in girls who practice physical exercise and have good social skills; and better emotional repair in girls under 13 years of age, who practice physical exercise, have a good academic record and good social skills. In conclusion, a solid and specific knowledge of the personal, academic, and social variables that may influence the development of emotional intelligence in the adolescent period allows helping students in the prevention or modification of undesirable aspects they may have in their relationships with society.
Increased Risk of Bleeding with Topical Metronidazole in a Postoperative Wound after Anal Fistula and Hemorrhoid Surgery: A Propensity Score-Matched Case–Control Study
Authors: Garg Pankaj , Yagnik Vipul D. , Kaur Gurleen
Published: February 2022

Background: Topical metronidazole (TM) is commonly used in many infective conditions and postoperative wounds including after anorectal surgery. TM was prescribed in patients operated for benign anorectal conditions (anal fistula and hemorrhoids) to hasten wound healing. After the initiation of this protocol, the incidence of postoperative wound bleeding seemed to increase. There are no data in the literature suggesting that topical metronidazole increases the risk of bleeding. Objective: Analysis of the association of TM with an increased risk of bleeding in postoperative anorectal wounds. Design: This was an observational and a retrospective study. Propensity score matching was performed. Setting: This study was conducted at a specialized center for anorectal disorders in postoperative patients suffering from anal fistula and hemorrhoids. Materials: The incidence of postoperative bleeding in the patients in whom TM was used (study group) was retrospectively compared with the patients operated one year before this period in whom TM was not used (control group). Sample size: There were 35 patients in the study group and 181 patients in the control group. Main outcome measures: The incidence of bleeding and the number of bleeding episodes were evaluated. Results: The incidence of bleeding was significantly higher in the study group as compared to the control group (8/35 (22.8%) vs. 8/181 (4.4%), respectively, p = 0.0011). In most cases, bleeding was controlled with conservative measures. The number of bleeding episodes was also significantly higher in the study group (14 vs. 11, respectively, p = 0.0001). The number of patients requiring operative intervention was also higher in the study group (2/35—5.7%) as compared to the control group (1/181—0.56%), but this was not statistically significant (p = 0.069). Conclusions: The study highlighted that application of topical metronidazole in postoperative anorectal wounds increased the risk of bleeding. Most of the bleeding episodes were controlled with conservative measures but they caused considerable patient anxiety and apprehension.
Electrochemical Evaluation of the Effect of Different NaCl Concentrations on Low Alloy- and Stainless Steels under Corrosion and Erosion-Corrosion Conditions
Authors: Brownlie Frazer , Hodgkiess Trevor , Pearson Alastair , Galloway Alexander
Published: February 2022

The main objective of this study was to assess the influence of salt concentration on the corrosion behaviour, including the role of hydrodynamic conditions, of two broad classes of ferrous engineering materials. These are comprised of alloys, typified by a low-alloy steel (UNS G43400) that corrodes actively in aqueous conditions and a range of passive-film-forming stainless steels (UNS S31600, UNS S15500 and UNS S32760). Corrosion monitoring employed electrochemical (potentiodynamic polarisation) techniques. Three concentrations of aerated sodium chloride were utilised: 0.05 wt% NaCl, 3.5 wt% NaCl and 10 wt% NaCl. In quiescent, liquid impingement and solid/liquid impingement conditions, the corrosion rate of the low-alloy steel was observed to peak at 3.5 wt% NaCl, followed by a reduction in 10 wt% NaCl solution. These findings expand the range of previously reported trends, focused on static conditions. Such corrosion rate/salinity trends were observed to be dictated by the progress of the anodic reaction rather than influence on the cathodic reaction. Detailed studies were undertaken using segmented specimens to facilitate comparisons of the influence of hydrodynamic variations on corrosion behavior; these revealed that such variations influence the corrosion rates of low-alloy steel to a much lesser extent than the effect of changes in salinity. For the stainless steels, in quiescent and flowing conditions, when surface passive films are stable, there was a constant increase in corrosion rate with salinity. In solid-liquid conditions, however, the periodic film-destruction/repassivation events resulted in a similar corrosion rate/salinity trend to that displayed by the low-alloy steel, but with a much larger effect of hydrodynamic conditions. Additonally, the study revealed an underlying influence of stainless steel composition that mirrored, to an extent, the corrosion behaviour in pitting/re-passivation situations
Lipsticks History, Formulations, and Production: A Narrative Review
Authors: Mawazi Saeid Mezail , Azreen Redzal Nurul Aqilah Binti , Othman Noordin , Alolayan Sultan Othman
Published: February 2022

A considerable amount of literature has been published on several aspects of lipsticks production. To date, there is no collation of studies related to lipsticks production that has been published. This review was conducted to examine information about the history of lipsticks; ingredients used in the preparation of lipsticks, focusing on the natural and chemical ingredients; methods of preparation for the lipsticks; and the characterization of the lipsticks. A literature search for English language articles was conducted by searching electronic databases including Web of Science, Scopus, PubMed, and Google Scholar. Overall, the evidence indicates that lipsticks have been used since ancient times and are among the highest demand cosmetics. The findings of this review summarize those of earlier studies that explained the use of different types of ingredients in the manufacturing processes of lipsticks. It highlights the importance of using green technology and ingredients to fabricate lipsticks to avoid potential side effects such as skin irritation and allergy reaction.