bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Leaflet-to-Annulus Index on Residual Regurgitation Following Transcatheter Edge-to-Edge Repair of the Tricuspid Valve
Authors: Pizzino Fausto , Trimarchi Giancarlo , D’Agostino Andreina , Bonanni Michela , Benedetti Giovanni , Paradossi Umberto , Manzo Rachele , Capasso Rosangela , Di Bella Gianluca , Zito Concetta , Carerj Scipione , Berti Sergio , Mariani Massimiliano
Published: July 2024

Background: The mismatch between tricuspid valve (TV) leaflet length and annulus dilation, assessed with the septal–lateral leaflet-to-annulus index (SL-LAI), predicts residual tricuspid regurgitation (TR) following tricuspid transcatheter edge-to-edge-repair (T-TEER). When posterior leaflet grasping is required, the anterior–posterior leaflet-to-annulus index (AP-LAI) may offer additional information. Methods: This single-center retrospective cohort study included all patients referred for T-TEER with severe and symptomatic TR with high surgical risk from April 2021 to March 2024. Patients were categorized into ‘optimal result’ (<moderate TR) or ‘suboptimal result’ (≥moderate TR) groups. The SL-LAI and AP-LAI were calculated using pre-procedural transesophageal echocardiography (TEE) measurements. Results: Of the 25 patients, 12 had suboptimal post-procedural results, while 13 showed optimal outcomes. The optimal result group showed a higher prevalence of type IIIA-IIIB TV morphology (85% vs. 45%, p < 0.05), a wider SL annulus diameter (42.5 ± 5 vs. 37 ± 5 mm, p < 0.05), and a longer posterior leaflet length (28 ± 4 vs. 22 ± 5 mm, p < 0.01). The SL-LAI was lower in the optimal group (1 ± 0.2 vs. 1.2 ± 0.32, p < 0.05), while the AP-LAI was higher (0.7 ± 0.1 vs. 0.5 ± 0.2, p < 0.05). ROC curve analysis showed that the AUC for the AP-LAI was 0.769 (95% CI 0.51–0.93, p < 0.05) and Youden test identified the best cut-off value <0.5 (sensitivity 50% and specificity 100%) for a suboptimal result. The SL-LAI showed a very low AUC in predicting suboptimal results (0.245, 95% CI 0.08–0.47). Comparing the two ROC curves, we showed that AUC difference is significant with the AP-LAI showing the best association with the outcome (p = 0.01). Conclusions: The AP-LAI and SL-LAI can help in predicting post T-TEER results, ameliorating patients’ outcomes and avoiding futile procedures.
Determinants of Pre- and Post-Procedural Neurological Assessment, and Outcome of Carotid Endarterectomy or Stenting
Authors: Kallmayer Michael , Knappich Christoph , Kirchhoff Felix , Bohmann Bianca , Lohe Vanessa , Naher Shamsun , Eckstein Hans-Henning , Kuehnl Andreas
Published: July 2024

Background: The German–Austrian guideline on the treatment of carotid stenosis recommends specialist neurological assessment (NA) before and after carotid endarterectomy (CEA) or carotid artery stenting (CAS). This study analyzes the determinants of NA and the association of NA with the perioperative rate of stroke or death. Materials and Methods: This study is a pre-planned sub-study of the ISAR-IQ project, which analyzes data from the nationwide German statutory quality assurance carotid database. Patients were classified as asymptomatic (group A), elective symptomatic (group B), and others (group C: emergency (C1), simultaneous operation (C2), and other indications (C3)). The primary outcome event (POE) of this study was any in-hospital stroke or death. Adjusted odds ratios for pre- and post-NA and the POE were calculated using multivariable regression analyses. Results: We analyzed 228,133 patients (54% asymptomatic, 68% male, mean age 72 years) undergoing CEA or CAS between 2012 and 2018. Age and sex were not associated with the likelihood of pre-NA or post-NA. The multivariable regression analysis showed an inverse association between pre-NA and POE (adjusted odds ratio (aOR) 0.47; 95% CI 0.44–0.51, p < 0.001), and a direct association of post-NA and POE (aOR 4.39; 95% CI 4.04–4.78, p < 0.001). Conclusions: Pre- and postinterventional specialist NA is strongly associated with the risk of any in-hospital stroke or death after CEA or CAS in Germany. A relevant confounding by indication or reversed causation cannot be ruled out. Nevertheless, to improve the quality assurance of treatment, the NA recommended in the guideline should be carried out consistently.
Deep Learning in Cardiothoracic Ratio Calculation and Cardiomegaly Detection
Authors: Kufel Jakub , Paszkiewicz Iga , Kocot Szymon , Lis Anna , Dudek Piotr , Czogalik Łukasz , Janik Michał , Bargieł-Łączek Katarzyna , Bartnikowska Wiktoria , Koźlik Maciej , Cebula Maciej , Gruszczyńska Katarzyna , Nawrat Zbigniew
Published: July 2024

Objectives: The purpose of this study is to evaluate the performance of our deep learning algorithm in calculating cardiothoracic ratio (CTR) and thus in the assessment of cardiomegaly or pericardial effusion occurrences on chest radiography (CXR). Methods: From a database of 8000 CXRs, 13 folders with a comparable number of images were created. Then, 1020 images were chosen randomly, in proportion to the number of images in each folder. Afterward, CTR was calculated using RadiAnt Digital Imaging and Communications in Medicine (DICOM) Viewer software (2023.1). Next, heart and lung anatomical areas were marked in 3D Slicer. From these data, we trained an AI model which segmented heart and lung anatomy and determined the CTR value. Results: Our model achieved an Intersection over Union metric of 88.28% for the augmented training subset and 83.06% for the validation subset. F1-score for subsets were accordingly 90.22% and 90.67%. In the comparative analysis of artificial intelligence (AI) vs. humans, significantly lower transverse thoracic diameter (TTD) (p < 0.001), transverse cardiac diameter (TCD) (p < 0.001), and CTR (p < 0.001) values obtained using the neural network were observed. Conclusions: Results confirm that there is a significant correlation between the measurements made by human observers and the neural network. After validation in clinical conditions, our method may be used as a screening test or advisory tool when a specialist is not available, especially on Intensive Care Units (ICUs) or Emergency Departments (ERs) where time plays a key role.
Surgical Strategies for Renal Transplantation: A Pictorial Essay
Authors: Novacescu Dorin , Latcu Silviu Constantin , Raica Marius , Baderca Flavia , Dumitru Cristina-Stefania , Daminescu Liviu , Bardan Razvan , Dema Vlad , Croitor Alexei , Cut Talida Georgiana , Cumpanas Alin Adrian
Published: July 2024

This pictorial essay aims to navigate through the complexities and challenges of renal transplantation (RT), by weaving together visual imagery with clinical insights within a comprehensive illustrative surgical guide. Herein, we provide a detailed visual exploration of the intricate anatomy and surgical processes necessary for both renal graft retrieval from the donor and also for an adequate implantation in the recipient. Regarding graft retrieval, after reviewing the relevant retroperitoneal surgical anatomy, and donor nephrectomy techniques, graft preservation and optimal backbench graft dissection principles were meticulously analyzed. Thereafter, the recipient surgical strategy for graft implantation was addressed, focusing on preoperative preparations, the site of implantation selection, exposure, operative bed dissection, graft revascularization, and urinary tract reconstruction. Careful donor and recipient selection, meticulous surgical execution, and rigorous postoperative management clearly hold a pivotal role in optimizing patient outcomes. Fostering a deeper understanding of the surgical nuances and clinical management practices that contribute to successful results post-RT, we hope to provide a useful practical tool for clinicians about to embark on the treacherous road of RT surgery. Innovative technologies and surgical practices that have already significantly improved the safety and effectiveness of RT stand testament to the importance of further scientific inquiry, conceptual developments, and clinical integration. Moving forward, it is essential that the medical community continues to refine these strategies and advocate for equitable access to transplantation, ensuring that advancements in the field translate into real-world benefits for all patients grappling with ESRD. The collaborative efforts of multidisciplinary teams are essential in addressing the complex clinical challenges associated with RT, with the ultimate goal of improving patient survival, enhancing graft longevity, and reducing healthcare disparities.
Thermal, Mechanical and Electrical Properties of Ag Nanoparticle–Polymethyl Methacrylate Composites Under Different Service Temperatures
Authors: Chen Xin-Gang , Zhang Yang-Fei
Published: July 2024

Ag-nanoparticle-reinforced polymethyl methacrylate (AgNP/PMMA) composites are widely used in healthcare, electronics, construction, transportation and many other fields. As the service temperature fluctuates easily, it is necessary to study the temperature effect on the properties of AgNP/PMMA composites. In this work, a preparation method of mixing and hot-pressing was used to fabricate multifunctional AgNP/PMMA composites that are suitable for large-scale industrial production. AgNPs are found to disperse homogeneously in the PMMA matrix. The thermal conductivity of the composite with 15 vol% AgNPs is 116.19% higher than that of PMMA and decreases as the temperature rises. Flexural strength increases first and then decreases with the rising of AgNP content and service temperature, while the flexural modulus decreases gradually. The minimum electrical resistivity of the composite achieves 1.37 × 10−3 Ω·m, with a low percolation threshold of 5 vol%, an improvement of nine orders of magnitude over PMMA. The results demonstrate that the service temperature has a significant effect on the comprehensive properties of AgNP/PMMA composites.
Strength Recovery of Thermally Damaged High-Performance Concrete during Recuring
Authors: Li Ye , Wang Haodong , Lou Hangqi
Published: July 2024

High-performance concrete (HPC) experiences significant degradation in its mechanical properties after fire exposure. While various post-fire curing methods have been proposed to rehabilitate thermally damaged concrete (TDC), the physical and chemical changes occurring during these processes are not well-understood. This study examines the strength and microstructure restoration of HPC through water and water–CO2 cyclic recuring. HPC samples were initially heated to 600 °C and 900 °C, then subjected to water and cyclic recuring. Results indicate that the mechanical performance recovery of thermally damaged HPC is significantly better with cyclic recuring than with water recuring. The compressive strength of HPC samples exposed to 600 °C and 900 °C reached 131.6% and 70.3% of their original strength, respectively, after cyclic recuring. The optimal recuring duration for substantial recovery in thermally damaged HPC was determined to be 18 days. The strength recovery is primarily due to the healing of microcracks and the densification of decomposed cement paste. These findings clarify the physical and chemical processes involved in post-fire curing of HPC, highlighting the potential of water and water–CO2 cyclic recuring in the rehabilitation of TDC.
Effect of Interlayer on Flatness and Adhesion of Aerosol-Deposited Yttrium Oxide Coating
Authors: Lim Ki-Seong , Jang Tae-Soo , Jeong Jae-hyeon , Hong Sung-Hwan , Jin Joo
Published: July 2024

In this study, Y2O3 coating is used as an interlayer between Al2O3 substrate and a ceramic coating; this is in order to minimize the morphological distortion produced by a single deposition of the ceramic coating on the Al2O3 substrate, which is performed using the aerosol method. The interlayer coating, which comprises the Y2O3 phase, is deposited on the Al2O3 substrate using an e-beam evaporator. The crystal structure of the powder that was used to process the coating is identified as cubic Y2O3. In contrast, the crystal structure of the top-coating layer and interlayer indicates the presence of two kinds of Y2O3 phases, which possess cubic and monoclinic structures. The single Y2O3 coating without an interlayer exhibits microcracks around the interface between the coating and the substrate, which can be attributed to the stress that occurs during aerosol deposition. In contrast, no cracks are found in the aerosol-deposited Y2O3 coating and interlayer, which show a desirable microstructure. The single Y2O3 coating and the Y2O3 coating with an interlayer exhibit similar hardness and elastic modulus values. Nevertheless, the Y2O3 coating with an interlayer exhibits a higher level of adhesion than the single Y2O3 coating, with a value of 14.8 N compared to 10.2 N.
Analyzing the Effects of Cr and Mo on the Pearlite Formation in Hypereutectoid Steel Using Experiments and Phase Field Numerical Simulations
Authors: Qayyum Faisal , Darabi Ali Cheloee , Guk Sergey , Guski Vinzenz , Schmauder Siegfried , Prahl Ulrich
Published: July 2024

In this study, we quantitatively investigate the impact of 1.4 wt.% chromium and 1.4 wt.% molybdenum additions on pearlitic microstructure characteristics in 1 wt.% carbon steels. The study was carried out using a combination of experimental methods and phase field simulations. We utilized MatCalc v5.51 and JMatPro v12 to predict transformation behaviors, and electron microscopy for microstructural examination, focusing on pearlite morphology under varying thermal conditions. Phase field simulations were carried out using MICRESS v7.2 software and, informed by thermodynamic data from MatCalc v5.51 and the literature, were conducted to replicate pearlite formation, demonstrating a good agreement with the experimental observations. In this work, we introduced a semi-automatic reliable microstructural analysis method, quantifying features like lamella dimensions and spacing through image processing by Fiji ImageJ v1.54f. The introduction of Cr resulted in longer, thinner, and more homogeneously distributed cementite lamellae, while Mo led to shorter, thicker lamellae. Phase field simulations accurately predicted these trends and showed that alloying with Cr or Mo increases the density and circularity of the lamellae. Our results demonstrate that Cr stabilizes pearlite formation, promoting a uniform microstructure, whereas Mo affects the morphology without enhancing homogeneity. The phase field model, validated by experimental data, provides insights into the morphological changes induced by these alloying elements, supporting the optimization of steel processing conditions.
Performance Characterization and Composition Design Using Machine Learning and Optimal Technology for Slag–Desulfurization Gypsum-Based Alkali-Activated Materials
Authors: Liu Xinyi , Liu Hao , Wang Zhiqing , Zang Xiaoyu , Ren Jiaolong , Zhao Hongbo
Published: July 2024

Fly ash–slag-based alkali-activated materials have excellent mechanical performance and a low carbon footprint, and they have emerged as a promising alternative to Portland cement. Therefore, replacing traditional Portland cement with slag–desulfurization gypsum-based alkali-activated materials will help to make better use of the waste, protect the environment, and improve the materials’ performance. In order to better understand it and thus better use it in engineering, it needs to be characterized for performance and compositional design. This study developed a novel framework for performance characterization and composition design by combining Categorical Gradient Boosting (CatBoost), simplicial homology global optimization (SHGO), and laboratory tests. The CatBoost characterization model was evaluated and discussed based on SHapley Additive exPlanations (SHAPs) and a partial dependence plot (PDP). Through the proposed framework, the optimal composition of the slag–desulfurization gypsum-based alkali-activated materials with the maximum flexural strength and compressive strength at 1, 3, and 7 days is Ca(OH)2: 3.1%, fly ash: 2.6%, DG: 0.53%, alkali: 4.3%, modulus: 1.18, and W/G: 0.49. Compared with the material composition obtained from the traditional experiment, the actual flexural strength and compressive strength at 1, 3, and 7 days increased by 26.67%, 6.45%, 9.64%, 41.89%, 9.77%, and 7.18%, respectively. In addition, the results of the optimal composition obtained by laboratory tests are very close to the predictions of the developed framework, which shows that CatBoost characterizes the performance well based on test data. The developed framework provides a reasonable, scientific, and helpful way to characterize the performance and determine the optimal composition for civil materials.
Weathering Tests on Raw and Consolidated Vicenza Stone
Authors: Capasso Ilaria , Colella Abner , Iucolano Fabio
Published: July 2024

The preservation of cultural heritage, particularly historical stone structures, represents a very challenging matter due to several environmental and anthropogenic factors. Vicenza stone, a calcareous rock known for its historical significance and widespread use in architectural masterpieces, requires significant attention for conservation. In fact, as the demand for sustainable and effective preservation methods intensifies, the exploration of innovative consolidation strategies becomes essential. To this end, inorganic consolidants, based on alkaline silicate formulations and nano-silica, were explored for their promising performance in enhancing the surface properties and chemical stability of Vicenza stone. In particular, the durability of treated and untreated Vicenza stone samples was evaluated by means of accelerated weathering tests such as freeze–thaw cycles, salt crystallization and simulation of acid rain. The experimental results revealed that Vicenza stone is very resistant to the effects of freeze–thaw cycles and acid rain; both the accelerated weathering tests did not show significant differences between treated and untreated VS samples. A different behavior was detected for the test for resistance to salt crystallization, whose findings led us to deduce that, for this kind of degradation, it is possible to observe a more beneficial effect of the consolidation treatments on the stone durability.
Modeling of the Human Cardiovascular System: Implementing a Sliding Mode Observer for Fault Detection and Isolation
Authors: Serrano-Cruz Dulce A. , Boutat-Baddas Latifa , Darouach Mohamed , Astorga-Zaragoza Carlos M. , Guerrero Ramírez Gerardo V.
Published: July 2024

This paper presents a mathematical model of the cardiovascular system (CVS) designed to simulate both normal and pathological conditions within the systemic circulation. The model introduces a novel representation of the CVS through a change of coordinates, transforming it into the “quadratic normal form”. This model facilitates the implementation of a sliding mode observer (SMO), allowing for the estimation of system states and the detection of anomalies, even though the system is linearly unobservable. The primary focus is on identifying valvular heart diseases, which are significant risk factors for cardiovascular diseases. The model’s validity is confirmed through simulations that replicate hemodynamic parameters, aligning with existing literature and experimental data.
Relationship of Metabolic Dysfunction-Associated Steatohepatitis-Related Hepatocellular Carcinoma with Oral and Intestinal Microbiota: A Cross-Sectional Pilot Study
Authors: Matsui Takaaki , Morozumi Toshiya , Yamamoto Yuko , Kobayashi Takashi , Takuma Ryo , Yoneda Masato , Nogami Asako , Kessoku Takaomi , Tamura Muneaki , Nomura Yoshiaki , Takahashi Toru , Kamata Yohei , Sugihara Shuntaro , Arai Kyoko , Minabe Masato , Aoyama Norio , Mitsudo Kenji , Nakajima Atsushi , Komaki Motohiro
Published: July 2024

Background and Objectives: The incidence of metabolic dysfunction-associated steatohepatitis (MASH)-related hepatocellular carcinoma (HCC) is increasing worldwide, alongside the epidemic of obesity and metabolic syndrome. Based on preliminary reports regarding the potential association of HCC and periodontitis, this study aimed to analyze the involvement of periodontal bacteria as well as the oral and intestinal bacterial flora in MASH-related HCC (MASH-HCC). Materials and Methods: Forty-one patients with MASH and nineteen with MASH-HCC participated in the study, completing survey questionnaires, undergoing periodontal examinations, and providing samples of saliva, mouth-rinsed water, feces, and peripheral blood. The oral and fecal microbiome profiles were analyzed by 16S ribosomal RNA sequencing. Bayesian network analysis was used to analyze the causation between various factors, including MASH-HCC, examinations, and bacteria. Results: The genus Fusobacterium had a significantly higher occupancy rate (p = 0.002) in the intestinal microflora of the MASH-HCC group compared to the MASH group. However, Butyricicoccus (p = 0.022) and Roseburia (p < 0.05) had significantly lower occupancy rates. The Bayesian network analysis revealed the absence of periodontal pathogenic bacteria and enteric bacteria affecting HCC. However, HCC directly affected the periodontal bacterial species Porphyromonas gingivalis, Tannerella forsythia, Fusobacterium nucleatum, and Prevotella intermedia in the saliva, as well as the genera Lactobacillus, Roseburia, Fusobacterium, Prevotella, Clostridium, Ruminococcus, Trabulsiella, and SMB53 in the intestine. Furthermore, P. gingivalis in the oral cavity directly affected the genera Lactobacillus and Streptococcus in the intestine. Conclusions: MASH-HCC directly affects periodontal pathogenic and intestinal bacteria, and P. gingivalis may affect the intestinal bacteria associated with gastrointestinal cancer.
The Metabolic Potential of the Human Lung Microbiome
Authors: Semmler Florian , Regis Belisário-Ferrari Matheus , Kulosa Maria , Kaysser Leonard
Published: July 2024

The human lung microbiome remains largely underexplored, despite its potential implications in the pharmacokinetics of inhaled drugs and its involvement in lung diseases. Interactions within these bacterial communities and with the host are complex processes which often involve microbial small molecules. In this study, we employed a computational approach to describe the metabolic potential of the human lung microbiome. By utilizing antiSMASH and BiG-SCAPE software, we identified 1831 biosynthetic gene clusters for the production of specialized metabolites in a carefully compiled genome database of lung-associated bacteria and fungi. It was shown that RiPPs represent the largest class of natural products within the bacteriome, while NRPs constitute the largest class of natural products in the lung mycobiome. All predicted BGCs were further categorized into 767 gene cluster families, and a subsequent network analysis highlighted that these families are widely distributed and contain many uncharacterized members. Moreover, in-depth annotation allowed the assignment of certain gene clusters to putative lung-specific functions within the microbiome, such as osmoadaptation or surfactant synthesis. This study establishes the lung microbiome as a prolific source for secondary metabolites and lays the groundwork for detailed investigation of this unique environment.
Discovery and Exploration of the Luming Porphyry Mo Deposit, Northeastern China: Implications for Regional Prospecting
Authors: Gao Bangfei , Dong Minghua , Xie Hui , Liu Zhiliang , Li Yihang , Zhou Tong
Published: July 2024

Over the past two decades, significant deposit discoveries were made in Northeastern China, including the super-large Chalukou, Daheishan, and Luming porphyry Mo deposits. The discovery of the Luming deposit was accomplished through verification of stream sediment anomalies, with mineralization closely associated with early Jurassic monzogranite and granite porphyry. Previous studies primarily focused on the mineralization mechanisms of these deposits without adequately addressing the exploration methods and prospecting criteria. This study involved a comprehensive re-evaluation of geological observations, analysis of rock primary halo, gravity and magnetic surveys, and induced polarization surveys conducted during exploration campaigns at the Luming porphyry Mo deposit. The results suggest that hydrothermal breccias play a critical role in controlling the mineralization by forming a central low-grade core within the deposit while the Mo mineralization and hydrothermal alteration exhibit a donut-shaped distribution around it. The primary halo shows a distinct metal zonation moving from a central W-Bi-Mo-(Sb) to a peripheral Cu-Co-Ni and a distal Pb-Zn-Ag-In. The mineralization zone exhibits a low Bouguer gravity anomaly, negative magnetic anomaly, medium to low resistivity, and moderate to high chargeability, indicating the effectiveness of geophysical methods in defining the extent of the ore body. The Luming porphyry Mo deposit and distal skarn-epithermal Pb-Zn mineralization are parts of a porphyry-related magmatic-hydrothermal system. The results of this study offer valuable insights into the genesis of porphyry Mo deposits and their implications for prospecting in the forested region of Northeastern China.
Direct Regeneration of Degraded LiFePO4 Cathode via Reductive Solution Relithiation Regeneration Process
Authors: Li Chenchen , Gong Rui , Zhang Yingjie , Meng Qi , Dong Peng
Published: July 2024

The rapid growth of electronic devices, electric vehicles, and mobile energy storage has produced large quantities of spent batteries, leading to significant environmental issues and a shortage of lithium resources. Recycling spent batteries has become urgent to protect the environment. The key to treating spent lithium-ion batteries is to implement green and efficient regeneration. This study proposes a recycling method for the direct regeneration of spent lithium iron phosphate (LFP) batteries using hydrothermal reduction. Ascorbic acid (AA) was used as a low-cost and environmentally friendly reductant to reduce Fe3+ in spent LiFePO4. We also investigated the role of AA in the hydrothermal process and its effects on the electrochemical properties of the regenerated LiFePO4 cathode material (AA-SR-LFP). The results showed that the hydrothermal reduction direct regeneration method successfully produced AA-SR-LFP with good crystallinity and electrochemical properties. AA-SR-LFP exhibited excellent electrochemical properties, with an initial discharge specific capacity of 144.4 mAh g−1 at 1 C and a capacity retention rate of 98.6% after 100 cycles. In summary, the hydrothermal reduction direct regeneration method effectively repairs the defects in the chemical composition and crystal structure of spent LiFePO4. It can be regarded as a green and effective regeneration approach for spent LiFePO4 cathode materials.
The Dynamic Modulation Doping Effect of Gas Molecules on an AlGaN/GaN Heterojunction Surface
Authors: Ma Ying , Shi Lin , Chen Liang , Chen Cai , Hong Yifang , Qin Hua , Zhang Xiaodong , Cui Yi , Lin Hongzhen , Cheng Zhiqun , Zhang Fan , Mao Linfeng , Cai Yong
Published: July 2024

AlGaN/GaN high-electron-mobility transistors (HEMTs) are widely used in high-frequency and high-power applications owing to the high two-dimensional electron gas (2DEG) concentration. However, the microscopic origin of the 2DEG remains unclear. This hinders the development of device fabrication technologies, such as threshold voltage modulation, current collapse suppression, and 2DEG concentration enhancement technologies, as well as AlGaN/GaN sensors with very high sensitivity to polar liquids. To clarify the 2DEG microscopic origin, we studied the effects of gas molecules on AlGaN/GaN surfaces through various experiments and first-principles calculations. The results indicated that the adsorption of gas molecules on the AlGaN/GaN surface is an important phenomenon, clarifying the microscopic origin of the 2DEG. This study elucidates the properties of AlGaN/GaN heterojunctions and promotes the development of new fabrication technologies for AlGaN/GaN devices.
Celiac Disease: A Forty-Year Analysis in an Italian Referral Center
Authors: Lungaro Lisa , Costanzini Anna , Manza Francesca , Caputo Fabio , Remelli Francesca , Volpato Stefano , De Giorgio Roberto , Volta Umberto , Caio Giacomo
Published: July 2024

Background: Celiac disease (CD) is an autoimmune disorder triggered by gluten ingestion. Herein, we assessed clinical, serological and histopathological findings of a single-center, large cohort of CD patients diagnosed and followed-up over forty years. Methods: From January 1980 to December 2020, 1547 CD patients (1170 females; age range: 8–81 years; F:M ratio = 3.1:1) were diagnosed in an Italian tertiary referral center. Comorbidities and complications were recorded at diagnosis and during follow-up. Results: CD diagnoses quadrupled after 2000. The most frequent phenotype was the non-classical CD (63.3%), and the most prevalent histotype was Marsh 3C (44.7%). Gastrointestinal manifestations, detectable in 51% of patients, were diarrhea (24.3%), bloating (28%) and aphthous stomatitis (19.7%). The most common CD-associated disorder was osteopenia (59.9%), predominant in females (64.3%); extraintestinal manifestations included anemia (35.8% iron-deficiency; 87% folic acid malabsorption), cryptogenic hypertransaminasemia (27.9%), and recurrent miscarriages (11.5%). Thyroiditis (26.9%), type 1 diabetes mellitus (2.9%), and dermatitis herpetiformis (1.4%) were the most common CD-related autoimmune disorders. Six patients had inflammatory bowel disease. Complications and mortality rate occurred in 1.8% and 1.9%, respectively. Conclusions: This single-center, large cohort analysis confirmed that CD presentation changed over the years, with an increase of non-classical and subclinical clinical phenotypes.
Diplotaxis erucoides and Oxalis pes-caprae: Two Wild Edible Plants as a New and Valuable Source of Carotenoids, Tocols and B1 and B2 Vitamins
Authors: Clemente-Villalba Jesús , Fratianni Alessandra , Issa-Issa Hanán , Ianiri Giuseppe , Hernández Francisca , Vitone Caroline , Carbonell-Barrachina Ángel A. , Panfili Gianfranco
Published: July 2024

The aim of this study was to determine the profile and contents of carotenoids, tocols and B1 and B2 vitamins in different parts of two wild edible plants (WEPs), Diplotaxis erucoides and Oxalis pes-caprae. Results showed interesting amounts of these bioactive compounds in the leaves, with intakes higher than the Recommended Daily Allowance (RDA) for vitamin A and vitamin E after consumption of 100 g. Diplotaxis erucoides and Oxalis pes-caprae leaves evidenced high amounts of carotenoids, such as lutein (about 8 mg/100 g and 5 mg, respectively) and β-carotene (about 8 mg/100 g and 4 mg/100 g, respectively). Even when not present at high amounts, the investigated plants can also contribute to the daily intake of thiamine and riboflavin. The rich profile and high contents of bioactive compounds in these WEPs clearly justify their potential use as food ingredients in a healthy and sustainable modern cuisine and in the development of new functional foods.
Eating Styles Profiles and Correlates in Chinese Postpartum Women: A Latent Profile Analysis
Authors: Peng Jiayuan , Xu Tian , Tan Xiangmin , He Yuqing , Zeng Yi , Tang Jingfei , Sun Mei
Published: July 2024

Postpartum women present a high risk of disordered eating behaviors, but the heterogeneity between groups was not identified. This cross-sectional study aimed to identify eating styles profiles in postpartum women and explore the correlates based on demographic characteristics and psychosocial factors. Questionnaires were administered to 507 Chinese postpartum women. Latent profile analysis (LPA) was conducted to identify eating styles profiles. Multinomial logistic regression was used to investigate the correlates of these profiles among postpartum women. The LPA identified three eating styles profiles: postpartum women with low emotional, external, and restrained eating (Profile 1, 6.9%); postpartum women with medium emotional, external, and restrained eating (Profile 2, 66.1%); and postpartum women with high emotional, external, and restrained eating (Profile 3, 27.0%). Compared to Profile 1, higher postpartum depression (PPD) and body mass index (BMI) were more likely to be associated with Profile 2 and Profile 3, whereas higher postpartum weight retention (PPWR) was more likely to be associated with Profile 1. Compared to Profile 2, higher PPD and BMI were more likely associated with Profile 3. Disordered eating behaviors in postpartum women with three eating styles were associated with BMI, PPD, and PPWR. This study can guide healthcare professionals in developing targeted interventions to improve maternal and child health globally.
Association of Vegetables-Fruits Dietary Patterns with Gestational Diabetes Mellitus: Mediating Effects of Gut Microbiota
Authors: Shan Xiaoxi , Peng Caixia , Zou Hanshuang , Pan Yunfeng , Wu Minchan , Xie Qingqing , Lin Qian
Published: July 2024

(1) Introduction: Previous studies have found that diet can change gut microbiota, thereby affecting metabolic health. However, research on gestational diabetes mellitus (GDM) is still limited. Our study aimed to explore the mediating role of gut microbiota in the relationship between dietary patterns and GDM. (2) Methods: In this case-control study, 107 women with GDM at 24–28 weeks of gestation and 78 healthy pregnant women were enrolled. A semi-quantitative food frequency questionnaire (FFQ) was used to assess dietary intake over the previous month. Mediation analysis was performed to explore the link between dietary patterns, gut microbiota, and GDM. (3) Results: Among the five dietary patterns extracted, the high group (factor scores ≥ −0.07) of the vegetables-fruits dietary pattern had a 67% lower risk of developing GDM compared to the low group (factor scores < −0.07) (OR: 0.33; 95% CI: 0.15–0.74). In addition, a significant alteration was observed in gut microbiota composition among GDM pregnant women. Mediation analysis showed that the Lachnospiraceae family, Blautia, and Ruminococcus genus partially mediated the effect of vegetables-fruits dietary pattern on GDM, explaining 45.81%, 44.33%, and 31.53% of the association, respectively. (4) Conclusions: Adherence to vegetables-fruits dietary patterns during pregnancy may reduce the risk of GDM by altering gut microbiota composition.
Perioperative Glutamine Supplementation May Restore Atrophy of Psoas Muscles in Gastric Adenocarcinoma Patients Undergoing Gastrectomy
Authors: Wu Jin-Ming , Tsai Hsing-Hua , Tseng Shang-Ming , Liu Kao-Lang , Lin Ming-Tsan
Published: July 2024

Background: Sarcopenia, characterized by degenerative skeletal muscle loss, is increasingly linked to poor surgical outcomes. Glutamine, an immune-modulating formula, may stimulate muscle protein synthesis and inhibit degradation. We used the psoas major muscle area (PMMA) at the third lumbar vertebra, normalized for height (PMMA index), as a skeletal muscle indicator. This study investigates whether perioperative glutamine supplementation mitigates psoas muscle atrophy. Methods: We enrolled gastric adenocarcinoma (GA) patients undergoing gastrectomy. Computed tomography assessed the psoas muscle short axis. Muscle atrophy was estimated by changes between preoperative and three-month post-gastrectomy scans. Perioperative glutamine supplementation (PGS) comprised five-day parenteral plus one-month oral use. Propensity score matching minimized potential bias. A linear regression model predicted the association. Results: Of 516 patients analyzed (2016–2019), 100 (19.4%) received PGS. After propensity score matching, each group contained 97 cases. The PGS group showed a significantly higher median PMMA index change than the non-PGS group (0.3 vs. −0.3 cm2/m2, p = 0.004). Multivariate analysis revealed that PGS was significantly associated with increased PMMA index (coefficient = 0.60; 95% CI: 0.19–1.01; p = 0.005). Conclusions: PGS may help restore psoas muscle atrophy in GA patients undergoing gastrectomy. The underlying mechanisms likely relate to glutamine’s role in protein metabolism and immune function. Further studies are needed to elucidate these mechanisms fully.
The Effect of Protein Nutritional Support on Inflammatory Bowel Disease and Its Potential Mechanisms
Authors: Li Qingye , Wang Jing
Published: July 2024

Inflammatory bowel disease (IBD), a complex chronic inflammatory bowel disorder that includes Crohn’s disease (CD) and Ulcerative Colitis (UC), has become a globally increasing health concern. Nutrition, as an important factor influencing the occurrence and development of IBD, has attracted more and more attention. As the most important nutrient, protein can not only provide energy and nutrition required by patients, but also help repair damaged intestinal tissue, enhance immunity, and thus alleviate inflammation. Numerous studies have shown that protein nutritional support plays a significant role in the treatment and remission of IBD. This article presents a comprehensive review of the pathogenesis of IBD and analyzes and summarizes the potential mechanisms of protein nutritional support in IBD. Additionally, it provides an overview of the clinical effects of protein nutritional support in IBD and its impact on clinical complications. Research findings reveal that protein nutritional support demonstrates significant benefits in improving clinical symptoms, reducing the risk of complications, and improving quality of life in IBD patients. Therefore, protein nutritional support is expected to provide a new approach for the treatment of IBD.
New Insights into the Phylogeny of the A.Br.161 (“A.Br.Heroin”) Clade of Bacillus anthracis
Authors: Antwerpen Markus , Beyer Wolfgang , Grass Gregor
Published: July 2024

Bacillus anthracis is a rare but highly dangerous zoonotic bacterial pathogen. At the beginning of this century, a new manifestation of the disease, injectional anthrax, emerged as a result of recreational heroin consumption involving contaminated drugs. The organisms associated with this 13-year-lasting outbreak event in European drug consumers were all grouped into the canonical single-nucleotide polymorphism (canSNP) clade A-branch (A.Br.) 161 of B. anthracis. Related clade A.Br.161 strains of B. anthracis not associated with heroin consumption have also been identified from different countries, mostly in Asia. Because of inadvertent spread by anthropogenic activities, other strains of this A.Br.161 lineage were, however, isolated from several countries. Thus, without additional isolates from this clade, its origin of evolution or its autochthonous region remains obscure. Here, we genomically characterized six new A.Br.161 group isolates, some of which were from Iran, with others likely historically introduced into Germany. All the chromosomes of these isolates could be grouped into a distinct sub-clade within the A.Br.161 clade. This sub-clade is separated from the main A.Br.161 lineage by a single SNP. We have developed this SNP into a PCR assay facilitating the future attribution of strains to this group.
Infective Endocarditis by Campylobacter Species—A Narrative Review
Authors: Ioannou Petros , Sourris Angelos , Tsantes Andreas G. , Samonis George
Published: July 2024

Infective endocarditis (IE) is a disease that may cause significant morbidity and mortality. IE is classically caused by Gram-positive microorganisms; however, Gram-negative bacteria may seldom also be the cause. Campylobacter species cause zoonosis and may also infect humans, mainly causing gastrointestinal infection by C. jejuni or invasive disease by C. fetus, such as bacteremia, sepsis, meningitis, or vascular infection. Campylobacter species IE has rarely been described, and most reports are cases and/or case series. Thus, the characteristics of this disease, including its epidemiology, clinical presentation, treatment, and outcome, remain largely unknown. This study aimed to review all published Campylobacter IE cases and describe their characteristics. A thorough search of PubMed, the Cochrane Library, and Scopus for published studies providing information on epidemiology, clinical findings, treatment, and outcome of Campylobacter IE cases was performed for the present narrative review. A total of 22 studies containing data from 26 patients were located and included. Among all patients, 73.1% were male; the median age was 65 years. Among all patients, 36.4% had a history of a prosthetic valve. The most commonly affected valve was the aortic, followed by the mitral. Fever, heart failure, and sepsis were the most frequent clinical findings. The most commonly isolated pathogen was C. fetus, with only one patient having C. jejuni IE. Antimicrobial resistance was low for all antimicrobials, with tetracycline having the highest resistance. Aminoglycosides and beta-lactams were the most commonly used antimicrobials. Surgery was performed in 48% of patients. The mortality rate was 26.9%. Patients who died were more likely to have sepsis, shock, and heart failure and were less likely to have been treated with aminopenicillins; however, no factor was identified in a multivariate logistic regression model as an independent factor for overall mortality.
Correction: Elwakil et al. Memory Impairment, Pro-Inflammatory Host Response and Brain Histopathologic Severity in Rats Infected with K. pneumoniae or P. aeruginosa Meningitis. Pathogens 2022, 11, 933
Authors: Elwakil Bassma H. , Bakr Basant A. , Aljeldah Mohammed M. , Shehata Nourhan S. , Shahin Yahya H. , Olama Zakia A. , Augustyniak Maria , Aboul-Soud Mourad A. M. , Wakil Abeer El
Published: July 2024

In the original publication [...]
Performance Investigation of Joint LUT and GS Algorithm at the Transceiver for Nonlinear and CD Compensation
Authors: Zhang Xiaoying , Huo Jiahao , Bai Haolin , Qin Peng , Huangfu Wei , Long Keping
Published: July 2024

In order to meet the increasing requirements of speed and distance, an advanced digital signal processing (DSP) algorithm is preferred without changing the system structure in intensity modulation and the direct detection (IM/DD) system. As the transmission distance increases, the power fading induced by dispersion must be mitigated. In addition, linear and nonlinear inter symbol interference (ISI) introduced by bandwidth limitation and device imperfections becomes an obstacle to achieving higher capacity. The Gerchberg–Saxton (GS) algorithm was recently used to compensate for dispersion. In this paper, GS-based pre- and post-compensation schemes in the IM/DD system with nonlinearity were investigated. We investigated and compared the performance of the GS-based pre- and post-compensation algorithm in a 28 GB aud four-level pulse amplitude modulation (PAM-4) transmission over 40 km standard single-mode fiber (SSMF). The bit error rate (BER) achieved a threshold of 3.8 × 10−3 using look-up-table (LUT), FFE, and the GS-based pre-compensation algorithm without iterations. Turning to the GS-based post-compensation scheme, 80 iterations are needed. However, the demand for FFE is reduced. The algorithm selection depends on the tolerance of the transmitter or receiver complexity in specific scenarios. The joint LUT and GS-based pre-compensation algorithm may be a preferable approach in scenarios where a low-complexity receiver is desired.
Croton gratissimus Burch Herbal Tea Exhibits Anti-Hyperglycemic and Anti-Lipidemic Properties via Inhibition of Glycation and Digestive Enzyme Activities
Authors: Salau Veronica F. , Olofinsan Kolawole A. , Mishra Abhay P. , Odewole Olufemi A. , Ngnameko Corinne R. , Matsabisa Motlalepula G.
Published: July 2024

Over the years, the world has continued to be plagued by type 2 diabetes (T2D). As a lifestyle disease, obese individuals are at higher risk of developing the disease. Medicinal plants have increasingly been utilized as remedial agents for managing metabolic syndrome. The aim of the present study was to investigate the in vitro anti-hyperglycemic and anti-lipidemic potential of Croton gratissimus herbal tea infusion. The inhibitory activities of C. gratissimus on carbohydrate (α-glucosidase and α-amylase) and lipid (pancreatic lipase) hydrolyzing enzymes were determined, and the mode of inhibition of the carbohydrate digestive enzymes was analyzed and calculated via Lineweaver–Burk plots and Michaelis Menten’s equation. Its effect on Advanced Glycation End Product (AGE) formation, glucose adsorption, and yeast glucose utilization were also determined. High-performance liquid chromatography (HPLC) was used to quantify the possible phenolic compounds present in the herbal tea infusion, and the compounds were docked with the digestive enzymes. C. gratissimus significantly (p < 0.05) inhibited α-glucosidase (IC50 = 60.56 ± 2.78 μg/mL), α-amylase (IC50 = 35.67 ± 0.07 μg/mL), as well as pancreatic lipase (IC50 = 50.27 ± 1.51 μg/mL) in a dose-dependent (15–240 µg/mL) trend. The infusion also inhibited the non-enzymatic glycation process, adsorbed glucose effectively, and enhanced glucose uptake in yeast cell solutions at increasing concentrations. Molecular docking analysis showed strong binding affinity between HPLC-quantified compounds (quercetin, caffeic acid, gallic acid, and catechin) of C. gratissimus herbal tea and the studied digestive enzymes. Moreover, the herbal tea product did not present cytotoxicity on 3T3-L1 cell lines. Results from this study suggest that C. gratissimus herbal tea could improve glucose homeostasis and support its local usage as a potential anti-hyperglycemic and anti-obesogenic agent. Further in vivo and molecular studies are required to bolster the results from this study.
Screening Cover Crops for Utilization in Irrigated Vineyards: A Greenhouse Study on Species’ Nitrogen Uptake and Carbon Sequestration Potential
Authors: Sharifi Mehdi , Salimi Khaled , Rosa Daniel , Hart Miranda
Published: July 2024

This study examines the potential of 23 plant species, comprising 10 legumes, 9 grasses, and 4 forbs, as cover crops to enhance carbon (C) sequestration and soil nitrogen (N) in vineyards. After a 120-day evaluation period, cover crop biomass was incorporated into the soil, and grapevine seedlings were planted in its place. Among the established cover crops, the C input potential ranged from 0.267 to 1.69 Mg ha−1, and the N input potential ranged from 12.3 to 114 kg ha−1. Legume species exhibited up to threefold greater shoot dry weight (SDW) compared to grass species. Ladino white clover, Dutch white clover, and Clover blend were superior in SDW, total dry weight (TDW), total C content, and total N content. Legumes exhibited slightly higher root dry weight (RDW) than grasses, with the exception of Fall rye leading at 15 g pot−1, followed by Ladino white clover and Dutch white clover at an average of 12 g pot−1. Legumes, particularly clover blend and Alsike clover, displayed high shoot N concentration at an average of 2.95%. Root N concentration in Legumes (Fabaceae) were significantly higher at 1.82% compared to other plant families at 0.89%, while their root C/N ratio was lower at 18.3, contrasting with others at 27.7, resulting in a faster turnover. Biomass production exhibited a negative relationship (R2 = 0.51) with soil residual NO3−. Fall rye, Winfred brassica, and buckwheat had the highest N utilization efficiency (NUtE) values (ava. 121 g g−1). Alsike clover, Ladino white clover, and clover blend showed the highest N uptake efficiency (NUpE) values (ava. 75%). The Readily Available N (RAN) Reliance Index (RANRI) is introduced as a novel indicator for quantifying the extent to which a plant relies on RAN for its total N requirement. The RANRI value represents the percentage of the plant’s total N sourced from RAN, ranging from 11% for legumes to 86% for grasses. This implies a substantial influx of nitrogen through a pathway independent of RAN in legumes. Grape shoot N concentration positively correlated with soil NO3− (R2 = 0.31) and cover crop C/N ratio (R2 = 0.17) but negatively correlated with cover crop TDW (R2 = 0.31). This study highlights legume plants as more effective in C and N assimilation during establishment but cautions about potential soil mineral N depletion before reaching their full biological N fixation capacity.