bluuebunny/crossref_metadata_2025 huggingface dataset:
The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
Authors: Pantovic Milan , Boss Rhett , Noorda Kevin J. , Premyanov Mario I. , Aynlender Daniel G. , Wilkins Erik W. , Boss Sage , Riley Zachary A. , Poston Brach
Published: November 2023

Intracortical facilitation (ICF) is a paired-pulse transcranial magnetic stimulation (TMS) measurement used to quantify interneuron activity in the primary motor cortex (M1) in healthy populations and motor disorders. Due to the prevalence of the technique, most of the stimulation parameters to optimize ICF quantification have been established. However, the underappreciated methodological issue of the time between ICF trials (inter-trial interval; ITI) has been unstandardized, and different ITIs have never been compared in a paired-pulse TMS study. This is important because single-pulse TMS studies have found motor evoked potential (MEP) amplitude reductions over time during TMS trial blocks for short, but not long ITIs. The primary purpose was to determine the influence of different ITIs on the measurement of ICF. Twenty adults completed one experimental session that involved 4 separate ICF trial blocks with each utilizing a different ITI (4, 6, 8, and 10 s). Two-way ANOVAs indicated no significant ITI main effects for test MEP amplitudes, condition-test MEP amplitudes, and therefore ICF. Accordingly, all ITIs studied provided nearly identical ICF values when averaged over entire trial blocks. Therefore, it is recommended that ITIs of 4–6 s be utilized for ICF quantification to optimize participant comfort and experiment time efficiency.
Pixel Diffuser: Practical Interactive Medical Image Segmentation without Ground Truth
Authors: Ju Mingeon , Yang Jaewoo , Lee Jaeyoung , Lee Moonhyun , Ji Junyung , Kim Younghoon
Published: November 2023

Medical image segmentation is essential for doctors to diagnose diseases and manage patient status. While deep learning has demonstrated potential in addressing segmentation challenges within the medical domain, obtaining a substantial amount of data with accurate ground truth for training high-performance segmentation models is both time-consuming and demands careful attention. While interactive segmentation methods can reduce the costs of acquiring segmentation labels for training supervised models, they often still necessitate considerable amounts of ground truth data. Moreover, achieving precise segmentation during the refinement phase results in increased interactions. In this work, we propose an interactive medical segmentation method called PixelDiffuser that requires no medical segmentation ground truth data and only a few clicks to obtain high-quality segmentation using a VGG19-based autoencoder. As the name suggests, PixelDiffuser starts with a small area upon the initial click and gradually detects the target segmentation region. Specifically, we segment the image by creating a distortion in the image and repeating it during the process of encoding and decoding the image through an autoencoder. Consequently, PixelDiffuser enables the user to click a part of the organ they wish to segment, allowing the segmented region to expand to nearby areas with pixel values similar to the chosen organ. To evaluate the performance of PixelDiffuser, we employed the dice score, based on the number of clicks, to compare the ground truth image with the inferred segment. For validation of our method’s performance, we leveraged the BTCV dataset, containing CT images of various organs, and the CHAOS dataset, which encompasses both CT and MRI images of the liver, kidneys and spleen. Our proposed model is an efficient and effective tool for medical image segmentation, achieving competitive performance compared to previous work in less than five clicks and with very low memory consumption without additional training.
C-Reactive Protein as a Marker of Inflammation in Children and Adolescents with Metabolic Syndrome: A Systematic Review and Meta-Analysis
Authors: Podeanu Mihaela-Andreea , Turcu-Stiolica Adina , Subțirelu Mihaela Simona , Stepan Mioara Desdemona , Ionele Claudiu-Marinel , Gheonea Dan-Ionuț , Vintilescu Bianca Ștefănița , Sandu Raluca Elena
Published: November 2023

Metabolic syndrome (MetS) in the pediatric population has been reported in many studies to be associated with an inflammatory response. However, to our knowledge, there is no definitive conclusion in the form of a meta-analysis. The issue we aimed to address is whether C-reactive protein (CRP) is a trustworthy marker in detecting inflammation in children and adolescents with MetS. We systematically searched PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, the ISI Web of Science, and SCOPUS until 31 June 2023 for studies involving children and adolescents with MetS where hsCRP or CRP were measured. After the screening process, we identified 24 full-text articles that compared 930 patients with MetS with either healthy (n = 3782) or obese (n = 1658) controls. The risk of bias in the included studies was assessed using the Begg’s rank correlation test and Egger’s regression test. Statistical analysis was carried out based on pooled mean differences (MDs) and an associated 95% CI. Data analysis showed that MetS is associated with higher levels of CRP than those in healthy controls (MD = 1.28, 95% CI: (0.49–2.08), p = 0.002) in obese patients (MD = 0.88, 95% CI: (0.38–1.39), p = 0.0006). However, conventional methods of CRP analysis were found to be more accurate in differentiating between children and adolescents with obesity and those with MetS, compared with hsCRP (MD = 0.60, 95% CI: (−0.08–1.28), p = 0.08). No risk of bias was assessed. In conclusion, CRP is a reliable inflammatory marker for differentiating pediatric patients with MetS from healthy ones. On the other hand, it did not prove to be very accurate in distinguishing between patients who had MetS and those who were obese. There should be more research performed in this field.
Composite Hydrogels Based on Bacterial Cellulose and Poly-1-vinyl-1,2,4-triazole/Phosphoric Acid: Supramolecular Structure as Studied by Small Angle Scattering
Authors: Smyslov Ruslan Y. , Emel’yanov Artem I. , Ezdakova Ksenia V. , Korzhova Svetlana A. , Gorshkova Yulia E. , Khripunov Albert K. , Migunova Alexandra V. , Tsvigun Natalia V. , Prozorova Galina F. , Veselova Varvara O. , Kopitsa Gennady P. , Lu Lijun , Mao Yanchao , Pozdnyakov Alexander S.
Published: November 2023

New composite hydrogels (CH) based on bacterial cellulose (BC) and poly-1-vinyl-1,2,4-triazole (PVT) doped with orthophosphoric acid (oPA), presenting interpenetrating polymeric networks (IPN), have been synthesized. The mesoscopic study of the supramolecular structure (SMS) of both native cellulose, produced by the strain Komagataeibacter rhaeticus, and the CH based on BC and containing PVT/oPA complex were carried out in a wide range of momentum transfer using ultra- and classical small-angle neutron scattering techniques. The two SMS hierarchical levels were revealed from 1.6 nm to 2.5 μm for the objects under investigation. In addition, it was shown that the native BC had a correlation peak on the small-angle scattering curves at 0.00124 Å−1, with the correlation length ξ being equal to ca. 510 nm. This motive was also retained in the IPN. The data obtained allowed the estimation of the fractal dimensions and ranges of self-similarity and gave new information about the BC mesostructure and its CH. Furthermore, we revealed them to be in coincidence with Brown’s BC model, which was earlier supported by Fink’s results.
MoS2/S@g-CN Composite Electrode for L-Tryptophan Sensing
Authors: Niyitanga Theophile , Pathak Aarti , Chaudhary Archana , Khan Rais Ahmad , Kim Haekyoung
Published: November 2023

L-tryptophan (L-TRP) is an essential amino acid responsible for the establishment and maintenance of a positive nitrogen equilibrium in the nutrition of human beings. Therefore, it is vital to quantify the amount of L-tryptophan in our body. Herein, we report the MoS2/S@g-CN-modified glassy carbon electrode for the electrochemical detection of L-tryptophan (L-TRP). The MoS2/S@g-CN composite was successfully synthesized using an efficient and cost-effective hydrothermal method. The physical and chemical properties of the synthesized composite were analyzed using powder X-ray diffraction (PXRD), scanning electron microscopy (SEM), X-ray photoelectron spectroscopy (XPS), and energy-dispersive X-ray analysis (EDX). The crystallite size of the composite was calculated as 39.4 nm, with porous balls of MoS2 decorated over the S@g-CN surface. The XPS spectrum confirmed the presence of Mo, S, O, C, and N elements in the sample. The synthesized nanocomposite was further used to modify the glassy carbon (GC) electrode (MoS2/S@g-CN/GC). This MoS2/S@g-CN/GC was used for the electrochemical detection of L-TRP using cyclic voltammetry (CV) and differential pulse voltammetry (DPV) techniques. For the purpose of comparison, the effects of the scanning rate and the concentration of L-TRP on the current response for the bare GC, S@g-CN/GC, MoS2/GC, and MoS2/S@g-CN/GC were studied in detail. The MoS2/S@g-CN-modified GC electrode exhibited a rational limit of detection (LoD) of 0.03 µM and a sensitivity of 1.74 µA/ µMcm2, with excellent stability, efficient repeatability, and high selectivity for L-TRP detection.
FKBP38 Regulates Self-Renewal and Survival of GBM Neurospheres
Authors: Dowling Aimee L. , Walbridge Stuart , Ertekin Celine , Namagiri Sriya , Camacho Krystal , Chowdhury Ashis , Bryant Jean-Paul , Kohut Eric , Heiss John D. , Brown Desmond A. , Kumbar Sangamesh G. , Banasavadi-Siddegowda Yeshavanth Kumar
Published: November 2023

Glioblastoma is the most common malignant primary brain tumor. The outcome is dismal, despite the multimodal therapeutic approach that includes surgical resection, followed by radiation and chemotherapy. The quest for novel therapeutic targets to treat glioblastoma is underway. FKBP38, a member of the immunophilin family of proteins, is a multidomain protein that plays an important role in the regulation of cellular functions, including apoptosis and autophagy. In this study, we tested the role of FKBP38 in glioblastoma tumor biology. Expression of FKBP38 was upregulated in the patient-derived primary glioblastoma neurospheres (GBMNS), compared to normal human astrocytes. Attenuation of FKBP38 expression decreased the viability of GBMNSs and increased the caspase 3/7 activity, indicating that FKBP38 is required for the survival of GBMNSs. Further, the depletion of FKBP38 significantly reduced the number of neurospheres that were formed, implying that FKBP38 regulates the self-renewal of GBMNSs. Additionally, the transient knockdown of FKBP38 increased the LC3-II/I ratio, suggesting the induction of autophagy with the depletion of FKBP38. Further investigation showed that the negative regulation of autophagy by FKBP38 in GBMNSs is mediated through the JNK/C-Jun–PTEN–AKT pathway. In vivo, FKBP38 depletion significantly extended the survival of tumor-bearing mice. Overall, our results suggest that targeting FKBP38 imparts an anti-glioblastoma effect by inducing apoptosis and autophagy and thus can be a potential therapeutic target for glioblastoma therapy.
Preference for Comprehensive Dental Treatment under General Anesthesia among Parents with Previous Experience: A Cross-Sectional Study
Authors: Bagher Sara M. , Sabbagh Heba Jafar , Nadhreen Alaa , Alamoudi Najlaa M. , Almushayt Abdullah , Al-Malik Manal , Al Shehri Maha R. , Elkhodary Heba Mohamed
Published: November 2023

This study aims to assess whether parents of children who previously received comprehensive dental treatment under general anesthesia (GA) would prefer comprehensive dental treatment under GA over regular dental care if any of their other children required comprehensive dental treatment. In this cross-sectional study, parents of children who met the inclusion criteria were interviewed by a trained pediatric resident about parental-related factors as well as their satisfaction with their previous GA experience. Also, the factors related to the previously treated child were obtained from dental records. Statistical analysis was carried out, and the p value was set to 0.05. A total number of 306 parents were included. Although most parents, 293 (95.8%), showed satisfaction with the previous GA, 170 (58%) of the satisfied parents preferred regular care. Parents of children who were previously treated under GA for medical-related reasons (p = 0.018), fathers working in a governmental sector (p = 0.021), and families with low-average monthly income (p = 0.017) significantly preferred regular care. In conclusion, most parents were satisfied with the previous GA experience. Family income, fathers’ occupation, and medical-related factors can influence parental preference for comprehensive dental treatment under general anesthesia if any of their other children require comprehensive dental treatment.
Preparing for Death While Investing in Life: A Narrative Inquiry and Case Report of Home-Based Paediatric Palliative, End-of-Life, and After-Death Care
Authors: Noyes Michelle , Delaney Angela , Lang Meagan , Maybury Mellissa , Moloney Susan , Bradford Natalie
Published: November 2023

Paediatric palliative care is pivotal for addressing the complex needs of children with incurable diseases and their families. While home-based care offers a familiar and supportive environment, delivering comprehensive services in this context is challenging. The existing literature on home-based palliative care lacks detailed guidance for its organization and implementation. This qualitative narrative inquiry explores the organization and provision of home-based paediatric palliative care. Data were collected from healthcare practitioners using conversations, storytelling, and reflective journaling. Schwind’s Narrative Reflective Process was applied to synthesize the data, resulting in an in-depth case description. The narrative approach illuminates the complexities of home-based paediatric palliative, end-of-life, and after-death care. Key findings encompass the importance of early-care coordination, interprofessional collaboration, effective symptom management, emotional and psychosocial support, and comprehensive end-of-life planning. Through the case study of the child patient, the challenges and strategies for providing holistic, family-centred care within the home environment are described. Practical insights gained from this report can inform the development and improvement of home-based palliative care programs, benefiting researchers, practitioners, and policymakers seeking to optimize care for children and families in similar contexts.
Skin Anti-Aging Potentials of Phytochemicals from Peperomia pellucida against Selected Metalloproteinase Targets: An In Silico Approach
Authors: Oyinloye Babatunji Emmanuel , Agbebi Emmanuel Ayodeji , Agboola Oluwaseun Emmanuel , Ubah Chukwudi Sunday , Owolabi Olutunmise Victoria , Aruleba Raphael Taiwo , Onikanni Sunday Amos , Ejeje Jerius Nkwuda , Ajiboye Basiru Olaitan , Omotuyi Olaposi Idowu
Published: November 2023

Skin aging and wrinkle formation are processes that are largely influenced by the overexpression of enzymes like tyrosinase, elastase, and collagenase. This study aimed to validate the skin anti-aging properties of phytochemicals from Peperomia pellucida (PP) as well as its attendant mechanism of action. Compounds previously characterized from PP were retrieved from the PubChem database and docked to the active sites of tyrosinase, elastase, and collagenase using Schrödinger’s Maestro 11.5 and AutoDock tools to predict compounds with the best inhibitory potential to block these enzymes in preventing skin aging. It was observed that our hit compounds had favorable affinity and displayed key interactions at the active sites of these enzymes similar to those of the standards. With elastase, we observed key interactions with the amino acids in the S1 sub-pocket (especially ALA-181), Zn chelation, and histidine residues, which are key for inhibitory activity and ligand stability. The hit compounds showed H-bonds with the key amino acids of collagenase, including LEU-185 and ALA-186; phlobaphene and patuloside B were found to have better docking scores and inhibition constants (Ki) (−12.36 Kcal/mol, 0.87 nM and −12.06 Kcal/mol, 1.45 nM, respectively) when compared with those of the synthetic reference compound (−12.00 Kcal/mol, 1.67 nM). For tyrosinase, our hit compounds had both better docking scores and Ki values than kojic acid, with patuloside B and procyanidin having the best values of −9.43 Kcal/mol, 121.40 nM and −9.32 Kcal/mol, 193.48 nM, respectively (kojic acid = −8.19 Kcal/mol, 898.03 nM). Based on this study, we propose that acacetin, procyanidin, phlobaphene, patulosides A and B, palmitic acid, and hexahydroxydiphenic acid are responsible for the anti-aging effects of PP on the skin, and that they work synergistically through a multi-target inhibition of these enzymes.
Preliminary Assessment of Sea Star (Echinodermata, Asteroidea) Diversity in the Coastal Magellanic Region (South Chile) and Their Geographical Distribution
Authors: Vantomme Luka , Jossart Quentin , Gérard Karin , Danis Bruno , Moreau Camille
Published: November 2023

Sea stars are a diverse and important component of the Southern Ocean benthos. However, scarce information is available regarding their diversity, distribution, evolution, and taxonomic uncertainties persist for multiple taxa. The Magellanic Region (south of Chile) remains under-sampled despite its pivotal location for species distribution and diversity, being located at the crossroad of three ocean basins. In this study, we assessed the biodiversity of coastal Magellanic sea stars and their affinities with other oceanic bioregions. An integrative approach combining morphological identification with DNA barcoding was implemented to highlight taxonomic discrepancies such as suspected synonymy and unrecognised diversity. Firstly, we identified a total of 15 species from the coastal Magellanic Region and reported the occurrence of Cycethra frigida Koehler, 1917 for the first time in this region. The distribution of these 15 species ranged from only in South America to circumpolar, bipolar, or possibly cosmopolitan. Secondly, we highlighted possible synonymy in two species pairs within the genera Anasterias and Odontaster. This preliminary biodiversity assessment forms an important baseline for monitoring and conservation purposes, especially in the face of distribution shifts as a response to climate change and the increased presence of invasive species. Developmental mode has previously been suggested to be important in shaping biogeographical patterns. However, developmental mode was insufficient to explain the observed patterns, and other factors (e.g., physiological constraints, competition, bathymetrical range, and the possibility of passively rafting on kelp) are suggested to be at least equally important. Finally, an increase in barcoding effort is needed to better capture phylogeographic patterns for each species, both by increasing the number of specimens investigated and by covering a broader geographical range.
Percutaneous Computed Tomography-Guided Oxygen-Ozone (O2O3) Injection Therapy in Patients with Lower Back Pain—An Interventional Two-Year Follow-Up Study of 321 Patients
Authors: Davidovic Kristina , Cotofana Sebastian , Heisinger Stephan , Savic Slavica , Alfertshofer Michael , Antonić Tatjana , Jovanović Sanja , Ercegovac Marko , Muto Mario , Jeremić Danilo , Janićijević Aleksandar , Rasulić Lukas , Janošević Vesna , Šarić Lidija , Chua Deborah , Masulovic Dragan , Maksimović Ružica
Published: November 2023

Objectives: To assess the effect of oxygen-ozone therapy guided by percutaneous Computed Tomography (CT) compared to corticosteroids in individuals experiencing lower back pain (LBP) not attributed to underlying bone-related issues. Methods: A total of 321 patients (192 males and 129 females, mean age: 51.5 ± 15.1 years) with LBP were assigned to three treatment groups: group A) oxygen-ozone only, group B) corticosteroids only, group C) oxygen-ozone and corticosteroids. Treatment was administered via CT-guided injections to the intervertebral disc (i.e., intradiscal location). Clinical improvement of pain and functionality was assessed via self-reported pain scales and magnetic resonance (MR) and CT imaging. Results: At all follow-up times, the mean score of the numeric rating scale and the total global pain scale (GPS) of study groups receiving oxygen-ozone (groups A and C) were statistically significantly lower than the study group receiving corticosteroids only (group B), with p < 0.001. There was a statistically significant difference between groups A and C at 30 days for the numeric rating scale. Conclusions: The percutaneous application of oxygen-ozone in patients with LBP due to degeneration of the lumbosacral spine showed long-lasting significant pain reduction of up to two years post-treatment when compared to corticosteroids alone. Combination therapy of oxygen-ozone and corticosteroids can be useful as corticosteroids showed statistically significant improvement in LBP earlier than the oxygen-ozone-only treatment.
Current Status and Future of Artificial Intelligence in MM Imaging: A Systematic Review
Authors: Alipour Ehsan , Pooyan Atefe , Shomal Zadeh Firoozeh , Darbandi Azad Duke , Bonaffini Pietro Andrea , Chalian Majid
Published: November 2023

Artificial intelligence (AI) has attracted increasing attention as a tool for the detection and management of several medical conditions. Multiple myeloma (MM), a malignancy characterized by uncontrolled proliferation of plasma cells, is one of the most common hematologic malignancies, which relies on imaging for diagnosis and management. We aimed to review the current literature and trends in AI research of MM imaging. This study was performed according to the PRISMA guidelines. Three main concepts were used in the search algorithm, including “artificial intelligence” in “radiologic examinations” of patients with “multiple myeloma”. The algorithm was used to search the PubMed, Embase, and Web of Science databases. Articles were screened based on the inclusion and exclusion criteria. In the end, we used the checklist for Artificial Intelligence in Medical Imaging (CLAIM) criteria to evaluate the manuscripts. We provided the percentage of studies that were compliant with each criterion as a measure of the quality of AI research on MM. The initial search yielded 977 results. After reviewing them, 14 final studies were selected. The studies used a wide array of imaging modalities. Radiomics analysis and segmentation tasks were the most popular studies (10/14 studies). The common purposes of radiomics studies included the differentiation of MM bone lesions from other lesions and the prediction of relapse. The goal of the segmentation studies was to develop algorithms for the automatic segmentation of important structures in MM. Dice score was the most common assessment tool in segmentation studies, which ranged from 0.80 to 0.97. These studies show that imaging is a valuable data source for medical AI models and plays an even greater role in the management of MM.
Prediction of Conversion from Mild Cognitive Impairment to Alzheimer’s Disease Using Amyloid PET and Brain MR Imaging Data: A 48-Month Follow-Up Analysis of the Alzheimer’s Disease Neuroimaging Initiative Cohort
Authors: Kim Do-Hoon , Oh Minyoung , Kim Jae Seung
Published: November 2023

We developed a novel quantification method named “shape feature” by combining the features of amyloid positron emission tomography (PET) and brain magnetic resonance imaging (MRI) and evaluated its significance in predicting the conversion from mild cognitive impairment (MCI) to Alzheimer’s disease (AD) in the Alzheimer’s Disease Neuroimaging Initiative (ADNI) cohort. From the ADNI database, 334 patients with MCI were included. The brain amyloid smoothing score (AV45_BASS) and brain atrophy index (MR_BAI) were calculated using the surface area and volume of the region of interest in AV45 PET and MRI. During the 48-month follow-up period, 108 (32.3%) patients converted from MCI to AD. Age, Mini-Mental State Examination (MMSE), cognitive subscale of the Alzheimer’s Disease Assessment Scale (ADAS-cog), apolipoprotein E (APOE), standardized uptake value ratio (SUVR), AV45_BASS, MR_BAI, and shape feature were significantly different between converters and non-converters. Univariate analysis showed that age, MMSE, ADAS-cog, APOE, SUVR, AV45_BASS, MR_BAI, and shape feature were correlated with the conversion to AD. In multivariate analyses, high shape feature, SUVR, and ADAS-cog values were associated with an increased risk of conversion to AD. In patients with MCI in the ADNI cohort, our quantification method was the strongest prognostic factor for predicting their conversion to AD.
Long-Term Hydropower Planning for Ethiopia: A Rolling Horizon Stochastic Programming Approach with Uncertain Inflow
Authors: Dires Firehiwot Girma , Amelin Mikael , Bekele Getachew
Published: November 2023

All long-term hydropower planning problems require a forecast of the inflow during the planning period. However, it is challenging to accurately forecast inflows for a year or more. Therefore, it is common to use stochastic models considering the uncertainties of the inflow. This paper compares deterministic and stochastic models in a weekly rolling horizon framework considering inflow uncertainty. The stochastic model is tested in both a risk-neutral and a risk-averse version. The rolling horizon framework helps make periodic decisions and update the information in each rolling week, which minimizes the errors in prolonged forecasts. The models aim to utilize the water stored in the rainy season throughout the year with minimum load shedding while storing as much water as possible at the end of the planning horizon. The Conditional Value at Risk (CVaR) risk measure is used to develop the risk-averse stochastic model. Three different risk measures are investigated to choose the risk measure that yields the best outcome in the risk-averse problem, and the two best measures are compared to a deterministic and risk-neutral model in a weekly rolling horizon framework. The results show that the risk-neutral and best risk-averse models perform almost equally and are better than the deterministic model. Hence, using a stochastic model would be an improvement to the actual planning performed in the Ethiopian and other African countries’ power systems.
Review of Geomagnetically Induced Current Proxies in Mid-Latitude European Countries
Authors: Gil Agnieszka , Berendt-Marchel Monika , Modzelewska Renata , Siluszyk Agnieszka , Siluszyk Marek , Wawrzaszek Anna , Wawrzynczak Anna
Published: November 2023

The Quebec blackout on 13 March 1989, has made geomagnetically induced current (GIC) research a socially important field of study. It is widely recognized that the effects of space weather, which may affect the power infrastructure, threaten countries located at high latitudes. However, in recent years, various studies have shown that countries at lower latitudes may also be at risk. One of the best proxies of GIC variability is the local geoelectric field, as measured in Eskdalemuir, Lerwick, and Hartland, by the British Geological Survey or modeled using, e.g., a 1D layered Earth conductivity model. In our article, we present a review of the issues related to the impact of the GIC on transformers and transmission lines in Central and Southern European countries, from Greece, Spain, and Italy to Slovakia, the Czech Republic, Austria, and Poland. The review underlines the importance of the systematic collection of information about power grid failures and the need for further systematic studies of the GIC’s impact on the operation of power grids in mid-latitude countries.
Uncovering the Resistome of a Peruvian City through a Metagenomic Analysis of Sewage Samples
Authors: Poterico Julio A. , Jaramillo-Valverde Luis , Pablo-Ramirez Nelis , Roa-Linares Vicky C. , Martinez-Jaramillo Catalina , Alvites-Arrieta Sandra , Ubillus Milward , Palma-Lozano Diana , Castrejon-Cabanillas Rony , Davison Samuel , Gomez Andres , Guio Heinner
Published: November 2023

Background: Antibiotic resistance is a major public health concern globally. In this study, we aimed to evaluate the abundance and diversity of antibiotic resistance genes (ARGs) in sewage water samples from two hospitals and an adjacent community or urban setting in Huanuco, a Peruvian city located in the highlands. Methods: We collected samples from the community wastewater system and from sewage pipes from the two hospitals in Huanuco. DNA was extracted from 250 mL of sewage water samples (n = 6) and subjected to microbiome profiling using 16S rRNA short amplicon sequencing and shotgun metagenomics. We analyzed the taxonomic and functional content in all samples, including alpha and beta diversity metrics, and searched for ARGs. Results: Our results showed that samples taken from the community wastewater system were compositionally different and harbored greater bacterial taxonomic and functional diversity compared to samples collected from the hospitals’ wastewater system. We found a high abundance of bacteria associated with resistance to beta-lactams, macrolides, aminoglycosides, fluoroquinolones, and tetracyclines in all samples. However, there were no significant differences in the abundance or composition of ARGs between the community wastewater samples and those taken from the two hospitals. Conclusions: Our findings suggest that metagenomics analyses in wastewater sewage could be a useful tool for monitoring antibiotic resistance in urban settings. These data could be used to develop local public health policies, particularly in cities or countries with limited resources to establish large-scale One Health projects.
IndiSPENsable for X Chromosome Inactivation and Gene Silencing
Authors: Kaufmann Corinne , Wutz Anton
Published: November 2023

For about 30 years, SPEN has been the subject of research in many different fields due to its variety of functions and its conservation throughout a wide spectrum of species, like worms, arthropods, and vertebrates. To date, 216 orthologues have been documented. SPEN had been studied for its role in gene regulation in the context of cell signaling, including the NOTCH or nuclear hormone receptor signaling pathways. More recently, SPEN has been identified as a major regulator of initiation of chromosome-wide gene silencing during X chromosome inactivation (XCI) in mammals, where its function remains to be fully understood. Dependent on the biological context, SPEN functions via mechanisms which include different domains. While some domains of SPEN are highly conserved in sequence and secondary structure, species-to-species differences exist that might lead to mechanistic differences. Initiation of XCI appears to be different between humans and mice, which raises additional questions about the extent of generalization of SPEN’s function in XCI. In this review, we dissect the mechanism of SPEN in XCI. We discuss its subregions and domains, focusing on its role as a major regulator. We further highlight species-related research, specifically of mouse and human SPEN, with the aim to reveal and clarify potential species-to-species differences in SPEN’s function.
Effects of Total Flavonoids from Taraxacum mongolicum Hand.-Mazz. on Fermentation Quality, Antioxidant Status and Microbial Community of Caragana korshinskii Kom. silage
Authors: Huang Shuai , Ke Wencan , Lu Qiang , Gao Longfei , Zhou Xiaodong , Ma Chengyan
Published: November 2023

The present study aims to investigate effects of total flavonoids from Taraxacum mongolicum Hand.-Mazz. (FT) on fermentation quality, antioxidant status, and microbial community of Caragana korshinskii Kom. (CK) silage. CK was ensiled with no additive (CON), 1% FT, and 2% FT on a fresh weight (FW) basis for 60 days. The results showed that 1% FT and 2% FT groups displayed higher DM content than CON group, and 2% FT group had the best effect on nutrient preservation. Compared with CON and 1% FT groups, 2% FT group exhibited the best silage fermentation quality and the highest antioxidant activity, including increased lactic acid, acetic acid concentrations, and the activities of antioxidant enzymes, as well as decreased pH and the ammonia nitrogen (NH3-N) concentration. Moreover, the addition of 2% FT significantly affected the microbial community, such as increased abundance of Lactobacillus and decreased abundances of Pseudomonas and unidentified Cyanobacteria. The abundances of Lactobacillus parafarraginis and Lactobacillus brevis were negatively correlated to pH, while they were positively correlated with T-AOC, GSH-Px, and CAT activities. In conclusion, 2% FT may be used as additives to promote the fermentation quality and antioxidant activity of CK silage.
Gelled Liquid Crystal Nanocarriers for Improved Antioxidant Activity of Resveratrol
Authors: Mancuso Antonia , Tarsitano Martine , Cavaliere Rosy , Fresta Massimo , Cristiano Maria Chiara , Paolino Donatella
Published: November 2023

As many natural origin antioxidants, resveratrol is characterized by non-suitable physicochemical properties for its topical application. To allow its benefits to manifest on human skin, resveratrol has been entrapped within liquid crystal nanocarriers (LCNs) made up of glyceryl monooleate, a penetration enhancer, and DSPE-PEG 750. The nanosystems have been more deeply characterized by using dynamic light scattering and Turbiscan Lab® Expert optical analyzer, and they have been tested in vitro on NCTC 2544. The improved antioxidant activity of entrapped resveratrol was evaluated on keratinocyte cells as a function of its concentration. Finally, to really propose the resveratrol-loaded LCNs for topical use, the systems were gelled by using two different gelling agents, poloxamer P407 and carboxymethyl cellulose, to improve the contact time between skin and formulation. The rheological features of obtained gels were evaluated using two important methods (microrheology at rest and dynamic rheology), before testing their safety profile on human healthy volunteers. The obtained results showed the ability of LCNs to improve antioxidant activity of RSV and the gelled LCNs showed good rheological profiles. In conclusion, the results confirmed the potentiality of gelled resveratrol-loaded nanosystems for skin disease, mainly related to their antioxidant effects.
Functional Neuromyofascial Activity: Interprofessional Assessment to Inform Person-Centered Participative Care—An Osteopathic Perspective
Authors: Baroni Francesca , Schleip Robert , Arcuri Lorenzo , Consorti Giacomo , D’Alessandro Giandomenico , Zegarra-Parodi Rafael , Vitali Anna Maria , Tramontano Marco , Lunghi Christian
Published: November 2023

Introduction: Health professionals and bodyworkers may be pivotal in promoting prevention programs, providing tailored advice and guidance to patients’ adherence to self-care strategies, such as physical activity. Contemporary evidence encourages manual therapists to involve patients in decision-making and treatment procedures integrating passive and active approaches in treatment planning. This manuscript provides a definition and applications of neuromyofascial movement patterns, discusses the significance of functional assessment, and gives an example of clinical applications in the osteopathic field to highlight how this assessment can promote interdisciplinarity. Methods: The reporting framework used in the current manuscript followed guidelines for writing a commentary. Results: The manuscript highlights the crucial role that the neuromyofascial system plays in human movement and overall well-being and the importance of a functional neuromyofascial activity assessment in the context of person-centered participative care. Conclusions: Understanding individual neuromyofascial patterns could help healthcare practitioners, movement specialists, and bodyworkers in tailoring treatment plans, meeting patients’ unique needs, and promoting a more effective personalized approach to care. The current perspective could spark debates within the professional community and provide a research roadmap for developing an evidence-informed interprofessional framework.
Sex Differences Associated with Weekend Catch-Up Sleep and Waist-to-Height-Ratio among South Korean Adults Using Korea National Health and Nutrition Examination Survey 2016–2021 Data
Authors: Jung Seungwon , Nam Jin Young
Published: November 2023

The global surge in obesity rates is closely linked to the rise in sleep deprivation and prevalence of sleep disorders. This study aimed to investigate the association between weekend catch-up sleep (CUS) and obesity among Korean adults. Using multiple logistic regression analysis, we analyzed the data of 6790 adults aged >19 years obtained from the Korea National Health and Nutrition Examination Survey 2016–2021. In the subgroup analysis, we conducted multiple logistic regression analysis to determine the association between weekend CUS and obesity, stratified by sex. Women were significantly more likely to be obese than men (odds ratio (OR) = 0.53, 95% confidence interval (CI) = 0.46–0.61). Obesity was associated with 1 ≤ weekend CUS < 2 (OR = 0.86, 95% CI = 0.75–0.99) but not with weekend CUS ≤ 0. Compared to men, women had a lower obesity risk when engaging in weekend supplementary sleep that was 1 ≤ weekend CUS < 2 (OR = 0.78, 95% CI = 0.63–0.97). Our findings revealed that weekend CUS was associated with obesity. Our findings suggest that weekend CUS may offer a form of biological protection against obesity, and they contribute to a better understanding of this association and may serve as a basis for better obesity management.
‘Fleeing’ as a Strategy for Navigating Resistance in Patient Encounters within Forensic Care
Authors: Hammarström Lars , Hellzén Ove , Devik Siri Andreassen
Published: November 2023

The aim of this study was to describe the phenomenon of “fleeing the encounter when facing resistance” as experienced by carers working in forensic inpatient care. Qualitative analysis, namely reflective lifeworld research, was used to analyze data from open-ended questions with nine carers from a Swedish regional forensic clinic. The data revealed three meaning constituents that describe the phenomenon: shielding oneself from coming to harm or harming the other, finding one’s emotional balance or being exposed, and offering the patient emotional space and finding patience. The carers described their approaches in the encounters with the patients as alternating between primitive instincts and expectant empathy in order to gain control and deal with the interaction for their own part, for that of the patient, and for that of their colleagues. The phenomenon of fleeing the encounter when facing resistance was intertwined with carers’ self-perception as professional carers. Negative encounters with patients evoked feelings of shame and self-blame. A carer is a key person tasked with shaping the care relationship, which requires an attitude on the part of the carer that recognizes not only the patient’s lifeworld but also their own.
Involvement of Lipophagy and Chaperone-Mediated Autophagy in the Pathogenesis of Non-Alcoholic Fatty Liver Disease by Regulation of Lipid Droplets
Authors: Mastoridou Eleftheria M. , Goussia Anna C. , Kanavaros Panagiotis , Charchanti Antonia V.
Published: November 2023

Non-alcoholic fatty liver disease (NAFLD) is defined as the accumulation of lipids in the form of lipid droplets in more than 5% of hepatocytes. It is regarded as a range of diverse pathologies, including simple steatosis and steatohepatitis. The structural characteristics of lipid droplets, along with their protein composition, mainly including perilipins, have been implicated in the etiology of the disease. These proteins have garnered increasing attention as a pivotal regulator since their levels and distinct expression appear to be associated with the progression from simple steatosis to steatohepatitis. Perilipins are target proteins of chaperone-mediated autophagy, and their degradation is a prerequisite for lipolysis and lipophagy to access the lipid core. Both lipophagy and chaperone-mediated autophagy have significant implications on the development of the disease, as evidenced by their upregulation during the initial phases of simple steatosis and their subsequent downregulation once steatosis is established. On the contrary, during steatohepatitis, the process of chaperone-mediated autophagy is enhanced, although lipophagy remains suppressed. Evidently, the reduced levels of autophagic pathways observed in simple steatosis serve as a defensive mechanism against lipotoxicity. Conversely, in steatohepatitis, chaperone-mediated autophagy fails to compensate for the continuous generation of small lipid droplets and thus cannot protect hepatocytes from lipotoxicity.
Heterogeneity of Phase II Enzyme Ligands on Controlling the Progression of Human Gastric Cancer Organoids as Stem Cell Therapy Model
Authors: Wu Deng-Chyang , Ku Chia-Chen , Pan Jia-Bin , Wuputra Kenly , Yang Ya-Han , Liu Chung-Jung , Liu Yi-Chang , Kato Kohsuke , Saito Shigeo , Lin Ying-Chu , Chong Inn-Wen , Hsiao Michael , Hu Huang-Ming , Kuo Chao-Hung , Kuo Kung-Kai , Lin Chang-Shen , Yokoyama Kazunari K.
Published: November 2023

Gastric cancer (GC) organoids are frequently used to examine cell proliferation and death as well as cancer development. Invasion/migration assay, xenotransplantation, and reactive oxygen species (ROS) production were used to examine the effects of antioxidant drugs, including perillaldehyde (PEA), cinnamaldehyde (CA), and sulforaphane (SFN), on GC. PEA and CA repressed the proliferation of human GC organoids, whereas SFN enhanced it. Caspase 3 activities were also repressed on treatment with PEA and CA. Furthermore, the tumor formation and invasive activities were repressed on treatment with PEA and CA, whereas they were enhanced on treatment with SFN. These results in three-dimensional (3D)-GC organoids showed the different cancer development of phase II enzyme ligands in 2D-GC cells. ROS production and the expression of TP53, nuclear factor erythroid 2-related factor (NRF2), and Jun dimerization protein 2 were also downregulated on treatment with PEA and CA, but not SFN. NRF2 knockdown reversed the effects of these antioxidant drugs on the invasive activities of the 3D-GC organoids. Moreover, ROS production was also inhibited by treatment with PEA and CA, but not SFN. Thus, NRF2 plays a key role in the differential effects of these antioxidant drugs on cancer progression in 3D-GC organoids. PEA and CA can potentially be new antitumorigenic therapeutics for GC.
Evaluating the Compatibility of Spinosad and Alpha-Cypermethrin for Controlling Six Insect Pests Infesting Stored Wheat
Authors: Wakil Waqas , Kavallieratos Nickolas G. , Eleftheriadou Nikoleta , Asrar Muhammad , Yaseen Taha , Tahir Muhammad , Rasool Khawaja G. , Husain Mureed , Aldawood Abdulrahman S.
Published: November 2023

The deterioration of stored wheat due to pest infestations is a significant concern, with pests like Rhyzopertha dominica, Tribolium castaneum, Cryptolestes ferrugineus, Sitophilus oryzae, Oryzaephilus surinamensis, and Trogoderma granarium being major contributors. This study examined the efficacy of spinosad and alpha-cypermethrin, individually and in combination, against these pests under laboratory conditions. Spinosad was tested at two concentrations (0.05 and 0.1 mg/kg), while alpha-cypermethrin was applied at 0.05 mg/kg. The combined application of both insecticides led to significantly higher pest mortality compared to single treatments. Importantly, all treatments caused substantial pest mortality and exhibited the ability to suppress pest progeny production over time, as observed in both laboratory and persistence trials. Among the various treatment combinations, the joint application of 0.1 mg/kg spinosad and 0.05 mg/kg alpha-cypermethrin emerged as the most effective, resulting in elevated mortality and a marked reduction in pest progeny. Rhyzopertha dominica exhibited the highest susceptibility among the pests, followed by S. oryzae, T. castaneum, C. ferrugineus, O. surinamensis, and T. granarium. The remarkable performance of the joint action of alpha-cypermethrin and spinosad at low doses highlights this combination as an efficacious approach for safeguarding stored grain against these destructive insect pests, warranting further exploration.
Establishing the Callus-Based Isolation of Extracellular Vesicles from Cissus quadrangularis and Elucidating Their Role in Osteogenic Differentiation
Authors: Gupta Ritu , Gupta Sneha , Gupta Purva , Nüssler Andreas K. , Kumar Ashok
Published: November 2023

Extracellular vesicles (EVs) are nano-sized vehicles secreted by all live cells to establish communication with adjacent cells. In recent years, mammalian EVs (MEVs) have been widely investigated for their therapeutic implications in human disease conditions. As the understanding of MEV composition and nature is advancing, scientists are constantly exploring alternatives for EV production with similar therapeutic potential. Plant-derived exosome-like nanovesicles (PDEVs) may be a better substitute for MEVs because of their widespread sources, cost-effectiveness, and ease of access. Cissus quadrangularis (CQ), known as “bone setter or Hadjod”, is a perennial plant utilized for its osteogenic potential. Its crude powder extract formulations are widely used as tablets and syrups. The present work elucidates the isolation of exosome-like nanovesicles (henceforth exosomes) from the culture supernatants of an in vitro cultured callus tissue derived from CQ. The physical and biological properties of the exosomes were successfully investigated using different characterization techniques. The therapeutic potential of the CQ exosomes was found to ameliorate the wound scratch injury and oxidative stress conditions in human-derived mesenchymal stem cells (hMSCs) and the pre-osteoblast (MC3T3) cell line. These exosomes also induced the proliferation and differentiation of hMSCs, as observed by alkaline phosphatase activity. These findings may serve as a proof of concept for further investigating the CQ exosomes as a nanocarrier for drug molecules in various therapeutic bone applications.
A Cross-Medium Uplink Communication Model Merging Acoustic and Millimeter Waves
Authors: Gai Yu , Tan Qi , Zhang Yating , Zhao Zhengyi , Yang Yiguang , Liu Yanyan , Zhang Ruitao , Yao Jianquan
Published: November 2023

Uplink communication across the water–air interface holds great potential for offshore oil surveys and military applications. Among the various methods available for implementing uplink communication, translational acoustic-RF (TARF) communication stands out due to its ability to withstand wave interference and exhibit low absorption losses. However, the physical processes underlying such systems are currently under-researched, and channel models for evaluating its communication performance indicators are lacking. Herein, we propose a signal-to-noise ratio (SNR) channel model for evaluating the performance metrics of an uplink communication system combining acoustic and millimeter waves for the first time and validate the accuracy of the proposed model through experiments. Specifically, in the process of model construction, the physical process of the communication system was deeply studied, and the corrections of multipath effects, box vibrations, and second-order nonlinear coefficients of the amplitude of the water surface were realized. The water-to-air cross-medium communication system was built, and communication experiments were conducted to validate the feasibility of combining acoustic and millimeter wave communication. This research provides a theoretical and experimental foundation for the design and evaluation of TARF communication systems, providing valuable guidance for enhancing the system’s performance metrics and promising an innovative approach for modern seaborne communication.