bluuebunny/crossref_metadata_2025 huggingface dataset:
SYSTEMATIC REVIEW: ANAPLASTIC LARGE CELL LYMPHOMA FOLLOWING BREAST IMPLANT SURGERY
Authors: Eveline Kezia , Nata'admadja Beta Subakti , Lestari Rizqi Shabrina , Adzalika Lavonia Berlina
Published: June 2023

Highlights:

BIA-ALCL, a T-cell lymphoma associated with breast implants, is posing a growing medical challenge due to the increasing use of implants for cosmetic and reconstructive purposes
The majority of BIA-ALCL cases were associated with cosmetic reasons for breast implants, and textured implants were predominantly implicated.

Abstract:
Introduction: BIA-ALCL, a T-cell lymphoma associated with breast implants, poses a growing medical challenge despite its relatively low occurrence, due to the increasing use of implants for cosmetic and reconstructive purposes. Our objective is to review the incidence, characteristics of patients, implant types, management, and outcome of BIA-ALCL.
Methods: Pubmed and Science Direct databases were searched to identify case series and observational research. A systematic review was conducted by looking up the keywords “breast implant” and “anaplastic large cell lymphoma”.
Result: 11 relevant articles were assessed. A total of 353 BIA-ALCL cases have been reported. The mean age at diagnosis was 59.6 years. More than half (53.26%) of the reasons for the breast implants in BIA-ALCL patients were cosmetic. The mean time from breast implant placement to diagnosis was 9.99 years. The majority (71.39%) of documented BIA-ALCL cases have been associated with textured devices. BIA-ALCL patients mainly presented with seroma (54.67%). Outcomes included remission (71%), death because of the disease (4.25%), and recurrence (3.96%) with a mean time of duration of follow-up was 2.53 years.
Conclusion: BIA-ALCL is rare cancer in some patients with breast implants but is increasing in incidence largely due to consistent and long-term follow-up. It is important for physicians involved in the care of patients with breast implants to be aware of BIA-ALCL and do routine breast exams.
META-ANALYSIS: SQUAMOUS CELL CARCINOMA CASES ARISING FROM MORBUS HANSEN IN DR. SITANALA CENTRAL HOSPITAL (2011-2021)
Authors: Victoria Francisca , Pribadi Sweety
Published: June 2023

Highlights:

The majority of SCC cases were observed in males (86%), emphasizing a higher susceptibility of males to this form of cancer compared to females (14%).
The study identified an increased risk of SCC particularly among individuals in the 46-55 and 56-65 age groups.
The study revealed that a significant proportion of Morbus Hansen patients with SCC had a normal weight, while the occurrence of overweight and obesity was relatively low.
Maintaining a healthy body weight may play a role in reducing the risk of SCC in this patient population.

Abstract:
Introduction: Leprosy, a chronic systemic infection caused by Mycobacterium Leprae, has been associated with the development of cutaneous neoplasms, such as squamous cell carcinoma. The aim of this study was to examine the characteristics of patients diagnosed with squamous cell carcinoma arising from Morbus Hansen (leprosy).
Methods: A retrospective analysis of medical records from Dr. Sitanala Central Hospital was conducted, focusing on patients diagnosed with squamous cell carcinoma arising from Morbus Hansen over a 10-year period from 2011 to 2021. Descriptive analysis was performed on the collected data.
Result: In this study, out of the twenty-one patients, the majority were male (86%), and the most common age group affected was between 46 and 55 years, accounting for 43% of the cases. Most patients had Morbus Hansen type BL (borderline lepromatous) and had been living with the condition for an average of 23 years. Additionally, a significant number of patients had a normal body mass index (52%) within the range of 20-24.9. Anemia was the main comorbidity observed, affecting 46% of the patients.
Conclusion: Examining the clinical profile of these patients helps healthcare providers identify specific characteristics associated with this condition, further research with more comprehensive data is necessary to ensure accuracy. Future studies could also explore potential connections between hypertension, anemia, and squamous cell carcinoma arising from Morbus Hansen.
A CASE REPORT: THE STAGED RETRO AURICULAR FLAPS FOR AURICLE RECONSTRUCTION AFTER TRAUMATIC AMPUTATIONS
Authors: Suparman Alexandria Stephanie , Doni Setiawan  , Yugos Juli Fitra
Published: June 2023

Highlights:

Instances of severe ear injuries are uncommon.
The paragraph explores the efficacy of the staged retro-auricular flap (SRF) as a proficient approach to ear reconstruction.
SRF demonstrates the ability to successfully reinstate the ear's dimensions, contour, and functionality, yielding highly satisfactory functional and aesthetic outcomes.

Abstract:
Introduction:  A complete amputation or other severe auricular injury is rare. The amputated ear also presents a significant problem for the plastic surgeon.
Case Illustration: A 29-year-old man had his left ear amputated due to trauma presented. He cut off his ear to get rid of the whisper because he has a history of psychiatric illnesses and complaints about hearing them. The remaining portion of the cartilage that was still linked to the ear attachment area was sutured to the preserved cartilage. The defect is covered using a stage pedicle flap. A skin transplant was used to close the donor flap's retro-auricular defect, which was its secondary defect.
Discussion: A random-pattern flap with an abundant vascular supply is the staged retro-auricular flap (SRF). This flap's main disadvantage is the two-stage process required to complete it. Excellent cosmetic outcomes can be achieved by matching skin color and texture well in the postauricular sulcus, mastoid area, and posterior ear.
Conclusion: SRF is an efficient ear reconstruction technique that offers relatively little operational morbidity and can restore the ear's size and shape with good to exceptional functional and cosmetic results when used on appropriately chosen helical ear abnormalities.
The Study of the Relationship Among Gci, Gii, Disruptive Technology, and Social Innovations in MNCs: How Do We Evaluate Financial Innovations Made by Firms? A Preliminary Inquiry
Authors: BURCIU AUREL , KICSI ROZALIA , BUTA SIMONA , STATE MIHAELA , BURLAC IULIA , CHIFAN DENISA , IPSALAT BEATRICE
Published: June 2023

This study aims to assess and identify the role of disruptive/digital technologies in financial innovation strategies as part of social innovations at both firm and country level. There are few studies of this type that "cross-examine" technical/social innovative capacity at the firm level vs. the same innovative capacity at the level of the world's major countries. Our proposed study brings some novel elements to the literature on this topic. First, the study synthesizes the factors/variables explaining technical/social innovative capacity as ranked by the GCI (Global Competitiveness Index) and GII (Global Innovation Index) at the country level and then correlates these variables with the factors explaining innovative capacity for the 50 companies in the BCG (Boston Consulting Group) ranking. Second, the study identifies three "driving forces" (digital technologies, managers and the market) as the main variables determining financial innovativeness at firm level. Third, based on the "cross" analysis of the information/data provided by the BCG study vs. the GII and GCI studies, the study suggests some ways to delineate and quantify financial innovation as part of social innovation (e.g., it is argued that 80% of the social innovation achieved annually by a firm relates to the financial relationships engaged by the firm with various categories of stakeholders). Finally, the study is also important from a pragmatic point of view as it suggests/proposes a number of principles that can be considered by managers for building a KM (knowledge management) and continuous innovation strategy. From a theoretical perspective, the study provides a starting point for further research aimed at explaining firm-level financial innovation through the massive use of disruptive technologies.
Capacitive Effect and Electromagnetic Coupling on Manganin Gauge Limiting the Bandwidth for Pressure Measurements under Shock Conditions
Authors: Coustou Antony , Lefrançois Alexandre , Pons Patrick , Barbarin Yohan
Published: June 2023

In this paper, we investigated the capacitive effect and the electromagnetic coupling on the measurement chain induced by the gas gun or the powder gun during impact experiments. Reduced bandwidth and noise have been noticed on experimental signals. Rogowski coil measurements have been added on the cables to characterize the electromagnetic coupling. The perturbation currents on the cables have been quantified depending on the configuration. The gauge, the transmission line and the conditioning system have been modeled. The calculations have reproduced the electrical wave arrival time, the transmission line transfer impedance, the conditioning system transfer impedance and it shows the bandwidth limitation. A capacitive effect with the piezoresistive manganin gauge embedded into the sample has been identified depending on the experimental setup.
Angiogenesis and Tissue Repair Depend on Platelet Dosing and Bioformulation Strategies Following Orthobiological Platelet-Rich Plasma Procedures. A Narrative Review
Authors: Everts Peter Albert , Lana José Fábio , Onishi Kentaro , Buford Don , Peng Jeffrey , Mahmood Ansar , Da Fonseca Lucas Furtado , V Zundert Andre , Podesta Luga
Published: June 2023

Angiogenesis is new blood vessel formation from existing vessels and is a critical first step in tissue repair following chronic disturbances in healing and degenerative tissues. Chronic pathoanatomic tissues are characterized by a high number of inflammatory cells, overexpression of inflammatory mediators, such as tumor necrosis factor-α (TNF-α) and interleukin-1 (IL-1), the presence of mast cells, T cells, reactive oxygen species, and matrix metalloproteinases, and a decreased angiogenic capacity. Multiple studies have demonstrated that autologous orthobiological cellular preparations (e.g., platelet-rich plasma [PRP]) im-prove tissue repair and regenerate tissues. There are many PRP devices on the market. Unfortunately, they differ greatly in platelet numbers, cellular composition, and bioformulation. PRP is a platelet concentrate consisting of a high concentration of platelets with or without certain leukocytes, platelet-derived growth factors (PGFs), cytokines, molecules, and signaling cells. Several PRP products have immunomodulatory capacities that can influence resident cells in a diseased microenvironment, inducing tissue repair or re-generation. Generally, PRP is a blood-derived product, regardless of its platelet number and bioformulation, and the literature indicates both positive and negative patient treatment outcomes. Strangely, the literature does not designate specific PRP preparation qualifications that can potentially contribute to tissue re-pair. Moreover, the literature scarcely addresses the impact of platelets and leukocytes in PRP on (neo)angiogenesis other than a general one-size-fits-all statement that “PRP has angiogenic capabilities.” Here, we review the cellular composition of all PRP constituents, including leukocytes, and describe the importance of platelet dosing and bioformulation strategies in orthobiological applications to initiate angiogenic pathways that re-establish microvasculature networks, facilitating the supply of oxygen and nutrients to impaired tissues.
Identification of EGF Receptor and Thrombospondin-1 As En-Dogenous Targets of ER-Associated Degradation Enhancer EDEM1 in HeLa Cells
Authors: Miura Kohta , Katsuki Riko , Yoshida Shusei , Ohta Ren , Tamura Taku
Published: June 2023

Secretory and membrane proteins are vital for cell activities, including intra- and intercellular communication. Therefore, protein quality control in the endoplasmic reticulum (ER) is an essential and crucial process for eukaryotic cells. Endoplasmic reticulum-associated degradation (ERAD) targets misfolded proteins during the protein maturation process in the ER and leads to their disposal. This process maintains the ER productive function and prevents misfolded protein stress (i.e., ER stress). The ERAD-stimulating factor ER degradation-enhancing α mannosidase-like 1 protein (EDEM1) acts on misfolded proteins to accelerate ERAD, thereby maintaining the productivity of the ER. However, the detail mechanism underlying the function of EDEM1 in ERAD is not completely understood due to lack of established physiological substrate proteins. In this study, we attempted to identify substrate proteins for EDEM1 using siRNA. The matrix component thrombospondin-1 (TSP1) and epidermal growth factor receptor (EGFR) were identified as candidate targets of EDEM1. Their protein maturation status and cellular localization were markedly affected by knockdown of EDEM1. We also showed that EDEM1 physically associates with EGFR and enhances EGFR degradation via ERAD. Our data highlight the physiological role of EDEM1 in maintaining specific target proteins and provide a potential approach to the regulation of expression of clinically important proteins.
Fixed Combination of Rivaroxaban and Aspirin: Tablet For-Mulation and Analytical Method Development
Authors: Naseef Hani A , Afaneh Mosab , Qurt Moammal Salah , Malkieh Numan M , Kharouf Maher , Muqedi Ramzi , Abukhalil Abdallah D. , Rabba Abdullah K.
Published: June 2023

Rivaroxaban and aspirin are commonly used antithrombotic agents that are used in combination for the prevention of coronary artery disease (CAD) and atherothrombotic events in adult patients after an acute coronary syndrome (ACS) with elevated cardiac biomarkers, or with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) in high-risk patients. The recommended dosage is 2.5 mg Rivaroxaban twice daily with 75–100 mg aspirin daily. This study aimed to develop a fixed-dose combination tablet of rivaroxaban (2.5 mg) and aspirin (50 mg) to decrease the patient's pill burden and enhance medication adherence. The product formula was developed based on compatibility studies among the active ingredients and the active ingredients' compatibility studies. The formula and the manufacturing procedure were chosen based on the risk assessment for each active substance, wet granulation with both actives intragranular was found to have faster dissolution than direct mix formulae. Furthermore, a validated reverse-phase HPLC stability indicator method was developed to detect APIs and their possible degradants in the formula.
An Empirical Investigation: Does the New Airport Infrastructure Affect the Improvement of Customer Experience?
Authors: Boc Karmela , Štimac Igor , Pivac Jelena , Bračić Matija
Published: June 2023

: Airports are often the centers driving economic development of the local community in which they are located and have a significant impact on the national economy. Therefore, the infrastructural development of the airport is of great importance. On the other hand, passengers are becoming more experienced, more informed and more demanding in achieving their own satisfaction related to the level of quality of the service provided. The new airport infrastructure has an impact on improvement of customer experience, but with the assumption that certain physical and operational conditions are met. The research found that, in addition to the facilities that are part of the passenger operations, passengers pay significant attention to the commercial facilities, design and ambiance of the passenger terminal. It can be concluded that with the new airport infrastructure development such as passenger terminal, a wow effect at the customers will be achieved, but that only right design of ambient, simplified passenger flows and organization of commercial areas with a diverse offer and acceptable prices will ensure long term customer satisfaction and that the experience gap remains positive and sustainable.
Encapsulation of Ciprofloxacin into Cyclodextrin Polymer Matrix: The Complex Formation with Human Serum Albumin and In Vitro Studies
Authors: Kopnova Tatiana Yu , Skuredina Anna Alexeevna , Belogurova Natalia G. , Kudryashova Elena V.
Published: June 2023

Modern medical needs call for the efficient remedies against bacterial diseases including severe pulmonary infections reported as a secondary SARS-Cov-2 infection. Here, we propose imprinted drug ciprofloxacin (CF) into the polymer based on methyl-β-cyclodextrin (MCD) via template synthesis. The obtained polycarbamide nanoparticles possess CF's sustained drug release. The interaction of human serum albumin (HSA) with CF and CF-MCD carriers was conducted by FRET, FTIR, fluorescence, and circular dichroism spectroscopy. These studies uncovered that MCD decreases CF's binding efficiency by 2 times, whereas CF’s encapsulation in polymer matrix doubles the Ka value. The changes in HSA’s secondary structure indicate no alterations in the main mechanism of complex formation between CF and HSA in the presence of MCD-based carries. The drug delivery system demonstrates prolonged CF release at pH 7.4 in presence of HSA (model conditions of blood plasma). CF-MCD carriers inhibit E. coli and B. subtilis growth, but for MAX systems we observed a MIC’s increase (~2 times). We believe that our findings are important for further development of new efficient drug forms.
Antifungal Activity of Industrial Bacillus Strains against Mycogone perniciosa the Causative Agent of Cultivated Mushrooms Wet Bubble Disease
Authors: Novikova Irina Igorevna , Titova Julia Anatolievna
Published: June 2023

Microbiocontrol of Mycogone perniciosa is focused on casing soil antagonists use. Since no industrial producer strains of polyfunctional biologics were used in previous studies, research goal was to characterize Bacillus subtilis B-10 and M-22 effect on mycopathogen and reveal its control possibilities. Interactions between producer strains and M. perniciosa were evaluated using well method and spraying. Mycoparasite colony area and its lysis zone were determined. Biological efficacy was characterized by lysis zone proportion in total area occupied by the micromycete mycelium. Statistical processing included W-test, ANOVA, means (M) and standard errors (±SEM) calculation. The significance was assessed by t-test. M. perniciosa development suppressing by producer strains was established, indicates a prolonged B-10 and M-22 effect on mycopathogen. High biological efficacy of both strains at the early stages of mycopathogen development by introducing into the wells and spraying was shown: B-10 – 50.9–99.6 % and M-22 – 57.5–99.2 % respectively (p ≤ 0.05). Significant differences between producer strains were not revealed, although during the first exposure day to developed M. perniciosa colonies M-22 has shown greater activity. Preventive treatment high efficiency when producer strains completely suppressed mycoparasite development, permit recommending them both to introduce when preparing casing for M. perniciosa control.
Biomechanical Analysis of Palatless Splinted and Unsplinted Maxillary Implant-supported Overdenture: A 3D Finite Element Analysis
Authors: Frolo Mária , Řehounek Luboš , Jíra Aleš , Pošta Petr , Hauer Lukáš
Published: June 2023

The objective of this study was to compare the distribution of stress in the maxillary bone, dental implants, and prosthetic components supporting implant-supported maxillary overdentures with partial palatal coverage, in both splinted and unsplinted designs. Two models of maxillary overdentures were designed using the Exocad Dental CAD program, which included cancellous and cortical bone. The complete denture design and abutments (locator abutments in the unsplinted and Hader bar with Vertix attachments placed distally in the splinted variant) were also designed. The denture material was PEEK (Polyetheretherketone), and the method used to analyze patient-specific 3D X-ray scans was 3D QCT/FEA (Three-dimensional Quantitative Computed Tomography-Based Finite Element Analysis). Loading was divided into three load cases: frontal region (both incisors of the denture) and distal region (both molars and first premolar of the denture). The forces applied were 150 N with an oblique component with a buccal inclination of 35° in the frontal region, and 600 N with a buccal inclination of 5° (molars) or solely vertical (premolar) in the distal region. The model with locator abutments showed higher stresses in all load cases in both analyzed implant variants and in the maxilla. The differences in stress distribution between the splinted and unsplinted variants were more significant in the distal region. According to the results of the present study, the amount of stress in bone tissue and dental implant parts was smaller in the splinted, bar-retained variant. The findings of this study can be useful in selecting the appropriate prosthetic design for implant-supported maxillary overdentures with partial palatal coverage.
Therapeutic Applications of Botulinum Neurotoxins in Veterinary Medicine
Authors: Turin Lauretta , Piccione Marina Michela , Crosa Fabio , Dall'Ara Paola , Filipe Joel , Zarucco Laura
Published: June 2023

Botulinum neurotoxins (BoNTs) are emerging as multipurpose therapeutic compounds for the treatment of several different syndromes involving peripheral and central nervous systems, and muscular and musculoskeletal disorders both in human and veterinary medicine. Therefore, the studies of BoNTs are rapidly developing and identifying newly produced BoNT variants. Efforts should be made to clarify the biological and pharmacological characteristics of these novel BoNTs as well as the natural ones. The high potential of BoNTs as a therapeutic compound for medical syndromes lies on its ability to reach a specific cell type bypassing other cells, thus having mild or no side effects. In this paper the recent developments on BoNTs are reviewed with the aim to analyze the current knowledge on BoNTs biological mechanisms of action, immunogenicity, formulations, and therapeutic applications in the veterinary field, highlighting advantages and drawbacks and identifying the gaps to be filled in order to address research priorities.
Asymmetries in Strong Solar Flares
Authors: Bagashov Eugene
Published: June 2023

The details of the solar flare production mechanisms are not yet completely understood. One of the standing questions is the anisotropy of the X-ray flux, especially in strong flares. It can be studied indirectly by analysing the characteristics of flares at different positions on the visible disc. In this paper, the durations, peak and integral fluxes of strong (X-class) solar flares from cycles 22--25 are considered with respect to their apparent position on the Sun. It is found that there exists a significant north--south asymmetry in all three parameters, which also varies depending on the phase of the solar cycle (with general predominance of the south). This confirms the results of previous studies. A weaker and less significant east--west asymmetry is found as well, partly supported by literature. A previously undetected centre-to-limb asymmetry is reported (in favour of the limb) in all three parameters. All three asymmetries are enhanced during the solar minimum, which could hint at their connection to the large scale magnetic structuring of the Sun. The prevalence of strong solar flares near the limb at the solar minimum has clear space weather warning implications.
Ionic Conductivity of Li6PS5Cl0.5Br0.5 Argyrodite Electrolyte at Different Operating and Pelletizing Pressures and Temperatures
Authors: Dunham Joshua , Carfang Joshua , Yu Chan-Yeop , Ghahremani Raziyeh , Farahati Rashid , Farhad Siamak
Published: June 2023

All-solid-state lithium batteries (ASSLBs) using argyrodite electrolyte materials have shown promise for applications in electric vehicles (EVs). However, understanding the effects of pro-cessing parameters on the ionic conductivity of these electrolytes is crucial for optimizing battery performance and manufacturing methods. This study investigates the influence of electrolyte op-erating temperature, electrolyte operating pressure, electrolyte pelletization pressure, and electro-lyte pelletizing temperature on the ionic conductivity of Li6PS5Cl0.5Br0.5 argyrodite electrolyte (AmpceraTM, D50=10 µm). A specially designed test cell is employed for the experimental meas-urements, allowing for controlled pelletization and testing within the same tooling. The results demonstrate the significant impact of the four parameters on the ionic conductivity of the argy-rodite electrolyte. The electrolyte operating temperature has a more pronounced effect than oper-ating pressure, and pelletizing temperature exerts a greater influence than pelletizing pressure. This study provides graphs that aid in understanding the interplay between these parameters and achieving desired conductivity values. It also establishes a baseline for the maximum pelletizing temperature before undesirable degradation of electrolyte occurs. By manipulating the pelletizing pressure, operating pressure, and pelletizing temperature, battery engineers can achieve the desired conductivity for specific applications. The findings emphasize the need to consider operating conditions to ensure satisfactory low-temperature performance, particularly for EVs. Overall, this study provides valuable insights into processing and operating conditions for ASSLBs utilizing Li6PS5Cl0.5Br0.5 argyrodite electrolyte.
Effects of a Late Gravitational Transition on Gravitational Waves and Anticipated Constraints
Authors: Perivolaropoulos Leandros , Paraskevas Evangelos
Published: June 2023

We investigate the evolution of gravitational waves through discontinuous evolution (transition) of the Hubble expansion rate H(z) at a sudden cosmological singularity which may be due to a transition of the value of the gravitational constant. We find the evolution of the scale factor and the gravitational wave waveform through the singularity by imposing the proper boundary conditions. We also use existing cosmological data and mock data of future gravitational wave experiments (the ET) to impose current and anticipated constraints on the magnitude of such a transition. We show that mock data of the Einstein Telescope can reduce the uncertainties by up to a factor of 3 depending on the cosmological parameter considered.
The Role of Right Ventriculo-Arterial Coupling in Symptoms Presentation of Patients With Hypertrophic Cardiomyopathy
Authors: Angelopoulos Andreas , Oikonomou Evangelos , Antonopoulos Alexios S. , Theofilis Panagiotis , Kalogeras Konstantinos , Papanikolaou Paraskevi , Lazaros George , Siasos Gerasimos , Tousoulis Dimitris , Tsioufis Konstantinos , Vlachopoulos Charalambos
Published: June 2023

Background: Hypertrophic Cardiomyopathy (HCM) is the most common inherited Cardiomyopathy. The hallmark of HCM is myocardial fibrosis which contributes to heart failure, arrhythmias, and sudden cardiac death (SCD). Objective: To identify the factors implicated in heart failure symptoms and functional capacity of patients with HCM. Methods: In this cohort study, 43 patients with HCM were recruited. According to functional capacity and symptoms presentation, patients were categorized according to NYHA classification, and echocardiographic measurements of left ventricle systolic and diastolic function have been conducted. The echocardiographic assessment of right vetriculo-arterial coupling (RVAC) has been made by calculating the tricuspid annular peak systolic tissue Doppler velocity (TASV)/estimated RV systolic pressure (RVSP) ratio. Results: Almost half, 22 (51%) of our study population present symptoms of heart failure and were categorized as the symptomatic group - NYHA 2 or higher. Maximum LVOT gradient, RVSP, and the ratio of E/e’ were higher in the “symptomatic” compared to the “asymptomatic” group. TASV was lower in the “symptomatic” compared to the asymptomatic group (11±1cm/sex vs. 13±2cm/sec, p=0.04). However, there was no difference in other potentially influential factors, such as heart rate or systemic blood pressure. The SCD risk score does not differ between the two studied groups. The RVAC (estimated with the TASV/RVSP ratio) was lower in the “symptomatic” compared with the “asymptomatic” group (0.32±0.09 vs. 0.46±0.11, p<0.001). Conclusion: A low RVAC (as TASV/RVSP ratio) value could represent an echocardiographic marker of right ventricular-arterial uncoupling in patients with HCM and may impaired functional status.
Exploring Global Trends in Intangible Cultural Heritage Design: A Bibliometric and Content Analysis Towards Sustainable Development
Authors: Liu Sixuan , Pan Younghwan
Published: June 2023

This paper aims to explore the development of the field of Intangible Cultural Heritage Design. It seeks to understand the global trends in this field and provide insights for its growth and development. The objectives are achieved through a mixed-methods approach that combines bibliometric methods and content analysis. This approach allows for a quantitative and qualitative analysis of the scientific literature related to Intangible Cultural Heritage Design. The findings of the work include an analysis of the most productive countries/regions, institutions, journals, and authors in the field of Intangible Cultural Heritage Design. It also includes citation and co-citation analysis, which helps identify influential scholars and popular journals in the field, as well as patterns of col-laboration within the field. The outcomes and implications for practice include a better understanding of the global trends in Intangible Cultural Heritage Design and insights for its growth and development. The research find-ings have important theoretical and practical implications for the field, and future research directions are pro-posed. The value of the paper lies in its contribution to a better understanding of the global trends in Intangible Cultural Heritage Design. It provides insights and assistance for its growth and development, mak-ing it valuable to researchers and practitioners in the field.
Time-Course Morphological Analysis Using Normal and Local Curvature Information from 3D Modelling Data for Leaf Lettuce
Authors: Wada Kaede C. , Hayashi Atsushi , Lee Unseok , Tanabata Takanari , Isobe Sachiko , Itoh Hironori , Maeda Hideki , Fujisako Satoshi , Kochi Nobuo
Published: June 2023

3D measurement is a high-throughput method that can record a large amount of information. In this study, we have developed new methods that could be used for morphological analysis of plants from the information contained in 3D data. Specifically, we investigated characteristics that can be measured by scale (dimension) and/or visual assessment by humans. The characteristics that can be measured on a scale-related dimension were tested based on the bounding box, convex hull, column solid, and voxel. Furthermore, for characteristics that can be evaluated by visual assessment, we propose a new method using normal vectors and local curvature (LC) data. For these examinations, we used our highly accurate all-around 3D plant modelling system. The correlation coefficients between manual measurements and the scale-related methods were all above 0.9. In particular, the differences in LC calculated from the normal vector data allowed us to visualize and quantify the concavity and convexity of leaves. Furthermore, we also found a difference in the time point at which leaf blistering began to develop among the cultivars. The precise 3D model made it possible to perform quantitative measurements of lettuce size and morphological characteristics. In addition, the newly proposed LC-based analysis method made it possible to quantify the characteristics that rely on visual assessment.
Associations Between β-Lactamase Types of Acinetobacter Baumannii and Antimicrobial Resistance
Authors: Vitkauskienė Astra , Dambrauskienė Asta , Černiauskienė Kristina
Published: June 2023

Background and objective: Acinetobacter baumannii (A. baumannii) is an important nosocomial pathogen that possesses not only intrinsic resistance to many classes of antibiotics, but also is capable to rapidly develop antimicrobial resistance during treatment. The aim of our study was to determine the production of different types of β-lactamases (AmpC, ESBL, KPC) in A. baumannii strains, to evaluate its association with antimicrobial resistance, and to identify the changes in these characteristics after 5 years. Materials and methods: A total of 233 A. baumannii strains were isolated from different clinical specimens of patients treated at the Hospital of Lithuanian University of Health Sciences in 2016–2017 and 2021–2022. All clinical cultures positive for A. baumannii were analyzed. The type of β-lactamase was detected by phenotypic methods using ESBL plus AmpC screen disk tests and the combination meropenem disk test. Results: In 2016–2017 and 2021–2022, all A. baumannii strains were resistant to ciprofloxacin; more than 80% were resistant to carbapenems, piperacillin/tazobactam, gentamicin, and tobramycin. Comparison of two different period showed that the production of two different types of β-lactamases increased more than 5-fold (from 17.7% to 94.2%, p < 0.001), and the production of all three types of β-lactamases, more than 4-fold (from 1.3% to 5.8%, p < 0.001). A. baumannii strains producing two or three types of β-lactamases were more often resistant to tigecycline, tetracycline, and doxycycline than strains producing one type of β-lactamases (p < 0.001). Conclusions: The frequency of isolation of A. baumannii strains producing two or three -lactamases types and the resistance rates to ampicillin/sulbactam, tigecycline, tetracycline, and doxycycline increased in 2020–2021 as compared with 2016–2017. The production of two or three types of -lactamases by A. baumannii strains was associated with higher resistance rates to tetracyclines.
Effect of Trace Metal Ions on the Conformational Stability of the Visual Photoreceptor Rhodopsin
Authors: Wang Feifei , Fernandez-Gonzalez Pol , Ramon Eva , Morillo Margarita , Garriga Pere
Published: June 2023

Trace metals are essential elements that play key roles in a number of biochemical processes governing human visual physiology in health and disease. Several trace metals, such as zinc, have been shown to play important roles in the visual phototransduction process. In spite of this, there has been little research conducted on the direct effect of trace metal elements on the visual pho-toreceptor rhodopsin. In the current study, we have determined the effect of several metal ions, such as iron, copper, chromium, manganese, and nickel on the conformational stability of rho-dopsin. To this aim, we analyzed, by means of UV-visible and fluorescence spectroscopic methods, the effects of these trace elements on the thermal stability of dark rhodopsin, the stability of its active Metarhodopsin II conformation, and its chromophore regeneration. Our results show that copper prevented rhodopsin regeneration and slowed down the retinal release process after il-lumination. In turn, Fe3+, but not Fe2+, increased the thermal stability of the dark inactive con-formation of rhodopsin, whereas copper ions markedly decreased it. These findings stress the important role of trace metals in retinal physiology at the photoreceptor level, and may be useful for the development of novel therapeutic strategies to treat retinal disease.
Dietary Intake With Supplementation of Vitamin D, Vitamin B6, and Magnesium on Depressive Symptoms: A Public Health Perspective
Authors: Rajasekar Rohitha , VanderMolen Julia , Barnhart Kathryn , Anguilm Nichole
Published: June 2023

Background: Studies addressing diet quality and mental health have shown a strong association. There is limited evidence of specific vitamins essential for treating depression. This study aims to understand the impact of diet quality through supplementation of vitamins D, B6, and magnesium on depressive symptoms. Methods: Multiple datasets from the National Health and Nutrition Examination Survey 2017-March 2020 investigated the associations between vitamin D, B6, and magnesium on depression symptoms. A cross-sectional sample of adults over 20 was extracted (n=9,232). Chi-square tests and logistic regression analyses were used to investigate the associations. Results: Individuals with low doses of vitamin D were more likely to report symptoms of depression relative to those with low doses of vitamin B6 (χ²=3.9063, p=0.0481 vs. χ²=5.2071, p=0.0225). These results remained significant among those with high magnesium proportionate to high vitamin B6 (χ²=6.1272, p=0.0133 vs. χ²=5.2071, p=0.0225). Logistic regression results provided associations for all models except unadjusted vitamin D and adjusted vitamin D. Conclusions: Preventive measures could be addressed by identifying the risks of vitamin deficiencies. Further epidemiological research is needed for the individual effects of vitamin supplementation and depression symptoms.
Profiting From Pandemic? Scottish Universities During COVID-19
Authors: Armstrong Sarah
Published: June 2023

A sense of crisis pervaded the university sector as Covid-19 spread, with worries about possible significant loss of income and students in its wake. This analysis examines several years of financial and student data through the pandemic (2020-2022) for Scottish universities. It shows that far from losing money or students, universities in Scotland gained both, and accelerated income growth during Covid. The University of Glasgow stands out not only among Scottish universities but also in the Russell Group in increasing income and student numbers faster than other institutions, becoming over the course of the pandemic, the third largest university in the UK and the largest in Scotland by student numbers. The driver of income growth for all Scottish universities is expanded intakes of international students, who primarily come from Asia and Africa. Across 2021 and 2022, Scottish Universities earned income totalling £1.7 billion from international tuition fee alone. Universities across the UK are increasingly dependent on yet continuing to actively pursue international tuition fees as a primary source of income. This paper documents the situation for Scotland, considering the implications of this growth trajectory in terms of: concentrating financial dependence on a single income source; rising casualisation of staff as a means of managing higher student numbers; impacts on learning and working conditions as students numbers rapidly expand; a shifting composition of students in higher education. It concludes with reflections on: a blurring boundary between the practices and values of profit-making companies and those of the charitable university sector; the ethical and colonial implications in international student recruitment and targeting of ‘new markets’ in the Global South; and the implications of all this for the shape, health and purpose of the university sector in Scotland.
Ιmage Perceptual Similarity Metrics for the Assessment of Basal Cell Carcinoma
Authors: Spyridonos Panagiota , Likas Aristidis , Seretis Konstantinos , Moschovos Vasileios , Feldmeyer Laurence , Heidenmeyer Kristine , Zampeta Athanasia , Bassukas Ioannis D. , Gaitanis Georgios
Published: June 2023

Efficient management of basal cell carcinoma (BCC) requires reliable assessments of both tumors and post-treatment scars. We aimed to estimate image similarity metrics that account for BCC's perceptual color and texture deviation from perilesional skin. 176 clinical photographs of BCC were assessed by six physicians using a visual deviation scale. Internal consistency and inter-rater agreement were estimated using Cronbach's α, weighted Gwet's AC2, and quadratic Cohen's Kappa. The mean visual scores were used to validate a range of similarity metrics employing different color spaces, distances, and image embeddings from pre-trained VGG16 neural network. The calculated similarities were transformed into discrete values using ordinal logistic regression models. The Bray-Curtis distance in the YIQ color model and rectified embeddings from the 'fc6' layer minimized the mean squared error and demonstrated strong performance in representing perceptual similarities. Box plot analysis and Wilcoxon rank-sum test were used to visualize and compare the levels of agreement, conducted on a random validation round between the two groups: ‘Human-System’ and ‘Human-Human’. The proposed metrics were comparable in terms of internal consistency and agreement with human raters. The findings suggest that the proposed metrics offer a robust, and cost-effective approach to monitoring BCC treatment outcomes in clinical settings.
Exploring Digital Twin-based Fault Monitoring: Challenges and Opportunities
Authors: Bofill Jherson , Abisado Mideth , Sampedro Gabriel Avelino
Published: June 2023

High efficiency and safety are critical factors in ensuring optimal performance and reliability of systems and equipment across various industries. Fault Monitoring (FM) techniques play a pivotal role in this regard by continuously monitoring system performance and identifying the presence of faults or abnormalities. However, traditional FM methods face limitations in fully capturing the complex interactions within a system and providing real-time monitoring capabilities. To overcome these challenges, Digital Twin (DT) technology has emerged as a promising solution to enhance existing FM practices. By creating a virtual replica or digital copy of a physical equipment or system, DT offers the potential to revolutionize fault monitoring approaches. This paper aims to explore and discuss the diverse range of predictive methods utilized in DT and their implementations in FM across industries. Furthermore, it will showcase successful implementations of DT in FM across a wide array of industries, including manufacturing, energy, transportation, and healthcare The utilization of DT in FM enables a comprehensive understanding of system behavior and performance by leveraging real-time data, advanced analytics, and machine learning algorithms. By integrating physical and virtual components, DT facilitates the monitoring and prediction of faults, providing valuable insights into the system’s health and enabling proactive maintenance and decision-making.
Nurses’ Silence: Understanding the Impacts of Second Victim Phenomenon Among Israeli Nurses
Authors: Cohen Rinat , Sela Yael , Halevi Hochwald Inbal , Nissanholz-Gannot Rachel
Published: June 2023

Introduction: The "second victim" phenomenon, (SVP) refers to a health professional who was involved in an adverse event (AE) and continues to suffer from the event to the detriment of personal and professional functioning. The Second Victims Natural History of Recovery Model predicts stages of the phenomenon from AE occurrence until the ‘moving on’ stage and serves as a suitable structure for many organizational support programs worldwide.
Purpose: Using the Second Victims Natural History of Recovery Model to examine the impact of SVP on Israeli nurses, with a specific focus on the organizational support they felt they required as compared to the support they felt that they had received from their organizations.
Methods: Fifteen in-depth interviews were conducted, using a semi-structured questionnaire, among nurses who had experienced SVP. The interviews were recorded subject to the interviewee's consent, transcribed, and analyzed using thematic content analysis.
Findings: Throughout all six stages of recovery, all interviewees reported physical and emotional manifestations following exposure to an AE, regardless of type of event or severity. They also reported difficulty in emotion regulation, as well as damage to functioning and overall quality of life. Most of the nurse interviewees reported a need to share the events with someone, but despite this desire to receive appropriate support, almost none of them proactively requested help from a professional source, nor did their organizational management initiate proactive support. This lack of referral for further assistance is possibly explained through limited awareness of SVP as a valid response to an AE, perceived lack of legitimacy to receive organizational support and personal barriers that accompany the phenomenon.
Conclusions: Appropriate organizational support, offered proximal to an AE as well as over time, is essential for the nurse, the patient and the organization. Personal barriers, together with limited awareness, may challenge the identification and provision of appropriate assistance. Hence, it is important to address the phenomenon as part of general organizational policy to improve quality of care and patient safety.
Validation of the Canadian Version of the Shame and Stigma Scale for Head and Neck Cancer Patients
Authors: Bobevski Irene , Kissane David , Desroches Justin , De Simone Avina , Henry Melissa
Published: June 2023

Cancers of the head and ne¬ck and their treatment can cause disfigurement and loss of functioning, with a profound negative impact on the person’s self-image and psychosocial wellbeing. This can lead to experiences of shame and stigma, which are important targets for psychosocial interventions. Accurate measurement and identification of these problems enables clinicians to offer appropriate interventions and monitor patients’ progress. This study aimed to validate the Canadian version of the Shame and Stigma Scale (SSS) among French and English speaking head and neck cancer patients. Data from 258 patients from two major Canadian hospitals was analysed. The existing 4-factor structure of the SSS was supported, with the following subscales: Shame with Appearance, Sense of Stigma, Regret, and Social/Speech Concerns. The Canadian SSS showed adequate convergent and divergent validity and test-retest reliability. Rasch analysis suggested scale improvement by removing two misfitting item and two items with differential functioning between French and English speaking patients. The final 16-item scale version had adequate fit to the Rasch model. The SSS provides more accurate measures for people with high levels of shame and stigma, and thus has utility in identifying patients with more severe symptoms who may be in need of psychosocial interventions.
Integrating AI and NLP with Project-Based Learning in STREAM Education
Authors: Abu-Ghuwaleh Mohammad , Saffaf Rasheed
Published: June 2023

Integrating artificial intelligence (AI) and natural language processing (NLP) technologies with project-based learning experiences in Science,Technology, Reading, Engineering, Arts, and Mathematics (STREAM) education offers the potential to enhance student engagement, critical thinking,problem-solving, and interdisciplinary learning. This paper presents a comprehensive approach to implementing AI and NLP technologies, such as ChatGPT, in STREAM project-based learning experiences, highlighting the potential advantages and challenges of this innovative educational approach. The proposed method encompasses personalized learning pathways, AI-powered research assistance, collaborative AI tools, real-time feedback, virtual mentoring, advanced simulation, and objective assessment. We also discuss the implications of this integration for educators, institutions, and students, along with recommendations for future research and development in this emerging field.