bluuebunny/crossref_metadata_2025 huggingface dataset:
The Quality of Life in Patients with Epilepsy in the Context of Sleep Problems and Sexual Satisfaction
Authors: Rozenek Hanna , Zaręba Kornelia , Banasiewicz Jolanta , Wójtowicz Stanisław , Krasuski Tomasz , Owczarek Krzysztof
Published: June 2021

Epilepsy influences the quality of patient functioning in almost all aspects of life. This study aimed to assess the quality of difficulties with sleep initiation and those concerning sexual function, and to assess whether sleep disorders are associated with selected aspects of sexual function and quality of life. The study involved completing a quality-of-life questionnaire for persons with epilepsy: a QOLIE-31 questionnaire, and the present authors’ questionnaire, including 20 questions. A total of 170 questionnaires were completed by 89 men and 81 women. Sleep problems of various frequency were reported by 98 participants (57.6%). Only 41% of patients were definitely satisfied with their sex life. The respondents who declared dissatisfaction with their sex life more often reported difficulties with sleep initiation (χ2 = 10.20; p ≤ 0.001). Moreover, those who claimed that epilepsy might contribute to sex life problems more commonly declared dissatisfaction with their sex life (χ2 = 20.01; p ≤ 0.001) and more frequently, reported difficulties with sleep initiation (χ2 = 6.30; p ≤ 0.012). The issues should constitute the constant element of medical history taking, as improvement in these areas of functioning may promote better quality of life in patients with epilepsy.
Repetitive Transcranial Magnetic Stimulation: A Potential Treatment for Obesity in Patients with Schizophrenia
Authors: Monem Ramey G. , Okusaga Olaoluwa O.
Published: June 2021

Obesity is highly prevalent in patients with schizophrenia and, in association with metabolic syndrome, contributes to premature deaths of patients due to cardiovascular disease complications. Moreover, pharmacologic, and behavioral interventions have not stemmed the tide of obesity in schizophrenia. Therefore, novel effective interventions are urgently needed. Repetitive transcranial magnetic stimulation (rTMS) has shown efficacy for inducing weight loss in obese non-psychiatric samples but this promising intervention has not been evaluated as a weight loss intervention in patients with schizophrenia. In this narrative review, we describe three brain mechanisms (hypothalamic inflammation, dysregulated mesocorticolimbic reward system, and impaired prefrontal cortex function) implicated in the pathogenesis and pathophysiology of obesity and emphasize how the three mechanisms have also been implicated in the neurobiology of schizophrenia. We then argue that, based on the three overlapping brain mechanisms in obesity and schizophrenia, rTMS would be effective as a weight loss intervention in patients with schizophrenia and comorbid obesity. We end this review by describing how deep TMS, relative to conventional TMS, could potentially result in larger effect size for weight loss. While this review is mainly conceptual and based on an extrapolation of findings from non-schizophrenia samples, our aim is to stimulate research in the use of rTMS for weight loss in patients with schizophrenia.
The Clinical Assessment of MicroRNA Diagnostic, Prognostic, and Theranostic Value in Colorectal Cancer
Authors: Al-Akhrass Hussein , Christou Niki
Published: June 2021

MiRNAs have recently become a subject of great interest within cancers and especially colorectal cancers in diagnosis, prognosis, and therapy decisions; herein we review the current literature focusing on miRNAs in colorectal cancers, and we discuss future challenges to use this tool on a daily clinical basis. In liquid biopsies, miRNAs seem easily accessible and can give important information toward each step of the management of colorectal cancers. However, it is now necessary to highlight the most sensitive and specific miRNAs for each goal thanks to multicentric prospective studies. Conclusions: by their diversity and the feasibility of their use, miRNAs are getting part of the armamentarium of healthcare management of colorectal cancers.
Diagnostic, Clinical and Post-SARS-CoV-2 Scenarios in Cancer Patients with SARS-CoV-2: Retrospective Analysis in Three German Cancer Centers
Authors: Shumilov Evgenii , Hoffknecht Petra , Koch Raphael , Peceny Rudolf , Voigt Steffen , Schmidt Nicole , Peeck Micha , Bacher Ulrike , Scheithauer Simone , Trümper Lorenz , Lenz Georg , Kerkhoff Andrea , Bleckmann Annalen
Published: June 2021

Oncologists face challenges in the management of SARS-CoV-2 infections and post-SARS-CoV-2 cancer treatment. We analyzed diagnostic, clinical and post-SARS-CoV-2 scenarios in patients from three German cancer centers with RT-PCR confirmed SARS-CoV-2 infection. Sixty-three patients with SARS-CoV-2 and hematologic or solid neoplasms were included. Thirty patients were initially asymptomatic, 10 of whom developed COVID-19 symptoms subsequently. Altogether 20 (32%) patients were asymptomatic, 18 (29%) had mild, 12 (19%) severe and 13 (20%) critical courses. Lymphocytopenia increased risk of severe/critical COVID-19 three-fold (p = 0.015). Asymptomatic course was not associated with age, remission status, therapies or co-morbidities. Secondary bacterial infection accompanied more than one third of critical COVID-19 cases. Treatment was delayed post-SARS-CoV-2 in 46 patients, 9 of whom developed progressive disease (PD). Cancer therapy was modified in 8 SARS-CoV-2 survivors because of deteriorating performance or PD. At the last follow-up, 17 patients had died from COVID-19 (n = 8) or PD (n = 9) giving an estimated 73% four-month overall survival rate. SARS-CoV-2 infection has a heterogenous course in cancer patients. Lymphocytopenia carries a significant risk of severe/critical COVID-19. SARS-CoV-2 disruption of therapy is as serious as SARS-CoV-2 infection itself. Careful surveillance will allow early restart of the anti-cancer treatment.
Management of T-Cell Lymphoma: In Quest of the Holy Grail
Authors: Péricart Sarah , Escudié Frédéric , Grand David , Brousset Pierre
Published: June 2021

T-cell lymphomas (TCL) represent a very heterogeneous group of lymphoid tumors which are clearly distinct from B-cell neoplasms [...]
CT Body Composition of Sarcopenia and Sarcopenic Obesity: Predictors of Postoperative Complications and Survival in Patients with Locally Advanced Esophageal Adenocarcinoma
Authors: Fehrenbach Uli , Wuensch Tilo , Gabriel Pia , Segger Laura , Yamaguchi Takeru , Auer Timo Alexander , Beetz Nick Lasse , Denecke Christian , Kröll Dino , Raakow Jonas , Knitter Sebastian , Chopra Sascha , Thuss-Patience Peter , Pratschke Johann , Hamm Bernd , Biebl Matthias , Geisel Dominik
Published: June 2021

Background: To assess the impact of body composition imaging biomarkers in computed tomography (CT) on the perioperative morbidity and survival after surgery of patients with esophageal cancer (EC). Methods: Eighty-five patients who underwent esophagectomy for locally advanced EC after neoadjuvant therapy between 2014 and 2019 were retrospectively enrolled. Pre- and postoperative CT scans were used to assess the body composition imaging biomarkers (visceral (VAT) and subcutaneous adipose tissue (SAT) areas, psoas muscle area (PMA) and volume (PMV), total abdominal muscle area (TAMA)). Sarcopenia was defined as lumbar skeletal muscle index (LSMI) ≤38.5 cm2/m2 in women and ≤52.4 cm2/m2 in men. Patients with a body mass index (BMI) of ≥30 were considered obese. These imaging biomarkers were correlated with major complications, anastomotic leakage, postoperative pneumonia, duration of postoperative hospitalization, disease-free survival (DFS), and overall survival (OS). Results: Preoperatively, sarcopenia was identified in 58 patients (68.2%), and sarcopenic obesity was present in 7 patients (8.2%). Sarcopenic patients were found to have an elevated risk for the occurrence of major complications (OR: 2.587, p = 0.048) and prolonged hospitalization (32 d vs. 19 d, p = 0.040). Patients with sarcopenic obesity had a significantly higher risk for postoperative pneumonia (OR: 6.364 p = 0.018) and a longer postoperative hospital stay (71 d vs. 24 d, p = 0.021). Neither sarcopenia nor sarcopenic obesity was an independent risk factor for the occurrence of anastomotic leakage (p > 0.05). Low preoperative muscle biomarkers (PMA and PMV) and their decrease (ΔPMV and ΔTAMA) during the follow-up period significantly correlated with shorter DFS and OS (p = 0.005 to 0.048). Conclusion: CT body composition imaging biomarkers can identify high-risk patients with locally advanced esophageal cancer undergoing surgery. Sarcopenic patients have a higher risk of major complications, and patients with sarcopenic obesity are more prone to postoperative pneumonia. Sarcopenia and sarcopenic obesity are both subsequently associated with a prolonged hospitalization. Low preoperative muscle mass and its decrease during the postoperative follow-up are associated with lower DFS and OS.
Targeting mTOR and Glycolysis in HER2-Positive Breast Cancer
Authors: Holloway Ryan W. , Marignani Paola A.
Published: June 2021

Up to one third of all breast cancers are classified as the aggressive HER2-positive subtype, which is associated with a higher risk of recurrence compared to HER2-negative breast cancers. The HER2 hyperactivity associated with this subtype drives tumor growth by up-regulation of mechanistic target of rapamycin (mTOR) pathway activity and a metabolic shift to glycolysis. Although inhibitors targeting the HER2 receptor have been successful in treating HER2-positive breast cancer, anti-HER2 therapy is associated with a high risk of recurrence and drug resistance due to stimulation of the PI3K-Akt-mTOR signaling pathway and glycolysis. Combination therapies against HER2 with inhibition of mTOR improve clinical outcomes compared to HER2 inhibition alone. Here, we review the role of the HER2 receptor, mTOR pathway, and glycolysis in HER2-positive breast cancer, along with signaling mechanisms and the efficacy of treatment strategies of HER2-positive breast cancer.
Magnetically Guided Localization Using a Guiding-Marker System® and a Handheld Magnetic Probe for Nonpalpable Breast Lesions: A Multicenter Feasibility Study in Japan
Authors: Kurita Tomoko , Taruno Kanae , Nakamura Seigo , Takei Hiroyuki , Enokido Katsutoshi , Kuwayama Takashi , Kanada Yoko , Akashi-Tanaka Sadako , Matsuyanagi Misaki , Hankyo Meishi , Yanagihara Keiko , Sakatani Takashi , Sakamaki Kentaro , Kuwahata Akihiro , Sekino Masaki , Kusakabe Moriaki
Published: June 2021

Accurate pre-operative localization of nonpalpable lesions plays a pivotal role in guiding breast-conserving surgery (BCS). In this multicenter feasibility study, nonpalpable breast lesions were localized using a handheld magnetic probe (TAKUMI) and a magnetic marker (Guiding-Marker System®). The magnetic marker was preoperatively placed within the target lesion under ultrasound or stereo-guidance. Additionally, a dye was injected subcutaneously to indicate the extent of the tumor excision. Surgeons checked for the marker within the lesion using a magnetic probe. The magnetic probe could detect the guiding marker and accurately localize the target lesion intraoperatively. All patients with breast cancer underwent wide excision with a safety margin of ≥5 mm. The presence of the guiding-marker within the resected specimen was the primary outcome and the pathological margin status and re-excision rate were the secondary outcomes. Eighty-seven patients with nonpalpable lesions who underwent BCS, from January to March of 2019 and from January to July of 2020, were recruited. The magnetic marker was detected in all resected specimens. The surgical margin was positive only in 5/82 (6.1%) patients; these patients underwent re-excision. This feasibility study demonstrated that the magnetic guiding localization system is useful for the detection and excision of nonpalpable breast lesions.
Tunnelled Peritoneal Catheter for Malignant Ascites—An Open-Label, Prospective, Observational Trial
Authors: Petzold Golo , Bremer Sebastian C. B. , Heuschert Felix C. , Treiber Hannes , Ellenrieder Volker , Kunsch Steffen , Neesse Albrecht
Published: June 2021

Treatment of recurrent malignant ascites in cancer patients is a challenge. Evidence based guidelines regarding the best treatment strategy are lacking. The aim of this prospective study was to investigate the safety and efficacy of a tunnelled peritoneal catheter (PleurX) in cancer patients with symptomatic ascites. Patients with symptomatic, diuretics-refractory ascites and indication for the implantation of a tunnelled peritoneal PleurX catheter were prospectively enrolled between August 2018 and July 2020. The number of catheter days, complications, amount of drained ascites and ascites-associated symptoms and hospitalization rate pre- and post-PleurX insertion were analysed. 51 Patients (64.7% male) were prospectively enrolled. The mean age was 66.6 (±7.9) years. The most common cause of ascites was pancreatic adenocarcinoma (n = 10) followed by cholangiocellular carcinoma (n = 9) and hepatocellular carcinoma (n = 8). The technical success rate of PleurX implantation was 100%. The mean volume of weakly drained ascites was 5.44l (±4.08). Major complications included cellulitis (n = 2), peritonitis and drainage dislocation (each n = 1). The mean catheter days per patient was 59.8 (±107.4) (Min 4, Max 668). Abdominal discomfort, impaired mobility, dyspnoea, fatigue, nausea and vomiting were significantly reduced 30 days after PleurX insertion (p < 0.05). Moreover, hospitalization rate was significantly reduced (p < 0.001; 27.08% of days preimplantation vs. 11.27% postimplantation). We conclude that implantation of a tunnelled ascites catheter is a safe and effective method for the treatment of refractory ascites in cancer patients with advanced disease. Serious complications are rare. Burdensome ascites-associated symptoms and hospitalization rates can be significantly reduced over a longer period of time.
Brain Metastases in HER2-Positive Breast Cancer: Current and Novel Treatment Strategies
Authors: Garcia-Alvarez Alejandro , Papakonstantinou Andri , Oliveira Mafalda
Published: June 2021

Development of brain metastases can occur in up to 30–50% of patients with breast cancer, representing a significant impact on an individual patient in terms of survival and quality of life. Patients with HER2-positive breast cancer have an increased risk of developing brain metastases; however, screening for brain metastases is not currently recommended due to the lack of robust evidence to support survival benefit. In recent years, several novel anti-HER2 agents have led to significant improvements in the outcomes of HER2-positive metastatic breast cancer. Despite these advances, brain and leptomeningeal metastases from HER2-positive breast cancer remain a significant cause of morbidity and mortality, and their optimal management remains an unmet need. This review presents an update on the current and novel treatment strategies for patients with brain metastases from HER2-positive breast cancer and discusses the open questions in the field.
TGF Beta Induces Vitamin D Receptor and Modulates Mitochondrial Activity of Human Pancreatic Cancer Cells
Authors: Fiz Camilla , Apprato Giulia , Ricca Chiara , Aillon Alessia , Bergandi Loredana , Silvagno Francesca
Published: June 2021

The inflammatory cytokine TGFβ is both a tumor suppressor during cancer initiation and a promoter of metastasis along cancer progression. Inflammation and cancer are strictly linked, and cancer onset often correlates with the insufficiency of vitamin D, known for its anti-inflammatory properties. In this study, we investigated the interplay between TGFβ and vitamin D in two models of human pancreatic cancer, and we analyzed the metabolic effects of a prolonged TGFβ treatment mimicking the inflammatory environment of pancreatic cancer in vivo. We confirmed the induction of the vitamin D receptor previously described in epithelial cells, but the inhibitory effects of vitamin D on epithelial–mesenchymal transition (EMT) were lost when the hormone was given after a long treatment with TGFβ. Moreover, we detected an ROS-mediated toxicity of the acute treatment with TGFβ, whereas a chronic exposure to low doses had a protumorigenic effect. In fact, it boosted the mitochondrial respiration and cancer cell migration without ROS production and cytotoxicity. Our observations shed some light on the multifaceted role of TGFβ in tumor progression, revealing that a sustained exposure to TGFβ at low doses results in an irreversibly increased EMT associated with a metabolic modulation which favors the formation of metastasis.
The Heritability of Replication Problems
Authors: Hoffmann Jean-Sébastien
Published: June 2021

The major challenge of DNA replication is to provide daughter cells with intact and fully duplicated genetic material. However, various endogenous or environmental factors can slow down or stall DNA replication forks; these replication problems are known to fuel genomic instability and associated pathology, including cancer progression. Whereas the mechanisms emphasizing the source and the cellular responses of replicative problems have attracted much consideration over the past decade, the propagation through mitosis of genome modification and its heritability in daughter cells when the stress is not strong enough to provoke a checkpoint response in G2/M was much less documented. Some recent studies addressing whether low replication stress could impact the DNA replication program of the next generation of cells made the remarkable discovery that DNA damage can indeed be transmitted to daughter cells and can be processed in the subsequent S-phase, and that the replication timing program at a subset of chromosomal domains can also be impacted in the next generation of cells. Such a progression of replication problems into mitosis and daughter cells may appear counter-intuitive, but it could offer considerable advantages by alerting the next generation of cells of potentially risky loci and offering the possibility of an adaptive mechanism to anticipate a reiteration of problems, notably for cancer cells in the context of resistance to therapy.
Etoposide Triggers Cellular Senescence by Inducing Multiple Centrosomes and Primary Cilia in Adrenocortical Tumor Cells
Authors: Teng Yen-Ni , Chang Huei-Cih , Chao Yu-Ying , Cheng Hui-Ling , Lien Wei-Chih , Wang Chia-Yih
Published: June 2021

Etoposide (ETO) has been used in treating adrenocortical tumor (ACT) cells. Our previous study showed that ETO inhibits ACT cell growth. In the present study, we show that ETO treatment at IC50 (10 μM) inhibited ACT cell growth by inducing cellular senescence rather than apoptosis. Several markers of cellular senescence, including enlarged nuclei, activated senescence-associated β-galactosidase activity, elevated levels of p53 and p21, and down-regulation of Lamin B1, were observed. We further found that ETO induced multiple centrosomes. The inhibition of multiple centrosomes accomplished by treating cells with either roscovitine or centrinone or through the overexpression of NR5A1/SF-1 alleviated ETO-induced senescence, suggesting that ETO triggered senescence via multiple centrosomes. Primary cilia also played a role in ETO-induced senescence. In the mechanism, DNA-PK-Chk2 signaling was activated by ETO treatment; inhibition of this signaling cascade alleviated multiple ETO-induced centrosomes and primary cilia followed by reducing cellular senescence. In addition to DNA damage signaling, autophagy was also triggered by ETO treatment for centrosomal events and senescence. Importantly, the inactivation of DNA-PK-Chk2 signaling reduced ETO-triggered autophagy; however, the inhibition of autophagy did not affect DNA-PK-Chk2 activation. Thus, ETO activated the DNA-PK-Chk2 cascade to facilitate autophagy. The activated autophagy further induced multiple centrosomes and primary cilia followed by triggering senescence.
To Trap a Pathogen: Neutrophil Extracellular Traps and Their Role in Mucosal Epithelial and Skin Diseases
Authors: Domínguez-Díaz Carolina , Varela-Trinidad Gael Urait , Muñoz-Sánchez Germán , Solórzano-Castanedo Karla , Avila-Arrezola Karina Elizabeth , Iñiguez-Gutiérrez Liliana , Delgado-Rizo Vidal , Fafutis-Morris Mary
Published: June 2021

Neutrophils are the most abundant circulating innate immune cells and comprise the first immune defense line, as they are the most rapidly recruited cells at sites of infection or inflammation. Their main microbicidal mechanisms are degranulation, phagocytosis, cytokine secretion and the formation of extracellular traps. Neutrophil extracellular traps (NETs) are a microbicidal mechanism that involves neutrophil death. Since their discovery, in vitro and in vivo neutrophils have been challenged with a range of stimuli capable of inducing or inhibiting NET formation, with the objective to understand its function and regulation in health and disease. These networks composed of DNA and granular components are capable of immobilizing and killing pathogens. They comprise enzymes such as myeloperoxidase, elastase, cathepsin G, acid hydrolases and cationic peptides, all with antimicrobial and antifungal activity. Therefore, the excessive formation of NETs can also lead to tissue damage and promote local and systemic inflammation. Based on this concept, in this review, we focus on the role of NETs in different infectious and inflammatory diseases of the mucosal epithelia and skin.
Phospholipase A2 Drives Tumorigenesis and Cancer Aggressiveness through Its Interaction with Annexin A1
Authors: Vecchi Lara , Araújo Thaise Gonçalves , Azevedo Fernanda Van Petten de Vasconcelos , Mota Sara Teixeria Soares , Ávila Veridiana de Melo Rodrigues , Ribeiro Matheus Alves , Goulart Luiz Ricardo
Published: June 2021

Phospholipids are suggested to drive tumorigenesis through their essential role in inflammation. Phospholipase A2 (PLA2) is a phospholipid metabolizing enzyme that releases free fatty acids, mostly arachidonic acid, and lysophospholipids, which contribute to the development of the tumor microenvironment (TME), promoting immune evasion, angiogenesis, tumor growth, and invasiveness. The mechanisms mediated by PLA2 are not fully understood, especially because an important inhibitory molecule, Annexin A1, is present in the TME but does not exert its action. Here, we will discuss how Annexin A1 in cancer does not inhibit PLA2 leading to both pro-inflammatory and pro-tumoral signaling pathways. Moreover, Annexin A1 promotes the release of cancer-derived exosomes, which also lead to the enrichment of PLA2 and COX-1 and COX-2 enzymes, contributing to TME formation. In this review, we aim to describe the role of PLA2 in the establishment of TME, focusing on cancer-derived exosomes, and modulatory activities of Annexin A1. Unraveling how these proteins interact in the cancer context can reveal new strategies for the treatment of different tumors. We will also describe the possible strategies to inhibit PLA2 and the approaches that could be used in order to resume the anti-PLA2 function of Annexin A1.
Dietary Flavonoids and Insulin Signaling in Diabetes and Obesity
Authors: Martín María Ángeles , Ramos Sonia
Published: June 2021

Type 2 diabetes (T2D) and obesity are relevant worldwide chronic diseases. A common complication in both pathologies is the dysregulation of the insulin-signaling pathway that is crucial to maintain an accurate glucose homeostasis. Flavonoids are naturally occurring phenolic compounds abundant in fruits, vegetables and seeds. Rising evidence supports a role for the flavonoids against T2D and obesity, and at present, these compounds are considered as important potential chemopreventive agents. This review summarizes in vitro and in vivo studies providing data related to the effects of flavonoids and flavonoid-rich foods on the modulation of the insulin route during T2D and obesity. Notably, few human studies have evaluated the regulatory effect of these phenolic compounds at molecular level on the insulin pathway. In this context, it is also important to note that the mechanism of action for the flavonoids is not fully characterized and that a proper dosage to obtain a beneficial effect on health has not been defined yet. Further investigations will contribute to solve all these critical challenges and will enable the use of flavonoids to prevent, delay or support the treatment of T2D and obesity.
Fluorination vs. Chlorination: Effect on the Sensor Response of Tetrasubstituted Zinc Phthalocyanine Films to Ammonia
Authors: Bonegardt Dmitry , Klyamer Darya , Sukhikh Aleksandr , Krasnov Pavel , Popovetskiy Pavel , Basova Tamara
Published: June 2021

In this work, the effect of fluorine and chlorine substituents in tetrasubstituted zinc phthalocyanines, introduced into the non-peripheral (ZnPcR4-np, R = F, Cl) and peripheral (ZnPcR4-p, R = F, Cl) positions of macrocycle, on their structure and chemiresistive sensor response to low concentration of ammonia is studied. The structure and morphology of the zinc phthalocyanines films (ZnPcR4) were investigated by X-ray diffraction and atomic force microscopy methods. To understand different effects of chlorine and fluorine substituents, the strength and nature of the bonding of ammonia and ZnPcHal4 molecules were studied by quantum chemical simulation. It was shown on the basis of comparative analysis that the sensor response to ammonia was found to increase in the order ZnPcCl4-np < ZnPcF4-np < ZnPcF4-p < ZnPcCl4-p, which is in good agreement with the values of bonding energy between hydrogen atoms of NH3 and halogen substituents in the phthalocyanine rings. ZnPcCl4-p films demonstrate the maximal sensor response to ammonia with the calculated detection limit of 0.01 ppm; however, they are more sensitive to humidity than ZnPcF4-p films. It was shown that both ZnPcF4-p and ZnPcCl4-p and can be used for the selective detection of NH3 in the presence of carbon dioxide, dichloromethane, acetone, toluene, and ethanol.
The Role of Therapeutic Plasma Exchange (TPE) in Multisystem Inflammatory Syndrome in Children (MIS-C)
Authors: Atay Gurkan , Hasbal Canan , Türk Mücahit , Erdoğan Seher , Sözeri Betül
Published: June 2021

Multisystemic inflammatory syndrome in children (MIS-C) is a new potentially life-threatening disease that is related to coronavirus disease 2019 (COVID-19). The aim of this study is to reveal the clinical and laboratory results of MIS-C and the role of therapeutic plasma exchange (TPE) in its treatment. Clinical, laboratory and radiological characteristics of the patients who were admitted to the pediatric ward and pediatric intensive care unit (PICU) of a tertiary hospital with a diagnosis of MIS-C between April 2020 and March 2021 were included in the study. Forty-one patients were admitted to our hospital with a diagnosis of MIS-C. Twenty-one (51.2%) patients were admitted to the PICU. Six patients needed invasive mechanical ventilation (14.6%), 10 patients (24.4%) TPE and 3 patients (7.3%) needed extracorporeal membrane oxygenation (ECMO). The patients were grouped according to need for PICU admission (Group 1: no need for PICU, Group 2: need for PICU admission). Group 2 had significantly higher levels of C-reactive protein (CRP), alanine aminotransferase (ALT), ferritin, D-dimer, pro-B type natriuretic peptide (pro BNP) and lactate (p < 0.05). Hyponatremia found to be an independent risk factor for inpatient MIS-C in the PICU. We think that dynamic laboratory trending is beneficial in determining the need for PICU admission and TPE may be effective in critically ill patients.
Effect of Al2O3 and SiO2 Inert-Fillers on the Microstructural Evolution and High Temperature Oxidation Resistance of B Modified Silicides Coatings Prepared by Pack Cementation Technology
Authors: Su Linfen , Zhuo Guanqun , Song Haiwen , Yang Jianyong , Jiang Kaiyong
Published: June 2021

In this study, B modified silicide coatings were prepared on Nb-Si based alloy with Al2O3 or SiO2 inert-filler by pack cementation technology. Both coatings primarily consisted of a (Nb,X)Si2 with a (Nb,X)B2 + (Nb,X)Si2 outer layer. After oxidation at 1250 °C for 100 h, the coatings showed good oxidation resistance due to the formation of a dense silica. The oxidation products of the coating prepared with Al2O3 inert-filler consisted of SiO2, TiO2 and Cr2O3, while that of the coating prepared with SiO2 inert-filler consisted of SiO2, TiO2, Cr2O3, and HfO2. The different oxidation products may be due to the different oxidation process of these two sample at initial oxidation stage.
Bioinspired Living Coating System in Service: Evaluation of the Wood Protected with Biofinish during One-Year Natural Weathering
Authors: Poohphajai Faksawat , Sandak Jakub , Sailer Michael , Rautkari Lauri , Belt Tiina , Sandak Anna
Published: June 2021

The service life performance of timber products exposed to natural weathering is a critical factor limiting the broad use of wood as an external building element. The goal of this study was to investigate the in-service characterization of an innovative biofinish coating system. It is a novel surface finishing solution based on the bioinspired concept of living fungal cells designed for effective wood protection. The performance of Scots pine (Pinus sylvestris L.) wood coated with biofinish was compared with uncoated references. Samples were exposed to natural weathering for 12 months under the climatic conditions of northern Italy. The visual appearance, colour, gloss, wettability, and 3D surface topography of the wood surface were examined. Results revealed that the total colour changes (∆E) of biofinish-coated wood were negligible. Untreated Scots pine wood revealed the changes in colour after just three months of exposure. The gloss changes of both surface types were small. The contact angle measured on biofinish-coated wood was higher compared to that of uncoated Scots pine. Surface roughness increased in uncoated wood due to the erosion effect caused by the weathering progress. Conversely, the surface roughness of biofinish-coated samples decreased along the exposure time. This phenomenon was explained by two self-healing mechanisms: migration of non-polymerized oil to the cracked surface, where it polymerizes and creates a closed layer, and local regrowth to cover damaged spots by living fungal cells present in the coating. The obtained results revealed the superior aesthetic performance of the biofinish surface treatment against natural weathering. By considering the fully bio-based nature of the investigated coating, it was concluded that this solution can be an attractive alternative for state-of-the-art wood protection technologies.
Combined Pulsed RF GD-OES and HAXPES for Quantified Depth Profiling through Coatings
Authors: Bouttemy Muriel , Béchu Solène , Spencer Ben F. , Dally Pia , Chapon Patrick , Etcheberry Arnaud
Published: June 2021

Chemical characterization at buried interfaces is a real challenge, as the physico-chemical processes operating at the interface govern the properties of many systems and devices. We have developed a methodology based on the combined use of pulsed RF GD-OES (pulsed Radio Frequency Glow Discharge Optical Emission Spectrometry) and XPS (X-ray Photoelectron Spectroscopy) to facilitate the access to deeply buried locations (taking advantage of the high profiling rate of the GD-OES) and perform an accurate chemical diagnosis using XPS directly inside the GD crater. The reliability of the chemical information is, however, influenced by a perturbed layer present at the surface of the crater, hindering traditional XPS examination due to a relatively short sampling depth. Sampling below the perturbed layer may, however, can be achieved using a higher energy excitation source with an increased sampling depth, and is enabled here by a new laboratory-based HAXPES (Hard X-ray PhotoElectron Spectroscopy) (Ga-Kα, 9.25 keV). This new approach combining HAXPES with pulsed RF GD-OES requires benchmarking and is here demonstrated and evaluated on InP. The perturbed depth is estimated and the consistency of the chemical information measured is demonstrated, offering a new route for advanced chemical depth profiling through coatings and heterostructures.
Multiscale and Multi-Technical Approach to Characterize the Hot-Dip Galvanized Steel Surface and Its Consequence(s) on Paint Adhesion and Tendency to Blistering
Authors: Pélissier Krystel , Thierry Dominique
Published: June 2021

It is well known that the surface state (cleanliness, composition) of galvanized steel prior to the application of an organic coating is an important parameter. The surface state will affect the adhesion properties of the complete system and therefore will also impact its corrosion resistance and its tendency to blistering. Before the application of a pretreatment layer, galvanized steel strips are normally alkaline cleaned. This step is known to remove the native oxide film formed on hot dip galvanized steel after processing and appears as one of the most important steps to study the impact of the surface properties on the performance of painted systems. This study focused on making use of the cleaning step to input a variability on the surface composition (mainly surface concentration of aluminum) and evaluate its consequence(s) on the performance of a complete paint system. The results showed that, a variability in terms of surface aluminum concentration could be achieved by the cleaning step and that signs of performance improvement in terms of adhesion and tendency to blistering were spotted with a low content of aluminum at the surface.
Press-On Force Effect on the Efficiency of Composite Restorations Final Polishing—Preliminary In Vitro Study
Authors: Lehmann Anna , Nijakowski Kacper , Potempa Natalia , Sieradzki Paweł , Król Mateusz , Czyż Olaf , Radziszewska Agnieszka , Surdacka Anna
Published: June 2021

The surface texture of dental restorations has a major influence on plaque accumulation and aesthetical appearance. The study aimed to evaluate the surface roughness of composite resins depending on the varying polishing sequences and applied forces. A total of 60 samples from two composite resins (Boston and Charisma) were polymerized using a lamp with 1200 mW/cm2 intensity and covering celluloid strip. The polishing sequence consisted of 12.6 mm OptiDisc (Kerr) – with increased disc per each subsequent step. Half of the samples were polished at 1N force, with the other half at 2N. The surface roughness examination was performed using a WYKO NT930 (Veeco) optical profilometer. The selected roughness parameters were compared by ANOVA with the significance level α = 0.05. The more complex polishing sequence affected on the composite smoothness. Higher roughness was identified in Charisma samples as compared to Boston. The specimens polished with 2N force contained a slightly rougher surface than those polished with 1N. However, these differences were not statistically significant. Despite the satisfactory visual effect obtained by polishing the composite samples, the profilometric examination revealed the roughness. Finishing is crucial for providing a smooth composite surface, allowing it to function properly in the oral environment.
Machine-Learned Recognition of Network Traffic for Optimization through Protocol Selection
Authors: Anvari Hamidreza , Lu Paul
Published: June 2021

We introduce optimization through protocol selection (OPS) as a technique to improve bulk-data transfer on shared wide-area networks (WANs). Instead of just fine-tuning the parameters of a network protocol, our empirical results show that the selection of the protocol itself can result in up to four times higher throughput in some key cases. However, OPS for the foreground traffic (e.g., TCP CUBIC, TCP BBR, UDT) depends on knowledge about the network protocols used by the background traffic (i.e., other users). Therefore, we build and empirically evaluate several machine-learned (ML) classifiers, trained on local round-trip time (RTT) time-series data gathered using active probing, to recognize the mix of network protocols in the background with an accuracy of up to 0.96.
Dental Applications of Systems Based on Hydroxyapatite Nanoparticles—An Evidence-Based Update
Authors: Balhuc Silvia , Campian Radu , Labunet Anca , Negucioiu Marius , Buduru Smaranda , Kui Andreea
Published: June 2021

Hydroxyapatite is one of the most studied biomaterials in the medical and dental field, because of its biocompatibility; it is the main constituent of the mineral part of teeth and bones. In dental science, hydroxyapatite nanoparticles (HAnps) or nano-hydroxyapatite (nano-HA) have been studied, over the last decade, in terms of oral implantology and bone reconstruction, as well in restorative and preventive dentistry. Hydroxyapatite nanoparticles have significant remineralizing effects on initial enamel lesions, and they have also been used as an additive material in order to improve existing and widely used dental materials, mainly in preventive fields, but also in restorative and regenerative fields. This paper investigates the role of HAnps in dentistry, including recent advances in the field of its use, as well as their advantages of using it as a component in other dental materials, whether experimental or commercially available. Based on the literature, HAnps have outstanding physical, chemical, mechanical and biological properties that make them suitable for multiple interventions, in different domains of dental science. Further well-designed randomized controlled trials should be conducted in order to confirm all the achievements revealed by the in vitro or in vivo studies published until now.
Azimuthal Anchoring Strength in Photopatterned Alignment of a Nematic
Authors: Padmini H. Nilanthi , Rajabi Mojtaba , Shiyanovskii Sergij V. , Lavrentovich Oleg D.
Published: June 2021

Spatially-varying director fields have become an important part of research and development in liquid crystals. Characterization of the anchoring strength associated with a spatially-varying director is difficult, since the methods developed for a uniform alignment are seldom applicable. Here we characterize the strength of azimuthal surface anchoring produced by the photoalignment technique based on plasmonic metamsaks. The measurements used photopatterned arrays of topological point defects of strength +1 and −1 in thin layers of a nematic liquid crystal. The integer-strength defects split into pairs of half-integer defects with lower elastic energy. The separation distance between the split pair is limited by the azimuthal surface anchoring, which allows one to determine the strength of the latter. The strength of the azimuthal anchoring is proportional to the UV exposure time during the photoalignment of the azobenzene layer.
Synthesis and Characterization of the Amidomanganates Rb2[Mn(NH2)4] and Cs2[Mn(NH2)4]
Authors: Bäucker Christian , Bauch Soeren , Niewa Rainer
Published: June 2021

We report the successful synthesis of Rb2[Mn(NH2)4] and Cs2[Mn(NH2)4] from ammonothermal conditions at 723 K and pressures above 850 bar. Both compounds were obtained single phase according to powder X-ray diffraction. The crystal structures were determined by single crystal X-ray diffraction. For Rb2[Mn(NH2)4] we have obtained the high-temperature phase. The structures are analyzed with respect to the earlier reported alkali metal amidomanganates. Upon heating in inert atmosphere Cs2[Mn(NH2)4] decomposes to manganese nitrides. IR spectroscopic results are reported.
Real World Outcomes and Hepatotoxicity of Infliximab in the Treatment of Steroid-Refractory Immune-Related Adverse Events
Authors: Araujo Daniel V. , Muniz Thiago Pimentel , Yang Anjie , Keshavarzi Sareh , Sorotsky Hadas , Butler Marcus O. , Saibil Samuel , Spreafico Anna , Hogg David
Published: June 2021

Background and aims: Current guidelines state that infliximab is contraindicated for the treatment of immune checkpoint inhibitor-related hepatitis (ir-hepatitis) due to the risk of inducing further liver damage. As this recommendation is largely based on the use of infliximab for rheumatologic diseases, we evaluated the efficacy and hepatotoxicity of infliximab in patients with steroid-refractory immune-related adverse events (irAEs). Methods: We retrospectively reviewed consecutive patients treated with infliximab for irAEs at Princess Margaret Cancer Centre. To assess hepatotoxicity, we compared the mean value of ALT, AST, and total bilirubin (BT) before and after infliximab treatment. We used logistic regression to assess factors associated with infliximab efficacy. Results: Between January 2010 and February 2019, 56 patients were identified. The median age of the patients was 63 (27–84) years. Colitis was the most frequent toxicity (66%), followed by pneumonitis (11%). Infliximab was used to treat ir-hepatitis in one patient. The median number of infliximab doses was 1 (1–3) and led to toxicity resolution in 43 (76%) patients. The mean ALT, AST, and BT levels before and after infliximab treatment were not statistically different. The patient treated for ir-hepatitis had a complete recovery, with no incremental liver toxicity. Conclusions: In this dose-limited setting, infliximab was effective in resolving irAEs and did not induce hepatotoxicity.
Vocal Feature Extraction-Based Artificial Intelligent Model for Parkinson’s Disease Detection
Authors: Hoq Muntasir , Uddin Mohammed Nazim , Park Seung-Bo
Published: June 2021

As a neurodegenerative disorder, Parkinson’s disease (PD) affects the nerve cells of the human brain. Early detection and treatment can help to relieve the symptoms of PD. Recent PD studies have extracted the features from vocal disorders as a harbinger for PD detection, as patients face vocal changes and impairments at the early stages of PD. In this study, two hybrid models based on a Support Vector Machine (SVM) integrating with a Principal Component Analysis (PCA) and a Sparse Autoencoder (SAE) are proposed to detect PD patients based on their vocal features. The first model extracted and reduced the principal components of vocal features based on the explained variance of each feature using PCA. For the first time, the second model used a novel Deep Neural Network (DNN) of an SAE, consisting of multiple hidden layers with L1 regularization to compress the vocal features into lower-dimensional latent space. In both models, reduced features were fed into the SVM as inputs, which performed classification by learning hyperplanes, along with projecting the data into a higher dimension. An F1-score, a Mathews Correlation Coefficient (MCC), and a Precision-Recall curve were used, along with accuracy to evaluate the proposed models due to highly imbalanced data. With its highest accuracy of 0.935, F1-score of 0.951, and MCC value of 0.788, the probing results show that the proposed model of the SAE-SVM surpassed not only the former model of the PCA-SVM and other standard models including Multilayer Perceptron (MLP), Extreme Gradient Boosting (XGBoost), K-Nearest Neighbor (KNN), and Random Forest (RF), but also surpassed two recent studies using the same dataset. Oversampling and balancing the dataset with SMOTE boosted the performance of the models.
Health Costs of Older Opioid Users with Pain and Comorbid Hypercholesterolemia or Hypertension in the United States
Authors: Axon David R. , Marupuru Srujitha , Vaffis Shannon
Published: June 2021

This retrospective cross-sectional database study used 2018 Medical Expenditure Panel Survey data to quantify and assess differences in healthcare expenditures between opioid users and non-users among a non-institutionalized sample of older (≥50 years) United States adults with pain in the past four weeks and a diagnosis of comorbid hypercholesterolemia (pain–hypercholesterolemia group) or hypertension (pain–hypertension group). Hierarchical multivariable linear regression models were constructed by using logarithmically transformed positive cost data and adjusting for relevant factors to assess cost differences between groups. Percent difference between opioid users and non-users was calculated by using semi-logarithmic equations. Healthcare costs included inpatient, outpatient, office-based, emergency room, prescription medication, other, and total costs. In adjusted analyses, compared to non-users, opioid users in the pain–hypercholesterolemia and pain–hypertension groups respectively had 66% and 60% greater inpatient expenditure, 46% and 55% greater outpatient expenditure, 67% and 72% greater office-based expenditure, 50% and 60% greater prescription medication expenditure, 24% and 22% greater other healthcare expenditure, and 85% and 93% greater total healthcare expenditure. In conclusion, adjusted total healthcare expenditures were 85–93% greater among opioid users versus non-users in older United States adults with pain and comorbid hypercholesterolemia or hypertension. Future research is needed to identify opioid use predictors among these populations and reduce expenditures.
The Best Dentistry Professional Visual Acuity Measured under Simulated Clinical Conditions Provides Keplerian Magnification Loupe: A Cross-Sectional Study
Authors: Urlic Iris , Pavan Josip , Verzak Zeljko , Karlovic Zoran , Negovetic Vranic Dubravka
Published: June 2021

Visual acuity plays an important role in dentists’ vision in their daily clinical routine. This study aimed to determine dental students’ visual acuity without optical aids and when using magnification devices in simulated clinical conditions. The participants were forty-six students at the School of Dental Medicine with a visual acuity of 1.0 in decimal values or 100% in percentage. The central visual acuity was tested using a miniature Snellen eye chart placed in the molar cavity of a dental phantom, in simulated clinical conditions under five different settings (natural visual acuity, by applying head magnifying glasses x1,5 and binocular magnifying devices using Galileo’s x2,5/350 mm, Keplerx3,3/450 mm and Keplerx4,5/350 mm optical system). The Wilcoxon Signed Rank test shows that the distribution of measurements of the visual acuity undertaken by the application of magnifying devices (VNL, VGA2,5, VKP3,3, VKP4,5) contained higher values of visual acuity than those received by the use of natural vision (VSC) (p < 0.001 for the comparison to the VNL, VGA2,5, VKP3,3 and VKP4,5 groups). The highest and statistically most significant increase in visual acuity is achieved using the Keplerian telescope x4.5/350 mm. The application of magnifying devices provided dentistry professionals with better visual acuity, improving detail detection in an oral cavity during dental procedures by magnifying the oral structure. The use of magnification devices means much more precise work, decreases the operating time, improves posture and reduces muscle pain in the shoulder during dental treatment.
Dynamic Risk Measures for Processes via Backward Stochastic Differential Equations Associated with Lévy Processes
Authors: Miao Liangliang , Liu Zhang , Hu Yijun
Published: June 2021

In this paper, we study the dynamic risk measures for processes induced by backward stochastic differential equations driven by Teugel’s martingales associated with Lévy processes (BSDELs). The representation theorem for generators of BSDELs is provided. Furthermore, the time consistency of the coherent and convex dynamic risk measures for processes is characterized by means of the generators of BSDELs. Moreover, the coherency and convexity of dynamic risk measures for processes are characterized by the generators of BSDELs. Finally, we provide two numerical examples to illustrate the proposed dynamic risk measures.