bluuebunny/crossref_metadata_2025 huggingface dataset:
Unique, Specific CART Receptor-Independent Regulatory Mechanism of CART(55-102) Peptide in Spinal Nociceptive Transmission and Its Relation to Dipeptidyl-Peptidase 4 (DDP4)
Authors: Kozsurek Márk , Király Kornél , Gyimesi Klára , Lukácsi Erika , Fekete Csaba , Gereben Balázs , Mohácsik Petra , Helyes Zsuzsanna , Bölcskei Kata , Tékus Valéria , Pap Károly , Szűcs Edina , Benyhe Sándor , Imre Tímea , Szabó Pál , Gajtkó Andrea , Holló Krisztina , Puskár Zita
Published: January 2023

Cocaine- and amphetamine-regulated transcript (CART) peptides are involved in several physiological and pathological processes, but their mechanism of action is unrevealed due to the lack of identified receptor(s). We provided evidence for the antihyperalgesic effect of CART(55-102) by inhibiting dipeptidyl-peptidase 4 (DPP4) in astrocytes and consequently reducing neuroinflammation in the rat spinal dorsal horn in a carrageenan-evoked inflammation model. Both naturally occurring CART(55-102) and CART(62-102) peptides are present in the spinal cord. CART(55-102) is not involved in acute nociception but regulates spinal pain transmission during peripheral inflammation. While the full-length peptide with a globular motif contributes to hyperalgesia, its N-terminal inhibits this process. Although the anti-hyperalgesic effects of CART(55-102), CART(55-76), and CART(62-76) are blocked by opioid receptor antagonists in our inflammatory models, but not in neuropathic Seltzer model, none of them bind to any opioid or G-protein coupled receptors. DPP4 interacts with Toll-like receptor 4 (TLR4) signalling in spinal astrocytes and enhances the TLR4-induced expression of interleukin-6 and tumour necrosis factor alpha contributing to inflammatory pain. Depending on the state of inflammation, CART(55-102) is processed in the spinal cord, resulting in the generation of biologically active isoleucine-proline-isoleucine (IPI) tripeptide, which inhibits DPP4, leading to significantly decreased glia-derived cytokine production and hyperalgesia.
Genome-Wide mRNA and Long Non-Coding RNA Analysis of Porcine Trophoblast Cells Infected with Porcine Reproductive and Respiratory Syndrome Virus Associated with Reproductive Failure
Authors: Zhang Xinming , Liu Xianhui , Peng Jiawei , Song Sunyangzi , Xu Ge , Yang Ningjia , Wu Shoutang , Wang Lin , Wang Shuangyun , Zhang Leyi , Liu Yanling , Liang Pengshuai , Hong Linjun , Xu Zheng , Song Changxu
Published: January 2023

Porcine reproductive and respiratory syndrome (PRRS) is a vertically transmitted reproductive disorder that is typically characterized by miscarriage, premature birth, and stillbirth in pregnant sows after infection. Such characteristics indicate that PRRSV can infect and penetrate the porcine placental barrier to infect fetus piglets. The porcine trophoblast is an important component of the placental barrier, and secretes various hormones, including estrogen and progesterone, to maintain normal pregnancy and embryonic development during pregnancy. It is conceivable that the pathogenic effects of PRRSV infection on porcine trophoblast cells may lead to reproductive failure; however, the underlying detailed mechanism of the interaction between porcine trophoblast (PTR2) cells and PRRSV is unknown. Therefore, we conducted genome-wide mRNA and long non-coding RNA (lncRNA) analysis profiling in PRRSV-infected PTR2. The results showed that 672 mRNAs and 476 lncRNAs were significantly different from the control group after viral infection. Target genes of the co-expression and co-location of differential mRNAs and lncRNAs were enriched by GO (gene ontology) and KEGG (Kyoto Encyclopedia of Genes and Genomes) analysis, revealing that most of the pathways were involved in cell nutrient metabolism, cell proliferation, and differentiation. Specifically, the estrogen signaling pathway, the PI3K (PhosphoInositide-3 Kinase)-Akt (serine/threonine kinase) signaling pathway, and the insulin secretion related to embryonic development were selected for analysis. Further research found that PRRSV inhibits the expression of G-protein-coupled estrogen receptor 1 (GPER1), thereby reducing estrogen-induced phosphorylation of AKT and the mammalian target of rapamycin (mTOR). The reduction in the phosphorylation of AKT and mTOR blocks the activation of the GPER1- PI3K-AKT-mTOR signaling pathway, consequently restraining insulin secretion, impacting PTR2 cell proliferation, differentiation, and nutrient metabolism. We also found that PRRSV triggered trophoblast cell apoptosis, interrupting the integrity of the placental villus barrier. Furthermore, the interaction network diagram of lncRNA, regulating GPER1 and apoptosis-related genes, was constructed, providing a reference for enriching the functions of these lncRNA in the future. In summary, this article elucidated the differential expression of mRNA and lncRNA in trophoblast cells infected with PRRSV. This infection could inhibit the PI3K-AKT-mTOR pathway and trigger apoptosis, providing insight into the mechanism of the vertical transmission of PRRSV and the manifestation of reproductive failure.
Impact of Physical Rehabilitation on Bone Biomarkers in Non-Metastatic Breast Cancer Women: A Systematic Review and Meta-Analysis
Authors: de Sire Alessandro , Lippi Lorenzo , Marotta Nicola , Folli Arianna , Calafiore Dario , Moalli Stefano , Turco Alessio , Ammendolia Antonio , Fusco Nicola , Invernizzi Marco
Published: January 2023

Rehabilitation might improve bone health in breast cancer (BC) patients, but the effects on bone biomarkers are still debated. Thus, this meta-analysis of randomized controlled trials (RCTs) aims at characterizing the impact of rehabilitation on bone health biomarkers in BC survivors. On 2 May 2022, PubMed, Scopus, Web of Science, Cochrane, and PEDro were systematically searched for RCTs assessing bone biomarker modifications induced by physical exercise in BC survivors. The quality assessment was performed with the Jadad scale and the Cochrane risk-of-bias tool for randomized trials (RoBv.2). Trial registration number: CRD42022329766. Ten studies were included for a total of 873 patients. The meta-analysis showed overall significant mean difference percentage decrease in collagen type 1 cross-linked N-telopeptide (NTX) serum level [ES: −11.65 (−21.13, −2.17), p = 0.02)] and an increase in bone-specific alkaline phosphatase (BSAP) levels [ES: +6.09 (1.56, 10.62). According to the Jadad scale, eight RCTs were considered high-quality studies. Four studies showed a low overall risk of bias, according to RoBv.2. The significant effects of rehabilitation on bone biomarkers suggested a possible implication for a precision medicine approach targeting bone remodeling. Future research might clarify the role of bone biomarkers monitoring in rehabilitation management of cancer treatment induced bone-loss.
Effects of Exercise and Omega-3-Supplemented, High-Protein Diet on Inflammatory Markers in Serum, on Gene Expression Levels in PBMC, and after Ex Vivo Whole-Blood LPS Stimulation in Old Adults
Authors: Haß Ulrike , Heider Sarah , Kochlik Bastian , Herpich Catrin , Pivovarova-Ramich Olga , Norman Kristina
Published: January 2023

Inflammaging is related to cell senescence and reflects an erratic immune system, which promotes age-associated diseases. Exercise and nutrition, particularly omega-3 fatty acids, are able to affect inflammation. Therefore, we examined the effects of an 8-week exercise and dietary intervention on the inflammatory response in community-dwelling old adults. All participants received weekly vibration and home-based resistance exercise. Furthermore, participants were randomized to either a control, high-protein (1.2–1.5 g/kg), or high-protein, omega-3-enriched (2.2 g/day) diet. Before and after treatment, inflammatory markers in fasting serum and after whole-blood ex vivo lipopolysaccharide (LPS) stimulation were assessed. Gene expression levels of inflammatory markers were quantified in peripheral blood mononuclear cells (PBMC). Sixty-one participants (age: 70.6 ± 4.7 years; 47% men) completed the study. According to generalized linear mixed models, a high-protein, omega-3-enriched diet decreased circulating anti-inflammatory interleukin (IL-) 10 and IL-1 receptor antagonist (IL-1RA). Sex-stratified analyses showed also significantly reduced pro-inflammatory markers in men with a high-protein, omega-3-enriched diet. Gene expression of IL-1RA was significantly reduced after both protein-enriched diets compared with controls. In comparison to a high-protein diet, exercise alone showed lower LPS-induced release of c-c motif chemokine ligand-2 (CCL-2), which tended to be more pronounced in men compared with women. Eight weeks of a high-protein, omega-3-enriched diet combined with exercise decreased circulating anti-inflammatory markers, and pro-inflammatory markers in men. A high-protein diet attenuated anti-inflammatory markers on gene expression level in PBMC. Exercise alone resulted in a lower pro-inflammatory response to LPS-exposure in whole-blood cultures.
NMR Studies of Two Lysine Based Dendrimers with Insertion of Similar Histidine-Arginine and Arginine-Histidine Spacers Having Different Properties for Application in Drug Delivery
Authors: Sheveleva Nadezhda N. , Tarasenko Irina I. , Vovk Mikhail A. , Mikhailova Mariya E. , Neelov Igor M. , Markelov Denis A.
Published: January 2023

In this paper we study two lysine-based peptide dendrimers with Lys-His-Arg and Lys-Arg-His repeating units and terminal lysine groups. Combination of His and Arg properties in a dendrimer could be important for biomedical applications, especially for prevention of dendrimer aggregation and for penetration of dendrimers through various cell membranes. We describe the synthesis of these dendrimers and the confirmation of their structure using 1D and 2D Nuclear Magnetic Resonance (NMR) spectroscopy. NMR spectroscopy and relaxation are used to study the structural and dynamic properties of these macromolecules and to compare them with properties of previously studied dendrimers with Lys-2Arg and Lys-2His repeating units. Our results demonstrate that both Lys-His-Arg and Lys-Arg-His dendrimers have pH sensitive conformation and dynamics. However, properties of Lys-His-Arg at normal pH are more similar to those of the more hydrophobic Lys-2His dendrimer, which has tendency towards aggregation, while the Lys-Arg-His dendrimer is more hydrophilic. Thus, the conformation with the same amino acid composition of Lys-His-Arg is more pH sensitive than Lys-Arg-His, while the presence of Arg groups undoubtedly increases its hydrophilicity compared to Lys-2His. Hence, the Lys-His-Arg dendrimer could be a more suitable (in comparison with Lys-2His and Lys-Arg-His) candidate as a pH sensitive nanocontainer for drug delivery.
Synthesis of Novel Li2O-CuO-Bi2O3-B2O3 Glasses for Radiation Protection: An Experimental and Theoretical Study
Authors: Al-Fakeh Maged S. , Saleh Emran Eisa , Alresheedi Faisal
Published: January 2023

Glass samples were synthesized according to 10Li2O + 20CuO + xBi2O3 + (70 − x)B2O3, where x = 0, 10, 20, 30, 40 mol% by the melt-quenching method. The ability of the prepared glass to protect against gamma rays and neutrons was examined experimentally and theoretically. The mass attenuation coefficient (MAC) was calculated experimentally at energies of 0.662, 1.173, and 1.333 MeV using 137Cs and 60Co sources. The obtained results were compared with the theoretical ones using a Phy-x/PSD software program version 0.1.0.0. It was found that the experimental and theoretical results are very agreed upon. Moreover, other nuclear radiation shielding parameters were evaluated. The results showed that the addition of bismuth oxide leads to an improvement in the ability of the composite glass to attenuate gamma rays by increasing the values of MAC and Zeff, while it led to a decrease in the HVL and MFP, as well as the EBF and EABF. The results also showed that the addition of copper oxide led to an improvement in the ability of the present glass to slow down fast neutrons. Sample BiS40 showed the best result for gamma ray attenuation and sample BiS10 gave the best result for fast neutron removal cross section. The results were compared with some materials used for gamma ray shielding and fast neutron removal cross section, and it was concluded that samples Bi40 and BiS10 outperformed all commercial materials.
Synthesis, Composition, Structure, and Electrochemical Behavior of Platinum–Ruthenium Catalysts
Authors: Menshikov Vladislav , Paperzh Kirill , Toporkov Nikita , Belenov Sergey
Published: January 2023

The bimetallic PtRu nanoparticles deposited on the carbon support with the metals’ atomic ratio of 1:1 have been obtained by different liquid-phase synthesis methods. The metals’ mass fraction in the obtained PtRu/C catalysts is about 27%. The average size of the bimetallic nanoparticles ranges from 1.9 to 3.9 nm. The activity of the obtained PtRu/C catalysts in the methanol electrooxidation reaction as well as their tolerance to intermediate products of its oxidation have been studied. The sample synthesized by the polyol method has proved to be the most active material. The values of its electrochemical surface area and activity in the methanol electrooxidation reaction are 1.5–1.7 times higher than those of the commercial PtRu/C analogue. Nevertheless, the use of the polyol method leads to losses of the metals during the synthesis. Therefore, this method needs further optimization.
Biological Evaluation and Conformational Preferences of Ferrocene Dipeptides with Hydrophobic Amino Acids
Authors: Kovačević Monika , Čakić Semenčić Mojca , Kodrin Ivan , Roca Sunčica , Perica Jana , Mrvčić Jasna , Stanzer Damir , Molčanov Krešimir , Milašinović Valentina , Brkljačić Lidija , Barišić Lidija
Published: January 2023

Despite the large number of peptidomimetics with incorporated heteroannularly functionalized ferrocenes, few studies have investigated their bioactivity. Here, we report the biological evaluation and conformational analysis of enantiomeric dipeptides derived from 1′-aminoferrocene-1-carboxylic acid (Fca) and hydrophobic amino acids (AA = Val, Leu, Phe). The conformational properties of Y-AA-Fca-OMe (Y = Ac, Boc) were elucidated by experimental (IR, NMR, CD, and X-ray) and theoretical (DFT) methods. The prepared dipeptides were screened for their antimicrobial activity against selected Gram-positive and Gram-negative bacteria, lactic acid bacteria and yeasts, while their antioxidant activity was tested by DPPH and FRAP methods. Of all compounds tested, dipeptide d-2a showed the best antibacterial properties against S. aureus, B. subtilis, and P. aeruginosa at a concentration of 2 mM. The time–kill curves showed that antibacterial activity was concentration- and time-dependent. Chirality (d-) and a more polar-protecting group (Ac) were found to affect the biological activity, both antimicrobial and antioxidant. All investigated peptides are considered to be highly hydrophobic and chemically stable in both acidic and buffer media. Dipeptides d-1a–3a, which showed biological activity, were subjected to the determination of proteolytic activity, revealing very good resistance to proteolysis in the presence of chymotrypsin.
Thiosemicarbazonecopper/Halido Systems: Structure and DFT Analysis of the Magnetic Coupling
Authors: Jiménez-Pérez Alondra , Marcos-Gómez Sara , Madariaga Gotzon , Zapico Manuel , Vitoria Pablo , Tercero Javier , Torres M. Begoña , Lezama Luis , Cuevas José Vicente , Etxebarria Iñigo , García-Tojal Javier
Published: January 2023

Experimental magnetic studies performed on the [{CuLX}2] system (HL = pyridine-2-carbaldehyde thiosemicarbazone, X = Cl−, Br−, I−) point to the larger electronegativity in X, the lower magnitude of the antiferromagnetic interactions. In order to confirm this and other trends observed and to dip into them, computational studies on the [{CuLX}2] (X = Cl− (1), I− (2)) compounds are here reported. The chemical and structural comparisons have been extended to the compounds obtained in acid medium. In this regard, chlorido ligands yield the [Cu(HL)Cl2]∙H2O (3) complex, whose crystal structure shows that thiosemicarbazone links as a tridentate chelate ligand to square pyramidal Cu(II) ions. On the other hand, iodido ligands provoke the formation of the [{Cu(H2L)I2}2] (4) derivative, which contains pyridine-protonated cationic H2L+ as a S-donor monodentate ligand bonded to Cu(I) ions. Crystallographic, infrared and electron paramagnetic resonance spectroscopic results are discussed. Computational calculations predict a greater stability for the chlorido species, containing both the neutral (HL) and anionic (L−) ligand. The theoretical magnetic studies considering isolated dimeric entities reproduce the sign and magnitude of the antiferromagnetism in 1, but no good agreement is found for compound 2. The sensitivity to the basis set and the presence of interdimer magnetic interactions are debated.
Global Distribution of Aedes aegypti and Aedes albopictus in a Climate Change Scenario of Regional Rivalry
Authors: Laporta Gabriel Z. , Potter Alexander M. , Oliveira Janeide F. A. , Bourke Brian P. , Pecor David B. , Linton Yvonne-Marie
Published: January 2023

Arboviral mosquito vectors are key targets for the surveillance and control of vector-borne diseases worldwide. In recent years, changes to the global distributions of these species have been a major research focus, aimed at predicting outbreaks of arboviral diseases. In this study, we analyzed a global scenario of climate change under regional rivalry to predict changes to these species’ distributions over the next century. Using occurrence data from VectorMap and environmental variables (temperature and precipitation) from WorldClim v. 2.1, we first built fundamental niche models for both species with the boosted regression tree modelling approach. A scenario of climate change on their fundamental niche was then analyzed. The shared socioeconomic pathway scenario 3 (regional rivalry) and the global climate model Geophysical Fluid Dynamics Laboratory Earth System Model v. 4.1 (GFDL-ESM4.1; gfdl.noaa.gov) were utilized for all analyses, in the following time periods: 2021–2040, 2041–2060, 2061–2080, and 2081–2100. Outcomes from these analyses showed that future climate change will affect Ae. aegypti and Ae. albopictus distributions in different ways across the globe. The Northern Hemisphere will have extended Ae. aegypti and Ae. albopictus distributions in future climate change scenarios, whereas the Southern Hemisphere will have the opposite outcomes. Europe will become more suitable for both species and their related vector-borne diseases. Loss of suitability in the Brazilian Amazon region further indicated that this tropical rainforest biome will have lower levels of precipitation to support these species in the future. Our models provide possible future scenarios to help identify locations for resource allocation and surveillance efforts before a significant threat to human health emerges.
Inflammation and Heart Failure: Searching for the Enemy—Reaching the Entelechy
Authors: Paraskevaidis Ioannis , Farmakis Dimitrios , Papingiotis Georgios , Tsougos Elias
Published: January 2023

The pivotal role of inflammation in the pathophysiology of heart-failure (HF) development and progression has long been recognized. High blood levels of pro-inflammatory and inflammatory markers are present and associated with adverse outcomes in patients with HF. In addition, there seems to be an interrelation between inflammation and neurohormonal activation, the cornerstone of HF pathophysiology and management. However, clinical trials involving anti-inflammatory agents have shown inconclusive or even contradictory results in improving HF outcomes. In the present review, we try to shed some light on the reciprocal relationship between inflammation and HF in an attempt to identify the central regulating factors, such as inflammatory cells and soluble mediators and the related inflammatory pathways as potential therapeutic targets.
SCUBA Diving in Adult Congenital Heart Disease
Authors: Kauling Robert M. , Rienks Rienk , Cuypers Judith A. A. E. , Jorstad Harald T. , Roos-Hesselink Jolien W.
Published: January 2023

Conventionally, scuba diving has been discouraged for adult patients with congenital heart disease (ACHD). This restrictive sports advice is based on expert opinion in the absence of high-quality diving-specific studies. However, as survival and quality of life in congenital heart disease (CHD) patients have dramatically improved in the last decades, a critical appraisal whether such restrictive sports advice is still applicable is warranted. In this review, the cardiovascular effects of diving are described and a framework for the work-up for ACHD patients wishing to engage in scuba diving is provided. In addition, diving recommendations for specific CHD diagnostic groups are proposed.
Latest Advances and Future Challenges in Pancreatic Surgery
Authors: Joliat Gaëtan-Romain
Published: January 2023

The field of pancreatic surgery has considerably evolved in recent decades [...]
Urine 3-Nitrotyrosine and Serum HDL as Potential Biomarkers of Depression
Authors: Nobis Aleksander , Zalewski Daniel , Samaryn Eliza , Maciejczyk Mateusz , Zalewska Anna , Waszkiewicz Napoleon
Published: January 2023

Depression (MDD) is a leading psychiatric entity worldwide, with a high impact on individual life and public health. In recent years, efforts have been made to elucidate its biological underpinnings. MDD biomarker research provides promise for a better understanding of the biochemical processes involved in its pathogenesis. Oxidative and nitrosative stress (O&NS) and lipid disturbances are reported as major factors favoring the occurrence of depression. A total of 29 patients with MDD and 30 healthy volunteers were examined using the Hamilton Depression Scale (HAM-D), the Hamilton Anxiety Scale (HAM-A), and the Beck Depression Inventory (BDI). Blood and urine were collected to search for potential MDD biomarkers. O&NS parameters and β-amyloid were assessed in the urine, while cholesterol fractions were assessed in the blood. The group of depressed patients was characterized by higher concentrations of urine superoxide dismutase (SOD), 3-nitrotyrosine (3-NT), catalase (CAT), reduced glutathione (GSH), tryptophan (TRY), and serum triglycerides (TGA), along with lower levels of serum high-density lipoprotein (HDL). Elevated urine 3-NT and decreased serum HDL, considered together, were found to have the greatest potential as markers of depression. The study supports the importance of oxidative stress and cholesterol disturbances in MDD. Further research is required to assess their clinical usefulness as markers.
Intraoperative Cell Savage, Infection and Organ Failure in Infective Endocarditis Patients—A Retrospective Single Center Evaluation
Authors: Sponholz Christoph , Sommerfeld Oliver , Moehl Caroline , Lehmann Thomas , Franz Marcus , Bauer Michael , Doenst Torsten , Faerber Gloria , Diab Mahmoud
Published: January 2023

Surgery is indicated in about 50% of infective endocarditis patients, and bleeding or the transfusion of blood a common finding. The intraoperative use of cell salvage may reduce the perioperative transfusion requirement, but its use is limited in the underlying disease. In this retrospective study, we therefore evaluated n = 335 patients fulfilling the modified Duke criteria for infective endocarditis characterized by the use of intraoperative cell salvage with autologous blood retransfusion. Inflammation markers and organ dysfunction, including catecholamine dependency, were evaluated by using linear regression analysis. Between 2015 and 2020, 335 patients underwent surgery for left-sided heart valve endocarditis. Intraoperative cell salvage was used in 40.3% of the cases, especially in complex scenarios and reoperation. Intraoperative cell salvage significantly altered the white blood cell count after surgery. On average, leucocytes were 3.0 Gpt/L higher in patients with intraoperative cell salvage compared to patients without after adjustment for confounders (95% CI: 0.39–5.54). Although the difference in WBC was statistically significant, i.e., higher in the ICS group compared to the no-ICS group, this difference may be clinically unimportant. Organ dysfunction, including hemodynamic instability and lactate values, were comparable between groups. In conclusion, intraoperative cell salvage enhanced the re-transfusion of autologous blood, with minor effects on the postoperative course of inflammatory markers, but was not associated with increased hemodynamic instability or organ dysfunction in general. The restriction of intraoperative cell salvage in surgery for infective endocarditis should be re-evaluated, and more prospective data in this topic are needed.
Effects of Low-Immersive vs. High-Immersive Exercise Environment on Postural Stability and Reaction and Motor Time of Healthy Young Adults
Authors: Ciążyńska Julia , Maciaszek Janusz
Published: January 2023

(1) Background: Many young adults spend their time playing games and watching television. This type of spending time should be used effectively, so it’s worth adding exercise and immersion to them. Bearing in mind that the video games and physical exercise also improve postural stability, motor time (MT) and reaction time (RT), it is worth reaching for new technologies with immersion that are widely available and can be used, for example, as a remote intervention. This study aimed to compare the effects of a low vs. high-immersive exercise environment on postural stability, RT and MT in young adults. (2) Methods: Ninety-three participants were randomly divided into a control group (CG; n = 48) and experimental group (EG; n = 45). The CG exercised according to the Tabata self-made video display on a television set, and the EG exercised according to the Audio Trip exergame. In addition to the postural stability, RT and MT, we monitored the heart rate, breath rate and energy expenditure for safety reasons and to note any differences. (3) Results: Significant differences were observed for both groups in RT (F(2.182) = 3.14, p = 0.046, η2 = 0.03) and MT (F(2.182) = 3.07, p = 0.049, η2 = 0.03) and in postural stability in eyes closed (EC): F(2.182) = 3.66, p = 0.028, η2 = 0.04 and eyes open in one leg (EO-OL): F(2.182) = 5.814, p = 0.04, η2 = 0.07. (4) Conclusions: The inclusion of a higher immersion produces greater improvements in RT, MT. Additionally, after a low-immersive exercise environment, participants have higher center of pressure (COP) path length values with EC and EO-OL tests, which testifies to less postural stability. Regarding COP trajectory, a smaller area surface means better performance for high-immersive participants after 30 min of exercise.
Positional End-Point Nystagmus during Positional Testing: Prevalence, Characteristics and Differences with Benign Paroxysmal Positional Vertigo
Authors: Domínguez-Durán Emilio , Prieto-Sanchez-de-Puerta Lucia , Martín-Jiménez Daniel Iván , Sanchez-Gomez Serafin
Published: January 2023

Background: Some individuals present positional end-point nystagmus when the Dix–Hallpike tests are performed on them if they unintentionally look towards the examined ear. Objective: To describe the prevalence and the characteristics of end-point nystagmus during positional testing in healthy subjects. Methods: Sixty healthy subjects were included. Eight positional tests were performed on them, two Pagnini–McClure tests and six Dix–Hallpike tests, while keeping the eyes in different positions; one on each side. Two independent observers filled in a questionnaire about the presence of positional nystagmus, its latency, duration, direction, and sense. Results and conclusions: Of the subjects, 65% showed positional end-point nystagmus. This nystagmus had a short latency and last for as long as the head is maintained in the test position. They can show any direction or sense, but the most common are torsional clockwise in left tests and anticlockwise in right tests. Unlike BPPV, this nystagmus did not appear with the eyes in the straight-ahead position, it is asymptomatic, and its intensity does not decline.
Patients’ Preferences and Expectations in Overactive Bladder: A Systematic Review
Authors: Cicione Antonio , Lombardo Riccardo , Umbaca Vincenzo , Tema Giorgia , Gallo Giacomo , Stira Jordi , Gravina Carmen , Turchi Beatrice , Franco Antonio , Mancini Elisa , Nacchia Antonio , Damiano Rocco , Tubaro Andrea , De Nunzio Cosimo
Published: January 2023

The aim of our study is to review the current available knowledge regarding preferences and expectations of patients with overactive bladder (OAB). The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement guidelines were followed for this manuscript’s preparation. Three online databases were searched: PubMed/Medline, Embase, and Scopus, while a combination of the following keywords was used: detrusor overactivity, overactive bladder, urinary incontinence, perspectives, expectations, and preferences. Overall, 1349 studies were retrieved and screened while only 10 studies appeared to be relevant for the scope of this review. Most of the studies were related to preferences about OAB medications (i.e., antimuscarinics); four of them reported patients’ inclinations to alternative treatments in the case of medication therapy failure (i.e., neuromodulation, Botox). No data were found about diagnosis or other aspects of disease management (i.e., surgery, follow-up). Based on these findings, from the patient’s point of view, the ideal medication should be cheap, without risk of cognitive function impairment, and able to reduce daytime urinary frequency and incontinence episodes.
Evaluation of the Performance of ACR TI-RADS Also Considering Those Nodules with No Indication of FNAC: A Single-Center Experience
Authors: Amendola Stefano , Wolde Sellasie Sium , Pedicini Francesco , Carlini Massimo , Russo Giulia , Ossola Nicola , Leoncini Andrea , Botti Flavia , Bonanno Elena , Trimboli Pierpaolo , Uccioli Luigi
Published: January 2023

Background: Several US risk stratification score systems (RSSs) have been developed to standardize a thyroid nodule risk of malignancy. It is still a matter of debate which RSS is the most reliable. The purpose of this study is to evaluate: (1) the concordance between the American College of Radiology TI-RADS (ACR TI-RADS) and fine needle aspiration cytology (FNAC), (2) the cancer rate in the ACR TI-RADS categories, (3) the characteristics of nodules evaluated by FNAC even if not formally indicated according to ACR TI-RADS (‘not indicated FNACs”). Methods: From January 2021 to September 2022, patients attending the Endocrinology Unit of the CTO Hospital of Rome for evaluation of thyroid nodules were included. Results: 830 nodules had negative cytology, belonging to TIR2 and TIR1C. One hundred and thirteen nodules were determined to be suspicious for or consistent with malignancy belonging to TIR3B/TIR4/TIR5. Of this last group, 94% were classified as TR4/TR5 nodules. In total, 87/113 underwent surgery. Among these, 73 had histologically proven cancer, 14 turned out to be benign. “Not indicated FNACs” was 623. Among these, 42 cancers were present. Conclusions: This study confirmed the diagnostic power of ACR TI-RADS. In addition, these data suggest revising the ACR TI-RADS indication to FNAC, especially for TR4.
Comparison of In-Vivo and Ex-Vivo Ascending Aorta Elastic Properties through Automatic Deep Learning Segmentation of Cine-MRI and Biomechanical Testing
Authors: Markodimitrakis Emmanouil , Lin Siyu , Koutoulakis Emmanouil , Marín-Castrillón Diana Marcela , Tovar Sáez Francisco Aarón , Leclerc Sarah , Bernard Chloé , Boucher Arnaud , Presles Benoit , Bouchot Olivier , Decourselle Thomas , Morgant Marie-Catherine , Lalande Alain
Published: January 2023

Ascending aortic aneurysm is a pathology that is important to be supervised and treated. During the years the aorta dilates, it becomes stiff, and its elastic properties decrease. In some cases, the aortic wall can rupture leading to aortic dissection with a high mortality rate. The main reference standard to measure when the patient needs to undertake surgery is the aortic diameter. However, the aortic diameter was shown not to be sufficient to predict aortic dissection, implying other characteristics should be considered. Therefore, the main objective of this work is to assess in-vivo the elastic properties of four different quadrants of the ascending aorta and compare the results with equivalent properties obtained ex-vivo. The database consists of 73 cine-MRI sequences of thoracic aorta acquired in axial orientation at the level of the pulmonary trunk. All the patients have dilated aorta and surgery is required. The exams were acquired just prior to surgery, each consisting of 30 slices on average across the cardiac cycle. Multiple deep learning architectures have been explored with different hyperparameters and settings to automatically segment the contour of the aorta on each image and then automatically calculate the aortic compliance. A semantic segmentation U-Net network outperforms the rest explored networks with a Dice score of 98.09% (±0.96%) and a Hausdorff distance of 4.88 mm (±1.70 mm). Local aortic compliance and local aortic wall strain were calculated from the segmented surfaces for each quadrant and then compared with elastic properties obtained ex-vivo. Good agreement was observed between Young’s modulus and in-vivo strain. Our results suggest that the lateral and posterior quadrants are the stiffest. In contrast, the medial and anterior quadrants have the lowest aortic stiffness. The in-vivo stiffness tendency agrees with the values obtained ex-vivo. We can conclude that our automatic segmentation method is robust and compatible with clinical practice (thanks to a graphical user interface), while the in-vivo elastic properties are reliable and compatible with the ex-vivo ones.
Spontaneous Variation of Ventriculo-Atrial Interval after Tachycardia Induction: Determinants and Usefulness in the Diagnosis of Supraventricular Tachycardias with Long Ventriculoatrial Interval
Authors: Durán-Bobin Olga , Hernández Jesús , Moríñigo José , Sánchez-García Manuel , Bravo Loreto , Fernández-Portales Javier , Oterino Armando , Cruz Alba , González-Juanatey Carlos , Sánchez Pedro L. , Jiménez-Candil Javier
Published: January 2023

Background: Determining the mechanism of supraventricular tachycardias with prolongedP ventriculoatrial (VA) intervals is sometimes a challenge. Our objective is to analyse the determinants, time course and diagnostic accuracy (atypical atrioventricular nodal reentrant tachycardias [AVNRT] versus orthodromic reentrant tachycardias through an accessory pathway [ORT]) of spontaneous VA intervals variation in patients with narrow QRS tachycardias and prolonged VA. Methods: A total of 156 induced tachycardias were studied (44 with atypical AVNRT and 112 with ORT). Two sets of 10 measurements were performed for each patient—after tachycardia induction and one minute later. VA and VV intervals were determined. Results: The difference between the longest and the shortest VA interval (Dif-VA) correlates significantly with the diagnosis of atypical AVNRT (C coefficient = 0.95 and 0.85 after induction and at one minute, respectively; p < 0.001). A Dif-VA ≥ 15 ms presents a sensitivity and specificity for atypical AVNRT of 50% and 99%, respectively after induction, and of 27% and 100% one minute later. We found a robust and significant correlation between the fluctuations of VV and VA intervals in atypical AVNRTs (Coefficient Rho: 0.56 and 0.76, after induction and at one minute, respectively; p < 0.001 for both) but not in ORTs. Conclusions: The analysis of VA interval variability after induction and one minute later correctly discriminates atypical AVNRT from ORT in almost all cases.
Molecular Alterations and Putative Therapeutic Targeting of Planar Cell Polarity Proteins in Breast Cancer
Authors: Voutsadakis Ioannis A.
Published: January 2023

Background: Treatment and outcomes of breast cancer, one of the most prevalent female cancers, have improved in recent decades. However, metastatic breast cancer remains incurable in most cases, and new therapies are needed to ameliorate prognosis. Planar cell polarity (PCP) is a characteristic of epithelial cells that form layers and is integral to the communication of these cells with neighboring cells. Dysfunction of PCP is observed in cancers and may confer a targetable vulnerability. Methods: The breast cancer cohorts from The Cancer Genome Atlas (TCGA) and the METABRIC study were interrogated for molecular alterations in genes of the PCP pathway. The groups with the most prevalent alterations were characterized, and survival was compared with counterparts not possessing PCP alterations. Breast cancer cell lines with PCP alterations from the Cancer Cell Line Encyclopedia (CCLE) were interrogated for sensitivity to drugs affecting PCP. Results: Among genes of the PCP pathway, VANGL2, NOS1AP and SCRIB display amplifications in a sizable minority of breast cancers. Concomitant up-regulation at the mRNA level can be observed mostly in basal cancers, but it does not correlate well with the amplification status of the genes, as it can also be observed in non-amplified cases. In an exploration of cell line models, two of the four breast cancer cell line models with amplifications in VANGL2, NOS1AP and SCRIB display sensitivity to drugs inhibiting acyl-transferase porcupine interfering with the WNT pathway. This sensitivity suggests a possible therapeutic role of these inhibitors in cancers bearing the amplifications. Conclusion: Molecular alterations in PCP genes can be observed in breast cancers with a predilection for the basal sub-type. An imperfect correlation of copy number alterations with mRNA expression suggests that post-translational modifications are important in PCP regulation. Inhibitors of acyl-transferase porcupine may be rational candidates for combination therapy development in PCP-altered breast cancers.
Breast Cancer Care Pathways for Women with Preexisting Severe Mental Disorders: Evidence of Disparities in France?
Authors: Seppänen Anna-Veera , Daniel Fabien , Houzard Sophie , Le Bihan Christine , Coldefy Magali , Gandré Coralie
Published: January 2023

The excess cancer mortality in persons with severe mental illness (SMI) has been well documented, and research suggests that it may be influenced by care-related factors. Our objective was to assess breast cancer care pathways in women with SMI in France, using an exhaustive population-based data-linkage study with a matched case-control design. The cases were 1346 women with incident breast cancer in 2013/2014 and preexisting SMI who were matched with three controls without SMI presenting similar demographics, initial breast cancer type, and year of incidence. We compared cancer care pathways and their quality for cases and controls, using a consensual set of indicators covering diagnosis, treatment, follow-up, and mortality (until 2017). After adjusting for covariates, cases had lower odds to undergo the main diagnostic tests, lumpectomy, adjuvant chemotherapy, and radiotherapy, as well as hormone therapy, but higher odds for mastectomy. Suboptimal quality in cancer pathways was observed for both groups, but to a higher extent for cases, especially for not receiving timely care after diagnosis and post-treatment follow-up. Breast cancer mortality, considering competing risks of deaths, was significantly elevated in women with SMI. These findings highlight disparities in cancer care pathways for individuals with SMI, as well as specific aspects of the care continuum which could benefit from targeted actions to reach equity of outcomes.
The Neural Mechanisms of the Effect of Spontaneous Insight on Re-Solution: An ERP Study
Authors: Chen Jie , Zhang Ke , Du Xiumin , Pan Junmiao , Luo Jing
Published: January 2023

The insight memory advantage refers to the situation in which memory performance could be improved by solving a problem with an Aha experience. In re-solution tests and recognition tests, studies demonstrate an insight memory advantage by spontaneous insight or induced insight. For the re-solution test, the neural mechanisms of the effect of induced insight were studied by the fMRI technique. However, the neural mechanisms of the effect of insight on re-solution in the temporal dimension were not known. The neural mechanisms of the effect of spontaneous insight on re-solution were not known. In the present study, we use the compound remote-associated (CRA) task to reveal the neural mechanisms of the effect of spontaneous insight on re-solution by the event-related potentials (ERPs) technique. The 25 participants were asked to solve a series of Chinese verbal CRA tasks and then perform a re-solution test 1 day later. Our results indicated that the solution with the Aha experience evoked a larger N400 in the early solution phase and a more negative wave in the late solution phase than the solution with no Aha experience. In the re-solution phase, items with an Aha during the solution phase were re-solved better with higher Aha rates than items with no Aha. In the re-solution phase, compared with items with no Aha, items with an Aha during the solution phase evoked a larger positive ERP in the 250 to 350 ms time window in the early phase, and a more negative deflection before the response (−900 to −800 ms) in the later phase. In one word, spontaneous insight during the solution phase could promote re-solution and elicit ERP deflection in the re-solution phase.
The Dynamic Interplay of Affective, Cognitive and Contextual Resources on Children’s Creative Potential: The Modulatory Role of Trait Emotional Intelligence
Authors: Agnoli Sergio , Mastria Serena , Mancini Giacomo , Corazza Giovanni Emanuele , Franchin Laura , Pozzoli Tiziana
Published: January 2023

In the present work we explored in two separate studies the modulatory role of trait emotional intelligence (EI) over the effect exerted on children’s creative potential by two other key elements defining creativity, namely cognitive resources (here explored through basic executive functions, Study 1) and contextual-environmental factors (that is, teachers’ implicit conceptions of the factors influencing children’s creativity, Study 2). Confirming previous research, executive functions (particularly interference control and working memory) emerged as main predictors of children’s creative performance; however, their positive effect arose especially when associated with a high trait EI level. In the same vein, teachers’ implicit conception about children’s creative potential and about their efficacy in teaching creativity emerged to exert a facilitatory effect on children’ creative potential. This effect occurred particularly when associated with low trait EI levels, affecting differently girls and boys. Trait EI emerged from these studies as an important individual resource to consider in order to understand the potential benefit of other (cognitive and contextual-environmental) resources on children’s creative potential. The implications on the role of trait EI as a constitutional element of children’s creativity, capable of promoting the expression of their creative potential, are discussed.
Effects of Local Denting and Fracture Damage on the Residual Longitudinal Strength of Box Girders
Authors: Park Sang-Hyun , Yoon Sang-Hoon , Muttaqie Teguh , Do Quang Thang , Cho Sang-Rai
Published: January 2023

The residual strength of denting- and fracture-damaged box girders were experimentally and numerically investigated. The experiments were conducted under a pure bending moment using the four-point bending test method. The load, deflection, and strain were measured. The strains of the extension structures were also measured, and the frictional forces between the model and the supported round bar were estimated. Test models consisting of two groups were fabricated. These groups were designed to estimate the residual strength of denting- and fracture-damaged models. The damage was induced by releasing a striker using a drop-testing machine to consider the dynamic effect. Additionally, numerical analyses were performed via a nonlinear finite element analysis, where the measured initial imperfection data and welding residual stresses were considered. The ultimate longitudinal moments that considered the frictional force of the round bars were reduced by 12% (on average) compared with those obtained by neglecting the frictional forces.
Ocean Acidification and Aquacultured Seaweeds: Progress and Knowledge Gaps
Authors: Hengjie Tan , Das Simon Kumar , Zainee Nur Farah Ain , Yana Raja , Rozaimi Mohammad
Published: January 2023

This systematic review aimed to synthesise the existing studies regarding the effects of ocean acidification (OA) on seaweed aquaculture. Ocean acidification scenarios may increase the productivity of aquacultured seaweeds, but this depends on species-specific tolerance ranges. Conversely, seaweed productivity may be reduced, with ensuing economic losses. We specifically addressed questions on: how aquacultured seaweeds acclimatise with an increase in oceanic CO2; the effects of OA on photosynthetic rates and nutrient uptake; and the knowledge gaps in mitigation measures for seaweed farming in OA environments. Articles were searched by using Google Scholar, followed by Scopus and Web of Science databases, limiting the publications from 2001 to 2022. Our review revealed that, among all the OA-related studies on macroalgae, only a relatively small proportion (n < 85) have examined the physiological responses of aquacultured seaweeds. However, it is generally agreed that these seaweeds cannot acclimatise when critical biological systems are compromised. The existing knowledge gaps regarding mitigation approaches are unbalanced and have overly focused on monitoring and cultivation methods. Future work should emphasise effective and implementable actions against OA while linking the physiological changes of aquacultured seaweeds with production costs and profits.
The Development and Demonstration of an Enhanced Risk Model for the Evacuation Process of Large Passenger Vessels
Authors: Ventikos Nikolaos P. , Sotiralis Panagiotis , Annetis Manolis , Podimatas Vasileios C. , Boulougouris Evangelos , Stefanidis Fotios , Chatzinikolaou Stefanos , Maccari Alessandro
Published: January 2023

Evacuating a large and complex environment, such as a large passenger vessel, either cruise or RoPax, is a safety-critical task that involves thousands of people in motion and a complex decision-making process. Despite the significant enhancement of maritime safety over the years, various hazards still pose threats to passengers and crew. To deal with this reality, the SafePASS project radically redefines the evacuation process by introducing novel technological solutions. In this context, this paper presents, in detail, an enhanced risk model for the ship evacuation process in order to facilitate the understanding of the actual risks of the process in fire and flooding accidents, and to assess various risk control measures and options toward risk mitigation. The risk model covers the entire event sequence in emergency cases on board, until the survival at sea phase, and it is constructed in two levels, following a combination of event tree analysis and Bayesian networks. Results show the risk corresponds to baseline scenarios for each accident case, which are also verified by relevant IMO and EMSA studies, and an example case of risk control option (RCO) is introduced to the model to demonstrate its ability to assess RCO’s efficiency in terms of risk reduction.