bluuebunny/crossref_metadata_2025 huggingface dataset:
Antibiofilm Effects of Oleuropein against Staphylococcus aureus: An In Vitro Study
Authors: Guo Weiping , Xu Yunfeng , Yang Yangyang , Xiang Jinle , Chen Junliang , Luo Denglin , Xie Qinggang
Published: November 2023

Staphylococcus aureus has posed a huge threat to human health and the economy. Oleuropein has antibacterial activities against various microorganisms but research on its effect on the S. aureus biofilm is limited. This research aimed to estimate the antibiofilm activities of oleuropein against S. aureus. The results suggest that the minimum inhibitory concentration of oleuropein against S. aureus ATCC 25923 was 3 mg/mL. The biomass of biofilms formed on the microplates and coverslips and the viability of bacteria were significantly reduced after the treatment with oleuropein. The scanning electron microscopy observation results indicated that the stacking thickness and density of the biofilm decreased when S. aureus was exposed to oleuropein. It had a bactericidal effect on biofilm bacteria and removed polysaccharides and proteins from mature biofilms. The effects of oleuropein on the biofilm could be explained by a reduction in bacterial secretion of extracellular polymeric substances and a change in bacterial surface hydrophobicity. Based on the above findings, oleuropein has the potential to be used against food pollution caused by S. aureus biofilms.
The Authentication of Gayo Arabica Green Coffee Beans with Different Cherry Processing Methods Using Portable LED-Based Fluorescence Spectroscopy and Chemometrics Analysis
Authors: Yulia Meinilwita , Analianasari Analianasari , Widodo Slamet , Kusumiyati Kusumiyati , Naito Hirotaka , Suhandy Diding
Published: November 2023

Aceh is an important region for the production of high-quality Gayo arabica coffee in Indonesia. In this area, several coffee cherry processing methods are well implemented including the honey process (HP), wine process (WP), and natural process (NP). The most significant difference between the three coffee cherry processing methods is the fermentation process: HP is a process of pulped coffee bean fermentation, WP is coffee cherry fermentation, and NP is no fermentation. It is well known that the WP green coffee beans are better in quality and are sold at higher prices compared with the HP and NP green coffee beans. In this present study, we evaluated the utilization of fluorescence information to discriminate Gayo arabica green coffee beans from different cherry processing methods using portable fluorescence spectroscopy and chemometrics analysis. A total of 300 samples were used (n = 100 for HP, WP, and NP, respectively). Each sample consisted of three selected non-defective green coffee beans. Fluorescence spectral data from 348.5 nm to 866.5 nm were obtained by exciting the intact green coffee beans using a portable spectrometer equipped with four 365 nm LED lamps. The result showed that the fermented green coffee beans (HP and WP) were closely mapped and mostly clustered on the left side of PC1, with negative scores. The non-fermented (NP) green coffee beans were clustered mostly on the right of PC1 with positive scores. The results of the classification using partial least squares–discriminant analysis (PLS-DA), linear discriminant analysis (LDA), and principal component analysis–linear discriminant analysis (PCA-LDA) are acceptable, with an accuracy of more than 80% reported. The highest accuracy of prediction of 96.67% was obtained by using the PCA-LDA model. Our recent results show the potential application of portable fluorescence spectroscopy using LED lamps to classify and authenticate the Gayo arabica green coffee beans according to their different cherry processing methods. This innovative method is more affordable and could be easy to implement (in terms of both affordability and practicability) in the coffee industry in Indonesia.
Conventional vs. Organic: Evaluation of Nutritional, Functional and Sensory Quality of Citrus limon
Authors: Sánchez-Bravo Paola , Martínez-Tomé Juan , Hernández Francisca , Sendra Esther , Noguera-Artiaga Luis
Published: November 2023

Organic farming is growing rapidly worldwide since it is perceived as more respectful of the environment than conventional farming. In this sense, organic agriculture is highly appreciated by consumers since consumers around the world believe that organic food has a higher content of beneficial compounds for health and consider it of higher quality. For that reason, the objective of this research was to evaluate the nutritional, sensorial, and functional quality of the ‘Fino 49’ lemon grafted on Citrus macrophylla in conventional and organic cultivation. Fatty acids, amino acids, total phenol, and polyphenols were quantified, antioxidant activity was measured, and sensory descriptive analysis was performed. Conventional farming led to an increase in amino acid content (641 mg L−1) and an increase in polyunsaturated fatty acids (254 mg 100 g−1) and monounsaturated fatty acids (37.61 mg 100 g−1). On the other hand, organically produced lemon fruits had better sensory profile (highlighting overall aroma (6.5), lemon odor (6.8), sourness (5.8), floral (0.6), and fresh lemon flavor (9.8)), and lower thrombogenicity index (0.15). The type of cultivation (organic and conventional) had no influence on the antioxidant activity (~1.60, ~3.08, and ~4.16 mmol Trolox L−1 for ABTS+, DPPH•, and FRAP, respectively) and polyphenols content (85.51 and 86.69 conventional and organic, respectively). However, to establish the advantages and disadvantages of different types of cultivation on lemon quality more studies are needed.
Self-Reported Moderate-to-Vigorous Physical Activity: Its Association with Health-Related Quality of Life in a Large Cohort of People with Chronic Diseases
Authors: Alzahrani Hosam , Alotaibi Najlaa , Alshahrani Adel , Alkhathami Khalid M. , Alshehri Yasir S. , Alzhrani Msaad , Alshehri Fahad H. , Almeheyawi Rania , Aljulaymi Ibrahim Saeed , Alsufiany Muhsen , Sadarangani Kabir P. , Allam Hatem H. , Barcaccia Barbara
Published: November 2023

The aim of this study was to investigate the dose–response relationship between physical activity and health-related quality of life (HRQoL) in a large population-based sample of people with chronic disease. We analysed the data of 29,271 adults (15,315 women) who were diagnosed with chronic diseases and participated in the Welsh Health Survey (Wales, UK; data collection 2011–2015). Participants were classified, based on their weekly minutes of moderate-to-vigorous physical activity (MVPA), into four groups as follows: inactive (no MVPA), insufficiently active (<150 min/week), sufficiently active (≥150–<300), and very active (≥300). The main outcome was HRQoL measured via the Short-Form 36 Health Survey (SF-36). This study found a curvilinear association between MVPA and HRQoL and a dose–response relationship for the perception of general health and vitality domains. Compared to inactive participants, those who were very active had higher HRQoL scores (coefficient = 12.54; 95% confidence interval [CI] 11.39–13.70), followed by sufficiently active (coefficient = 11.70; 95% CI 10.91–12.49) and insufficiently active (coefficient = 9.83; 95% CI 9.15–10.51) participants. The fully adjusted regression model showed curvilinear associations between MVPA and the domains of SF-36. Future research should find ways to motivate people with chronic diseases to engage in physical activity. The evidence to support regular exercise in individuals with chronic diseases in all age groups is strong and compelling, and patients should be encouraged to regularly devote more time to physical activity in order to improve their health and well-being.
In Vitro Evaluation of Chitosan Hydrochloride and COS (Chito-Oligosaccharides)-OGA (Oligo-Galacturonides) on Phytopathogenic Fungi and Escherichia coli
Authors: Makau Sarah Mojela , Moumni Marwa , Landi Lucia , Pirozzi Domenico , Sannino Filomena , Romanazzi Gianfranco
Published: November 2023

Use of novel alternative compounds in agriculture is being promoted to reduce synthetic pesticides. An in vitro study was conducted to evaluate antimicrobial and antioxidant activities of chitosan hydrochloride (CH) and COS (chito-oligosaccharides)-OGA (oligo-galacturonides) at concentrations of 1%, 0.5%, 0.25%, 0.1%, 0.05%, and 0.025%. COS-OGA at 1% and 0.5% concentrations completely inhibited mycelial growth of Alternaria alternata, Alternaria brassicicola, Botrytis cinerea, Monilinia laxa, Monilinia fructigena, and Monilinia fructicola. Further, complete inhibition was observed with 0.25% COS-OGA for M. fructigena and M. laxa. Inhibition for B. cinerea, M. fructicola, A. alternata, and A. brassicicola at 0.25% COS-OGA was 86.75%, 76.31%, 69.73%, and 60.45%, respectively. M. laxa and M. fructigena were completely inhibited by CH concentrations of 1–0.25% and M. fructicola by concentrations of 1–0.5%. At CH 0.25%, inhibition for M. fructicola, A. brassicicola, A. alternata, and B. cinerea was 93.99%, 80.99%, 69.73%, and 57.23%, respectively. CH showed effective antibacterial activity against foodborne Escherichia coli. COS-OGA had higher antioxidant activity than CH when assessed by DPPH and hydroxyl radical scavenging assays. Our findings offer insights into the antimicrobial efficacy and mechanisms of action of these novel compounds, which have the potential to serve as alternatives to synthetic pesticides. In vivo investigations are required to validate the prospective application of these treatments for pre- and postharvest disease management.
Impacts of Urban Morphology on Seasonal Land Surface Temperatures: Comparing Grid- and Block-Based Approaches
Authors: Jeon Gyuwon , Park Yujin , Guldmann Jean-Michel
Published: November 2023

Climate change is expected to result in increased occurrences of extreme weather events such as heat waves and cold spells. Urban planning responses are crucial for improving the capacity of cities and communities to deal with significant temperature variations across seasons. This study aims to investigate the relationship between urban temperature fluctuations and urban morphology throughout the four seasons. Through quadrant and statistical analyses, built-environment factors are identified that moderate or exacerbate seasonal land surface temperatures (LSTs). The focus is on Seoul, South Korea, as a case study, and seasonal LST values are calculated at both the grid (100 m × 100 m) and street block levels, incorporating factors such as vegetation density, land use patterns, albedo, two- and three-dimensional building forms, and gravity indices for large forests and water bodies. The quadrant analysis reveals a spatial segregation between areas demonstrating high LST adaptability (cooler summers and warmer winters) and those displaying LST vulnerability (hotter summers and colder winters), with significant differences in vegetation and building forms. Spatial regression analyses demonstrate that higher vegetation density and proximity to water bodies play key roles in moderating LSTs, leading to cooler summers and warmer winters. Building characteristics have a constant impact on LSTs across all seasons: horizontal expansion increases the LST, while vertical expansion reduces the LST. These findings are consistent for both grid- and block-level analyses. This study emphasizes the flexible role of the natural environment in moderating temperatures.
Molecular Mechanism of Alzheimer’s Disease
Authors: Rammes Gerhard
Published: November 2023

Neurodegenerative disorders are a major public health concern [...]
Cell Therapy in the Treatment of Coronary Heart Disease
Authors: Chepeleva Elena V.
Published: November 2023

Heart failure is a leading cause of death in patients who have suffered a myocardial infarction. Despite the timely use of modern reperfusion therapies such as thrombolysis, surgical revascularization and balloon angioplasty, they are sometimes unable to prevent the development of significant areas of myocardial damage and subsequent heart failure. Research efforts have focused on developing strategies to improve the functional status of myocardial injury areas. Consequently, the restoration of cardiac function using cell therapy is an exciting prospect. This review describes the characteristics of various cell types relevant to cellular cardiomyoplasty and presents findings from experimental and clinical studies investigating cell therapy for coronary heart disease. Cell delivery methods, optimal dosage and potential treatment mechanisms are discussed.
Classification of Atretic Small Antral Follicles in the Human Ovary
Authors: Wei Fu , Fan Xueying , del Valle Julieta S. , Asseler Joyce D. , van der Meeren Lotte E. , Cheng Hui , Roelen Bernard A. J. , Louwe Leoni A. , Pilgram Gonneke S. K. , van der Westerlaken Lucette A. J. , van Mello Norah M. , Chuva de Sousa Lopes Susana M.
Published: November 2023

The reproductive lifespan in humans is regulated by a delicate cyclical balance between follicular recruitment and atresia in the ovary. The majority of the small antral follicles present in the ovary are progressively lost through atresia without reaching dominance, but this process remains largely underexplored. In our study, we investigated the characteristics of atretic small antral follicles and proposed a classification system based on molecular changes observed in granulosa cells, theca cells, and extracellular matrix deposition. Our findings revealed that atresia spreads in the follicle with wave-like dynamics, initiating away from the cumulus granulosa cells. We also observed an enrichment of CD68+ macrophages in the antrum during the progression of follicular atresia. This work not only provides criteria for classifying three stages of follicular atresia in small antral follicles in the human ovary but also serves as a foundation for understanding follicular degeneration and ultimately preventing or treating premature ovarian failure. Understanding follicular remodeling in the ovary could provide a means to increase the number of usable follicles and delay the depletion of the follicular reserve, increasing the reproductive lifespan.
Increased IL-12p70 and IL-8 Produced by Monocytes in Response to Streptococcus spp. and Actinomyces spp. Causals of Endodontic Primary Infections
Authors: Sánchez-Gutiérrez Raquel , Araujo-Pérez Janeth , Alvarado-Hernández Diana Lorena , González-Amaro Ana María , Méndez-González Verónica , Rivas-Santiago Bruno , González-Amaro Roberto , Pozos-Guillén Amaury , Vitales-Noyola Marlen
Published: November 2023

We sought to evaluate the effect of endodontic-causative microorganisms of primary infections on mononuclear cells such as CD14+, CD4+, CD8+, CD19+ and Tregs Foxp3+. Facultative anaerobic microorganisms were isolated from radicular conducts and peripheral blood samples, which were taken from patients with primary infections. Cellular cultures were performed with peripheral blood mononuclear cells (PBMC) with and without Actinomyces spp. and Streptococcus spp. during 48, 72, and 96 h of contact in culture (concentration 5 × 105 cells/well) in a round plate bound with 48 wells. Later, PBMC was collected for analysis by flow cytometry, with the monoclonal antibodies αCD14, αCD4, αCD8, αCD19 and αFoxp3, and acquired using an FACSCanto II cytometer. The supernatant of cellular cultures was analyzed for the quantification of inflammatory cytokines. Data analysis was performed in FlowJo v10.8.2 and FCAPArray software, and statistical analysis was performed using GraphPad v5.0. software. We observed an increase in the percentage of CD14+ cells in patients at different hours of cellular culture in the presence of both Actinomyces spp. and Streptococcus spp. microorganisms, compared to healthy controls. This study demonstrates the role played by the innate immune system in the pathogeny of endodontic primary infections, explaining the effects that generate the more common microorganisms in this oral pathology.
Spectrophotometric Assay for the Detection of 2,5-Diformylfuran and Its Validation through Laccase-Mediated Oxidation of 5-Hydroxymethylfurfural
Authors: Cascelli Nicoletta , Gotor-Fernández Vicente , Lavandera Iván , Sannia Giovanni , Lettera Vincenzo
Published: November 2023

Modern biocatalysis requires fast, sensitive, and efficient high-throughput screening methods to screen enzyme libraries in order to seek out novel biocatalysts or enhanced variants for the production of chemicals. For instance, the synthesis of bio-based furan compounds like 2,5-diformylfuran (DFF) from 5-hydroxymethylfurfural (HMF) via aerobic oxidation is a crucial process in industrial chemistry. Laccases, known for their mild operating conditions, independence from cofactors, and versatility with various substrates, thanks to the use of chemical mediators, are appealing candidates for catalyzing HMF oxidation. Herein, Schiff-based polymers based on the coupling of DFF and 1,4-phenylenediamine (PPD) have been used in the set-up of a novel colorimetric assay for detecting the presence of DFF in different reaction mixtures. This method may be employed for the fast screening of enzymes (Z’ values ranging from 0.68 to 0.72). The sensitivity of the method has been proved, and detection (8.4 μM) and quantification (25.5 μM) limits have been calculated. Notably, the assay displayed selectivity for DFF and enabled the measurement of kinetics in DFF production from HMF using three distinct laccase–mediator systems.
Differential Gene Expression of Malaria Parasite in Response to Red Blood Cell-Specific Glycolytic Intermediate 2,3-Diphosphoglycerate (2,3-DPG)
Authors: Balau Ana , Sobral Daniel , Abrantes Patrícia , Santos Inês , Mixão Verónica , Gomes João Paulo , Antunes Sandra , Arez Ana Paula
Published: November 2023

Innovative strategies to control malaria are urgently needed. Exploring the interplay between Plasmodium sp. parasites and host red blood cells (RBCs) offers opportunities for novel antimalarial interventions. Pyruvate kinase deficiency (PKD), characterized by heightened 2,3-diphosphoglycerate (2,3-DPG) concentration, has been associated with protection against malaria. Elevated levels of 2,3-DPG, a specific mammalian metabolite, may hinder glycolysis, prompting us to hypothesize its potential contribution to PKD-mediated protection. We investigated the impact of the extracellular supplementation of 2,3-DPG on the Plasmodium falciparum intraerythrocytic developmental cycle in vitro. The results showed an inhibition of parasite growth, resulting from significantly fewer progeny from 2,3-DPG-treated parasites. We analyzed differential gene expression and the transcriptomic profile of P. falciparum trophozoites, from in vitro cultures subjected or not subjected to the action of 2,3-DPG, using Nanopore Sequencing Technology. The presence of 2,3-DPG in the culture medium was associated with the significant differential expression of 71 genes, mostly associated with the GO terms nucleic acid binding, transcription or monoatomic anion channel. Further, several genes related to cell cycle control were downregulated in treated parasites. These findings suggest that the presence of this RBC-specific glycolytic metabolite impacts the expression of genes transcribed during the parasite trophozoite stage and the number of merozoites released from individual schizonts, which supports the potential role of 2,3-DPG in the mechanism of protection against malaria by PKD.
Biomarkers for Salvage Therapy in Testicular Germ Cell Tumors
Authors: Urbini Milena , Bleve Sara , Schepisi Giuseppe , Menna Cecilia , Gurioli Giorgia , Gianni Caterina , De Giorgi Ugo
Published: November 2023

The outcome of metastatic testicular germ cell tumor patients has been dramatically improved by cisplatin-based chemotherapy combinations. However, up to 30% of patients with advanced disease relapse after first-line therapy and require salvage regimens, which include treatments with conventional-dose chemotherapy or high-dose chemotherapy with autologous stem cell transplantation. For these patients, prognosis estimation represents an essential step in the choice of medical treatment but still remains a complex challenge. The available histological, clinical, and biochemical parameters attempt to define the prognosis, but they do not reflect the tumor’s molecular and pathological features and do not predict who will exhibit resistance to the several treatments. Molecular selection of patients and validated biomarkers are highly needed in order to improve current risk stratification and identify novel therapeutic approaches for patients with recurrent disease. Biomolecular biomarkers, including microRNAs, gene expression profiles, and immune-related biomarkers are currently under investigation in testicular germ cell tumors and could potentially hold a prominent place in the future treatment selection and prognostication of these tumors. The aim of this review is to summarize current scientific data regarding prognostic and predictive biomarkers for salvage therapy in testicular germ cell tumors.
Autophagy and Senescence: The Molecular Mechanisms and Implications in Liver Diseases
Authors: Li Qiao , Lin Yan , Liang Guangyu , Xiao Nanyin , Zhang Heng , Yang Xiao , Yang Jiankun , Liu Anding
Published: November 2023

The liver is the primary organ accountable for complex physiological functions, including lipid metabolism, toxic chemical degradation, bile acid synthesis, and glucose metabolism. Liver function homeostasis is essential for the stability of bodily functions and is involved in the complex regulation of the balance between cell proliferation and cell death. Cell proliferation-halting mechanisms, including autophagy and senescence, are implicated in the development of several liver diseases, such as cholestasis, viral hepatitis, nonalcoholic fatty liver disease, liver fibrosis, and hepatocellular carcinoma. Among various cell death mechanisms, autophagy is a highly conserved and self-degradative cellular process that recycles damaged organelles, cellular debris, and proteins. This process also provides the substrate for further metabolism. A defect in the autophagy machinery can lead to premature diseases, accelerated aging, inflammatory state, tumorigenesis, and cellular senescence. Senescence, another cell death type, is an active player in eliminating premalignant cells. At the same time, senescent cells can affect the function of neighboring cells by secreting the senescence-associated secretory phenotype and induce paracrine senescence. Autophagy can promote and delay cellular senescence under different contexts. This review decodes the roles of autophagy and senescence in multiple liver diseases to achieve a better understanding of the regulatory mechanisms and implications of autophagy and senescence in various liver diseases.
Interplay of Vitamin D, Unfolded Protein Response, and Iron Metabolism in Neuroblastoma Cells: A Therapeutic Approach in Neurodegenerative Conditions
Authors: Jánosa Gergely , Pandur Edina , Pap Ramóna , Horváth Adrienn , Sipos Katalin
Published: November 2023

Vitamin D3 (VD) is crucial for various cell functions, including gene regulation, antioxidant defense, and neural health. Neurodegenerative conditions are closely linked to the unfolded protein response (UPR), a mechanism reacting to endoplasmic reticulum (ER) stress. Iron metabolism is intricately associated with UPR and neurodegeneration. This study used SH-SY5Y neuroblastoma cells to investigate the relationship between UPR, iron metabolism, and VD. Different sequences of treatments (pre- and post-treatments) were applied using VD and thapsigargin (Tg), and various methods were used for evaluation, including real-time qPCR, Western blotting, ELISA, and iron content analysis. The findings indicate that VD affects UPR pathways, cytokine release, and iron-related genes, potentially offering anti-inflammatory benefits. It also influences iron transporters and storage proteins, helping to maintain cellular iron balance. Furthermore, pro-inflammatory cytokines like interleukin-6 (IL-6) and tumor necrosis factor alpha (TNFα) were impacting UPR activation in cells. VD also influenced fractalkine (CX3CL1) gene expression and secretion, suggesting its potential as a therapeutic agent for addressing neuroinflammation and iron dysregulation. This research provides insights into the intricate connections among VD, UPR, and iron metabolism in SH-SY5Y neuroblastoma cells, with implications for future investigations and potential therapeutic approaches in neurodegenerative diseases characterized by UPR dysregulation and iron accumulation.
Characterization of Cashew Nut (Anacardium occidentale L.) Germplasm for Kernel Quality Attributes
Authors: Castro Ana Cecília Ribeiro de , Barbosa Eulália Romão , Cruz Antônia Caricielle Amaro da , Segundo Vanessa Claudia Vasconcelos , Pereira Matheus Araújo , Lima Antônio Calixto , Torres Claudio Rogerio B. , Aragão Fernando Antonio Souza de
Published: November 2023

Ensuring the quality attributes of cashew kernels is essential for selecting superior genotypes with agro-industrial potential. Therefore, this study characterized cashew nut accessions from the Cashew Germplasm Bank regarding kernel quality standards and identified genotypes with optimal characteristics for the industry. The characterization included key industrial indicators such as peeling efficiency, average kernel mass, class, type, and industrial yield, evaluated in 47 different accessions. Through multivariate cluster analysis and principal component analysis, the accessions revealed four distinct groups, exposing correlations among various industrial indicators. The analysis revealed a diverse genetic profile within the Cashew Germplasm Bank. A notable finding is that 80.85% of the accessions group together, displaying predominant features—easy peeling, an average mass exceeding 2.5 g, categorized as super large (SLW) and large (LW), and uniformly white-colored kernels. Correlations found include a negative relationship between kernel mass and class and positive associations between class and industrial yield, as well as between industrial yield and peeling efficiency. The study reveals substantial variability in cashew nut germplasm with respect to quality traits, highlighting its invaluable potential for identifying and selecting superior genotypes adapted for agro-industrial purposes. Particularly promising are Group 4 accessions, such as BGC632, BGC589 and BGC127, presenting attributes indicative of high-quality kernels.
Tetris Genioplasty: A New Paradigm for Chin Asymmetries Correction
Authors: Ramieri Valerio , Latini Linda , Gabriele Guido , Fantozzi Vittoria , Marianetti Tito Matteo , Cascino Flavia
Published: November 2023

The chin plays a crucial role as a fundamental structural component that contributes to the overall aesthetics and harmony of the face. Recognizing its central position, medical science has seen the evolution of numerous surgical techniques over the years, all aimed at correcting the range of structural irregularities that can affect the chin. In this contribution, the authors introduce an innovative osteotomy technique, aimed at cases of chin asymmetry in which the skeletal median diverges from the dental median. This technique, called “Tetris genioplasty”, involves performing the classic rectangular osteotomy, but includes an additional vertical osteotomy in order to obtain two distinct segments. Finally, these segments are translocated and repositioned to obtain a realignment between the skeletal median and the dental median. The results were entirely satisfactory for the patients, aligning perfectly with the expected appearance after the operation. Furthermore, no complications were reported, proving the success and safety of the procedure. The Tetris genioplasty aligns itself with this progressive trend by offering a minimally invasive method that nevertheless is able to achieve excellent results with a high impact on the patient’s quality of life, presenting a promising path in the pursuit of optimal aesthetic results with minimized patient morbidity and greater overall safety.
Associations between N-Terminal Pro-B-Type Natriuretic Peptide, Body Fluid Imbalance and Quality of Life in Patients Undergoing Hemodialysis: A Cross-Sectional Study
Authors: Yamazaki Keisuke , Ishii Shingo , Hitaka Mai , Masai Motoyuki , Ohashi Yasushi
Published: November 2023

Natriuretic peptides may be associated with the complex interaction between malnutrition and fluid overload. This study assessed the relationship between N-terminal pro-B-type natriuretic peptide (NT-proBNP), body fluid composition, and quality of life (QOL) domains. A multicenter, cross-sectional study was conducted between 2019 and 2022. The QOL survey of 322 patients undergoing maintenance hemodialysis (227 men and 95 women; mean age, 65 ± 12 years) was conducted using the Kidney Disease QOL-Short Form v. 1.3. The patients in the higher NT-proBNP quartile group were older and had a longer dialysis vintage; lower body mass index, serum albumin, blood urea nitrogen, creatinine, sodium, uric acid, total cholesterol, triglycerides, and hemoglobin levels; lower geriatric nutritional risk index (GNRI), skeretal mascle mass index, and phase angle (PhA); and higher pre- and post-dialysis systolic blood pressure (BP), cardiothoracic index, and C-reactive protein (CRP) (p < 0.05). Multivariate analysis revealed that post-dialysis systolic BP, CRP, and GNRI or PhA were independently associated with NT-proBNP. The higher NT-proBNP group experienced muscle attenuation and/or inflammation and an enlarged left atrium. Consequently, the elevated NT-proBNP by such an imbalance in body fluid composition is associated with lower health-related QOL.
Colocalization of IgG and IgA Heavy Chains with Kappa and Lambda Light Chains in Glomerular Deposits of IgA Nephropathy Patients Using High-Resolution Confocal Microscopy and Correlation with Oxford MEST-C Scores
Authors: Rizk Dana V. , Novak Lea , Hall Stacy D. , Moldoveanu Zina , Julian Bruce A. , Novak Jan , Haas Mark
Published: November 2023

Routine immunofluorescence microscopy of glomerular immunodeposits in IgA nephropathy shows IgA, C3, and lambda light chains, and sometimes IgG, IgM, and kappa light chains. However, a previous study using high-resolution confocal microscopy showed IgG in all IgA nephropathy cases, likely representing autoantibodies specific for galactose-deficient IgA1. Here, we used high-resolution confocal microscopy to examine the composition of glomerular immunodeposits and colocalization of kappa and lambda light chains with IgA or IgG heavy chains in kidney-biopsy samples from twenty patients with IgA nephropathy, seventeen without IgG, and nine with no or trace kappa light chains by routine immunofluorescence microscopy. IgG was detected in all biopsies by high-resolution confocal microscopy. Single-optical-plane images showed similar colocalization of IgG heavy chains with kappa and lambda light chains. Colocalization of IgA heavy chains was greater with lambda light chains than with kappa light chains. Colocalization of IgG heavy chain with kappa light chains was higher than with lambda light chains in biopsies with endocapillary hypercellularity and crescents, i.e., biopsies with active lesions. We confirmed the utility of high-resolution confocal microscopy to detect components of glomerular immunodeposits not apparent on routine immunofluorescence microscopy and for colocalization of different components, potentially clarifying the pathogenesis of IgA nephropathy.
Comparison of Outcomes of Silicone Tube Intubation with or without Dacryoendoscopy for the Treatment of Congenital Nasolacrimal Duct Obstruction
Authors: Kim Doah , Lew Helen
Published: November 2023

In this retrospective study, we compared and analyzed two groups of patients who underwent silicone tube intubation (STI) to treat congenital nasolacrimal duct obstruction (CNDO). We employed dacryoendoscopy to visualize the lacrimal pathways of one group. In total, 85 eyes of 69 patients were included (52 of 41 patients in the non-dacryoendoscopy and 33 eyes of 28 patients in the dacryoendoscopy group). Clinical characteristics, dacryoendoscopic findings, and surgical outcomes were evaluated. The overall STI success rate was 91.8%, and the success rate was significantly higher in the dacryoendoscopy versus non-dacryoendoscopy group (97.0% and 88.5%, respectively). For patients < 36 months of age, the success rate was 100% (23 eyes). All patients with Hasner valve membranous obstructions were younger than 36 months and had structural obstructions of the lacrimal drainage system (LDS) (p = 0.04). However, in patients lacking Hasner valve obstructions, LDS secretory (50.0%) and structural (50%) obstructions occurred at similar rates, which did not vary by age. Dacryoendoscopy-assisted STI enhanced the therapeutic efficacy of CNDO and identified diverse CNDO etiologies beyond Hasner valve obstructions. These findings emphasize the potential advantages of dacryoendoscopy in surgical treatment for CNDO patients.
Relationships between CD34-, CD105- and bcl-2-Expression Levels and Contrast-Enhanced Ultrasound-Based Differential Diagnosis of Adnexal Tumours
Authors: Szymanski Marek , Florczyk Iwona , Janicki Radoslaw , Bernard Piotr , Domaracki Piotr , Brycht Lukasz , Szyca Robert , Szymanska Angelika , Paniutycz Julia
Published: November 2023

The relationships between CEUS parameters of adnexal tumours and postoperative immunohistochemical assessments of CD34, CD105 and bcl-2 were analysed. This study aimed to investigate whether contrast-enhanced ultrasonography (CEUS) parameters depend on the microvascular density of the tumour lesion found after surgery. Fifty-one patients with a diagnosis of adnexal tumours were included in this single-centre, prospective study. Participants underwent preoperative CEUS (contrast-enhanced ultrasound). Colour Doppler enhancement characterisation parameters (Ystart, Ymax and S) were determined. Immunohistochemical examination of histological specimens of the adnexal lesions was then carried out to determine the expression levels of the CD34, CD105 and bcl-2 proteins. Relationships between the aforementioned parameters were investigated. No significant statistical correlations were observed between CD34, CD105 and bcl2 expression levels and CEUS parameters, independently of whether the operated lesion was malignant or benign. Transvaginal CEUS is diagnostic for the detection of pathological neoplastic vascularisation of an adnexal lesion independent of the density of microcapillaries found postoperatively.
Effects of Vojta Therapy on the Motor Function of Children with Neuromotor Disorders: Study Protocol for a Randomized Controlled Trial
Authors: Menéndez-Pardiñas Mónica , Alonso-Bidegaín Miguel , Santonja-Medina Fernando , Sánchez-González Juan Luis , Sanz-Mengibar Jose Manuel
Published: November 2023

Background: Infantile cerebral palsy is a neurological pathology that causes great morbidity, mortality, and disability in people who suffer from it, mainly affecting motor development. There are a multitude of non-pharmacological methods or therapies for its treatment. One of the main methods is Vojta therapy. This methodology acts on ontogenetic postural function and automatic postural control. Objective: This study aims to demonstrate that there are changes in the motor development of children with cerebral palsy with the application of Vojta therapy. Methods and analysis: This is a randomized controlled trial on the effectiveness of two neurorehabilitation techniques in patients with cerebral palsy conducted at the Physical Medicine and Rehabilitation Service of the Teresa Herrera Maternal and Child Hospital of the A Coruña and Cee Health Area. The study will be conducted from January 2023 to December 2024. There will be two groups: the Vojta therapy group (n = 30) and the conventional physiotherapy group (n = 30). The measurement variables will be gross motor function as measured by the Gross Motor Function Measure (GMFM) and Infant Motor Profile (IMP) scales. Ethics and dissemination: The study was approved by the Research Ethics Committee of the University of Murcia (1823/2018) and Comité de Ética de la Investigación de A Coruña-Ferrol (2022/099). Trial registration number: ClinicalTrials.gov; identifier: NCT06092619.
Ocular Manifestations in Patients Affected by p63-Associated Disorders: Ectrodactyly-Ectodermal Dysplasia-Clefting (EEC) and Ankyloblepharon-Ectodermal Defects-Cleft Lip Palate (AEC) Syndromes
Authors: Di Iorio Enzo , Bonelli Filippo , Bievel-Radulescu Raluca , Decastello Nicolò , Ferrari Stefano , Barbaro Vanessa , Ponzin Diego
Published: November 2023

Background/Aims: The Ectrodactyly-Ectodermal dysplasia-Clefting (EEC) and Ankyloblepharon–ectodermal defect–cleft lip/palate (AEC) syndromes are rare autosomal dominant diseases caused by heterozygous mutations in the p63 gene. Patients are characterized by abnormalities of the skin, teeth, and hair and have limb defects, orofacial clefting and ectodermal dysplasia. In addition, they often show ocular surface alterations, leading to progressive corneal clouding and eventually blindness. Here, we present 8 cases describing patients affected by EEC (n = 6, with 5 sporadic and 1 familial cases) and AEC (n = 2, both sporadic cases) syndromes. We attempt to provide a description of the ocular disease progression over the years. Methods: Clinical examinations and monitoring of ocular parameters for the assessment of limbal stem cell deficiency were constantly performed on patients between 2009 and 2023. Quantitative data and comparison with existing cases described in the literature are reported. Results: The therapies supplied to patients were essential for the management of the symptoms, but unfortunately did not halt the progression of the pathology. Conclusions: A constant monitoring of the patients would help avoid the sudden worsening of symptoms. If the progression of the disease slows down, it would allow for the development of newer therapeutic strategies aimed at correcting the genetic defect.
The Effect of Bariatric Surgery on Microvascular Structure and Function, Peripheral Pressure Waveform and General Cardiovascular Risk: A Longitudinal Study
Authors: Karimzad Said , Shokr Hala , Bellary Srikanth , Singhal Rishi , Gherghel Doina
Published: November 2023

Purpose: This study aims to assess the effect of bariatric surgery on retinal microvascular calibre, peripheral microvascular function, peripheral pressure waveforms, and the general cardiovascular disease (CVD) risk in obese individuals after undergoing Roux-en-Y gastric bypass (RYGB) surgery. Methods: A total of 29 obese participants were included in the study. All of the measurements were conducted at two time points: before and one year following the bariatric surgery procedure. General anthropometric data, as well as blood markers for glucose, cholesterol, and triglycerides were assessed in all individuals. In all participants, the Framingham risk score (FRS), and retinal vessel calibre measurements, using a Zeiss fundus camera and VesselMap software (ImedosSystems, Jena, Germany), were performed. Systemic arterial stiffness was measured by pulse wave analysis (PWA), and peripheral microvascular reactivity by way of digital thermal monitoring (DTM) in all participants. Results: As expected, various general anthropometric parameters, including body mass index (BMI), waist circumference and neck circumference, were significantly decreased post-surgery comparing to baseline in all individuals (all p < 0.001). In addition, their general CVD risk, as measured using FRS, was significantly improved (p < 0.001). At the retinal vascular level, central retinal artery equivalent (CRAE) as well as, central retinal vein equivalent (CRVE) had increased after surgery comparing to the baseline values (p = 0.003 and p = 0.007, respectively). In addition, both systemic arterial stiffness and peripheral microvascular reactivity had improved in all participants (p < 0.001 and p = 0.008 respectively). Conclusions: Our findings suggest that bariatric surgery has a positive effect on the overall vascular health, as well as on the general CVD risk of the obese patients undergoing this procedure.
Therapeutic Use of the Antimicrobial Peptide PNR20 to Resolve Disseminated Candidiasis in a Murine Model
Authors: Micelly-Moreno Jeisson , Barreto-Santamaría Adriana , Arévalo-Pinzón Gabriela , Firacative Carolina , Gómez Beatriz L. , Escandón Patricia , Patarroyo Manuel A. , Muñoz Julián E.
Published: November 2023

Invasive fungal infections (IFIs) caused by Candida species are an emerging threat globally, given that patients at-risk and antifungal resistance are increasing. Antimicrobial peptides (AMPs) have shown good therapeutic capacity against different multidrug-resistant (MDR) microorganisms. This study evaluated the activity of the synthetic peptide, PNR20, against Candida albicans ATCC 10231 and a MDR Colombian clinical isolate of Candida auris. Perturbation of yeast cell surface was evaluated using scanning electron microscopy. Cell viability of Vero cells was determined to assess peptide toxicity. Additionally, survival, fungal burden, and histopathology of BALB/c mice infected intravenously with each Candida species and treated with PNR20 were analyzed. Morphological alterations were identified in both species, demonstrating the antifungal effect of PNR20. In vitro, Vero cells’ viability was not affected by PNR20. All mice infected with either C. albicans or C. auris and treated with PNR20 survived and had a significant reduction in the fungal burden in the kidney compared to the control group. The histopathological analysis in mice infected and treated with PNR20 showed more preserved tissues, without the presence of yeast, compared to the control groups. This work shows that the utilization of PNR20 is a promising therapeutic alternative against disseminated candidiasis.
Enhancing Predictive Power: Integrating a Linear Support Vector Classifier with Logistic Regression for Patient Outcome Prognosis in Virtual Reality Therapy for Treatment-Resistant Schizophrenia
Authors: Hudon Alexandre , Beaudoin Mélissa , Phraxayavong Kingsada , Potvin Stéphane , Dumais Alexandre
Published: November 2023

(1) Background: Approximately 30% of schizophrenia patients are known to be treatment-resistant. For these cases, more personalized approaches must be developed. Virtual reality therapeutic approaches such as avatar therapy (AT) are currently undergoing investigations to address these patients’ needs. To further tailor the therapeutic trajectory of patients presenting with this complex presentation of schizophrenia, quantitative insight about the therapeutic process is warranted. The aim of the study is to combine a classification model with a regression model with the aim of predicting the therapeutic outcomes of patients based on the interactions taking place during their first immersive session of virtual reality therapy. (2) Methods: A combination of a Linear Support Vector Classifier and logistic regression was conducted over a dataset comprising 162 verbatims of the immersive sessions of 18 patients who previously underwent AT. As a testing dataset, 17 participants, unknown to the dataset, had their first immersive session presented to the combinatory model to predict their clinical outcome. (3) Results: The model accurately predicted the clinical outcome for 15 out of the 17 participants. Classification of the therapeutic interactions achieved an accuracy of 63%. (4) Conclusion: To our knowledge, this is the first attempt to predict the outcome of psychotherapy patients based on the content of their interactions with their therapist. These results are important as they open the door to personalization of psychotherapy based on quantitative information about the interactions taking place during AT.
Examining the Impact of Agency Issues on Corporate Performance: A Bibliometric Analysis
Authors: Khandelwal Vinay , Tripathi Prasoon , Chotia Varun , Srivastava Mohit , Sharma Prashant , Kalyani Sushil
Published: November 2023

An agency problem is defined as a conflict of interest arising due to a misalignment of interests among the managers and other stakeholders of the company. This article aims to review the articles addressing the agency problem and their impact on business performance. This article reviews the contributions of prominent theorists on agency problems and agency costs. Using bibliometric attributes of 740 articles from the Scopus database, this study highlights the publishing trend and outlets, along with leading contributors and collaborators in terms of authors, institutions, and countries. This study identifies the clusters through the bibliographic coupling technique and a trend topics analysis. Most researchers have focused on corporate governance and expressed the agency problem as one of the impact areas. This study is unique as no study to date specifically focuses solely on agency theory or the agency problem through the lens of bibliometric analysis. Future research directions on agency problems and their solutions conclude this study.
Performance Evaluation of LoRa Communications in Harsh Industrial Environments
Authors: Aarif L’houssaine , Tabaa Mohamed , Hachimi Hanaa
Published: November 2023

LoRa technology is being integrated into industrial applications as part of Industry 4.0 owing to its longer range and low power consumption. However, noise, interference, and the fading effect all have a negative impact on LoRa performance in an industrial environment, necessitating solutions to ensure reliable communication. This paper evaluates and compares LoRa’s performance in terms of packet error rate (PER) with and without forward error correction (FEC) in an industrial environment. The impact of integrating an infinite impulse response (IIR) or finite impulse response (FIR) filter into the LoRa architecture is also evaluated. Simulations are carried out in MATLAB at 868 MHz with a bandwidth of 125 kHz and two spreading factors of 7 and 12. Many-to-one and one-to-many communication modes are considered, as are line of sight (LOS) and non-line of Sight (NLOS) conditions. Simulation results show that, compared to an environment with additive white Gaussian noise (AWGN), LoRa technology suffers a significant degradation of its PER performance in industrial environments. Nevertheless, the use of forward error correction (FEC) contributes positively to offsetting this decline. Depending on the configuration and architecture examined, the gain in signal-to-noise ratio (SNR) using a 4/8 coding ratio ranges from 7 dB to 11 dB. Integrating IIR or FIR filters also boosts performance, with additional SNR gains ranging from 2 dB to 6 dB, depending on the simulation parameters.
Taxa Richness Differences in European Zoos between 1959 and 2016: Establishment Period and the Iron Curtain Matter
Authors: Nekolný Lukáš , Schneiderová Irena
Published: November 2023

Zoos represent a social construct, whose form is influenced by societal development. During the 20th and at the beginning of the 21st century, they have been transformed from assembled collections to internationally managed insurance (ex situ) populations, and these transformations required some changes in taxa numbers and composition. Previous studies have already identified the trend of reducing the number of taxa kept in zoos worldwide. The aim of the present study is to verify this trend in Europe in more detail and therefore to identify the changes in taxa richness and mammalian taxa richness from 1959 to 2016 in the same set of 67 European zoos while considering their opening period (before 1900 and 1900–1960) and location with respect to the former Iron Curtain (Eastern vs. Western Bloc). There was no significant decrease in taxa richness; on the contrary, there was a significant increase in taxa richness for the former Eastern Bloc zoos. There was a significant decrease in mammalian taxa richness for zoos opened before 1900 and those of the former Western Bloc. These results demonstrate that mammalian taxa have declined in numbers to some extent and that the decline mostly concerns older zoos and those that have historically reached a different stage of development. This suggests that European zoos have not been subject to trends uniformly and should apply different and appropriate strategies when facing future (not only conservation) challenges.