bluuebunny/crossref_metadata_2025 huggingface dataset:
Association between Late-Onset Ménière’s Disease and the Risk of Incident All-Cause Dementia
Authors: Lee Il Hwan , Yu Hyunjae , Ha Seung-Su , Son Gil Myeong , Park Ki Joon , Lee Jae Jun , Kim Dong-Kyu
Published: January 2022

Studies reported an association between impaired hearing and vestibular function with the risk of dementia. This study investigated the association between Ménière’s disease (MD) and the risk of dementia using a nationwide cohort sample of data obtained from the South Korea National Health Insurance Service. The MD group (n = 496) included patients aged over 55 years and diagnosed between 2003 and 2006. The comparison group was selected using propensity score matching (n = 1984). Cox proportional hazards regression models were used to calculate incidence and hazard ratios for dementia events. The incidence of dementia was 14.3 per 1000 person–years in the MD group. After adjustment for certain variables, the incidence of dementia was higher in the MD group than in the comparison group (adjusted hazard ratio (HR) = 1.57, 95% confidence interval = 1.17–2.12). Subgroup analysis showed a significantly increased adjusted HR for developing Alzheimer’s disease (1.69, 95% confidence interval = 1.20–2.37) and vascular dementia (1.99, 95% confidence interval = 1.10–3.57) in the MD group. Patients with dementia experienced a higher frequency of MD episodes than those without dementia. Our findings suggest that late-onset MD is associated with an increased incidence of all-cause dementia, and it might be used as a basis for an earlier diagnosis of dementia.
Long-Term Clinical Outcomes of Fractional Flow Reserve-Guided Coronary Artery Revascularization in Chronic Kidney Disease
Authors: Jong Chien-Boon , Lu Tsui-Shan , Liu Patrick Yan-Tyng , Chen Jeng-Wei , Huang Ching-Chang , Kao Hsien-Li
Published: January 2022

Fractional flow reserve (FFR)-guided percutaneous coronary intervention has shown favorable long-term clinical outcomes. However, limited data exist evaluating the FFR assessment among the chronic kidney disease (CKD) population. The aim of this study was to evaluate the long-term clinical outcomes of FFR-guided coronary revascularization in patients with CKD. A total of 242 CKD patients who underwent FFR assessment were retrospectively analyzed. Patients were divided into two groups: revascularization (FFR ≤ 0.80) and non-revascularization (FFR > 0.80). The primary endpoint was the composite of cardiac death, non-fatal myocardial infarction, and target vessel failure (TVF). The key secondary endpoint was TVF. The Cox regression model was used for risk evaluation. With 91% of the ischemic vessels revascularized, the revascularization group had higher risks for both the primary endpoint (adjusted hazard ratio [aHR]: 2.06; 95% confidence interval [CI], 1.07–3.97; p = 0.030) and key secondary endpoint (aHR: 2.19, 95% CI: 1.10–4.37; p = 0.026), during a median follow-up of 2.9 years. This result was consistent among different CKD severities. In patients with CKD, functional ischemia in coronary artery stenosis was associated with poor clinical outcomes despite coronary revascularization.
An Unsupervised Approach to Structuring and Analyzing Repetitive Semantic Structures in Free Text of Electronic Medical Records
Authors: Koshman Varvara , Funkner Anastasia , Kovalchuk Sergey
Published: January 2022

Electronic medical records (EMRs) include many valuable data about patients, which is, however, unstructured. Therefore, there is a lack of both labeled medical text data in Russian and tools for automatic annotation. As a result, today, it is hardly feasible for researchers to utilize text data of EMRs in training machine learning models in the biomedical domain. We present an unsupervised approach to medical data annotation. Syntactic trees are produced from initial sentences using morphological and syntactical analyses. In retrieved trees, similar subtrees are grouped using Node2Vec and Word2Vec and labeled using domain vocabularies and Wikidata categories. The usage of Wikidata categories increased the fraction of labeled sentences 5.5 times compared to labeling with domain vocabularies only. We show on a validation dataset that the proposed labeling method generates meaningful labels correctly for 92.7% of groups. Annotation with domain vocabularies and Wikidata categories covered more than 82% of sentences of the corpus, extended with timestamp and event labels 97% of sentences got covered. The obtained method can be used to label EMRs in Russian automatically. Additionally, the proposed methodology can be applied to other languages, which lack resources for automatic labeling and domain vocabulary.
Reduced Incidence of Stroke in Patients with Gout Using Benzbromarone
Authors: Niu Sheng-Wen , Hung Chi-Chih , Lin Hugo , Kuo I-Ching , Huang Jiun-Chi , He Jiun-Shiuan , Wen Zhi-Hong , Liang Peir-In , Chiu Yi-Wen , Chang Jer-Ming , Hwang Shang-Jyh
Published: January 2022

Gout is strongly associated with the incidence of atherosclerotic events, including stroke and myocardial infarction. Considering the increased prevalence of stroke in the population with gout, the aim of this study was to evaluate the effects of benzbromarone, a uricosuric agent, on the incidence of stroke in the population with gout. We used data from the Taiwanese National Health Insurance Registration Database (NHIRD). The benzbromarone user cohort included 15,143 patients; each patient was age- and sex-matched with one non-user randomly selected from the population with gout. Cox proportional hazard regression analysis was conducted to estimate the effects of benzbromarone on the incidence of stroke in the population with gout. The incidence of stroke was significantly lower in benzbromarone users than in benzbromarone non-users. The HR for the incidence of stroke was lower in male benzbromarone users than in non-users. An analysis of three age groups (<40, 40–59, and ≥60 years) indicated that the HRs in those aged 40–59 years and ≥60 years were significantly lower among benzbromarone users than non-users. In the population with gout, the incidence of stroke was lower in benzbromarone users than in benzbromarone non-users.
Utilization of Decision Tree Algorithms for Supporting the Prediction of Intensive Care Unit Admission of Myasthenia Gravis: A Machine Learning-Based Approach
Authors: Chang Che-Cheng , Yeh Jiann-Horng , Chiu Hou-Chang , Chen Yen-Ming , Jhou Mao-Jhen , Liu Tzu-Chi , Lu Chi-Jie
Published: January 2022

Myasthenia gravis (MG), an acquired autoimmune-related neuromuscular disorder that causes muscle weakness, presents with varying severity, including myasthenic crisis (MC). Although MC can cause significant morbidity and mortality, specialized neuro-intensive care can produce a good long-term prognosis. Considering the outcomes of MG during hospitalization, it is critical to conduct risk assessments to predict the need for intensive care. Evidence and valid tools for the screening of critical patients with MG are lacking. We used three machine learning-based decision tree algorithms, including a classification and regression tree, C4.5, and C5.0, for predicting intensive care unit (ICU) admission of patients with MG. We included 228 MG patients admitted between 2015 and 2018. Among them, 88.2% were anti-acetylcholine receptors antibody positive and 4.7% were anti-muscle-specific kinase antibody positive. Twenty clinical variables were used as predictive variables. The C5.0 decision tree outperformed the other two decision tree and logistic regression models. The decision rules constructed by the best C5.0 model showed that the Myasthenia Gravis Foundation of America clinical classification at admission, thymoma history, azathioprine treatment history, disease duration, sex, and onset age were significant risk factors for the development of decision rules for ICU admission prediction. The developed machine learning-based decision tree can be a supportive tool for alerting clinicians regarding patients with MG who require intensive care, thereby improving the quality of care.
Advances of Genomic Medicine in Psoriatic Arthritis
Authors: Laborde Carlos M. , Larzabal Leyre , González-Cantero Álvaro , Castro-Santos Patricia , Díaz-Peña Roberto
Published: January 2022

Psoriatic arthritis (PsA) is a common type of inflammatory arthritis found in up to 40% of patients with psoriasis. Although early diagnosis is important for reducing the risk of irreversible structural damage, there are no adequate screening tools for this purpose, and there are no clear markers of predisposition to the disease. Much evidence indicates that PsA disorder is complex and heterogeneous, where genetic and environmental factors converge to trigger inflammatory events and the development of the disease. Nevertheless, the etiologic events that underlie PsA are complex and not completely understood. In this review, we describe the existing data in PsA in order to highlight the need for further research in this disease to progress in the knowledge of its pathobiology and to obtain early diagnosis tools for these patients.
Psychological Characteristics of Patients with Takotsubo Syndrome and Patients with Acute Coronary Syndrome: An Explorative Study toward a Better Personalized Care
Authors: Gorini Alessandra , Galli Federica , Giuliani Mattia , Pierobon Antonia , Werba José Pablo , Adriano Edvige Palazzo , Trabattoni Daniela
Published: January 2022

During an acute cardiac event, Takotsubo Syndrome (TTS) and Acute Coronary Syndrome (ACS) apparently share very similar clinical characteristics. Since only a few inconsistent studies have evaluated the psychological features that characterize these different patients, the aim of the present explorative research was to investigate if post-recovery TTS and ACS patients present different psychological profiles. We also investigated whether the occurrence of acute psychological stressful episodes that had occurred prior to the cardiac event could be found in either syndrome. Twenty TTS and twenty ACS female patients were recruited. All patients completed self-report questionnaires about anxiety and depressive symptoms, perceived stress, type-D personality and post-traumatic symptoms. Results showed that only three subscales of health anxiety (i.e., Fear of Death/Diseases, Interference and Reassurance) significantly differed between the two groups, while no differences were found in the other psychological measurements. Moreover, personality traits seem to not be associated with the impact of the cardiac traumatic event. Finally, only TTS patients reported the presence of a significant emotional trigger preceding the acute cardiac event. In conclusion, post-recovery TTS patients differ from ACS patients in their level of concern about their health and in their need of reassurance and information only, probably as a result of the different clinical characteristics of the two illnesses.
Combined versus Single Perforator Propeller Flaps for Reconstruction of Large Soft Tissue Defects: A Retrospective Clinical Study
Authors: Bigdeli Amir K. , Didzun Oliver , Thomas Benjamin , Harhaus Leila , Gazyakan Emre , Horch Raymund E. , Kneser Ulrich
Published: January 2022

Sufficient wound closure of large soft tissue defects remains a challenge for reconstructive surgeons. We aimed to investigate whether combined perforator propeller flaps (PPFs) are suitable to expand reconstructive options. Patients undergoing PPF reconstruction surgery between 2008 and 2021 were screened and evaluated retrospectively. Of 86 identified patients, 69 patients received one perforator propeller flap, while 17 patients underwent combined PPF reconstruction with multiple flaps. We chose major complications as our primary outcome and defined those as complications that required additional surgery. Postoperatively, 27 patients (31.4%) suffered major complications. The propeller flap size, the type of intervention as well as the operation time were not associated with a higher risk of major complications. A defect size larger than 100 cm2, however, was identified as a significant risk factor for major complications among single PPFs but not among combined PPFs (OR: 2.82, 95% CI: 1.01−8.36; p = 0.05 vs. OR: 0.30, 95% CI: 0.02−3.37; p = 0.32). In conclusion, combined PPFs proved to be a reliable technique and should be preferred over single PPFs in the reconstruction of large soft tissue defects at the trunk and proximal lower extremity.
COL-3-Induced Molecular and Ultrastructural Alterations in K562 Cells
Authors: Fares Mona , Oerther Sandra , Hultenby Kjell , Gubrianska Danica , Zhao Ying , Abedi-Valugerdi Manuchehr , Hassan Moustapha
Published: January 2022

Tetracycline-3 (4-dedimethylamino sancycline, COL-3) is a non-antibiotic tetracycline derivative. COL-3 exerts potent anti-metalloproteinase activity and its antitumor effects have been reported both in vitro and in vivo. In this study, we investigated the mechanisms of COL-3-induced cytotoxicity in a chronic myeloid leukemia cell line, K562, characterized by the BCR–ABL fusion protein. COL-3 induced K562 cell death in a concentration-dependent manner with an IC50 of 10.8 µg/mL and exhibited features of both apoptosis and necrosis. However, flow cytometry analysis revealed that necrotic cells dominated over the early and late apoptotic cells upon treatment with COL-3. Transmission electron microscopy analysis in combination with Western blotting (WB) analysis revealed early mitochondrial swelling accompanied by the early release of cytochrome c and truncated apoptosis inducing factor (tAIF). In addition, ultrastructural changes were detected in the endoplasmic reticulum (ER). COL-3 affected the levels of glucose-regulated protein-94 (GRP94) and resulted in m-calpain activation. DNA double strand breaks as a signature for DNA damage was also confirmed using an antibody against γH2AX. WB analyses did not demonstrate caspase activation, while Bcl-xL protein remained unaffected. In conclusion, COL-3-induced cell death involves DNA damage as well as mitochondrial and ER perturbation with features of paraptosis and programmed necrosis.
Artificial Intelligence for Risk Prediction of Rehospitalization with Acute Kidney Injury in Sepsis Survivors
Authors: Ou Shuo-Ming , Lee Kuo-Hua , Tsai Ming-Tsun , Tseng Wei-Cheng , Chu Yuan-Chia , Tarng Der-Cherng
Published: January 2022

Sepsis survivors have a higher risk of long-term complications. Acute kidney injury (AKI) may still be common among sepsis survivors after discharge from sepsis. Therefore, our study utilized an artificial-intelligence-based machine learning approach to predict future risks of rehospitalization with AKI between 1 January 2008 and 31 December 2018. We included a total of 23,761 patients aged ≥ 20 years who were admitted due to sepsis and survived to discharge. We adopted a machine learning method by using models based on logistic regression, random forest, extra tree classifier, gradient boosting decision tree (GBDT), extreme gradient boosting, and light gradient boosting machine (LGBM). The LGBM model exhibited the highest area under the receiver operating characteristic curves (AUCs) of 0.816 to predict rehospitalization with AKI in sepsis survivors and followed by the GBDT model with AUCs of 0.813. The top five most important features in the LGBM model were C-reactive protein, white blood cell counts, use of inotropes, blood urea nitrogen and use of diuretics. We established machine learning models for the prediction of the risk of rehospitalization with AKI in sepsis survivors, and the machine learning model may set the stage for the broader use of clinical features in healthcare.
Non-linear and Interaction Analyses of Biomarkers for Organ Dysfunctions as Predictive Markers for Sepsis: A Nationwide Retrospective Study
Authors: Umemura Yutaka , Yamakawa Kazuma , Murao Shuhei , Mitsuyama Yumi , Ogura Hiroshi , Fujimi Satoshi
Published: January 2022

The Sequential Organ Failure Assessment (SOFA) score is predominantly used to assess the severity of organ dysfunction in sepsis. However, differences in prognostic value between SOFA subscores have not been sufficiently evaluated. This retrospective observational study used a large-scale database containing about 30 million patients. Among them, we included 38,869 adult patients with sepsis from 2006 to 2019. The cardiovascular and neurological subscores were calculated by a modified method. Associations between the biomarkers of the SOFA components and mortality were examined using restricted cubic spline analyses, which showed that an increase in the total modified SOFA score was linearly associated with increased mortality. However, the prognostic association of subscores varied widely: platelet count showed a J-shaped association, creatinine showed an inverted J-shaped association, and bilirubin showed only a weak association. We also evaluated interaction effects on mortality between an increase of one subscore and another. The joint odds ratios on mortality of two modified SOFA subscores were synergistically increased compared to the sum of the single odds ratios, especially in cardiovascular-neurological, coagulation-hepatic, and renal-hepatic combinations. In conclusion, total modified SOFA score was associated with increased mortality despite the varied prognostic associations of the subscores, possibly because interactions between subscores synergistically enhanced prognostic accuracy.
Cell-Free DNA Screening for Sex Chromosome Abnormalities and Pregnancy Outcomes, 2018–2020: A Retrospective Analysis
Authors: Lu Yanmei , Zhou Shihao , Linpeng Siyuan , Ding Siyi , Li Shihong , Li Yujiao , Shi Liangcheng , He Jun , Liu Yalan
Published: January 2022

To evaluate the efficacy of non-invasive prenatal screening (NIPT) for detecting fetal sex chromosome abnormalities, a total of 639 women carrying sex chromosome abnormalities were selected from 222,107 pregnant women who participated in free NIPT from April 2018 to December 2020. The clinical data, prenatal diagnosis results, and follow-up pregnancy outcomes of participants were collected. The positive predictive value (PPV) was used to analyze the performance of NIPT. Around 235 cases were confirmed with sex chromosome abnormalities, including 229 cases with sex chromosome aneuploidy (45, X (n = 37), 47, XXX (n = 37), 47, XXY (n = 110), 47, XYY (n = 42)) and 6 cases with structural abnormalities. The total incidence rate was 0.11% (235/222,107). The PPV of NIPT was 45.37% (235/518). NIPT accuracy for detecting sex chromosome polysomes was higher than that for sex chromosome monomers. The termination of pregnancy rate for fetal diagnosis of 45, X, and 47, XXY was higher than that of 47, XXX, and 47, XYY. The detection rate of fetal sex chromosome abnormalities was higher in 2018–2020 than in 2010–2012 (χ2 = 69.708, P < 2.2 × 10−16), indicating that NIPT is greatly efficient to detect fetal sex chromosome abnormalities.
Microbiome Changes in Humans with Parkinson’s Disease after Photobiomodulation Therapy: A Retrospective Study
Authors: Bicknell Brian , Liebert Ann , McLachlan Craig S. , Kiat Hosen
Published: January 2022

There is a paucity of information on the effect of photobiomodulation therapy on gut microbiome composition. Parkinson’s disease is a progressive neurological disorder with few management options, although the gut microbiome has been suggested as a potential avenue of treatment. We retrospectively analysed the microbiome from human stool samples from a previously published study, which had demonstrated the efficacy of photobiomodulation to treat Parkinson’s patients’ symptoms. Specifically, we have observed changes in the microbiome of Parkinson’s patients after a 12-week treatment regimen with photobiomodulation to the abdomen, neck, head and nose. Noted were positive changes in the Firmicutes to Bacteroidetes (F:B) ratio, which is often interpreted as a proxy for gut health.
The Strategy to Use Sugammadex to Reduce Postoperative Pulmonary Complications after da Vinci Surgery: A Retrospective Study
Authors: Cheng Kuang-I. , Tse Jockey , Li Tzu-Ying
Published: January 2022

In 2000, the da Vinci Surgery System was approved by the United States Food and Drug Administration for general laparoscopic surgery and it became the first commercially available robotic surgery system. The aim of this study was to identify the incidence of postoperative pulmonary complications (PPCs) in patients undergoing da Vinci surgery and to observe whether the incidence of PPCs was affected by the usage of Sugammadex. Sugammadex is a gamma-cyclodextrin that encapsulates and subsequently inactivates steroidal neuromuscular blocking agents. A retrospective study was conducted on patients who had undergone da Vinci surgery in a single medical center in southern Taiwan during the period from January 2018 to December 2018. We extracted data on patient characteristics, usage of Sugammadex and PPCs for analysis. Three hundred and thirty-three patients were enrolled in the final analysis. While the overall incidence of PPCs was 30.3% (101/333 patients), the incidence of PCC in patients who received Sugammadex (24.2%) was significantly lower than those without (37.3%) (p = 0.001). Risk factors that appeared to be closely associated with PCC included age, malignancy, hypertension, chronic kidney disease, blood loss amount and anemia. The use of Sugammadex decreased the risk of PPC. In order to enhance early recovery after da Vinci surgery, the use of Sugammadex to rapidly reverse muscle relaxants may be an appropriate choice.
Postoperative CRP Levels Can Rule out Anastomotic Leaks in Crohn’s Disease Patients
Authors: Slavin Moran , Goldstein Avigayil , Raguan Barak , Rudnicki Yaron , Avital Shmuel , White Ian
Published: January 2022

Background: In colorectal cancer, C-reactive protein (CRP) levels on postoperative days 3–4 have a strong negative predictive value for an anastomotic leak, with threshold values of ~15 on post-operative day (POD) 3 and ~13 on POD 4. In Crohn’s disease, CRP levels are perceived as unreliable in the postoperative period because of the underlying inflammatory process. The aim of this study was to determine whether postoperative CRP levels can be used to rule out anastomotic leaks in patients with Crohn’s disease and to set CRP threshold values for this population. Methods: This was a retrospective study of a population of Crohn’s disease patients who underwent surgery with bowel anastomoses at a single high-volume center between 1/2012 and 12/2017. The operations were performed by a single colorectal consultant who is an inflammatory bowel disease specialist. Results: Ninety-two operations were performed. A CRP level of 19.56 mg/dL on postoperative day 3 had an area under the curve of 0.865 (sensitivity 88%, specificity 73%) and a negative predictive value (NPV) of 98% for an anastomotic leak. Patients with an anastomotic leak showed a trend towards decreased postoperative albumin levels (p = 0.06). Conclusions: Mean CRP levels and CRP threshold values were indeed higher in the study population compared with those in colorectal cancer patients. Threshold values were set at 20.3 mg/dL on POD 3, 19.5 mg/dL on POD 4 and 16.7 mg/dL on POD 5. These values had high NPVs and can be used to rule out anastomotic leaks in patients with Crohn’s disease after surgery with bowel anastomosis.
A Simple and Effective Approach Based on a Multi-Level Feature Selection for Automated Parkinson’s Disease Detection
Authors: Demir Fatih , Siddique Kamran , Alswaitti Mohammed , Demir Kursat , Sengur Abdulkadir
Published: January 2022

Parkinson’s disease (PD), which is a slowly progressing neurodegenerative disorder, negatively affects people’s daily lives. Early diagnosis is of great importance to minimize the effects of PD. One of the most important symptoms in the early diagnosis of PD disease is the monotony and distortion of speech. Artificial intelligence-based approaches can help specialists and physicians to automatically detect these disorders. In this study, a new and powerful approach based on multi-level feature selection was proposed to detect PD from features containing voice recordings of already-diagnosed cases. At the first level, feature selection was performed with the Chi-square and L1-Norm SVM algorithms (CLS). Then, the features that were extracted from these algorithms were combined to increase the representation power of the samples. At the last level, those samples that were highly distinctive from the combined feature set were selected with feature importance weights using the ReliefF algorithm. In the classification stage, popular classifiers such as KNN, SVM, and DT were used for machine learning, and the best performance was achieved with the KNN classifier. Moreover, the hyperparameters of the KNN classifier were selected with the Bayesian optimization algorithm, and the performance of the proposed approach was further improved. The proposed approach was evaluated using a 10-fold cross-validation technique on a dataset containing PD and normal classes, and a classification accuracy of 95.4% was achieved.
Forsythoside A Alleviates Imiquimod-Induced Psoriasis-like Dermatitis in Mice by Regulating Th17 Cells and IL-17A Expression
Authors: Lin Hsuan , Li Chia-Ling , Yen Ling-Jung , Lu Ling-Ying , Huang Hung-Sen , Liao En-Chih , Yu Sheng-Jie
Published: January 2022

Psoriasis is a recurrent inflammatory skin disease characterized by redness and scaly skin lesions with itchy or painful sensations. Forsythoside A, one of the main active compounds isolated from the fruit of Forsythia suspensa, has been widely applied to treat inflammatory diseases in the clinical use of traditional oriental medicine. However, the effect of forsythoside A on psoriasis remains unclear. This study aimed to explore the therapeutic effects and immune regulation of forsythoside A on psoriasis. C57BL/6 mice were divided into six groups and treated with imiquimod cream on their shaved back skin to induce psoriasis-like dermatitis. Different doses of forsythoside A (5 mg/kg, 10 mg/kg, or 20 mg/kg) were administered to the respective treatment groups. Skin redness, scaling, and ear thickness were measured; keratinocyte proliferation and inflammatory cytokine expression were detected by hematoxylin–eosin and immunohistochemical staining. Th17 cells in the inguinal lymph nodes were detected by flow cytometric analysis. IL-17A levels were measured using ELISA. The results showed that forsythoside A relieved psoriatic skin symptoms such as skin redness, thickness, scaling, and reduced epidermal thickening. The expression of IL-6, IL-17, and Ki-67 was downregulated in the forsythoside-A-treated groups. Th17 cell expression in inguinal lymph nodes and IL-17A secretion was suppressed by forsythoside A. In conclusion, forsythoside A was found to alleviate imiquimod-induced psoriasis-like dermatitis in mice by suppressing Th17 development and IL-17A secretion. These findings demonstrate the feasibility of forsythoside A in treating human psoriasis.
Assessment of Feeding Behavior of the Zoo-Housed Lesser Anteater (Tamandua tetradactyla) and Nutritional Values of Natural Prey
Authors: Zárate Valentín , Mufari Jesica R. , Abalos Luna Lucía G. , Villarreal Daniel P. , Busso Juan M.
Published: January 2022

Very little information is available to zoo managers on the nutritional preferences of the lesser anteater, a highly specialized predator. By studying lesser anteater feeding behavior, we expect to contribute to improved management decisions and individual welfare experiences. We studied the response of zoo-housed lesser anteaters (n = 7) to feeders with live ants (Acromyrmex lundi) and termites (Cortaritermes fulviceps), and we also evaluated the nutritional values of these prey. We individually evaluated each lesser anteater (3 sessions), recording activities by camera. We ground insect samples into a coarse meal and evaluated in vitro biochemical parameters (humidity, lipids proteins, ash, and carbohydrates). Lesser anteaters spent more time with termites than with ants and consumed more termites. Ant meal presented a higher protein and lipid content than termite meal (35.28 ± 0.18% vs. 18.19 ± 0.34% and 16.95 ± 0.13% vs. 6.54 ± 0.31%, respectively), and carbohydrate digestibility was higher in termites. These findings indicate an association between the level of insect consumption and nutritional and digestibility values. This is the first exploration of lesser anteater responses to the presence of social insects in feeders and may serve to guide the study of food preferences in captivity.
Climate Change Mitigation and Preservation of the Cultural Heritage—A Story of the Municipal Park in Rumia, Poland
Authors: Trojanowska Monika
Published: January 2022

Climate change may affect cultural heritage in at least two ways: direct physical effects on the site, building, or structure and effects on social structures. Creating urban parks with therapeutic landscapes can mitigate some of these detrimental effects. This paper presents the revitalization of the former water forge, located in the center of Rumia, near the Tri-City agglomeration. The study focused on the history of the site and the historic manor house called “Dwór pod Lipami” and the preservation efforts. The social engagement, which led to the development of the landscape park and the construction of a talent playground, was an essential factor in the renewal process. The second part of the work presents an assessment of the therapeutic and recreational values of the new urban park using the Universal Standard for Health-Promoting Places, Community Park Audit Tool (CPAT), and mapping the users’ preferences. This operation of urban renewal resulted in creating a popular park that helps promote the health and well-being of the local community.
Spatial Pattern of the Vitality of Chinese Characteristic Towns: A Perspective from Nighttime Lights
Authors: Zhang Yuqing , Shang Kun , Shi Zhipeng , Wang Hui , Li Xueming
Published: January 2022

Nighttime light images are valuable indicators of regional economic development, and nighttime light data are now widely used in town monitoring and evaluation studies. Using the nighttime light data acquired through Luojia1-01 and the geographic information system spatial analysis method, this study analyzed the spatial vitality pattern of 402 characteristic towns in six geographic divisions of China. The average DN (Digital Number) value of Guzhen, having the highest vitality level, was 0.05665221, whereas that of Xin’an, having the lowest vitality level, was 0.00000186. A total of 89.5% of towns have a low level of vitality. The regional differences were significant; high vitality towns are concentrated in economically developed coastal areas, mainly in two large regions of east China and south central. The average lighting densities of the towns in east China and south central were 0.004838 and 0.003190, respectively. The lighting density of the towns in west central was low, and the vitality intensity was generally low. A spatially significant positive correlation of small-town vitality was observed, and “high–high” agglomeration was primarily distributed in the Yangtze River Delta, Pearl River Delta, and Fujian coastal areas in east and south China. The towns with high vitality intensity had similarities in their geographical location, convenient transportation conditions, and profound historical heritage or cultural accumulation along with many industrial enterprises. This research empirically demonstrates the feasibility of using the 130-m-high resolution of the nighttime lighting data of Luojia1-01 to evaluate the vitality at the town scale, and the vitality evaluation focuses on the spatial attributes of the town, which is meaningful to guide the development of the town in each region given the vast area of China and the large differences in the development of different regions.
How Do Population Flows Promote Urban–Rural Integration? Addressing Migrants’ Farmland Arrangement and Social Integration in China’s Urban Agglomeration Regions
Authors: Li Yanan , Xiong Chan , Song Yan
Published: January 2022

China’s urban–rural relationships have been changed dramatically by the intensifying population flows, especially in urban agglomeration regions. This study contributes to the interpretation of urban–rural integration mechanisms in urban agglomeration by constructing a conceptual framework of migration-related resource flows. Taking the Wuhan urban agglomeration as an example, migrants’ farmland arrangement, migration pattern, and social integration have been investigated to uncover the spatial and temporal characteristics of the urban–rural interaction, based on the data from the China Migrants Dynamic Survey in 2012–2017. The findings indicate that the farmland circulation in the Wuhan urban agglomeration was generally low, but slightly higher than that of the national average. The central city, Wuhan, had a high degree of family migration and social integration, indicating stronger resource flows in developed areas. However, its farmland circulation level was lower than that of non-central cities. The unsynchronized interaction of resources in urban and rural areas should be taken seriously, especially in areas with a relatively developed urban economy. The advantages of the central city in absorbing and settling migrants confirmed the positive impact of the urban agglomeration on promoting urban–rural integration.
Review of Ribosome Interactions with SARS-CoV-2 and COVID-19 mRNA Vaccine
Authors: Wei Jiao , Hui Aimin
Published: January 2022

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the causing pathogen of the unprecedented global Coronavirus Disease 19 (COVID-19) pandemic. Upon infection, the virus manipulates host cellular machinery and ribosomes to synthesize its own proteins for successful replication and to facilitate further infection. SARS-CoV-2 executes a multi-faceted hijacking of the host mRNA translation and cellular protein synthesis. Viral nonstructural proteins (NSPs) interact with a range of different ribosomal states and interfere with mRNA translation. Concurrent mutations on NSPs and spike proteins contribute to the epidemiological success of variants of concern (VOCs). The interactions between ribosomes and SARS-CoV-2 represent attractive targets for the development of antiviral therapeutics and vaccines. Recently approved COVID-19 mRNA vaccines also utilize the cellular machinery, to produce antigens and trigger immune responses. The design features of the mRNA vaccines are critical to efficient mRNA translation in ribosomes, and are directly related to the vaccine’s efficacy, safety, and immunogenicity. This review describes recent knowledge of how the SARS-CoV-2 virus’ genomic characteristics interfere with ribosomal function and mRNA translation. In addition, we discuss the current learning of the design features of mRNA vaccines and their impacts on translational activity in ribosomes. The understanding of ribosomal interactions with the virus and mRNA vaccines offers the foundation for antiviral therapeutic discovery and continuous mRNA vaccine optimization to lower the dose, to increase durability and/or to reduce adverse effects.
Ginsenoside F1 Protects the Brain against Amyloid Beta-Induced Toxicity by Regulating IDE and NEP
Authors: Yun Yee-Jin , Park Bong-Hwan , Hou Jingang , Oh Jung-Pyo , Han Jin-Hee , Kim Sun-Chang
Published: January 2022

Ginsenoside F1, the metabolite of Rg1, is one of the most important constituents of Panax ginseng. Although the effects of ginsenosides on amyloid beta (Aβ) aggregation in the brain are known, the role of ginsenoside F1 remains unclear. Here, we investigated the protective effect of ginsenoside F1 against Aβ aggregation in vivo and in vitro. Treatment with 2.5 μM ginsenoside F1 reduced Aβ-induced cytotoxicity by decreasing Aβ aggregation in mouse neuroblastoma neuro-2a (N2a) and human neuroblastoma SH-SY5Y neuronal cell lines. Western blotting, real-time PCR, and siRNA analysis revealed an increased level of insulin-degrading enzyme (IDE) and neprilysin (NEP). Furthermore, liquid chromatography with tandem mass spectrometry (LC-MS/MS) analysis confirmed that ginsenoside F1 could pass the blood–brain barrier within 2 h after administration. Immunostaining results indicate that ginsenoside F1 reduces Aβ plaques in the hippocampus of APPswe/PSEN1dE9 (APP/PS1) double-transgenic Alzheimer’s disease (AD) mice. Consistently, increased levels of IDE and NEP protein and mRNA were observed after the 8-week administration of 10 mg/kg/d ginsenoside F1. These data indicate that ginsenoside F1 is a promising therapeutic candidate for AD.
An Update on the Effectiveness of Probiotics in the Prevention and Treatment of Cancer
Authors: Sankarapandian Vidya , Venmathi Maran Balu Alagar , Rajendran Ramya Lakshmi , Jogalekar Manasi P. , Gurunagarajan Sridharan , Krishnamoorthy Rajapandiyan , Gangadaran Prakash , Ahn Byeong-Cheol
Published: January 2022

Probiotics are living microbes that play a significant role in protecting the host in various ways. Gut microbiota is one of the key players in maintaining homeostasis. Cancer is considered one of the most significant causes of death worldwide. Although cancer treatment has received much attention in recent years, the number of people suffering from neoplastic syndrome continues to increase. Despite notable improvements in the field of cancer therapy, tackling cancer has been challenging due to the multiple properties of cancer cells and their ability to evade the immune system. Probiotics alter the immunological and cellular responses by enhancing the epithelial barrier and stimulating the production of anti-inflammatory, antioxidant, and anticarcinogenic compounds, thereby reducing cancer burden and growth. The present review focuses on the various mechanisms underlying the role of probiotics in the prevention and treatment of cancer.
The Digital Health: From the Experience of the COVID-19 Pandemic Onwards
Authors: Giansanti Daniele
Published: January 2022

Digital health has a long history of development and is particularly resonant in the last two years, due to the pandemic [...]
Effects of Pre-Term Birth on the Cardio-Respiratory Responses to Hypoxic Exercise in Children
Authors: Narang Benjamin J. , Manferdelli Giorgio , Kepic Katja , Sotiridis Alexandros , Osredkar Damjan , Bourdillon Nicolas , Millet Grégoire P. , Debevec Tadej
Published: January 2022

Pre-term birth is associated with numerous cardio-respiratory sequelae in children. Whether these impairments impact the responses to exercise in normoxia or hypoxia remains to be established. Fourteen prematurely-born (PREM) (Mean ± SD; gestational age 29 ± 2 weeks; age 9.5 ± 0.3 years), and 15 full-term children (CONT) (gestational age 39 ± 1 weeks; age 9.7 ± 0.9 years), underwent incremental exercise tests to exhaustion in normoxia (FiO2 = 20.9%) and normobaric hypoxia (FiO2 = 13.2%) on a cycle ergometer. Cardio-respiratory variables were measured throughout. Peak power output was higher in normoxia than hypoxia (103 ± 17 vs. 77 ± 18 W; p < 0.001), with no difference between CONT and PREM (94 ± 23 vs. 86 ± 19 W; p = 0.154). VO2peak was higher in normoxia than hypoxia in CONT (50.8 ± 7.2 vs. 43.8 ± 9.9 mL·kg−1·min−1; p < 0.001) but not in PREM (48.1 ± 7.5 vs. 45.0 ± 6.8 mL·kg−1·min−1; p = 0.137; interaction p = 0.044). Higher peak heart rate (187 ± 11 vs. 180 ± 10 bpm; p = 0.005) and lower stroke volume (72 ± 13 vs. 77 ± 14 mL; p = 0.004) were observed in normoxia versus hypoxia in CONT, with no such differences in PREM (p = 0.218 and >0.999, respectively). In conclusion, premature birth does not appear to exacerbate the negative effect of hypoxia on exercise capacity in children. Further research is warranted to identify whether prematurity elicits a protective effect, and to clarify the potential underlying mechanisms.
Liquid-State Volumetric Properties of a Set of Alcohols with Up to Five Carbon Atoms
Authors: Lorenzo Beatriz , Yánez José Aythami , Ortega Juan , Sosa Adriel , Fernández Luis
Published: January 2022

This work provides density data (~1300 values) of 14 alcohols with up to five carbon atoms at p ∈ [0.1–40] MPa and T ∈ [278–358] K. The information obtained is modeled with a convenient reformulation of the Tait equation from which the volumetric coefficients, α and β, are derived both analytically and numerically. The general EoS containing α and β is also used for checking the consistency of the hypothesis on the invariability of the cited thermophysic parameters. The results obtained can be considered reliable because of the low estimated errors between the experimental data and those of the literature, which are below 0.4% for volume, while for the volumetric coefficients there is always a reference diverging 10%, or less, from the proposed model estimations. By including the averages of α and β into the general state of equation the errors increase, being <15%, compared to those based on the Tait equation. Hence, the assumption on the stability of the volumetric coefficients in this working interval is sufficient to make rough estimations of the molar volume of the selected alcohols.
Synergistic Strengthening of Mechanical Properties and Electromagnetic Interference Shielding Performance of Carbon Nanotubes (CNTs) Reinforced Magnesium Matrix Composites by CNTs Induced Laminated Structure
Authors: Sun Zhenming , Shi Hailong , Hu Xiaoshi , Yan Mufu , Wang Xiaojun
Published: January 2022

In this study, we reported a laminated CNTs/Mg composite fabricated by spray-deposition and subsequent hot-press sintering, which realized simultaneous enhancement effects on strength and electromagnetic interference (EMI) shielding effectiveness (SE) by the introduced CNTs and CNT induced laminated ‘Mg-CNT-Mg’ structure. It was found that the CNTs/Mg composite with 0.5 wt.% CNTs not only exhibited excellent strength-toughness combination but also achieved a high EMI SE of 58 dB. The CNTs increased the strength of the composites mainly by the thermal expansion mismatch strengthening and blocking dislocation movements. As for toughness enhancement, CNTs induced laminated structure redistributes the local strain effectively and alleviates the strain localization during the deformation process. Moreover, it could also hinder the crack propagation and cause crack deflection, which resulted in an increment of the required energy for the failure of CNTs/Mg composites. Surprisingly, because of the laminated structure induced by introducing CNTs, the composite also exhibited an outperforming EMI SE in the X band (8.2–12.4 GHz). The strong interactions between the laminated ‘Mg-CNT-Mg’ structure and the incident electromagnetic waves are responsible for the increased absorption of the electromagnetic radiation. The lightweight CNTs/Mg composite with outstanding mechanical properties and simultaneously increased EMI performance could be employed as shell materials for electronic packaging components or electromagnetic absorbers.
Machine Learning Enhanced Dynamic Response Modelling of Superelastic Shape Memory Alloy Wires
Authors: Lenzen Niklas , Altay Okyay
Published: January 2022

Superelastic shape memory alloy (SMA) wires exhibit superb hysteretic energy dissipation and deformation capabilities. Therefore, they are increasingly used for the vibration control of civil engineering structures. The efficient design of SMA-based control devices requires accurate material models. However, the thermodynamically coupled SMA behavior is highly sensitive to strain rate. For an accurate modelling of the material behavior, a wide range of parameters needs to be determined by experiments, where the identification of thermodynamic parameters is particularly challenging due to required technical instruments and expert knowledge. For an efficient identification of thermodynamic parameters, this study proposes a machine-learning-based approach, which was specifically designed considering the dynamic SMA behavior. For this purpose, a feedforward artificial neural network (ANN) architecture was developed. For the generation of training data, a macroscopic constitutive SMA model was adapted considering strain rate effects. After training, the ANN can identify the searched model parameters from cyclic tensile stress–strain tests. The proposed approach is applied on superelastic SMA wires and validated by experiments.
Study on the Strip Warpage Issues Encountered in the Flip-Chip Process
Authors: Chuang Wan-Chun , Chen Wei-Long
Published: January 2022

This study successfully established a strip warpage simulation model of the flip-chip process and investigated the effects of structural design and process (molding, post-mold curing, pretreatment, and ball mounting) on strip warpage. The errors between simulated and experimental values were found to be less than 8%. Taguchi analysis was employed to identify the key factors affecting strip warpage, which were discovered to be die thickness and substrate thickness, followed by mold compound thickness and molding temperature. Although a greater die thickness and mold compound thickness reduce the strip warpage, they also substantially increase the overall strip thickness. To overcome this problem, design criteria are proposed, with the neutral axis of the strip structure located on the bump. The results obtained using the criteria revealed that the strip warpage and overall strip thickness are effectively reduced. In summary, the proposed model can be used to evaluate the effect of structural design and process parameters on strip warpage and can provide strip design guidelines for reducing the amount of strip warpage and meeting the requirements for light, thin, and short chips on the production line. In addition, the proposed guidelines can accelerate the product development cycle and improve product quality with reduced development costs.
Engineering Commercial TiO2 Powder into Tailored Beads for Efficient Water Purification
Authors: Theodorakopoulos George V. , Katsaros Fotios K. , Papageorgiou Sergios K. , Beazi-Katsioti Margarita , Romanos George Em.
Published: January 2022

In this study, efficient commercial photocatalyst (Degussa P25) nanoparticles were effectively dispersed and stabilized in alginate, a metal binding biopolymer. Taking advantage of alginate’s superior metal chelating properties, copper nanoparticle-decorated photocatalysts were developed after a pyrolytic or calcination-sintering procedure, yielding ceramic beads with enhanced photocatalytic and mechanical properties, excellent resistance to attrition, and optimized handling compared to powdered photocatalysts. The morphological and structural characteristics were studied using LN2 porosimetry, SEM, and XRD. The abatement of an organic pollutant (Methyl Orange, MO) was explored in the dark and under UV irradiation via batch experiments. The final properties of the photocatalytic beads were defined by both the synthesis procedure and the heat treatment conditions, allowing for their further optimization. It was found that the pyrolytic carbon residuals enabled the adhesion of the TiO2 nanoparticles, acting as binder, and increased the MO adsorption capacity, leading to increased local concentration in the photocatalyst vicinity. Well dispersed Cu nanoparticles were also found to enhance photocatalytic activity. The prepared photocatalysts exhibited increased MO adsorption capacity (up to 3.0 mg/g) and also high photocatalytic efficiency of about 50% MO removal from water solutions, reaching an overall MO rejection of about 80%, at short contact times (3 h). Finally, the prepared photocatalysts kept their efficiency for at least four successive photocatalytic cycles.