bluuebunny/crossref_metadata_2025 huggingface dataset:
Effectiveness of Artificial Intelligence Technologies in Cancer Treatment for Older Adults: A Systematic Review
Authors: Obimba Doris C. , Esteva Charlene , Nzouatcham Tsicheu Eurika N. , Wong Roger
Published: August 2024

Background: Aging is a multifaceted process that may lead to an increased risk of developing cancer. Artificial intelligence (AI) applications in clinical cancer research may optimize cancer treatments, improve patient care, and minimize risks, prompting AI to receive high levels of attention in clinical medicine. This systematic review aims to synthesize current articles about the effectiveness of artificial intelligence in cancer treatments for older adults. Methods: We conducted a systematic review by searching CINAHL, PsycINFO, and MEDLINE via EBSCO. We also conducted forward and backward hand searching for a comprehensive search. Eligible studies included a study population of older adults (60 and older) with cancer, used AI technology to treat cancer, and were published in a peer-reviewed journal in English. This study was registered on PROSPERO (CRD42024529270). Results: This systematic review identified seven articles focusing on lung, breast, and gastrointestinal cancers. They were predominantly conducted in the USA (42.9%), with others from India, China, and Germany. The measures of overall and progression-free survival, local control, and treatment plan concordance suggested that AI interventions were equally or less effective than standard care in treating older adult cancer patients. Conclusions: Despite promising initial findings, the utility of AI technologies in cancer treatment for older adults remains in its early stages, as further developments are necessary to enhance accuracy, consistency, and reliability for broader clinical use.
Prevalence of Thrombocytopenia in Pregnant Women with COVID-19: A Systematic Review and Meta-Analysis
Authors: Murillo-Llorente María Teresa , Ventura Ignacio , Tomás-Aguirre Francisco , Defez-Martin Marta , Martín-Díaz María Inmaculada , Atienza-Ramirez Sandra , Llorca-Colomer Francisco , Asins-Cubells Adalberto , Legidos-García María Ester , Pérez-Bermejo Marcelino
Published: August 2024

Background/Objectives: Although articles and reviews have been published on the effect of SARS-CoV-2 infection on pregnancy outcomes, they show mixed results with different hypotheses, and no work has focused specifically on the prevalence of thrombocytopenia. The objective of this systematic review and meta-analysis was to synthesize previous evidence and estimate the prevalence of thrombocytopenia in pregnant women with COVID-19. Methods: This systematic review was conducted according to the PRISMA-2020 and MOOSE guidelines. The Medline and Web of Science databases were searched in February 2024, and a meta-analysis of the overall prevalence of thrombocytopenia in pregnant women with COVID-19 was performed. The risk of bias was assessed using the Joanna Briggs Institute checklists. A leave-1-out sensitivity analysis was performed to test for disproportionate effect. Publication bias was assessed by visual inspection of funnel plots and Egger’s test. Results: A total of 23 studies met the inclusion criteria, of which 8 were included in the meta-analysis. There was significant (Q = 101.04) and substantial heterogeneity among the studies (I2 = 93.07%). There were no quality-based exclusions from the review of eligible studies. The combined effect of the studies showed a prevalence of thrombocytopenia of 22.9% (95%CI 4.8–41.0%). Subgroup analysis revealed no statistically significant difference in the pooled prevalence of thrombocytopenia ([16.5%; 30.3%]; p = 0.375. Egger’s test for bias was not significant, indicating that smaller studies did not report larger estimates of prevalence (t = 1.01, p = 0.353). Moreover, no potential publication bias was found. Our results are consistent with those obtained in pregnant women without COVID-19 infection and extend those of previous reviews of the effect of COVID-19 infection on pregnancy outcomes. Conclusions: Infection during pregnancy does not seem to be an additional risk factor for platelet count, although monitoring platelet count in pregnant women with COVID-19 may be of great importance to determine possible therapeutic strategies, especially in emergency cases.
Liver Resection for Gastroenteropancreatic Neuroendocrine Tumors with Extrahepatic Disease
Authors: Mahuron Kelly M. , Limbach Kristen E. , Hernandez Matthew C. , Ituarte Philip H. G. , Li Daneng , Kessler Jonathan , Singh Gagandeep
Published: August 2024

Background: Although survival outcomes for neuroendocrine liver metastases (NETLM) are improved with liver-direct therapies (LDT), including hepatic debulking and nonsurgical trans-arterial embolization, the benefit is less established in the setting of concurrent extrahepatic disease (EHD). We performed a population-based study to characterize the rates of LDT being performed for NETLM with EHD patients and whether LDT is associated with survival outcomes. Methods: Patients with NETLM and EHD were identified using the California Cancer Registry database merged with data from the California Office of Statewide Health Planning and Development between 2000 and 2012. Demographics, clinical characteristics, and survival outcomes were analyzed for these patients with and without LDT. Results: 327 NETLM patients with EHD were identified. EHD sites included lung, peritoneum, bone, and brain. A total of 71 (22%) of these patients underwent LDT. Compared to NETLM with EHD patients who did not undergo LDT, patients who received LDT had longer median overall survival (27 vs. 16 months, p = 0.006). Within the LDT group, 23 patients underwent liver resection. Liver resection was associated with longer median overall survival compared to nonsurgical LDT (138 vs. 13 months, p < 0.001). Conclusions: LDT candidacy should be determined for patients on a case-by-case basis, but the presence of EHD should not preclude LDT with appropriate patient selection.
Similar Outcomes in Males and Females Undergoing Surgery for Infective Endocarditis
Authors: Leviner Dror B. , Schultz Itay , Friedman Tom , Leizarowitz Avishai , Orvin Katia , Itelman Edward , Bolotin Gil , Sharoni Erez
Published: August 2024

Background: Sex-based differences in mortality have been previously observed in patients with surgically treated infective endocarditis. We sought to evaluate the risk factors leading to this difference. Methods: A retrospective cohort from three centers in Israel comprising 376 surgically treated patients, comparing short- and long-term mortality rates and risk factors between female and male patients. Results: Compared to male patients, female patients had higher rates of hypertension (62% vs. 48%), higher rates of Gram-negative infections (20% vs. 11%), and more mitral valve replacement (55% vs. 42%). Diabetes and age were the most significant predictors for mortality and did not differ between female and male patients. In-hospital mortality rates did not differ between female and male patients (29% vs. 26%), and the difference in long-term mortality was not statistically significant (46% vs. 36% p = 0.088). Conclusions: No statistical difference was observed in short- and long-term mortality between female and male patients, most likely due to a lack of difference in the rates of important risk factors such as diabetes and age. Mortality rates decreased in the last 10 years, and a good prognosis is observed for patients surviving the initial 30 days after surgery.
Xbox Kinect Sports vs. Nintendo Switch Sports and Their Effects on Body Composition and Physical Performance in Older Females: A Randomized Controlled Trial
Authors: Hernandez-Martinez Jordan , Cid-Calfucura Izham , Herrera-Valenzuela Tomás , Fritz-Silva Nicole , Mello Julio B. , Perez-Carcamo Joaquin , Vásquez-Carrasco Edgard , Merellano-Navarro Eugenio , Branco Braulio Henrique Magnani , Valdés-Badilla Pablo
Published: August 2024

Background/Objectives: This study aimed to compare the effects of Xbox Kinect Sports (XKS) regarding Nintendo Switch Sports (NSS) and an inactive control group (CG) on body composition (body fat percentage, BFP; and fat-free mass) and physical performance (maximal isometric handgrip strength, MIHS; 30-s chair stand, 30-S; timed up-and-go, TUG; sit-and-reach; and 2-min step) in physically inactive older females. Methods: A randomized controlled trial study was conducted with three parallel groups: XKS (n = 13), NSS (n = 14), and CG (n = 16) considering three weekly 60-min sessions for 12 weeks with pre- and post-assessments. Results: A two-factor mixed analysis of variance (ANOVA) model with repeated measures was performed to measure the time × group effect. Multiple comparisons revealed significant differences in BFP (F(2,18) = 6.12; p = 0.005; ηp2 = 0.226, large effect), 30-S (F(2,18) = 20.7; p = 0.000; ηp2 = 0.496, large effect), TUG (F(2,18) = 10.0; p = 0.000; ηp2 = 0.323, large effect), sit-and-reach (F(2,18) = 37.3; p = 0.000; ηp2 = 0.640, large effect), and 2-min step (F(2,18) = 9.85; p = 0.000; ηp2 = 0.319, large effect) in favor of XKS regarding NSS and CG. The intragroup results only present in XKS a significant decrease in BFP (p = 0.02; d = 0.98) and significant improvements in the 30-S (p = 0.000; d = 1.88), TUG (p < 0.01; d = 2.00), sit-and-reach (p = 0.003; d = 2.58), and 2-min step (p = 0.004; d = 1.05). Conclusions: training using XKS significantly decreases BFP and improves 30-S, TUG, sit-and-reach, and 2-min step in physically inactive older females.
Comparing Sarcopenia Definitions and Muscle Power Reduction: Associations with Health Outcomes in Spanish Community-Dwelling Older Adults
Authors: Ruiz-Cárdenas Juan Diego , Rodríguez-Juan Juan José , Martínez-García María del Mar , Montemurro Alessio
Published: August 2024

Objectives: To analyze the associations between the different operational definitions of sarcopenia published in the last decade and reduced muscle power with a set of adverse health-related outcomes, such as comorbidities, depression, polypharmacy, self-perceived health, educational attainment, socioeconomic status, falls, and hospitalizations in Spanish community-dwelling older adults. Methods: A total of 686 community-dwelling older adults (median age: 72; women: 59.2%; physically active: 84%) were included in this cross-sectional analysis (ClinicalTrials.gov: NCT05148351). Sarcopenia was assessed using the FNIH, EWGSOP2, AWGS, and SDOC algorithms. Reduced muscle power was defined as the lowest sex-specific tertile and measured during the rising phase of the sit-to-stand test using a validated mobile application. Unadjusted and adjusted logistic regressions by potential confounders were performed to identify the association between sarcopenia and reduced muscle power with health-related outcomes. Results: Sarcopenia prevalence was 3.4%, 3.8%, 12.4%, and 21.3% according to the SDOC, FNIH, EWGSOP2, and AWGS, respectively. Among these definitions, moderate and large associations with health-related outcomes were observed for EWGSOP2 and SDOC, respectively, but few associations were found for FNIH and AWGS criteria. Reduced muscle power was associated more frequently and moderately with health-related outcomes compared to sarcopenia definitions. These associations remained constant after adjusting for confounders. Conclusions: The prevalence and impact of sarcopenia varied depending on the definitions used. Among the sarcopenia definitions, the SDOC exhibited the strongest associations, while reduced muscle power was the variable most frequently associated with health-related outcomes compared to any of the four sarcopenia definitions in well-functioning and physically active community-dwelling older adults.
Transthoracic Cross Clamp versus Endoaortic Balloon Occlusion in Minimally Invasive Mitral Valve Surgery: A Pooled Study with Subgroup Analyses
Authors: Magouliotis Dimitrios E. , Sicouri Serge , Baudo Massimo , Yamashita Yoshiyuki , Xanthopoulos Andrew , Arjomandi Rad Arian , Athanasiou Thanos , Ramlawi Basel
Published: August 2024

Objective: We assessed the available literature regarding patients undergoing minimally invasive mitral valve surgery (MIMVS) with either transthoracic clamping (TTC) or endoaortic balloon occlusion (EABO). Methods: Original research studies that evaluated the perioperative outcomes of TTC versus EABO group were identified from 2000 to 2024. The incidence of all-cause mortality, cerebrovascular accidents (CVA), and aortic dissections were the primary endpoints. The cardiopulmonary bypass (CPB), cross-clamp, and ventilation time, along with the incidence of conversion to sternotomy, re-exploration, new-onset atrial fibrillation (AF), postoperative acute kidney injury (AKI), ICU stay, and LOS were the secondary endpoints. Subgroup analyses were performed regarding the EABO cannulation approach (femoral and aortic) and MIMVS approach (video-assisted and robotic-assisted). Sensitivity analyses were performed with the leave-one-out method and by including risk-adjusted populations. Results: Sixteen studies were included in both the qualitative and quantitative syntheses. After pooling data from 6335 patients, both groups demonstrated similar outcomes on all primary and secondary endpoints in the non-adjusted and adjusted total cohort analyses. These outcomes were further validated by the leave-one-out sensitivity analysis. In addition, the aortic cannulation EABO was associated with a lower cross-clamp time, followed by TTC and the femoral cannulation EABO approach. Furthermore, in the video-assisted subgroup analysis, the EABO approach was associated with a higher incidence of CVA, conversion to sternotomy, and longer ICU stay compared to the TTC group. Conclusions: The present meta-analysis indicates that both aortic occlusion techniques are safe and feasible in the context of MIMVS. A future well-designed randomized-control trial should further validate the current outcomes.
Precision in Practice: Enhancing MI-E Therapy Evaluation for Improved Patient Outcomes, Excluding Speech and Swallowing. Reply to Allen et al. Comment on “Chatwin et al. Waves of Precision: A Practical Guide for Reviewing New Tools to Evaluate Mechanical In-Exsufflation Efficacy in Neuromuscular Disorders. J. Clin. Med. 2024, 13, 2643”
Authors: Chatwin Michelle , Sancho Jesus , Lujan Manel , Andersen Tiina , Winck Joao-Carlos
Published: August 2024

We would like to thank Allen et al [...]
The Impact of Infections in Patients Treated with Atezolizumab Plus Bevacizumab for Unresectable Hepatocellular Carcinoma
Authors: Esmail Abdullah , Xu Jiaqiong , Burns Ethan A. , Abboud Karen , Sheikh Ali , Umoru Godsfavour , Gee Kelly , Wiechmann Catherine , Zhang Yuqi , Abdelrahim Maen
Published: August 2024

Background: The therapeutic landscape of unresectable hepatocellular carcinoma (uHCC) continues to evolve. Atezolizumab, an anti-programmed cell death ligand 1 (PD-1) immune checkpoint inhibitor (ICI), in combination with bevacizumab, has substantially improved outcomes. This study aims to evaluate the incidence, risk factors, and outcomes in patients who develop infections while receiving atezolizumab and bevacizumab for uHCC. Methods: Patients who received atezolizumab and bevacizumab for uHCC at a single hospital network were included. Types and rates of infections were reported. Covariates compared among infected and non-infected cohorts included age, sex, race, comorbidities, Eastern Cooperative Oncology Group (ECOG) performance status, immunosuppressive use, chronic infections, number of cycles of ICIs given, antibiotic or antiviral therapies at ICI initiation, and line of therapy (first-line, second-line, greater than second-line). Results: Out of 810 evaluable patients, 34 uHCC patients were treated with atezolizumab plus bevacizumab. The mean ± SD age was 66.29 ± 9.39; 28 (82.35%) were males. There were 17 (50%) patients with reported infection, with bacterial infection occurring in 12 (70.59%) patients and COVID-19 in 4 (23.5%). Of the infected patients, eight (47.06%) had one infection, five (29.41%) had two infections, and two (11.76%) had three or more infections. Infected and non-infected patients received a median of 12 (IQR: 5–17) and 4 (IQR: 3–12) ICI cycles (p = 0.18), respectively. Infections did not negatively impact OS or PFS but resulted in treatment delays and discontinuation in 11 (64.71%) and 7 (41.18%) patients, respectively. At the last follow-up, 19 (55.88%) patients died, 9 (52.94%) in the non-infected group vs. 10 (58.82%) in the infected group (p = 1.0). Conclusions: While a broad array of infections occurred in 50% of the patients in this cohort, it did not negatively impact survival outcomes. However, it did impact morbidity, with more all-cause admissions and treatment delays.
Impact of Molecular Profiling on Therapy Management in Breast Cancer
Authors: Ultimescu Flavia , Hudita Ariana , Popa Daniela Elena , Olinca Maria , Muresean Horatiu Alin , Ceausu Mihail , Stanciu Diana Iuliana , Ginghina Octav , Galateanu Bianca
Published: August 2024

Breast cancer (BC) remains the most prevalent cancer among women and the leading cause of cancer-related mortality worldwide. The heterogeneity of BC in terms of histopathological features, genetic polymorphisms, and response to therapies necessitates a personalized approach to treatment. This review focuses on the impact of molecular profiling on therapy management in breast cancer, emphasizing recent advancements in next-generation sequencing (NGS) and liquid biopsies. These technologies enable the identification of specific molecular subtypes and the detection of blood-based biomarkers such as circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and tumor-educated platelets (TEPs). The integration of molecular profiling with traditional clinical and pathological data allows for more tailored and effective treatment strategies, improving patient outcomes. This review also discusses the current challenges and prospects of implementing personalized cancer therapy, highlighting the potential of molecular profiling to revolutionize BC management through more precise prognostic and therapeutic interventions.
Automated Speech Analysis in Bipolar Disorder: The CALIBER Study Protocol and Preliminary Results
Authors: Anmella Gerard , De Prisco Michele , Joyce Jeremiah B. , Valenzuela-Pascual Claudia , Mas-Musons Ariadna , Oliva Vincenzo , Fico Giovanna , Chatzisofroniou George , Mishra Sanjeev , Al-Soleiti Majd , Corponi Filippo , Giménez-Palomo Anna , Montejo Laura , González-Campos Meritxell , Popovic Dina , Pacchiarotti Isabella , Valentí Marc , Cavero Myriam , Colomer Lluc , Grande Iria , Benabarre Antoni , Llach Cristian-Daniel , Raduà Joaquim , McInnis Melvin , Hidalgo-Mazzei Diego , Frye Mark A. , Murru Andrea , Vieta Eduard
Published: August 2024

Background: Bipolar disorder (BD) involves significant mood and energy shifts reflected in speech patterns. Detecting these patterns is crucial for diagnosis and monitoring, currently assessed subjectively. Advances in natural language processing offer opportunities to objectively analyze them. Aims: To (i) correlate speech features with manic-depressive symptom severity in BD, (ii) develop predictive models for diagnostic and treatment outcomes, and (iii) determine the most relevant speech features and tasks for these analyses. Methods: This naturalistic, observational study involved longitudinal audio recordings of BD patients at euthymia, during acute manic/depressive phases, and after-response. Patients participated in clinical evaluations, cognitive tasks, standard text readings, and storytelling. After automatic diarization and transcription, speech features, including acoustics, content, formal aspects, and emotionality, will be extracted. Statistical analyses will (i) correlate speech features with clinical scales, (ii) use lasso logistic regression to develop predictive models, and (iii) identify relevant speech features. Results: Audio recordings from 76 patients (24 manic, 21 depressed, 31 euthymic) were collected. The mean age was 46.0 ± 14.4 years, with 63.2% female. The mean YMRS score for manic patients was 22.9 ± 7.1, reducing to 5.3 ± 5.3 post-response. Depressed patients had a mean HDRS-17 score of 17.1 ± 4.4, decreasing to 3.3 ± 2.8 post-response. Euthymic patients had mean YMRS and HDRS-17 scores of 0.97 ± 1.4 and 3.9 ± 2.9, respectively. Following data pre-processing, including noise reduction and feature extraction, comprehensive statistical analyses will be conducted to explore correlations and develop predictive models. Conclusions: Automated speech analysis in BD could provide objective markers for psychopathological alterations, improving diagnosis, monitoring, and response prediction. This technology could identify subtle alterations, signaling early signs of relapse. Establishing standardized protocols is crucial for creating a global speech cohort, fostering collaboration, and advancing BD understanding.
A Preliminary Study of a Prototype Cryoablation Needle on Porcine Livers for Pancreatic Cancer Treatment
Authors: Son Hyunjoon , Kim Tae In , Lee Jonghyun , Han Sung Yong , Kim Dong Uk , Kim Daejin , Kim Gun-Ho
Published: August 2024

Background and Aims: Despite its relatively low incidence rate compared to others, pancreatic cancer has a poor prognosis owing to its late detection and poor response to systemic chemotherapy. Because the effectiveness of chemotherapy is still restricted, the need for locoregional treatment is increasing. Cryoablation is an effective and minimally invasive treatment for some cancers, but its efficiency in pancreatic cancer is limited. Despite recent reports about promising outcomes, the optimal method and conditions of treatment are not known. In this preliminary study, we aimed to develop a cryoablation needle which can control the ablated area considering application through endoscopic ultrasonography. Methods: Here, we used a novel cryoneedle cooling system which can adjust the ablation range based on a liquid carbon dioxide refrigerant. Applied to the livers of swine, the cryoablation needle rapidly reached −60 °C within 30 s and cryoablation was performed for approximately 240 s. Based on the distance and depth, we collected real-time temperature data during the procedure. To compare the extent of cell death over time, tissue samples were collected hourly from 3 to 6 h after the procedure. Results: Approximately 4–5 mm of tissue was ablated via cryoablation, and cell death progressed over time after cryoablation. Moreover, the ablated lesions could be regulated using an insulating agent on the needle. Conclusions: This preliminary study on a novel surgical cooling needle system compatible with endoscopic ultrasound for cryoablation-based pancreatic cancer treatment confirmed the efficacy of cryoablation and identified the conditions necessary to induce necrosis. Additionally, this study evaluated the effectiveness of the insulation component of the system in protecting normal cells and assessed the extent of necrosis over time after the procedure.
Screening and Perioperative Management of Obesity Hypoventilation Syndrome
Authors: Kaw Roop , Dupuy-McCauley Kara , Wong Jean
Published: August 2024

Obesity hypoventilation syndrome (OHS) can often be underdiagnosed or misdiagnosed and has been shown to pose significant risks in perioperative situations. Patients with OHS have a higher prevalence of baseline morbid conditions like hypertension, congestive heart failure (CHF), diabetes mellitus, atrial fibrillation, and pulmonary hypertension (PH), which contribute to adverse postoperative outcomes. The potential challenges include difficult intubation and loss of airway, postoperative respiratory failure, worsening heart failure, pulmonary hypertensive crisis, and opioid-induced respiratory depression (OIRD). It is, therefore, important to screen all obese patients for obstructive sleep apnea (OSA) and OHS before elective surgical procedures. The aim of this review is to discuss the preoperative screening and evaluation and safe anesthetic and up-to-date ventilatory management of this complex group of patients. This review also intends to increase the awareness of OHS in the adult population among hospitalists, surgeons, and cardiologists who may find themselves taking care of these patients in complex multidisciplinary settings.
Sleep Disordered Breathing and Neurocognitive Disorders
Authors: Ogbu Ikechukwu , Menon Tushar , Chahil Vipanpreet , Kahlon Amrit , Devanand Dakshinkumaar , Kalra Dinesh K.
Published: August 2024

Sleep-disordered breathing (SDB), which includes conditions such as obstructive sleep apnea (OSA) and central sleep apnea (CSA), is an independent risk factor for cerebral small vessel disease (CSVD), stroke, heart failure, arrhythmias, and other cardiovascular disorders. The influence of OSA on brain structure and cognitive function has become an essential focus in the heart-brain axis, given its potential role in developing neurocognitive abnormalities. In this review, we found that OSA plays a significant role in the cardio-neural pathway that leads to the development of cerebral small vessel disease and neurocognitive decline. Although data is still limited on this topic, understanding the critical role of OSA in the heart-brain axis could lead to the utilization of imaging modalities to simultaneously identify early signs of pathology in both organ systems based on the known OSA-driven pathological pathways that result in a disease state in both the cardiovascular and cerebrovascular systems. This narrative review aims to summarize the current link between OSA and neurocognitive disorders, cardio-neural pathophysiology, and the treatment options available for patients with OSA-related neurocognitive disorders.
Platelet Metabolites as Candidate Biomarkers in Sepsis Diagnosis and Management Using the Proposed Explainable Artificial Intelligence Approach
Authors: Yagin Fatma Hilal , Aygun Umran , Algarni Abdulmohsen , Colak Cemil , Al-Hashem Fahaid , Ardigò Luca Paolo
Published: August 2024

Background: Sepsis is characterized by an atypical immune response to infection and is a dangerous health problem leading to significant mortality. Current diagnostic methods exhibit insufficient sensitivity and specificity and require the discovery of precise biomarkers for the early diagnosis and treatment of sepsis. Platelets, known for their hemostatic abilities, also play an important role in immunological responses. This study aims to develop a model integrating machine learning and explainable artificial intelligence (XAI) to identify novel platelet metabolomics markers of sepsis. Methods: A total of 39 participants, 25 diagnosed with sepsis and 14 control subjects, were included in the study. The profiles of platelet metabolites were analyzed using quantitative 1H-nuclear magnetic resonance (NMR) technology. Data were processed using the synthetic minority oversampling method (SMOTE)-Tomek to address the issue of class imbalance. In addition, missing data were filled using a technique based on random forests. Three machine learning models, namely extreme gradient boosting (XGBoost), light gradient boosting machine (LightGBM), and kernel tree boosting (KTBoost), were used for sepsis prediction. The models were validated using cross-validation. Clinical annotations of the optimal sepsis prediction model were analyzed using SHapley Additive exPlanations (SHAP), an XAI technique. Results: The results showed that the KTBoost model (0.900 accuracy and 0.943 AUC) achieved better performance than the other models in sepsis diagnosis. SHAP results revealed that metabolites such as carnitine, glutamate, and myo-inositol are important biomarkers in sepsis prediction and intuitively explained the prediction decisions of the model. Conclusion: Platelet metabolites identified by the KTBoost model and XAI have significant potential for the early diagnosis and monitoring of sepsis and improving patient outcomes.
Recent Findings on Exercise Therapy for Blood Glucose Management in Patients with Gestational Diabetes
Authors: Jung Ah Reum , Seo Yongsuk , Lee Jooyoung , Hwang Jae Gu , Yun Somi , Lee Dae Taek
Published: August 2024

Inadequate management of blood glucose levels in gestational diabetes mellitus (GDM) poses risks for both pregnant women and the developing fetus. Attaining appropriate blood glucose control is crucial to mitigate potential adverse outcomes. This study aimed to consolidate the latest guidelines from representative professional societies, providing insights into exercise therapy for GDM patients and suggesting potential avenues for future research. The review was conducted with up-to-date exercise guidelines from prominent societies, such as the American College of Obstetricians and Gynecologists (ACOG), the Society of Obstetricians and Gynecologists of Canada (SOGC), the Canadian Society for Exercise Physiology (CSEP), the American College of Sports Medicine, the American Diabetes Association (ADA), and the Korean Diabetes Association. The ACOG and SOGC/CSEP recommend 150 min of low to moderate intensity exercise, 3–4 times a week, combining aerobic and resistance exercises. All guidelines advise against activities involving sudden directional changes, physical contact, a risk of falling, and exercises performed lying down. Despite cautions from the ADA and ACOG on blood glucose fluctuations during physical activity, the lack of specific methods and recommendations from other societies reveals a notable gap in evidence-based guidelines for GDM. For effective and safe blood glucose management in GDM patients, further research should be conducted on the exercise-related precautions outlined for GDM patients. Establishing ample evidence would facilitate the development of customized exercise guidelines for GDM patients.
A Proposal for Comprehensive Audio-Vestibular Test Battery Protocol for Diagnosis and Follow-Up Monitoring in Patients with Vestibular Schwannoma Undergoing Surgical Tumor Removal
Authors: Torchalla Patrycja , Jasińska-Nowacka Agnieszka , Lachowska Magdalena , Niemczyk Kazimierz
Published: August 2024

Background: A vestibular schwannoma (VS) is a benign tumor, causing audiological and vestibular symptoms. This study aimed to propose a comprehensive audio-vestibular test battery protocol for diagnosis and follow-up monitoring in patients with unilateral VSs undergoing surgical removal. Methods: The detailed interpretation of audiological and vestibular findings was presented in two example cases. The surgery was performed through the middle cranial fossa (#1) and translabyrinthine approach (#2). The participants were evaluated with tonal, speech, and impedance audiometry, ABR, caloric test, vHIT, cVEMP, oVEMP, SOT, and DHI. Patient and tumor characteristics were retrieved from the patient’s history. Results: In the postoperative period, the reduction in gain of the lateral semicircular canal was observed in the vHITs of both patients. The DHI in case #1 increased after surgery, while it decreased in case #2. The improvement in postural performances compared to the preoperative SOT (CON 5, CON 6, composite score) and immediately after the procedure was observed. Conclusions: A specific diagnostic protocol is necessary to compare the results of different surgical techniques and approaches. Diagnostic tests performed before the surgery should be repeated within a specific time frame during postoperative follow-up to enable the comparison of results. The proposed protocol can help us better understand the processes ongoing during tumor growth and postoperative vestibular compensation.
Experimental Analysis of Stress Shielding Effects in Screw Spacers Placed in Porcine Spinal Tissue
Authors: Alcántara-Arreola Elliot Alonso , Silva-Garcés Karla Nayeli , Mendoza-Martínez Jocabed , Cardoso-Palomares Miguel Antonio , Torres-SanMiguel Christopher René
Published: August 2024

Bone cortical tissues reorganize and remodel in response to tensile forces acting on them, while compressive forces cause atrophy. However, implants support most of the payload. Bones do not regenerate, and stress shielding occurs. The aim is to analyze the biomechanical behavior of a lumbar cage to study the implant’s stress shielding. The ASTM E-9 standard was used with the necessary adjustments to perform compression tests on lumbar and thoracic porcine spinal vertebrae. Twelve cases were analyzed: six with the metal prosthesis and six with the PEEK implant. A mathematical model based on the Hertz contact theory is proposed to assess the stress shielding for endoprosthesis used in spine pathologies. The lumbar spacer (screw) helps to reduce the stress shielding effect due to the ACME thread. The best interspinous spacer is the PEEK screw. It does not embed in bone. The deformation capability increases by 11.5% and supports 78.6 kg more than a system without any interspinous spacer.
Nanoparticles in Bone Regeneration: A Narrative Review of Current Advances and Future Directions in Tissue Engineering
Authors: Farjaminejad Samira , Farjaminejad Rosana , Garcia-Godoy Franklin
Published: August 2024

The rising demand for effective bone regeneration has underscored the limitations of traditional methods like autografts and allografts, including donor site morbidity and insufficient biological signaling. This review examines nanoparticles (NPs) in tissue engineering (TE) to address these challenges, evaluating polymers, metals, ceramics, and composites for their potential to enhance osteogenesis and angiogenesis by mimicking the extracellular matrix (ECM) nanostructure. The methods involved synthesizing and characterizing nanoparticle-based scaffoldsand integrating hydroxyapatite (HAp) with polymers to enhance mechanical properties and osteogenic potential. The results showed that these NPs significantly promote cell growth, differentiation, and bone formation, with carbon-based NPs like graphene and carbon nanotubes showing promise. NPs offer versatile, biocompatible, and customizable scaffolds that enhance drug delivery and support bone repair. Despite promising results, challenges with cytotoxicity, biodistribution, and immune responses remain. Addressing these issues through surface modifications and biocompatible molecules can improve the biocompatibility and efficacy of nanomaterials. Future research should focus on long-term in vivo studies to assess the safety and efficacy of NP-based scaffolds and explore synergistic effects with other bioactive molecules or growth factors. This review underscores the transformative potential of NPs in advancing BTE and calls for further research to optimize these technologies for clinical applications.
Optimization of Energy Consumption in Ship Propulsion Control under Severe Sea Conditions
Authors: Yang Zhiyuan , Qu Wendong , Zhuo Jianyu
Published: August 2024

With the further establishment of relevant regulations on ship emissions by countries worldwide and the IMO, and the increasing frequency of severe sea conditions in shipping routes, optimizing ship energy efficiency under high wind and wave conditions has become an important research direction. This study establishes a grey-box model for optimizing ships’ energy consumption under severe sea conditions, with wave heights above two meters and a Beaufort scale score above five, based on the principle of ship–engine–propeller matching and a non-dominated sorting optimization algorithm. Using historical navigation data from a case ship under severe sea conditions, a white-box model and a black-box model for ship fuel consumption were established. These models were combined to create a grey-box model for ship fuel consumption. The K-Medoids clustering algorithm was used to cluster severe sea conditions. The optimization variables were the main engine’s speed, with the fuel consumption per nautical mile and the ship’s speed being used as optimization objectives. The non-dominated sorting genetic algorithm was optimized for each sea condition, resulting in the best speed for each sea state. The results indicate that the model developed in this paper reduced the main engine’s fuel consumption per nautical mile by 21.9% and increased the speed by 16.7% under the most severe sea conditions. Therefore, the proposed model effectively optimizes ship energy efficiency and reduces navigation time under severe sea conditions, providing an effective solution for operations in actual severe sea conditions.
Trajectory Tracking and Docking Control Strategy for Unmanned Surface Vehicles in Water-Based Search and Rescue Missions
Authors: Bai Yiming , Wang Yiqi , Wang Zheng , Zheng Kai
Published: August 2024

This paper investigates a global fixed-time control strategy for a search and rescue unmanned surface vehicle (SRUSV) targeting water rescue missions. Firstly, an improved time allocation trajectory generation (ITATG) method is proposed to generate a smooth and continuous desired trajectory, incorporating position, velocity, and acceleration information. Secondly, a fixed-time sideslip angle observer-based adaptive line-of-sight (FTSOALOS) guidance law is designed. This law integrates time-varying look-ahead distances with a fixed-time sideslip angle observer (FTSO) to ensure rapid convergence of positional errors within a fixed timeframe. Additionally, this paper employs a first-order fixed-time disturbance observer (FOFTDO) to accurately estimate external disturbances. To alleviate network pressure and reduce actuator failure rates, a fixed-time event-triggered sliding mode control (FTETSMC) mechanism is developed, ensuring the convergence of tracking errors within a fixed timeframe. Finally, using Lyapunov theory, this paper proves that the entire control system designed possesses consistent global fixed-time stability. Comparative simulation experiments validate the effectiveness and superiority of the FTSOALOS guidance law and the FTETSMC controller.
Population Characteristics and Habitat Management of the Useful Seaweed Silvetia siliquosa
Authors: Choi Chang Geun , Choi Young Jae , Hong Seong Jae , Lee Jae Ho , Jung Seung Wook
Published: August 2024

We aimed to analyze the natural population characteristics and habitat growth conditions of the valuable seaweed Silvetia siliquosa. Its population characteristics and habitat conditions were assessed monthly from May 2022 to April 2023 and April to August 2022, respectively, on selected habitats. The average population density, coverage, and frequency of S. siliquosa were 579 ± 94.18 ind./m2, 27.82 ± 6.92%/m2, and 78.37 ± 5.98/m2, respectively. The average thallus length and width were 47.53 ± 4.35 and 46.33 ± 4.17 mm, respectively, while the branch width, thickness, and frequency were 2.35 ± 0.03 mm, 0.59 ± 0.12 mm, and 2.8 ± 0.2 times, with a receptacle length and width of 24.13 ± 2.07 and 2.81 ± 0.19 mm, respectively. Among the 40 previously known natural habitats of S. siliquosa, growth was confirmed only in Sepo, Sebang, and Bangpo. The causes for the declining S. siliquosa populations could be attributed to habitat changes due to construction, coastal road maintenance projects, habitat disturbances, and increased pollutants. Habitat substrate disturbances and changes were the main causes of the decrease in S. siliquosa growth. Studies on environmental factors and habitat degradation, growth related to environmental factors, mass cultivation, and the marine ecosystem restoration of S. siliquosa are needed.
Improving Volatility Forecasting: A Study through Hybrid Deep Learning Methods with WGAN
Authors: Gadhi Adel Hassan A. , Peiris Shelton , Allen David E.
Published: August 2024

This paper examines the predictive ability of volatility in time series and investigates the effect of tradition learning methods blending with the Wasserstein generative adversarial network with gradient penalty (WGAN-GP). Using Brent crude oil returns price volatility and environmental temperature for the city of Sydney in Australia, we have shown that the corresponding forecasts have improved when combined with WGAN-GP models (i.e., ANN-(WGAN-GP), LSTM-ANN-(WGAN-GP) and BLSTM-ANN (WGAN-GP)). As a result, we conclude that incorporating with WGAN-GP will’ significantly improve the capabilities of volatility forecasting in standard econometric models and deep learning techniques.
Exploring the Effectiveness of Acyclovir against Ranaviral Thymidine Kinases: Molecular Docking and Experimental Validation in a Fish Cell Line
Authors: Rácz Richárd , Gellért Ákos , Papp Tibor , Doszpoly Andor
Published: August 2024

The effectiveness of acyclovir, a selective anti-herpesvirus agent, was tested both in silico and in vitro against two ranaviruses, namely the European catfish virus (ECV) and Frog virus 3 (FV3). ECV can cause significant losses in catfish aquaculture, while FV3 poses a risk to vulnerable amphibian populations. The genome of ranaviruses encodes thymidine kinases (TKs) similar to those of herpesviruses. Molecular docking simulations demonstrated that the acyclovir molecule can bind to the active sites of both investigated viral TKs in an orientation conducive to phosphorylation. Subsequently, the antiviral effect of acyclovir was tested in vitro in Epithelioma Papulosum Cyprini (EPC) cells with endpoint titration and qPCR. Acyclovir was used at a concentration of 800 µM, which significantly reduced the viral loads and titers of the ranaviruses. A similar reduction rate was observed with Ictalurid herpesvirus 2, which was used as a positive control virus. These promising results indicate that acyclovir might have a wider range of uses; besides its effectiveness against herpesviruses, it could also be used against ranavirus infections.
Waste for Product—Synthesis and Electrocatalytic Properties of Palladium Nanopyramid Layer Enriched with PtNPs
Authors: Luty-Błocho Magdalena , Pach Adrianna , Kutyła Dawid , Kula Anna , Małecki Stanisław , Jeleń Piotr , Hessel Volker
Published: August 2024

The presented research is the seed of a vision for the development of a waste-for-product strategy. Following this concept, various synthetic solutions containing low concentrations of platinum group metals were used to model their recovery and to produce catalysts. This is also the first report that shows the method for synthesis of a pyramid-like structure deposited on activated carbon composed of Pd and Pt. This unique structure was obtained from a mixture of highly diluted aqueous solutions containing both metals and chloride ions. The presence of functional groups on the carbon surface and experimental conditions allowed for: the adsorption of metal complexes, their reduction to metal atoms and enabled further hierarchical growth of the metal layer on the carbon surface. During experiments, spherical palladium and platinum nanoparticles were obtained. The addition of chloride ions to the solution promoted the hierarchical growth and formation of palladium nanopyramids, which were enriched with platinum nanoparticles. The obtained materials were characterized using UV–Vis, Raman, IR spectroscopy, TGA, SEM/EDS, and XRD techniques. Moreover, Pd@ROY, Pt@ROY, and Pd-Pt@ROY were tested as possible electrocatalysts for hydrogen evolution reactions.
Antimony(V) Adsorption and Partitioning by Humic Acid-Modified Ferrihydrite: Insights into Environmental Remediation and Transformation Processes
Authors: Ding Wei , Bao Shenxu , Zhang Yimin , Chen Bo , Wang Zhanhao
Published: August 2024

Antimony (Sb) migration in soil and water systems is predominantly governed by its adsorption onto ferrihydrite (FH), a process strongly influenced by natural organic matter. This study investigates the adsorption behavior, stability, and mechanism of FH and FH–humic acid (FH-HA) complexes on Sb(V), along with the fate of adsorbed Sb(V) during FH aging. Batch adsorption experiments reveal that initial pH and concentration significantly influence Sb(V) sorption. Lower pH levels decrease adsorption, while higher concentrations enhance it. Sb(V) adsorption increases with prolonged contact time, with FH exhibiting a higher adsorption capacity than FH-HA complexes. Incorporating HA onto FH surfaces reduces reactive adsorption sites, decreasing Sb(V) adsorption. Adsorbed FH-HA complexes exhibit a higher specific surface area than co-precipitated FH-HA, demonstrating stronger Sb(V) adsorption capacity under various conditions. X-ray photoelectron spectroscopy (XPS) confirms that Sb(V) adsorption primarily occurs through ligand exchange, forming Fe-O-Sb complexes. HA inhibits the migration of Sb(V), thereby enhancing its retention within the FH and FH-HA complexes. During FH transformation, a portion of Sb(V) may replace Fe(III) within converted iron minerals. However, the combination of relatively high adsorption capacity and significantly lower desorption rates makes adsorbed FH-HA complexes promising candidates for sustained Sb adsorption over extended periods. These findings enhance our understanding of Sb(V) behavior and offer insights for effective remediation strategies in complex environmental systems.
Ultrasonic Cavitation Erosion Behavior of GX40CrNiSi25-20 Cast Stainless Steel through Yb-YAG Surface Remelting
Authors: Cosma Daniela , Mitelea Ion , Bordeașu Ilare , Uțu Ion Dragoș , Crăciunescu Corneliu Marius
Published: August 2024

Laser beam remelting is a relatively simple and highly effective technique for the physical modification of surfaces to improve resistance to cavitation erosion. In this study, we investigated the effect of laser remelting on the surface of cast stainless steel with 0.40% C, 25% Cr, 20% Ni, and 1.5% Si on cavitation erosion behavior in tap water. The investigation was conducted using a piezoceramic crystal vibrator apparatus. Base laser beam parameters were carefully selected to result in a defect-free surface (no porosity, material burn, cracks) with hardness capable of generating better resistance to cavitation erosion. The experimental results were compared with those of the reference material. Surface morphology and microstructure evolution after cavitation tests were analyzed using an optical metallographic microscope (OM), scanning electron microscope (SEM), and hardness tests to explore the mechanism of improving surface degradation resistance. The conducted research demonstrated that surfaces modified by laser remelting exhibit a 4.8–5.1 times greater increase in cavitation erosion resistance due to the homogenization of chemical composition and refinement of the microstructure, while maintaining the properties of the base material.
Selective Extraction of Valuable and Critical Metals in Cassiterite Concentrate by Dry Chlorination, Part I: Thermodynamic and Modelling Perspective
Authors: Fosu Allen Yushark , Demeusy Bastien , Diot Frédéric , Lavonen Tiina , Meriläinen Veronika , Bartier Danièle , Foucaud Yann , Kanari Ndue
Published: August 2024

The chlorination of oxides of major concern in cassiterite concentrate with various chlorinating agents is investigated in light of their thermodynamic feasibilities to extract and recover their valuable metal components. Mechanisms responsible for the processes and their Gibbs free energy changes as a function of temperature to selectively separate and/or recover the metal(s) of interest and unwanted ones as their metallic chlorides are identified. Attention is given to gaseous (Cl2 and Cl2 + CO mixture) and solid (CaCl2 and MgCl2) chlorine sources, from which Cl2 + CO shows no reaction selectivity for any of the oxides but a feasible metal chloride formation for all. Chlorine gas (Cl2), on the other hand, could selectively form chlorides with metals of +2 oxidation state in their oxides, leaving those of high oxidation state unreacted. MgCl2, unlike CaCl2, is found capable of producing calcium, ferrous, and stannic chloride from their metallic oxides with enhanced reaction tendencies in the presence of silicon dioxide (SiO2). An overall study of the thermodynamic feasibility of all chlorine sources looked at alongside operational and environmental viabilities suitably suggests MgCl2 for a selective extraction of the valuable metal components in a cassiterite concentrate, in which case, moderate temperatures seem promising.