bluuebunny/crossref_metadata_2025 huggingface dataset:
A Parallel Scheme of Friction Dampers and Viscous Dampers for Girder-End Longitudinal Displacement Control of a Long-Span Suspension Bridge under Operational and Seismic Conditions
Authors: Liang Longteng , Feng Zhouquan , Xu Yuanqing , Chen Zhengqing , Liang Linong
Published: February 2023

Benefitting from economic development and technological progress, long-span suspension bridges, with their superior span capacity and good economy, have been built in large numbers in recent decades. However, the excessive cumulative longitudinal displacement at the girder ends in the process of bridge operation leads to the degradation of, and fatigue damage to, the connecting components. This study aims to solve the problem with an effective parallel damping scheme of friction dampers and viscous dampers. Firstly, the phenomenon that quasi-static longitudinal displacement accounts for the majority of cumulative displacement is confirmed by the decomposition of measured displacement data at the girder end, which is caused by the asymmetric geometric deformation of the main cable induced by the moving vertical loads of a long-span suspension bridge. An efficient control performance analysis method is proposed based on the formation mechanism of the quasi-static longitudinal displacement. Secondly, the friction damper with a continuous damping model is employed to achieve an effective control performance with respect to the quasi-static longitudinal displacement. Thirdly, in order to realize the target of operational and seismic dual control, a parallel scheme of friction dampers and viscous dampers is proposed, aiming to reduce the cumulative value in the operational state, and maximum value in the seismic state, for longitudinal displacement at the girder ends of a long-span suspension bridge.
The Role of Branched-Chain Amino Acid Supplementation in Combination with Locoregional Treatments for Hepatocellular Carcinoma: Systematic Review and Meta-Analysis
Authors: Sideris Georgios A. , Tsaramanidis Savvas , Vyllioti Aikaterini T. , Njuguna Njogu
Published: February 2023

Background: Branched-chain amino acid (BCAA) supplementation has been linked with favorable outcomes in patients undergoing surgical or palliative treatments for hepatocellular carcinoma (HCC). To date, there has been no systematic review investigating the value of BCAA supplementation in HCC patients undergoing locoregional therapies. Materials and Methods: A systematic search of the literature was performed across five databases/registries using a detailed search algorithm according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The search was conducted on March 23, 2022. Results: Sixteen studies with a total of 1594 patients were analyzed. Most patients were male (64.6%) with a mean age of 68.2 ± 4.1 years, Child–Pugh score A (67.9%) and stage II disease (40.0%). Locoregional therapy consisted of radiofrequency ablation, transarterial chemoembolization or hepatic artery infusion chemotherapy. BCAA supplementation was in the form of BCAA granules or BCAA-enriched nutrient. Most studies reported improved albumin levels, non-protein respiratory quotient and quality of life in the BCAA group. Results pertaining to other outcomes including overall survival, recurrence rate, and Child–Pugh score were variable. Meta-analysis showed significantly higher levels of post-treatment serum albumin in the BCAA group (SMD = 0.54, 95% CI 0.20–0.87) but no significant differences in mortality rate (RR = 0.81, 95% CI: 0.65–1.02) and AST (SMD = −0.13, 95% CI: −0.43–0.18). Conclusion: BCAA supplementation is associated with higher post-treatment albumin levels. There are currently not sufficient data to support additional benefits. Further studies are needed to elucidate their value.
Suppression of Cancer Cell Stemness and Drug Resistance via MYC Destabilization by Deubiquitinase USP45 Inhibition with a Natural Small Molecule
Authors: Tu Xiao , Li Chuncheng , Sun Wen , Tian Xi , Li Qiufu , Wang Shaoxin , Ding Xiaoling , Huang Zhen
Published: February 2023

Cancer stem cells (CSCs) play significant roles in cancer development, drug resistance and cancer recurrence. In cancer treatments based on the CSC characteristics and inducing factors, MYC is a promising target for therapeutic molecules. Although it has been regarded as an undrugable target, its stability tightly regulated by the ubiquitin–proteasome system offers a new direction for molecule targeting and cancer treatment. Herein we report our discoveries in this research area, and we have found that deubiquitinase USP45 can directly bind with MYC, resulting in its deubiquitination and stabilization. Further, USP45 overexpressing can upregulate MYC, and this overexpressing can significantly enhance cancer development, cancer cell stemness and drug resistance. Interestingly, without enhancing cancer development, MYC silencing with shRNA can only suppress USP45-induced stemness and drug resistance. Moreover, we have identified that USP45 can be specifically bound and inhibited by a natural small molecule (α-mangostin), in turn significantly suppressing USP45-induced stemness and drug resistance. Since USP45 is significantly expressed in cervical tumors, we have discovered that the combination of α-mangostin and doxorubicin can significantly inhibit USP45-induced cervical tumorigenesis in an animal model. In general, on the basis of our USP45 discoveries on its MYC deubiquitination and α-mangostin inhibition, suppressing USP45 has opened a new window for suppressing cancer development, stemness and drug resistance.
Prospective Validation of the ROL System in Substaging pT1 High-Grade Urothelial Carcinoma: Results from a Mono-Institutional Confirmatory Analysis in BCG Treated Patients
Authors: Valeri Marina , Contieri Roberto , Fasulo Vittorio , Iuzzolino Martina , Cieri Miriam , Elefante Grazia M. , De Carlo Camilla , Bressan Alessandra , Saitta Cesare , Gobbo Andrea , Avolio Pier Paolo , Dacrema Valerio , Lazzeri Massimo , Taverna Gianluigi , Terracciano Luigi M. , Hurle Rodolfo , Colombo Piergiuseppe
Published: February 2023

Patients with pT1 high-grade (HG) urothelial carcinoma (UC) and a very high risk of progression might benefit from immediate radical cystectomy (RC), but this option remains controversial. Validation of a standardized method to evaluate the extent of lamina propria (LP) invasion (with recognized prognostic value) in transurethral resection (TURBT) specimens is still needed. The Rete Oncologica Lombarda (ROL) system showed a high predictive value for progression after TURBT in recent retrospective studies. The ROL system was supposed to be validated on a large prospective series of primary urothelial carcinomas from a single institution. From 2016 to 2020, we adopted ROL for all patients with pT1 HG UC on TURBT. We employed a 1.0-mm threshold to stratify tumors in ROL1 and ROL2. A total of 222 pT1 HG UC were analyzed. The median age was 74 years, with a predominance of men (73.8%). ROL was feasible in all cases: 91 cases were ROL1 (41%), and 131 were ROL2 (59%). At a median follow-up of 26.9 months (IQR 13.8–40.6), we registered 81 recurrences and 40 progressions. ROL was a significant predictor of tumor progression in both univariable (HR 3.53; CI 95% 1.56–7.99; p < 0.01) and multivariable (HR 2.88; CI 95% 1.24–6.66; p = 0.01) Cox regression analyses. At Kaplan-Meier estimates, ROL showed a correlation with both PFS (p = 0.0012) and RFS (p = 0.0167). Our results confirmed the strong predictive value of ROL for progression in a large prospective series. We encourage the application of ROL for reporting the extent of LP invasion, substaging T1 HG UC, and improving risk tables for urological decision-making.
Synthesis and Significance of Arachidonic Acid, a Substrate for Cyclooxygenases, Lipoxygenases, and Cytochrome P450 Pathways in the Tumorigenesis of Glioblastoma Multiforme, Including a Pan-Cancer Comparative Analysis
Authors: Korbecki Jan , Rębacz-Maron Ewa , Kupnicka Patrycja , Chlubek Dariusz , Baranowska-Bosiacka Irena
Published: February 2023

Glioblastoma multiforme (GBM) is one of the most aggressive gliomas. New and more effective therapeutic approaches are being sought based on studies of the various mechanisms of GBM tumorigenesis, including the synthesis and metabolism of arachidonic acid (ARA), an omega-6 polyunsaturated fatty acid (PUFA). PubMed, GEPIA, and the transcriptomics analysis carried out by Seifert et al. were used in writing this paper. In this paper, we discuss in detail the biosynthesis of this acid in GBM tumors, with a special focus on certain enzymes: fatty acid desaturase (FADS)1, FADS2, and elongation of long-chain fatty acids family member 5 (ELOVL5). We also discuss ARA metabolism, particularly its release from cell membrane phospholipids by phospholipase A2 (cPLA2, iPLA2, and sPLA2) and its processing by cyclooxygenases (COX-1 and COX-2), lipoxygenases (5-LOX, 12-LOX, 15-LOX-1, and 15-LOX-2), and cytochrome P450. Next, we discuss the significance of lipid mediators synthesized from ARA in GBM cancer processes, including prostaglandins (PGE2, PGD2, and 15-deoxy-Δ12,14-PGJ2 (15d-PGJ2)), thromboxane A2 (TxA2), oxo-eicosatetraenoic acids, leukotrienes (LTB4, LTC4, LTD4, and LTE4), lipoxins, and many others. These lipid mediators can increase the proliferation of GBM cancer cells, cause angiogenesis, inhibit the anti-tumor response of the immune system, and be responsible for resistance to treatment.
Autophagy Requirements for Eye Lens Differentiation and Transparency
Authors: Brennan Lisa , Costello M. Joseph , Hejtmancik J. Fielding , Menko A. Sue , Riazuddin S. Amer , Shiels Alan , Kantorow Marc
Published: February 2023

Recent evidence points to autophagy as an essential cellular requirement for achieving the mature structure, homeostasis, and transparency of the lens. Collective evidence from multiple laboratories using chick, mouse, primate, and human model systems provides evidence that classic autophagy structures, ranging from double-membrane autophagosomes to single-membrane autolysosomes, are found throughout the lens in both undifferentiated lens epithelial cells and maturing lens fiber cells. Recently, key autophagy signaling pathways have been identified to initiate critical steps in the lens differentiation program, including the elimination of organelles to form the core lens organelle-free zone. Other recent studies using ex vivo lens culture demonstrate that the low oxygen environment of the lens drives HIF1a-induced autophagy via upregulation of essential mitophagy components to direct the specific elimination of the mitochondria, endoplasmic reticulum, and Golgi apparatus during lens fiber cell differentiation. Pioneering studies on the structural requirements for the elimination of nuclei during lens differentiation reveal the presence of an entirely novel structure associated with degrading lens nuclei termed the nuclear excisosome. Considerable evidence also indicates that autophagy is a requirement for lens homeostasis, differentiation, and transparency, since the mutation of key autophagy proteins results in human cataract formation.
The miR-100-5p Targets SMARCA5 to Regulate the Apoptosis and Intracellular Survival of BCG in Infected THP-1 Cells
Authors: Su Li , Zhu Tingting , Liu Han , Zhu Yifan , Peng Yongchong , Tang Tian , Zhou Shiying , Hu Changmin , Chen Huanchun , Guo Aizhen , Chen Yingyu
Published: February 2023

Mycobacterium tuberculosis (M. tb) is the causative agent of tuberculosis (TB) that leads to millions of deaths each year. Extensive evidence has explored the involvement of microRNAs (miRNAs) in M. tb infection. Limitedly, the concrete function of microRNA-100-5p (miR-100-5p) in M. tb remains unexplored and largely elusive. In this study, using Bacillus Calmette–Guérin (BCG) as the model strain, we validated that miR-100-5p was significantly decreased in BCG-infected THP-1 cells. miR-100-5p inhibition effectively facilitated the apoptosis of infected THP-1 cells and reduced BCG survival by regulating the phosphatidylinositol 3-kinase/AKT pathway. Further, SMARCA5 was the target of miR-100-5p and reduced after miR-100-5p overexpression. Since BCG infection down-regulated miR-100-5p in THP-1 cells, the SMARCA5 expression was up-regulated, which in turn increased apoptosis through caspase-3 and Bcl-2 and, thereby, reducing BCG intracellular survival. Collectively, the study uncovered a new molecular mechanism of macrophage to suppress mycobacterial infection through miR-100-5p and SMARCA5 pathway.
Epidemiological Trends of Acute Chemical Poisoning among Children over a Recent Three-Year Period in Saudi Arabia
Authors: Alshahrani Mohammed Merae , Albogami Hussein Ayed , Asiri Ali Ahmad , Al haydhah Khaled Saad , Aldeailej Ibrahim Mohammed , Aldehaim Mohammed Abdullah , Lubbad Mahmoud Yousef , Alalyan Lolwah Abdulaziz , Alasmari Abdullah Fayez , Al salem Ismail Yahya , Alqahtani Abdulaziz , Al Awadh Ahmed Abdullah
Published: February 2023

Acute intoxication from chemicals is a major medical emergency that can result in illness and mortality. This retrospective study aims to evaluate acute chemical poisoning incidents among children in Saudi Arabia from 2019 to 2021. A total of 3009 children were recorded as being chemically intoxicated. The SPSS/PC statistics package was used for the statistical analysis. The acute chemical poisoning incidents that occurred in the age groups were <1 year: 237 (7.8%), 1–5 years: 2301 (76.4%), 6–12 years: 214 (7.1%), and 13–19 years: 257 (8.5%). The mean rate of acute chemical poisoning in the northern region was 40.1%. The most common poisonous agents were organic solvents (20.4%) and disinfection agents (22.7%). Interestingly, there is a significant relationship between the different types of acute chemical poisoning and various factors, including gender, age, the location where acute chemical intoxication occurred, the type of exposure, and whether these were intentional or unintentional events. The data suggest that the northern region of Saudi Arabia has had the highest number of recorded incidents of acute chemical poisoning over the last three years (2019–2021). Individuals between 1–5 years old were the worst hit. Organic solvents and detergents were to blame for the acute unintentional chemical poisonings that took place in homes. Therefore, educating the public about chemical poisoning and reducing children’s exposure to toxic chemicals requires educational programs, which may help to reduce chemical poisoning occurrence.
Expressions of Type I and III Interferons, Endogenous Retroviruses, TRIM28, and SETDB1 in Children with Respiratory Syncytial Virus Bronchiolitis
Authors: Tovo Pier-Angelo , Garazzino Silvia , Savino Francesco , Daprà Valentina , Pruccoli Giulia , Dini Maddalena , Filisetti Giacomo , Funiciello Elisa , Galliano Ilaria , Bergallo Massimiliano
Published: February 2023

Interferons (IFNs) and IFN-stimulated genes (ISGs) play essential roles for the control of viral infections. Their expression in infants with respiratory syncytial virus (RSV) bronchiolitis is poorly defined. Human endogenous retroviruses (HERVs) represent 8% of our genome and modulate inflammatory and immune reactions. TRIM28 and SETDB1 participate in the epigenetic regulation of genes involved in the immune response, including IFNs and HERVs. No study has explored the expression of HERVs, TRIM28, and SETDB1 during RSV bronchiolitis. We assessed, through a PCR real-time Taqman amplification assay, the transcription levels of six IFN-I ISGs, four IFNλs, the pol genes of HERV-H, -K, and -W families, the env genes of Syncytin (SYN)1 and SYN2, and of TRIM28/SETDB1 in whole blood from 37 children hospitalized for severe RSV bronchiolitis and in healthy children (HC). The expression of most IFN-I ISGs was significantly higher in RSV+ patients than in age-matched HC, but it was inhibited by steroid therapy. The mRNA concentrations of IFN-λs were comparable between patients and age-matched HC. This lack of RSV-driven IFN-III activation may result in the defective protection of the airway mucosal surface leading to severe bronchiolitis. The expression of IFN-III showed a positive correlation with age in HC, that could account for the high susceptibility of young children to viral respiratory tract infections. The transcription levels of every HERV gene were significantly lower in RSV+ patients than in HC, while the expressions of TRIM28/SETDB1 were overlapping. Given the negative impact of HERVs and the positive effects of TRIM28/SETDB1 on innate and adaptive immune responses, the downregulation of the former and the normal expression of the latter may contribute to preserving immune functions against infection.
Hydrometeorological Conditions of the Volga Flow Generation into the Caspian Sea during the Last Glacial Maximum
Authors: Kalugin Andrey , Morozova Polina
Published: February 2023

The goal of this study is to evaluate annual and seasonal inflow from the Volga catchment area to the Caspian Sea during the Last Glacial Maximum (LGM ~21,000 years ago) using paleoclimate modeling data. The first approach is based on the LGM simulation by the general circulation models (GCMs) in the framework of the Paleoclimate Modelling Intercomparison Project (PMIP4) and the Coupled Modelling Intercomparison Project (CMIP6). We used four GCMs: INM-CM4-8, MIROC-ES2L, AWI-ESM1-1-LR, and MPI-ESM1-2-LR. The second approach is based on the spatially distributed process-based runoff generation model using PMIP4-CMIP6 model data as boundary conditions. The use of the hydrological ECOMAG model allows us to refine estimates of the Volga runoff in comparison to GCM calculations by considering seasonal features of runoff generation related to periglacial vegetation distribution, permafrost, and streamflow transformation along the channel network. The LGM is characterized by a high uncertainty in meteorological values calculated for the Volga basin using various GCMs. The share of runoff from the three most flooded months from the annual calculated in the LGM was 95%, according to INM-CM4-8, while other GCMs ranged from 69–78%. Three GCMs (MIROC-ES2L, AWI-ESM1-1-LR, and MPI-ESM1-2-LR) showed 83–88% of the present-day value of precipitation in the Volga basin during cooling for more than 10 °C, while INM-CM4-8 showed a two-fold decrease. According to hydrological modeling results using data from three models, the annual Volga runoff was significantly higher than the present-day value, and, when using data from INM-CM4-8, it was lower.
Effect of Home Bleaching on the Optical Properties and Surface Roughness of Novel Aesthetic Dental Ceramics
Authors: Alrabeah Ghada , Shabib Sara , Almomen Rhma , Alhedeithi Nura , Alotaibi Sarah , Habib Syed Rashid
Published: February 2023

The optical qualities of cutting-edge aesthetic dental ceramics are crucial for great aesthetics and may be impacted by various bleaching methods. The objectives of this study were to evaluate how home bleaching affected the translucency parameter (TP), contrast ratio (CR), total color difference (ΔE), and surface roughness (Ra) of various aesthetic dental ceramics, including innovative ultra-translucent zirconia. The three varieties of ceramics that were tested—IPS e.max-Press (IPS); classic zirconia with feldspathic layering (LZr); and translucent zirconia (TZr)—were each represented by seven samples. The samples were bleached at home using 15% carbamide peroxide for six hours a day for seven days. Each specimen’s pre- and post-bleaching CIE L*a*b* values were measured using a spectrophotometer, and the TP, CR, and ΔE were determined. Ra values were measured via 3D profilometry. In comparison to the pre-stage results, statistical analysis showed a significant decrease in TP and increase in CR for LZr and TZr in the post-stage (p < 0.05), but not for IPS (p = 0.398). The results also showed substantial variations in ΔE for the three ceramics (p = 0.020). Ra readings during the post-stage were noticeably greater than those at the pre-stage (p = 0.018). Home bleaching had an impact on the optical characteristics and surface texture of the dental ceramics. Additionally, IPS had greater color stability than LZr and TZr.
Polymer@SiO2 Core–Shell Composite Particles: Preparation and Application
Authors: Wang Na , Zhou Hongbin , Ren Junfang , Gao Gui , Zhao Gengrui , Yang Yawen , Wang Honggang , Wang Jinqing
Published: February 2023

In recent years, core–shell composite particles with organic polymer as the core and inorganic SiO2 as the shell have attracted widespread attention and prompted robust scientific endeavors. The encapsulation of SiO2 can endow the polymer core with a variety of important properties, and is of great significance for the synthesis of multi–functional materials, having favorable application prospects in coating, polishing, medical, optical, magnetic, lubrication and other fields. In this paper, the recent advances in the preparation of core–shell polymer@SiO2 composite particles are reviewed. From the perspective of interface bonding mechanisms between the core and the shell, this paper mainly focused on the following five aspects: Pickering stabilization, acid–base interaction, charge interaction, bridging of coupling agent, hydrogen bonding, and other actions. Additionally, applications of core–shell polymer@SiO2 particles are also discussed. It is expected that this article can provide scientific guidance for the preparation of polymer@SiO2 core–shell particles, further enriching their species and broadening their applications.
Densification, Microstructure and Anisotropic Corrosion Behavior of Al-Mg-Mn-Sc-Er-Zr Alloy Processed by Selective Laser Melting
Authors: Shi Jinglin , Hu Qiang , Zhao Xinming , Liu Jiahao , Zhou Jiacheng , Xu Weichen , Chen Yaolong
Published: February 2023

High-performance additives manufactured by Al alloys provide significant potential for lightweight applications and have attracted much attention nowadays. However, there is no research on Sc, Er and Zr microalloyed Al alloys, especially concerning corrosion behavior. Herein, crack-free and dense Al-Mg-Mn-Sc-Er-Zr alloys were processed by selective laser melting (SLM). After optimizing the process parameters of SLM, the anisotropic corrosion behavior of the sample (volume energy density of 127.95 J·mm−3) was investigated by intergranular corrosion (IGC) and electrochemical measurements. The results showed that the XY plane of the as-built sample is less prone to IGC, and it also has a higher open circuit potential value of −901.54 mV, a higher polarization resistance of 2.999 × 104 Ω·cm2, a lower corrosion current of 2.512 μA·cm−2 as well as passive film with superior corrosion resistance compared to the XZ plane. According to our findings, the XY plane has superior corrosion resistance compared to the XZ plane because it has fewer primary phases of Al3(Sc, Er, Zr) and Al2MgO4, which can induce localized corrosion. Additionally, a higher fraction of low-angle grain boundaries (LAGBs) and a stronger (001) texture index along the building direction are also associated with better corrosion resistance of the XY plane.
Improved Performance of Perovskite Deep-Ultraviolet Photodetector Using FAPb(I/Br)3 as Light Absorption Layer
Authors: Hong Soo Beom , Kim Sangmo , Choi Hyung Wook
Published: February 2023

Constitutive engineering by adding halide anions is one effective way to improve the performance of photodetectors by adjusting the bandgap. In this study, a mixed-anion perovskite thin film was facile fabricated by post-processing of a pure FAPbI3 film with a formamidinium bromide (FABr) solution. In addition, the manufactured thin film was used as the light absorption layer, SnO2-SDBS as the electron transport layer, and spiro-OMeTAD as the hole injection layer to fabricate a deep ultraviolet(UV) photodetector. The device exhibited a response of 43.8 mA/W−1, a detectability of 3.56 × 1013 Jones, and an external quantum efficiency of 38%. Therefore, this study is promising for various applications in the deep-UV wavelength region.
Multi-Scale Structural Design and Advanced Materials for Thermal Barrier Coatings with High Thermal Insulation: A Review
Authors: Song Jinbao , Wang Lishuang , Yao Jiantao , Dong Hui
Published: February 2023

Thermal barrier coatings (TBCs) are a fundamental technology used in high-temperature applications to protect superalloy substrate components. However, extreme high-temperature environments present many challenges for TBCs, such as the degradation of their thermal and mechanical properties. Hence, highly insulating, long-life TBCs must be developed to meet higher industrial efficiency. This paper reviews the main factors influencing the thermal insulation performance of TBCs, such as material, coating thickness, and structure. The heat transfer mechanism of the coating is summarized, and the degradation mechanism of the thermal insulation is analyzed from the perspective of the coating structure. Finally, the recent advances in improving the thermal insulation and lifetime of coatings are reviewed in terms of advanced materials and structural design, which will benefit advanced TBCs in future engineering applications and provide guidance for the next generation of high thermal insulating TBCs.
First-Principle Study on Correlate Structural, Electronic and Optical Properties of Ce-Doped BaTiO3
Authors: Yue Haojie , Fang Kailing , Chen Tiantian , Jing Qinfang , Guo Kun , Liu Zhiyong , Xie Bing , Mao Pu , Lu Jinshan , Tay Francis Eng Hock , Tan Ivan , Yao Kui
Published: February 2023

The structural, electronic, and optical properties of pure and Ce-doped BaTiO3 were investigated based on first-principle calculation. Here, we concentrate on understanding the effect of the substitution of Ce for Ba and Ti sites in the equilibrium lattice parameters, DOS, electronic band structure, and optical performance of the materials. The crystal structures with a 12.5% doping ratio at different sites were constructed by superseding an atom of Ba (or Ti) site with a Ce atom and investigating the optimized crystal structure parameters. The substitution of Ce leads to a reduction in the band gap by inducing the movement of the conduction band minimum (CBM) and valence band maximum (VBM). The reduction in the band gap has been shown to be beneficial in increasing electrical conductivity. The density of states of the materials was calculated to gain insight into the valence band, conduction band, and contribution of each orbital to the total density of states in the electronic structure. The charge density, Mulliken charges, and bond overlap populations of pristine and Ce-doped BaTiO3 were calculated to understand the nature of chemical bonds before and after doping. In addition, the optical properties of the materials were calculated, and the substitution of Ce for Ba site increased the static dielectric constant. In contrast, it decreased when Ce was doped into the Ti site. The substitution of Ce for different sites reduced the reflectivity of the material, while the transparency of the materials before and after doping was almost the same. The materials were transparent to incident light when the photon energy was below 10 eV, whereas opacity was in the ultraviolet range of 10–13 eV and beyond 20 eV. The theoretical calculation of different properties provides a new idea for the theoretical study of the BaTiO3-based system.
Competency-Based Workforce Development and Education in Global Oncology
Authors: Hammad Nazik , Ndlovu Ntokozo , Carson Laura Mae , Ramogola-Masire Doreen , Mallick Indranil , Berry Scott , Olapade-Olaopa E. Oluwabunmi
Published: February 2023

The healthcare workforce plays a pivotal role in cancer care delivery, leadership, policy, education, and research in complex cancer systems. To ensure quality and relevance, health professionals must have the necessary competencies to deliver patient-centered and efficient care, coupled with the ability to work in teams and manage health resources wisely. This paper aims to review the concept of competency-based medical education (CBME) in the context of oncology to provide insights and guidance for those interested in adopting or adapting competency-based education in training programs. The results of a scoping review of CBME in oncology are presented here to describe the current status of CBME in oncology. The literature describing the implementation and evaluation of CBME in oncology training programs for medical professionals internationally is summarized and key themes identified to provide practical guidance for educators. Further, the paper identifies critical competencies for oncology education and training globally and presents recommendations and opportunities for collaboration in competency-based education and training in oncology. The authors argue for increased global collaboration and networking in the realm of CBME to facilitate the establishment of a competent global cancer care workforce.
Correlation of Anticancer Drug Prices with Outcomes of Overall Survival and Progression-Free Survival in Clinical Trials in Japan
Authors: Okabe Ayano , Hayashi Haruto , Maeda Hideki
Published: February 2023

Drug pricing methods vary extensively across countries. Japan calculates drug prices using cost accounting and based on the efficacy of similar drugs. This study investigated the relationship between drug prices and their clinical efficacy and usefulness using public information on anticancer drugs reimbursed by the National Health Insurance price listing between January 2009 and March 2020. We investigated drug characteristics, prices, and clinical benefits based on overall survival (OS) and progression-free survival (PFS). Eighty anticancer drugs were approved in Japan during the study period. The largest number (28 drugs, 35.0%) was approved based on PFS, 18 (22.5%) were approved based on OS, and 13 (16.3%) based on the response rate. The mean (±SD) drug price was JPY 88,416.2 (±148,974.7), while the median drug price (with quartiles) was JPY 21,694 (JPY 4855.0–JPY 93,396.8). Drug prices were significantly higher for PFS than for OS, while cost index—the drug price to extend PFS or OS by one day—did not differ significantly between PFS and OS. The relationship between the 46 drugs approved based on OS or PFS and their prices was examined. A correlation was found between drug prices and their clinical usefulness in terms of OS but not PFS.
Altered Gut Microbiota Composition and Its Potential Association in Patients with Advanced Hepatocellular Carcinoma
Authors: Huo Ran , Chen Yanlin , Li Jie , Xu Quanguo , Guo Junying , Xu Haiyan , You Yiqing , Zheng Chaoqiang , Chen Yan
Published: February 2023

Hepatocellular carcinoma (HCC) is the second-most-common cause of cancer death. In recent years, studies have suggested that intestinal microbiota dysregulation is closely related to HCC and can affect the therapeutic efficacy of immune checkpoint inhibitors. However, there are few data on the relationship between altered gut microbiota composition and its potential association in patients with advanced hepatocellular carcinoma. Hence, in this study, we aimed to investigate the gut microbiota profile associated with advanced hepatocarcinoma. In total, 20 patients with advanced hepatocarcinoma and 20 matched healthy participants were recruited. Stool samples were collected for 16S rRNA sequencing to confirm intestinal microbiota dysbiosis. The results showed that the Nseqs index in advanced hepatocarcinoma patients was significantly different compared with that in healthy individuals, while the butyrate-producing bacteria decreased and LPS-producing bacteria increased. Meanwhile, Lactobacillus, Anaerostipes, Fusicatenibacter, Bifidobacterium, and Faecalibacterium were significantly correlated with AFP, ALT, AST, and PIVKA. Our findings characterized the gut microbiota composition of advanced hepatocarcinoma, providing an experimental basis and theoretical support for using microbiota to regulate immunotherapy, achieve potential biomarkers for diagnosis, and improve the effect of clinical treatment for patients with advanced hepatocarcinoma.
Risk of Cardiovascular Events and Lipid Profile Change in Patients with Breast Cancer Taking Aromatase Inhibitor: A Systematic Review and Meta-Analysis
Authors: Yoo Jeong-Ju , Jung Eun-Ae , Kim Zisun , Kim Bo-Yeon
Published: February 2023

Cardiovascular disease (CVD) is one of the most common comorbidities in breast cancer survivors. Recently, the target population and treatment period for aromatase inhibitor (AI) treatment in breast cancer patients has been expanding. However, information on adverse CVD events from the long-term use of AI is still lacking. The aim of this study was to investigate the CVD side effects of AI treatment and to evaluate the changes in lipid profile during AI treatment. A systematic search of PubMed (Medline), EMBASE, and Cochrane Library databases reporting on cardiovascular outcomes or lipid profiles change in adult female breast cancer patients (>19 years old) with AI was performed. The pooled analysis of 25 studies showed that the prevalence rate of any type of cardiovascular disease was 6.08 per 100 persons (95% CI 2.91–10.31). Angina was the most common type of heart-related cardiovascular event accounting for 3.85 per 100 persons, followed by any type of stroke (3.34) and venous thromboembolism (2.95). Ischemic stroke (OR 1.39, 95% CI 1.07–1.81) and myocardial infarction (OR 1.30, 95% CI 0.88–1.93) were more common in AI compared with tamoxifen, whereas the prevalence of venous thromboembolism (OR 0.61, 95% CI 0.37–1) was significantly lower in the AI group. In addition, treatment with AI for 6–12 months showed a decrease in HDL-cholesterol and an increase in LDL-cholesterol and total cholesterol. Various CVDs can occur when using AI, and in particular, the risk of MI and ischemic stroke increases in comparison with the adverse effect of tamoxifen. The occurrence of CVD might be related to the deterioration of the lipid profile after AI treatment. Therefore, a customized individualization strategy considering each patient’s CV risk factors is needed during AI treatment.
Osteopenia Is Associated with Shorter Survival in Patients with Intrahepatic Cholangiocarcinoma
Authors: Miki Atsushi , Sakuma Yasunaru , Watanabe Jun , Endo Kazuhiro , Sasanuma Hideki , Teratani Takumi , Lefor Alan Kawarai , Kitayama Joji , Sata Naohiro
Published: February 2023

Background: The prognostic importance of osteopenia in patients with intrahepatic cholangiocarcinoma (ICC) undergoing hepatectomy is unclear. The aim of this study was to evaluate the impact of osteopenia on survival in patients with ICC. Methods: A total of 71 patients who underwent hepatectomy at Jichi Medical University between July 2008 and June 2022 were included in this study. Non-contrast computed tomography scan images at the eleventh thoracic vertebra were used to assess bone mineral density. The cutoff value was calculated using a threshold value of 160 Hounsfield units. Overall survival curves were made using the Kaplan–Meier method and the log-rank test was used to evaluate survival. The hazard ratio (HR) and 95% confidence interval (CI) for overall survival were calculated using Cox’s proportional hazard model. Results: In multivariable analysis, osteopenia (HR 3.66, 95%CI 1.16–14.1, p = 0.0258) and the platelet–lymphocyte ratio (HR 6.26, 95%CI 2.27–15.9, p = 0.0008) were significant independent factors associated with overall survival. There were no significant independent prognostic factors for recurrence-free survival. Conclusions: Preoperative osteopenia is significantly associated with postoperative survival in patients with ICC undergoing hepatectomy.
Diversity and Regional Variation of Endosymbionts in the Green Peach Aphid, Myzus persicae (Sulzer)
Authors: Yang Qiong , Umina Paul A. , Wei Shujun , Bass Chris , Yu Wenjuan , Robinson Katie L. , Gill Alex , Zhan Dongwu , Ward Samantha E. , van Rooyen Anthony , Hoffmann Ary A.
Published: February 2023

The green peach aphid, Myzus persicae, is globally distributed and an important pest of many economically valuable food crops, largely due to its ability to transmit plant viruses. Almost all aphids, including M. persicae, carry the obligate symbiont Buchnera aphidicola, which provides essential amino acids that aphids cannot obtain from the phloem of plants themselves. Many aphids also harbor facultative (secondary) endosymbionts, which provide benefits under specific ecological conditions. In this study, we screened for secondary endosymbionts in M. persicae, with a particular focus on Australian populations where this species is growing in status as a major agricultural pest. We compared 37 Australian M. persicae populations with other populations, including 21 field populations from China and 15 clones from the UK, France, Italy, Greece, USA, Spain, South Korea, Chile, Japan and Zimbabwe. No secondary endosymbionts were identified in M. persicae samples outside of China, despite samples covering a wide geographic range and being collected from several host plant families. We detected two secondary endosymbionts (Rickettsia, Spiroplasma) in Chinese samples, although diversity appeared lower than detected in a recent study. We also found very high clonal diversity in Chinese samples based on DNA microsatellite markers in comparison with lower clonal diversity from Australia. These patterns may indicate a higher diversity of secondary endosymbionts (and clonal diversity) in the native range of M. persicae when compared to its invasive range.
Density Estimates and Habitat Preferences of Two Sympatric Bird Species as Potential Bioindicators of Tropical Forest Alterations
Authors: Lopez Dayron , Fonda Federica , Monti Flavio , Dal Zotto Matteo
Published: February 2023

Forestry management can shape the structure of habitat types and have important biological consequences on the composition of biodiversity. This study focused on Momotus lessonii and Eumomota superciliosa, two potential bioindicators of local and wide scale tropical forest alterations. The study took place in the Karen Mogensen Wildlife Refuge (Costa Rica), a protected area characterized by two main forest habitats where the two species coexist, i.e., primary moist and second-growth dry forest. A distance sampling method was used to obtain density estimates for each species. A spot mapping approach showed an apparent partitioning of the two species at the site. The Kilometric Abundance Index (KAI) and statistical analyses revealed significant differences between the two habitats, i.e., E. superciliosa tended to be more abundant and preferred the dry forest, whilst M. lessonii favored moist environments. The development of arid and semi-arid environments characterized by open areas will probably lead to a numerical increase in E. superciliosa with a consequent expansion, while the decline of moister and homogeneously forested environments will likely affect negatively M. lessonii. We argue that these birds will act as bioindicators of local and global environmental changes, and their monitoring will enable appropriate forest management decisions for conservation purposes.
Lamellicorn Beetles (Coleoptera, Scarabaeoidea) of the Islands of the Peter the Great Gulf, Sea of Japan (Primorsky Krai of Russia)
Authors: Bezborodov Vitaly G. , Lesik Elena V.
Published: February 2023

The species diversity of lamellicorn beetles (Coleoptera, Scarabaeoidea) on the 20 islands of Peter the Great Gulf was considered and analyzed for the first time, where 83 species from 38 genera were identified. There are 60 species (72.3%) and 20 genera (52.6%) are new for the fauna of the islands, with reference to the literature data. The total fauna with Russky Island (21 islands) includes 87 species from 38 genera of 13 subfamilies and four families of the superfamily Scarabaeoidea. The diversity and degree of study of the group on individual islands is very uneven. Russky Island with 80 species (92% of the total fauna of 21 islands), Popov Island with 42 species (48.3%) and Putyatin Island with 39 species (44.8%) have the most species-rich fauna. On the islands of Kozlov, Rikord, Zheltukhin, and Durnovo, one species was recorded (1.1%). The Scarabaeidae Latreille, 1802 is dominates the fauna of 21 islands—77 species (88.5%), other families are represented by a single species: Trogidae Macleay, 1819—5 species (5.7%), Lucanidae Latreille, 1804—3 species (3.5%), Geotrupidae Latreille, 1802—2 species (2.3%). Scarabaeinae with 15 species (19.5%), Aphodiinae Leach, 1815 with 14 species (18.2%), and Rhizotroginae with 13 species (16.9%) are dominant in the Scarabaeidae fauna. The article deals with the annotated list of species and the studied material, discusses the ecological and zoogeographical features of the local faunas of Scarabaeoidea and features of the faunagenesis of the study area. The local Scarabaeoidea faunas of the islands are characterized by a significant depletion and mosaic composition of the species composition in comparison with the continental fauna. Despite the peculiarity of the climatic conditions of the islands and their significant isolation from the continental coast, the insular faunas of Scarabaeoidea demonstrate a high degree of similarity to the area, and have a logical structure with the continental fauna of lamellicorn beetles due to the geological youth of the island. The islands appeared during the post-Pleistocene transgression of the sea 11 to 8.5 thousand years ago.
Adequate Dietary Intake and Consumption of Indigenous Fermented Products Are Associated with Improved Nutrition Status among Children Aged 6–23 Months in Zambia
Authors: Hamaimbo Bubala Thandie , Marinda Pamela A. , Nyau Vincent , Chileshe Justin , Khayeka-Wandabwa Christopher , Schoustra Sijmen E.
Published: February 2023

Agroecological food systems and socioeconomic characteristics are known to influence household food security and food consumption patterns and consequently have an impact on child nutritional status. The present study examined food consumption patterns among children aged 6–23 months in two geographic regions of Zambia, with special focus on consumption of fermented products, and its association with illnesses and nutritional status. The cross-sectional survey enrolled a total of 213 children from Namwala and Mkushi districts of Zambia. A 24 h recall and food frequency questionnaire (FFQ) were used to determine the number of food groups consumed and consequently dietary diversity scores and food consumption patterns, respectively. Determinants of child’s linear growth as measured by Height-for-Age Z-scores (HAZ) were assessed via multiple linear regression analysis. In total, 54% of the children met the minimum dietary diversity by consuming food from at least 5+ food groups. Maize meal porridge, Mabisi (fermented milk), Chibwantu and Munkoyo (fermented beverages based on cereals) and groundnuts were among the frequently consumed foods. A higher consumption of fermented beverages was observed in Namwala compared to Mkushi district. A significant association was observed between HAZ score (rho = 0.198, p = 0.004), Weight-for-Age Z-score (WAZ) (rho = 0.142, p = 0.039) and consumption of mabisi. Dietary intake had a positive association with child nutritional status. The frequent consumption of traditional non-alcoholic cereal and milk-based fermented foods underpinned their contribution to the children’s dietary intake. Moreover, the trend would be viewed as an indicator to nutrition and policy actors on possible unoptimized potential of indigenous fermented foods’ influence in nutritional and health status among children at regional and national levels. Although Zambia has a wide range of traditional non-alcoholic fermented food products, their prospects in provision of macro- and micronutrients along with microbiota benefits remain scanty despite global efforts increasingly advocating for the inclusion of such traditional foods in food-based recommendations.
Accuracy Assessment of Machine Learning Algorithms Used to Predict Breast Cancer
Authors: Ebrahim Mohamed , Sedky Ahmed Ahmed Hesham , Mesbah Saleh
Published: February 2023

Machine learning (ML) was used to develop classification models to predict individual tumor patients’ outcomes. Binary classification defined whether the tumor was malignant or benign. This paper presents a comparative analysis of machine learning algorithms used for breast cancer prediction. This study used a dataset obtained from the National Cancer Institute (NIH), USA, which contains 1.7 million data records. Classical and deep learning methods were included in the accuracy assessment. Classical decision tree (DT), linear discriminant (LD), logistic regression (LR), support vector machine (SVM), and ensemble techniques (ET) algorithms were used. Probabilistic neural network (PNN), deep neural network (DNN), and recurrent neural network (RNN) methods were used for comparison. Feature selection and its effect on accuracy were also investigated. The results showed that decision trees and ensemble techniques outperformed the other techniques, as they both achieved a 98.7% accuracy.
Rational Usage of Fracture Imaging in Children and Adolescents
Authors: Kraus Ralf , Dresing Klaus
Published: February 2023

In this paper, authors introduce the basic prerequisite for rational, targeted, and above all, child-oriented diagnosis of fractures and dislocations in children and adolescents is in-depth prior knowledge of the special features of trauma in the growth age group. This review summarizes the authors’ many years of experience and the state of the current pediatric traumatology literature. It aims to provide recommendations for rational, child-specific diagnostics appropriate to the child, especially for the area of extremity injuries in the growth age. The plain radiograph remains the indispensable standard in diagnosing fractures and dislocations of the musculoskeletal system in childhood and adolescence. Plain radiographs in two planes are the norm, but in certain situations, one plane is sufficient. X-rays of the opposite side in acute diagnostics are obsolete. Images to show consolidation after conservative treatment is rarely necessary. Before metal removal, however, they are indispensable. The upcoming diagnostical tool in pediatric trauma is ultrasound. More and more studies show that in elected injuries and using standardized protocols, fracture ultrasound is as accurate as plain radiographs to detect and control osseous and articular injuries. In acute trauma, CT scans have only a few indications, especially in epiphyseal fractures in adolescents, such as transitional fractures of the distal tibia or coronal shear fractures of the distal humerus. CT protocols must be adapted to children and adolescents to minimize radiation exposure. MRI has no indication in the detection or understanding of acute fractures in infants and children. It has its place in articular injuries of the knee and shoulder to show damage to ligaments, cartilage, and other soft tissues. Furthermore, MRI is useful in cases of remaining pain after trauma without radiological proof of a fracture and in the visualization of premature closure of growth plates after trauma to plan therapy. Several everyday examples of rational diagnostic workflows, as the authors recommend them, are mentioned. The necessity of radiation protection must be taken into consideration.