bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Humidity-Triggered Controlled-Release 1-Methylcyclopropene (1-MCP) on Postharvest Quality of Papaya Fruit
Authors: Shu Chang , Wall Marisa M. , Follett Peter A. , Sugimoto Nobuko , Bai Jinhe , Sun Xiuxiu
Published: September 2023

Papaya (Carica papaya L.) is a valuable economic crop that is widely cultivated in tropical and subtropical regions but has a short storage and shelf life. Exploring effective strategies to improve the postharvest quality of papaya is important. This study explored the effect of humidity-triggered controlled-release 1-methylcyclopropene (1-MCP) sheets on the postharvest quality of papaya fruit. ‘Rainbow’ papayas underwent cold storage at 10 ± 0.5 °C, RH 85% ± 2% for 14 days, and then were transferred to 20 ± 0.5 °C, RH 85% ± 2% for 10 days to simulate shelf life. The 1-MCP sheets were cut into different sizes and placed in storage containers in advance to create corresponding concentrations at 0.5, 1.0, 2.0, and 4.0 ppm. Results showed that 1-MCP treatment inhibited fruit softening, and reduced weight loss and peel color deterioration without causing any physiological disorders. The 1.0–2.0 ppm 1-MCP-treated fruit received the highest score for papaya flavor and sweetness respectively and the lowest score for off-flavor. The humidity-triggered controlled-release 1-MCP sheets are effective and convenient, and they can serve as an important tool for regulating postharvest papaya ripening with economic benefits.
Commonalities and Differences in the Experiences of Visible Minority Transnational Carer–Employees: A Qualitative Study
Authors: Shahbaz Reemal , Williams Allison , Sethi Bharati , Wahoush Olive
Published: September 2023

This qualitative study explored the commonalities and differences among the experiences of visible minority Transnational Carer–Employees (TCEs) before and after COVID-19. TCEs are immigrants who live and work in the country of settlement while providing caregiving across international borders. Purposive and snowball sampling resulted in the participation of 29 TCEs of Pakistani, Syrian, African, and South American origin living in London, Ontario. Thematic analysis of the dataset using the ATLAS.ti software, Version 23.2.1., generated three themes: (1) feelings associated with transnational care; (2) employment experiences of TCEs; and (3) coping strategies for well-being. The results of the secondary analysis conducted herein suggested that there are more similarities than differences across the four cohorts. Many participants felt a sense of satisfaction at being able to fulfill their care obligations; however, a different outlook was observed among some Syrian and African origin respondents, who disclosed that managing care and work is overwhelming. Most TCEs also reported facing limited job options because of language barriers. While various interviewees experienced a lack of paid work and reduced income after COVID-19, a distinct perspective was noted from African descent TCEs as they expressed facing increased work demands after the pandemic. Participants additionally revealed four common coping strategies such as keeping busy, praying, family support, and staying active. Study implications include the promotion of Carer-Friendly Workplace Policies (CFWPs) that can facilitate the welfare of unpaid caregivers. This research is important as it may inform policymakers to create opportunities that may not only foster economic stability of TCEs and the Canadian economy, but also contribute towards a more equitable society.
Demographic and Clinical Characteristics of Mpox Patients Attending an STD Clinic in Lisbon
Authors: Caldeira Margarida Brito , Neves José Miguel , Pestana Mafalda , Corte-Real Rita , Borrego Maria José , Cordeiro Rita , Machado Jorge , Pelerito Ana , Carvalho Isabel Lopes De , Núncio Maria Sofia , Fernandes Cândida
Published: September 2023

Mpox is a viral disease caused by the monkeypox virus, which marked the year of 2022 with a global outbreak. While previously considered to be a zoonosis of almost exclusive animal-to-human transmission, the current outbreak has been attributed to human-to-human transmission, particularly sexual transmission. As a new sexually transmissible disease, we studied the epidemiological and clinical features, as well as the concomitant occurrence of other sexually transmissible diseases, treatment approach, and outcome of our 291 patients, in the current outbreak. We found a total of 169 concomitant sexually transmissible infections of bacterial and viral origins, corresponding to 107 patients. Neisseria gonorrhoeae was the most common agent, particularly in the anal location. With this work, we emphasize the need for a thorough epidemiological and medical history, as well as a concomitant complete laboratorial screening for other STIs in patients with confirmed or suspected mpox.
Seeking Health in a Digital World: Exploring Immigrant Parents’ Quest for Child Health Information—A Scoping Review
Authors: Zysset Annina E. , Schwärzler Patricia , Dratva Julia
Published: September 2023

During pregnancy and early parenthood, parents’ strong interest in pediatric health information presents a valuable opportunity to positively impact long-term health-seeking behavior and overall child health. In line with the increasing prevalence of digital transformation, a scoping review was conducted to explore two key aspects: (1) information seeking and use of digital health information among immigrant parents, and (2) associated reasons and factors. The literature search covered the period until July 2022, using Web of Science, MEDLINE, and CINAHL Complete databases. Out of 625 articles, 12 were included, comprising six qualitative, five quantitative studies, and one review. The majority of studies focused on immigrants in North America, primarily from Latin America and Asia. The studies varied in topics and methodologies, making it challenging to draw general conclusions. Nevertheless, while most immigrant parents rely on digital information on child health, they often prefer human sources such as family, friends, or healthcare providers. Trustworthiness and accessibility emerged as critical criteria for health resources. Two focus group discussions, derived from the results of the review, confirmed these findings for migrant mothers in Switzerland.
Microplastics and Kidneys: An Update on the Evidence for Deposition of Plastic Microparticles in Human Organs, Tissues and Fluids and Renal Toxicity Concern
Authors: La Porta Edoardo , Exacoustos Ottavia , Lugani Francesca , Angeletti Andrea , Chiarenza Decimo Silvio , Bigatti Carolina , Spinelli Sonia , Kajana Xhuliana , Garbarino Andrea , Bruschi Maurizio , Candiano Giovanni , Caridi Gianluca , Mancianti Nicoletta , Calatroni Marta , Verzola Daniela , Esposito Pasquale , Viazzi Francesca , Verrina Enrico , Ghiggeri Gian Marco
Published: September 2023

Plastic pollution became a main challenge for human beings as demonstrated by the increasing dispersion of plastic waste into the environment. Microplastics (MPs) have become ubiquitous and humans are exposed daily to inhalation or ingestion of plastic microparticles. Recent studies performed using mainly spectroscopy or spectrometry-based techniques have shown astounding evidence for the presence of MPs in human tissues, organs and fluids. The placenta, meconium, breast milk, lung, intestine, liver, heart and cardiovascular system, blood, urine and cerebrovascular liquid are afflicted by MPs’ presence and deposition. On the whole, obtained data underline a great heterogeneity among different tissue and organs of the polymers characterized and the microparticles’ dimension, even if most of them seem to be below 50–100 µm. Evidence for the possible contribution of MPs in human diseases is still limited and this field of study in medicine is in an initial state. However, increasing studies on their toxicity in vitro and in vivo suggest worrying effects on human cells mainly mediated by oxidative stress, inflammation and fibrosis. Nephrological studies are insufficient and evidence for the presence of MPs in human kidneys is still lacking, but the little evidence present in the literature has demonstrated histological and functional alteration of kidneys in animal models and cytotoxicity through apoptosis, autophagy, oxidative stress and inflammation in kidney cells. Overall, the manuscript we report in this review recommends urgent further study to analyze potential correlations between kidney disease and MPs’ exposure in human.
Circulatory miRNAs as Correlates of Elevated Intra-Pancreatic Fat Deposition in a Mixed Ethnic Female Cohort: The TOFI_Asia Study
Authors: Ramzan Farha , Sequeira-Bisson Ivana R. , Lu Louise W. , Mitchell Cameron J. , D’Souza Randall F. , Vickers Mark H. , Poppitt Sally D. , Cameron-Smith David
Published: September 2023

Ectopic lipid accumulation, including intra-pancreatic fat deposition (IPFD), exacerbates type 2 diabetes risk in susceptible individuals. Dysregulated circulating microRNAs (miRNAs) have been identified as correlating with clinical measures of pancreatitis, pancreatic cancer and type 1 diabetes. The aim of the current study was therefore to examine the association between circulating abundances of candidate miRNAs, IPFD and liver fat deposition as quantified using magnetic resonance imaging (MRI) and spectroscopy (MRS). Asian Chinese (n = 34; BMI = 26.7 ± 4.2 kg/m2) and European Caucasian (n = 34; BMI = 28.0 ± 4.5 kg/m2) females from the TOFI_Asia cohort underwent MRI and MRS analysis of pancreas (MR-%IPFD) and liver fat (MR-%liver fat), respectively, to quantify ectopic lipid deposition. Plasma miRNA abundances of a subset of circulatory miRNAs associated with IPFD and liver fat deposition were quantified by qRT-PCR. miR-21-3p and miR-320a-5p correlated with MR-%IPFD, plasma insulin and HOMA2-IR, but not MR-%liver fat. MR-%IPFD remained associated with decreasing miR-21-3p abundance following multivariate regression analysis. miR-21-3p and miR-320a were demonstrated to be negatively correlated with MR-%IPFD, independent of ethnicity. For miR-21-3p, this relationship persists with the inclusion of MR-%liver fat in the model, suggesting the potential for a wider application as a specific circulatory correlate of IPFD.
Arsenite Impairs BRCA1-Dependent DNA Double-Strand Break Repair, a Mechanism Potentially Contributing to Genomic Instability
Authors: Matthäus Tizia , Stößer Sandra , Seren Hatice Yasemin , Haberland Vivien M. M. , Hartwig Andrea
Published: September 2023

BRCA1 is a key player in maintaining genomic integrity with multiple functions in DNA damage response (DDR) mechanisms. Due to its thiol-rich zinc-complexing domain, the protein may also be a potential target for redox-active and/or thiol-reactive (semi)metal compounds. The latter includes trivalent inorganic arsenic, which is indirectly genotoxic via induction of oxidative stress and inhibition of DNA repair pathways. In the present study, we investigated the effect of NaAsO2 on the transcriptional and functional DDR. Particular attention was paid to the potential impairment of BRCA1-mediated DDR mechanisms by arsenite by comparing BRCA1-deficient and -proficient cells. At the transcriptional level, arsenite itself activated several DDR mechanisms, including a pronounced oxidative stress and DNA damage response, mostly independent of BRCA1 status. However, at the functional level, a clear BRCA1 dependency was observed in both cell cycle regulation and cell death mechanisms after arsenite exposure. Furthermore, in the absence of arsenite, the lack of functional BRCA1 impaired the largely error-free homologous recombination (HR), leading to a shift towards the error-prone non-homologous end-joining (NHEJ). Arsenic treatment also induced this shift in BRCA1-proficient cells, indicating BRCA1 inactivation. Although BRCA1 bound to DNA DSBs induced via ionizing radiation, its dissociation was impaired, similarly to the downstream proteins RAD51 and RAD54. A shift from HR to NHEJ by arsenite was further supported by corresponding reporter gene assays. Taken together, arsenite appears to negatively affect HR via functional inactivation of BRCA1, possibly by interacting with its RING finger structure, which may compromise genomic stability.
Biosynthesis of Bacterial Nanocellulose from Low-Cost Cellulosic Feedstocks: Effect of Microbial Producer
Authors: Skiba Ekaterina A. , Shavyrkina Nadezhda A. , Skiba Maria A. , Mironova Galina F. , Budaeva Vera V.
Published: September 2023

Biodegradable bacterial nanocellulose (BNC) is a highly in-demand but expensive polymer, and the reduction of its production cost is an important task. The present study aimed to biosynthesize BNC on biologically high-quality hydrolyzate media prepared from miscanthus and oat hulls, and to explore the properties of the resultant BNC depending on the microbial producer used. In this study, three microbial producers were utilized for the biosynthesis of BNC: individual strains Komagataeibacter xylinus B-12429 and Komagataeibacter xylinus B-12431, and symbiotic Medusomyces gisevii Sa-12. The use of symbiotic Medusomyces gisevii Sa-12 was found to have technological benefits: nutrient media require no mineral salts or growth factors, and pasteurization is sufficient for the nutrient medium instead of sterilization. The yield of BNCs produced by the symbiotic culture turned out to be 44–65% higher than that for the individual strains. The physicochemical properties of BNC, such as nanofibril width, degree of polymerization, elastic modulus, Iα allomorph content and crystallinity index, are most notably dependent on the microbial producer type rather than the nutrient medium composition. This is the first study in which we investigated the biosynthesis of BNC on hydrolyzate media prepared from miscanthus and oat hulls under the same conditions but using different microbial producers, and showed that it is advisable to use the symbiotic culture. The choice of a microbial producer is grounded on the yield, production process simplification and properties. The BNC production from technical raw materials would cover considerable demands of BNC for technical purposes without competing with food resources.
Selective ROCK Inhibitor Enhances Blood Flow Recovery after Hindlimb Ischemia
Authors: Fayed Hend Salah , Bakleh Mouayad Zuheir , Ashraf Jasni Viralippurath , Howarth Alison , Ebner Daniel , Al Haj Zen Ayman
Published: September 2023

The impairment in microvascular network formation could delay the restoration of blood flow after acute limb ischemia. A high-content screen of a GSK-published kinase inhibitor library identified a set of ROCK inhibitor hits enhancing endothelial network formation. Subsequent kinase activity profiling against a panel of 224 protein kinases showed that two indazole-based ROCK inhibitor hits exhibited high selectivity for ROCK1 and ROCK2 isoforms compared to other ROCK inhibitors. One of the chemical entities, GSK429286, was selected for follow-up studies. We found that GSK429286 was ten times more potent in enhancing endothelial tube formation than Fasudil, a classic ROCK inhibitor. ROCK1 inhibition by RNAi phenocopied the angiogenic phenotype of the GSK429286 compound. Using an organotypic angiogenesis co-culture assay, we showed that GSK429286 formed a dense vascular network with thicker endothelial tubes. Next, mice received either vehicle or GSK429286 (10 mg/kg i.p.) for seven days after hindlimb ischemia induction. As assessed by laser speckle contrast imaging, GSK429286 potentiated blood flow recovery after ischemia induction. At the histological level, we found that GSK429286 significantly increased the size of new microvessels in the regenerating areas of ischemic muscles compared with vehicle-treated ones. Our findings reveal that selective ROCK inhibitors have in vitro pro-angiogenic properties and therapeutic potential to restore blood flow in limb ischemia.
BMSC–HNC Interaction: Exploring Effects on Bone Integrity and Head and Neck Cancer Progression
Authors: Eichberger Jonas , Froschhammer Daniel , Schulz Daniela , Scholz Konstantin J. , Federlin Marianne , Ebensberger Helga , Reichert Torsten E. , Ettl Tobias , Bauer Richard J.
Published: September 2023

In recent research, the tumor microenvironment has been shown to attract mesenchymal stromal cells (MSCs), which is of particular interest due to its implications for cancer progression. The study focused on understanding the interaction between bone marrow-derived MSCs (BMSCs) and head and neck cancer (HNC) cells. This interaction was found to activate specific markers, notably the osteogenic marker alkaline phosphatase and the oncogene Runx2. These activations corresponded with the release of collagenase enzymes, MMP9 and MMP2. To gain insights into bone resorption related to this interaction, bovine bone slices were used, supporting the growth of “heterogeneous spheroids” that contained both BMSCs and HNC cells. Through scanning electron microscopy and energy-dispersive X-ray (EDX) analysis, it was observed that these mixed spheroids were linked to a notable increase in bone degradation and collagen fiber exposure, more so than spheroids of just BMSCs or HNC cells. Furthermore, the EDX results highlighted increased nitrogen content on bone surfaces with these mixed clusters. Overall, the findings underscore the significant role of BMSCs in tumor growth, emphasizing the need for further exploration in potential cancer treatment strategies.
Cell-Type-Specific Mitochondrial Quality Control in the Brain: A Plausible Mechanism of Neurodegeneration
Authors: Ragupathy Hariprasath , Vukku Manasvi , Barodia Sandeep Kumar
Published: September 2023

Neurodegeneration is an age-dependent progressive phenomenon with no defined cause. Aging is the main risk factor for neurodegenerative diseases. During aging, activated microglia undergo phenotypic alterations that can lead to neuroinflammation, which is a well-accepted event in the pathogenesis of neurodegenerative diseases. Several common mechanisms are shared by genetically or pathologically distinct neurodegenerative diseases, such as excitotoxicity, mitochondrial deficits and oxidative stress, protein misfolding and translational dysfunction, autophagy and microglia activation. Progressive loss of the neuronal population due to increased oxidative stress leads to neurodegenerative diseases, mostly due to the accumulation of dysfunctional mitochondria. Mitochondrial dysfunction and excessive neuroinflammatory responses are both sufficient to induce pathology in age-dependent neurodegeneration. Therefore, mitochondrial quality control is a key determinant for the health and survival of neuronal cells in the brain. Research has been primarily focused to demonstrate the significance of neuronal mitochondrial health, despite the important contributions of non-neuronal cells that constitute a significant portion of the brain volume. Moreover, mitochondrial morphology and function are distinctly diverse in different tissues; however, little is known about their molecular diversity among cell types. Mitochondrial dynamics and quality in different cell types markedly decide the fate of overall brain health; therefore, it is not justifiable to overlook non-neuronal cells and their significant and active contribution in facilitating overall neuronal health. In this review article, we aim to discuss the mitochondrial quality control of different cell types in the brain and how important and remarkable the diversity and highly synchronized connecting property of non-neuronal cells are in keeping the neurons healthy to control neurodegeneration.
Exploring the Influence of Spacers in EDTA–β-Cyclodextrin Dendrimers: Physicochemical Properties and In Vitro Biological Behavior
Authors: González-Méndez Israel , Sorroza-Martínez Kendra , González-Sánchez Ignacio , Gracia-Mora Jesús , Bernad-Bernad María Josefa , Cerbón Marco , Rivera Ernesto , Yatsimirsky Anatoly K.
Published: September 2023

The synthesis of a new family of ethylenediaminetetraacetic acid (EDTA) core dimers and G0 dendrimers end-capped with two and four β-cyclodextrin (βCD) moieties was performed by click-chemistry conjugation, varying the spacers attached to the core. The structure analyses were achieved in DMSO-d6 and the self-inclusion process was studied in D2O by 1H-NMR spectroscopy for all platforms. It was demonstrated that the interaction with adamantane carboxylic acid (AdCOOH) results in a guest-induced shift of the self-inclusion effect, demonstrating the full host ability of the βCD units in these new platforms without any influence of the spacer. The results of the quantitative size and water solubility measurements demonstrated the equivalence between the novel EDTA-βCD platforms and the classical PAMAM-βCD dendrimer. Finally, we determined the toxicity for all EDTA-βCD platforms in four different cell lines: two human breast cancer cells (MCF-7 and MDA-MB-231), human cervical adenocarcinoma cancer cells (HeLa), and human lung adenocarcinoma cells (SK-LU-1). The new EDTA-βCD carriers did not present any cytotoxicity in the tested cell lines, which showed that these new classes of platforms are promising candidates for drug delivery.
Disrupting the Repeat Domain of Premelanosome Protein (PMEL) Produces Dysamyloidosis and Dystrophic Ocular Pigment Reflective of Pigmentary Glaucoma
Authors: Hodges Elizabeth D. , Chrystal Paul W. , Footz Tim , Doucette Lance P. , Noel Nicole C. L. , Li Zixuan , Walter Michael A. , Allison W. Ted
Published: September 2023

Pigmentary glaucoma has recently been associated with missense mutations in PMEL that are dominantly inherited and enriched in the protein’s fascinating repeat domain. PMEL pathobiology is intriguing because PMEL forms functional amyloid in healthy eyes, and this PMEL amyloid acts to scaffold melanin deposition. This is an informative contradistinction to prominent neurodegenerative diseases where amyloid formation is neurotoxic and mutations cause a toxic gain of function called “amyloidosis”. Preclinical animal models have failed to model this PMEL “dysamyloidosis” pathomechanism and instead cause recessively inherited ocular pigment defects via PMEL loss of function; they have not addressed the consequences of disrupting PMEL’s repetitive region. Here, we use CRISPR to engineer a small in-frame mutation in the zebrafish homolog of PMEL that is predicted to subtly disrupt the protein’s repetitive region. Homozygous mutant larvae displayed pigmentation phenotypes and altered eye morphogenesis similar to presumptive null larvae. Heterozygous mutants had disrupted eye morphogenesis and disrupted pigment deposition in their retinal melanosomes. The deficits in the pigment deposition of these young adult fish were not accompanied by any detectable glaucomatous changes in intraocular pressure or retinal morphology. Overall, the data provide important in vivo validation that subtle PMEL mutations can cause a dominantly inherited pigment pathology that aligns with the inheritance of pigmentary glaucoma patient pedigrees. These in vivo observations help to resolve controversy regarding the necessity of PMEL’s repeat domain in pigmentation. The data foster an ongoing interest in an antithetical dysamyloidosis mechanism that, akin to the amyloidosis of devastating dementias, manifests as a slow progressive neurodegenerative disease.
The Influence of Combined Sterilization Factors on the Structural and Functional Characteristics of Bone Implants
Authors: Nikolaeva Nadezhda , Rozanov Vladimir , Chernyaev Alexander , Matveychuk Igor , Makarova Milena
Published: September 2023

The results of a comprehensive study of the patterns of structural and functional changes in bone tissue samples after combined (ozone + radiation) sterilization are presented. The study used a different approach to the sterilization process with selective ozone or radiation exposure and an integral, combined one, based on a combined ozone–oxygen treatment of bone samples at the first stage and radiation at the second. The methods of IR spectroscopy, scanning electron microscopy with a prefix for elemental analysis, atomic force microscopy, and mechanical analysis with determination of elastic-plastic properties (Vickers microhardness index) were used in the work. It is shown that the ozone exposure used at the first stage of the combined sterilization process of bone implants does not lead to negative consequences with respect to their properties and characteristics. The results obtained serve as a scientific and methodological basis for the further improvement and optimization of sterilization technologies (including combined). They also offer a comprehensive justification of the parameters of sterilization regimes to ensure the safety of using bone implants during reconstructive operations, minimizing structural and functional changes in bone matter, and creating effective health-saving technologies and the possibility of using them for various biomedical applications.
Enhanced Innate and Acquired Immune Responses in Systemic Sclerosis Primary Peripheral Blood Mononuclear Cells (PBMCs)
Authors: Szabo Iulia , Badii Medeea , Gaál Ildikó O. , Szabo Robert , Popp Radu A. , Joosten Leo A. B. , Crişan Tania O. , Rednic Simona
Published: September 2023

Chronic immune activation in systemic sclerosis is supported by the production of a plethora of cytokines with proven regulatory activities of the immune responses. This study aimed to explore PBMCs’ cytokine profiles in SSc patients versus controls, as well as to investigate the balance between pro- and anti-inflammatory cytokines in association with disease duration. PBMCs were isolated from 18 SSc patients and 17 controls and further subjected to in vitro stimulation with lipopolysaccharide and heat-killed Candida albicans. Cytokine production was measured after 24 h and 7 days, respectively, using ELISA kits for interleukin (IL)-1β, IL-1 receptor antagonist (IL-1Ra), IL-6, tumor necrosis factor (TNF), IL-10, IL-17, and interferon-gamma (IFN-gamma). IL-1 β, IL-6, and TNF levels were increased in SSc patients compared with healthy volunteers irrespective of the stimulus used. IL-1Ra and Il-17 concentrations were not statistically different between groups, even though a trend toward higher levels in patients compared with their matched controls was also observed. Most cytokines demonstrated a stable course with disease progression, except for IL-10 levels, which declined over time. In conclusion, the results of this pilot study reveal that in patients with SSc a persistently enhanced immune response is established and maintained regardless of stimulus or disease duration.
IoT-Applicable Generalized Frameproof Combinatorial Designs
Authors: Roy Bimal Kumar , Roy Anandarup
Published: September 2023

Secret sharing schemes are widely used to protect data by breaking the secret into pieces and sharing them amongst various members of a party. In this paper, our objective is to produce a repairable ramp scheme that allows for the retrieval of a share through a collection of members in the event of its loss. Repairable Threshold Schemes (RTSs) can be used in cloud storage and General Data Protection Regulation (GDPR) protocols. Secure and energy-efficient data transfer in sensor-based IoTs is built using ramp-type schemes. Protecting personal privacy and reinforcing the security of electronic identification (eID) cards can be achieved using similar schemes. Desmedt et al. introduced the concept of frameproofness in 2021, which motivated us to further improve our construction with respect to this framework. We introduce a graph theoretic approach to the design for a well-rounded and easy presentation of the idea and clarity of our results. We also highlight the importance of secret sharing schemes for IoT applications, as they distribute the secret amongst several devices. Secret sharing schemes offer superior security in lightweight IoT compared to symmetric key encryption or AE schemes because they do not disclose the entire secret to a single device, but rather distribute it among several devices.
Outcomes of CAR-T Cell Therapy Recipients Admitted to the ICU: In Search for a Standard of Care—A Brief Overview and Meta-Analysis of Proportions
Authors: Constantinescu Catalin , Moisoiu Vlad , Tigu Bogdan , Kegyes David , Tomuleasa Ciprian
Published: September 2023

Objective: Our primary objective was to describe the baseline characteristics, main reasons for intensive care unit (ICU) admission, and interventions required in the ICU across patients who received CAR-T cell immunotherapy. The secondary objectives were to evaluate different outcomes (ICU mortality) across patients admitted to the ICU after having received CAR-T cell therapy. Materials and Methods. We performed a medical literature review, which included MEDLINE, Embase, and Cochrane Library, of studies published from the inception of the databases until 2022. We conducted a systematic review with meta-analyses of proportions of several studies, including CAR-T cell-treated patients who required ICU admission. Outcomes in the meta-analysis were evaluated using the random-effects model. Results: We included four studies and analyzed several outcomes, including baseline characteristics and ICU-related findings. CAR-T cell recipients admitted to the ICU are predominantly males (62% CI-95% (57–66)). Of the total CAR-T cell recipients, 4% CI-95% (3–5) die in the hospital, and 6% CI-95% (4–9) of those admitted to the ICU subsequently die. One of the main reasons for ICU admission is acute kidney injury (AKI) in 15% CI-95% (10–19) of cases and acute respiratory failure in 10% CI-95% (6–13) of cases. Regarding the interventions initiated in the ICU, 18% CI-95% (13–22) of the CAR-T recipients required invasive mechanical ventilation during their ICU stay, 23% CI-95% (16–30) required infusion of vasoactive drugs, and 1% CI-95% (0.1–3) required renal replacement therapy (RRT). 18% CI-95% (13–22) of the initially discharged patients were readmitted to the ICU within 30 days, and the mean length of hospital stay is 22 days CI-95% (19–25). The results paint a current state of matter in CAR-T cell recipients admitted to the ICU. Conclusions: To better understand immunotherapy-related complications from an ICU standpoint, acknowledge the deteriorating patient on the ward, reduce the ICU admission rate, advance ICU care, and improve the outcomes of these patients, a standard of care and research regarding CAR-T cell-based immunotherapies should be created. Studies that are looking from the perspective of intensive care are highly warranted because the available literature regarding this area is scarce.
Serum YKL-40 Levels, Leukocyte Profiles, and Acute Exacerbations of Advanced COPD
Authors: Popețiu Romana Olivia , Donath-Miklos Imola , Borta Simona Maria , Rus Larisa Alexandra , Vîlcea Anamaria , Nica Dragoș Vasile , Pușchiță Maria
Published: September 2023

Little information exists on YKL-40—a key protein in tissue remodeling—and complete blood count (CBC) parameters during acute exacerbations of advanced chronic obstructive pulmonary disease (COPD). This pilot exploratory study (August 2020–January 2021) investigated the connection between serum YKL-40 levels and CBC profile in sex- and age-matched individuals with severe COPD (GOLD stage III, n = 23, median age = 66 years, 65.21% males) and very severe COPD (GOLD stage IV, n = 24, median age = 66.5 years, 74.81% males). The measured parameters were serum YKL-40, absolute leukocyte count (ALLC), absolute neutrophil count (ANC), neutrophil percentage, absolute lymphocyte count (ALC), lymphocyte percentage, neutrophil-to-lymphocyte ratio (NLR), absolute eosinophil count (AEC), eosinophil percentage, absolute monocyte count (AMC), monocyte percentage, absolute basophil count (ABC), basophil percentage, hemoglobin levels, and hematocrit concentrations. No significant inter-group differences were observed. However, high YKL-40 subjects (n = 23)—as stratified via median YKL-40 (3934.5 pg/mL)—showed significantly increased neutrophil percentage and NLR but significantly lower lymphocyte-, eosinophil-, and basophil-related parameters compared to low YKL-40 patients (n = 24). These results reveal multidimensional, YKL-40-associated changes in leukocyte profile of patients with advanced COPD during acute exacerbations, with potential implications for personalized treatment.
Good Mid-Term Implant Survival of a Novel Single-Design Rotating-Hinge Total Knee Arthroplasty
Authors: Schlechter Matthias , Theil Christoph , Gosheger Georg , Moellenbeck Burkhard , Schwarze Jan , Puetzler Jan , Bockholt Sebastian
Published: September 2023

Background: Rotating-hinge knee (RHK) implants are an option for knee arthroplasty in cases of instability or severe bone loss. However, the revision rate can be increased compared to unconstrained implants which mandate improvements in implant design. This study investigates a novel RHK design for total knee arthroplasty (TKA). Methods: Retrospective analysis of a single design RHK TKA (GenuX MK, Implantcast) implanted between 2015 and 2019 including 133 patients (21 primary TKA, 112 revisions). The main indication for revision TKA was second-stage reimplantation following infection. The median follow-up amounted to 30 months (IQR 22–47). Results: In total, 13% (18/133) of patients underwent revision surgery after a mean time of 1 month (IQR 0–6). The main reason for the revision was (re-) infection in 8% of patients. All revisions were performed following revision TKA and none following primary TKA. There were no revision surgeries for loosening or instability. The revision-free implant survival of 83% was (95% CI 75–91%) after five years. A higher number of previous surgeries was associated with a greater revision risk (p = 0.05). Conclusion: Revision and complex primary TKA using a single-design RHK implant results in good implant survival at mid-term follow-up although infection remains a major concern.
Muscle Strength and Efficiency of Muscle Activities Recovery Using Single-Joint Type Hybrid Assistive Limb in Knee Rehabilitation after Anterior Cruciate Ligament Reconstruction
Authors: Soma Yuichiro , Mutsuzaki Hirotaka , Yoshioka Tomokazu , Kubota Shigeki , Iwai Koichi , Shimizu Yukiyo , Kanamori Akihiro , Yamazaki Masashi
Published: September 2023

Decreased muscle strength often occurs after anterior cruciate ligament (ACL) reconstruction; this can include muscle atrophy, neuromuscular dysfunction, and reduced force generation efficiency. Hybrid assistive limb (HAL) technology, which integrates an interactive biofeedback system connecting the musculoskeletal system to the brain and spinal motor nerves, offers a potential intervention. Our study, conducted from March 2018 to August 2023 using knee HAL single-joint technology, was a prospective non-randomized controlled trial involving 27 patients who had undergone arthroscopic ACL reconstruction. They were split into two groups: HAL (18 patients) and control (nine patients). Beginning 18 weeks after their surgery, the HAL group participated in three weekly sessions of knee HAL-assisted exercises. Both the HAL and control groups underwent isokinetic muscle strength tests at postoperative weeks 17 and 21. Testing utilized an isokinetic dynamometer at 60°/s, 180°/s, and 300°/s. The Limb Symmetry Index (LSI) was employed to measure side-to-side differences. The HAL group showed significant LSI improvements in peak extension torque across all testing velocities and for peak flexion torque at 60°/s and 300°/s. The rate of change in LSI for peak flexion torque at 300°/s was significantly higher post-measurements (p = 0.036; effect size = 1.089). The change rate for LSI in peak extension torque at 300°/s and all peak flexion torques showed medium to large effect sizes in Cohen’s d. In conclusion, knee HAL single-joint training positively influenced muscle strength recovery and efficiency. The HAL training group exhibited superior muscle strength at various isokinetic testing velocities compared to the control group.
Exploring CAR-T Cell Therapy Side Effects: Mechanisms and Management Strategies
Authors: Zhang Yugu , Qin Diyuan , Shou Arthur Churchill , Liu Yanbin , Wang Yongsheng , Zhou Lingyun
Published: September 2023

Chimeric antigen receptor (CAR) T cell therapy has revolutionized the treatment of malignancies, especially hematological tumors, but toxicities have tempered its success. The main impediments to the development of CAR-T cell therapies are the following: cytokine release syndrome (CRS), immune-effector-cell-associated neurotoxicity syndrome (ICANS), tumor lysis syndrome (TLS), and on-target/off-tumor toxicity (OTOT). This review summarizes these side effects’ underlying mechanisms and manifestations over time. It provides potential prevention and treatment according to the consensus grading, stressing the significance of establishing strategies that anticipate, reduce, and navigate the beginning of these side effects. It is essential to fully comprehend the mechanisms underlying these toxicities to create efficient treatment and preventive approaches.
Rust Fungi on Medicinal Plants in Guizhou Province with Descriptions of Three New Species
Authors: Wu Qianzhen , He Minghui , Liu Tiezhi , Hu Hongmin , Liu Lili , Zhao Peng , Li Qirui
Published: September 2023

During the research on rust fungi in medicinal plants of Guizhou Province, China, a total of 9 rust fungal species were introduced, including 3 new species (Hamaspora rubi-alceifolii, Nyssopsora altissima, and Phragmidium cymosum), as well as 6 known species (Melampsora laricis-populina, Melampsoridium carpini, Neophysopella ampelopsidis, Nyssopsora koelrezidis, P. rosae-roxburghii, P. tormentillae). Notably, N. ampelopsidis and P. tormentillae were discovered for the first time in China, while M. laricis-populina, Me. carpini, and Ny. koelreuteriae were first documented in Guizhou Province. Morphological observation and molecular phylogenetic analyses of these species with similar taxa were compared to confirm their taxonomic identities, and taxonomic descriptions, illustrations and host species of those rust fungi on medicinal plant are provided.
Clinical Updates for Gastrointestinal Malignancies
Authors: Laface Carmelo , Memeo Riccardo
Published: September 2023

Gastrointestinal (GI) cancers include hepatobiliary tumors, pancreatic cancer (PC), neuroendocrine tumors of the gastrointestinal tract, small bowel carcinomas, gastric cancer (GC), anal canal cancer, primary gastric and intestinal lymphomas, gastrointestinal stromal tumors (GISTs) and the most frequent colorectal cancer (CRC) [...]
A Quad-Port Nature-Inspired Lotus-Shaped Wideband Terahertz Antenna for Wireless Applications
Authors: Raghunath Jeenal , Kumar Praveen , Ali Tanweer , Kumar Pradeep , Shariff Bhadrvathi Ghouse Parveez , Pathan Sameena
Published: September 2023

This article is aimed at designing an inventive compact-size quad-port antenna that can be operated within terahertz (THz) frequency spectra for a 6G high-speed wireless communication link. The single-element antenna comprises a lotus-petal-like radiating patch and a defected ground structure (DGS) on a 20 × 20 × 2 µm3 polyamide substrate and is designed to operate within the 8.96–13.5 THz frequency range. The THz antenna is deployed for a two-port MIMO configuration having a size of 46 × 20 × 2 µm3 with interelement separation of less than a quarter-wavelength of 0.18λ (λ at 9 THz). The two-port configuration operates in the 9–13.25 THz frequency range, with better than −25 dB isolation. Further, the two-port THz antenna is mirrored vertically with a separation of 0.5λ to form the four-port MIMO configuration. The proposed four-port THz antenna has dimensions of 46 × 46 × 2 µm3 and operates in the frequency range of 9–13 THz. Isolation improvement better than −25 dB is realized by incorporating parasitic elements onto the ground plane. Performance analysis of the proposed antenna in terms of MIMO diversity parameters, viz., envelope correlation coefficient (ECC) < 0.05, diversity gain (DG) ≈ 10, mean effective gain (MEG) < −3 dB, total active reflection coefficient (TARC) < −10 dB, channel capacity loss (CCL) < 0.3 bps/Hz, and multiplexing efficiency (ME) < 0 dB, is performed to justify the appropriateness of the proposed antenna for MIMO applications. The antenna has virtuous radiation properties with good gain, which is crucial for any wireless communication system, especially for the THz communication network.
(3-(4-Chlorophenyl)-4,5-dihydroisoxazol-5-yl)methyl Benzenesulfonate
Authors: Mokhi Loubna , Chkirate Karim , Zhang Xiaodong , Driowya Mohsine , Bougrin Khalid
Published: September 2023

A novel single crystal of (3-(4-chlorophenyl)-4,5-dihydroisoxazol-5-yl)methyl benzenesulfonate has been synthetized via a one-pot sequential strategy under sonication. The single crystal has been investigated using X-ray diffraction analysis. Hydrogen bonding between C–H···O and C–H···N produces a layer structure in the crystal. According to a Hirshfeld surface analysis, interactions H···H (28.9%), H···O/O···H (26.7%) and H···C/C···H (15.8%) make the largest contributions to crystal packing. The optimized structure and the solid-state structure that was obtained through experiments are compared using density functional theory at the B3LYP/6-311 G + (d,p) level. The computed energy difference between the lowest unoccupied molecular orbital (LUMO) and highest occupied molecular orbital (HOMO) is 4.6548 eV.
Sugarcane Bagasse Ash as an Alternative Source of Silicon Dioxide in Sodium Silicate Synthesis
Authors: Pérez-Casas Jesús A. , Zaldívar-Cadena Antonio A. , Álvarez-Mendez Anabel , Ruiz-Valdés Juan Jacobo , Parra-Arciniega Salomé M. de la , López-Pérez David C. , Sánchez-Vázquez Astrid I.
Published: September 2023

To reduce the environmental impacts from sodium silicate synthesis, a ceramic method was suggested, with sugarcane bagasse ash (SCBA) as the source of silicon dioxide and sodium carbonate. Although the production of sodium silicate is carried out on a large scale, it should be noted that its process requires temperatures above 1000 °C; it also requires the use of highly corrosive agents such as sodium hydroxide and chlorine gas to neutralize the remaining sodium hydroxide. In the present study, the synthesis temperatures were reduced to 800 °C with a reaction time of 3 h by pressing equimolar mixtures of previously purified SCBA and sodium carbonate; then, heat treatment was carried out under the indicated conditions. The resulting materials were analyzed with Fourier transform infrared spectroscopy (FTIR) and X-ray diffraction (XRD). Among the crystalline phases, calcium disodium silicate was identified, in addition to sodium silicate; thus, it was inferred that the other components of the ash can interfere with the synthesis of silicate. Therefore, in order to obtain the highest composition of sodium silicate, a leaching treatment of the SCBA is required.
Eccentric Compression Behaviors of Self-Compacting Concrete-Filled Thin-Walled Steel Tube Columns
Authors: Wang Yunyang , Sun Shengwei , Zhang Liqing , Jia Yandong , Yang Guang , Li Meng , Tan Wei , Qu Jianmin
Published: September 2023

For the sake of solving sustainability issues and analyzing the complicated service force states, eccentric compression experiments on self-compacting concrete-filled thin-walled medium-length steel tube columns with a circular cross-section were carried out in the present study. Thereafter, the influence of the eccentric ratios and the wall thickness factors on the mechanical behavior and failure characteristics of both the eccentrically loaded and axially loaded columns was comprehensively analyzed. Finally, prediction formulas for the ultimate load of the columns under eccentric compression were proposed, and a comprehensive comparison of the ultimate loads between the predicted values and experimental values was also conducted. The results indicated that the typical failure characteristics of the eccentrically loaded columns presented lateral deflection together with buckling, while the axially compressed columns displayed expansion and rupture at local positions. Moreover, the ultimate loads of the eccentrically loaded columns decreased by 43.0% and 34.5% in comparison to the columns under axial compression, with the wall thickness factor decreasing from 116.7 to 46.7, respectively. Meanwhile, the ratios of the ultimate loads calculated using design codes to the tested values were in the range of 0.70~0.90, which demonstrated that the design codes could predict the ultimate loads conservatively. Additionally, the ratios of the ultimate loads calculated using the proposed formulas to the tested values were within the range of 0.99~1.08, implying that the proposed formulas were more accurate than the design codes. At the same time, the initial stiffness of the columns under eccentric compression was correspondingly lower than that of the columns undergoing axial compression. The lateral deflections along the height of the columns were almost symmetrical at different loading levels. This study could provide a meaningful approach for designing columns and facilitate their application in civil industry.
Comparative Analysis of the Influence of Mineral Engine Oil on the Mechanical Parameters of FDM 3D-Printed PLA, PLA+CF, PETG, and PETG+CF Materials
Authors: Hozdić Elvis , Hozdić Emine
Published: September 2023

Polymer materials and composites play a pivotal role in modern industry, prized for their durability, light weight, and resistance to corrosion. This study delves into the effects of mineral engine oil exposure on the mechanical parameters of 3D-printed materials created through fused deposition modeling (FDM). The research scrutinizes prototype materials under diverse environmental conditions, with a particular focus on the tensile parameters. The primary aim is to analyze and compare how mineral engine oil affects the mechanical parameters of four commonly used FDM 3D-printed materials: PLA, PLA+CF composites, PETG, and PETG+CF composites. In the case of the PLA specimens, the tensile strength decreased by approximately 36%, which, considering the 30% infill, remained acceptable. Simultaneously, the nominal strain at the point of breaking increased by 60.92% after 7 days and 47.49% after 30 days, indicating enhanced ductility. Interestingly, the PLA’s Young’s modulus remained unaffected by the oil. The 3D-printed PLA+CF materials exposed to 30 days of mineral engine oil displayed a substantial Young’s modulus increase of over 49.93%. The PETG specimens exhibited intriguing behavior, with a tensile strength decrease of 16.66% after 7 days and 16.85% after 30 days, together with a notable increase in the nominal strain at breaking by 21.34% for 7 days and 14.51% for 30 days, signifying enhanced ductility. In PETG material specimens, the Young’s modulus increased by 55.08% after 7 days and 66.27% after 30 days. The PETG+CF samples initially exhibited increases in tensile strength (1.78%) and nominal strain at breaking (6.08%) after 7 days, but later experienced an 11.75% reduction in the tensile strength after 30 days. This research underscores the critical role of material selection in oil-exposed environments and suggests avenues for future exploration, encompassing microstructural analysis, the long-term impact of oil exposure, and broader considerations related to environmental and oil-specific factors. It contributes to a deeper understanding of the intricate interactions between polymer materials and mineral engine oil, offering valuable insights that can enhance industrial applications.