bluuebunny/crossref_metadata_2025 huggingface dataset:
Re-emergence of HMPV in Gwangju, South Korea, After the COVID-19 Pandemic: Impact on Subtypes and Age Distribution
Authors: Cho Sun-Ju , Kim Sun-Hee , Lee Hongsu , Lee Yong-Un , Mun Jeongeun , Park Sujung , Park Jungwook , Park Ji-Su , Lee Kwangho , Lee Cheong-mi , Seo Jinjong , Kim Yonghwan , Chung Yoon-Seok
Published: August 2023

The non-pharmaceutical interventions implemented to prevent the spread of COVID-19 have affected the epidemiology of other respiratory viruses. In South Korea, Human metapneumovirus (HMPV) typically occurs from winter to the following spring; however, it was not detected for two years during the COVID-19 pandemic and re-emerged in the fall of 2022, which is a non-epidemic season. To examine the molecular genetic characteristics of HMPV before and after the COVID-19 pandemic, we analyzed 427 HMPV-positive samples collected in the Gwangju area from 2018 to 2022. Among these, 24 samples were subjected to whole-genome sequencing. The results showed a shift in the predominant genotype from A2b2 before the COVID-19 pandemic to A2b1 in 2022. Furthermore, a significant increase in HMPV cases was observed in the 6–10-year age group. Since the onset of the COVID-19 pandemic, social distancing have reduced the possibility of HMPV exposure and herd immunity due to non-transmission, resulting in the introduction of new HMPV genotypes in different seasons.
Absorber Enrichment and Its Implication on the Performance of Lead-free CsSnI3 Perovskite Solar Cells (PSCs) - A 1D-SCAPS Study
Authors: Ahmed Tajudeen , Taofiq Ibrahim , Oladimeji Enock , Koffa Durojaiye
Published: August 2023

One-Dimensional Solar Cell Capacitance Simulator (1D-SCAPS) and n-i-p planar configuration have been employed for the simulation of the caesium tin iodide (CsSnI3)-based perovskite solar cell (PSC) with titanium (IV) oxide (TiO2) and copper thiocyanate (CuSCN) as the electron and hole transport materials respectively. The results obtained for the initially modeled PSC compared well with similar devices in the literature but marred with high recombination rate. As such, the defect density in the CsSnI3 absorber was varied from 1013 cm-3 to 1017 cm-3 and enriched with SnCl2 (additive) and Br−(dopant) respectively. This strategy ensured a reduced concentration of Sn4+ vacancy (VSn) in the CsSnI3 absorber with improved carrier lifetime and diffusion length beyond 0.05 ns and 1.1µm by a magnitude of the order of 103 and 102 respectively for the enriched CsSnI3 –based PSC. For the optimized PSC, we recorded VOC=1.289 V, JSC=32.60 mA.cm-2, FF=83.56% and PCE=35.12%.
Design and Implementation of Remote Controlled High Temperature Short Time (HTST) pasteurization system for Healthy Milk production
Authors: C Marimuthu , J Jayakumar
Published: August 2023

The dairy industry relies heavily on milk pasteurization to ensure the safety and quality of milk products. Pasteurization is a process that involves heating milk to a specific temperature for a set period of time to kill harmful bacteria and other pathogens while preserving its nutritional value. In recent years, newer techniques such as High-Temperature Short-Time (HTST) pasteurization have gained popularity due to their efficiency and effectiveness. HTST pasteurization involves rapidly heating milk to a high temperature for a short duration of time, followed by rapid cooling. This process helps to minimize the loss of flavor and nutrients in milk while ensuring its safety. However, there is still a need in the market for a compact and remotely controlled process plant for milk pasteurization. The proposed work aims to address this need by designing a process plant that is not only compact but also remotely controlled, allowing for efficient and convenient operation. can control the process plant remotely, allowing for flexibility and convenience in monitoring and managing the pasteurization process from anywhere with an internet connection.
Method of Obtaining the Ancient Egyptian Formula for the Area of a Circle
Authors: Abdukadyrov Askar
Published: August 2023

It is known from ancient Egyptian mathematical papyri that the Egyptians were able to calculate the area of a circle with great accuracy. How they found the formula for this calculation was still unknown. Here it is shown how the unknown ancient Egyptian mathematician found a method for calculating the area of a circle and the ratio of a circle’s circumference to diameter.
Effect of Coating Additives on Properties of Hydrophobic Coatings with Low Infrared Emissivity
Authors: Zhang Weigang , Li Xiang , Lv Dandan
Published: August 2023

In order to further reduce the emissivity of the hydrophobic low infrared emissivity composite coating and improve the mechanical properties of the coating, the dispersant, adhesion enhancer, and defoamer were used to improve the dispersion state of the fillers, the interface structure, and the surface state of the hydrogen silicone oil modified polyurethane/Al composite coating. The effects of dispersant, adhesion enhancer, and defoamer on the micro-structure, emissivity, glossiness, hydrophobic property, and mechanical properties of the coating were systematically studied. The results show that the polycarboxylate anionic dispersant can obviously improve the dispersion state of flake Al powder and nano-SiO2 in the coating, so that the infrared emissivity of the coating can be reduced, and the coating can have higher hydrophobic and mechanical properties. The bonding strength between the resin matrix and the metal substrate of the coating can be significantly improved by the adhesion enhancer through the bridging action, so that the adhesion strength and impact strength of the coating can be significantly improved. The defoamer can significantly reduce the pores in the coating, so that the surface state of the coating can be significantly improved, and the mechanical properties of the coating can be significantly improved. The coating has the best emissivity (0.527), glossiness (4.3), adhesion strength (grade 1), impact strength (40 kg.cm), and hydrophobic property (water contact angle (WCA) is 140o) when the amount of dispersant, adhesion enhancer, and defoamer is 5 wt%, 4 wt%, and 1 wt%, respectively.
Test Trials and Analysis of Pod-Shattering Characteristics of Harvested Rapeseed Silique
Authors: Zhang Min , Li Gang , Yang Yao
Published: August 2023

In order to reduce the silique shattering loss of rapeseed mechanical harvesting process, based on the state of force on the silique during rapeseed harvesting reel branch, Ningza 1810, Zhenyou 8 and Fengyou 306 were used as research objects, and the experimental research on the factors affecting rapeseed siliques shattering was carried out using the swing impact method. The experimental analysis showed that: rapeseed varieties, silique moisture content, silique growth position, collision material, impact speed, force position and other factors had significant effects on silique shattering. The impact velocity was less than 1.5m·s-1, the difference on the effect of each factor on pod-shattering was not significant, it was not easy to shatter when the moisture content of rapeseed silique was higher. The impact resistance of the front side of rapeseed was 2 to 4 times that of the bonding surface of rapeseed petals, the shattering rate of the top rapeseed silique was twice that of the bottom siliques, when siliques were supported, they were more likely to shatter under external forces than when they were unsupported. The experimental study of the mechanical properties of rapeseed siliques was carried out using the impending fracture method, the experimental analyses showed that the support position and force position of the silique, the loading speed and the growth position of the silique had a significant effect on the mechanical properties of the silique. The maximum cracking force was higher and bending strength was stronger when the body of the silique was supported, which the range of the maximum cracking force were 3.05N to 4.16N, and the bending strength range were 8.48 MPa to 11.57 MPa. The maximum cracking force and bending strength of the silique was stronger when the front side of the silique petal was pressurized than when the bonding surface of the petal was pressurized. Based on Pearson's correlation and grey correlation analysis, the morphological characteristics of rapeseed siliques were ranked in order of their influence on the performance of siliques in terms of the angle between silique and stalk, stalk diameter, petal thickness, beak length, silique thickness, silique width and silique length. This study can be used as a reference for the design and optimization of the rapeseed harvesting reel branch mechanism and the selection of machine harvestable rapeseed varieties.
Enabling Private Investment in Affordable Housing in Nigeria: Lessons from the Experience of the Millard Fuller Foundation Projects in Nasarawa State
Authors: Nwachukwu Lilian , Rodrigues Lucelia , Kiamba Lorna
Published: August 2023

Despite the shift to private sector-driven affordable housing in Nigeria for decades, the housing deficit has continued to increase to the disadvantage of low-income families. This paper explores the enabling strategies for stimulating private-driven affordable housing in Nigeria. A case study of the Millard Fuller Foundation projects was undertaken and semi structured interviews were administered to 12 residents of the estates and the developer to explore their experience and highlight the considerations for designing appropriate strategies. The data generated was analysed using thematic analysis with the support of Nvivo. The study identifies four major components of construction costs- land, design, materials, and finance that policy improvement can target to stimulate private investment. It shows that developers are likely to adopt practices that will reduce these costs with repercussions for end-users. Mindful of this, and the concern to make returns on investment, strategies should aim to harmonise both developers’ interest and that of the end-users through widespread infrastructural development to make land available in all locations, and incremental owner-building approach so that end users can take decisions for their housing. Furthermore, access to the National Housing Fund (NHF) mortgages should be enhanced by recognising supplementary incomes in the loan origination procedures
Understanding Hemoglobin Contribution to High-dose Methotrexate Disposition - Population Pharmacokinetics in Pediatric Patients with Hematological Malignancies
Authors: Škorić Biljana , Jovanović Marija , Kuzmanović Miloš , Miljković Branislava , Vučićević Katarina M.
Published: August 2023

Aim was to develop a population pharmacokinetic model for methotrexate (MTX) during high-dose treatment (HDMTX) in pediatric patients with acute lymphoblastic leukemia (ALL) and non-Hodgkin’s lymphoma (NHL) and to describe the sources of variability. The study included 50 patients (1-18 years) who received 3 or 5 g/m2 of HDMTX. Nonlinear mixed effects modeling approach was applied for data analysis. Parameter estimation was performed by FOCEI, whereas stepwise covariate modeling was used to assess variability factors. The final two-compartment model incorporates the effect of body weight using allometric scaling and the influence of hemoglobin and serum creatinine on MTX clearance (CL). Population pharmacokinetic values for a typical 70 kg subject were: 11 L/h for clearance (CL), 46.5 L and 16.4 L for volume of central (V1) and peripheral compartment (V2), respectively, and 0.168 L/h for intercompartmental clearance (Q). According to the final model, MTX CL decreases with increasing serum creatinine, whereas a positive effect was captured for hemoglobin. A difference of almost 30% in MTX CL was observed among patients’ hemoglobin values reported in the study. In addition to renal function and body weight, it describes the influence of hemoglobin on CL, allowing better understanding of its contribution to HDMTX disposition.
Entropy Generation and Control: Criteria to Calculate Flow Optimization in Biological Systems
Authors: Bicudo José Eduardo Pereira Wilken , Nogueira-de-Sá Pedro Goes , Chaui-Berlinck José Guilherme
Published: August 2023

Living beings are composite thermodynamic systems in non-equilibrium conditions. Within this context, there are a number of thermodynamic potential differences (forces) between them and the surroundings, as well as internally. These forces lead to flows, which, ultimately, are essential to life itself. Living beings are under the pressures of natural selection, thus are biological flows as well. At the same time, the maintenance of homeostatic conditions, the tenet of physiology, demands regulation of these flows by control of variables. However, due to the very nature of these systems, regulation of flows and control of variables become entangled in closed loops. Therefore, the search for adaptation in flows takes a different path than the search for adaptation in morphological traits. Being at the roots of transfer processes, thermodynamic criteria turn out to be as natural physical candidates. Likewise, being at the roots of physiology, control turns out to be as a natural biological candidate in that path. Here we show how to combine entropy generation, with respect to a generalized process, and control of parameters (in such a generalized process) in order to create a criterium of optimal ways to regulate changes in generalized flows.
Enhancing Starch-Based Packaging Materials: Optimization of Plasticizers and Process Parameters
Authors: Wu Yue , Tang Rongji , Guo Anfu , Tao Xiaodong , Hu Yingbin , Sheng Xianliang , Qu Peng , Wang Shaoqing , Li Jianfeng , Li Fangyi
Published: August 2023

Due to the non-degradability of petroleum-based packaging materials, serious environmental pollution and the depletion of non-renewable resources have become pressing issues. In order to actively promote green production and address these concerns, there is an urgent need for new packaging materials to replace traditional plastic products. Starch-based packaging materials, composed of starch, fiber, and plasticizers, offer a degradable and environmentally friendly alternative. Starch alone cannot undergo thermoplastic processing due to its inherent structural characteristics. Therefore, researchers have explored modifications by incorporating plasticizers to create processable thermoplastic starch (TPS). However, there are challenges related to the high crystallinity and poor compatibility between TPS and fibers, resulting in decreased mechanical properties. To address these challenges, a novel approach combining plasticizer optimization and response surface method (RSM) optimization has been proposed to enhance the mechanical properties of starch-based packaging materials. This method leverages the advantages of composite plasticizers and process parameters. The findings demonstrate that the composite plasticizer effectively disrupt the hydrogen bonding and granule morphology of starch, leading to a significant reduction in crystallinity. Based on these findings, the optimal process parameters are determined using the RSM, resulting in a forming temperature of 198 °C, forming time of 5.4 minutes, and AC content of 0.84 grams. Compared with the non-optimized values, the tensile strength increases by 12.2% and the rebound rate increases by 8.1%.
Efficacy, Pharmacokinetic and Toxicity Profiles of a Broadly SARS-CoV2 Neutralizing Antibody
Authors: Godínez-Palma Silvia , González-González Edith , Ramírez-Villedas Frida , Garzón-Guzmán Circe , Vallejo-Castillo Luis , Carballo-Uicab Gregorio , Marcelín-Jiménez Gabriel , Batista Dany , Pérez-Tapia Sonia M. , Almagro Juan C.
Published: August 2023

We recently reported the isolation and characterization of an anti-SARS-CoV-2 antibody, called IgG-A7, that protected transgenic mice expressing the human angiotensin-converting enzyme 2 (hACE-2) from the infection with SARS-CoV-2 Wuhan. We show here that IgG-A7 protected 100% of the transgenic mice infected with Delta (B.1.617.2) and Omicron (B.1.1.529) at doses of 0.5 and 5 mg/kg, respectively. In addition, we studied the pharmacokinetic (PK) profile and Toxicology (Tox) of IgG-A7 in CD-1 mice at single doses of 100 and 200 mg/kg. PK parameters at those high doses were proportional to the dose, with the half-life in serum of ~10.5 days. IgG-A7 was well tolerated with no signs of toxicity in urine and blood samples, nor in histopathology analyses. Tissue Cross-reactivity (TCR) with a panel of mouse and human tissues showed no evidence of IgG-A7 interaction with tissues of these species, supporting the PK/Tox results in vivo and suggesting that while IgG-A7 has a broad efficacy profile it is not toxic in humans. The information generated in CD-1 mouse as PK/Tox model, complemented with the mouse and human TCR, could be of relevance as alternatives to NHPs in rapidly emerging viral diseases and/or quickly evolving viruses such as SARS-CoV-2.
Recent Advances on SARS-CoV-2 Mpro Inhibitors: From Nirmatrelvir to Future Perspectives
Authors: Citarella Andrea , Dimasi Alessandro , Moi Davide , Passarella Daniele , Scala Angela , Piperno Anna , Micale Nicola
Published: August 2023

The Main Protease (Mpro) plays a pivotal role in the replication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and is considered a highly conserved viral target. Disruption of the catalytic activity of Mpro produces a detrimental effect on the course of the infection, making this target one of the most attractive for the treatment of COVID-19. The current success of the SARS-CoV-2 Mpro inhibitor Nirmatrelvir, the first oral drug for the treatment of severe forms of COVID-19, has further focused the attention of researchers on this important viral target, making the search for new Mpro inhibitors a thriving and exciting field for the development of antiviral drugs active against SARS-CoV-2 and related coronaviruses.
Antibody Response after 3 Dose Booster against SARS-CoV-2 mRNA Vaccine in Kidney Transplant Recipients
Authors: Tripodi Domenico , Dominici Roberto , Santorelli Gennaro , Rivera Rodolfo , Acquaviva Sandro , Marchisio Marino , Brambilla Paolo , Battini Graziana , Leoni Valerio
Published: August 2023

The Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with a high rate of mortality in kidney transplant recipients (KTRs). The current vaccine strategy for KTRs seems to be unable to provide effective protection against coronavirus disease 2019 (COVID-19) [2] and the occurrence of severe COVID-19 in some vaccinated KTRs suggested a lack of immunity. We analized here the antibody response in a group of 32 kidney transplant recipients (KTR) followed at the Nephrology and Dialysis unit of the Hospital Pio XI of Desio, Italy, compared with a group of 23 healthy workers classified as Late responders (HCW-LR) (10 males age 27-62) and 13 females (age 46-64). We observed that the patients need additional vaccine boosters due to their immunocompromised status and therapy to protect them from infections related to viral variants, in accordance with the literature.
Automatic Creation of 3D Documentation in CAD/BIM Based on Topology
Authors: Bartoněk Dalibor
Published: August 2023

The paper deals with the reverse engineering, namely the as built documentation of the actual construction. The input is data measured in field using geodetic methods. In addition to modern methods of surveying 3D objects, such as laser scanning, it is still necessary to use classic surveying using a total station. The bottle neck of the process is the creation of documentation of the construction, which is still created manually in the appropriate CAD/BIM software. The goal of the research was to find a method that would reduce the amount of manual work when drawing documentation in CAD/BIM to a minimum. The core of the solution is the use of a topology that interconnects the points measured in field. The entire procedure has 2 parts: 1. Creating a topo-logical drawing template in a suitable CAD/GIS software (digital sketch), 2. Adding geometry to this sketch and creating a drawing using topological codes. The method was verified in practice by applying it to several specific buildings in the Czech Republic. The practical application of the method demonstrated a 30% time saving, a reduction in work and error rate in the entire process.
An Interpretable and Explainable AI Framework for Urban-Suburban Traffic Analysis and Understanding
Authors: Ferilli Stefano , Di Pierro Davide , Redavid Domenico , Bernasconi Eleonora
Published: August 2023

Studying and understanding the behavior of people and vehicles on public roads can be of utmost importance for supporting the activities of many institutional stakeholders. It may allow automated supervision of the ongoing situation in a given place, with warnings or alarms raised in case of anomalies. It may be used to plan their interventions on road and town organization. It may provide them with advanced support to decision-making. The number of involved entities and places to manage makes it infeasible to manually handle all the traffic-related tasks. Moreover, the complexity of the tasks to be carried out requires the adoption of advanced approaches. Many AI solutions are nowadays mature to support these requirements. In some cases, the motivations and objectives of traffic management require the AI outcomes to be understandable, interpretable and explainable. In this paper, we propose TrAnSIT (TRaffic ANalysis Supervision and Interpretation Tool), an AI-based framework that combines several modules, each aimed at tackling a specific traffic-related task, so as to cover a wide landscape of traffic-related issues, from overall urban or suburban traffic management to surveying specific road segments that fall under the scope of one camera. Most of these modules are based on AI techniques that support a human-level understanding of the outcomes.
Identification of molecular diagnostic markers in sepsis-induced acute lung injury
Authors: Huang Yingying , Chen Jiameng , Li Wenjie , Jiang Shaowei , Leng Yuxin , Gao Chengjin
Published: August 2023

Background： Sepsis-induced acute lung injury (ALI) is characterized by disruption of the epithelial barrier and activation of alveolar macrophages (AMs), which leads to uncontrolled pulmonary inflammation. However, effective treatments for ALI are unavailable. This study aimed to discover potential diagnostic molecular biomarkers based on bioinformatics, which will benefit the diagnosis and treatment of sepsis-induced ALI. Methods: GSE10474 was analyzed for differentially expressed genes (DEGs) in sepsis patients with ALI (sepsis + ALI) compared with sepsis patients without ALI. Functional enrichment analysis and protein-protein interaction (PPI) network were performed. on the DEGs via R package “clusterProfiler”, and visualized via Cytoscape. Prediction analysis of microarrays (PAM) was performed to identify diagnostic biomarkers and the diagnostic ability of diagnostic biomarkers was accessed via receiver operating characteristic (ROC) curves. Moreover, interactions among diagnostic biomarkers were analyzed via GeneMANIA. We also analyzed the function of diagnostic biomarkers and predicted their corresponding drugs via Cytoscape plugin BiNGO and web tool DGIdb. At last, we analyzed the transcriptional regulation of the diagnostic biomarkers via the web tool miRNet. Results: 71 genes were found to be differentially expressed in the sepsis + ALI group, mainly involved in immune-related biological processes and pathways. STRING database indicated 31 DEGs have protein-protein interactions. In addition, the PAM identified 6 diagnostic biomarkers, including HIST1H4H, CDKN1A, HMOX1, NQO2, RHOB, and TREM1, from these 31 DEGs. Conclusion: In conclusion, through bioinformatics analyses, we identified 6 potential diagnostic biomarkers and targets for sepsis-induced ALI.
Efficient Hyperbolic Perceptron for Image Classification
Authors: Ahsan Ahmad Omar , Tang Susanna , Peng Wei
Published: August 2023

Deep neural networks with powerful auto-optimization tools have been widely applied in various research fields, e.g., NLP and computer vision. However, existing neural network architectures typically are constructed using different inductive biases, e.g., preconceptions, expecting to decrease parameter search space during training, reduce computational cost or introduce expert knowledge in the neural network design. As an alternative, Multilayer Perceptron (MLP) provides much better freedom for exploration, has a lower inductive bias than convolutional neural networks (CNNs), and offers good flexibility in learning complex patterns. Even though, such neural architectures are commonly built in a flat Euclidean space, which is not necessarily the optimal space for any data, and is especially not good for modeling hierarchical correlations. Hyperbolic neural networks (HNNs) have gained attention for their ability to capture hierarchical structures present in complex data types like graphs. Recently, there has been an increasing interest to extend HNNs to computer vision tasks, motivated by the observations that images possess rich hierarchical relations. However, this is generally applied by employing a Euclidean backbone for learning higher-level semantic representations and only incorporating a hyperbolic classifier for classification, which, we argue, does not make full use of the advantage of hyperbolic space. Considering the recovery of the attention-free Multilayer Perceptron(MLP), in this paper, we extend it to non-Euclidean space and propose a novel architecture, named Hyperbolic Res-MLP (HR-MLP), that leverages fully hyperbolic layers to learn feature embeddings and perform image classification in an end-to-end fashion. With the help of the proposed Lorentz cross-patch and cross-channel layers, we can directly perform operations in the hyperbolic domain with fewer parameters, making it faster to train and providing comparatively better performance than its Euclidean counterpart. Experiments on CIFAR10, CIFAR100, and MiniImageNet demonstrate a comparable and superior performance when compared to Euclidean baselines. Our code is available at (https://github.com/Ahmad-Omar-Ahsan/HR-MLP)
Comparative Analysis of Machine Learning Classification Algorithms for predicting Olive Anthracnose Disease
Authors: Kottaridi Klimentia , Milionis Anna , Demopoulos Vasilis , Nikolaidis Vasileios , Tsalgatidou Polina C. , Tsafouros Athanasios , Kotsiras Anastasios , Vithoulkas Alexandros
Published: August 2023

Olive Anthracnose (OA) is the most important fungal disease of olive fruits worldwide. In the context of integrated pest management, the development of predictive models could be used for early diagnosis and control. In the current study, a dataset representing 58 cases (6 locations with 12 olive cultivars) was used to study the relationship between ΟΑ incidence (OAI) and 35 heterogeneous variables, including orchard characteristics, olive fruit parameters, foliar and soil nutrients, soil parameters and soil texture classes. The Random Forest-Recursive Feature Elimination with Cross Validation (RF-RFECV) feature selection method identified Location, Water Content, P, Ca, Mg, Exchangeable Mg, Trace Zn, Trace Cu as possible new indicators associated with OAI. Six different classification algorithms, namely Decision Tree (DT), Gradient Boosting (GB), Logistic Regression (LR), Random Forest (RF), K-Nearest Neighbors (KNN) and Support Vector Machine (SVM), were developed for predicting conditions leading to OAI >0% and 10%. Hyperparameter optimization using grid search was used to optimize the parameters of the models and finally the best parameters were applied to predict the OAI. The final models were evaluated in terms of several standard metrics, such as accuracy, sensitivity, specificity and ROC AUC score. Findings suggested that GB performance was superior compared to the other models for the prediction of the occurrence of OA disease (OAI>0%) with an accuracy of 86.7%, a sensitivity of 100%, a specificity of 75% and a ROC-AUC score of 93%, while for the prediction of the spread of the disease (OAI>10%), DT stood out with an accuracy of 86.7%, a sensitivity of 81.8%, a specificity of 100% and a ROC-AUC score of 91%. RF classifier performed very well in both cases, with an accuracy of 80%, a sensitivity of 85.7%, a specificity of 75% and a ROC-AUC score of 93% for the prediction of the occurrence of the disease (OAI>0%), and an accuracy of 86.7%, a sensitivity of 90.9%, a specificity of 75% and a ROC-AUC score of 84% for the prediction of the spread of the disease (OAI>10%).
Cardiometabolic Disorders as Important Correlates of Vulnerability in Hospitalized Older Adults
Authors: Kravchenko Ganna , Korycka-Bloch Renata , Stephenson Serena S. , Kostka Tomasz , Sołtysik Bartłomiej K.
Published: August 2023

With an increasing aging population worldwide, the concept of multimorbidity has attracted growing interest over recent years, especially in frailty, which leads to progressive multisystem decline and increased adverse clinical outcomes. The relative contribution of multiple disorders to overall frailty index in older populations has not been established so far. This study aimed to assess the association between the Vulnerable Elders Survey-13 (VES-13) score, which is acknowledged to be one of the most widely used measures of frailty, and the most common ac-companying diseases among hospitalized adults aged 60 years old and more. 2860 participants with an average age of 83 years were included in this study. Multiple logistic regression with adjustment for age and nutritional status was used to assess the independent impact of every particular disease on vulnerability. Diabetes mellitus type 2, coronary artery disease, atrial fibrillation, heart failure, chronic kidney disease, osteoarthritis, fractures, eyes disorders, depression, dementia, pres-sure ulcers, and urinary incontinence were associated with higher scores of VES-13. Hospital admission of older subjects with those conditions should primarily draw attention to the risk of functional decline and while qualifying older patients for further treatment, particularly in surgery and oncology. At the same time, lipid disorders, gastrointestinal diseases, higher body mass index and albumins level were related to lower risk of being vulnerable, what may be attributed to younger age and better nu-tritional status of those patients.
Influence of Different Evolutive Forces on GDF5 Gene Variability
Authors: Flore Laura , Francalacci Paolo , Massidda Myosotis , Robledo Renato , Calò Carla Maria
Published: August 2023

GDF5 gene is involved in the development of skeletal elements, synovial joint formation, tendons, ligaments, and cartilage. Several polymorphisms are present within the gene and two of them, rs143384 and 143383, have been reported as correlated with osteoarticular disease or muscle flexibility. The aim of this research is to verify if the worldwide distribution among human populations of rs143384 polymorphism has been shaped by selective pressure, or if it’s the result of random genetic drift events. Ninety-four individuals of both sexes, 18-28 years old, from Sardinia were analyzed. We observed the following genotype frequencies: 28.72% of homozygotes AA, 13.83% of homozygotes GG, and 57.45% of heterozygotes AG. Allele frequencies were 0.574 for allele A and 0.426 for alle G. Relationships between populations were verified by Multidimensional Scaling (MDS). Our data show: i) a clear heterogeneity within the African populations; ii) a strong differentiation between Africans and the other populations: iii) the Sardinian population is placed withing the European cluster. To reveal possible traces of selective pressure, Population Branch Statistic (PBS) was calculated; both SNPs rs143384 and 143383 have low PBS values, suggesting that there are no signals of selective pressure in those areas of the gene.
Evolutionary Reinforcement Learning of Neural Network Controller for Acrobot Task – Part1: Evolution Strategy
Authors: Okada Hidehiko
Published: August 2023

Evolutionary algorithms find applicability in the reinforcement learning of neural networks due to their independence from gradient-based methods. To achieve successful training of neural networks using evolutionary algorithms, careful considerations must be made to select appropriate algorithms due to the availability of various algorithmic variations. The author previously reported experimental evaluations on Evolution Strategy for reinforcement learning of neural networks, utilizing the pendulum control task. In this study, the Acrobot control task is adopted as another task. Experimental results demonstrate that ES successfully trained a Multi-Layer Perceptron to achieve a remarkable height of 99.85% concerning the maximum height. However, the trained MLP failed to maintain the chain end in an upright position throughout an episode. In this study, it was observed that employing 8 hidden units in the neural network yielded better results with statistical significance compared to using 4, 16, or 32 hidden units. Furthermore, the findings indicate that a larger population size in ES led to a more extensive exploration of potential solutions over a greater number of generations, which aligns with the previous study.
Electrical Manipulation, Characterization and Application of Single Cell
Authors: Zhu Weitao , Wang Jiaao , Luo Hongzhi , Liu Sutong , Luo Binwen , Li Xue , Liu Shan , Li Chenzhong
Published: August 2023

Biological parameters extracted from electrical signals from various body parts have been used for many years to analyze the human body and its behavior. In addition, electrical signals from cancer cell lines, normal cells, and viruses, among others, have been widely used for the detection of various diseases. Single-cell parameters such as cell and cytoplasmic conductivity, relaxation frequency, and membrane capacitance are important. There are many techniques available to characterize biomaterials, such as scanning tunneling microscopy (STM), nanotechnology, microstrip cavity resonance measurement, dielectric impedance measurement (DEPIM), etc. This article reviews the single cell isolation and sorting techniques, summarizes the common single cell operations such as impedance flow cytometry, cell electrical impedance, electrical impedance sensing, and summarizes the current single cell analysis techniques and their applications.
Kinetic, Physiological and Fatigue Level Differences Depending on the Menstrual Cycle Phase and Running Intensity
Authors: Domínguez-Muñoz Carolina , Del Campo Juan , García Alberto , Guzmán José , Martínez-Gallego Rafael , Ramón-Llin Jesús
Published: August 2023

Background: Depending on the phase of the menstrual cycle the athlete is in, some kinetic, physiological and fatigue variables will show differences. The aim of this study is to analyze whether there are changes in these variables over the course of the menstrual cycle. Methods: Eight regular female runners and triathletes performed a maximal treadmill test, as well as a submaximal test (6’ stages at 50%, 60% and 80% of maximal aerobic speed) in each of the phases of the menstrual cycle: bleeding phase (day 2.4 ± 0.7), follicular phase (day 10.4 ± 2.2) and luteal phase (day 21.8 ± 2.1). Running dynamics were measured (using RunScribe) at the end of each test, as were lactate concentration, heart rate and fatigue (evaluated on a scale of 0 to 5). Results: Higher shock (G) values were recorded in the bleeding phase and higher vertical spring stiffness (kN/m) in the follicular phase. The phase of the menstrual cycle had a significant effect on average and peak heart rate, which was significantly higher in the follicular phase. Conclusions: Higher vertical spring stiffness was observed in the follicular phase, as well as higher peak and average heart rate.
Intersectional Influence of Socioeconomic Status and Cooking Behavior on Dietary Habits: A Nationwide Cross-Sectional Study in Japan
Authors: Machida Daisuke
Published: August 2023

This study investigated the intersecting influence of socioeconomic status and cooking behavior on dietary habits using nationwide Japanese data. The study measured the frequency of balanced meals and breakfast intake as indicators of healthy eating habits and used subjective economic status, subjective spare time, and cooking behavior as the independent variables. It employed multivariate logistic regression analyses to elucidate the relationships among these variables. The results demonstrated that even among economically poor or time-constrained individuals, those preparing meals from ingredients were more likely to eat balanced meals and breakfast than those relying on commercial food or rarely cooking. This finding suggested that cooking behavior can mitigate disparity in healthful eating due to socioeconomic conditions. The study added new insights into the impact of combining socioeconomic status and cooking behavior on dietary habits, which highlights the potential of promoting cooking behaviors, such as teaching cooking skills, as a strategy for reducing socioeconomic dietary disparities.
Endovascular Treatment of Visceral Artery Pseudoaneurysms with Ethylene-Vinyl Alcohol (EVOH) Copolymer-Based Non-adhesive Liquid Embolic Agents (NALEAs)
Authors: Minici Roberto , Guerriero Pasquale , Fontana Federico , Venturini Massimo , Guzzardi Giuseppe , Piacentino Filippo , Coppola Andrea , Spinetta Marco , Siciliano Agostino , Serra Raffaele , Costa Davide , Ielapi Nicola , Santoro Rita , Team MGJR Research , Brunese Luca , Laganà Domenico
Published: August 2023

Background and Objectives: Treatment of visceral artery pseudoaneurysms (VAP) is always indicated regardless of their diameters, as their risk of rupture is significantly higher than that of visceral artery aneurysms. The invasiveness of surgery and its associated complications have led to a shift in favour of radiological interventions as the initial treatment of choice. However, there are still some unanswered questions on endovascular treatment of VAP regarding the optimal endovascular technique and the efficacy and safety outcomes. The purpose of this multicenter study was to retrospectively evaluate the effectiveness and safety of endovascular treatment of visceral pseudoaneurysms using Ethylene-Vinyl Alcohol (EVOH) Copolymer-Based Non-Adhesive Liquid Embolic Agents (NALEAs).

Materials and Methods: Consecutive patients who underwent endovascular embolization with EVOH-based NALEAs for visceral artery pseudoaneurysms between January 2018 and June 2023 were retrospectively evaluated.

Results: 38 embolizations were performed. Technical success was achieved in all patients. The clinical success rate was high (92.1% overall), with no significant differences between ruptured and unruptured VAPs (p=0.679). 7 patients (18.4%) experienced procedure-related complications, related to a case of non-target embolization, four splenic abscesses due to end-organ infarction and two femoral pseudoaneurysms. The rates of procedure-related complications, end-organ infarction, and vascular access-site complications did not significantly differ between ruptured and unruptured VAPs (p>0.05).

Conclusions: Both ruptured and unruptured visceral pseudoaneurysms can be effectively and safely treated with NALEA-based endovascular embolization. We suggest considering the use of NALEAs, particularly in specific clinical cases that highlight their advantages, including patients with coagulopathy, fragile vessels, and embolization targets that are located at a considerable distance from the microcatheter tip and are otherwise difficult to reach.
Evidence for distinct mechanisms of immune suppression in EBV-positive and EBV-negative Hodgkin lymphoma
Authors: Adam Makka , Bekueretsion Yonas , Gebremedhin Amha , Kwiecinska Anna , Howe Rawleigh , Petros Beyene , Jerkeman Mats
Published: August 2023

Epstein Barr Virus (EBV) has been recognized for its ability to transform B lymphocytes and for its association with different types of cancers including Hodgkin lymphoma. In addition, EBV may also modulate the microenvironment of HL. In this study, we aimed to investigate the prevalence of EBV among HL cases in Ethiopia and to assess the tissue cellular composition of EBV-related and EBV-unrelated cases. We constructed a tissue microarray (TMA) of 126 consecutive cases of classical HL (cHL) and nodular lymphocyte predominant HL (NLPHL) from a tertiary cancer centre, Tikur Anbessa Hospital, Addis Ababa, Ethiopia, and evaluated a panel of immunohistochemical markers. The quantification of immune cells was performed using HALO 2.3, a platform for image analysis from Indica Lab Inc. A total of 77/126 (61.1%) of HL cases expressed LMP1/EBER. Infiltration of CD8+, T-bet+ and FOXP3+ cells was higher in the microenvironment of EBV-related HL, with P values of <0.001, 0.006 and <0.001, respectively. In contrast, the expression of PD1 was higher in the microenvironment of EBV-unrelated HL cases (P = 0.001). Unlike in Western countries, the majority of HL cases in Ethiopia were associated with EBV. As FoxP3+ and PD1-expressing cells are thought to participate in down regulation of the immune response by different mechanisms, this finding highlights the previously unrecognized possibility that distinct immunosuppressive mechanisms may be ongoing within EBV positive and negative HL types. This may have important prognostic and therapeutic implications.
Efficient Multi-Change Point Analysis to decode Economic Crisis Information from the S&P500 Mean Market Correlation
Authors: Heßler Martin , Wand Tobias , Kamps Oliver
Published: August 2023

Identifying macroeconomic events that are responsible for dramatic changes of economy is of particular relevance to understand the overall economic dynamics. We introduce an open-source available efficient Python implementation of a Bayesian multi-trend change point analysis which solves significant memory and computing time limitations to extract crisis information from a correlation metric. Therefore, we focus on the recently investigated S&P500 mean market correlation in a period of roughly 20 years that includes the dot-com bubble, the global financial crisis and the Euro crisis. The analysis is performed two-fold: first, in retrospect on the whole dataset and second, in an on-line adaptive manner in pre-crisis segments. The on-line sensitivity horizon is roughly determined to be 80 up to 100 trading days after a crisis onset. A detailed comparison to global economic events supports the interpretation of the mean market correlation as an informative macroeconomic measure by a rather good agreement of change point distributions and major crisis events. Furthermore, the results hint to the importance of the U.S. housing bubble as trigger of the global financial crisis, provide new evidence for the general reasoning of locally (meta)stable economic states and could work as a comparative impact rating of specific economic events.
Evidence-Based Practice Competency of registered nurses in the Greek National Health Service
Authors: Schetaki Stefania , Patelarou Evridiki , Giakoumidakis Konstantinos , Kleisiaris Christos , Patelarou Athina
Published: August 2023

Nurses’ competency towards Evidence-based Practice (EBP) has been extensively investigated by several studies worldwide. However, factors affecting the competence of Greek nurses working in the NHS have not been fully investigated in terms of EBP. Thus, this study aimed to explore the impact of individual qualifications of nurses on their competence towards EBP. Data from 473 registered nurses working in 10 hospitals of in the Greek National Health Service (NHS) were collected between October and December 2022 using a convenience-sampling method in a cross-section design. The Greek version of the 35-item (5-point Likert scale) Evidence-Based Practice Competency Questionnaire for Professional Registered Nurses (EBP-COQ Prof) was used to assess the competence level of nurses focusing on the attitudes, skills, and knowledge as well as the utilization of EBP in clinical practice. One-way ANOVA and Pearson coefficient tests were applied to compare possible differences among variables (two or more groups) as appropriate. A multi-factorial regression model was applied to explore participants’ qualifications, including demographics (MSc degree, gender, English language knowledge, etc.) as independent variables, and to control for potential confounding effects toward EBP competency. P-values <0.05 were considered statistically significant. The mean age of 473 participants (402 women and 71 men) was 44.7 ± 9.2 years old. The mean value of competence subscales was found as follows: attitudes 3.9±0.6, knowledge 3.7±0.6, skills 3.1±0.8, and utilization 3.4±0.7. A multivariate regression analysis revealed that associates of “Master's degree” (t=3.039, p=0.003), “Writing an academic article” (3.409, p=0.001), “Working in a University clinic” (2.203, p=0.028) and, “Computer Skills” (2.404, p=0.017) are positively affecting ‘Attitudes’, ‘Knowledge’, ‘Skills’ and ‘Utilization’. Respectively. The research data suggest that nurses working in Greek NHS are limited in competence towards EBP in comparison to other European countries. Therefore, Vocational, Educational and Training programs tailored to EBP enhancement are crucially important.
Effects of Postoperative Wound Infiltration Analgesia with Bupivacaine or Diclofenac on Long-Term Outcomes in Patients After Breast Cancer Surgery
Authors: Glavas Josipa , Djapic Dajana , Neferanovic Marina , Miletic Jelena , Milosevic Marta , Kralik Kristina , Neskovic Nenad , Tomas Ilijan , Mesaric Dora , Marjanovic Ksenija , Rajc Jasmina , Orkic Zelimir , Ana Cicvaric Ana , Kvolik Slavica
Published: August 2023

Breast cancer is the most common malignant disease in women. Preclinical studies have confirmed that the local anesthetic levobupivacaine has a cytotoxic effect on breast cancer cells. We examined whether postoperative wound infiltration with levobupivacaine influences survival in 120 patients who were operated on for breast cancer and underwent quadrantectomy or mastectomy with axillary lymph node dissection. Groups with continuous levobupivacaine wound infiltration, bolus wound infiltration, and diclofenac analgesia were compared. Long-term outcomes examined were quality of life, shoulder disability, and hand grip strength (HGS) after one year, and survival after 5 and 10 years. Groups that had infiltration analgesia had better shoulder function compared to diclofenac after one year. Levobupivacaine PCA group had the best preserved HGS after 1 year (P=0.022). The most significant predictor of the 5-year outcome was HGS (P=0.03). Although the best survival after 5 and 10 years was registered in the bolus levobupivacaine group, statistical significance was not reached (P=0.36). The extent of the disease at the time of surgery is the most important predictor of long-term survival. A larger prospective clinical study could better confirm the effect of levobupivacaine wound infiltration on outcomes after breast cancer surgery observed in this pilot study. Trial number NCT05829707