bluuebunny/crossref_metadata_2025 huggingface dataset:
Holographic Focused Ultrasound Hyperthermia System for Uniform Simultaneous Thermal Exposure of Multiple Tumor Spheroids
Authors: Andrés Diana , Rivens Ian , Mouratidis Petros , Jiménez Noé , Camarena Francisco , ter Haar Gail
Published: April 2023

Hyperthermia is currently used to treat cancer due to its ability to radio- and chemo-sensitize and to stimulate the immune response. While ultrasound is non-ionizing and can induce hyperthermia deep within the body non-invasively, achieving uniform and volumetric hyperthermia is challenging. This work presents a novel focused ultrasound hyperthermia system based on 3D-printed acoustic holograms combined with a high-intensity focused ultrasound (HIFU) transducer to produce a uniform iso-thermal dose in multiple targets. The system is designed with the aim of treating several 3D cell aggregates contained in an International Electrotechnical Commission (IEC) tissue-mimicking phantom with multiple wells, each holding a single tumor spheroid, with real-time temperature and thermal dose monitoring. System performance was validated using acoustic and thermal methods, ultimately yielding thermal doses in three wells that differed by less than 4%. The system was tested in vitro for delivery of thermal doses of 0–120 cumulative equivalent minutes at 43 °C (CEM43) to spheroids of U87-MG glioma cells. The effects of ultrasound-induced heating on the growth of these spheroids were compared with heating using a polymerase chain reaction (PCR) thermocycler. Results showed that exposing U87-MG spheroids to an ultrasound-induced thermal dose of 120 CEM43 shrank them by 15% and decreased their growth and metabolic activity more than seen in those exposed to a thermocycler-induced heating. This low-cost approach of modifying a HIFU transducer to deliver ultrasound hyperthermia opens new avenues for accurately controlling thermal dose delivery to complex therapeutic targets using tailored acoustic holograms. Spheroid data show that thermal and non-thermal mechanisms are implicated in the response of cancer cells to non-ablative ultrasound heating.
Directed Evolution of Seneca Valley Virus in Tumorsphere and Monolayer Cell Cultures of a Small-Cell Lung Cancer Model
Authors: Waqqar Shakeel , Lee Kai , Lawley Blair , Bilton Timothy , Quiñones-Mateu Miguel E. , Bostina Mihnea , Burga Laura N.
Published: April 2023

The Seneca Valley virus (SVV) is an oncolytic virus from the picornavirus family, characterized by a 7.3-kilobase RNA genome encoding for all the structural and functional viral proteins. Directed evolution by serial passaging has been employed for oncolytic virus adaptation to increase the killing efficacy towards certain types of tumors. We propagated the SVV in a small-cell lung cancer model under two culture conditions: conventional cell monolayer and tumorspheres, with the latter resembling more closely the cellular structure of the tumor of origin. We observed an increase of the virus-killing efficacy after ten passages in the tumorspheres. Deep sequencing analyses showed genomic changes in two SVV populations comprising 150 single nucleotides variants and 72 amino acid substitutions. Major differences observed in the tumorsphere-passaged virus population, compared to the cell monolayer, were identified in the conserved structural protein VP2 and in the highly variable P2 region, suggesting that the increase in the ability of the SVV to kill cells over time in the tumorspheres is acquired by capsid conservation and positively selecting mutations to counter the host innate immune responses.
Metabolic Syndrome Induces Epigenetic Alterations in Mitochondria-Related Genes in Swine Mesenchymal Stem Cells
Authors: Rajagopalan Kamalnath S. , Kazeminia Sara , Glasstetter Logan M. , Farahani Rahele A. , Zhu Xiang-Yang , Tang Hui , Jordan Kyra L. , Chade Alejandro R. , Lerman Amir , Lerman Lilach O. , Eirin Alfonso
Published: April 2023

Autologous mesenchymal stem/stromal cells (MSCs) have demonstrated important therapeutic effects in several diseases. Cardiovascular risk factors may impair MSC mitochondrial structure and function, but the underlying mechanisms remain unknown. We hypothesized that metabolic syndrome (MetS) induces epigenetic alterations in mitochondria-related genes in swine MSCs. Pigs were fed a Lean or MetS diet (n = 6 each) for 16 weeks. MSCs were collected from subcutaneous abdominal fat, and DNA hydroxymethylation (5 hmC) profiles of mitochondria-related genes (MitoCarta-2.0) were analyzed by hydroxymethylated DNA immunoprecipitation and next-generation sequencing (hMeDIP-seq) in Lean- and MetS-MSCs untreated or treated with the epigenetic modulator vitamin (Vit)-C (n = 3 each). Functional analysis of genes with differential 5 hmC regions was performed using DAVID6.8. Mitochondrial structure (electron microscopy), oxidative stress, and membrane potential were assessed. hMeDIP-seq identified 172 peaks (associated with 103 mitochondrial genes) with higher and 416 peaks (associated with 165 mitochondrial genes) with lower 5 hmC levels in MetS-MSCs versus Lean-MSCs (≥2-fold, p < 0.05). Genes with higher 5 hmC levels in MetS + MSCs were primarily implicated in fatty acid metabolism, whereas those with lower 5 hmC levels were associated with electron transport chain activity. Vit-C increased 5 hmC levels in mitochondrial antioxidant genes, improved mitochondrial structure and membrane potential, and decreased oxidative stress. MetS alters 5 hmC levels of mitochondria-related genes in swine MSCs. Vit-C modulated 5 hmC levels in these genes and preserved mitochondrial structure and function in MetS-MSCs. These observations may contribute to development of strategies to overcome the deleterious effects of MetS on MSCs.
Therapeutic Effects of Combined Treatment with the AEA Hydrolysis Inhibitor PF04457845 and the Substrate Selective COX-2 Inhibitor LM4131 in the Mouse Model of Neuropathic Pain
Authors: Wen Jie , Sackett Scott , Tanaka Mikiei , Zhang Yumin
Published: April 2023

Chronic neuropathic pain resulting from peripheral nerve damage is a significant clinical problem, which makes it imperative to develop the mechanism-based therapeutic approaches. Enhancement of endogenous cannabinoids by blocking their hydrolysis has been shown to reduce inflammation and neuronal damage in a number of neurological disorders and neurodegenerative diseases. However, recent studies suggest that inhibition of their hydrolysis can shift endocannabinoids 2-arachidonoyl glycerol (2-AG) and anandamide (AEA) toward the oxygenation pathway mediated by cyclooxygenase-2 (COX-2) to produce proinflammatory prostaglandin glycerol esters (PG-Gs) and prostaglandin ethanolamides (PG-EAs). Thus, blocking both endocannabinoid hydrolysis and oxygenation is likely to be more clinically beneficial. In this study, we used the chronic constriction injury (CCI) mouse model to explore the therapeutic effects of simultaneous inhibition of AEA hydrolysis and oxygenation in the treatment of neuropathic pain. We found that the fatty acid amide hydrolase (FAAH) inhibitor PF04457845 and the substrate-selective COX-2 inhibitor LM4131 dose-dependently reduced thermal hyperalgesia and mechanical allodynia in the CCI mice. In addition to ameliorating the pain behaviors, combined treatment with subeffective doses of these inhibitors greatly attenuated the accumulation of inflammatory cells in both sciatic nerve and spinal cord. Consistently, the increased proinflammatory cytokines IL-1β, IL-6, and chemokine MCP-1 in the CCI mouse spinal cord and sciatic nerve were also significantly reduced by combination of low doses of PF04457845 and LM4131 treatment. Therefore, our study suggests that simultaneous blockage of endocannabinoid hydrolysis and oxygenation by using the substrate-selective COX-2 inhibitor, which avoids the cardiovascular and gastrointestinal side effects associated with the use of general COX-2 inhibitors, might be a suitable strategy for the treatment of inflammatory and neuropathic pain.
Combined Pulmonary Fibrosis and Emphysema: When Scylla and Charybdis Ally
Authors: Gredic Marija , Karnati Srikanth , Ruppert Clemens , Guenther Andreas , Avdeev Sergey N. , Kosanovic Djuro
Published: April 2023

Combined pulmonary fibrosis and emphysema (CPFE) is a recently recognized syndrome that, as its name indicates, involves the existence of both interstitial lung fibrosis and emphysema in one individual, and is often accompanied by pulmonary hypertension. This debilitating, progressive condition is most often encountered in males with an extensive smoking history, and is presented by dyspnea, preserved lung volumes, and contrastingly impaired gas exchange capacity. The diagnosis of the disease is based on computed tomography imaging, demonstrating the coexistence of emphysema and interstitial fibrosis in the lungs, which might be of various types and extents, in different areas of the lung and several relative positions to each other. CPFE bears high mortality and to date, specific and efficient treatment options do not exist. In this review, we will summarize current knowledge about the clinical attributes and manifestations of CPFE. Moreover, we will focus on pathophysiological and pathohistological lung phenomena and suspected etiological factors of this disease. Finally, since there is a paucity of preclinical research performed for this particular lung pathology, we will review existing animal studies and provide suggestions for the development of additional in vivo models of CPFE syndrome.
Corneal Regeneration Using Gene Therapy Approaches
Authors: Sarkar Subhradeep , Panikker Priyalakshmi , D’Souza Sharon , Shetty Rohit , Mohan Rajiv R. , Ghosh Arkasubhra
Published: April 2023

One of the most remarkable advancements in medical treatments of corneal diseases in recent decades has been corneal transplantation. However, corneal transplants, including lamellar strategies, have their own set of challenges, such as graft rejection, delayed graft failure, shortage of donor corneas, repeated treatments, and post-surgical complications. Corneal defects and diseases are one of the leading causes of blindness globally; therefore, there is a need for gene-based interventions that may mitigate some of these challenges and help reduce the burden of blindness. Corneas being immune-advantaged, uniquely avascular, and transparent is ideal for gene therapy approaches. Well-established corneal surgical techniques as well as their ease of accessibility for examination and manipulation makes corneas suitable for in vivo and ex vivo gene therapy. In this review, we focus on the most recent advances in the area of corneal regeneration using gene therapy and on the strategies involved in the development of such therapies. We also discuss the challenges and potential of gene therapy for the treatment of corneal diseases. Additionally, we discuss the translational aspects of gene therapy, including different types of vectors, particularly focusing on recombinant AAV that may help advance targeted therapeutics for corneal defects and diseases.
How Do Mindfulness Offerings Support Inner–Outer Sustainability Progress? A Sustainability Assessment of Online Mindfulness Interventions
Authors: Cooper Kira J. , Gibson Robert B.
Published: April 2023

While there is growing optimism for inner transformations to catalyse systemic shifts towards more sustainable ways of being, no study so far has attempted to assess how well current interventions for inner development address core requirements for collective wellbeing. In this article, we apply a novel assessment framework to examine how mindfulness-based interventions address inner and outer sustainability criteria during a global health emergency. This inquiry informs a growing field of study concerned with leveraging inner transformations for systemic shifts towards sustainability progress. Using three prominent online mindfulness-based offerings as a case study, we demonstrate that mindfulness-based interventions have a broad range of potential desirable to detrimental implications for social and biophysical systems. We conclude by discussing how normative conceptions of inner interventions might be contextualised anew to effectively support more viable, just, and inclusive transformations towards long-term viability.
Phosphorescent O2-Probes Based on Ir(III) Complexes for Bioimaging Applications
Authors: Samandarsangari Mozhgan , Kritchenkov Ilya S. , Kozina Daria O. , Komarova Anastasia D. , Shirmanova Marina V. , Tunik Sergey P.
Published: April 2023

The design, synthesis, and investigation of new molecular oxygen probes for bioimaging, based on phosphorescent transition metal complexes are among the topical problems of modern chemistry and advanced bioimaging. Three new iridium [Ir(N^C)2(N^N)]+ complexes with cyclometallating 4-(pyridin-2-yl)-benzoic acid derivatives and different di-imine chelate ligands have been synthesized and characterized by mass spectrometry and NMR spectroscopy. The periphery of these complexes is decorated with three relatively small “double-tail” oligo(ethylene glycol) fragments. All these complexes exhibit phosphorescence; their photophysical properties have been thoroughly studied, and quantum chemical calculations of their photophysical properties were also performed. It turned out that the changes in the nature of the di-imine ligand greatly affected the character of the electronic transitions responsible for their emission. Two complexes in this series show the desired photophysical characteristics; they demonstrate appreciable quantum yield (14–15% in degassed aqueous solutions) and a strong response to the changes in oxygen concentration, ca. three-fold increase in emission intensity, and an excited state lifetime upon deaeration of the aqueous solution. The study of their photophysical properties in model biological systems (buffer solutions containing fetal bovine serum—FBS) and cytotoxicity assays (MTT) showed that these complexes satisfy the requirements for application in bioimaging experiments. It was found that these molecular probes are internalized into cultured cancer cells and localized mainly in mitochondria and lysosomes. Phosphorescent lifetime imaging (PLIM) experiments showed that under hypoxic conditions in cells, a 1.5-fold increase in the excitation state lifetime was observed compared to aerated cells, suggesting the applicability of these complexes for the analysis of hypoxia in biological objects.
Parental Narratives of Bonding and Relational Experiences with Preterm Infants Born at 23 to 24 Weeks—A Qualitative Descriptive Study
Authors: Väliaho Anniina , Lehtonen Liisa , Axelin Anna , Korja Riikka
Published: April 2023

(1) Background. The birth of an infant at 23 to 24 weeks poses a significant challenge to healthy parent–infant bonding because of the high risk of infant loss and the prolonged separation. The aim of this study was to retrospectively explore the narratives of parents with children born at 23–24 weeks about their bonding formation and relational experiences. (2) Methods. This was a qualitative descriptive study conducted with Finnish parents of children born at 23 or 24 weeks of gestation. Twenty-nine mothers and eight fathers were retrospectively interviewed using a semi-structured interview about the bonding process with their infant during the period in the neonatal intensive care unit (NICU) and their later parent–child relationship. Parents’ narratives were deductively analysed according to a framework previously developed for studying parental bonding. (3) Results. Our results showed that several parents described the bonding process as natural or even easy despite the traumatic start to parenthood. Support from NICU staff and providing opportunities for participation in infant care and parent–infant physical closeness were reported to enhance the bonding process. Our study identified earlier parenting experience as a new element supporting bonding. (4) Conclusions. According to our results, essential elements enhancing parent–infant bonding in NICU settings seem to be supporting parents psychologically, promoting parent–infant closeness, and encouraging parental participation in the infants’ care, even with the most immature infants.
Are Complementary Feeding Practices Aligned with Current Recommendations? A Narrative Review
Authors: Nantel Audrey , Gingras Véronique
Published: April 2023

The complementary feeding introduction period (introduction of solid foods alongside breastmilk or formula) is defining in children’s health; however, it appears that many parents do not follow complementary feeding guidelines. Our aim was to describe current parental feeding practices during complementary feeding in relation to current recommendations and explore determinants of adherence to guidelines. We included any relevant studies published within the last decade in French or English and summarized findings by recommendation category. The timing of complementary food introduction varied widely across and within continents (earlier in North America and often delayed in Asia). The introduction of allergenic foods tended to be delayed globally. Although some parents now begin complementary feeding with solid foods (i.e., baby-led weaning), delayed introduction of lumpy textures was still prevalent in the United States and in Europe. The consumption of iron-rich foods was predominantly low in Africa. Added sugars were globally introduced early, especially in America. Evidence for the prevalence of responsive feeding practices among parents is unclear due to the small number of studies. Determinants of complementary feeding practices included parental characteristics, such as age, education, socio-economic status, and race/ethnicity. Interventions aiming to increase adherence to complementary feeding guidelines must account for parental characteristics.
Importance of Desensitization for Autistic Children in Dental Practice
Authors: Martínez Pérez Eva , Adanero Velasco Alberto , Gómez Clemente Víctor , Miegimolle Herrero Mónica , Planells Del Pozo Paloma
Published: April 2023

Objectives: Dental treatment in special needs patients, including children with autism, can be accomplished by reducing the behaviors that can reduce fear, as it has been demonstrated in other studies. The present study aims to examine the influence of the latency time elapsing between desensitization and the real dental situation on facilitating the access of children with autism to dental treatment. Study design: Nineteen patients with autism, who were aged 3–14 years and attended the Special Education Center in Madrid but were living with their parents at home, were selected for the study. All children in the sample were subjected to a desensitization process before attending the real dental office. Two study groups were established: the latency period between the last desensitization and the real situation was one day for the first group and seven days for the second group. An experimental study was conducted to assess the child’s cooperation in the dental chair; the dental examination was divided into several steps and the highest step reached by each child was recorded. Results: There is a statistical difference in the number of steps reached between the children who received the information just before the examination date and the children who experienced a longer latency period between receiving the information and experiencing the examination. Conclusions: We would like to emphasize the importance of providing information in advance when dealing with autistic children; this information should be as close as possible to the real situation. Additionally, we would like to stress the importance of inter-cooperation between parents, educators, and pediatric dentists in order to guarantee adequate oro-dental care for autistic children. Further studies with larger sample sizes and a control group are recommended.
School-Based Interventions on Dental Trauma: A Scoping Review of Empirical Evidence
Authors: Aminu Kafayat , Kanmodi Kehinde Kazeem , Amzat Jimoh , Salami Afeez Abolarinwa , Uwambaye Peace
Published: April 2023

Introduction: Accidents involving sports or leisure activities, falls, blows from objects, acts of interpersonal violence, and accidents can all result in dental trauma (also known as traumatic dental injuries [TDIs]). School children are one of the population groups that are highly vulnerable to TDIs. Multiple school-based interventions have been conducted around the world on the prevention and management of TDIs; however, no known scoping review has been conducted to map the evidence. Hence, this study aimed to conduct a scoping review of existing school-based interventions on TDIs. Methods: This scoping review adopted the research design presented by Arksey and O’Malley. Eight research databases—PubMed, SCOPUS, APA PsycINFO, CINAHL Ultimate, AMED (The Allied and Complementary Medicine Database), Child Development & Adolescent Studies, Psychology and Behavioral Sciences Collection, and SPORTDiscuss—were searched to retrieve literature relevant to the scoping review question. Some of the retrieved literature existed in duplicate and was deduplicated using Rayyan software. Twenty papers that fulfilled the inclusion criteria were selected and reviewed. Results: A total of 526 publications were retrieved from the eight databases searched in this scoping review. Ninety-seven publications were duplicates and were removed. After the two-stage screening of the deduplicated copies, only 20 peer-reviewed journal articles were relevant and included in the review. The selected studies sampled a total of 7152 participants whose ages ranged between 9 and 62 years (mean = 10.56 to 46.5; standard deviation = ±0.97 to ±8.1). The findings obtained from the reviewed journal articles revealed that pupils are at high risk of dental trauma and they are more likely to sustain these injuries during school activities. In addition, inadequate understanding, poor attitudes, and low experiential knowledge of dental trauma were found among educators, parents, and even school pupils. The evidence of long-term knowledge retention and a high knowledge score in the experimental groups buttresses the need for continuous first-aid education on dental trauma. Conclusions: The application of multiple educational approaches or modalities in schools will reinforce and promote good first-aid skills and management practices that are essential for preserving traumatized teeth.
Growing Up with HIV: Experiences of Transition from Adolescence to Adulthood at Selected Primary Health Facilities in Limpopo Province, South Africa
Authors: Mukwevho Azwinndini Cecilia , Maputle Maria Sonto , Ramathuba Dorah Ursula
Published: April 2023

Background: Many children who contracted Human Immunodeficiency Virus (HIV) through vertical transmission are now in their adolescent and early adult years. The aim was to explore the experiences of adolescents living with HIV (ALWHIV) during the transition from childhood to adulthood. Methods and Material: The study was conducted at selected primary healthcare facilities in the Mopani and Vhembe districts in July 2021. A qualitative research approach that included contextual, descriptive, and exploratory designs was used. The population comprised 27 ALWHIV who were purposively sampled and enrolled for ART care. Data were collected using in-depth interviews, and the question was “How is it for you as you live with a virus and transit from adolescent to adulthood”. The open coding approach was used to analyse the data. Measures to ensure trustworthiness articulated in Lincoln and Guba’s criteria and ethical considerations were adhered to. Findings: The findings revealed four themes: poor understanding of the disease condition, improved physical health when adhering to ARV treatments, challenges related to sexual maturity and intimate relationships, and parents not disclosing their children’s HIV status. Conclusion: Parents’ delayed and non-disclosure of adolescents’ positive HIV status led to a lack of awareness about the course of the disease, non-adherence to ART, and unsafe sex practices that could increase the risk of HIV transmission and re-infection. To address these multiple obstacles associated with ALWHIV, a comprehensive, multi-sectoral approach that is teenager-friendly should be undertaken.
Clinical Patterns and Treatment of Pediatric Facial Fractures: A 10-Year Retrospective Romanian Study
Authors: Juncar Raluca Iulia , Moca Abel Emanuel , Juncar Mihai , Moca Rahela Tabita , Țenț Paul Andrei
Published: April 2023

Pediatric facial fractures have different clinical patterns and require different therapeutic approaches in comparison with those of facial fractures that occur among adults. The aim of this study was to describe the main clinical characteristics of pediatric facial fractures (such as fracture location, fracture pattern, treatment, complications and evolution) in a group of pediatric patients from NW Romania. This research was a retrospective study that was conducted for 10 years in a tertiary hospital for oral and maxillofacial surgery from NW Romania. A total of 142 pediatric patients were included in this study, with ages between 0 and 18 years. Mandibular (66.2%), midface (25.4%) and combined fractures (8.5%) were identified, and patients from the 13–18 years age group were more frequently affected by facial fractures (78.9%). Most of the diagnosed fractures among all three types of fractures were total fractures, and most mandibular (92.6%) and midface (80.6%) fractures were without displacement. Hematomas, lacerations and abrasions were identified as associated lesions. Patients with associated lesions were more frequently associated with combined fractures or midface fractures than mandibular fractures. The instituted treatment was, in general, orthopedic, for all three types of fractures (mandibular—86.2%; midface—91.7%; combined—66.7%). Most fractures, mandibular (96.8%), midface (100%) and combined (91.7%) fractures, had a favorable evolution. Most fractures did not present any complications at the follow-up. Pediatric facial fractures have unique patterns and must be treated with caution, considering the particularities of pediatric facial anatomy.
Biological Investigation of 2-Thioxo-benzo[g]quinazolines against Adenovirus Type 7 and Bacteriophage Phi X174: An In Vitro Study
Authors: Abuelizz Hatem A. , Bakheit Ahmed H. , Marzouk Mohamed , El-Senousy Waled M. , Abdellatif Mohamed M. , Ali Essam E. , Mostafa Gamal A. E. , Al-Salahi Rashad
Published: April 2023

Mortality and morbidity caused by viruses are a global health problems. Therefore, there is always a need to create novel therapeutic agents and refine existing ones to maximize their efficacy. Our lab has produced benzoquinazolines derivatives that have proven effective activity as antiviral compounds against herpes simplex (HSV 1 and 2), coxsackievirus B4 (CVB4), and hepatitis viruses (HAV and HCV). This in vitro study was aimed at investigating the effectiveness of benzoquinazoline derivatives 1–16 against adenovirus type 7 and bacteriophage phiX174 using a plaque assay. The cytotoxicity against adenovirus type 7 was also performed in vitro, using a MTT assay. Most of the compounds exhibited antiviral activity against bacteriophage phiX174. However, compounds 1, 3, 9, and 11 showed statistically significant reductions of 60–70% against bacteriophage phiX174. By contrast, compounds 3, 5, 7, 12, 13, and 15 were ineffective against adenovirus type 7, and compounds 6 and 16 had remarkable efficacy (50%). Using the MOE-Site Finder Module, a docking study was carried out in order to create a prediction regarding the orientation of the lead compounds (1, 9, and 11). This was performed in order to investigate the activity of the lead compounds 1, 9, and 11 against the bacteriophage phiX174 by locating the ligand–target protein binding interaction active sites.
Stress, Anxiety, and Depression Levels among University Students: Three Years from the Beginning of the Pandemic
Authors: Kavvadas Dimitrios , Kavvada Asimoula , Karachrysafi Sofia , Papaliagkas Vasileios , Chatzidimitriou Maria , Papamitsou Theodora
Published: April 2023

Background: Three years after the outbreak of the COVID-19 pandemic, psychological distress among college students remains increased. This study assesses stress, anxiety, and depression levels among students of the Aristotle University of Thessaloniki by the end of the third year of the pandemic (November 2022), revealing demographic characteristics and probable stressors. Methods: A questionnaire was distributed in November 2022 via the academic students’ e-mails. The evaluation was performed with the DASS21 survey tool. The correlation analysis and the effect size calculation were performed with the t-test. Results: The majority of participants were undergraduates, on their first or second academic year, female students (67%), age of 18 to 21, unmarried or single (91%), and vaccinated against COVID-19 infection (83.4%). Severely increased levels of stress, anxiety, and depression (21.3%, 23.3%, and 25.1%, respectively) were measured. The normal and mild levels of stress, anxiety, and depression were 64.0%, 66.5%, and 57.2%, respectively. Female and younger students were at a higher risk of extremely severe stress, anxiety and depression prevalence (ORs up to 2.07, p-Values < 0.00001). Participants who were receiving psychological or psychiatric treatment exhibited severe stress, anxiety, and depression levels (ORs above 2.9, p-Values < 0.00001). Conclusions: Despite the undeniable withdrawal of the COVID-19 pandemic, the community of the Aristotle University of Thessaloniki presents high stress, anxiety, and depression levels, similar to those reported during the first year of the pandemic (November 2020). Stressors and risk factors were according to the reported literature and previous studies on Greek students. Academic psychological support offices should consider the students’ “profile” in order to evaluate properly the potential risk for emotional and psychological distress. Evidence suggest that new technology (virtual reality, tele-psychiatry or tele-support apps and sessions) should also be implemented in universities.
Second Opinion in the Italian Organ Procurement Transplantation: The Pathologist Is In
Authors: Eccher Albino , Malvi Deborah , Novelli Luca , Mescoli Claudia , D’Errico Antonietta
Published: April 2023

Second opinion consultation is a well-established practice in different clinical settings of diagnostic medicine. However, little is known about second opinion consultation activity in transplantation, and even less is known about it concerning donor assessment. The consultations provided by the second opinion service led to the safer and homogeneous management of donors with a history of malignancy or ongoing neoplasm by transplant centers. Indeed, two of the most important aspects are the reduction of semantic differences in cancer reporting and the standardization of procedures, which are mainly due to the different settings and logistics of different pathology services. This article aims to discuss the role and the future of the second opinion in Italy during organ procurement, highlighting the critical issues and areas for improvement.
3D Multilayered Metamaterials with High Plasmonic Hotspot Density for Surface—Enhanced Raman Spectroscopy
Authors: Chen Jun , Zhang Chai , Tang Feng , Ye Xin , Zhang Yubin , Wu Jingjun , Wang Kaixuan , Zhang Ning , Yang Liming
Published: April 2023

Three-dimensional (3D) plasmonic metamaterials have become a trend in the application of nanophotonic devices. In this paper, a convenient and inexpensive method for the design of 3D multilayer plasmonic metamaterials is constructed using a one-step self-shielded reactive-ion-etching process (OSRP) and a thermal evaporation system, which provides an efficient and low-cost method for the preparation of surface-enhanced Raman spectroscopy (SERS) substrates. The near-field enhancement of the 3D plasmonic metamaterials provides highly efficient electromagnetic resonance, and highly sensitive and uniform SERS sensing capabilities. The SERS detection results of rhodamine B (Rh. B) and rhodamine 6G (R6G) on this substrate show that the detection limit could reach 10–13 mol/L, and the signal could give expression to excellent uniform stability. The results show that high sensitivity and high robustness SERS substrates can be prepared with high efficiency and low cost.
Novel Approach for Improving Papaya Fruit Storage with Carnauba Wax Nanoemulsion in Combination with Syzigium aromaticum and Mentha spicata Essential Oils
Authors: Oliveira Filho Josemar Gonçalves de , Duarte Larissa G. R. , Silva Yasmin B. B. , Milan Eduardo P. , Santos Higor V. , Moura Thaís C. , Bandini Vitor P. , Vitolano Luís Eduardo S. , Nobre Jacqueline J. C. , Moreira Cristiane T. , Mitsuyuki Milene C. , Bogusz Junior Stanislau , Ferreira Marcos David
Published: April 2023

Application of hydrophobic coatings, such as carnauba wax nanoemulsions, combined with natural antimicrobials, has been demonstrated to be an effective solution in extending the shelf life of fruits. The present study evaluated the effectiveness of carnauba wax nanoemulsion (CWN) coatings containing free or encapsulated with β-cyclodextrin (β-CD) essential oils of Syzigium aromaticum (CEO) and Mentha spicata (MEO) for the post-harvest conservation of papaya fruit. The chemical composition of the essential oils (EOs) was analyzed using GC-MS. Subsequently, coatings incorporating free and encapsulated EOs were prepared and applied to papaya fruit. Fruit was evaluated for post-harvest quality parameters during 15 days of storage. Clove essential oil presented as main compounds eugenol (89.73%), spearmint and carvone (68.88%), and limonene (20.34%). The observed reduction in weight loss in coated fruit can be attributed to the formation of a physical barrier provided by the coating. Compared to the control group, which experienced the highest weight loss of 24.85%, fruit coated with CWN and CWN-MEO:β-CD exhibited significantly lower weight loss percentages of only 5.78% and 7.5%, respectively. Compared to the control group, which exhibited a release of ethylene at a rate of 1.3 µg kg−1 h−1, fruit coated with CWN, CWN-MEO:β-CD, and CWN-MEO coatings demonstrated a lower ethylene release rate at 0.7 µg kg−1 h−1. Although the physical-chemical properties of papayas, including pH, Brix, titratable acidity, color, and texture, remained largely unchanged during storage with the coatings, analysis of incidence and severity of papaya post-harvest deterioration revealed that coatings containing essential oils effectively acted as antifungals in the fruit. Microscopy images showed that CWN and CWN-MEO:β-CD coatings are more uniform compared to the others. The edible coatings, especially CWN and CWN-MEO: β-CD, can act as antimicrobial coatings on papaya fruit, increasing their conservation during post-harvest storage.
Black Phosphorus Coated D-Shape Fiber as a Mode-Locker for Picosecond Soliton Pulse Generation
Authors: Alghamdi Turki Ali , Adwan Somaya , Arof Hamzah , Harun Sulaiman Wadi
Published: April 2023

We demonstrate the production of a picosecond pulse from an Erbium laser cavity using black phosphorous (BP) on side-polished fiber saturable absorber (SA) as a mode-locker. The surface of the fiber was removed utilizing a polishing wheel, and then BP was mechanically deposited onto it to develop an excellent evanescent field on the polished surface area. The SA device was used in a 56 m long Erbium-doped fiber laser (EDFL) ring cavity to generate soliton mode-locked pulses with a center wavelength of 1556.2 nm and a 3 dB spectral bandwidth of 2.2 nm. Stable 3.48 MHz soliton pulses with pulse width as short as 1.17 ps were achievable by setting the pump power within 92 mW to 145 mW. The highest pulse energy and peak power obtainable were 5.4 nJ and 4.7 kW, respectively. The results show that BP deposited onto side-polished fiber can be used as an SA in an EDFL cavity. Its easy construction makes it suitable for producing a portable mode-locked laser source.
Microstructure Evolution in a β-γ TiAl Alloy during Hot Deformation under Variable Conditions
Authors: Li Guoju , Chen Zhanxing , Wang Yupeng , Zhang Xinzhe , Xing Qiuwei , Zhang Xinfang , Yuan Chunyuan , Ma Tengfei
Published: April 2023

In contrast to practical hot compression processes, the testing of the hot workability of TiAl alloys is usually conducted under the conditions of constant strain rates and constant temperatures. This work aims at investigating the microstructural evolution of TiAl alloys on a Gleeble-3800 thermomechanical simulator under a variable strain rate (0.1, 0.01 and 0.001 s−1) at 1200 °C. The results show that, after a holding time of 30 s, the abrupt change in the strain rate at ε = 0.3 (engineering strain) has a remarkable influence on the flow stress and dynamic recrystallization (DRX) behavior of the β-γ Ti-44Al-6Nb-1Mo-0.3 (B, Y, La, Ce) (at.%) alloy. The flow stress demonstrates a rapid decrease with a sudden reduction in the strain rate. A duplex microstructure of γ + B2/β can be obtained under a high strain rate or continuous medium strain rate. During the two-step deformation, however, both γ→α phase transformation and DRX exist, and the content of the α phase demonstrates a significant increase when the strain rate becomes lower. Finally, a fine-grained structure of γ + B2/β + α2 phases with low residual stresses can be obtained via the two-step heat treatment processes. This provides a promising approach to significantly improve the hot workability of β-γ TiAl alloys.
Monitoring Eurasian Woodcock (Scolopax rusticola) with Pointing Dogs in Italy to Inform Evidence-Based Management of a Migratory Game Species
Authors: Tuti Marco , Rodrigues Tiago M. , Bongi Paolo , Murphy Kilian J. , Pennacchini Paolo , Mazzarone Vito , Sargentini Clara
Published: April 2023

The phenology of migratory bird species is a crucial aspect of their biology that has far-reaching implications for wildlife management, particularly when these species are hunted as game. For this reason, many monitoring projects have investigated the presence of Western European bird species in diverse Palearctic regions using abundance indexes. Here, our aim was to define Woodcock’s presence in Italy during the post-nuptial migration, the wintering phase, and at the beginning of the pre-nuptial migration phase, using monitoring data collected between September and March for the period 2016 to 2021. The presence of Woodcock in Italy and other regions of the Mediterranean basin can be compared using an index, specifically the “Indice Cynégétique d’Abondance” (ICA) which corresponds to the number of different Woodcock flushed during a hunting trip. We modelled the abundance of Woodcock as a function of biotic (habitat type, vegetation) and abiotic (place, season, temperature, altitude) factors to assess the presence of Woodcock in Italy Our findings reveal that temperature and altitude have an inverse effect on the abundance index of Woodcock in Italy, while deciduous woodland is a preferred habitat for the species. We observe an increase in Woodcock’s presence from the end of September to late November, followed by a decrease in late January. Moreover, we have identified a significant rise in the ICA index during the latter part of February and early March, indicating the pre-nuptial migration period. Our study contributes significantly to our understanding of Woodcock migration phenology, particularly with respect to the management of the species in Italy and other Mediterranean basin states. Our results underscore the importance of long-term monitoring programs for evaluating key spatial population metrics such as presence and abundance, which are critical for sustainable hunting and effective conservation management of game species.
Potential Effects of Habitat Change on Migratory Bird Movements and Avian Influenza Transmission in the East Asian-Australasian Flyway
Authors: Takekawa John Y. , Prosser Diann J. , Sullivan Jeffery D. , Yin Shenglai , Wang Xinxin , Zhang Geli , Xiao Xiangming
Published: April 2023

Wild waterbirds, and especially wild waterfowl, are considered to be a reservoir for avian influenza viruses, with transmission likely occurring at the agricultural-wildlife interface. In the past few decades, avian influenza has repeatedly emerged in China along the East Asian-Australasian Flyway (EAAF), where extensive habitat conversion has occurred. Rapid environmental changes in the EAAF, especially distributional changes in rice paddy agriculture, have the potential to affect both the movements of wild migratory birds and the likelihood of spillover at the agricultural-wildlife interface. To begin to understand the potential implications such changes may have on waterfowl and disease transmission risk, we created dynamic Brownian Bridge Movement Models (dBBMM) based on waterfowl telemetry data. We used these dBBMM models to create hypothetical scenarios that would predict likely changes in waterfowl distribution relative to recent changes in rice distribution quantified through remote sensing. Our models examined a range of responses in which increased availability of rice paddies would drive increased use by waterfowl and decreased availability would result in decreased use, predicted from empirical data. Results from our scenarios suggested that in southeast China, relatively small decreases in rice agriculture could lead to dramatic loss of stopover habitat, and in northeast China, increases in rice paddies should provide new areas that can be used by waterfowl. Finally, we explored the implications of how such scenarios of changing waterfowl distribution may affect the potential for avian influenza transmission. Our results provide advance understanding of changing disease transmission threats by incorporating real-world data that predicts differences in habitat utilization by migratory birds over time.
Large-Scale Variation in Diversity of Biomass-Dominating Key Bryozoan Species in the Seas of the Eurasian Sector of the Arctic
Authors: Denisenko Nina V. , Denisenko Stanislav G.
Published: April 2023

An analysis of archival and literary materials, as well as recently collected data in coastal areas at 14 locations in the Eurasian seas showed that the diversity of biomass-dominating key bryozoan species is low, totaling 26 species, less than 1/15 of the total bryozoan fauna richness. Their number decreases eastward from 17 species with an average total biomass of >16 g/m2 in the Barents Sea to three species with an average biomass of about 3 g/m2 in the East Siberian Sea. In the Chukchi Sea, their number and average biomass increase to 10 species and ~12 g/m2, respectively. Average biomass strongly correlates with the number of species in each sea. Furthermore, variation in biomass is significantly correlated with the composition of bottom sediments and, in some locations, with depth. The marked decrease in the number of key species along the vector from Barents→Kara→Laptev→East Siberian Sea is due to a decline in the number of boreal and boreal–Arctic bryozoans of Atlantic origin. In contrast, the appearance of boreal and boreal–Arctic Pacific species is responsible for the increase in key species in the Chukchi Sea.
Recent Advances in Explainable Artificial Intelligence for Magnetic Resonance Imaging
Authors: Qian Jinzhao , Li Hailong , Wang Junqi , He Lili
Published: April 2023

Advances in artificial intelligence (AI), especially deep learning (DL), have facilitated magnetic resonance imaging (MRI) data analysis, enabling AI-assisted medical image diagnoses and prognoses. However, most of the DL models are considered as “black boxes”. There is an unmet need to demystify DL models so domain experts can trust these high-performance DL models. This has resulted in a sub-domain of AI research called explainable artificial intelligence (XAI). In the last decade, many experts have dedicated their efforts to developing novel XAI methods that are competent at visualizing and explaining the logic behind data-driven DL models. However, XAI techniques are still in their infancy for medical MRI image analysis. This study aims to outline the XAI applications that are able to interpret DL models for MRI data analysis. We first introduce several common MRI data modalities. Then, a brief history of DL models is discussed. Next, we highlight XAI frameworks and elaborate on the principles of multiple popular XAI methods. Moreover, studies on XAI applications in MRI image analysis are reviewed across the tissues/organs of the human body. A quantitative analysis is conducted to reveal the insights of MRI researchers on these XAI techniques. Finally, evaluations of XAI methods are discussed. This survey presents recent advances in the XAI domain for explaining the DL models that have been utilized in MRI applications.
Deep Learning-Based Modified YOLACT Algorithm on Magnetic Resonance Imaging Images for Screening Common and Difficult Samples of Breast Cancer
Authors: Wang Wei , Wang Yisong
Published: April 2023

Computer-aided methods have been extensively applied for diagnosing breast lesions with magnetic resonance imaging (MRI), but fully-automatic diagnosis using deep learning is rarely documented. Deep-learning-technology-based artificial intelligence (AI) was used in this work to classify and diagnose breast cancer based on MRI images. Breast cancer MRI images from the Rider Breast MRI public dataset were converted into processable joint photographic expert group (JPG) format images. The location and shape of the lesion area were labeled using the Labelme software. A difficult-sample mining mechanism was introduced to improve the performance of the YOLACT algorithm model as a modified YOLACT algorithm model. Diagnostic efficacy was compared with the Mask R-CNN algorithm model. The deep learning framework was based on PyTorch version 1.0. Four thousand and four hundred labeled data with corresponding lesions were labeled as normal samples, and 1600 images with blurred lesion areas as difficult samples. The modified YOLACT algorithm model achieved higher accuracy and better classification performance than the YOLACT model. The detection accuracy of the modified YOLACT algorithm model with the difficult-sample-mining mechanism is improved by nearly 3% for common and difficult sample images. Compared with Mask R-CNN, it is still faster in running speed, and the difference in recognition accuracy is not obvious. The modified YOLACT algorithm had a classification accuracy of 98.5% for the common sample test set and 93.6% for difficult samples. We constructed a modified YOLACT algorithm model, which is superior to the YOLACT algorithm model in diagnosis and classification accuracy.
Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
Authors: Asseri Ali Alsuheel , Alzoani Ahmad , Almazkary Abdulwahab M. , Abdulaziz Nisreen , Almazkary Mufareh H. , Alahmari Samy Ailan , Duraisamy Arul J. , Sureshkumar Shruti
Published: April 2023

Mucopolysaccharidosis type I (MPS I) is a rare inherited autosomal recessive lysosomal storage disorder. Despite several reports on MPS I-related neonatal interstitial lung disease, it is still considered to be an under-recognized disease manifestation. Thus, further study of MPS I is required to improve specific therapies and management strategies. The current report describes a late preterm baby (36 weeks gestational age) with neonatal onset of interstitial lung disease eventually diagnosed as MPS I. The neonate required prolonged respiratory support and oxygen supplementation that further escalated the likely diagnosis of inherited disorders of pulmonary surfactant dysfunction. Whole-exome sequencing confirmed the diagnosis of MPS I, following the observation of low levels of the enzyme α-L-iduronidase. The results highlight the necessity of considering MPS I-related pulmonary involvement in newborns with persistent respiratory insufficiency.