bluuebunny/crossref_metadata_2025 huggingface dataset:
Adsorption and Sensing Properties of Formaldehyde on Chemically Modified Graphene Surfaces
Authors: Yang Lunwei , Xiao Wei , Wang Jianwei , Li Xiaowu , Wang Ligen
Published: April 2022

Chemically modifying graphene (such as chemical doping) is a commonly used method to improve its formaldehyde sensing properties, but the microscopic mechanisms of heteroatoms in the adsorption and sensing process are still unclear. In this paper, the adsorption and sensing properties of formaldehyde on graphene surfaces modified by X doping (X = B, N, O, P, S, Mg and Al) were systematically investigated by first-principles calculations. The adsorption geometries, adsorption energies, charge transfers, and electronic structures were obtained and analyzed. The adsorption strengths of HCHO molecule on the Mg- and Al-doped graphene surfaces were stronger than those of non-metal (B, N, O, P and S)-doped cases. These results showed that the Mg- or Al-doped graphene was better for HCHO detecting than the non-metal-doped graphene systems. The sensing properties were simulated by theNEGF method for the two-probe nano-sensors constructed from Al- and Mg-doped graphene. The maximum sensing responses of nano-sensors based on Al- and Mg-doped graphene were obtained to be 107% and 60%, respectively. The present study supplies a theoretical basis for designing superior graphene-based HCHO gas sensors.
On Stress-Induced Polarization Effect in Ammonothermally Grown GaN Crystals
Authors: Grabianska Karolina , Kucharski Robert , Sochacki Tomasz , Weyher Jan L. , Iwinska Malgorzata , Grzegory Izabella , Bockowski Michal
Published: April 2022

The results of basic ammonothermal crystallization of gallium nitride are described. The material is mainly analyzed in terms of the formation of stress (called stress-induced polarization effect) and defects (threading dislocations) appearing due to a stress relaxation process. Gallium nitride grown in different positions of the crystallization zone is examined in cross-polarized light. Interfaces between native ammonothermal seeds and new-grown gallium nitride layers are investigated in ultraviolet light. The etch pit densities in the seeds and the layers is determined and compared. Based on the obtained results a model of stress and defect formation is presented. New solutions for improving the structural quality of basic ammonothermal gallium nitride crystals are proposed.
Comparison and Determination of Optimal Machine Learning Model for Predicting Generation of Coal Fly Ash
Authors: Qi Chongchong , Wu Mengting , Lu Xiang , Zhang Qinli , Chen Qiusong
Published: April 2022

The rapid development of industry keeps increasing the demand for energy. Coal, as the main energy source, has a huge level of consumption, resulting in the continuous generation of its combustion byproduct coal fly ash (CFA). The accumulated CFA will occupy a large amount of land, but also cause serious environmental pollution and personal injury, which makes the resource utilization of CFA gradually to be attached importance. However, given the variability of the amount of CFA generation, predicting it in advance is the basis to ensure effective disposal and rational utilization. In this study, CFA generation was taken as the target variable, three machine learning (ML) algorithms were used to construct the model, and four evaluation indices were used to evaluate its performance. The results showed that the DNN model with the R = 0.89, R2 = 0.77 on the testing set performed better than the traditional multiple linear regression equation and other ML algorithms, and the feasibility of DNN as the optimal model framework was demonstrated. Applying this model framework to the engineering field enables managers to identify the next step of the disposal method in advance, so as to rationally allocate ways of recycling and utilization to maximize the use and sales benefits of CFA while minimizing its disposal costs. In addition, sensitivity analysis further explains ML’s internal decisions and verifies that coal consumption is more important than installed capacity, which provides a certain reference for ensuring the rational utilization of CFA.
Growth and Passive Q-Switching Application of Cr:TiTe3O8 Crystal
Authors: Li Chengcheng , Gao Zeliang , Zhai Zhongjun , Ye Shuai , Sun Youxuan
Published: April 2022

A Cr4+-doped TiTe3O8 crystal with dimensions up to 21 mm × 21 mm × 11 mm was grown successfully by the top-seeded solution growth method. A high-resolution X-ray diffraction experiment showed that the full width at half-maximum of the rocking curve was 41.90″. Energy-dispersive spectrometry (EDS) and X-ray fluorescence spectroscopy (XRF) proved that Cr4+ ions have been doped into the TiTe3O8 crystal with molar percentage of 4.9%. The Cr:TiTe3O8 crystal exhibited an absorption range from 995 to 1565 nm, which is suitable for passive Q switch at 1064 nm. Then, a passive Q-switching solid-state laser operating at 1064 nm was realized using a Cr:TiTe3O8 crystal as the saturable absorber. The maximum laser pulse energy is calculated to be 0.7 μJ, and the maximum peak power reaches 0.7 W.
The Local Exploration of Magnetic Field Effects in Semiconductors
Authors: Dang Thien Thanh , Schell Juliana , Beck Reinhard , Noll Cornelia , Lupascu Doru C.
Published: April 2022

This study reports on the local exploration of magnetic field effects in semiconductors, including silicon (Si), germanium (Ge), gallium arsenide (GaAs), and indium phosphide (InP) using the time differential perturbed angular correlation (TDPAC) technique. TDPAC measurements were carried out under external magnetic fields with strengths of 0.48 T and 2.1 T at room temperature, and 77 K following the implantation of 111In (111Cd) probes. Defects caused by ion implantation could be easily removed by thermal annealing at an appropriate temperature. The agreement between the measured Larmor frequencies and the theoretical values confirms that almost no intrinsic point defects are present in the semiconductors. At low temperatures, an electric interaction sets in. It stems from the electron capture after-effect. In the case of germanium and silicon, this effect is well visible. It is associated with a double charge state of the defect ion. No such effects arise in GaAs and InP where Cd contributes only a single electronic defect state. The Larmor frequencies correspond to the external magnetic field also at low temperatures.
Co-Occurrence of EBV-Positive Mucocutaneous Ulcer (EBV-MCU) and CLL/SLL in the Head and Neck Region
Authors: Bott Patricia , Oschlies Ilske , Radeloff Andreas , Loewenthal Maureen
Published: April 2022

EBV-positive mucocutaneous ulcer (EBV-MCU) was classified as a rare new entity of the lymphoproliferative B-cell diseases by the WHO in 2017 and must be distinguished from head and neck squamous cell carcinoma by early biopsy. The aim of the study is to raise awareness of the disease and to give a review of the current literature and a recommendation for EBV-MCU management. All EBV-MCU cases of the head and neck region published so far were included. We also report a case of a pharyngeal EBV-MCU in an 89-year-old patient who was immunosuppressed by chronic lymphatic leukaemia/small lymphocytic lymphoma (CLL/SLL). In contrast to all previously described cases, histopathology showed a co-infiltration of EBV-MCU and CLL/SLL. A total of 181 cases were identified on PubMed and summarised. EBV-MCU was predominantly caused by immunosuppressive drug therapy. Complete remission could be achieved in 68% of cases and was mainly attributed to a reduction of the immunosuppressive therapy alone (72%). However, some severe cases require more aggressive treatment. Regarding the various histopathologic similarities to other lymphoproliferative disorders, the diagnosis of EBV-MCU can be misleading, with a great impact on patient care and treatment. This diagnosis must be made with caution and requires a combination of clinical, morphological and immunophenotypic features.
The Impact of the Ongoing COVID-19 Epidemic on the Increasing Risk of Adverse Pathology in Prostate Cancer Patients Undergoing Radical Prostatectomy
Authors: Nyk Łukasz , Kamecki Hubert , Zagożdżon Bartłomiej , Tokarczyk Andrzej , Baranek Piotr , Mielczarek Łukasz , Kryst Piotr , Poletajew Sławomir , Sosnowski Roman , Szempliński Stanisław
Published: April 2022

We aimed to assess whether the ongoing course of the COVID-19 epidemic has been associated with an increased risk of adverse pathology (AP) findings in prostate cancer (PC) patients treated with radical prostatectomy (RP). We performed a retrospective data analysis which included 408 consecutive, non-metastatic, previously untreated PC patients who underwent RP in our institution between March 2020 and September 2021. Patients were divided into two equally numbered groups in regard to the median surgery date (Early Epidemic [EE] and Late Epidemic [LE]) and compared. Adverse pathology was defined as either grade group (GG) ≥ 4, pT ≥ 3a or pN+ at RP. Patients in the LE group demonstrated significantly higher rates of AP than in the EE group (61 vs. 43% overall and 50 vs. 27% in preoperative non-high-risk subgroup, both p < 0.001), mainly due to higher rates of upgrading. On multivariable analysis, consecutive epidemic week (odds ratio: 1.02, 95% confidence interval: 1.00–1.03, p = 0.009) as well as biopsy GG ≥ 2 and a larger prostate volume (mL) were associated with AP in non-high-risk patients. The study serves as a warning call for increased awareness of risk underassessment in contemporarily treated PC patients.
Outcomes of Patients with Metastatic Castration-Resistant Prostate Cancer According to Somatic Damage DNA Repair Gene Alterations
Authors: Neviere Zoé , Coquan Elodie , Brachet Pierre-Emmanuel , Meriaux Emeline , Bonnet Isabelle , Krieger Sophie , Castéra Laurent , Vaur Dominique , Boulouard Flavie , Leconte Alexandra , Lequesne Justine , Lelaidier Anais , Ricou Agathe , Joly Florence
Published: April 2022

(1) Background: In literature, approximately 20% of mCRPC present somatic DNA damage repair (DDR) gene mutations, and their relationship with response to standard therapies in mCRPC is not well understood. The objective was to evaluate outcomes of mCRPC patients treated with standard therapies according to somatic DDR status. (2) Methods: Eighty-three patients were recruited at Caen Cancer Center (France). Progression-free survival (PFS) after first-line treatment was analyzed according to somatic DDR mutation as primary endpoint. PFS according to first exposure to taxane chemotherapy and PFS2 (time to second event of disease progression) depending on therapeutic sequences were also analyzed. (3) Results: Median first-line PFS was 9.7 months in 33 mutated patients and 8.4 months in 50 non-mutated patients (p = 0.9). PFS of first exposure to taxanes was 8.1 months in mutated patients and 5.7 months in non-mutated patients (p = 0.32) and significantly longer among patients with ATM/BRCA1/BRCA2 mutations compared to the others (10.6 months vs. 5.5 months, p = 0.04). PFS2 was 16.5 months in mutated patients, whatever the sequence, and 11.7 months in non-mutated patients (p = 0.07). The mutated patients treated with chemotherapy followed by NHT had a long median PFS2 (49.8 months). (4) Conclusions: mCRPC patients with BRCA1/2 and ATM benefit from standard therapies, with a long response to taxanes.
Two Distinct Clinical Patterns of Ibrutinib-to-Venetoclax Transition in Relapsed Chronic Lymphocytic Leukemia Patients
Authors: Ferrarini Isacco , Gandini Francesca , Zapparoli Ettore , Rigo Antonella
Published: April 2022

Patients with chronic lymphocytic leukemia (CLL) relapsing on ibrutinib are often treated with the Bcl-2 inhibitor venetoclax. However, the transition from one agent to another poses some clinical challenges due to disease flares sometimes occurring right after ibrutinib interruption. Here, we describe three clinical vignettes highlighting two distinct patterns of ibrutinib-to-venetoclax transition. While patients following the favorable pattern transited to venetoclax without experiencing disease flare, the one patient who took the unfavorable path showed rapid disease rebound, with large-cell transformation occurring one week after ibrutinib interruption. A high burden of BTK and PLCG2 mutations was found only in patients with the favorable transition pattern, suggesting that removing BTK inhibition might be particularly harmful if CLL cells are progressing through mechanisms external to the BTK axis.
Blockade of ALDH in Cisplatin-Resistant Ovarian Cancer Stem Cells In Vitro Synergistically Enhances Chemotherapy-Induced Cell Death
Authors: Guo Fang , Yang Zhi , Sehouli Jalid , Kaufmann Andreas M.
Published: April 2022

Epithelial ovarian cancer (EOC) is the leading cause of gynecological cancer-related death. The high mortality and morbidity associated with EOC are mostly due to late diagnosis and chemotherapy drug resistance. Currently, the standard first-line chemotherapy regimen is systemic administration of platinum-based chemotherapy combined with a taxane. A major problem besides cisplatin resistance (occurring in nearly one-third of patients) is the greater toxicity of the drug combinations. A synergistic treatment with drug supporting activity could maximize the cytotoxic effects of chemotherapeutic agents on tumor cells while decreasing the dosage of each drug to potentially reduce toxicity. The ALDH-blocking agent Disulfiram (DSF), a clinically approved drug used for alcoholism treatment, has displayed promising anti-cancer activity. We previously described that blocking ALDH activity enhances the induction of apoptosis, especially in ovarian cancer stem cells treated with chemotherapeutic agents. In this study, we further investigated the synergistic effect of DSF in combination with cytotoxic chemotherapeutic drugs. The concentration of each chemotherapeutic agent could be significantly reduced with sustained efficacy on tumor cell apoptosis in cell lines in vitro (Dose-Reduction Index at IC50 from 1 to 50). Moreover, the potential chemo-sensitizing effects of DSF on ALDH-associated cisplatin-resistant ovarian cancer stem cells were also investigated and shown that in contrast to its high resistance to cisplatin, the cisplatin-resistant cells remain very sensitive to DSF-induced cytotoxicity (apoptosis and necrosis: cisplatin-resistant cells vs. parental cells: 60.4% vs. 20.5%). In combination with DSF and cisplatin, relatively more apoptosis and necrosis were induced in cisplatin-resistant cells than in their parental cells (apoptosis and necrosis: cisplatin-resistant cells vs. parental cells: 81.5% vs. 50.1%). A transcriptome analysis identified that ALDH was mainly enriched in the cancer-associated fibroblasts and showed that ALDH plays roles in responding to oxidative stress, metabolisms, and energy transition in the ALDH-associated cisplatin-resistant ovarian cancer stem cells. In conclusion, our data demonstrate a key role of ALDH-associated cisplatin-resistant cancer stem cells and identifies DSF as a potential adjuvant for a rational protocol design by computational quantitative assessment in vitro on ovarian cancer cell lines. Our work contributes to resolving the ALDH-associated cisplatin resistance and provides a resource for the development of novel chemotherapeutic regimens.
An Introduction to Evolution and Palaeobiology of Flightless Birds
Authors: Buffetaut Eric , Angst Delphine
Published: April 2022

Although flight is often considered as one of the most salient characteristics of birds, in the course of their evolution various avian lineages have lost the ability to fly [...]
The Sea Slug Doriopsilla areolata Bergh, 1880 (Mollusca, Gastropoda) in the Mediterranean Sea: Another Case of Cryptic Diversity
Authors: Furfaro Giulia , Schreier Christopher , Trainito Egidio , Pontes Miquel , Madrenas Enric , Girard Pascal , Mariottini Paolo
Published: April 2022

The Mediterranean Sea diversity is still far from being fully disclosed. Marine Heterobranchia are one of the most paradigmatic species-rich groups, with many recent systematic studies revealing the high density of new, cryptic, and endemic species occurring in the Mediterranean basin. In this study, sea slug Doriopsilla areolata, which was considered until today one of the most widespread nudibranchs worldwide, was investigated using a molecular approach to compare Mediterranean and Atlantic populations for the first time. The molecular analyses involved three different molecular markers, the two mitochondrial COI and 16S, and the nuclear H3 gene. The results revealed a complex of species within D. areolata that indeed consists of three potentially species, two of which are endemic to the Mediterranean Sea: Doriopsilla areolata, which is distributed in the Adriatic Sea (the type locality of the former species), D. rarispinosa, which occurs in the Western Mediterranean basin and along the Tunisian coast, and one additional Atlantic species here provisionally defined as Doriopsilla sp. 1. This study helps to unveil another case of cryptic diversity within Mediterranean Heterobranchia and to increase the knowledge on Doriopsilla genus diversity.
New Comparative Data on the Long Bone Microstructure of Large Extant and Extinct Flightless Birds
Authors: Canoville Aurore , Chinsamy Anusuya , Angst Delphine
Published: April 2022

Here, we investigate whether bone microanatomy can be used to infer the locomotion mode (cursorial vs. graviportal) of large terrestrial birds. We also reexamine, or describe for the first time, the bone histology of several large extant and extinct flightless birds to (i) document the histovariability between skeletal elements of the hindlimb; (ii) improve our knowledge of the histological diversity of large flightless birds; (iii) and reassess previous hypotheses pertaining to the growth strategies of modern palaeognaths. Our results show that large extinct terrestrial birds, inferred as graviportal based on hindlimb proportions, also have thicker diaphyseal cortices and/or more bony trabeculae in the medullary region than cursorial birds. We also report for the first time the occurrence of growth marks (not associated with an outer circumferential layer-OCL) in the cortices of several extant ratites. These observations support earlier hypotheses that flexible growth patterns can be present in birds when selection pressures for rapid growth within a single year are absent. We also document the occurrence of an OCL in several skeletally mature ratites. Here, the high incidence of pathologies among the modern species is attributed to the fact that these individuals were probably long-lived zoo specimens.
Phylogenetic Analyses of Cyprinid Species from the Rokel River Basin of Sierra Leone, West Africa: Taxonomic, Biogeographic, and Conservation Implications
Authors: Kanu Unisa Conteh , Liang Cao , Nwafor Chinedu Charles , Shen Jianzhong , Zhang E
Published: April 2022

The Rokel River (RR) basin is one of the most neglected ichthyofaunal basins, despite the potential for undetected diversity and high levels of endemism. Data on the molecular phylogeny of freshwater fish from this river are rare. Morphological features alone are inadequate for precise species identification. Here, a phylogenetic analysis performed based on the mtDNA Cytb gene for eleven cyprinid fish from the RR basin recovered eleven distinct lineages. The same was also observed for two of our species delineation analyses, of which four are identical to six morphospecies, one is of taxonomic uncertainty, and the rest are currently unrecognized. The disjunct distribution found here in some cyprinid species from the RR basin and their sister species suggests that this river had a past complex historical inter-basin connection exchange with the nearby river basins of the Zaire and lower Guinean ecoregions. The unrecognized diversity observed from cyprinid species of this area may have significant implications for the conservation of biodiversity.
The Association of Waminoa with Reef Corals in Singapore and Its Impact on Putative Immune- and Stress-Response Genes
Authors: Maggioni Giorgia , Huang Danwei , Maggioni Davide , Jain Sudhanshi S. , Quek Randolph Z. B. , Poquita-Du Rosa Celia , Montano Simone , Montalbetti Enrico , Seveso Davide
Published: April 2022

Waminoa spp. are acoel flatworms mainly found as ectosymbionts on scleractinian corals. Although Waminoa could potentially represent a threat to their hosts, not enough information is available yet regarding their ecology and effect on the coral. Here, the Waminoa sp.–coral association was analyzed in Singapore reefs to determine the prevalence, host range, and preference, as well as the flatworm abundance on the coral surface. Moreover, the impact of Waminoa sp. on the expression of putative immune- and stress-response genes (C-type lectin, C3, Hsp70 and Actin) was examined in the coral Lobophyllia radians. The association prevalence was high (10.4%), especially in sites with lower sedimentation and turbidity. Waminoa sp. showed a wide host range, being found on 17 coral genera, many of which are new association records. However, only few coral genera, mostly characterized by massive or laminar morphologies appeared to be preferred hosts. Waminoa sp. individuals displayed variable patterns of coral surface coverage and an unequal distribution among different host taxa, possibly related to the different coral growth forms. A down-regulation of the expression of all the analyzed genes was recorded in L. radians portions colonized by Waminoa individuals compared to those without. This indicated that Waminoa sp. could affect components of the immune system and the cellular homeostasis of the coral, also inhibiting its growth. Therefore, Waminoa sp. could represent a potential further threat for coral communities already subjected to multiple stressors.
Similar Response of a Range Expanding Dragonfly to Low- and High-Elevation Predators
Authors: Zebsa Rabah , Mahdjoub Hayat , Khelifa Rassim
Published: April 2022

Recent range expansion of many species northward and upward in elevation suggests that the expanding species are able to cope with new biotic interactions in the leading edge. To test this hypothesis, we used a common garden experiment expanding the elevation range of an obligatorily univoltine dragonfly (Sympetrum striolatum) to investigate whether the growth, behavioral (food intake), and morphological (8th and 9th abdominal lateral spine) responses differed when confronted with dragonfly predators that dominate low-elevation (Aeshna cyanea) and high-elevation (A. juncea) lentic freshwater systems under two temperature treatments (20 °C and 24 °C). Growth rate and growth efficiency increased at higher temperature. Overall, low- and high-elevation predators induced a similar increase in growth rate and growth efficiency but a decrease in food intake at 24 °C. Lateral abdominal spines were longer only in low-elevation dragonflies at 18 °C. Our study suggests that range-expanding species may have been successful in colonizing new areas at higher elevations because they respond to dominant high-elevation predators in a similar way to the more familiar low-elevation predators.
Factors of Detection Deficits in Vascular Plant Inventories—An Island Case Study
Authors: Ristow Michael , Panitsa Maria , Meyer Stefan , Bergmeier Erwin
Published: April 2022

The degree of completeness of large-scale floristic inventories is often difficult to judge. We compared prior vascular plant species inventories of the Mediterranean island of Limnos (North Aegean, Greece) with 231 recent records from 2016–2021. Together with the recent records, the known number of vascular plant species on the island is 960 native taxa, 63 established neophytes, and 27 species of as yet casual status for a total of 1050 taxa. We looked at a number of traits (plant family, size, flower color, perceptibility, habitat, reproduction period, rarity, and status) to investigate whether they were overrepresented in the dataset of the newly found taxa. Overrepresentation was found in some plant families (e.g., Poaceae and Chenopodiaceae) and for traits such as hydrophytic life form, unobtrusive flower color, coastal as well as agricultural and ruderal habitats, and late (summer/autumn) reproduction period. Apart from the well-known fact of esthetic bias, we found evidence for ecological and perceptibility biases. Plant species inventories based on prior piecemeal collated data should focus on regionally specific species groups and underrepresented and rare habitats.
Analysis of Septin 9 Gene Hypermethylation as Follow-Up Biomarker of Colorectal Cancer Patients after Curative Surgery
Authors: Leon Arellano Miguel , García-Arranz Mariano , Guadalajara Héctor , Olivera-Salazar Rocío , Valdes-Sanchez Teresa , García-Olmo Damián
Published: April 2022

Background: The Septin 9 test analyzes the methylation status of the SEPT9 gene, which appears to be hypermethylated in patients with colorectal cancer (CRC). This has been validated as a colorectal cancer screening test. Due to the high sensitivity and specificity found, the justification was to use it as a biomarker tool for monitoring minimal residual disease after radical surgery and recurrence. Methods: A prospective study was carried out at the Fundación Jiménez Díaz University Hospital extracting peripheral blood from 28 patients and 4 healthy donors. Free circulating DNA was obtained and subsequently a PCR reaction to quantify the number of methylated genes. Samples were obtained preoperatively and postoperatively at five to seven days, one and three months after surgery. Results: A total of 32 preoperative samples were analyzed. The sensitivity of the test to detect CRC was 55.6% and specificity was 100%. There were 22 postsurgical samples obtained at 5–7 days after surgery, the sensitivity to detect tumor recurrences was 100% and specificity was 75%. There were 21 samples analyzed 1 month after surgery exhibiting a sensitivity and specificity of 100% and 94.7%, respectively. At 3 months, 31 postsurgical samples were analyzed and the sensitivity and specificity were 66.7% and 80%. Conclusions: Detection of methylation of Septin 9 gene in circulating plasma DNA, obtained from a peripheral blood sample, may be a useful, non-invasive and effective method for detecting minimal residual disease and could therefore predict CRC tumor recurrences. The optimal time in our series to obtain the best prediction results based on Septin 9 methylation levels was one month after surgery. Despite these considerable findings, a study with more patients is necessary to obtain more robust conclusions.
Programming Optimization in Implantable Cardiac Monitors to Reduce False-Positive Arrhythmia Alerts: A Call for Research
Authors: Guarracini Fabrizio , Testolina Martina , Giacopelli Daniele , Martin Marta , Triglione Francesco , Coser Alessio , Quintarelli Silvia , Bonmassari Roberto , Marini Massimiliano
Published: April 2022

No studies have investigated whether optimizing implantable cardiac monitors (ICM) programming can reduce false-positive (FP) alerts. We identified patients implanted with an ICM (BIOMONITOR III) who had more than 10 FP alerts in a 1-month retrospective period. Uniform adjustments of settings were performed based on the mechanism of FP triggers and assessed at 1 month. Eight patients (mean age 57.5 ± 23.2 years; 37% female) were enrolled. In 4 patients, FPs were caused by undersensing of low-amplitude premature ventricular contractions (PVCs). No further false bradycardia was observed with a more aggressive decay of the dynamic sensing threshold. Furthermore, false atrial fibrillation (AF) alerts decreased in 2 of 3 patients. Two patients had undersensing of R waves after high-amplitude PVCs; false bradycardia episodes disappeared or were significantly reduced by limiting the initial value of the sensing threshold. Finally, the presence of atrial ectopic activity or irregular sinus rhythm generated false alerts of AF in 2 patients that were reduced by increasing the R-R variability limit and the confirmation time. In conclusion, adjustments to nominal settings can reduce the number of FP episodes in ICM patients. More research is needed to provide practical recommendations and assess the value of extended ICM programmability.
A Multi-Branch Convolutional Neural Network with Squeeze-and-Excitation Attention Blocks for EEG-Based Motor Imagery Signals Classification
Authors: Altuwaijri Ghadir Ali , Muhammad Ghulam , Altaheri Hamdi , Alsulaiman Mansour
Published: April 2022

Electroencephalography-based motor imagery (EEG-MI) classification is a critical component of the brain-computer interface (BCI), which enables people with physical limitations to communicate with the outside world via assistive technology. Regrettably, EEG decoding is challenging because of the complexity, dynamic nature, and low signal-to-noise ratio of the EEG signal. Developing an end-to-end architecture capable of correctly extracting EEG data’s high-level features remains a difficulty. This study introduces a new model for decoding MI known as a Multi-Branch EEGNet with squeeze-and-excitation blocks (MBEEGSE). By clearly specifying channel interdependencies, a multi-branch CNN model with attention blocks is employed to adaptively change channel-wise feature responses. When compared to existing state-of-the-art EEG motor imagery classification models, the suggested model achieves good accuracy (82.87%) with reduced parameters in the BCI-IV2a motor imagery dataset and (96.15%) in the high gamma dataset.
Single-Cell Sequencing: Ariadne’s Thread in the Maze of Acute Myeloid Leukemia
Authors: Redavid Immacolata , Conserva Maria Rosa , Anelli Luisa , Zagaria Antonella , Specchia Giorgina , Musto Pellegrino , Albano Francesco
Published: April 2022

Acute myeloid leukemia (AML) is a haematological neoplasm resulting from the accumulation of genetic and epigenetic alterations. Patients’ prognoses vary with AML genetic heterogeneity, which hampers successful treatments. Single-cell approaches have provided new insights of the clonal architecture of AML, revealing the mutational history from diagnosis, during treatment and to relapse. In this review, we imagine single-cell technologies as the Ariadne’s thread that will guide us out of the AML maze, provide a precise identikit of the leukemic cell at single-cell resolution and explore genomic, transcriptomic, epigenetic and proteomic levels.
POEMS Syndrome: Presented as Idiopathic Multicentric Castleman Disease of Plasma Cell Variant for Eight Years and Dramatic Treatment with Siltuximab Followed by Autologous Peripheral Blood Stem Cell Transplantation
Authors: Lee Yong-Moon , Choi Yoon Seok , Kim Jin-Man
Published: April 2022

Background: POEMS syndrome (POEMS) is a rare plasma cell clonal paraneoplastic syndrome consisting of polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes presenting with idiopathic multicentric Castleman disease (iMCD) histology, the treatment of which has not yet been well established. iMCD is also a distinctive rare non-clonal lymphoproliferative disorder, of which dramatic response to Siltuximab, a monoclonal anti-IL-6 antibody, has been reported recently. Methods: the differential diagnosis between POEMS and iMCD can be very challenging because of the identical histology, overlapping similar symptoms such as polyneuropathy, and vital signs insidiously presented to diagnose POEMS. Results: here, we report the case of a 53-year-old man with iMCD treated for 8 years developing sequential polyneuropathy, monoclonal gammopathy, and bone lytic lesions, all of which were confirmed after his iMCD achieved complete remission resulting from siltuximab administration and finally confirmed as POEMS. Conclusions: we describe the clinical ambiguity of disease presenting that we can face in the real world between iMCD and POEMS and emphasise careful, enduring observation lasting several years.
Decision Support for Oropharyngeal Cancer Patients Based on Data-Driven Similarity Metrics for Medical Case Comparison
Authors: Buyer Julia , Oeser Alexander , Grieb Nora , Dietz Andreas , Neumuth Thomas , Stoehr Matthaeus
Published: April 2022

Making complex medical decisions is becoming an increasingly challenging task due to the growing amount of available evidence to consider and the higher demand for personalized treatment and patient care. IT systems for the provision of clinical decision support (CDS) can provide sustainable relief if decisions are automatically evaluated and processed. In this paper, we propose an approach for quantifying similarity between new and previously recorded medical cases to enable significant knowledge transfer for reasoning tasks on a patient-level. Methodologically, 102 medical cases with oropharyngeal carcinoma were analyzed retrospectively. Based on independent disease characteristics, patient-specific data vectors including relevant information entities for primary and adjuvant treatment decisions were created. Utilizing the ϕK correlation coefficient as the methodological foundation of our approach, we were able to determine the predictive impact of each characteristic, thus enabling significant reduction of the feature space to allow for further analysis of the intra-variable distances between the respective feature states. The results revealed a significant feature-space reduction from initially 19 down to only 6 diagnostic variables (ϕK correlation coefficient ≥ 0.3, ϕK significance test ≥ 2.5) for the primary and 7 variables (from initially 14) for the adjuvant treatment setting. Further investigation on the resulting characteristics showed a non-linear behavior in relation to the corresponding distances on intra-variable level. Through the implementation of a 10-fold cross-validation procedure, we were further able to identify 8 (primary treatment) matching cases with an evaluation score of 1.0 and 9 (adjuvant treatment) matching cases with an evaluation score of 0.957 based on their shared treatment procedure as the endpoint for similarity definition. Based on those promising results, we conclude that our proposed method for using data-driven similarity measures for application in medical decision-making is able to offer valuable assistance for physicians. Furthermore, we consider our approach as universal in regard to other clinical use-cases, which would allow for an easy-to-implement adaptation for a range of further medical decision-making scenarios.
Parkinson’s Disease Symptoms Associated with Developing On-State Axial Symptoms Early after Subthalamic Deep Brain Stimulation
Authors: Fernández-Pajarín Gustavo , Sesar Ángel , Relova José Luis , Ares Begoña , Jiménez Isabel , Gelabert-González Miguel , Arán Eduardo , Castro Alfonso
Published: April 2022

Background: The relationship between axial symptoms in Parkinson’s disease (PD) and subthalamic deep brain stimulation (STN-DBS) is still unclear. Purpose: We searched for particular clinical characteristics before STN-DBS linked to on-state axial problems after surgery. Methods: We retrospectively analyzed baseline motor, emotional and cognitive features from PD patients with early axial symptoms (within 4 years after STN-DBS) and late axial symptoms (after 4 years). We also considered a group of PD patients without axial symptoms for at least 4 years after surgery. Results: At baseline, early-axial PD patients (n = 28) had a higher on-state Unified Parkinson’s Disease Rating Scale III (15.0 ± 5.6 to 11.6 ± 6.2, p = 0.020), higher axial score (2.4 ± 1.8 to 0.7 ± 1.0, p < 0.001) and worse dopaminergic response (0.62 ± 0.12 to 0.70 ± 0.11, p = 0.005), than non-axial PD patients (n = 51). Early-axial PD patients had short-term recall impairment, not seen in non-axial PD (36.3 ± 7.6 to 40.3 ± 9.3, p = 0.041). These variables were similar between late-axial PD (n = 18) and non-axial PD, but late-axial PD showed worse frontal dysfunction. Conclusions: PD patients with early axial symptoms after DBS may have a significantly worse presurgical motor phenotype, poorer dopaminergic response and memory impairment. This may correspond to a more severe form of PD.
Total Pancreatectomy for Multicentric Cystic Neuroendocrine Tumor of the Pancreas: A Case Report
Authors: Mitrovic-Jovanovic Milica , Grubor Nikica , Milosevic Stefan , Jankovic Aleksandra , Stosic Katarina , Ostojic Slavenko , Ninic Aleksandar , Micev Marjan , Djokic Kovac Jelena
Published: April 2022

Pancreatic neuroendocrine tumors (PNETs) are uncommon pancreatic neoplasms with malignant potential, heterogeneous clinical behavior, as well as imaging appearance. These tumors represent less than 3% of all pancreatic neoplasms with typical CT presentation as solid, well-circumscribed, hypervascular lesions. Cystic PNET is a rare pancreatic tumor which is nowadays more often detected due to the widespread use of high-resolution cross-sectional imaging. They are mainly solitary lesions most commonly localized in the body and the tail of the pancreas. Due to cystic presentation these lesions often present a diagnostic challenge to both experienced radiologists and pathologists. Herein, we present a rare case of synchronous, multiple cystic and solid pancreatic neuroendocrine tumors, which due to their extensiveness required total dudenopancreatectomy with splenectomy. Histopathological findings confirmed microscopic and macroscopic cystic components as well as typical solid variants of neuroendocrine tumors along the entire pancreas.
Predicting Factors for Pancreatic Malignancy with Computed Tomography and Endoscopic Ultrasonography in Chronic Pancreatitis
Authors: Lai Jian-Han , Lee Keng-Han , Chang Chen-Wang , Chen Ming-Jen , Lin Ching-Chung
Published: April 2022

Diagnosing pancreatic malignancy is challenging, especially in patients with chronic pancreatitis (CP). Endoscopic ultrasonography (EUS) is a promising diagnostic procedure for discriminating between malignancy and CP. We aimed to investigate the predictive factors and reliability of computed tomography (CT) and EUS for differentiating pancreatic mass lesions and the diagnostic accuracy of EUS-FNA or FNB in patients with CP. Forty patients with CP, receiving CT and EUS-FNA or FNB for pancreatic mass lesion evaluation, were enrolled in the study. Patients’ data, CT and EUS characteristics, image-based diagnosis, cytopathology, and final diagnosis were recorded. EUS was superior to CT in terms of diagnostic accuracy (92.5% vs. 82.5%, p = 0.02). Both CT and EUS showed significant predictive factors (all p < 0.05) with the tumor image hypoattenuation pattern or vessel invasion on CT and pancreatic duct dilatation, or distal pancreatic atrophy on EUS. EUS imaging is a reliable modality for evaluating pancreatic lesions, even with a CP background. The EUS image has a higher diagnostic accuracy than CT. Predicting factors, including hypoechoic pattern, pancreatic duct dilatation, and distal pancreas atrophy, may help to differentiate benign or malignant in patients with CP.
Imaging of the Temporomandibular Joint
Authors: Gharavi Seyed Mohammad , Qiao Yujie , Faghihimehr Armaghan , Vossen Josephina
Published: April 2022

Temporomandibular disorder (TMD) is a common musculoskeletal condition that causes pain and disability for patients and imposes a high financial burden on the healthcare system. The most common cause of TMD is internal derangement, mainly secondary to articular disc displacement. Multiple other pathologies such as inflammatory arthritis, infection, and neoplasm can mimic internal derangement. MRI is the modality of choice for evaluation of the TMJ. Radiologists need to be familiar with the normal anatomy and function of the TMJ and MR imaging of the internal derangement and other less common pathologies of the TMJ.
Multicentric Evaluation of SeeGene Allplex Real-Time PCR Assays Targeting 28 Bacterial, Microsporidal and Parasitic Nucleic Acid Sequences in Human Stool Samples
Authors: Weinreich Felix , Hahn Andreas , Eberhardt Kirsten Alexandra , Kann Simone , Köller Thomas , Warnke Philipp , Dupke Susann , Dekker Denise , May Jürgen , Frickmann Hagen , Loderstädt Ulrike
Published: April 2022

Prior to the implementation of new diagnostic techniques, a thorough evaluation is mandatory in order to ensure diagnostic reliability. If positive samples are scarcely available, however, such evaluations can be difficult to perform. Here, we evaluated four SeeGene Allplex real-time PCR assays amplifying a total of 28 bacteria, microsporidal and parasitic nucleic acid sequence targets in human stool samples in a multicentric approach. In the assessments with strongly positive samples, sensitivity values ranging between 13% and 100% were recorded for bacteria, between 0% and 100% for protozoa and between 7% and 100% for helminths and microsporidia; for the weakly positive samples, the recorded sensitivity values for bacteria ranged from 0% to 100%; for protozoa, from 0% to 40%; and for helminths and microsporidia, from 0% to 53%. For bacteria, the recorded specificity was in the range between 87% and 100%, while a specificity of 100% was recorded for all assessed PCRs targeting parasites and microsporidia. The intra- and inter-assay variations were generally low. Specifically for some helminth species, the sensitivity could be drastically increased by applying manual nucleic acid extraction instead of the manufacturer-recommended automatic procedure, while such effects were less obvious for the bacteria and protozoa. In summary, the testing with the chosen positive control samples showed varying degrees of discordance between the evaluated Allplex assays and the applied in-house reference assays associated with higher cycle threshold values in the Allplex assays, suggesting that samples with very low pathogen densities might be missed. As the targeted species can occur as harmless colonizers in the gut of individuals in high-endemicity settings as well, future studies should aim at assessing the clinical relevance of the latter hint.
Urine Flow Cytometry Parameter Cannot Safely Predict Contamination of Urine—A Cohort Study of a Swiss Emergency Department Using Machine Learning Techniques
Authors: Müller Martin , Sägesser Nadine , Keller Peter M. , Arampatzis Spyridon , Steffens Benedict , Ehrhard Simone , Leichtle Alexander B.
Published: April 2022

Background: Urine flow cytometry (UFC) analyses urine samples and determines parameter counts. We aimed to predict different types of urine culture growth, including mixed growth indicating urine culture contamination. Methods: A retrospective cohort study (07/2017–09/2020) was performed on pairs of urine samples and urine cultures obtained from adult emergency department patients. The dataset was split into a training (75%) and validation set (25%). Statistical analysis was performed using a machine learning approach with extreme gradient boosting to predict urine culture growth types (i.e., negative, positive, and mixed) using UFC parameters obtained by UF-4000, sex, and age. Results: In total, 3835 urine samples were included. Detection of squamous epithelial cells, bacteria, and leukocytes by UFC were associated with the different types of culture growth. We achieved a prediction accuracy of 80% in the three-class approach. Of the n = 126 mixed cultures in the validation set, 11.1% were correctly predicted; positive and negative cultures were correctly predicted in 74.0% and 96.3%. Conclusions: Significant bacterial growth can be safely ruled out using UFC parameters. However, positive urine culture growth (rule in) or even mixed culture growth (suggesting contamination) cannot be adequately predicted using UFC parameters alone. Squamous epithelial cells are associated with mixed culture growth.
Characterising Single and Two-Phase Homogeneous Isotropic Turbulence with Stagnation Points
Authors: Ferran Amélie , Angriman Sofía , Mininni Pablo D. , Obligado Martín
Published: April 2022

It has been shown that, for dense, sub-Kolmogorov particles advected in a turbulent flow, carrier phase properties can be reconstructed from the particles’ velocity field. For that, the instantaneous particles’ velocity field can be used to detect the stagnation points of the carrier phase. The Rice theorem can therefore be used, implying that the Taylor length is proportional to the mean distance between such stagnation points. As this model has been only tested for one-dimensional time signals, this work discusses if it can be applied to two-phase, three-dimensional flows. We use direct numerical simulations with turbulent Reynolds numbers Reλ between 40 and 520 and study particle-laden flows with a Stokes number of St=0.5. We confirm that for the carrier phase, the Taylor length is proportional to the mean distance between stagnation points with a proportionality coefficient that depends weakly on Reλ. Then, we propose an interpolation scheme to reconstruct the stagnation points of the particles’ velocity field. The results indicate that the Rice theorem cannot be applied in practice to two-phase three-dimensional turbulent flows, as the clustering of stagnation points forms very dense structures that require a very large number of particles to accurately sample the flow stagnation points.
Changes in the Complexity of Limb Movements during the First Year of Life across Different Tasks
Authors: Laudańska Zuzanna , López Pérez David , Radkowska Alicja , Babis Karolina , Malinowska-Korczak Anna , Wallot Sebastian , Tomalski Przemysław
Published: April 2022

Infants’ limb movements evolve from disorganized to more selectively coordinated during the first year of life as they learn to navigate and interact with an ever-changing environment more efficiently. However, how these coordination patterns change during the first year of life and across different contexts is unknown. Here, we used wearable motion trackers to study the developmental changes in the complexity of limb movements (arms and legs) at 4, 6, 9 and 12 months of age in two different tasks: rhythmic rattle-shaking and free play. We applied Multidimensional Recurrence Quantification Analysis (MdRQA) to capture the nonlinear changes in infants’ limb complexity. We show that the MdRQA parameters (entropy, recurrence rate and mean line) are task-dependent only at 9 and 12 months of age, with higher values in rattle-shaking than free play. Since rattle-shaking elicits more stable and repetitive limb movements than the free exploration of multiple objects, we interpret our data as reflecting an increase in infants’ motor control that allows for stable body positioning and easier execution of limb movements. Infants’ motor system becomes more stable and flexible with age, allowing for flexible adaptation of behaviors to task demands.