bluuebunny/crossref_metadata_2025 huggingface dataset:
Ion-Beam Synthesis of Structure-Oriented Iron Nanoparticles in Single-Crystalline Rutile TiO2
Authors: Vakhitov Iskander R. , Lyadov Nikolay M. , Vdovin Vladimir I. , Gutakovskii Anton K. , Nuzhdin Vladimir I. , Tagirov Lenar R. , Khaibullin Rustam I.
Published: February 2023

Magnetic nanoparticles embedded into semiconductors have current perspectives for use in semiconducting spintronics. In this work, 40 keV Fe+ ions were implanted in high fluences of (0.5 ÷ 1.5) × 1017 ion/cm2 into an oxide semiconductor and single-crystalline TiO2 plates of rutile structure with (100) or (001) face orientations. Microstructure, elemental-phase composition, and magnetic properties of the Fe-ion-implanted TiO2 were studied by scanning and transmission electron microscopies (SEM and TEM), X-ray photoelectron (XPS) and Rutherford backscattering (RBS) spectroscopies, as well as vibrating-sample magnetometry (VSM). The high-fluence ion implantation results in the formation of magnetic nanoparticles of metallic iron beneath the irradiated surface of rutile. The induced ferromagnetism and observed two- or four-fold magnetic anisotropy are associated with the endotaxial growth of Fe nanoparticles oriented along the crystallographic axes of TiO2.
Influence of Grain Size on Mechanical Properties of a Refractory High Entropy Alloy under Uniaxial Tension
Authors: Deluigi Orlando , Valencia Felipe , Tramontina Diego R. , Amigo Nicolás , Rojas-Nunez Javier , Bringa Eduardo M.
Published: February 2023

There is a growing interest in High Entropy Alloys (HEAs) due to their outstanding mechanical properties. Most simulation studies have focused on face-centered cubic (fcc) HEAs; however, bcc HEAs can offer a larger elastic modulus and plastic yielding, thus, becoming possible candidates for the next generation of refractory materials. In this work, we focus on molecular dynamics (MD) simulations of bcc HfNbTaZr nanocrystalline samples, with a grain size (d) between 5 and 17 nm, deformed under tension at 300 K. The elastic modulus increases with the grain size and reaches a plateau near 10 nm. We find the typical inverse Hall–Petch (HP) behavior with yield strength, ultimate tensile stress (UTS), and flow stress increasing with d. Up to 12 nm, there are contributions from dislocations and twins; however, grain boundary (GB) activity dominates deformation. For the 5 nm grains, the GB disorder extends and leads to extensive amorphization and grain size reduction. For d>10 nm, there is a HP-type behavior with dislocations and twinning controlling deformation. For this regime, there is hardening at large strains. Compared to bcc single metal samples, the HP maximum of this HEA appears at a lower grain size, and this could be related to the chemical complexity facilitating dislocation nucleation. We use machine learning to help understand deformation regimes. We also compare our results to a single crystal (SC) HfNbTaZr HEA deformed along [001] and find that the single crystal is weaker than the nanocrystalline samples. The single crystal deforms initially by twinning and then rapidly by dislocation multiplication, leading to strong hardening. It has been proposed that edge dislocations play a major role in bcc HEA plasticity, and we also analyze the relative contributions of edge versus screw dislocations during deformation for both single crystal and nanocrystalline samples.
The Effect of Instability of KCl:Na Single Crystals
Authors: Shunkeyev Kuanyshbek , Tilep Aizhan , Sagimbayeva Shynar , Ubaev Zhiger , Lushchik Aleksandr
Published: February 2023

For the first time, the stability of KCl single crystals doped with sodium impurity ions was analyzed via the optical absorption and luminescence methods. Using the characteristic bands of optical absorption, as well as of X-ray and tunnel luminescence, ascribed to radiation defects and exciton-like formations localized near sodium impurity, the removal of Na+ ions from regular cation sites into nanosized clusters in KCl:Na crystals stored for a long time at room temperature was demonstrated. At the same time, the subsequent annealing of such “decayed” crystals at high temperature (400–700 °C) led to a partial incorporation of sodium impurity ions back into cation sites and the restoration of a homogeneous distribution of Na+ in the KCl:Na lattice. With an increase in the quenching temperature, the restoration degree continuously increased until it reached the saturation level (about 80% of the characteristics of a freshly grown crystal). The detectable/disappearing X-ray-induced absorption bands at 6.3 and 3.5 eV (respectively ascribed to interstitial chlorine ions and atoms localized near Na+), as well as the luminescence bands at 2.8 and 3.1 eV, typical of recombinationally generated exciton-like formations near Na+ or Na+-Na+, were the indicators of sodium ion redistribution in the crystal lattice.
The Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Patients with Metastatic Renal Cell Carcinoma
Authors: Parosanu Andreea Ioana , Pirlog Cristina Florina , Slavu Cristina Orlov , Stanciu Ioana Miruna , Cotan Horia-Teodor , Vrabie Radu Constantin , Popa Ana-Maria , Olaru Mihaela , Iaciu Cristian , Bratu Lucian Ioan , Baicoianu Ionut Florian , Moldoveanu Oana , Baston Catalin , Nițipir Cornelia
Published: February 2023

Background: Metastatic renal cell carcinoma (mRCC) is an aggressive cancer characterised by an increased recurrence rate and an inadequate response to treatment. This study aimed to investigate the importance of the neutrophil-to-lymphocyte ratio (NLR) as a prognostic marker for long-term survival in patients with mRCC. Methods: We retrospectively analysed data from 74 patients with mRCC treated at our medical centre with tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs). We evaluated the predictive value of NLR for overall survival (OS) in these patients. Results: The median OS was 5.1 months in the higher NLR group (≥3) and 13.3 months in the lower NLR group (<3) (p < 0.0001). There was no significant difference in the OS between the TKI and ICI therapies in the low NLR group (12.9 vs. 13.6 months, p = 0.411) or in the high NLR group (4.7 vs. 5.5 months, p = 0.32). Both univariate and multivariate analyses revealed that a higher NLR was an independent prognostic factor of long-term survival in patients with mRCC treated with first-line therapy. Conclusions: This retrospective study showed that adding NLR to other Memorial Sloan Kettering Cancer Center (MSKCC) and International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) variables might improve the prognostic and predictive power of these models.
Stereotactic Body Radiotherapy for Hepatocellular Carcinoma: A Brief Overview
Authors: Matsuo Yukinori
Published: February 2023

Stereotactic body radiotherapy (SBRT), a type of external beam radiotherapy, yields local control of hepatocellular carcinoma (HCC) at rates as high as 90%. SBRT has been recognized as an alternative therapy for patients for whom standard modalities such as surgery (resection or transplantation) or ablation are deemed unsuitable. SBRT has the potential to improve the prognosis of HCC, as it can be used as an adjunct to other treatment modalities. The assessment of post-SBRT images of the treated tumor and surrounding normal liver tissue requires special attention. Future research is warranted to determine how best to use SBRT versus other therapies and how to combine them.
A Novel Fatty Acid Metabolism-Associated Risk Model for Prognosis Prediction in Acute Myeloid Leukaemia
Authors: Wang Nana , Bai Xiaoran , Wang Xinlu , Wang Dongmei , Ma Guangxin , Zhang Fan , Ye Jingjing , Lu Fei , Ji Chunyan
Published: February 2023

Acute myeloid leukaemia (AML) is the most common acute leukaemia in adults, with an unfavourable outcome and a high rate of recurrence due to its heterogeneity. Dysregulation of fatty acid metabolism plays a crucial role in the development of several tumours. However, the value of fatty acid metabolism (FAM) in the progression of AML remains unclear. In this study, we obtained RNA sequencing and corresponding clinicopathological information from the TCGA and GEO databases. Univariate Cox regression analysis and subsequent LASSO Cox regression analysis were utilized to identify prognostic FAM-related genes and develop a potential prognostic risk model. Kaplan-Meier analysis was used for prognostic significances. We also performed ROC curve to illustrate that the risk model in prognostic prediction has good performance. Moreover, significant differences in immune infiltration landscape were found between high-risk and low-risk groups using ESTIMATE and CIBERSOT algorithms. In the end, differential expressed genes (DEGs) were analyzed by gene set enrichment analysis (GSEA) to preliminarily explore the possible signaling pathways related to the prognosis of FAM and AML. The results of our study may provide potential prognostic biomarkers and therapeutic targets for AML patients, which is conducive to individualized precision therapy.
Bacterial Communities in a Gradient of Abiotic Factors Near a Sulfide Thermal Spring in Northern Baikal
Authors: Chernitsyna Svetlana , Elovskaya Irina , Pogodaeva Tatyana , Bukin Sergei , Zakharenko Aleksandra , Zemskaya Tamara
Published: February 2023

The structure and diversity of microbial communities developing in the combined gradient of temperature (44–19 °C), as well as concentration of oxygen (0–10 mg/L) and hydrogen sulfide (33–0.7 mg/L), were studied in the thermal sulfide spring on the coast of Northern Lake Baikal. The predominance of bacteria participating in sulfur and nitrogen cycles and significant changes in the composition of microbial communities were noted at changing physicochemical conditions. Thiovirga sp. (sulfur-oxidizing bacteria, up to 37%) and Azonexus sp. (nitrogen-fixing bacteria, up to 43%) were dominant at high temperatures and concentrations of hydrogen sulfide in two hydrotherms. In addition, a significant contribution of the Rhodocyclaceae family (up to 51%) which is involved in the denitrification processes, and Acetoanaerobium sp. (up to 20%) fixing carbon oxide were found in the spring water. In the stream, mainly oxygenic cyanobacteria (up to 56%) developed at a temperature of 33 °C, in the presence of hydrogen sulfide and oxygen. In addition, sulfur bacteria of the genus Thiothrix (up to 48%) found in epibiotic communities of benthic animals of Lake Baikal were present here. Thiothrix sp. formed massive fouling in the zone of mixing lake and thermal waters with a significant contribution of hydrogen-oxidizing bacteria of the genus Hydrogenophaga (up to 22.5%). As well as chemolitho- and phototrophic bacteria, chemoorganotrophs (phyla Firmicutes, Chloroflexi, Desulfobacterota, Nitrospirota, Fibrobacterota, etc.) have been identified in all communities. The chemical parameters of water in spring and coastal zones indicate a significant change in the composition of thermal waters occurring with the participation of diverse microbial communities that contribute to the assimilation of inorganic components of mineral thermal waters.
Characterization of Tomato Brown Rugose Fruit Virus (ToBRFV) Detected in Czech Republic
Authors: Eichmeier Ales , Hejlova Miroslava , Orsagova Hana , Frejlichova Lucie , Hakalova Eliska , Tomankova Katerina , Linhartova Sarka , Kulich Pavel , Cermak Vaclav , Cechova Jana
Published: February 2023

Tomato is the most consumed vegetable in the world. The tomato brown rugose fruit virus (ToBRFV) is an important destructive virus that damages tomatoes and peppers with significant economic impact. The detection and characterization of this important viral pathogen were evaluated at the molecular and morphological level. The viral isolate was purified and inoculated on tomato and pepper plants. Small RNAs were sequenced in both plants and the profiles were compared. The complete genome of the isolate was obtained, and microRNA (miRNA) profiles were unveiled by small RNA sequencing. Symptoms caused by the isolate were also described and the morphology of the isolate was observed by transmission electron microscopy. Our results contribute to further understanding of the role of miRNAs in ToBRFV pathogenesis, which may be crucial for understanding disease symptom development in tomatoes and peppers.
Artificial Green Corridors in an Andean City as Effective Support of Avian Diversity
Authors: Hambuckers Alain , Delcourt Johann , Leborgne Bryan , Cahill Jennifer R. A.
Published: February 2023

Ensuring connectivity in the countryside and cities is a key element of nature protection, allowing genetic fluxes between populations in fragmented ecosystems. We tested the hypothesis that artificial green corridors are effective for birds in the city of Cochabamba (Bolivia). We compared the following aspects of natural corridors, with generally preserved vegetation, to those of artificial corridors, constituting parks and gardens in a matrix of streets densely planted with trees: species abundance and richness, functional diversity, and the traits of bird communities. We used canonical redundancy analysis to relate species abundance to the corridor type, noise, tree vegetation structure, richness, and functional diversity. We also tested the explanatory factors for relationships with bird species richness, functional diversity, and traits. We found that most species were shared between the corridor types; the corridor type, nevertheless, had significant effects, with bird species in the green corridors being more common and heavier and having a lower beak depth/mass. By contrast, noise-reflecting urbanization deeply affected all of the studied traits, indicating large shifts in species composition. In conclusion, green corridors seem reliable enough to maintain birds at a level almost comparable to that in linear corridors, but noise is a limiting factor for efficiency for both types.
Does a Rural-Urban Gradient Affect Beetle Assemblages in an Arid Ecosystem?
Authors: Abdel-Dayem Mahmoud S. , Sharaf Mostafa R. , Majer Jonathan D. , Al-Sadoon Mohammed K. , Soliman Ahmed M. , Aldawood Abdulrahman S. , Aldhafer Hathal M. , Orabi Gamal M.
Published: February 2023

Urbanization affects all elements of the pre-urban environment, including soils, hydrology, vegetation, and microclimate. Recently, Saudi Arabia has experienced rapid urbanization and growth. Thus, the country’s biodiversity has been threatened. In the Riyadh region, beetle assemblages were assessed along a rural-suburban-urban gradient. A total of 2791 individuals from 94 species belonging to seven families were collected at 15 sites along three different gradients of urbanization in Wadi Hanifa, which runs for a length of 120 km from northwest to southeast. Tenebrionidae dominated abundance (60.1%) and richness (38%). Beetle abundance, evenness, and diversity were not different among habitats; however, species richness was higher in rural habitats. Detrended correspondence “DCA” and canonical correspondence “CCA” analyses showed distinct differences among sites along gradients. Urbanization intensity, soil variables, and land cover were significantly correlated with CCA axis 1, while elevation and flora were significantly correlated with CCA axis 2. The most critical operating environmental variables in Wadi Hanifa were buildings, elevation, soil organic carbon, litter cover, and litter depth, as well as plant species such as Launaea capitata, Lycium shawii, Alhagi graecorum, and Heliotropium currasavicum. Ten species in our study were associated with urban habitats, six with suburban habitats, and seven with rural habitats. Consequently, expanding urban areas may negatively affect the richness and composition of beetles and may result in the loss of some native species.
Molecular Species Delimitation Using COI Barcodes of Mealybugs (Hemiptera: Pseudococcidae) from Coffee Plants in Espírito Santo, Brazil
Authors: Oliveira Pablo Viana , dos Santos Alexandre Rosa , Olive Emily Lopes , Britto Karolinni Bianchi , de Almeida Francine Alves Nogueira , Pacheco da Silva Vitor Cezar , Machado Carolina Barros , Fornazier Maurício José , Ventura José Aires , Culik Mark Paul , Paneto Greiciane Gaburro
Published: February 2023

Mealybugs are insects belonging to the family Pseudococcidae. This family includes many plant-pest species with similar morphologies, which may lead to errors in mealybug identification and delimitation. In the present study, we employed molecular-species-delimitation approaches based on distance (ASAP) and coalescence (GMYC and mPTP) methods to identify mealybugs collected from coffee and other plant hosts in the states of Espírito Santo, Bahia, Minas Gerais, and Pernambuco, Brazil. We obtained 171 new COI sequences, and 565 from the BOLD Systems database, representing 26 candidate species of Pseudococcidae. The MOTUs estimated were not congruent across different methods (ASAP-25; GMYC-30; mPTP-22). Misidentifications were revealed in the sequences from the BOLD Systems database involving Phenacoccus solani × Ph. solenopsis, Ph. tucumanus × Ph. baccharidis, and Planacoccus citri × Pl. minor species. Ten mealybug species were collected from coffee plants in Espírito Santo. Due to the incorrect labeling of the species sequences, the COI barcode library of the dataset from the database needs to be carefully analyzed to avoid the misidentification of species. The systematics and taxonomy of mealybugs may be improved by integrative taxonomy which may facilitate the integrated pest management of these pests.
Phylogeography of the Plateau Pika (Ochotona curzoniae) in Response to the Uplift of the Qinghai-Tibet Plateau
Authors: Qi Yinglian , Pu Xiaoyan , Li Zhilian , Song Daoguang , Chen Zhi
Published: February 2023

The evolution and current distribution of species on the Qinghai-Tibet Plateau have been significantly impacted by historical occurrences, including the uplift of the plateau and the Quaternary climate upheaval. As a remnant species, the plateau pika (Ochotona curzoniae) is a great model for researching historical events. In this study, 302 samples from 42 sample sites were utilized to analyze the impact of historical events on the evolution and distribution pattern of plateau pikas. The genetic diversity, patterns of differentiation, and historical dynamics of the plateau pika were investigated using molecular markers that included four mitochondrial genes (COI, D-loop, Cytb, and 12S rRNA) and three nuclear genes (GHR, IRBP, and RAG1). The results showed that: (1) The genetic diversity of the plateau pika was high in the Tibetan Plateau (Hd = 0.9997, π = 0.01205), and the plateau pika evolved into five lineages that occupied different geographical areas, with lineage 1 (Group 1) in the south of the Yarlung Zangbo River, lineage 2 (Group 2) in the hinterland of the plateau, lineage 3 (Group 3) in the northeastern part of the plateau, lineage 4 (Group 4) in the Hengduan Mountains, and lineage 5 (Group 5) in the eastern part of the plateau. (2) The gene flow among the five lineages was low, and the differentiation level was high (Nm < 0.25; Fst > 0.25), indicating that the geographical barriers between the five lineages, such as the Yarlung Zangbo River, the Qaidam-Ghuong-Guide Basin, and the Lancang River, effectively promoted the population differentiation of the plateau pika. (3) The plateau pika first spread from the Hengduan Mountains to the entire Qinghai-Tibet Plateau and then conducted small-scale migration and dispersal in several refuges across the plateau in response to climate changes during the glacial and interglacial periods. (4) Except for Group 1 and Group 4, all the other populations exhibited a rapid expansion between 0.06 and 0.01 Mya, but the expansion was considerably delayed or halted by the effects of climate change during the last glacial maximum (0.02 Mya). Overall, the plateau pika on the Qinghai-Tibet Plateau exhibits high genetic diversity, and topographic obstacles, including mountains, valleys, and basins, created by the uplift of the plateau and climatic changes since the Quaternary period have played an important role in the differentiation and historical dynamics of the plateau pika population.
Dataset of Public Objects in Uncontrolled Environment for Navigation Aiding
Authors: Wong Teng-Lai , Chou Ka-Seng , Wong Kei-Long , Tang Su-Kit
Published: February 2023

Computer vision is a new approach to navigation aiding that assists visually impaired people to travel independently. A deep learning-based solution implemented on a portable device that uses a monocular camera to capture public objects could be a low-cost and handy navigation aid. By recognizing public objects in the street and estimating their distance from the user, visually impaired people are able to avoid obstacles in the outdoor environment and walk safely. In this paper, we created a dataset of public objects in an uncontrolled environment for navigation aiding. The dataset contains three classes of objects which commonly exist on pavements in the city. It was verified that the dataset was of high quality for object detection and distance estimation, and was ultimately utilized as a navigation aid solution.
Procedural Software Toolkit in the Armamentarium of Interventional Therapies: A Review of Additive Usefulness and Current Evidence
Authors: Al-Sharydah Abdulaziz M. , BinShaiq Faisal Khalid , Aloraifi Rayan Ibrahim , Almefleh Abdulrahman Abdulaziz , Alessa Saud Abdulaziz , Alobud Adi Saud , AlSharidah Abdulmonem Mohammed , Bin Dahmash Abdulmajeed , Al-Aftan Mohammad S. , Al-Dhaferi Bander Fuhaid
Published: February 2023

Interventional radiology is a fast-paced specialty that uses many advanced and emerging technological solutions. Several procedural hardware and software products are available commercially. Image-guided procedural software helps save time and effort in interventionist practice and adds precision to the intraoperative decisions made by the end user. Interventional radiologists, including interventional oncologists, have access to a wide range of commercially available procedural software that can be integrated into their workflow. However, the resources and real-world evidence related to such software are limited. Thus, we performed a detailed review of the current resources available, such as software-related publications, vendors’ multimedia materials (e.g., user guides), and each software’s functions and features, to compile a resource for interventional therapies. We also reviewed previous studies that have verified the use of such software in angiographic suites. Procedural software products will continue to increase in number and usage; these will likely be advanced further with deep learning, artificial intelligence, and new add-ins. Therefore, classifying procedural product software can improve our understanding of these entities. This review significantly contributes to the existing literature because it highlights the lack of studies on procedural product software.
First Insight into Diversity of Minisatellite Loci in Mycobacterium bovis/M. caprae in Bulgaria
Authors: Terentieva Daria , Savova-Lalkovska Tanya , Dimitrova Albena , Bonovska Magdalena , Mokrousov Igor , Valcheva Violeta
Published: February 2023

The aim of this study was to assess the diversity of minisatellite VNTR loci in Mycobacterium bovis/M. caprae isolates in Bulgaria and view their position within global M. bovis diversity. Forty-three M. bovis/M. caprae isolates from cattle in different farms in Bulgaria were collected in 2015–2021 and typed in 13 VNTR loci. The M. bovis and M. caprae branches were clearly separated on the VNTR phylogenetic tree. The larger and more geographically dispersed M. caprae group was more diverse than M. bovis group was (HGI 0.67 vs. 0.60). Overall, six clusters were identified (from 2 to 19 isolates) and nine orphans (all loci-based HGI 0.79). Locus QUB3232 was the most discriminatory one (HGI 0.64). MIRU4 and MIRU40 were monomorphic, and MIRU26 was almost monomorphic. Four loci (ETRA, ETRB, Mtub21, and MIRU16) discriminated only between M. bovis and M. caprae. The comparison with published VNTR datasets from 11 countries showed both overall heterogeneity between the settings and predominantly local evolution of the clonal complexes. To conclude, six loci may be recommended for primary genotyping of M. bovis/M. caprae isolates in Bulgaria: ETRC, QUB11b, QUB11a, QUB26, QUB3232, and MIRU10 (HGI 0.77). VNTR typing based on a limited number of loci appears to be useful for primary bTB surveillance.
Orbital Metastases of Breast Cancer in Males
Authors: Teodoru Cosmin Adrian , Roman Mihai Dan , Dura Horațiu , Cerghedean-Florea Maria-Emilia
Published: February 2023

We report a case of orbital metastasis of infiltrative breast carcinoma in a 65-year-old man. The patient was diagnosed with stage four breast cancer one year before, for which a mastectomy was performed. He refused postoperative radiotherapy and chemotherapy at that time. He had a history of lung, liver, and mediastinal metastases. At admission, he presented with blurred vision, diplopia, ocular pain, and mild swelling of the upper lid of the left eye (LE). Computed tomography (CT) of the brain and orbit revealed a front-ethmoidal tissue mass with left orbital and frontal intracranial extension. Ophthalmologic examination revealed exophthalmos on the LE with a downward and outward deviation of the eyeball, proptosis, and intraocular pressure (IOP) of 40 mmHg. The patient’s treatment started with topical maximal anti-glaucomatous drops and radiotherapy sessions. After three weeks of follow-up, there was a gradual improvement of local symptoms and signs and a normal IOP.
Guided Internet-Based Cognitive Behavioral Therapy for Insomnia: Prognostic and Treatment-Predictive Factors
Authors: Pchelina Polina , Duss Simone B. , Bernasconi Corrado , Berger Thomas , Krieger Tobias , Bassetti Claudio L. A. , Urech Antoine
Published: February 2023

Understanding which factors predict the outcome of internet-based cognitive behavioral therapy for insomnia (iCBT-I) may help to tailor this intervention to the patient’s needs. We have conducted a secondary analysis of a randomized, controlled trial comparing a multicomponent iCBT-I (MCT) and an online sleep restriction therapy (SRT) for 83 chronic insomnia patients. The difference in the Insomnia Severity Index from pre- to post-treatment and from pre-treatment to follow-up at 6 months after treatment was the dependent variable. Prognostic and treatment-predictive factors assessed at baseline were analyzed with multiple linear regression. The shorter duration of insomnia, female gender, high health-related quality of life, and the higher total number of clicks had prognostic value for a better outcome. Other factors were found to be prognostic for outcome at the follow-up assessment: treatment with benzodiazepines, sleep quality, and personal significance of sleep problems. A high level of dysfunctional beliefs and attitudes about sleep (DBAS) was a moderator for better effects in the MCT at post-treatment assessment. Various prognostic factors (e.g., duration of insomnia, gender, or quality of life) may influence the success of treatment. The DBAS scale may be recommended to select patients for MCT rather than SRT.
Feasibility of Comprehensive Genomic Profiling (CGP) in Real-Life Clinical Practice
Authors: Nibid Lorenzo , Sabarese Giovanna , Righi Daniela , Rossi Silvia Maria , Merlini Giorgia , Crucitti Pierfilippo , Vincenzi Bruno , Tonini Giuseppe , Perrone Giuseppe
Published: February 2023

In advanced or metastatic settings, Comprehensive Genomic Profiling (CGP) allows the evaluation of thousands of gene alterations with the goal of offering new opportunities for personalized treatment in solid tumors. This study evaluated the CGP Success Rate in a real-life cohort of 184 patients enrolled in a prospective clinical trial. CGP data were compared with the routine molecular testing strategy adopted in-house. Sample age, tumor area, and the percentage of tumor nuclei were recorded for CGP analysis. We found that 150/184 (81.5%) samples resulted in satisfying CGP reports. The CGP Success Rate was higher in samples from surgical specimens (96.7%) and in specimens that had been stored (sample age) for less than six months (89.4%). Among the inconclusive CGP reports, 7/34 (20.6%) were optimal samples, according to CGP sample requirements. Moreover, with the in-house molecular testing approach, we could obtain clinically relevant molecular data in 25/34 (73.5%) samples that had inconclusive CGP reports. In conclusion, despite the fact that CGP offers specific therapeutical options in selected patients, our data suggest that the standard molecular testing strategy should not be replaced in routine molecular profiling.
Advances in Endoscopic Ultrasound (EUS)-Guided Liver Biopsy
Authors: Ramai Daryl , Pannu Viraaj , Facciorusso Antonio , Dhindsa Banreet , Heaton Joseph , Ofosu Andrew , Chandan Saurabh , Maida Marcello , Lattanzi Barbara , Rodriguez Eduardo , Bhagat Vicky H. , Samanta Jayanta , Barakat Monique T.
Published: February 2023

Recent years have seen the emergence of endoscopic-ultrasound-guided liver biopsy (EUS-LB) as an effective alternative to traditional (percutaneous or transjugular) liver biopsy techniques. Comparative studies have demonstrated that both endoscopic and non-endoscopic approaches are similar in terms of diagnostic adequacy, accuracy, and adverse events; however, EUS-LB offers the advantage of reduced recovery time. Additionally, EUS-LB enables the sampling of both lobes of the liver as well as the advantage of portal pressure measurements. However, EUS-LB may be argued to have a high cost, although this procedure can be cost-effective if bundled with other endoscopic procedures. Approaches utilizing EUS-guided liver therapy, such as the administration of chemotherapeutic agents and EUS elastography, are in development, and their optimal integration into clinical care is likely to emerge in the coming years. In the present review, we evaluate the available literature on EUS-LB indications, contraindications, variations in needle biopsy techniques, comparative outcomes, advantages and disadvantages, and future trends and perspectives.
The Role of Heart Rate Variability (HRV) in Different Hypertensive Syndromes
Authors: Yugar Louise Buonalumi Tacito , Yugar-Toledo Juan Carlos , Dinamarco Nelson , Sedenho-Prado Luis Gustavo , Moreno Beatriz Vaz Domingues , Rubio Tatiane de Azevedo , Fattori Andre , Rodrigues Bruno , Vilela-Martin Jose Fernando , Moreno Heitor
Published: February 2023

Cardiac innervation by the parasympathetic nervous system (PNS) and the sympathetic nervous system (SNS) modulates the heart rate (HR) (chronotropic activity) and the contraction of the cardiac muscle (inotropic activity). The peripheral vasculature is controlled only by the SNS, which is responsible for peripheral vascular resistance. This also mediates the baroreceptor reflex (BR), which in turn mediates blood pressure (BP). Hypertension (HTN) and the autonomic nervous system (ANS) are closely related, such that derangements can lead to vasomotor impairments and several comorbidities, including obesity, hypertension, resistant hypertension, and chronic kidney disease. Autonomic dysfunction is also associated with functional and structural changes in target organs (heart, brain, kidneys, and blood vessels), increasing cardiovascular risk. Heart rate variability (HRV) is a method of assessing cardiac autonomic modulation. This tool has been used for clinical evaluation and to address the effect of therapeutic interventions. The present review aims (a) to approach the heart rate (HR) as a CV risk factor in hypertensive patients; (b) to analyze the heart rate variability (HRV) as a “tool” to estimate the individual risk stratum for Pre-HTN (P-HTN), Controlled-HTN (C-HTN), Resistant and Refractory HTN (R-HTN and Rf-HTN, respectively), and hypertensive patients with chronic renal disease (HTN+CKD).
The Impact of Novel Reconstruction Algorithms on Calcium Scoring: Results on a Dedicated Cardiac CT Scanner
Authors: Vecsey-Nagy Milán , Jokkel Zsófia , Jermendy Ádám Levente , Nagy Martin , Boussoussou Melinda , Vattay Borbála , Kolossváry Márton , Csobay-Novák Csaba , Amin-Spector Sigal , Merkely Béla , Szilveszter Bálint
Published: February 2023

Contemporary reconstruction algorithms yield the potential of reducing radiation exposure by denoising coronary computed tomography angiography (CCTA) datasets. We aimed to assess the reliability of coronary artery calcium score (CACS) measurements with an advanced adaptive statistical iterative reconstruction (ASIR-CV) and model-based adaptive filter (MBAF2) designed for a dedicated cardiac CT scanner by comparing them to the gold-standard filtered back projection (FBP) calculations. We analyzed non-contrast coronary CT images of 404 consecutive patients undergoing clinically indicated CCTA. CACS and total calcium volume were quantified and compared on three reconstructions (FBP, ASIR-CV, and MBAF2+ASIR-CV). Patients were classified into risk categories based on CACS and the rate of reclassification was assessed. Patients were categorized into the following groups based on FBP reconstructions: 172 zero CACS, 38 minimal (1–10), 87 mild (11–100), 57 moderate (101–400), and 50 severe (400<). Overall, 19/404 (4.7%) patients were reclassified into a lower-risk group with MBAF2+ASIR-CV, while 8 additional patients (27/404, 6.7%) shifted downward when applying stand-alone ASIR-CV. The total calcium volume with FBP was 7.0 (0.0–133.25) mm3, 4.0 (0.0–103.5) mm3 using ASIR-CV, and 5.0 (0.0–118.5) mm3 with MBAF2+ASIR-CV (all comparisons p < 0.001). The concomitant use of ASIR-CV and MBAF2 may allow the reduction of noise levels while maintaining similar CACS values as FBP measurements.
Cardiometabolic Phenotyping in Heart Failure: Differences between Patients with Reduced vs. Preserved Ejection Fraction
Authors: Balletti Alessio , De Biase Nicolò , Del Punta Lavinia , Filidei Francesco , Armenia Silvia , Masi Filippo , Di Fiore Valerio , Mazzola Matteo , Bacca Alessandra , Dini Frank L. , Taddei Stefano , Masi Stefano , Pugliese Nicola Riccardo
Published: February 2023

Aims. We explored multiple cardiometabolic patterns, including inflammatory and congestive pathways, in patients with heart failure (HF). Methods and Results. We enrolled 270 HF patients with reduced (<50%, HFrEF; n = 96) and preserved (≥50%, HFpEF; n = 174) ejection fraction. In HFpEF, glycated hemoglobin (Hb1Ac) seemed to be relevant in its relationship with inflammation as Hb1Ac positively correlated with high-sensitivity C-reactive protein (hs-CRP; Spearman’s rank correlation coefficient ρ = 0.180, p < 0.05). In HFrEF, we found a correlation between Hb1Ac and norepinephrine (ρ = 0.207, p < 0.05). In HFpEF, we found a positive correlation between Hb1Ac and congestion expressed as pulmonary B lines (ρ = 0.187, p < 0.05); the inverse correlation, although not significant, was found in HFrEF between Hb1Ac and N-terminal pro-B-type natriuretic peptide (ρ = 0.079) and between Hb1Ac and B lines (ρ = −0.051). In HFrEF, we found a positive correlation between E/e’ ratio and Hb1Ac (ρ = 0.203, p < 0.05) and a negative correlation between tricuspid annular systolic excursion (TAPSE)/echocardiographically measured systolic pulmonary artery pressure (sPAP) (TAPSE/sPAP ratio) (ρ = −0.205, p < 0.05) and Hb1Ac. In HFpEF, we found a negative correlation between TAPSE/sPAP ratio and uric acid (ρ = −0.216, p < 0.05). Conclusion. In HF patients, HFpEF and HFrEF phenotypes are characterized by different cardiometabolic indices related to distinct inflammatory and congestive pathways. Patients with HFpEF showed an important relationship between inflammatory and cardiometabolic parameters. Conversely, in HFrEF, there is a significant relationship between congestion and inflammation, while cardiometabolism appears not to influence inflammation, instead affecting sympathetic hyperactivation.
Ultrasound Control of Cervical Regeneration after Large Loop Excision of the Transformation Zone: Results of an Innovative Measurement Technique
Authors: Pinto Vincenzo , Dellino Miriam , Santarsiero Carla Mariaflavia , Cormio Gennaro , Loizzi Vera , Griseta Valentina , Vimercati Antonella , Cazzato Gerardo , Cascardi Eliano , Cicinelli Ettore
Published: February 2023

The objective of this research is to evaluate cervical regeneration after large loop excision of the transformation zone (LLETZ) through the identification of a new sonographic reference point at the level of the uterine margins. In the period March 2021–January 2022, a total of 42 patients affected by CIN 2–3 were treated with LLETZ at the University Hospital of Bari (Italy). Before performing LLETZ, cervical length and volume were measured with trans-vaginal 3D ultrasound. From the multiplanar images, the cervical volume was obtained using the Virtual Organ Computer-aided AnaLysis (VOCAL™) program with manual contour mode. The line that connects the points where the common trunk of the uterine arteries reaches the uterus splitting into the ascending major branch and the cervical branch was considered as the upper limit of the cervical canal. From the acquired 3D volume, the length and the volume of the cervix were measured between this line and the external uterine os. Immediately after LLETZ, the removed cone was measured using Vernier’s caliper, and before fixation in formalin, the volume of the excised tissue was evaluated by the fluid displacement technique based on the Archimedes principle. The proportion of excised cervical volume was 25.50 ± 17.43%. The volume and the height of the excised cone were 1.61 ± 0.82 mL and 9.65 ± 2.49 mm corresponding to 14.74 ± 11.91% and 36.26 ± 15.49% of baseline values, respectively. The volume and length of the residual cervix were also assessed using 3D ultrasound up to the sixth month after excision. At 6 weeks, about 50% of cases reported an unchanged or lower cervical volume compared to the baseline pre-LLETZ values. The average percentage of volume regeneration in examined patients was equal to 9.77 ± 55.33%. In the same period, the cervical length regeneration rate was 69.41 ± 14.8%. Three months after LLETZ, a volume regeneration rate of 41.36 ± 28.31% was found. For the length, an average regeneration rate of 82.48 ± 15.25% was calculated. Finally, at 6 months, the percentage of regeneration of the excised volume was 90.99 ± 34.91%. The regrowth percentage of the cervical length was 91.07 ± 8.03%. The cervix measurement technique that we have proposed has the advantage of identifying an unequivocal reference point in 3D cervical measurement. Ultrasound 3D evaluation could be useful in the clinical practice to evaluate the cervical tissue deficit and express the “potential of cervical regeneration” as well as provide the surgeon useful information about the cervical length.
Deep Learning-Based Image Quality Improvement in Digital Positron Emission Tomography for Breast Cancer
Authors: Mori Mio , Fujioka Tomoyuki , Hara Mayumi , Katsuta Leona , Yashima Yuka , Yamaga Emi , Yamagiwa Ken , Tsuchiya Junichi , Hayashi Kumiko , Kumaki Yuichi , Oda Goshi , Nakagawa Tsuyoshi , Onishi Iichiroh , Kubota Kazunori , Tateishi Ukihide
Published: February 2023

We investigated whether 18F-fluorodeoxyglucose positron emission tomography (PET)/computed tomography images restored via deep learning (DL) improved image quality and affected axillary lymph node (ALN) metastasis diagnosis in patients with breast cancer. Using a five-point scale, two readers compared the image quality of DL-PET and conventional PET (cPET) in 53 consecutive patients from September 2020 to October 2021. Visually analyzed ipsilateral ALNs were rated on a three-point scale. The standard uptake values SUVmax and SUVpeak were calculated for breast cancer regions of interest. For “depiction of primary lesion”, reader 2 scored DL-PET significantly higher than cPET. For “noise”, “clarity of mammary gland”, and “overall image quality”, both readers scored DL-PET significantly higher than cPET. The SUVmax and SUVpeak for primary lesions and normal breasts were significantly higher in DL-PET than in cPET (p < 0.001). Considering the ALN metastasis scores 1 and 2 as negative and 3 as positive, the McNemar test revealed no significant difference between cPET and DL-PET scores for either reader (p = 0.250, 0.625). DL-PET improved visual image quality for breast cancer compared with cPET. SUVmax and SUVpeak were significantly higher in DL-PET than in cPET. DL-PET and cPET exhibited comparable diagnostic abilities for ALN metastasis.
Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review
Authors: Dawid Marie-Theres , Moldovan Ovidiu , Rudolph Heike , Kuhn Katharina , Luthardt Ralph G.
Published: February 2023

The aim of this study was to conduct a systematic literature review with a subsequent meta-analysis on the technical complications and failures of removable partial denture (RPD) therapy in the moderately reduced dentition. A systematic literature search of established medical databases, last updated 06/2022, was conducted. RCTs and prospective and retrospective studies were included that had information on technical complications and failures of RPDs, at least 15 participants, an observation period of at least two years and a drop-out rate of less than 25%. Publications were selected on the title, abstract and full-text level by at least three of the participating authors. The evidence of the included studies was classified using the GRADE system. The bias risk was determined using the RoB2 tool and the ROBINS-I tool. Of 19,592 initial hits, 43 publications were included. Predominantly, retention of the prosthesis, retention loss of anchor crowns (decementations), fractures/repairs of frameworks, denture teeth, veneering or acrylic bases, and a need for relining were reported depending on prosthesis type and observation time. Focusing on technical complications and failures, only very heterogeneous data were found and publications with the highest quality level according to GRADE were scarce. Whenever possible, data on technical complications and failures should be reported separately when referencing the tooth, the prosthesis and the patient for comparability. Prostheses with differing anchorage types should be analyzed in different groups, as the respective complications and failures differ. A precise description of the kinds of complications and failures, as well as of the resulting follow-up treatment measures, should be given.
Piloting an Unmanned Aerial Vehicle to Explore the Floristic Variations of Inaccessible Cliffs along Island Coasts
Authors: Kim Seongjun , Lee Chang Woo , Park Hwan-Joon , Lee Byoung-Doo , Kim Nam Young , Hwang Jung Eun , Park Hyeong Bin , An Jiae , Baek JuHyoung
Published: February 2023

Coastal cliffs are important in plant ecology as a unique frontier between terrestrial and marine ecosystems. This study piloted close-range photogrammetry with an unmanned aerial vehicle (UAV) to clarify floristic patterns using 26 inaccessible coastal cliffs in a warm-temperate, preserved island (area: 6.5 km2). UAV-based flora data were analyzed in terms of cliff aspect (Type-N: northwestern aspect of the island, Type-S: other island aspects) and elevation. The studied coastal cliffs contained 94 flora taxa, of which 13 and 12 taxa were found from either Type-N or Type-S cliffs only. Type-S cliffs retained a larger number of epiphyte and evergreen species but a smaller number of deciduous species than Type-N cliffs (p < 0.05), and 4 out of 8 detected epiphyte species dwelled in Type-S cliffs only. Additionally, the elevation of coastal cliffs was positively related to the proportion of tree and epiphyte species (r = 0.608, p < 0.001) but negatively related to the proportion of herbs (r = −0.649, p < 0.001). These patterns corresponded to differing microclimates such as the severity of cold and dry conditions during winter. We expect that UAV-based approaches will help understand plant ecology under harsh, challenging environments beyond the speculation with traditionally accessible sites only.
An Energy-Effective and QoS-Guaranteed Transmission Scheme in UAV-Assisted Heterogeneous Network
Authors: Zhang Jinxi , Gao Weidong , Chuai Gang , Zhou Zhixiong
Published: February 2023

In this article, we consider a single unmanned aerial vehicle (UAV)-assisted heterogeneous network in a disaster area, which includes a UAV, ground cellular users, and ground sensor users. The cellular data and sensing data are transmitted to UAVs by cellular users and sensor users, due to the outage of the ground wireless network caused by the disaster. In this scenario, we aim to minimize the energy consumption of all the users, to extend their communication time and facilitate rescue. At the same time, cellular users and sensor users have different rate requirements, hence the quality of service (QoS) of the users should be guaranteed. To solve these challenges, we propose an energy-effective relay selection and resource-allocation algorithm. First, to solve the problem of insufficient coverage of the single UAV network, we propose to perform multi-hop transmission for the users outside the UAV’s coverage by selecting suitable relays in an energy-effective manner. Second, for the cellular users and sensor users inside the coverage of the UAV but with different QoS requirements, we design a non-orthogonal multiple access (NOMA)-based transmission scheme to improve spectrum efficiency. Deep reinforcement learning is exploited to dynamically adjust the power level and allocated sub-bands for inside users to reduce energy consumption and improve QoS satisfaction. The simulation results show that the proposed NOMA transmission scheme can achieve 9–17% and 15–32% performance gain on the reduction of transmit power and the improvement of QoS satisfaction, respectively, compared with state-of-the-art NOMA transmission schemes and orthogonal multiple access scheme.
A Comparative Study between NMPC and Baseline Feedback Controllers for UAV Trajectory Tracking
Authors: Guevara Bryan S. , Recalde Luis F. , Varela-Aldás José , Andaluz Victor H. , Gandolfo Daniel C. , Toibero Juan M.
Published: February 2023

Transport, rescue, search, surveillance, and disaster relief tasks are some applications that can be developed with unmanned aerial vehicles (UAVs), where accurate trajectory tracking is a crucial property to operate in a cluttered environment or under uncertainties. However, this is challenging due to high nonlinear dynamics, system constraints, and uncertainties presented in cluttered environments. Hence, uncertainties in the form of unmodeled dynamics, aerodynamic effects, and external disturbances such as wind can produce unstable feedback control schemes, introducing significant positional tracking errors. This work presents a detailed comparative study between controllers such as nonlinear model predictive control (NMPC) and non-predictive baseline feedback controllers, with particular attention to tracking accuracy and computational efficiency. The development of the non-predictive feedback controller schemes was divided into inverse differential kinematics and inverse dynamic compensation of the aerial vehicle. The design of the two controllers uses the mathematical model of UAV and nonlinear control theory, guaranteeing a low computational cost and an asymptotically stable algorithm. The NMPC formulation was developed considering system constraints, where the simplified dynamic model was included; additionally, the boundaries in control actions and a candidate Lyapunov function guarantees the stability of the control structure. Finally, this work uses the commercial simulator DJI brand and DJI Matrice 100 UAV in real-world experiments, where the NMPC shows a reduction in tracking error, indicating the advantages of this formulation.