bluuebunny/crossref_metadata_2025 huggingface dataset:
Recurrent Campylobacter Enteritis in Patients with Hypogammaglobulinemia: Review of the Literature
Authors: Najjar Iris , Paluca Florina , Loukidis Konstantinos , Tarr Philip E.
Published: February 2020

Recurrent Campylobacter enteritis is a well-recorded complication of primary hypogammaglobulinemia but has only rarely been reported with other types of immunodeficiency, and no cases have been reported after rituximab-associated secondary hypogammaglobulinemia. We therefore reviewed our local microbiology laboratory databases and conducted a literature search, to provide a detailed characterization of the immunodeficiency states associated with recurrent Campylobacter enteritis. Published cases had primary hypogammaglobulinemia, most frequently in the setting of common variable immunodeficiency, x-linked agammaglobulinemia, and Good syndrome. No cases were identified in the literature after rituximab or secondary hypogammaglobulinemia. We report a 73-year-old patient with recurrent Campylobacter enteritis and hypogammaglobulinemia in the setting of non-Hodgkin lymphoma, chemotherapy, and maintenance rituximab. Physicians should be aware of the association of recurrent Campylobacter enteritis and immunodeficiency, most commonly in primary hypogammaglobulinemia. Rituximab alone may not be sufficiently immunosuppressive for recurrent campylobacteriosis to occur; additional factors, including hematological malignancy and its treatment, appear necessary. Patients with recurrent Campylobacter enteritis and those starting rituximab should be investigated for hypogammaglobulinemia and B-lymphopenia.
Neutrophil-Lymphocyte Ratio in Patients with Acute Heart Failure Predicts In-Hospital and Long-Term Mortality
Authors: Cho Jun Hwan , Cho Hyun-Jai , Lee Hae-Young , Ki You-Jeong , Jeon Eun-Seok , Hwang Kyung-Kuk , Chae Shung Chull , Baek Sang Hong , Kang Seok-Min , Choi Dong-Ju , Yoo Byung-Su , Kim Kye Hun , Kim Jae-Joong , Oh Byung-Hee
Published: February 2020

The application of a simple blood test to predict prognosis in acute heart failure (AHF) patients is not well established. Neutrophil-lymphocyte ratio (NLR) is inexpensive and easy to obtain in hospitalized patients using a routine blood test. We evaluate the prognostic implications of NLR as an independent predictor of in-hospital and long-term mortality in AHF patients. Among 5625 patients enrolled in the Korean Acute Heart Failure registry, 5580 patients were classified into quartiles by their NLR level, and analyzed for in-hospital and post-discharge three-year mortality. Patients in the highest NLR quartile had the highest in-hospital and post-discharge three-year mortality. The same results were seen by dividing the aggravating factor into the infection or ischemia group and the non-infection or non-ischemia group. For patients aggravated from infection or ischemia, a cut-off NLR value was 7.0 that increase the risk of in-hospital and post-discharge three-year mortality. In subgroups of patients not aggravated from infection or ischemia, a cut-off NLR value was 5.0 that increase the risk of in-hospital and post discharge three-year mortality. Elevated NLR in AHF patients at the index hospitalization is an independent predictor for in-hospital and post-discharge three-year mortality. Taken together, NLR is a marker for risk assessment of AHF patients.
Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension: An Immunological Perspective
Authors: Koudstaal Thomas , Boomars Karin A. , Kool Mirjam
Published: February 2020

Pulmonary hypertension (PH) is a debilitating progressive disease characterized by increased pulmonary arterial pressures, leading to right ventricular (RV) failure, heart failure and, eventually, death. Based on the underlying conditions, PH patients can be subdivided into the following five groups: (1) pulmonary arterial hypertension (PAH), (2) PH due to left heart disease, (3) PH due to lung disease, (4) chronic thromboembolic PH (CTEPH), and (5) PH with unclear and/or multifactorial mechanisms. Currently, even with PAH-specific drug treatment, prognosis for PAH and CTEPH patients remains poor, with mean five-year survival rates of 57%–59% and 53%–69% for PAH and inoperable CTEPH, respectively. Therefore, more insight into the pathogenesis of PAH and CTEPH is highly needed, so that new therapeutic strategies can be developed. Recent studies have shown increased presence and activation of innate and adaptive immune cells in both PAH and CTEPH patients. Moreover, extensive biomarker research revealed that many inflammatory and immune markers correlate with the hemodynamics and/or prognosis of PAH and CTEPH patients. Increased evidence of the pathological role of immune cells in innate and adaptive immunity has led to many promising pre-clinical interventional studies which, in turn, are leading to innovative clinical trials which are currently being performed. A combination of immunomodulatory therapies might be required besides current treatment based on vasodilatation alone, to establish an effective treatment and prevention of progression for this disease. In this review, we describe the recent progress on our understanding of the involvement of the individual cell types of the immune system in PH. We summarize the accumulating body of evidence for inflammation and immunity in the pathogenesis of PH, as well as the use of inflammatory biomarkers and immunomodulatory therapy in PAH and CTEPH.
Childhood Leukemia Survivors and Metabolic Response to Exercise: A Pilot Controlled Study
Authors: Pegon Charline , Rochette Emmanuelle , Rouel Nadège , Pereira Bruno , Doré Eric , Isfan Florentina , Grèze Victoria , Merlin Etienne , Kanold Justyna , Duché Pascale
Published: February 2020

Background: Leukemia is the most common cancer in pediatrics, with many late effects such as higher risk of dyslipidemia, insulin resistance, obesity, and metabolic syndrome. The objective of this work was to investigate substrate oxidation during submaximal exercise in survivors of childhood acute leukemia. Methods: A total of 20 leukemia survivors and 20 healthy children were matched by sex, age, and Tanner stage. They all took a submaximal incremental exercise test to determine fat and carbohydrate oxidation rates. Results: Cardiorespiratory fitness was significantly lower in leukemia survivors, with lower relative VO2 peaks (p < 0.001), lower heart rate values (p = 0.02), and lower exercise power (p = 0.012), whereas rest metabolism and body mass index did not differ between the two groups. During exercise, upward of heart rate relative to VO2 peak was significantly higher (p < 0.001) in childhood leukemia survivors. We found lower carbohydrate and fat oxidation rates (p = 0.07) in leukemia survivors compared with healthy children, and also a significantly lower relative maximal fat oxidation rate (p = 0.014). Conclusion: Despite impaired physical fitness and metabolic response to exercise, childhood leukemia survivors remained sensitive to physical activity interventions, and could readily adapt to submaximal exercise intensity.
Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial
Authors: Walewicz Karolina , Taradaj Jakub , Dobrzyński Maciej , Sopel Mirosław , Kowal Mateusz , Ptaszkowski Kuba , Dymarek Robert
Published: February 2020

Low back pain (LBP) is the leading cause of disability worldwide, placing a significant economic burden on healthcare systems. Radial extracorporeal shock wave therapy (rESWT) is useful in the rehabilitation of orthopedic diseases; however, there is still limited evidence for patients with LBP. The aim of this study was to assess the effect of rESWT on pain level, functional efficiency, and parameters of postural control in patients with LBP. Participants were randomized into group A (n = 20) treated with rESWT and group B (n = 20) treated with sham rESWT (placebo). Both groups received conventional physiotherapy, including core stability exercises. The following tests were performed: the Laitinen Pain Scale (LPS), the Roland–Morris Questionnaire (RMQ), the original Schober Test (OST), and a stabilometric platform for the assessment of postural sway, including total sway path (TSP). We found that the analgesic effect was higher after rESWT, especially in the follow-up’s (p < 0.05). Similar results were found for functional efficiency and range of motion (p < 0.05). The improved posture stability in placebo group B was not statistically significant (p > 0.05). The stabilometric parameters in group A were still gradually improved and statistically significant, even in follow-ups (p < 0.05). In conclusion, the rESWT had a significant effect on the reduction of pain and the improvement of functional condition compared to a conventional physiotherapy program. Also, rESWT with core stability exercises led to significant improvements in postural sway compared with conventional physiotherapy in patients with LBP.
Genetic Components of 25-Hydroxyvitamin D Increase in Three Randomized Controlled Trials
Authors: Trummer Olivia , Schweighofer Natascha , Haudum Christoph W. , Trummer Christian , Pilz Stefan , Theiler-Schwetz Verena , Keppel Martin H. , Grübler Martin , Pieber Thomas R. , Renner Wilfried , Obermayer-Pietsch Barbara , Lerchbaum Elisabeth
Published: February 2020

The 25-Hydroxyvitamin D (25[OH)D) serum concentration depends on vitamin D intake, endogenous vitamin D production and genetic factors. The latter have been demonstrated in large genome-wide association studies indicating that single nucleotide polymorphisms (SNPs) in genes related to the vitamin D metabolism are as important for serum 25(OH)D levels as the influence of season. The mechanism on how these SNPs influence serum 25(OH)D levels are still unclear. The aim of the present study was to investigate the genetic effects of ten selected SNPs related to vitamin D metabolism on 25-hydroxyvitamin D increase (∆25(OH)D) after vitamin D supplementation in three randomized controlled trials. Genotypes of SNPs related to vitamin D metabolism were determined in 411 participants with 25(OH)D concentrations < 75 nmol/l receiving 20,000 IU cholecalciferol per week for 8 or 12 weeks after study inclusion. For the vitamin D receptor (VDR) rs10783219 polymorphism, the minor A-allele was associated with lower ∆25(OH)D values in the entire study population (p = 0.022), which was not consistent in all three cohorts when analysed separately. VDR rs10783219 might therefore be a genetic modulator of increasing 25-hydroxyvitamin D concentrations. Considering the wide-spread use of vitamin D supplementation, future large and well-designed randomized controlled trials (RCTs) should investigate the clinical impact of this polymorphism.
Risk Assessment of Novel Coronavirus COVID-19 Outbreaks Outside China
Authors: Boldog Péter , Tekeli Tamás , Vizi Zsolt , Dénes Attila , Bartha Ferenc A. , Röst Gergely
Published: February 2020

We developed a computational tool to assess the risks of novel coronavirus outbreaks outside of China. We estimate the dependence of the risk of a major outbreak in a country from imported cases on key parameters such as: (i) the evolution of the cumulative number of cases in mainland China outside the closed areas; (ii) the connectivity of the destination country with China, including baseline travel frequencies, the effect of travel restrictions, and the efficacy of entry screening at destination; and (iii) the efficacy of control measures in the destination country (expressed by the local reproduction number R loc ). We found that in countries with low connectivity to China but with relatively high R loc , the most beneficial control measure to reduce the risk of outbreaks is a further reduction in their importation number either by entry screening or travel restrictions. Countries with high connectivity but low R loc benefit the most from policies that further reduce R loc . Countries in the middle should consider a combination of such policies. Risk assessments were illustrated for selected groups of countries from America, Asia, and Europe. We investigated how their risks depend on those parameters, and how the risk is increasing in time as the number of cases in China is growing.
Efficacy of Low-Dose Radioiodine Ablation in Low- and Intermediate-Risk Differentiated Thyroid Cancer: A Retrospective Comparative Analysis
Authors: Gómez-Pérez Ana María , García-Alemán Jorge , Molina-Vega María , Sebastián Ochoa Arantzazu , Pérez García Pilar , Mancha Doblas Isabel , Tinahones Francisco J
Published: February 2020

(1) Background—low-dose radioiodine ablation is an accepted strategy for the treatment of low- and intermediate-risk thyroid carcinomas, although there is no international consensus. The aim of this study is to describe the clinical experience with low-dose radioiodine ablation in patients with low- and intermediate-risk thyroid cancer compared to high-dose ablation. (2) Methods—174 patients with low- and intermediate-risk thyroid cancer, 90 treated with low-dose ablation and 84 treated with high-dose ablation, were included. The primary endpoint was response to treatment one year after ablation, defined by stimulated thyroglobulin, whole body scan and ultrasound imaging. (3) Results—an excellent response rate of 79.8% in the low-dose group and 85.7% in the high-dose group was observed (p = 0.049). Stimulated thyroglobulin at the moment of ablation (p = 0.032) and positive antithyroglobulin antibodies (p < 0.001) were independent predictive factors for nonexcellent response. Young age (p = 0.023), intermediate initial recurrence risk (p < 0.001) and low-dose ablation (p = 0.004) were independent predictive factors for recurrence. (4) Conclusion—low-dose ablation seemed to be less effective than high-dose ablation, especially in those patients with positive antithyroglobulin antibodies or higher stimulated thyroglobulin levels at the moment of ablation. Low dose was associated with higher recurrence rates, and lower age and intermediate initial recurrence risk were independent risk factors for recurrence in our sample.
Impact of the Fibrosis-4 Index on Risk Stratification of Cardiovascular Events and Mortality in Patients with Atrial Fibrillation: Findings from a Japanese Multicenter Registry
Authors: Saito Yuki , Okumura Yasuo , Nagashima Koichi , Fukamachi Daisuke , Yokoyama Katsuaki , Matsumoto Naoya , Tachibana Eizo , Kuronuma Keiichiro , Oiwa Koji , Matsumoto Michiaki , Nishida Toshihiko , Kojima Toshiaki , Hanada Shoji , Nomoto Kazumiki , Sonoda Kazumasa , Arima Ken , Takahashi Fumiyuki , Kotani Tomobumi , Ohkubo Kimie , Fukushima Seiji , Itou Satoru , Kondo Kunio , Ando Hideyuki , Ohno Yasumi , Onikura Motoyuki , Hirayama Atsushi
Published: February 2020

Background: Liver diseases drive the development and progression of atrial fibrillation (AF). The Fibrosis-4 (FIB4) index is a non-invasive scoring method for detecting liver fibrosis, but the prognostic impact of using it for AF patients is still unknown. Herein, we evaluated using the FIB4 index as a risk assessment tool for cardiovascular events and mortality in patients with AF. Methods: We performed a post-hoc analysis of a prospective, observational multicenter study. A total of 3067 patients enrolled in a multicenter Japanese registry were grouped as first tertile (FIB4 index < 1.75, n = 1022), second tertile (1.75 ≤ FIB4 index < 2.51, n = 1022), and third tertile (FIB4 index ≥ 2.51, n = 1023). Results: The third tertile had statistically significant results: older age, lower body mass index, increased heart failure prevalence, and lower clearances of hemoglobin and creatinine (all p < 0.05). During the follow-up period, incidences of major bleeding, cardiovascular events, and all-cause mortality were significantly higher for the third tertile (all p < 0.05). After multivariate adjustment, the third tertile associated independently with cardiovascular events (HR 1.72; 95% CI 1.31–2.25) and all-cause mortality (HR 1.43; 95% CI 1.06–1.95). Adding the FIB4 index to a baseline model with CHA2DS2-VASc score improved the prediction of cardiovascular events and all-cause mortality, as shown by the significant increase in the C-statistic (all p < 0.05), net reclassification improvement (all p < 0.001), and integrated discrimination improvement (all p < 0.001). A FIB4 index ≥ 2.51 most strongly associated with cardiovascular events and all-cause mortality in AF patients with high CHADS2 scores (all p < 0.001). Conclusions: The FIB4 index is independently associated with risks of cardiovascular events and all-cause mortality in AF patients.
Natural History and Management of Familial Paraganglioma Syndrome Type 1: Long-Term Data from a Large Family
Authors: Puliani Giulia , Sesti Franz , Feola Tiziana , Di Leo Nicola , Polti Giorgia , Verrico Monica , Modica Roberta , Colao Annamaria , Lenzi Andrea , Isidori Andrea M. , Cantisani Vito , Giannetta Elisa , Faggiano Antongiulio
Published: February 2020

Head and neck paragangliomas are the most common clinical features of familial paraganglioma syndrome type 1 caused by succinate dehydrogenase complex subunit D (SDHD) mutation. The clinical management of this syndrome is still unclear. In this study we propose a diagnostic algorithm for SDHD mutation carriers based on our family case series and literature review. After genetic diagnosis, first evaluation should include biochemical examination and whole-body imaging. In case of lesion detection, nuclear medicine examination is required for staging and tumor characterization. The study summarizes the diagnostic accuracy of different functional imaging techniques in SDHD mutation carriers. 18F-3,4-dihydroxyphenylalanine (18F-DOPA) positron emission tomography (PET)-computed tomography (CT) is considered the gold standard. If it is not available, 123I-Metaiodobenzylguanidine (MIBG) could be used also for predicting response to radiometabolic therapy. 18F-fluoro-2-deoxy-D-glucose (18F-FDG) PET-CT has a prognostic role since high uptake identifies more aggressive cases. Finally, 68Ga-peptides PET-CT is a promising diagnostic technique, demonstrating the best diagnostic accuracy in our and in other published case series, even if this finding still needs to be confirmed in larger studies. Periodic follow-up should consist of annual biochemical and ultrasonographic screening and biannual magnetic resonance examination to identify biochemical silent tumors early.
Role of Non-Coding RNAs in the Development of Targeted Therapy and Immunotherapy Approaches for Chronic Lymphocytic Leukemia
Authors: Pepe Felice , Balatti Veronica
Published: February 2020

In the past decade, novel targeted therapy approaches, such as BTK inhibitors and Bcl2 blockers, and innovative treatments that regulate the immune response against cancer cells, such as monoclonal antibodies, CAR-T cell therapy, and immunomodulatory molecules, have been established to provide support for the treatment of patients. However, drug resistance development and relapse are still major challenges in CLL treatment. Several studies revealed that non-coding RNAs have a main role in the development and progression of CLL. Specifically, microRNAs (miRs) and tRNA-derived small-RNAs (tsRNAs) were shown to be outstanding biomarkers that can be used to diagnose and monitor the disease and to possibly anticipate drug resistance and relapse, thus supporting physicians in the selection of treatment regimens tailored to the patient needs. In this review, we will summarize the most recent discoveries in the field of targeted therapy and immunotherapy for CLL and discuss the role of ncRNAs in the development of novel drugs and combination regimens for CLL patients.
A Multiplex Test Assessing MiR663ame and VIMme in Urine Accurately Discriminates Bladder Cancer from Inflammatory Conditions
Authors: Monteiro-Reis Sara , Blanca Ana , Tedim-Moreira Joana , Carneiro Isa , Montezuma Diana , Monteiro Paula , Oliveira Jorge , Antunes Luís , Henrique Rui , Lopez-Beltran António , Jerónimo Carmen
Published: February 2020

Bladder cancer (BlCa) is a common malignancy with significant morbidity and mortality. Current diagnostic methods are invasive and costly, showing the need for newer biomarkers. Although several epigenetic-based biomarkers have been proposed, their ability to discriminate BlCa from common benign conditions of the urinary tract, especially inflammatory diseases, has not been adequately explored. Herein, we sought to determine whether VIMme and miR663ame might accurately discriminate those two conditions, using a multiplex test. Performance of VIMme and miR663ame in tissue samples and urines in testing set confirmed previous results (96.3% sensitivity, 88.2% specificity, area under de curve (AUC) 0.98 and 92.6% sensitivity, 75% specificity, AUC 0.83, respectively). In the validation sets, VIMme-miR663ame multiplex test in urine discriminated BlCa patients from healthy donors or patients with inflammatory conditions, with 87% sensitivity, 86% specificity and 80% sensitivity, 75% specificity, respectively. Furthermore, positive likelihood ratio (LR) of 2.41 and negative LR of 0.21 were also disclosed. Compared to urinary cytology, VIMme-miR663ame multiplex panel correctly detected 87% of the analysed cases, whereas cytology only forecasted 41%. Furthermore, high miR663ame independently predicted worse clinical outcome, especially in patients with invasive BlCa. We concluded that the implementation of this panel might better stratify patients for confirmatory, invasive examinations, ultimately improving the cost-effectiveness of BlCa diagnosis and management. Moreover, miR663ame analysis might provide relevant information for patient monitoring, identifying patients at higher risk for cancer progression.
Use of Cytology in the Diagnosis of Basal Cell Carcinoma Subtypes
Authors: Pasquali Paola , Segurado-Miravalles Gonzalo , Castillo Mar , Fortuño Ángeles , Puig Susana , González Salvador
Published: February 2020

Background: Basal cell carcinoma (BCC) is the most common skin cancer in the white population. Nonsurgical treatments are first-line alternatives in superficial BCC (sBCC); therefore, differentiating between sBCC and non-sBCC is of major relevance for the clinician. Scraping cytology possesses several advantages, such as an earlier diagnosis and scarring absence, in comparison to a biopsy. Nevertheless, previous studies reported difficulties in differentiating the different BCC subtypes. The objective of this study was to determine the capability and accuracy of scraping cytology to differentiate between sBCC and non-sBCC. Methods: In this retrospective study, cytological samples of histologically confirmed BCC were examined. Select cytological features were correlated to BCC subtypes (sBCC or non-sBCC). Results: A total of 84 BCC samples were included (29 sBCC; 55 non-sBCC). An inverse correlation between the diagnosis of sBCC and the presence of mucin, dehiscence, and grade of atypia in the basal cells was observed. The presence of medium and large basal cell clusters correlated directly to a sBCC diagnosis. The presence of clear cells is strongly associated with sBCC. Therefore, Conclusion: Scraping cytology is reliable in differentiating sBCC from other BCC subtypes.
Life Expectancy after Surgery for Ascending Aortic Aneurysm
Authors: Hernandez-Vaquero Daniel , Silva Jacobo , Escalera Alain , Álvarez-Cabo Rubén , Morales Carlos , Díaz Rocío , Avanzas Pablo , Moris Cesar , Pascual Isaac
Published: February 2020

Introduction: The life expectancy of patients who undergo ascending aortic replacement is unknown. The life expectancy of a population depends on a collection of environmental and socio-economic factors of the territory where they reside. Our aim was to compare the life expectancy of patients undergoing surgery for ascending aortic aneurysm with that of the general population matching by age, sex, and territory. In addition, we aimed to know the late complications, causes of death and risk factors. Methods: All patients who underwent elective replacement of an ascending aortic aneurysm at our institution between 2000 and 2019 were included. The long-term survival of the sample was compared with that of the general population using data of the National Institute of Statistics. Results: For patients who survived the postoperative period, observed cumulative survival at three, five and eight years was 94.07% (95% CI 91.87–95.70%), 89.96% (95% CI 86.92–92.33%) and 82.72% (95% CI 77.68–86.71%). Cumulative survival of the general population at three, five and eight years was 93.22%, 88.30%, and 80.27%. Cancer and cardiac failure were the main causes of death. Conclusions: Long-term survival of patients undergoing elective surgery for ascending aortic aneurysm who survive the postoperative period completely recover their life expectancy.
Menstrual Cycle Changes in Vagally-Mediated Heart Rate Variability Are Associated with Progesterone: Evidence from Two Within-Person Studies
Authors: Schmalenberger Katja M. , Eisenlohr-Moul Tory A. , Jarczok Marc N. , Eckstein Monika , Schneider Ekaterina , Brenner Ines G. , Duffy Kathleen , Schweizer Sophie , Kiesner Jeff , Thayer Julian F. , Ditzen Beate
Published: February 2020

A recent meta-analysis revealed that cardiac vagal activity (mostly indicated by vagally-mediated heart rate variability; HRV) decreases significantly from the follicular to luteal menstrual cycle phase in naturally-cycling participants. However, the question remains as to whether cyclical changes in estradiol (E2), progesterone (P4), or both are responsible for HRV fluctuations. We present the first studies to use repeated measures of E2, P4, and HRV across the cycle to model both the unique and interactive effects of person-centered E2 and P4 on HRV in multilevel models. In study one, 40 naturally-cycling participants were assessed weekly across four weeks, and were blind to the cycle focus of the study. In study two, 50 naturally-cycling participants were examined in three precisely defined cycle phases via ovulation testing. Both studies revealed that only P4 was correlated with HRV, such that higher-than-usual P4 significantly predicted lower-than-usual HRV within a given participant. In line with this, cycle phase comparisons revealed lower HRV in the mid-luteal phase (characterized by elevated P4) than in other phases. No significant main or interactive effects of E2 on HRV were found. Future female health studies should investigate individual differences in these effects and potential consequences of cyclical HRV changes on daily functioning.
Non-Pharmacological Interventions for Post-Stroke Fatigue: Systematic Review and Network Meta-Analysis
Authors: Su Ya , Yuki Michiko , Otsuki Mika
Published: February 2020

Post-stroke fatigue (PSF) is one of the most serious sequelae, which often interferes with the rehabilitation process and impairs the functional recovery of patients. Due to insufficient evidence, it is unclear which specific pharmacological interventions should be recommended. Therefore, in this paper, we compare the effectiveness of non-pharmacological interventions in PSF. A systematic review and network meta-analysis of randomized controlled trials were performed using EMBASE, MEDLINE, CINAHL, Cochrane library, ClinicalTrials.gov, CNKI, and CQVIP, from inception to January 2018, in the English and Chinese languages. RCTs involving different non-pharmacological interventions for PSF with an outcome of fatigue measured using the Fatigue Severity Scale were included. Multiple intervention comparisons based on a Bayesian network are used to compare the relative effects of all included interventions. Ten RCTs with eight PSF non-pharmacological interventions were identified, comprising 777 participants. For effectiveness, most interventions did not significantly differ from one another. The cumulative probabilities of the best non-pharmacological intervention for fatigue reduction included Community Health Management (CHM), followed by Traditional Chinese Medicine (TCM) and Cognitive Behavioral Therapy (CBT). Network meta-analysis based on data from the selected RCTs indicated that the eight PSF non-pharmacological interventions shared equivalent efficacy, but CHM, TCM, and CBT showed potentially better efficacy. In the future, fatigue needs to be recognized and more accurate assessment methods for PSF are required for diagnosis and to develop more effective clinical interventions.
The Role of Secretory Pathways in Candida albicans Pathogenesis
Authors: Rollenhagen Christiane , Mamtani Sahil , Ma Dakota , Dixit Reva , Eszterhas Susan , Lee Samuel A.
Published: February 2020

Candida albicans is a fungus that is a commensal organism and a member of the normal human microbiota. It has the ability to transition into an opportunistic invasive pathogen. Attributes that support pathogenesis include secretion of virulence-associated proteins, hyphal formation, and biofilm formation. These processes are supported by secretion, as defined in the broad context of membrane trafficking. In this review, we examine the role of secretory pathways in Candida virulence, with a focus on the model opportunistic fungal pathogen, Candida albicans.
Challenges to Implementing Socially-Sustainable Community Development in Oil Palm and Forestry Operations in Indonesia
Authors: Pasaribu Stephany I , Vanclay Frank , Zhao Yongjun
Published: February 2020

Through the lenses of community development and social licence to operate, we consider the complex relationships between local communities and forest plantation and oil palm companies. We examine the practical challenges in implementing socially-sustainable community development (SSCD) by analyzing two corporate social investment community development projects located in West Kalimantan, Indonesia: Desa Makmur Peduli Api (integrated fire management) and Pertanian Ekologi Terpadu (ecological farming). Our study scrutinized: (i) What were the practice challenges faced by the companies in establishing SSCD?; Along with (ii) what should be done to improve how SSCD is undertaken, especially in Indonesia? We identified five challenges: (1) unresolved land conflict; (2) determining the right program; (3) building community capacity rather than providing irrelevant training; (4) a shortage of company field staff and government facilitators; and (5) managing community expectations. Better governance of SSCD will reduce conflict between affected communities and companies.
An Analysis of Public Complaints to Evaluate Ecosystem Services
Authors: Lee Jae-hyuck , Choi HaeOk
Published: February 2020

Reducing the demands placed on ecosystems can maximize the benefits they provide. Therefore, this study examines public complaints about the environment to analyze the pressure placed on the ecosystem spatially and temporally. Environment-related public complaints filed in the city of Namyangju were examined. The city sources its water from the Han River and is poised to implement a payment system for ecosystem services. Many complaints were filed regarding noise and oscillation, dust scattering, wildlife, air quality management, and water quality management. The complaints indicated that the public were inconvenienced by the regulation of services and service-support: scattered dust affected the downtown area all year, while noise and oscillation, as well as problems with air quality, were prevalent mainly during the summer. Measures should be adopted to address the peculiarities of each issue. This study suggests that areas in which wild boars are active should be separated from areas of human activity and that pollutants need to be prevented from reaching the waterfront. Measures should be developed to address the negative factors and maximize ecosystem benefits. Analyzing public complaints about the environment can lead to the establishment of local plans to maximize ecosystem services.
An Enhanced Three-Dimensional Auxetic Lattice Structure with Improved Property
Authors: Xue Yingying , Gao Peixin , Zhou Li , Han Fusheng
Published: February 2020

In order to enhance the mechanical property of auxetic lattice structures, a new enhanced auxetic lattice structure was designed by embedding narrow struts into a three-dimensional (3D) re-entrant lattice structure. A series of enhanced lattice structures with varied parameters were fabricated by 3D printing combined with the molten metal infiltration technique. Based on the method, parameter studies were performed. The enhanced auxetic lattice structure was found to exhibit superior mechanical behaviors compared to the 3D re-entrant lattice structure. An interesting phenomenon showed that increasing the diameter of connecting struts led to less auxetic and non-auxetic structures. Moreover, the compressive property of the enhanced structure also exhibited obvious dependence on the base material and compression directions. The present study can provide useful information for the design, fabrication and application of new auxetic structures with enhanced properties.
Effects of Helix Geometry on Magnetic Guiding of Helical Polymer Composites on a Gastric Cancer Model: A Feasibility Study
Authors: Kim Yongju , Park Jeong Eun , Wie Jeong Jae , Yang Su Geun , Lee Don Haeng , Jin Young-Joo
Published: February 2020

This study investigates the effects of soft-robot geometry on magnetic guiding to develop an efficient helical mediator on a three-dimensional (3D) gastric cancer model. Four different magnetically active helical soft robots are synthesized by the inclusion of 5-μm iron particles in polydimethylsiloxane matrices. The soft robots are named based on the diameter and length (D2-L15, D5-L20, D5-L25, and D5-L35) with samples having varied helical pitch and weight values. Then, the four samples are tested on a flat surface as well as a stomach model with various 3D wrinkles. We analyze the underlying physics of intermittent magnetomotility for the helix on a flat surface. In addition, we extract representative failure cases of magnetomotility on the stomach model. The D5-L25 sample was the most suitable among the four samples for a helical soft robot that can be moved to a target lesion by the magnetic-flux density of the stomach model. The effects of diameter, length, pitch, and weight of a helical soft robot on magnetomotility are discussed in order for the robot to reach the target lesion successfully via magnetomotility.
Strength Development and Elemental Distribution of Dolomite/Fly Ash Geopolymer Composite under Elevated Temperature
Authors: Azimi Emy Aizat , Abdullah Mohd Mustafa Al Bakri , Vizureanu Petrica , Salleh Mohd Arif Anuar Mohd , Sandu Andrei Victor , Chaiprapa Jitrin , Yoriya Sorachon , Hussin Kamarudin , Aziz Ikmal Hakem
Published: February 2020

A geopolymer has been reckoned as a rising technology with huge potential for application across the globe. Dolomite refers to a material that can be used raw in producing geopolymers. Nevertheless, dolomite has slow strength development due to its low reactivity as a geopolymer. In this study, dolomite/fly ash (DFA) geopolymer composites were produced with dolomite, fly ash, sodium hydroxide, and liquid sodium silicate. A compression test was carried out on DFA geopolymers to determine the strength of the composite, while a synchrotron Micro-Xray Fluorescence (Micro-XRF) test was performed to assess the elemental distribution in the geopolymer composite. The temperature applied in this study generated promising properties of DFA geopolymers, especially in strength, which displayed increments up to 74.48 MPa as the optimum value. Heat seemed to enhance the strength development of DFA geopolymer composites. The elemental distribution analysis revealed exceptional outcomes for the composites, particularly exposure up to 400 °C, which signified the homogeneity of the DFA composites. Temperatures exceeding 400 °C accelerated the strength development, thus increasing the strength of the DFA composites. This appears to be unique because the strength of ordinary Portland Cement (OPC) and other geopolymers composed of other raw materials is typically either maintained or decreases due to increased heat.
Willow Bark for Sustainable Energy Storage Systems
Authors: Hobisch Mathias Andreas , Phiri Josphat , Dou Jinze , Gane Patrick , Vuorinen Tapani , Bauer Wolfgang , Prehal Christian , Maloney Thaddeus , Spirk Stefan
Published: February 2020

Willow bark is a byproduct from forestry and is obtained at an industrial scale. We upcycled this byproduct in a two-step procedure into sustainable electrode materials for symmetrical supercapacitors using organic electrolytes. The procedure employed precarbonization followed by carbonization using different types of KOH activation protocols. The obtained electrode materials had a hierarchically organized pore structure and featured a high specific surface area (>2500 m2 g−1) and pore volume (up to 1.48 cm3 g−1). The assembled supercapacitors exhibited capacitances up to 147 F g−1 in organic electrolytes concomitant with excellent cycling performance over 10,000 cycles at 0.6 A g−1 using coin cells. The best materials exhibited a capacity retention of 75% when changing scan rates from 2 to 100 mV s−1.
Glass Fiber Reinforced Composite Orthodontic Retainer: In Vitro Effect of Tooth Brushing on the Surface Wear and Mechanical Properties
Authors: Sfondrini Maria Francesca , Vallittu Pekka Kalevi , Lassila Lippo Veli Juhana , Viola Annalisa , Gandini Paola , Scribante Andrea
Published: February 2020

Fiber reinforced composites (FRCs) are metal free materials that have many applications in dentistry. In clinical orthodontics, they are used as retainers after active treatment in order to avoid relapse. However, although the modulus of the elasticity of FRCs is low, the rigidity of the material in the form of a relatively thick retainer with a surface cover of a flowable resin composite is known to have higher structural rigidity than stainless steel splints. The aim of the present study is to measure load and bending stress of stainless steel wires, as well as flowable resin composite covered and spot-bonded FRC retainer materials after tooth brushing. These materials were tested with a three point bending test for three different conditions: no brushing, 26 min of brushing, and 60 min of brushing. SEM images were taken before and after different times of tooth brushing. Results showed that stainless steel was not significantly affected by tooth brushing. On the other hand, a significant reduction of values at maximum load at fracture was reported for both FRC groups, and uncovered FRCs were most affected. Concerning maximum bending stress, no significant reduction by pretreatment conditions was reported for the materials tested. SEM images showed no evident wear for stainless steel. Flowable resin composite covered FRCs showed some signs of composite wear, whereas spot-bonded FRCs, i.e., without the surface cover of a flowable resin composite, showed signs of wear on the FRC and exposed glass fibers from the FRC’s polymer matrix. Because of the significant changes of the reduction of maximum load values and the wear for spot-bonded FRCs, this technique needs further in vitro and in vivo tests before it can be performed routinely in clinical practice.
Influence of Activators on Mechanical Properties of Modified Fly Ash Based Geopolymer Mortars
Authors: Prochon Piotr , Zhao Zengfeng , Courard Luc , Piotrowski Tomasz , Michel Frédéric , Garbacz Andrzej
Published: February 2020

The aim of this work was to study the influence of the type of activator on the formulation of modified fly ash based geopolymer mortars. Geopolymer and alkali-activated materials (AAM) were made from fly ashes derived from coal and biomass combustion in thermal power plants. Basic activators (NaOH, CaO, and Na2SiO3) were mixed with fly ashes in order to develop binding properties other than those resulting from the use of Portland cement. The results showed that the mortars with 5 mol/dm3 of NaOH and 100 g of Na2SiO3 (N5-S22) gave a greater compressive strength than other mixes. The compressive strengths of analyzed fly ash mortars with activators N5-S22 and N5-C10 (5 mol/dm3 NaOH and 10% CaO) varied from 14.3 MPa to 5.9 MPa. The better properties of alkali-activated mortars with regular fly ash were influenced by a larger amount of amorphous silica and alumina phases. Scanning electron microscopy and calorimetry analysis provided a better understanding of the observed mechanisms.
Biochars from Lignin-rich Residue of Furfural Manufacturing Process for Heavy Metal Ions Remediation
Authors: Wang Baobin , Ran Miao , Fang Guigan , Wu Ting , Ni Yonghao
Published: February 2020

The pentose/furfural industrial manufacturing process uses corn cob residue as a raw material, where such a process yields significant amount of lignin-rich residue (LCR) at the end, which is commonly disposed by burning. In this study, the conversion of LCR to biochars (BCs), and their subsequent applications for heavy metal ion removal, were investigated. The BCs were prepared through hydrothermal carbonization and post-activation, using either ZnCl2 or H3PO4 treatment. The as-prepared activated BCs were characterized using N2 adsorption–desorption isotherms, XRD, FT-IR, SEM and TEM, and their performance in removing heavy metal ions (Pb2+, Cu2+, Cd2+) from aqueous solutions was assessed. The ZnCl2-activated BCs (BC-ZnCl2) exhibit a higher adsorption capacity than the H3PO4-activated BCs (BC-H3PO4), mainly due to the differences in their chemical/physical characteristics. The related adsorption kinetics and isotherms were analyzed.
Enhancing Energy Efficiency of a 4-DOF Parallel Robot Through Task-Related Analysis
Authors: Scalera Lorenzo , Boscariol Paolo , Carabin Giovanni , Vidoni Renato , Gasparetto Alessandro
Published: February 2020

Enhancing energy efficiency is one of the main challenges of today’s industrial robotics and manufacturing technology. In this paper a task-related analysis of the energetic performance of a 4-DOF industrial parallel robot is presented, and the optimal location of a predefined task with respect to the robot workspace is investigated. An optimal position of the task relative to the robot can indeed reduce the actuators’ effort and the energy consumption required to complete the considered operation. The dynamic and electro-mechanical models of the manipulators are developed and implemented to estimate the energy consumption of a parametrized motion with trapezoidal speed profile, i.e., a pick-and-place operation. Numerical results provide energy consumption maps that can be adopted to place the starting and ending points of the task in the more energy-efficient location within the robot workspace.
Performance of Polymer Electrolyte Membrane for Direct Methanol Fuel Cell Application: Perspective on Morphological Structure
Authors: Junoh Hazlina , Jaafar Juhana , Nordin Nik , Ismail Ahmad , Othman Mohd , Rahman Mukhlis , Aziz Farhana , Yusof Norhaniza
Published: February 2020

Membrane morphology plays a great role in determining the performance of polymer electrolyte membranes (PEMs), especially for direct methanol fuel cell (DMFC) applications. Membrane morphology can be divided into two types, which are dense and porous structures. Membrane fabrication methods have different configurations, including dense, thin and thick, layered, sandwiched and pore-filling membranes. All these types of membranes possess the same densely packed structural morphology, which limits the transportation of protons, even at a low methanol crossover. This paper summarizes our work on the development of PEMs with various structures and architecture that can affect the membrane’s performance, in terms of microstructures and morphologies, for potential applications in DMFCs. An understanding of the transport behavior of protons and methanol within the pores’ limits could give some perspective in the delivery of new porous electrolyte membranes for DMFC applications.
Evaluating the Feasibility of Forward Osmosis in Diluting RO Concentrate Using Pretreatment Backwash Water
Authors: Liyanaarachchi Susanthi , Jegatheesan Veeriah , Shu Li , Shon Ho Kyong , Muthukumaran Shobha , Li Chun Qing
Published: February 2020

Forward osmosis (FO) is an excellent membrane process to dilute seawater (SW) reverse osmosis (RO) concentrate for either to increase the water recovery or for safe disposal. However, the low fluxes through FO membranes as well the biofouling/scaling of FO membranes are bottlenecks of this process requiring larger membrane area and membranes with anti-fouling properties. This study evaluates the performance of hollow fibre and flat sheet membranes with respect to flux and biofouling. Ferric hydroxide sludge was used as impaired water mimicking the backwash water of a filter that is generally employed as pretreatment in a SWRO plant and RO concentrate was used as draw solution for the studies. Synthetic salts are also used as draw solutions to compare the flux produced. The study found that cellulose triacetate (CTA) flat sheet FO membrane produced higher flux (3–6 L m−2 h−1) compared to that produced by polyamide (PA) hollow fibre FO membrane (less than 2.5 L m−2 h−1) under the same experimental conditions. Therefore, long-term studies conducted on the flat sheet FO membranes showed that fouling due to ferric hydroxide sludge did not allow the water flux to increase more than 3.15 L m−2 h−1.
Refining and Casting of Steel
Authors: Gryc Karel , Falkus Jan
Published: February 2020

Steel was the most requested material all over the world during the past fast technically evolving centuries [...]
Metabolite and Phytohormone Profiling Illustrates Metabolic Reprogramming as an Escape Strategy of Deepwater Rice during Partially Submerged Stress
Authors: Fukushima Atsushi , Kuroha Takeshi , Nagai Keisuke , Hattori Yoko , Kobayashi Makoto , Nishizawa Tomoko , Kojima Mikiko , Utsumi Yoshinori , Oikawa Akira , Seki Motoaki , Sakakibara Hitoshi , Saito Kazuki , Ashikari Motoyuki , Kusano Miyako
Published: February 2020

Rice varieties that can survive under submergence conditions respond to flooding either by enhancing internode elongation or by quiescence of shoot elongation. Despite extensive efforts to identify key metabolites triggered by complete submergence of rice possessing SUBMERGENCE 1 (SUB1) locus, metabolic responses of internode elongation of deepwater rice governed by the SNORKEL 1 and 2 genes remain elusive. This study investigated specific metabolomic responses under partial submergence (PS) to deepwater- (C9285) and non-deepwater rice cultivars (Taichung 65 (T65)). In addition, we examined the response in a near-isogenic line (NIL-12) that has a C9285 genomic fragment on chromosome 12 introgressed into the genetic background of T65. Under short-term submergence (0–24 h), metabolite profiles of C9285, NIL-12, and T65 were compared to extract significantly changed metabolites in deepwater rice under PS conditions. Comprehensive metabolite and phytohormone profiling revealed increases in metabolite levels in the glycolysis pathway in NIL-12 plants. Under long-term submergence (0–288 h), we found decreased amino acid levels. These metabolomic changes were opposite when compared to those in flood-tolerant rice with SUB1 locus. Auxin conjugate levels related to stress response decreased in NIL-12 lines relative to T65. Our analysis helped clarify the complex metabolic reprogramming in deepwater rice as an escape strategy.